Ashwin Dhanda
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adhanda.bsky.social
Ashwin Dhanda
@adhanda.bsky.social
590 followers 360 following 20 posts
Liver lover. Academic Hepatologist. Plymouth UK Alcohol related liver disease #LiverSky
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Reposted by Ashwin Dhanda
As Professor Colin Angus states:

"We've spent the last year listening to the government say sensible, if generic, things about being committed to a prevention agenda. We're seeing today that this, from the perspective of alcohol, was all mouth and no trousers whatsoever."
The Government's big new 10 year health plan has finally been published.

In spite of lots of talk about moving towards prevention rather than treatment, there is basically no meaningful alcohol prevention policy here.

assets.publishing.service.gov.uk/media/686638...
Reposted by Ashwin Dhanda
"Embarrassing" 10-Year Plan.

The government has published its 10-Year Health Plan, which fails to include any of the most-effective prevention policies on alcohol.

The only measures are to improve labelling and support the growth of the zero..(1/2)

assets.publishing.service.gov.uk/media/686638...
Reposted by Ashwin Dhanda
🧵 People with both mental health and substance use difficulties are fighting a battle on two fronts. But they often face closed doors to care, unable to access services for one until they've dealt with the other. This has to change.
tinyurl.com/yeynkxba #SubstanceUse #MentalHealth
Reposted by Ashwin Dhanda
The far right feeds on fear, scapegoats, and fake "us vs. them" battles.

The worst thing you can do is echo them.

The best thing? Call them out and offer a better story.

A thread 🧵

#NoPasaran #StandUpToHate

1/
Thanks to Matthew Cramp and Louisa Vine for organising a fantastic SW Hep Group meeting. Excellent speakers. Great venue. And well done to the early morning runners! 🏃‍♂️🏃‍♂️
Blessed to be living and working here with such fab colleagues @uhpnhs.bsky.social @hepatoresearch.bsky.social
Views on transplantation for alcohol related hepatitis from France USA and Canada.
❓ Time for the UK to catch up ❓
Great BASL ARLD SIG meeting today. Thanks @richardparker for organising
ALERT audit results
➡️ No audit standard met
➡️ Poor patient information
➡️ Poor follow up
Lots of work needed to improve care
@britishlivertrust.bsky.social giving patient perspective
Great news! Good to see @gwynnemp.bsky.social specifically mentions investment in addiction recovery services
Funding for the public health grants will be increased to £3.858 billion - a 5.4% cash increase & 3.0% in real terms

As Public Health Minister Andrew @gwynnemp.bsky.social states: "Prevention is better than cure. If we can reach people earlier & help them stay healthy...

www.gov.uk/government/n...
Local public health services given £200 million boost
Local communities to receive funding for family and school nurses, sexual health clinics and other public health services.
www.gov.uk
Looking forward to lots of groundbreaking work from Prof Chokshi's new lab in Plymouth #microplastics
The beginning of our Environmental Hepatology research lab ✨
Head of the lab: Shilpa Chokshi
First post doc: Paula Boeira
Watch this space 👀
Reposted by Ashwin Dhanda
👋Hello #Liversky!
🗞️Proud to see our EASL experts @debbieshawcross.bsky.social , @ahmedelsharkawy.bsky.social, and Philip Newsome featured in The Guardian with advice on liver health.
Indulged during the holidays? It's not too late to give your liver some love!💚
www.theguardian.com/lifeandstyle...
Do read my comment piece with @tom-marjot.bsky.social on NoLo alcohol 👇🏾
JAN ISSUE | COMMENT

Alcohol-free and low-strength drinks: friend or foe?

www.nature.com/articles/s41...

#Liversky #Gastrosky
Reposted by Ashwin Dhanda
Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case

Have you heard of the concept of cirrhosis "recompensation"?

➡️ doi.org/10.1016/j.jhepr.2024.101233

#LiverSky
Reposted by Ashwin Dhanda
THREAD

This Is The Story Of The The Pernicious Rise of AI-Generated Papers and their Online Impact

An Incomplete History Told In The Voice of Documentarian Adam Curtis
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Reposted by Ashwin Dhanda
Since England's alarming alcohol death statistics are in the news again today, here's a particularly alarming fact buried in the figures DHSC have released -

For the first time, in 2023 the rate of alcohol-specific deaths in the North East of England overtook Scotland and have risen 55% since 2019
🚨 Depression and anxiety are common in cirrhosis
🚨 High prevalence in #ALD
🚫 Diagnosed and treated
We need to do better for our patients
Great review 👇🏾
#Liversky
Reposted by Ashwin Dhanda
It's that time of the year again. In no particular order, I would like to share a few of #livertwitter in 2024 with #liversky

These could be original research, guidance statement, position paper or editorial. This is def not an inclusive list. Feel free to add to the 🧵
So true! Last month saw a pt who had had severe alc hep and MOF 9 mo ago ▶️ Full recovery. Normal fibroscan!
We need better integrated care. Treating the #AUD is fundamental
Seeing high MELD patients w/ ALD who re-compensate with sobriety & get their lives back (and avoid transplant!) is incredibly rewarding. As Hepatologists treating ALD, it is essential that we treat the underlying alcohol use disorder so our patients can improve! @juanpabloarab.bsky.social #liversky
Increase in #alcohol use in middle age in all generations
🚨 Worrying trends for Millennials as they reach their 40s+
➕ Rising #obesity
🟰 ⬆️ Liver disease and death
#MetALD
This isn’t, to be clear, a life cycle effect - ie, it’s not just a natural thing older people do.

If we split the data into birth cohorts, we see women born in the 50s, 60s and 80s drastically increase their drinking when they hit middle age

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Reposted by Ashwin Dhanda
HRG Christmas Meal with our annual Christmas Quiz. Tamar was the big winner once again! Congrats 👏🏻🎅🏻
📈 Increasing alcohol specific deaths in England
🚨 Alarming data
🎯 We need to address this growing problem at multiple levels. Read this report 👇🏾
m-c-a.org.uk/policy/