Tom Butler

NIHR academic clinical lecturer, medic, gastroenterology registrar. Circadian rhythms get me out of bed each morning.

[Phil Smith @PhilSmithIsBack]

Great #FGGuidelineReview by @tomdbutler @Jonathansegal85 - this one is on #UlcerativeColitis

The other part is on #CrohnsDisease via https://t.co/vSD8NGFXS9

Covering the @BritSocGastro 2025 #IBD guideline published in @Gut_BMJ via https://t.co/qGDrn1p35H

@FrontGastro_BMJ

[Timmy Crowe @timmy400h]

If you have a few moments to listen to this interview as a parent with your child.
Possible one of the best post race interviews I have ever watched #PlayOn

[Tom Butler @tomdbutler]

@DrBenLovell I saw one in a museum once

[Tom Butler @tomdbutler]

@MemeRegOnCall Paeds and adult medicine. “They’re just small adults.”

[Bumblebee Conservation Trust @BumblebeeTrust]

Your kindness can kill a bumblebee 💔

📢 Please share! Bumblebee queens are starting to emerge from hibernation. British weather isn’t always ideal and people with the best intentions can cause more harm good. Let’s change that.

🧵1/5

[Tom Butler @tomdbutler]

Are there any indications left for a rectal exam..?

[Royal College of Emergency Medicine @RCollEM]

🚨NEW Position Statement on Cauda Equina Syndrome

👉https://t.co/ngn4WauMHX

[Tom Butler @tomdbutler]

@leicdan @JTA_Endo @anjan_dhar6 @JonnyBlackwell @RichardPollok @BSG @BSGTrainees @BritSocGastro Gastro regs are desperate to train in endoscopy and provide service lists. We need support of BSG and senior gastro to improve endoscopy training. BSG advocating the addition of PAs to training mix suggests they value cheaper, less skilled labour rather than prioritising trainees

[Tom Butler @tomdbutler]

Can’t quite believe @bsg have decided to support PA training in endoscopy. Gastro registrars everywhere scrapping to get endoscopy signed off pre-CCT. How is PA endoscopy within their scope of practice? How is this helping to improve our training opportunities? @BSGTrainees

[Tom Butler @tomdbutler]

@RichardPollok @BSG @BSGTrainees Gastro trainees are desperate to train in endoscopy, achieve timely sign off, train the next cohort of registrars and contribute to endoscopy service. @BritSocGastro statement has damaged my trust that those leading Gastroenterology in the UK want us to succeed as trainees

[Tom Butler @tomdbutler]

@RichardPollok @BSG @BSGTrainees I don’t know a world without CNS endoscopists, and I owe the vast amount of my endoscopy training to them. The current endoscopy service ecosystem seems to work. Ultimately, my worry is not really PA ability to perform endoscopy, it’s about why they need to. 1/

[Tom Butler @tomdbutler]

@nidhi_sagar84 @JonnyBlackwell @RichardPollok @BSG @BSGTrainees Yep, common practice unfortunately. Trainees with the time, enthusiasm and logistical ability to come in on their days off should be free to explore specialist interests eg research, advanced techniques rather than collection of core competencies.

[Phil Smith @PhilSmithIsBack]

Just spent over 1 hour on the phone to @BritSocGastro President @andymveitch - he is not good on twitter but is seeing the tweets, but as you can see from his 88 posts, this is not his preferred way to communicate. 1/x

[Tom Butler @tomdbutler]

@DisneyBen @drkeithsiau One way to cross a border I suppose

[Tom Butler @tomdbutler]

@tony_breu Fantastic as always. Could colonoscopy with O2 insufflation halt C. diff growth eg in resistant CDI?

[Tom Butler @tomdbutler]

A great opportunity to join us exploring the influence of rhythms in the body clock and microbiome on host immunity. Tick tock, time to get in touch!

[Gibbs Lab UoM @gibbs_lab_UoM]

PhD studentship at Manchester - we have an exciting opportunity to study crosstalk between the circadian clock, gut microbiome and immunity, in collaboration with @katcoyte and @tomdbutler. Fully funded studentship, get in touch for more info. https://t.co/mOKlOEPTTk

[Tom Butler @tomdbutler]

@richardosman Mmm bop

[Tom Butler @tomdbutler]

@MemeRegOnCall Thankfully nothing serious then

[Felicity Hunter @FelicityKHunter]

Excited to contribute to the circadian content at the BSI @bsicongress ! If you’re interested in how the clock regulates the immune system, come and see posters from the Gibbs lab including mine (p-581), @tomdbutler ‘s (p-211) and @DevinASimpkins’s (p-593)!

[Crohn's & Colitis Research @CrohnsColitisR]

Are you a night owl or an early bird? 🦉🐦Either way, you can help researchers at the University of Manchester find out if human body clocks and sleep play a role in IBD. Find out more and take the questionnaire 👇
https://t.co/zssO5TqvYr
@OfficialUoM