Neil Brown retweeted
Preeclampsia, la última revisión en The Lancet (2026). Puntos importantes:
🔴 La proteinuria dejó de ser obligatoria para el diagnóstico. Preeclampsia = hipertensión después de las 20 SDG + disfunción de órgano blanco (neurológica, renal, hepática, hematológica) o uteroplacentaria.
🔴 Olviden la hipertensión permisiva: trata toda hipertensión del embarazo, meta <140/90 (diastólica 85), CHIPS y CHAP Trial. Labetalol, nifedipino o metildopa. IECA/ARA contraindicados por fetotoxicidad.
🔴Prevención con Aspirina 150 mg por la noche, antes de las 16 SDG, y se suspende a las 36. El calcio ya no se recomienda.
🔴 El único tratamiento sigue siendo el parto. El sulfato de magnesio no es profilaxis universal — es para preeclampsia con datos de gravedad y eclampsia.
🔴 En el puerperio, la presión arterial alcanza su pico los días 3 a 6 (monitorea en casa). Asociado a más: hipertensión, enfermedad renal crónica, diabetes, riesgo cardiovascular. Revisión médica anual recomendada.
Ya actualizamos las apps.
Neil Brown retweeted
Another bullshitty use of AI to generate an "infection risk score" that just means a doctor should look at the patient like they should be doing anyway.
Nothing but an excuse to hand millions in public cash to big tech firms and call it 'NHS spending'
Hi @TD_Canada, does it always take >1hr on the phone to update address for car/home insurance? I didn't need to wait on hold and the woman is very helpful, but if this is how your business processes work this is poor. Also, the app doesn't let you change the address to be insured
@TD_Canada still on the phone, at 1hr 20mins and now your agent is trying to sell me identity theft protection. All I want to do is update my address. Does your customers' time mean nothing to you?
Neil Brown retweeted
This is only fixable with full rejection of the myth that rotation provides better training, an end to the system that myth has begotten & a complete re-think about how we integrate residents long-term into teams & apprentice them to consultants in order to actually train them.🔚
Neil Brown retweeted
This is so wildly disingenuous, @gmcuk.
You've just been exposed as employing social media specialists to monitor doctors' criticisms of your actions & shape your subsequent strategy.
Indeed, I understand I'm one of the doctors you've been spying on - presumably since I have now asked you for 91 days straight to release the results of your public consultation on PAs (the one that you retrospectively claimed was 'research', in order to also dismiss FOI requests to obtain the results - this being despite there being no publicly available research protocol or ethics committee approval of your said 'research' - please do post these if I'm wrong on this).
Do you really think your best strategy for winning back the trust and respect of the medical profession is to digitally snoop on the doctors who have politely & repeatedly urged you to behave with candour, transparency and professionalism - the very values you (rightly) claim are the bedrock of good medicine?
As reputational management goes, I'd suggest to your social media specialists (hi chaps, nice to know you're reading this) that the answer to my question is a resounding 'no'.
I, for one, am livid at your conduct over PA regulation. You are embracing and enabling a political, not patient-centred, agenda - all while riding roughshod over doctors' legitimate and sincerely-held patient concerns.
And I know I am far from alone in this.
In this context, the irony of you being the arbiter of what counts as doctors' professional probity is lost on none of us.
Hi @drmattuk and @Mike88881221 like most organisations we reflect on social media posts we’ve been tagged in, or those which are receiving high levels of interest. This helps us identify topics or issues to communicate with our audiences – whether that’s via social media or other communication channels.
We consider public social media posts alongside a range of other sources of feedback, such as the insights we hear from our conversations with doctors, medical students, patients and our partners in healthcare.
Neil Brown retweeted
🧵for the new residents and students on the meaning of 'French' and 'Gauge'.
We've covered this on here in the past, but a lot of new people are starting on surgical rotations, so let's look at them again.
As usual, we'll cover their history and what they mean.
(1/ )
Neil Brown retweeted
Ok then
I am breaking ranks
As Councillor @RCPhysicians
Open letter to council
Time for senior leadership to consider their positions
Silence is complicity
And that? Isn’t me
Enough.
#RCPEGM
Neil Brown retweeted
@JanetEastham Rcphysicians deliberately delayed the EGM until after the whole shambles went through parliament. Presented misinformation at the EGM. An absolute scandal and @RCPhysicians a disgrace for this and colluding with unsafe AA/PA plan of the government
Neil Brown retweeted
There have been more Conservative MP's found guilty of Sexual Misconduct than Voters guilty of Voter Fraud.
And there's 45,000,000 voters, and 360 Conservative MP's.
Neil Brown retweeted
'David Cameron and Jeremy Hunt are spinning data to mislead the public for political gain': Dr Palak Trivedi. #nhs
amp.twimg.com/v/b67405f2-3f2…