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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 Feb 16

      John Clarke Retweeted The BMJ

      "Most of us have heard medicine’s inconvenient truth: 50% of what you learn will be wrong, or inaccurate, within five years. Sadly, we never know which 50%, and we assume it only applies to others" > One of many great quotes in this piece. History generally has plenty to teach.https://twitter.com/bmj_latest/status/964469532390776832 …

      John Clarke added,

      The BMJVerified account @bmj_latest
      The past just ain’t what it used to be: @docpgb contemplates how Victorian medicine and its failings holds up a mirror to medicine now http://blogs.bmj.com/bmj/2018/02/16/peter-brindley-the-past-just-aint-what-it-used-to-be/ … pic.twitter.com/JO1bS1hMqV
      2 replies 10 retweets 18 likes
    2. Grumpy Old Doc‏ @GrumpyOldDoc Feb 16
      Replying to @C7RKY

      Half of what I teach students turns out to be wrong; neither of us know which half. When I qualified no HIV/ AIDS, Heart Failure universally fatal now imminently treatable, Genetic tests almost non existent, Transplantation in its infancy.

      1 reply 2 retweets 4 likes
    3. John Clarke‏ @C7RKY Feb 17
      Replying to @GrumpyOldDoc

      Only surprises here for me are the speed (quite radical shifts, rather than the incremental improvements CPD implies) and the fact that some clinicians can still be so confident in asserting their clinical views, despite knowing this. Aysha King springs to mind for starters.

      1 reply 0 retweets 1 like
    4. Grumpy Old Doc‏ @GrumpyOldDoc Feb 17
      Replying to @C7RKY

      May I respectfully suggest you research that case a little more deeply than the junk that appeared in S*n and Ma*l Try his name plus "untold story" and see what turns up

      1 reply 0 retweets 1 like
    5. John Clarke‏ @C7RKY Feb 17
      Replying to @GrumpyOldDoc

      John Clarke Retweeted John Clarke

      Of course... & I shall. But I already know the treatment the parents were trying to access is now offered by NHS, despite the grotesquely disproportionate measures taken to try and prevent them doing so abroad. Hard to see this in a positive light tbh.https://twitter.com/c7rky/status/949668584330027009 …

      John Clarke added,

      John Clarke @C7RKY
      "Proton beam cancer treatment to start in Manchester in 2018" - BBC News > Oh good. Does this mean the NHS will no longer be seeking European arrest warrants against parents trying to take their kids abroad for this treatment? That's nice. #ashyaking https://www.bbc.co.uk/news/amp/health-42446686?__twitter_impression=true …
      1 reply 0 retweets 0 likes
    6. Grumpy Old Doc‏ @GrumpyOldDoc Feb 17
      Replying to @C7RKY

      Well here is the positive light and SOME of the factshttp://www.independent.co.uk/voices/comment/ashya-king-this-story-isnt-quite-what-it-seems-9716486.html …

      1 reply 0 retweets 0 likes
    7. John Clarke‏ @C7RKY Feb 17
      Replying to @GrumpyOldDoc

      I think you and I read that piece with v different eyes, doc. I see as much spin as positive in there. My eye was drawn to this part: "Ashya's doctors insist they took a clinical (not financial) decision that it would NOT BE BETTER for him than conventional radiotherapy" >>

      1 reply 0 retweets 0 likes
    8. John Clarke‏ @C7RKY Feb 17
      Replying to @C7RKY @GrumpyOldDoc

      Which option is/isn't 'better' is an opinion. (And I know you appreciate the subtlety of that wording every bit as much as I do). But if both options are of overall benefit to the patient, then as an adult, I get to choose which one I go for - NOT the clinician. >>

      3 replies 0 retweets 0 likes
    9. Grumpy Old Doc‏ @GrumpyOldDoc Feb 17
      Replying to @C7RKY

      Parents chose a potentially better but unproven treatment over what was the "gold standard" therapy. They were not denied a proven magic bullet.http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(16)00102-9/fulltext …

      1 reply 0 retweets 0 likes
      John Clarke‏ @C7RKY Feb 17
      Replying to @GrumpyOldDoc

      Potentially better? Or would 'not be better' than? I never suggested there was any magic bullet. Just a denial of choice in an extremely draconian fashion.

      5:11 AM - 17 Feb 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Grumpy Old Doc‏ @GrumpyOldDoc Feb 17
          Replying to @C7RKY

          What's Draconian about saying the evidence base isn't robust yet, here is the recommended gold standard treatment with current best outcomes. Photon therapy wasn't recomnended treatment in guidelines either side of Atlantic and time delay is crucial

          1 reply 0 retweets 1 like
        3. John Clarke‏ @C7RKY Feb 20
          Replying to @GrumpyOldDoc

          Nothing draconian about expressing an opinion. Enforcing that opinion upon others through the use of a European arrest warrant and a man hunt for the parents seemed a tad draconian to me though.

          1 reply 0 retweets 0 likes
        4. Grumpy Old Doc‏ @GrumpyOldDoc Feb 20
          Replying to @C7RKY

          The arrest warrant was based on current obligatory child protection rules for healthcare professionals Child, being fed enterally, was removed from hospital by parents untrained in how to feed him = at risk of aspiration or starvation so had to be found = arrest warrant

          1 reply 0 retweets 0 likes
        5. John Clarke‏ @C7RKY Feb 20
          Replying to @GrumpyOldDoc

          Child protection rules we could probably debate for months. Regardless of good intent, they are a source of fear for many parents (myself included). I'm mindful of the fact that they only ran because the option to do it properly was removed. Would I have done the same? Perhaps..

          1 reply 0 retweets 0 likes
        6. Grumpy Old Doc‏ @GrumpyOldDoc Feb 20
          Replying to @C7RKY

          Even that's debated by Trust, they say they had already contacted photon site before parents withdrew him

          1 reply 0 retweets 0 likes
        7. John Clarke‏ @C7RKY Feb 20
          Replying to @GrumpyOldDoc

          Hmmm. Only a handful of people will know the real truth behind that, but personal experience has made me closely question statements issued by hospital trusts these days. Especially those who sense reputational damage may be an imminent risk.

          1 reply 0 retweets 0 likes
        8. Grumpy Old Doc‏ @GrumpyOldDoc Feb 20
          Replying to @C7RKY

          http://www.bbc.co.uk/mediacentre/latestnews/2015/ashya-king … For info

          0 replies 0 retweets 1 like
        9. End of conversation

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