Patrick Harnett

renal and general medicine . interested in doing things

[Patrick Harnett @pharnett]

@jtjbooth @WesselyS What conclusions are regarding efficiency and productivity of hospitals when this information is considered?

[Patrick Harnett @pharnett]

@mevparekh well done on becoming a consultant. An important change!!Hope you enjoy. Best of luck for the next 30 years.

[Patrick Harnett @pharnett]

@imogenaowalford @sapinker Whole series is tremendous and valuable. Is there a transcript?

[Patrick Harnett @pharnett]

@helengrote Share the email

[Patrick Harnett @pharnett]

@helengrote @_katiebooth_ @BBCr4today I heard your discussion on the radio and thought it was tremendous. V important issue and impressive attainments.

[Patrick Harnett @pharnett]

@colincoulthard @nntaleb @stephen_wolfram Crp and d dimer lag. Pcr and lateral flow become positive prior to the appearance of symptoms (lead) and may coincide with infectivity

[Patrick Harnett @pharnett]

@nntaleb Imaging is poor assessment of function in general. Eg kidneys can look completely normal on a scan and not work at all. Also dead person can look normal on most x rays!!! (At an early stage)

[Patrick Harnett @pharnett]

@d_spiegel You discussed location of deaths on the radio on @BBCMoreOrLess. Many unavoidable deaths happened out of hospital that would have previously been in hospital. What conclusions can be drawn regarding the value and efficiency of the acute hospital system??

[Patrick Harnett @pharnett]

@mevparekh 910 hours

[Peter Horby @peterhorby.bsky.social @PeterHorby]

A bitter blow but we are not alone. Similar restrictions needed in Germany, Italy, Netherlands, France. And remember, China completely cancelled their Lunar New Year celebrations in 2020. It's a horrible virus and we need to grit our teeth for a few more months.

[Patrick Harnett @pharnett]

@Birdyword @JohnHarnett @pimlicat That looks about right. Hospitals were not great during first spike.

[Patrick Harnett @pharnett]

@Azeem_Majeed Thanks for reply. I think the amount of resource this consumes is v underestimated. We gave some view of summary care records in hospital but far from the majority. If asked i imagine most patients would want their treating doctor to have access to their record. ? Way forward

[Patrick Harnett @pharnett]

@DrGavinDreyer
Clin Med (Lond)
. 2018 Oct;18(5):356-363. doi: 10.7861/clinmedicine.18-5-356.
A virtual clinic to improve long-term outcomes in chronic kidney disease
Patrick Harnett 1, Matthew Jones 2, Michael Almond 3, Gowrie Ballasubramaniam 2, Vinni Kunnath 2

[Patrick Harnett @pharnett]

@DrGavinDreyer
hello Dr Dreyer
I note you are chairing the VIrtual CKD event for the Renal Assn.
We started a CKD virtual clinic in Essex in 2006 and published the results in 2018
happy to share!!!

[Patrick Harnett @pharnett]

@DrMattGB Good call. Have not tried catch up but if it works will be good for widening participation

[Patrick Harnett @pharnett]

@BBCJonSopel Euphoria is common with high dose steroids. Psychosis less common but well recognised.

[Patrick Harnett @pharnett]

@DrAsifQasim @BradfordGrammar @BGS_ROWING LIKE 👍

[Patrick Harnett @pharnett]

Urban infrastructure in late summer evening.

[Patrick Harnett @pharnett]

Important message for the second wave.

[Peter Horby @peterhorby.bsky.social @PeterHorby]

Dexamethasone saves lives in COVID-19. RECOVERY trial shows dexamethasone decreases risk of death in those needing oxygen by 20%, and by 35% in those on a ventilator. On the shelf, cheap and can be taken by everyone - a real breakthrough.