Ryan Howells

Dentist, Doctor, occasional OMFS fellow, current academic FY2 Doctor

[Ryan Howells @RyanHowells1]

@EqRacing_Names @CrimeLdn @TfL what makes you think that the person driving the minicab was responsible?

[Ryan Howells @RyanHowells1]

@albertoortegana @drkeithsiau this is incredibly well explained and detailed…and also 100% completely wrong. 😂

[Ryan Howells @RyanHowells1]

@PBK_84 @drkeithsiau no it’s retraction cord, not amalgam. Amalgam doesn’t really look anything like this.

[Ryan Howells @RyanHowells1]

@drabdulhameed07 @IhabFathiSulima these definitely aren’t apthous ulcers, they’re masses not ulcers for a start.

[Ryan Howells @RyanHowells1]

@PaganOrigin @drjoshshields The social contract is that you go into medicine prepared to sacrifice a lot because you will be remunerated handsomely for it. That social contract is broken. Doctors want to heal and care, but that can’t be at the expense of their own wellbeing, financially or otherwise.

[Ryan Howells @RyanHowells1]

@Anisocyte @kcisc It definitely varies a bit from uni to uni, but yes, in general they like you to have a minimum amount of OMFS experience as a dental core trainee (often 12-18 months), to have passed MFDS part A and B, and to have some demonstrable career intentions toward OMFS or oral medicine.

[Ryan Howells @RyanHowells1]

@DrLukeCraddock Yes, and have been saying this for years now. I think the writing is on the wall. It all starts with reducing access and squeezing of business margins. Patient who can pay for access will, and eventually jaded GPs will refuse to squeeze appointment times and margins any further.

[Ryan Howells @RyanHowells1]

@subzeronell @supertanskiii @Toby_Jugs A better argument might be to ask why GPs are not checking up regularly on their patients health. Of course the answer to that is also obvious-I’m sure many would support a more prevention focused way of working, but they’re slammed every day with sick people and the worried well

[Ryan Howells @RyanHowells1]

@subzeronell @supertanskiii @Toby_Jugs dentistry is a prevention focused specialty. Dental decay and gum disease develop over years and usually have very easily recognisable signs for a dentist. The regular check ups are to help prevent and intervene early before a problem gets more serious needing an extraction etc

[Ryan Howells @RyanHowells1]

@PayaCahuite @supertanskiii @Toby_Jugs Lomita - you do not need a cleaning at least once a year. This is a myth. It is perfectly possible to keep your teeth and gums healthy at home with good brushing and flossing/interdental brushing technique and a decent diet. I’m 32, and have never needed a cleaning.

[Ryan Howells @RyanHowells1]

@ColtS117 @kirawontmiss our teeth exist in something called ‘the neutral zone’. This is a balanced position between the muscular forces of your tongue and lips. If you change that balance then the neutral zone moves and so do the teeth, in this case the lips are incompetent so the teeth move forward

[Ryan Howells @RyanHowells1]

@SevendersOTW @DrDiGiorgio why is this?

[Ryan Howells @RyanHowells1]

@cole_gober @SanderRegter haha - that’s your loss not ours mate 😂

[Ryan Howells @RyanHowells1]

@sahsmum1 @DrEilidhMaria @BryettJudy You can’t unfortunately open your own practice unless you’re a specialist/consultant. As a junior doctor your options are very limited. You would need to be a fully qualified GO etc. Even then nearly everyone will join an existing practice.

[Ryan Howells @RyanHowells1]

@ThePtarmigan @nickmmark great point, racial is sensory only at that point whereas ulnar provides a lot of motor innervation to small muscles of the hand. Much more debilitating injury potentially.

[Ryan Howells @RyanHowells1]

@sempsictyranis @DrNeilStone no

[Ryan Howells @RyanHowells1]

@sempsictyranis @DrNeilStone no

[Ryan Howells @RyanHowells1]

@sempsictyranis @DrNeilStone ummm no, that’s not true. It’s also not what i said. Just that they are similar viruses and measures to prevent the spread of one will also work for the other.

[Ryan Howells @RyanHowells1]

@sempsictyranis @DrNeilStone Because many people were wearing masks, washing their hands more, staying home and social distancing when out. Covid and Flu are both respiratory viruses and so measures to prevent the spread of one will logically also prevent the spread of the other.