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tobyhillman.bsky.social
Consultant Respiratory Physician, Long COVID Physician. Interested in almost anything but using this for medical stuff. Other platforms for hobbies.
43 posts 315 followers 244 following
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We're looking again at the Chief Medical Officer's 2022 #AirPollution report and noting how much diesel contributes to the nitrogen oxides we are breathing across England. Diesel needs to go. #DitchDiesel https://buff.ly/4hY9erU

submitted 5 days ago • 0 comments

Population-health impact of new drugs recommended by the National Institute for Health and Care Excellence in England during 2000–20: a retrospective analysis - The Lancet www.thelancet.com/journals/lan... > v thought provoking paper on the opportunity costs of ever more advanced (£) treatments

submitted 32 days ago • 0 comments

And please don’t anyone put the cart before the horse interpreting this paper. There is NOTHING about causation - only that those suffering with LC need support for both body and mind. Holistic care doesn’t ignore psychology- bad care often does

submitted 61 days ago • 0 comments

Conclusion about hire the health system needs to change to take account of post-infection illness absolutely spot on… the next pandemic is only a matter of time - we must prepare not just to cope with the acute phase- but also the aftermath.

submitted 61 days ago • 0 comments

'Long COVID and sleep: an urgent call to action' by Dr. Elizabeth Benge, Harvard 'Long COVID underscores the urgent need for a multidisciplinary approach to post-viral care. Patients deserve a medical system that validates their experiences, invests in research... kevinmd.com/2024/12/long...

submitted 62 days ago • 2 comments

'2024 Science Highlights from the NIH Director’s Blog' Featured on the Top 6: 'Many People with Long COVID Have Signs of Persistent SARS-CoV-2 Proteins, New Findings Show' directorsblog.nih.gov/2024/12/20/2...

submitted 65 days ago • 0 comments

Random geography facts as we head towards the end of the year: Glasgow is north of the southern tip of Alaska Edinburgh is west of Bristol Denver, Colorado is south of Rome France's longest land border is with Brazil The town of Vardø in Norway is nearer to China than to Portugal

submitted 67 days ago • 27 comments

Calcific aortic stenosis is a prevalent, progressive disorder in older adults, diagnosed via echocardiography. This narrative review describes the clinical presentation, diagnostic evaluation, and management of calcific aortic stenosis. ja.ma/3OWLMyN #CardioSky #MedSky

submitted 68 days ago • 0 comments

Another great paper for day 16 of #RespMas! #RespEd #RespIsBest #lungsky #pulmsky

submitted 69 days ago • 0 comments

@therestpolitics.bsky.social hey - any explanation for the inability to play on Amazon music? Has there been a falling out?

submitted 69 days ago • 0 comments

I thought I saw a link somewhere on here recently about very much simplified approach to anticoagulation choices in AF. Did I dream it? #help #medsky #cardiosky

submitted 74 days ago • 1 comment

A new study from @unibirmingham.bsky.social has shown that burning wood at home produces more PM2.5 #AirPollution than road traffic. Based on Prof Zongbo Shi's findings, which even he was surprised by, people should think twice before installing a wood burning stove.

submitted 74 days ago • 1 comment

Published in JAMA with #CCRdownunder: In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com ja.ma/3BovM5v

submitted 76 days ago • 0 comments

Absolutely thrilled to be at the Royal Institution for the Christmas Lecture tonight - given by Dr Chris... Excitement building in the lecture theatre. Fulfilment of a life long ambition for me!

submitted 75 days ago • 0 comments

Welcome to @uclh.bsky.social!

submitted 82 days ago • 1 comment

New asthma guideline’s treatment algorithm for 12+ 🫁: 🎉 Start with the AIR (anti inflammatory reliever) ✅ No more SABA 🙌 ✅ No more theophylline ✅ Unified, simple pathway #BTSWinter2024

submitted 87 days ago • 1 comment

The new NICE/BTS/SIGN #Asthma guidelines are superb. A collaborative approach. A focus on using blood eos and FeNO at initial presentation and finally the long-overdue end to salbutamol. Read it and use it now www.nice.org.uk/guidance/NG245

submitted 87 days ago • 0 comments

The HPV vaccine has been recommended in the US since 2006. New study out today shows that cervical cancer deaths in young women in the years that followed have plummeted, decreasing 15% per year from 2013-2015. jamanetwork.com/journals/jam...

submitted 87 days ago • 99 comments

New guidelines. Asthma: diagnosis, monitoring and chronic asthma management (BTS, NICE, SIGN). www.nice.org.uk/guidance/ng245 #BTSWinter2024 #LungSky #RespEd

submitted 88 days ago • 1 comment

Clear clinical statement. Treating tobacco dependence as a disease = person centered approach to managing nicotine withdrawal. Important to prescribe sufficient nicotine substitution products immediately, and give patients access to the most effective evidence based treatments for smoking cessation

submitted 88 days ago • 0 comments

So, #medsky - a question for you all - what is the origin of the name of the "Miami J" collar. I've looked through patents papers etc etc and can't find out. Can anyone help? #orthosky #neurosky #foamed #help

submitted 89 days ago • 1 comment

A person on a bicycle is by far the most energy-efficient among animals and machines per distance traveled relative to body weight. The bicycle is magic. www.jstor.org/stable/24923...

submitted 91 days ago • 273 comments

And as this gains attention outside of scientific circles, as it surely will, @deevybee.bsky.social will undoubtedly face a great deal of harassment. Other fellows of the @royalsociety.bsky.social will have to decide whether she faces it alone or not.

submitted 90 days ago • 27 comments

Your prayers were useless

submitted 91 days ago • 21 comments

Cycling is 10 times more important than electric cars for reaching net-zero cities and 100 times more fun.

submitted 92 days ago • 143 comments

While we’re talking about end of life care, I found this quite difficult as a junior doctor. I evolved a series of strategies for how to cope in this situation. Some of those tips are written down in a blog from a few yrs ago. Link ⬇️⬇️ #EOLC sharingandlearningonline.wordpress.com/end-of-life-...

submitted 92 days ago • 5 comments