Tom Bell

Pharmacist back living in Nottingham. Interested in crit care, football, logic and science. Not always in that order...
👪⚽️🚴‍♂️🏃‍
All views my own.

#TeamSFH

[Tom Bell @TomBell81]

And it begins..

[Tom Bell @TomBell81]

2 years @danbellj

[Frances Bell @[email protected] @francesbell]

My son @TomBell81 is doing this significant challenge to raise money for Cancer Research, in memory of his late brother @danbellj
Tom says “I have decided to do something active and for a good cause each year in his memory” https://t.co/KTbfPDVo6O #CancerResearch #GoTom

[Tony Breu @tony_breu]

1/18
🤔Why is the BUN/Cr elevated in upper gastrointestinal bleeding?

This question has been covered by @AdamRodmanMD and @WilliamAird4 but the literature is SO FASCINATING that I had to review it myself.

[The Guild of Healthcare Pharmacists @GHPPharmacy]

Congratulations on undermining lawful industrial action conducted by our hardworking junior doctor colleagues. It would be regrettable if those pharmacists have been compelled to act outside of their scope of practice or job description.

[Rhys Thomas @DrGetafix]

A recurring theme on #MedTwitter is frustration with #LookAlike medications.
We get angry at drug companies & demand they fix what we think is a simple problem. But it’s not. It’s very complex, even bordering on “wicked”. I’m hoping this 🧵 might help tease that out. 1/

[James Cave @JAHCave]

If you are as unhappy as i am at the new look https://t.co/sN1kcXpiUj and hate having to open multiple stems try just see the whole #spc I have found if you select the [print] option you can then scroll through the whole drug spc as before. #medicinescompendium

[Ron Barbosa MD FACS @rbarbosa91]

One more redo🧵for the students...

Here I will explain what is meant by 'French' when we are talking about Foleys and NG tubes and such.

Also we will cover what the 'Gauge' of an IV means.

(1/ )

[Susie Dent @susie_dent]

Two words, each hundreds of years old, that are still worth holding on to: ‘respair’: fresh hope, and ‘resipiscence’: a return to a better frame of mind.

Here’s to both in 2023. Happy New Year.

[Tom Bell @TomBell81]

@moore2_jayne Apart from a "forgotten gratin" pretty well!

[Tom Bell @TomBell81]

It's go time on Christmas 🦃

[Jamie Willows @jamiekwillows]

1/9
The satisfaction I get from swapping bendroflumethiazide to indapamide (while trying to sound clever by muttering something about longer half life) may be coming to an end. Sigh.

A reasonably niche 🧵 about thiazides for hypertension in the UK.…👇

[Daniel Schwartz, MD @drdschwartzmd]

7 ways the EMPA-KIDNEY trial will impact clinical care in CKD

A Thread 🧵

Sources @NEJM @NephJC @DiabetesCanada @AmDiabetesAssn @goKDIGO @ESC_Journals @hswapnil @kidney_boy

[SFH Clinical Illustration @SFH_Clin_Illust]

World Anti-Microbial Awareness Week

[Tony Breu @tony_breu]

1/15
🤔Why do antibiotics reduce the risk of rebleeding after acute variceal hemorrhage?

I understand why antibiotics reduce infections, but the mechanism by which they reduce rebleeding is not immediately apparent.

Let's have a look.

[Martin Lewis @MartinSLewis]

Pls share. There's a little known benefit for grandparents who look after their grandchildren while parents work.

If ur a parent of an under 12, if your parent (ie childs grandparent) do childcare so you can work, u can apply to get em "Specified Adult Childcare Credit"
/contd

[Chris Reddy FCCT @BrightLeadChris]

The @nationaltrust are giving away free family passes this week 🍃

These can be used up until 30th November.

They allow up to 2 adults and 4 children free entry to one of their sites this autumn.

👇👇👇👇👇👇👇👇👇👇👇👇
https://t.co/MNjIoSX04T

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

The important questions for ICU clinicians :
Who to treat and in whom is it possible to avoid unnecessary antifungals without risk?
🆕⚡⚡Review The Changing Landscape of Invasive Fungal Infections in ICUs
A Need for Risk Stratification #IDTwitter #MedEd https://t.co/PX0GGFMSpa

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

This is a ⚡fantastic article⚡
by super 🌟s Dr. Bassetti & @davidvanduin @jac_amr
We really need more adoption to RDTs coupled with stewardship programs
Early appropriate diagnostics and treatment of MDR Gram-negative infections #IDTwitter #MedEd https://t.co/h6eOvK2iH8

[Dan Hollick @DanHollick]

Ever wondered how a QR code works?
No, me neither but it's low-key fascinating.

(Warning, there is some extremely nerdy shit here.👇 )