Richard Fish

NHS Consultant nephrologist | Cardiovascular complications of renal disease | Kidney care for young adults | Aiming to improve at chess | Opinions only

[Richard Fish @Rsfish190]

Anyone seen a position like this before? Thought I'd given myself a chance with Ng8. Sadly still came up short 🤷‍♂️#chesspunks

[Richard Fish @Rsfish190]

#C24Live Great coverage from you guys, thanks for the expert insights. Great stamina too - 6 hours and counting. Keep up the brilliant work!

[Richard Fish @Rsfish190]

Home BPs are fine but you must ensure the patient is using the standardised technique at home. Very often it isn't a 'resting' BP that is being taken so careful explanations v important here #NephJC

[Richard Fish @Rsfish190]

In my hypertension clinic I insist on having a separate area (room) for 2x left and 2x right arm BPs to be taken following 5 minutes resting. Explaining the rationale to clinic staff helps a lot #NephJC

[Richard Fish @Rsfish190]

@toates_19 How could I say no to your personal invite Tom!!! #NephJC

[Richard Fish @Rsfish190]

Hello. Richard North Midlands nephrologist. COI co-author of the renal association commentary on BP management #NephJC

[Richard Fish @Rsfish190]

@toates_19 @CharlieTomson @rabpeel @Roxytonin @DrMattGB @RidingAlex @DrVikasKapil @drchrislaing @ClaraDay13 Thanks Tom. I'll try to be there although it might require me to update my mandatory training on how to use Twitter correctly (have become rather rusty). Did this tweet come through ok??!!

[Richard Fish @Rsfish190]

@ThePeanutKidney Some of my middle grades have bought them and been extremely complimentary.

[Graham Lipkin @grahamlipkin]

Renal CDs/Matrons. RA COVID Registry-dire. 400 cases and 50-60 UK death/week in CKD & ESKD/Tx. Actual ICHD COVID Mort 1: 25 lost. Priority vaccine grps 1-4 merged. CQC-satellite HD = nursing homes. PUSH ALL efforts for URGENT vaccination ICHD, Tx, Home Dial, IS & CKD end January

[Richard Fish @Rsfish190]

Some particularly good post-Christmas sales on offer this year!

[Richard Fish @Rsfish190]

@ThePeanutKidney Completely missed that you'd done this. Well done. Am sure they'll be an invaluable learning/revision tool.

[Mark Lambie @markrlambie]

If anyone knows a statistician looking for what seems to me properly complicated modelling (graphical Markov/sequences of regressions and multistate), to help home dialysis usage via Inter-CEPt study, here's a job https://t.co/vyTw6kzy0Z

[Young Adult Kidney Group @YAKidneyGroup]

Hello to all our new followers! We are a patient-led peer support group for young adult kidney patients between 18 and 30. If you'd like to know more about us, please join our closed FB group (link in bio) or visit our website: https://t.co/CLwNAHtVF9

[Graham Lipkin @grahamlipkin]

Important paper from @tanyapankhurst highlighting young people (age 14-23y)-have the highest rate of renal graft loss -importance of embedded comprehensive young adult care-evidence supporting @RenalAssoc @UHBRenalTXTeam @BritRenalSoc @kidneycareuk

[The UK Kidney Association @UKKidney]

Statement to CDs from NHSE&I: PPE usage and use of masks for dialysis patients. Please could all colleagues who are involved in the care of patients receiving dialysis read: https://t.co/jt4BdDCoKk

@BritRenalSoc @aaociation

[John Booth @ThePeanutKidney]

Repeatedly now seeing dialysis patients with #COVID19 missing 1 or more HD sessions before presenting late. Theme so far is that they are often substantially *below* their dry weight +/- relatively hypotensive and very sick.

Missed HD in vulnerable patient = ? #COVID19

[Matt Hall @drmatthall]

We've put together some advice for women with kidney disease and pregnancy during the COVID-19 pandemic:
https://t.co/yH6ceb4ext

@pregkidney @RenalAssoc #pregnancy #COVID19 #kidney

[The UK Kidney Association @UKKidney]

COVID-19: Stratified risk for prolonged self isolation for adults and children who are receiving immunosuppression for disease of their native kidneys - guidance for renal https://t.co/zIu1fQgoDC

[Richard Fish @Rsfish190]

@Roxytonin Hope you're feeling better btw

[Richard Fish @Rsfish190]

The urgent hunt for effective treatment needs to continue... https://t.co/QqDd8I5DF4

[Richard Fish @Rsfish190]

@Roxytonin Sure and agree.