Simon Duke

Clinical Oncologist @CUH_NHS. Treat gynae, colorectal & skull base. Med Ed enthusiast/PhD. Nerd. Loved #MedTwitter, political Twitter not so much. Bluesky

[Emma 💛💙🇩🇰🇬🇧🇪🇺 @MonkEmma]

Oh, I see we’re revisiting the old classics.🙄

“Let’s cut down on managers in the NHS”

Why is this such a popular attack line?

Just the smallest amount of critical thinking will show what a nonsensical idea this is….

A little🧵 for you!

1/8

[Shaun Lintern @ShaunLintern]

Latest NHS stats...my analysis. We are at risk of obsessing over miniscule changes in what is otherwise a planet sized clusterfuck of poor performance that started long before Covid. Or in gif form...

[Erin Gillespie, MD MPH @ErinGillespieMD]

⚖️Randomized controlled study of tweeting articles (in life sciences) shows increased downloads and Altmetric scores but NOT increased citations, despite 3 years of followup: https://t.co/So0AnTLmNR

[Louella Vaughan @DrLKVaughan]

Magnificent!

[Michael Sherer @MV_Sherer]

Residents at any level of training are eligible as long as it is your first rotation in the disease site. All participants receive gift cards for your time thanks to the support of @RSNA. Sign up using this link and feel free to DM me with any questions:

https://t.co/WqdYT81fDM

[Carl Hendrick @C_Hendrick]

One of the best things ever written on learning ⬇️

Constructivism as a theory of learning makes all the sense in the world. Constructivism as a form of pedagogy does not.

[National Oncology Trainees Research Collaborative @onctrainees]

💫1 week to go until our 4th Research Symposium in #Newcastle💥

Abstract deadline has now passed, but registration is open until 5pm on 14.2.24 👇
https://t.co/FZ9KC6etRF

Can't wait to see u there @BONUSOncSoc @UKIGlobalCancer @mary_denholm @tomroques @achoud72 @finn_corinne

[Tony Duffy @Existential_Doc]

Cheyne Stokes respiration at end of life- Thread

Can be scary to witness for family, loved ones and health care professionals looking on.

Understanding a little about what is happening may help alleviate some of that distress 🧵

[Cambridge University Oncology Society @CUOncSoc]

Dr Gregory is a Clinical Oncology Consultant at CUH, treating urological and gynae cancers. In her talk she will talk about the training pathway to oncology with some emphasis on what you should think about to optimise your applications to speciality training.

[Ben Lovell @DrBenLovell]

Being the Med Reg, a thread 🧵

I have noticed that there are many myths about the med reg role, thrown around both on twitter & in real life, presented as absolute truths.

People are making career decisions, or living in mortal dread of being the med reg, based on these myths

[Dr Stephen T Webb @stephen_t_webb]

COVID Inquiry today: anybody else remember these days? Working ourselves into the ground ***trying*** to keep people alive. Certainly the toughest period of my career. NHS capacity isn’t elastic. People aren’t elastic. People break.

[John Burn-Murdoch @jburnmurdoch]

So what’s happening?

When people hear about life expectancy they often think about older people, broad-based health problems, but the US problem is quite specific and quite different: it’s young people dying from external causes.

[John Burn-Murdoch @jburnmurdoch]

Things have deteriorated so much that the average American now has the same healthy life expectancy (years lived in good health) as someone in Blackpool, the town with England’s lowest life expectancy (by far), synonymous with deep-rooted social decline https://t.co/jicW0G4Uz4

[John Burn-Murdoch @jburnmurdoch]

2) It’s actually worse than that chart made out, because at most points on the income distribution, Americans earn much more than Brits.

If we plot the same data by actual income instead of percentile, the US deficit is vast.

5 fewer years even among the comfortably-off.

[John Burn-Murdoch @jburnmurdoch]

NEW: I’m not sure people fully appreciate how dire the US life expectancy / mortality situation has got.

My column: https://t.co/dBIhT9eZLv

And some utterly damning charts.

1) at *every* point on the income distribution, Americans live shorter lives than the English.

[Kathrin Heinrich @heinrich_kat]

Why is there no applause for this KM-curve…? 🧐

Another impressive trial during the #ESMO23 presidential session, now in #cervical #cancer! 👏

#GynOnc @OncoAlert 🚨 @esragbilir

[Richard Simcock @BreastDocUK]

A well conducted study with 8yrs follow up which very clearly does *not* show ANY OS benefit shows concluding slide with "supports the possibility of meaningful OS benefit..."

No.

Discussant (politely) quite rightly having none of it.
#ESMO23

[BBC Newsnight @BBCNewsnight]

For more than two hundred Israeli families, their friends, and their wider communities, the dreadful wait to hear about their loved ones taken hostage from kibbutzim and nearby places, is now almost two weeks old.With their permission, we share their images with you.
#Newsnight

[Yashar Ali 🐘 @yashar]

I know this may be asking a lot these days, but please let your heart break for this shell-shocked Palestinian boy.

Just allow your heart to break as he tries to hold back his tears and finally lets go.

Children are always innocent.

[Dr Rachel Clarke @doctor_oxford]

Still reeling from this horrific evidence from Prof John Edmunds at the Covid Inquiry yesterday.

In refusing to lockdown in autumn 2020, Boris Johnson was responsible for up to 25,000 Covid deaths by ignoring the experts & evidence.

It’s sickening 😔