Just Me

[Just Me @jeromenolan]

@TheSnoozeDoctor https://t.co/HS1Mp9Gl2N

[ConsUltaNT-ACP @ConsUltaNT_ACP]

Fucking noctors... oh...

Midlands dad sues NHS after seven years of treatment for cancer he never had.

It was a NURSE that subsequently highlighted the error.

https://t.co/tXBXf623eO

[Just Me @jeromenolan]

@AndyBurnhamGM @afneil Hi Andy - good luck, we need good people like you.

[Just Me @jeromenolan]

@DennisGodsmark Milia

[Just Me @jeromenolan]

@TheAliceSmith @AllisonPearson Ahhhhh like the water companies, how is that working out?

[𝑫𝒓 𝑵𝒊𝒈𝒉𝒂𝒕 𝑨𝒓𝒊𝒇 @DrNighatArif]

🚨Updated NICE Guidance for managing iron deficiency anaemia due to heavy #periods.
This applies to ALL age groups that are still having periods.

If you are feeling dizzy, lightheaded, breathless, exhausted with your periods 🩸then you must be checked for iron deficiency anaemia. This is done by having a FBC, B12, Ferritin, Transferrin and Iron levels.

We have the updated NICE Guidelines- that say EVEN if the haemoglobin (HB) is normal IF the ferritin is below 30-70ug/L with a low Transferrin Saturation (TSAT) (<20%) this indicates iron depletion/deficiency and MUST be treated with prescribed oral iron supplementation.

After 6-8weeks of oral Iron, a repeat blood test is needed. If the compliance, side effects of the oral iron supplements is not tolerated or that the ferritin is not improving - request iron transfusion as well as manage the underlying cause of the heavy periods

NICE: Anaemia - iron deficiency:
Changes: Last revised in October 2025
🔗 https://t.co/5m3OefVG7m

[Just Me @jeromenolan]

@pritipatel Despicatable me, comes to mind

[Just Me @jeromenolan]

@George_Osborne Such a twat tweet

[Just Me @jeromenolan]

@pritipatel Haaaaaaaaahaaaaaaa...haaaaaaaaahaaaaaaaaa
Bless u haaaaaaahaaaaaaa

[Nurse Hann @NurseHann100]

HEAD TO TOE ASSESSMENT

#Nursing
#NursingNotes
#Nclex
#PNLE
#MedTwt
#NursingTwt

[Dr Honey choudhary 🩺 @Doctors__squad]

🧬 “Cancer leaves clues — and biomarkers help us find them early.”

Cancer biomarkers are special substances that can be found in blood, urine, or tissues.
They act like warning signals, helping doctors to detect, monitor, and follow up certain cancers.
Biomarkers alone can’t confirm cancer, but they give important clues that guide further tests and treatment.

✨ Common Cancer Biomarkers and Their Uses:

🔸 Thyroid: CEA, Thyroglobulin → used to check for recurrence after treatment.
🔸 Lung: CEA, CA-125, Cyfra 21-1 → help in detection and follow-up.
🔸 Breast (female): CEA, CA 15-3 → often used to monitor response to treatment.
🔸 Liver/Bile Duct: CEA, AFP, CA 19-9 → AFP is key for liver cancer, CA 19-9 for bile duct cancers.
🔸 Oesophagus: CEA, CSS → may help in detecting progression.
🔸 Stomach & Pancreas: CEA, CA 19-9, CA 72-4 → commonly checked in pancreatic and gastric cancers.
🔸 Colorectal: CEA, CA 19-9, M2-PK → especially useful in follow-up after treatment.
🔸 Ovaries (female): CA-125, CA 72-4 → CA-125 is one of the most widely used tumor markers in gynecology.
🔸 Uterus (female): CEA, CA-125, SCC → useful in tracking disease activity.
🔸 Prostate (male): PSA, FPSA & ratio → PSA is a key marker for early detection and monitoring.
🔸 Testicle (male): AFP, β-hCG → very important in diagnosis and monitoring.
🔸 Bone metastasis: CEA → may indicate cancer spread to bone.

🩺 Important Note:
•High biomarker levels don’t always mean cancer — they guide doctors to do more tests.
•These tests help with early detection and monitoring during treatment.
•Early action and regular checkups can save lives.

🌿 Awareness leads to early detection. Let’s spread the knowledge and fight cancer together. 💪✨

[Dr Honey choudhary 🩺 @Doctors__squad]

Important Nerves - Root Values

[🌟Ben Allen GP 🌟 @BenAllenGP]

⭐️What takes minutes &amp; could save 1000s of unhelpful admissions?⭐️
I often hear (usually older) patients being told "𝐘𝐨𝐮 𝐡𝐚𝐯𝐞 𝐭𝐨 𝐠𝐨 𝐭𝐨 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥".

Which is rarely true. 1/11

[Abu Shanab @med_712]

Name of test ?

To assess what ?

[nervemed @nervemed]

💊 Antibiotics Classification

[Nurse Hann @NurseHann100]

ABDOMINAL PAIN EASY GUIDE

[Mo Imam @MoAImam]

Comprehensive Neuro assessment

[Dr sthanu subramanian @drsthanus]

A comprehensive overview of Rhabdomyolysis.

*The classic triad of symptoms (seen in less than 10% of cases) includes myalgia (muscle pain), weakness, and myoglobinuria (tea-colored urine).

*A key diagnostic indicator is an elevated creatine kinase (CK) level, which can be more than five times the upper limit of normal.

*The condition can lead to severe complications, including acute kidney injury.

@DharSaty

[CardiovascularCorner @TrackYourHeart]

The hallmark of COPD on pulmonary function testing is:
A) Reduced FVC
B) Increased FEV₁/FVC ratio
C) Reduced FEV₁/FVC ratio
D) Normal FEV₁/FVC ratio