Drcjar
@drcjar.bsky.social
Consultant in Respiratory and Acute Medicine @NHSHomerton, academic @QMUL, adviser @nhs_rho. Cancer, pleural, asthma, OLD, ILD, sickle cell, epidemiology, and more.
At the moment, people on Health & Care Worker Visa have no recourse to public funds. Why deny social security if they e.g. injure themselves at work? Treating carers with respect should include looking after them if they fall on hard times. Current rules deeply exploitative @stellacreasy.bsky.social
Worth repeating, the 'tough new visa rules' were designed specifically for care workers and their family members. If it's not going to work for them, it won't work for anyone else caught by the cruelty of the rules. Bin the whole thing.
"excited delirium" in preventing future death reports deathlessons.org/blog/excited... work to be done still cc @inquest-org.bsky.social @rcpsych.bsky.social @debcoles13.bsky.social
first bonus blog on data quality issues (there are other issues not included here), names are hard, naturally I'll also drop the Chief Coroners Office a line to fix deathlessons.org/blog/data-qu...
We audited 6,340 coroners' report pages. Here's what the data looks like.
URL typos, mismatched references, a mis-attached document — the data-quality issues we found in the published PFD reports, and shared with the Chief Coroner's Office.
deathlessons.org
This 'cost of living populism' could be much more effective than new nuclear submarines at limiting Putin's power. Moscow would be delighted if Farage were our next PM
Exclusive: Andy Burnham urged to be radical on economy to help Labour win next election Poll being circulated among Burnham advisers shows Labour risks electoral wipeout but could win majority with policies like rent control and higher wealth taxes - www.theguardian.com/politics/202...
My cardiologist stopped my statin and put me on a daily regimen of tearing phone books in half
In our very first episode of Race and Health Matters, we take you behind the scenes of the NHS Race & Health Observatory, covering who we are, why we exist, and what drives our work to tackle ethnic inequities in health and care.
In a new blog on World Sickle Cell Day, Dr Carl Reynolds (@drcjar.bsky.social) our Senior Clinical Advisor, highlights our efforts to ensure that personalised, electronic plans are developed system wide to improve outcomes and patient experience. ℹ️ Read more: nhsrho.org/blogs/buildi...
Exciting new partnership to help deliver on our commitment to improving sickle care during acute painful crisis cc @nhs-rho.bsky.social nhsrho.org/blogs/buildi... #SickleCell #WorldSickleCellDay
NHS - Race and Health Observatory
nhsrho.org
Excited 1st SNAP result out @thelancet.com PSSA: Fluclox v BenPen thelancet.com/journals/lancet/article/PIIS0140-6736(26)00761-0/fulltext @nejm.org MSSA: Fluclox v Cefazolin nejm.org/doi/full/10.1056/NEJMoa2506905 Should change practice globally Privilege to help deliver trial with fantastic team
helancet.com
Missed this nice commentary from @gushamilton.bsky.social and @mendelrandom.bsky.social - lots of food for thought for someone thinking of dipping their toe into some infection genetic epi ...
Mendelian Randomization and Infection: Pitfalls and Promises - PubMed
Mendelian randomization (MR) is an increasingly common study design in infectious diseases (ID). It holds promise for identifying causes and consequences of infections where conventional epidemiology ...
pubmed.ncbi.nlm.nih.gov
every day i'm amazed at how someone has found a new way to insert themselves in the middle of the EHR data and analytics ecosystem
REOPEN THE REPOS! > Keep open by default. Making everything private adds additional delivery and policy costs, and can reduce reuse and scrutiny. Openness should remain the default posture, with closure used sparingly and deliberately. www.gov.uk/guidance/ai-...
AI, open code and vulnerability risk in the public sector
Guidance for safely publishing source code in the open, and reducing the risk of AI-accelerated vulnerability discovery.
gov.uk
This is really rather cool - macrophages nibbling live cells to maintain immune tolerance. A must for journal club soon... #immunosky
Excited to announce our new study (w/ @maxkrummel.bsky.social) published today @nature.com: Macrophages “hold our living identities” by taking tiny bites from living cells and presenting this information to CD8 T cells. www.nature.com/articles/s41... #immunology #cellbiology @immunox.bsky.social
Pathetic performative cruelty - like with narrowing family reunion eligibility, we are closing down safe and legal options @stellacreasy.bsky.social
Of course no one from *checks notes* Sudan or Afghanistan could be in genuine danger.
another tragic sickle cell case with too familiar themes including of not being listened to and lack of clinical curiosity from staff www.bbc.co.uk/news/article... clear need for improved accountability and assurance mechanisms www.bmj.com/content/385/...
Gross failings at Frimley Park Hospital led to woman's death, coroner says
A coroner says Irene Dzifa King Arthur death at Frimley Park Hospital had been preventable.
bbc.co.uk
This recent RCT of an "AI stethoscope" claims the technology "shows promise" for diagnosing cardiovascular conditions. It does not. It is a textbook example of the risks of conducting unprincipled 'per protocol analyses'. Once again, peer review at a major medical journal has failed. 🧵 1/
AI-enabled stethoscopes show promise for improving diagnosis of cardiovascular conditions, UK trial finds. Explore the research: spkl.io/63326AsjJ8
Baroness Amos’s interim report is shocking but not surprising. Change is urgent and we now need to see real leadership, accountability and investment to tackle racial inequalities in maternity care. Read our full response from @DrHNaqvi today: nhsrho.org/news/stateme...
NHS - Race and Health Observatory
nhsrho.org
Starmer is wrong to use this as an attack line Harms of substance use are - in large part - a result of us taking a criminal justice rather than a public health approach Starmer's son can access heroin now, should he wish, but only in a harmful way (violence, infections, overdoses, incarceration)
🚨 WATCH: Keir Starmer says the Green Party's policy to legalise all drugs would "shatter lives" "As a father of a 17 year old son, the idea that when he turns 18... it would be lawful to provide him with heroin and crack cocaine... is absolutely disgusting" #PMQs
A group of volunteers have been running @nhshackday.com since 2012. In a crazy world, it is all about coming together with common purpose to solve problems in our health service. Please reshare this post about #30 in Cardiff Mar 21/22. We would love to have you join us. ti.to/nhshackday/3...
Every time people express concerns about the level of immigration, they should be asked what their plan is regards the UK's ageing population If you don't want working age people to move to the UK, do you want higher taxes, lower quality public services, or to be working well into your 70s?
How would you support our ageing population? - Office for National Statistics
There is a growing number of pensioners per person of working age living in the UK. Use our tool to change factors such as net migration and the State Pension age, and see how they affect this balance...
ons.gov.uk
That and the complete scientific illiteracy of rejecting the idea that saturated fat is bad for you
The industry connections of an advisory panel for the new dietary guidelines are notable, especially in light of Robert F. Kennedy Jr.'s criticism of corporate influence. www.statnews.com/2026/01/07/n...