Daniel James

Doctor @HullHospitals | #meded | Love haematology, love paediatrics…Currently a GP trainee | he/him

[Dr Dave Triska @dave_dlt]

Please could people stop asking patients request an expedite letter from their GP. YOU'VE made the clinical decision about when they will be seen, and the delay. Own it and sort it out.

[Seb @SebPillon]

What new fresh hell is this from NHS Lung Cancer Screening?

Patients on statins that took effort to start are now being encouraged to discuss in all those free GP appts by a screening programme for another condition.

25 of these today.

None have even had their lungs CTd yet.

[🇯🇲𝕋𝕒𝕟𝕪𝕒 𝔻𝕒 𝕌𝕟𝕔𝕠𝕟𝕥𝕣𝕠𝕝𝕝𝕒𝕓𝕝𝕖🫡 @OhYesIDo2315]

How meningitis rash looks on Black skin 👇🏾
Take note because there is no mention of how it presents itself on Black people.

[Sean McGovern @smcg600]

The challenge of getting past Whatiffery applies to the whole clinical journey from referral to ED through to discharge ?

[Neena Jha @DrNeenaJha]

Wes Streeting threatening that he will further doctors’ unemployment if they strike?!

He’s actually willing to tank the NHS for his own ego?!

This is the most immature & dangerous health secretary I’ve seen in my professional career.

[Sammy Arab @SammyArab]

Our national study found that for every one hour with patients, UK resident doctors spend four hours on admin.

In @bmj_latest today, we break down why this isn’t just an inconvenience, it’s a safety risk. 

1) Fragmented EHRs → endless copy-paste + re-entering data
2) Trainees turned into scribes
3) Less training, less confidence, less preparedness

We suggest:
• Reassign admin to allied staff
• Joined-up IT that fits clinical workflows
• Minimum patient-facing time requirement in training
• Clinicians co-designing digital tools

If you work in healthcare: what’s one admin task you’d automate or reassign tomorrow?
👇 Your answers might shape the fix-list.

Thank you to my co-authors @KaranChhatwal_ @HamaadAKhan and Professor Stuart D. Rosen, and BMJ editors @Juliet_hd and @jolie__neill.

You can find the link to the full BMJ piece in the comments.

With thanks to @imperialcollege and @bmj_latest

[Mary Cushman 🫀🧠🩸 @MaryCushmanMD]

Is this the end of rivaroxaban for acute VTE?
@LanaCastellucci presenting the COBBRA trial - 1st RCT comparing apixaban to riva over 3 months.
56% reduction in bleeding risk with apixaban.
A safer Rx with the same efficacy.
#ISTH2025

[Daniel James @danieljames975]

An excellent paper looking at an increasingly important aspect of medical education.

Everyone in medical education should read and reflect on this 👇

[Michaela @mjv__1]

My first first-author publication on a very important topic in medical education. So grateful to @enamhaque31 @NadinHawwash and Prof Thampy for their support with this.

https://t.co/7XToBO9Dst

[Damian Roland @Damian_Roland]

Amazing piece of work by @DrSimonCraig & colleagues

A caregiver's concern their child is getting worse is an independent risk factor for ICU admission

A number of really important take-aways from this study so it isn't mis-interpreted.

Thread 1/n 🧵

https://t.co/YTBIIHQWZb

[Dr. Ish (they/them) @ishsulin]

chest X-rays in textbooks vs. the one you desperately need on a night shift, alone with a person NEWSing 2,000

[James Steen @BMA_James_Steen]

We have patients queuing outside hospitals and GP practices, with millions on waiting lists and the 8am rush for a GP appointment.

Come August, we may also have c20k doctors queuing outside job centres.

This is what catastrophic workforce “planning” from @NHSE_WTE looks like.

[Rob Galloway @DrRobgalloway]

I tweet quite a bit - but this one is different and perhaps the most important I’ve ever written

I hope it gets shared as much as possible, so new parents don't make the same mistake I nearly made (even as a dad of five, having worked in A&E for 23 years and someone who teaches about not missing a diagnosis because of cognitive biases).

Our 6 week old baby is getting discharged today from @TheAlexBrighton @UHSussex after receiving the best possible care for meningitis.

She is doing really well and as a family we can't begin to express our gratitude to all involved.

The day she came in, she was not herself but nothing which particularly worried us. But my wife did her temperature, and it was over 38C.

As she was under 3 months, it meant she needed to be seen in A&E ASAP. By the time we got to A&E she was really quite sick even though it was only 30mins after taking her temperature.

I initially dismissed her signs and initially even questioned why my wife did her temperature. I had a cognitive bias, twisting my thinking to believing she was ok because that is what I wanted her to be, when she wasn't- a positivity bias.

Please if you are worried about your new baby - be like my wife and not me, check their temperature, use your gut instinct and don't delay getting the help your baby needs. @M_R_F

[Dr Niall Ubhi @NiallUbhi]

@pa_StephenNash You wouldn’t allow a neurosurgeon to run a cardiology clinic, or a gynaecologist to run a rheum clinic. GP is one of the hardest specialties and by thinking any doctor can work in it shows a complete lack of understanding of the job role, training and post graduate exams.

[Daniel James @danieljames975]

🩸 Another interesting case that we’re excited to finally publish - coexistence of CML and CLL requiring dual tyrosine kinase inhibition!

#hematology

https://t.co/Utwbt562rs

[Dr Linda Dykes has moved to Bluesky @DrLindaDykes]

I would suggest the correct response to this is for all doctors to immediately stop agreeing to doing overtime for waiting list clearing AT ALL. That may refocus the minds of @NHSEngland. They can’t get those waiting lists down without senior doctors giving up their free time.

[Ben Lovell @DrBenLovell]

Some might remember my proposed education initiative to improve feedback and the general education experience for doctors in acute medicine last year.

Well, I have now been running the ‘feedback clinic’ for a year, and I wanted to share my learning/experiences

[connor @OP81con]

Gonna yap for a second, because I'm honestly really bothered by this. I'm not even really much of a Daniel fan, but seeing this play out, you're not human if it doesn't upset you.

The more I think about it, the way the Ricciardo situation has been handled is nothing short of cowardly and embarrassing for Red Bull.

To think this is the organisation which has gone from being effectively unbeatable last year, to now being woefully inadequate in all areas, not able to even avoid something as simple as one of their driver's contract woes being played out for all the world's media to see is disgusting.

I can't help but think about it in a much more disconnected from F1 way. Imagine tomorrow morning you go into work, having no idea if you have a job next week, everyone you work with asking you how it feels that it's your last shift, and your own boss telling you they've heard nothing about you leaving? Add to that a marathon, with weights on, in a steam room, and I guess that's something like how Ricciardo feels. At the end of the day, as sad as this is for his fans, this is a real person at the middle of all this, and the way Red Bull have handled it says a lot about how little they respect their drivers as people.

The worst part is, it all could have been handled differently so easily. The Red Bull racing we knew a year ago would've either put a stop to it, or been very clear about the situation as soon as it hit the media. They wouldn't have left one of their own drivers to cry on international television without even being able to confirm if he was indeed leaving or not. It's shameful, and completely unnecessary. Daniel Ricciardo has been too important and too liked in this sport to have this as his exit.

Shame on Christian Horner, Helmut Marko, and Red Bull Racing.

#F1 #Ricciardo #SingaporeGP

[Daniel James @danieljames975]

@AnisurRahman60 It was definitely a challenge, but a fun one, for all.

We went from having this teaching in the morning to then practising clinical skills (suturing, scrubbing, catheterisation) with @ClinProfSkills @DeirdreIWallace from our bedrooms.

[Jonathan @jabberwock951]

We probably do too many LPs.

According to this study, if you have a negative CT within 24 hours of headache onset, the chance of you actually having an aneurysmal bleed is 0.1%.

That's approaching the complication rate of a lumbar puncture.