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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. John Clarke‏ @C7RKY 29 Dec 2017

      John Clarke Retweeted EL4C

      This suggests the healthcare equivalent of 'shrinkflation'. Can't get away with changing the price because everybody notices, (especially when it's free). So leave the price the same and just offer less in return.https://twitter.com/EL4JC/status/946747420750368768 …

      John Clarke added,

      EL4C @EL4JC
      Jeremy Hunt says the NHS will always be free under his watch - he's right. Free, but bare bones and inadequate. And that's the trick. The Tories want the US model - Those that can afford it go private and the rest are left with a second class service. http://cnn.it/2BZcCmX 
      1 reply 0 retweets 1 like
    2. theveindoc‏ @theveindoc 29 Dec 2017
      Replying to @C7RKY

      But fact is we are getting better at keeping people alive and offering MORE effective treatments than ever. Hence demand increased.

      1 reply 0 retweets 1 like
    3. John Clarke‏ @C7RKY 29 Dec 2017
      Replying to @theveindoc

      Even if I accepted your assertion, (tho I could throw national state of health/quality of life into the pot to expand that debate), I'd expect existing treatments to be protected against inflation & ppn growth as a min. Even if new treatments prove unaffordable

      1 reply 0 retweets 0 likes
    4. theveindoc‏ @theveindoc 29 Dec 2017
      Replying to @C7RKY

      Paradoxically as we get better at healing people we leave more sick people in the system needing more care.

      1 reply 0 retweets 0 likes
    5. John Clarke‏ @C7RKY 29 Dec 2017
      Replying to @theveindoc

      Presumably those extra sick people are coming from some group other than those you suggest we got better at healing? Otherwise, it could be seen as stretching the definition of healing.

      3 replies 0 retweets 0 likes
    6. John McGarva‏ @IamBonglie 29 Dec 2017
      Replying to @C7RKY @theveindoc

      “Survivorship” is an increasing issue.

      1 reply 1 retweet 0 likes
      John Clarke‏ @C7RKY 29 Dec 2017
      Replying to @IamBonglie @theveindoc

      It seems so. Helping somebody to survive is only step 1 in helping them to continue living, I guess?

      1:20 PM - 29 Dec 2017
      1 reply 0 retweets 0 likes
        1. New conversation
        2. John McGarva‏ @IamBonglie 29 Dec 2017
          Replying to @C7RKY @theveindoc

          Very much so. Important not to walk away at that point, imo.

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY 29 Dec 2017
          Replying to @IamBonglie @theveindoc

          Naturally. So are there particular new things we're now doing for patients which are contributing to this increasing group of sick people? Is it all about surviving heart attacks? Or is there more to the picture?

          1 reply 0 retweets 0 likes
        4. John McGarva‏ @IamBonglie 29 Dec 2017
          Replying to @C7RKY @theveindoc

          Across the board. For example my field was throat cancer patients. Many surviving, but never swallow again.

          1 reply 0 retweets 1 like
        5. John Clarke‏ @C7RKY 29 Dec 2017
          Replying to @IamBonglie @theveindoc

          John Clarke Retweeted John Clarke

          Interesting. I've no frame of reference for your field, but I wonder what role early diagnosis has played in some of these issues? Have you ever seen any of the Gilbert Welch material?https://twitter.com/C7RKY/status/931462246382886912 …

          John Clarke added,

          John Clarke @C7RKY
          Especially when you watch the 2 videos mentioned on the slide. Here: https://m.youtube.com/watch?v=ngHB1DzP5xc … And here: https://m.youtube.com/watch?v=s7QNhE59s9Q&feature=youtu.be …
          Show this thread
          1 reply 0 retweets 0 likes
        6. John McGarva‏ @IamBonglie 29 Dec 2017
          Replying to @C7RKY @theveindoc

          An issue in, eg, thyroid. These are mainly ~stage 3.

          1 reply 0 retweets 1 like
        7. John Clarke‏ @C7RKY 29 Dec 2017
          Replying to @IamBonglie @theveindoc

          So are such pts really surviving longer, in your opinion? Or is it possible there's an inflationary effect on life expectancy because of early diagnosis?

          1 reply 0 retweets 0 likes
        8. John McGarva‏ @IamBonglie 29 Dec 2017
          Replying to @C7RKY @theveindoc

          Sadly, that is not an issue in head & neck cancer.

          1 reply 1 retweet 0 likes
        9. John Clarke‏ @C7RKY 29 Dec 2017
          Replying to @IamBonglie @theveindoc

          That sounds very clear. Too many important bits hanging around in that part of the anatomy?

          0 replies 0 retweets 1 like
        10. End of conversation

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