Sasha A (she/her)

ST6+ Rheumatology and GIM, London. Views my own.

[Dr Ai Lyn Tan @DrAiLynTan]

Neutrophils pivotal in #Behcet's syndrome pathogenesis↔️Target for therapy

▶️Infliximab superior to cyclophosphamide for induction
▶️Adalimumab superior to cyclosporin to reduce uveitis relapse

via @RMD_clinic #EULAR2025

[Farrukh @implausibleblog]

When Keir Starmer was elected I was relieved that finally after 14 years or Conservative chaos and decline we finally had a more sensible, better grounded PM

There are a lot of Labour policies I don't like, mismanaging WFA cuts, disability cuts, IHT on farms, VAT on private schools, cutting care workers, and with each one of these policies, Labour drives a wedge in society, all imposed on us for some imaginary fiscal rules and Brexit red lines which literally are the blockers to our economic growth

I don't like these policies, but fine, criticise them and carry on

But in the past few days, Starmer has not just once, but twice, used a phase which echoes of Enoch Powell: island of strangers

And this really bothers me

A lot of Labour supporters say that's an overreaction, that's not what he meant, yet even veteran Labour grandee Alf Dubs has criticised him

There are many problems in society that we need to address, but pandering to the far right is not the way to do it. What Starmer should be doing is making the care for immigration, explaining how it should be better balanced, how migrants add value to our society - as he did in his 2020 speech

I don't know who is advising Labour and Starmer, but this is a proper wrong turn and frankly I'm disgusted

And if you're a white person reading this and you're thinking this is an overreaction, ask yourself why every brown/black/other migrant or child of migrant friend that you know is just as upset as me, and then check your privilege

Starmer is meant to be uniting us, not dividing us, and honestly, I'm at the point where his willingness to stoop to this level of populist appeasement puts him in the same category of Boris Johnson, willing to say anything, to appease anyone, to get votes, instead of standing up on what he knows to be better and right

The only one risking us becoming an island of strangers is the Prime Minister who uses divisive language, shame on Labour for chosing this path

[Neil Stone @DrNeilStone]

The new iPhone email app is a crime against humanity

[Dominic Grieve @dominicgrieve_]

Five years since we left the EU and not one tangible benefit to have come from it.
Most telling of all is how it has diminished our ability to generate wealth and thus provide for our defence and public services in challenging times. Far from getting rid of red tape there were 41 million customs declarations to be made for trade between the U.K. and EU in 2023. Not surprisingly over 16,000 SMEs have given up exporting to Europe and our goods exports are rising at the paltry rate of 0.3% per annum compared to the OECD average of of 4.3%. Margaret Thatcher helped create the Single Market in goods and services because she could see clearly the boost it could give to our economy and it bore fruit. Until reality dawns for our politicians we are back to the 1960s-constant failing initiatives to boost growth, stagflation and impoverishment. We deserve better and it is within our power to get better. But that means abandoning the politics of fantasy.

[Warren Gunnels @GunnelsWarren]

Welcome to the Divided States of Oligarchy:

Elon Musk Wealth
2012: $2 billion
2025: $449 billion

Jeff Bezos Wealth
2012: $18 billion
2025: $245 billion

Mark Zuckerberg Wealth
2012: $44 billion
2025: $217 billion

Federal Minimum Wage
2009: $7.25 an hour
2025: $7.25 an hour

[Shaun Lintern @ShaunLintern]

Patients, staff and visitors have paid more than £1 billion in hospital car parking fees in the past six years, with some NHS trusts making up to £9 million a year from the charges, reveals @oliver_wright https://t.co/LMkauhurKp

[Resident Doctors @BMAResidents]

Six NHS hospital trusts find themselves on Santa’s naughty list today, after failing to pay doctors the backpay they're owed.

Find out if your local trust is on the list 🎅🏥👇 https://t.co/Qn6Bv9nxXZ

[Sasha A (she/her) @sashali44]

@DrMiniDey @womenoffuture @MECCambridge @KCLImmunoMicro @kingsmedicine Congrats @DrMiniDey !!! Well deserved

[NHS Million @NHSMillion]

Immigration is not the reason that you can’t get a hospital appointment, it’s the reason you can get one.

Please repost for all the people who can’t seem to grasp that.

[Sasha A (she/her) @sashali44]

@mrjamesob How could you have ‘hung out to dry’ with 60 properties and a yatch?! The absolute madness of it all. If these are the kind of people the Labour budget pissed off then 👏👏👏👏

[Dr Rachel Clarke @doctor_oxford]

Very few people realise that the vast majority of hospice and palliative care is provided by charity - not by the NHS.

I think this is a national scandal.

Please RT if you do too 🙏

[Acyn @Acyn]

Kamala Harris: He refuses to release his medical records. He is unwilling to do a 60 Minutes interview. He is unwilling to meet for a second debate. Why does his staff want him to hide away? Are they afraid that people will see he is too weak and unstable to lead America?

[Simon Bottery @blimeysimon]

A new @TheIFS report puts the dilemma simply: if the government wants lower immigration into #socialcare, it will have to accept either lower staffing levels (and lower quality care) or higher spending to boost pay (more on pay a little further on)
https://t.co/VdKYblxsdS

[David Oliver @mancunianmedic]

As a consultant who looks after a big 28-30 bed ward all year round, year in year out, in addition to my committments on AMU/ take, the most important constant working relationship i have is with the charge nurse/sister

Ours is a bloody marvel!
So were his two predecessors

[Antoni Chan MD (Prof) @synovialjoints]

New! 📣Best Practice Guidelines for the management of Haemophagocytic Lymphohistiocytosis (HLH) aka Macrophage Activation Syndrome (MAS) from @NHSGIRFT @RheumatologyUK Remember the 3Fs Fever, Falling Counts, Ferritin and follow the HLH pathway to guide management
https://t.co/C2crrT6DVp

[Shaun Lintern @ShaunLintern]

Cutting immigration at the expense of the sick, elderly and vulnerable.

[Cheshire Police @cheshirepolice]

A 55-year-old woman from near to Chester, was arrested earlier today (Thurs 8 August) on suspicion of a number of offences in relation to a social media post containing inaccurate information about the identity of the attacker in the Southport murders. (1/3)

[Jay 💙 @JazzyJ87283918]

JD Vance “Kamala Harris doesn’t care about crime.”

Dude, she’s a former prosecutor and you’re the running mate of a convicted felon.

[Neena Jha @DrNeenaJha]

Witnessing all the violent racist attacks in England in utter disbelief & horror

I was born & raised in England & have been a doctor in the NHS for over 15 years

I’m British.

Yet, for the first time, I feel I don’t belong in my own country and fear for my own & my kids’ safety due to the colour of our skin 😞

[platinumpizza™ @Xeon4f145d96s1]

Lost for words.

When these morons show up in A&E after getting their head smashed in by the police, they’ll expect the same nurses to treat them.

They should be locked up and excluded from society. Not worthy of medical care.