@maherjane
@maherjane.bsky.social
1.2K followers 1.3K following 110 posts
Retired Oncologist, previously NHS leadership stuff, CMO Macmillan cancer support, NED at NHS Hospital . Holding on to hope for NHS (by a thread) #notmycat #lateonsetrockchick #cancerSurvivorship
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Reposted by @maherjane
I was looking at some Scottish cause of death data yesterday and the extent to which transport accident deaths in young men have all but disappeared is pretty remarkable.

Nice to find a good news story in this data for a change.
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Your periodic reminder that mRNA vaccines are a scientific and public health game-changer. Those that have been approved have passed stringent efficacy and safety checks. They protect you and your child against potentially fatal diseases. You may, however, get a sore arm.
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Please know that NHS doctors & nurses like me would never urge you to do something that could endanger your child.

Really reliable NHS info on vaccines can be found here.

Please read, it’s excellent. (2/3)

nhs.uk/vaccinations/
nhs.uk
Reposted by @maherjane
Plenty studies showing that your postcode is a better predictor of your health outcomes than your genome.
The BBC & Telegraph are trailing Wes Streeting’s technophile health plans, including genomic mapping at birth.
Is this really gonna transform the NHS into a prevention service within 10 yrs, as Wes claims? For v rare genetic conditions, praps. But for the real burden of disease?

Thoughts, #medsky?
I learned American history through Batman and superman comics
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Welcome to my world. #academicsky
Machine learning study of 1,700 economic seminars finds female speakers are interrupted earlier and more frequently than their male counterparts
on.ft.com/3HfIFRS
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More of this please.

Co-designing play spaces with children and young people near their homes led to “what researchers say is the highest increase in children’s physical activity ever recorded by an intervention of its kind”
Bradford project produces ‘outstanding’ rise in children’s physical activity
JU:MP programme included co-design of play spaces, exercise in faith settings and interventions in schools
www.theguardian.com
Don’t forget radiation induced brachialplexopathy
Went there a few weeks ago - wonderful
If hospital to community & virtual wards & stuff going to work you have to have enough “decision makers” ( and non medical prescribers) and you need experienced embedded people to hold the ring, while joining up the various patient record and IT systems takes place - which can be painfully slow
What was that about a shift 'from hospital to community'? The 'analogue to digital' shift isn't going to make up for a change of this scale in a key community workforce.
NEW: In our chart of the week, @billypalmer.bsky.social‬ explores the concerning decline of district nurses in England - at a time of increasing population need - and finds that over a quarter are paid at a lower band than could be expected.

See the chart 👇
buff.ly/cM67plU
Reposted by @maherjane
Totally agree
Unplanned acute illness and cancer should often be the trigger for new conversations - #seeitsayitshareit
Reposted by @maherjane
EORTC effectively captures tyrosine kinase inhibitor side effects, outperforming other patient-reported outcome libraries in non-small-cell lung cancer assessments.

by Paton EL, Cetnar JP (...) King-Kallimanis BL et 2 al. in J Natl Cancer Inst #MedSky

👉 get more here

📖 read the article:
Landscape assessment of patient-reported outcome item coverage of tyrosine kinase inhibitor-associated AEs
AbstractBackground. Patient-reported outcomes (PROs) are critical for assessing symptomatic adverse events (AEs) in non-small-cell lung cancer (NSCLC) clin
academic.oup.com
Unplanned acute illness and cancer should often be the trigger for new conversations - #seeitsayitshareit
As palliative &EOL care becomes increasingly community based is it time to reconsider a route into the specialty palliative medicine via general practice? Community based palliative medicine training without such a long acute medicine commitment ? @johnlauner.bsky.social @danmunday.bsky.social
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Now, this is a really important session. Continuing Healthcare is relatively unknown, complex, and yet has a massive impact on individuals. Juliet Bouverie, Chair of the Richmond Group warns us that we're going to get cross. #NTSummit
Several Popes have been very supportive of the concept of palliative care but perhaps less so the personal application during their own illnesses . Recognising when palliative care can help (eg sick enough to die ) even though active treatment continuing #palliative
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Yes, I was asking this question a few days ago, hoping that he’s getting relevant support from a geriatrician or similar physician, not just people tasked with keeping him alive at all costs.

(Good palliative care can as we know actually prolong life rather than shorten it…)
But I wonder if he would see it’s value for himself ?
Reposted by @maherjane
Great piece in The BMJ @bmj.com about our OpenSAFELY platform granting unprecedented secure, transparent, efficient access to whole population GP data for analysts in collaboration with NHS England @england.nhs.uk
www.bmj.com/content/388/...
But previous popes have been quite resistant to palliative care which I always found curious