Chris Rao

[Chris Rao @csptripler]

@cumbriamed Amazing place with amazing opportunities if anyone would like to chat about the colorectal, gastroenterology or gen surgery services DM me

[The Pears Cumbria School of Medicine @cumbriamed]

⭐ An exciting opportunity to join the team!
We are now looking to recruit a number of Consultant Honorary Senior Clinical Lecturers, who will work collaboratively with Pears Cumbria School of Medicine.
Click here for more information: https://t.co/iUnaMVvV3T

[Keith Siau @drkeithsiau]

This 50M presented with acute severe UC with low albumin (13) and CRP 200+. CT showed colitis with pneumatosis. He improved with steroids and early infliximab, but this AXR was requested after I incidentally noticed him with a distended abdomen despite improving symptoms and CRP. Repeat CT confirmed toxic megacolon. Surgery were reluctant to operate as he looked well, but he eventually went for colectomy. The surgeon said it was one of the worst colon specimens he had seen, with adhesions, microperforations and risk of imminent peritoneal contamination. Thankfully he had surgery in time.

Lessons:
1) A very low albumin is a very poor prognostic marker in acute severe UC.

2) The Travis criteria (CRP >45) after 3 days of IV steroid is predictive of colectomy in 85%. This is based on old data but be used as a prompt for surgical referral.

3) IV steroids can mask symptoms and make the patient look deceiving well.

4) I have yet to medically salvage a patient with toxic megacolon - they almost always need colectomy, but happy to hear other’s experiences.

Any other pearls?

Image: https://t.co/AeAmEwkjlH

[Chris Rao @csptripler]

Absolute pleasure to work with the team from @HealthTechWales on this. High quality work, done really quickly. Technology appraisal at its best!

https://t.co/aNli6Y58LC

[Chris Rao @csptripler]

Papillon (Contact x-ray brachytherapy) is cost-effective for the treatment of rectal cancer
https://t.co/SfM9guQBhZ
@ColorectalDis

[Unidad de Coloproctología del HUGetafe @ColonGetafe]

The safety and efficacy of total mesorectal excision (TME) surgery following dose‐escalation: Surgical outcomes from the organ preservation in early rectal adenocarcinoma (OPERA) trial, a European multicentre phase 3 randomised trial (NCT02505750) https://t.co/TeYbQvdhWn

[Paul Brand @PaulBrandITV]

EXCLUSIVE: The doctor who helped catch Britain’s worst baby killer.

Dr Ravi Jayaram spent two years pleading with hospital managers to investigate Lucy Letby.

Instead, they made him apologise and attend mediation with her.

[Chris Rao @csptripler]

@dafyddloughran @ercstjohn @NHSResolution @BJSurgery @moiqbalhussain @AntonyHEcon @RachEHou10 @simontoh14 @MedicaQc @PHUresearch @Concentric_Hlth @sbrihealthcare @RCSnews @RCSEd We don’t know - more work needs to be done in this space. The unexplained variation also makes me think that consent can be done much better.

[Edward St John @ercstjohn]

📣Hot off the press- our analysis of @NHSResolution data regarding 'Fail to Warn' over the last decade, published in @BJSurgery
https://t.co/GHPQxe1aHc

@moiqbalhussain @AntonyHEcon @RachEHou10
@simontoh14 @MedicaQc @PHUresearch @Concentric_Hlth
@sbrihealthcare @RCSnews @RCSEd

[Vanash Patel @vanashpatel]

Measuring outcomes that matter most to patients has the potential to deliver high-quality patient-centred care. 'PROMs and QoL in Surgery' 📖published by @SpringerNature. Outstanding #teamwork from my mentors and co-editors @t_tathanasiou and @aradarzi and all the contributors from home and abroad. @WestHertsNHS @ImperialSandC @EshaKhanderia @BhaminiVadhwana @MunirTarazi @OrestisArg @michalisx @KHurndall93 @csptripler @alan_askari @chanpreetarhi @r_mamidanna @cswathikan @gall_tamara @DrMSodergren @garas_george @ASameermallick @DrFionaTsang @ailsybird @GeoMalietzis @TTsitsias @PapaloisZoe https://t.co/Y6HdkZiqT5

[Chris Rao @csptripler]

@ercstjohn @AmandaPritchard @DrTonyYoung @Concentric_Hlth @NHS_CEP @innovateuk @sbrihealthcare @SIGHT_programme Congratulations!

[David Baddiel @Baddiel]

Here’s ⁦@helenlewis⁩ being very very good on RD. https://t.co/Hf4qmWL7Fd

[Mike Henley 🤨 @trentconsultant]

If you're a BMA consultant member in England and think consultants shouldn't take action to fix pay, fix pensions & fix the pay review process, then stop us, vote no! But not until you've watched this short youtube https://t.co/btTMrFxaCv or read this https://t.co/8vunlT51hk

[Tamzin Cuming @nizbuzz]

Absolutely right for Tayo Oke to be celebrated in this week's @bmj_latest ❤️❤️. An inspiration, silver scalpel nominee and a pioneering educator for women in surgery @WomenSurgeonsUK @GeeMcLachlan

[Prof. Ruben Canelo @rubcanelo]

Photos from the ASU UClan Skills Course following previous message

[Chris Rao @csptripler]

@jonmakUrology Not quite Denmark Hill but hope you are coping!

[Chris Rao @csptripler]

@dramalesh @surgeonrichard @sasbanerjee @BHRUT_NHS @ASiTofficial @JCST_Surgery @RCSnews @VShatkar @vemulapalli001 @shailes79692225 @matthewtrainer @Mamta_NHS Congratulations! The most important job in surgery if done well. You will be fantastic!

[Chris Rao @csptripler]

@mikeibrahimmd @MattersoftheH14 I remember doing those pictures before I went into plumbing! How are you old friend?

[Dr. Farbod MBBCh FRCEM @EmergencyBod]

Here I am working in the NHS.

I came to this country as a child refugee.

I have only ever had a British passport & only ever considered myself a British citizen.

The #NationalityandBordersBill means that my citizenship could be revoked without right of appeal.

Thanks for that

[Chris Rao @csptripler]

@amanthesurgeon @drmatthanson @sasbanerjee @SherifRaouf2 @nirooshun @surgeonrichard @DrSimonBall

[Chris Rao @csptripler]

https://t.co/9hi5vGLZn2 @DivNhs @BHRUT_Research The BHRUT 7-yr WW outcomes for rectal Ca. Great vision to start a program 8 years ago!