Rikesh Patel

NHS Consultant Physician and Rheumatologist; interest in the PMR/LVV spectrum and diagnostic reasoning. Lover and photographer of the awe-inspiring Cosmos.

[Rikesh Patel @_Rikesh]

A selection of photographs taken from my home in North West England this year.

#Astrophotography

[Rikesh Patel @_Rikesh]

@hemo_shk @IhabFathiSulima This is classic SCLE

[Rikesh Patel @_Rikesh]

I recently had the pleasure of joining the @RCPhysicians podcast to discuss #GCA

Listen here!

RCP - https://t.co/euMkqelJa0

Spotify - https://t.co/uicEGocShW

#medtwitter

[Gurpriya @GurpriyaSidhu]

For some godawful reason and against my better judgement, I feel like weighing in on the Liver Doc vs Vidit debate.

It is hurtful for Vidit to have someone discredit his family online. Although, liver doc did not know say his father is a bad Ayurvedic migraine specialist, or his mother is a bad cosmetologist. That would've been a personal attack. He only clarified that they are not doctors.

Now, one can say what's the big deal even if Vidit called them doctors, what is the need for so much anger. But that's where we miss the context of a physician.

People die due to these treatments and therapies. There is no other way to put it. People distrust real doctors, avoid taking the right treatment, and in a lot of cases permanently damage their health, in worst cases they die.

When the consequences of something are so dire, it is important to educate, to use the right vocabulary, to be informed. Unfortunately, the government doesn't do its job in this matter. If anything, this is as important as the polio vaccination program.

We don't see the repercussions of this unfold in our every day lives but physicians do. That is their context.

[Rikesh Patel @_Rikesh]

@GorwayGlobal @Joydas So many people have missed the joke here

[Rikesh Patel @_Rikesh]

@Dr_PJEdwards @DrAnimeshSingh Never, my youngest is 44 (syndrome textbook and PETCT typical uptake peri-articular sites)

[Rikesh Patel @_Rikesh]

@umair28222 @InfamousGasman My trust did during previous strikes

[Rikesh Patel @_Rikesh]

Milky Way from Kos.

Shot at 3am on 10/6/25 from a remote, isolated, dark corner on the island of Kos, Greece (Bortle 2/3).

Captured using an astromodified Canon 6D and Sigma 24mm f/1.4 lens.

@skyatnightmag #landscapeastro

[Rikesh Patel @_Rikesh]

@tropic_health @RheumNow Wrong

[Rikesh Patel @_Rikesh]

Cosmic Drama

12 hours of integration at f/3.9 from Bortle 6 skies in the North West of England. M82 captured in detail—my most refined image in 5 years of astrophotography.  

#astrophotography

[Rikesh Patel @_Rikesh]

@DrNeilStone Here it is. No arguing that.

[Rikesh Patel @_Rikesh]

After a long stint of using clear nights to attempt to sleep instead of stargaze I managed to make it happen this week. Here’s M101—the Pinwheel Galaxy from my back garden in NW UK. It’s 21 million light-years away and nearly twice the size of the Milky Way

#Astrophotography

[Rikesh Patel @_Rikesh]

@rudi_shukla @UoMMskResearch @ManchesterBRC @MFT_MRI @EMEUNET Smashed it Rudi!! 🙌🏽

[Rikesh Patel @_Rikesh]

@DrEilidhMaria Lots of people are shortlisted for interview from a very academic background and hence they score highly on the written application, this does not correlate well with clinical performance.

Interviewer fatigue - yes, but I don’t think it affects scoring much to be honest

3/3

[Rikesh Patel @_Rikesh]

@DrEilidhMaria I find there is quite a lot of variation in candidate performance within in the clinical scenario. Particularly when candidates score 3 (avg) and 5 (excellent). I think more weight should be given to the clinical scenario in the future.
2/x

[Dr Charlotte Sharp @sharpcharlotte]

We are looking for #Rheumatology patients to tell us their views about clinic letters, and who us clinicians should write to - patient or GP?

Please see details below to take part - we're recruiting from across the UK 👀

Pls RT
@NRAS_UK @vascuk @wren_project @VersusArthritis

[Rikesh Patel @_Rikesh]

#AuroraBorealis Timelapses from NW UK last night

All shot with Canon EOS R8 and sigma 24mm f1.4 Art

@BBCNews @skyatnightmag

[Rikesh Patel @_Rikesh]

new kurzgesagt video is great, pls watch

https://t.co/VWwQPLFjhf

[Erica Pool @erica_pool]

Devastating results from the @UKHSA annual report on HIV in England: 6,008 new HIV diagnoses in 2023, up 56% from 3,859 in 2019.

Evidence of the cuts which have decimated our services.

https://t.co/SDjMRrKLAl

[Rikesh Patel @_Rikesh]

Diagnosis is the art of seeing what everyone has seen, but thinking what no one has thought.