David Hanlon

GP. Clinical advisor to HSE. Digital transformation. Health systems design. Patient safety. Tweets are personal, retweet not endorsement- naturally!

[David Hanlon @drdhanlon]

All things considered, & subject to minimum controls (security etc), should you as a patient have full & easy access to your own hospital records?

[Sarah Fitzgibbon @SarahFitzWiMIN]

@drdhanlon Bowel cancer screening gets the least public attention and yet it can do so much! Yes it's poo but it it's your own poo, and it can make a huge difference to your health #justpooit

[David Hanlon @drdhanlon]

When offered #Bowelscreen just do it . There's a push for checking prostates that unfortunately is much less beneficial than screening for colon cancer, but poor uptake for bowelscreen.
Bowel cancer is the 2nd most common cause of cancer death in Ireland after lung cancer.

[Sarah Fitzgibbon @SarahFitzWiMIN]

Remember:
✅Screening is for people who are well - if you have worrying symptoms, visit your GP
😢Uptake of bowel screening is low - please encourage everyone in the age range to do the test
😊If you do it once, it is much easier next time round!
💩Bowel cancer is shite, trust me

[David Hanlon @drdhanlon]

@NiecyOKeeffe @mccarthymt7 Will discuss with @HSELive how to offer more authentic information.

[David Hanlon @drdhanlon]

@NiecyOKeeffe @mccarthymt7 Very important and thanks for raising this @NiecyOKeeffe. Published information tends to be anodyn and vaguely reassuring, lacking detail. Different people have different information needs. Personally I'd rather be relieved that it was better than expected.

[David Hanlon @drdhanlon]

@rosablackgp @drmarkmurphy @IrishTimes @ITletters The evidence has been looked at repeatedly with the same conclusion: routine PSA based screening does more harm than good. This from Germany 2020 https://t.co/4tSIpeo3bl Complicated, informed individual decisions required BEFORE a PSA test is done.

[David Hanlon @drdhanlon]

@drmarkmurphy @IrishTimes @ITletters Evidence review from Germany, 2020 agrees aggregate harms are greater than benefits, unfortunately. As a doctor and a man I wish it was a simple choice one way or the other. Much more men are harmed than benefit and the published article is misleading. https://t.co/4tSIpeo3bl

[Conor Geaney @conorge]

See more https://t.co/h24WzbBgJ3 @drdhanlon

[David Hanlon @drdhanlon]

@talktoBOI @evelynharte Thanks Lisa, Why not just tweet it instead of making us look for it. Someone posted earlier and BoI denied a problem.. so i restarted phone, uninstalled app etc. frustrating.

[Damian Roland @Damian_Roland]

🚨Clinical Guidance released🚨

#GroupAStrep in children: Interim Summary

https://t.co/n991D0vDRg

Highlights use of Fever Pain for decision making & that antibiotic duration, given current circumstances, can be adjusted although 10 days remains optimum for microbiological cure.

[David Hanlon @drdhanlon]

FeverPAIN is a validated clinical scoring system to predict streptococcal infection in >3yo with sore throat. Online calculator
https://t.co/U5eG2K6BD3 allows quick GP calculation & copy/paste into the electronic record. #evidencebasedpractice #antibiotics

[David Hanlon @drdhanlon]

#ICGPFuture Back in the thick of face-to-face meetings. Great energy & excitement. Launch of great report addressing workforce pressures, now @susanmsmith addresses #multimorbidity #integratedcare #deprivation

[David Hanlon @drdhanlon]

@Michael26184311 @slong0413 @GirlDocPatton @DrGRuralMD The table here.
https://t.co/o3rVTFP1ts

[David Hanlon @drdhanlon]

@Michael26184311 @slong0413 @GirlDocPatton @DrGRuralMD From afar it seems to be a social norm in the US, even outside of those who espouse it for religious reasons: not so in Europe. In 25 years as a family doctor I think I have seen 1 circumcised infant. International comparators are interesting. https://t.co/4HcljYXcpx

[David Hanlon @drdhanlon]

@katebielinski Yes

[David Hanlon @drdhanlon]

The patient expertise and experience powerfully voiced by @Gfboyle1 @HSE_DA

[David Hanlon @drdhanlon]

@AskAIB And still ringing. This is anti-social, and horrific for people trying to sleep within metres of it.

[David Hanlon @drdhanlon]

@AskAIB @STANLEYSecurity alarm ringing for hours at ATM in GlenEaston Leixlip. Please make it stop.

[David Hanlon @drdhanlon]

@AskAIB Still ringing.

[David Hanlon @drdhanlon]

@neilmbriscoe History: Long before the Renault Espace there were several estate cars with 3 rows of front facing seats & still had a reasonable boot: Peugeot 504 https://t.co/o7YXC7B120 & 505 Familiale, Citroen CX; MB had some with rear facing seats in the boot but that was a cheat!

[David Hanlon @drdhanlon]

@talktoBOI 1) why not actively communicating about current App problems 2) when do you anticipate resolution? Thanks