Richard Appleby

Daddy, Gastroenterologist, IBD specialist, bowel cancer screening colonoscopist, clinical information officer, veteran, cares about everyone and everything

[Richard Appleby @RNAppleby]

I’m out of here, deleting the app, not the account. Maybe back, but feeling that what the world needs right now can’t be provided in 280 characters. I suspect that if Musk has anything positive left to offer Humanity, it will be falling into a volcano holding the X algorithm

[Richard Appleby @RNAppleby]

@wesstreeting I think your oversight is that many of those striking doctors are not UK graduates, and everyone else recognises that we need them and to disincentivise them is this way will be counterproductive

[Richard Appleby @RNAppleby]

@TheBMA @BMAResidents What the hell? Don’t UK graduates have enough advantages?

[Richard Appleby @RNAppleby]

@tomhfh Strange then you’d pick a graph for a country without slaves, but still benefited from colonies with Slaves beyond 1808

[Richard Appleby @RNAppleby]

@Jonathansegal85 @dr_aditi_kumar @HelenSteed1 @adbeggs @GastroMJB @NabilQuraishi You know how to titillate me Jon, I can’t work out why bother with the sehcat? Colesevelam as primary prophylaxis regardless of sehcat vs metronidazole, that’s the trial

[Dr Arj Imbuldeniya @londonkneehip]

Absolutely amazing NHS elective theatre productivity by this team who work at a ridiculously busy “hot” emergency site, all the hard work paid off 💪 @WestMidHospital @ChelwestFT #hipreplacement #enhanced recovery #GIRFT

[Richard Appleby @RNAppleby]

@timricketts_ Agree, can’t see it ever becoming otherwise though, someone at SpR level is practically unappointable without relevant NHS experience

[Deepak Madhu @drdeepakmadhu]

✳️ Chicago 4.0 (c) algorithm for esophageal motility disorders✳️

✅ Disorders of EGJ outflow (Achalasia and EJGOO)
✅ Disorders of peristalsis

#GITwitter

[DrShahidaDin @ShahidaDin1]

Several stakeholders have advocated for minimising placebo controlled RCTs. We analysed the harms [Adverse Events,[AEs]] associated with placebo in inflammatory bowel diseases (IBD) RCTs. @alex_ford12399 @Bealoquebea @Jonathansegal85 @JonnyBlackwell @DrCJBlack @GastroRes_Leeds

[mariapellise @mariapellise1]

In Lynch Syndrome, CADe does not provide any benefit in comparison with white light endoscopy. The high ADR in the control arm indicates that HUMANs have the key for High Quality endoscopy! @aegastro @my_ueg @ESGE_news @frankbalaguer https://t.co/s6FvzU3Xdt

[Richard Appleby @RNAppleby]

@philaberry @DrMLong @GSTTnhs @IHepatology @ImperialNHS @LNWH_NHS @WestMidHospital @ChelwestFT @NorthMidNHS @MSEHospitals @NHSBartsHealth @RoyalFreeNHS @enherts Congratulations Matt, I wish you luck bringing that dept up to the West Mid standard!

[Richard Appleby @RNAppleby]

@Dr_Ellie @Keir_Starmer @wesstreeting @NHSuk @NHSEnglandLDN @NHSMillion @NHSDigital @BarneyCalman 💯 also hate it when global healthcare problems are blamed on the NHS, eg the poster outside our pharmacy that say ‘drug shortages sometimes happen on the NHS’ drives me nuts, your not going to find that drug in US either!

[Richard Appleby @RNAppleby]

@theveindoc Although I expect the greater problem is the maintenance costs of aging buildings, just cutting that will improve productivity

[Richard Appleby @RNAppleby]

@theveindoc Within endoscopy units, yes, many units are constrained by buildings designed for 50% of the current workload, so the W/L is rising, even though there’s endoscopists.

[Richard Appleby @RNAppleby]

@drphiliplee1 Is it over £300? If so I’m not sure what you have to do, perform ritual seppuku maybe?

[Richard Appleby @RNAppleby]

@drphiliplee1 It’s the damaging property under £300 I’m worried about, I dropped my wife’s phone yesterday, going to have to call the GMC now

[Richard Appleby @RNAppleby]

@DrLKVaughan Either that’s a very bad choice of photo, or it’s about bloody time they banned toast

[Digital Health News UK @HTDigitalhealth]

West Bromwich welcomes new ophthalmology and gastroenterology hospital. https://t.co/w0lLIlvGmt #Digitalhealth #NHS #Healthcare@chec_eyecare

[Richard Appleby @RNAppleby]

@campbellclaret @RestIsPolitics @pmalin Anecdotally it’s the boomers retweeting and believing the fake news, the kids are much wiser to it, I do believe there are emotional benefits to staying away though, especially at younger ages

[Richard Appleby @RNAppleby]

@Aiannucci @t0nyyates As a general rule of thumb: if there’s a dragon = fake, it’s actually not very hard Elon