Alastair Miller @alastairmiller3 Twitter profile

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Alastair Miller

@alastairmiller3

8 months

I have just cancelled my Direct Debit to the BMA. I cannot remain a member of an organisation that has such scant regard for patient care that they arrange simultaneous strikes by consultants and juniors. Totally in acceptable

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Alastair Miller

@alastairmiller3

2 years

As omicron spreads more folk will be admitted to hospital who are found to be CoVid pos. Some will die. What we won’t be told is how many have CoVid illness and how many have other conditions and just happen to test positive

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Alastair Miller

@alastairmiller3

8 years

Some great shows at the fringe. Tom Binns brilliant and #notflix excellent. Melvyn Stutter good as ever

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Alastair Miller

@alastairmiller3

2 years

Omicron and delta are chalk and cheese. Omicron in a vaccinated population remains highly infectious but causes very mild if any symptoms in the vast majority. We need to look at it in a different way…

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Alastair Miller

@alastairmiller3

6 years

@JRCPTB very encouraging and energizing to talk to trainees after the launch of the registrar quality criteria. There is a feeling that the issues are being recognized. This something we MUST deliver

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Alastair Miller

@alastairmiller3

3 years

@AndyWelch13 Absolutely, Andy. Of course cases will go up as we test more and things open up but why are we never told about hospital admissions and ITU admissions...I suspect there are very few

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Alastair Miller

@alastairmiller3

7 years

#rcpeid17 what a great day. Thank you so much to all speakers, committee, Margaret & team and to a great audience on line and in hall

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Alastair Miller

@alastairmiller3

5 years

@themainssite @lakelandsocial @FeatureCumbria @VisitEden @ActiveCumbria @fellsideladies Looking forward to it

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Alastair Miller

@alastairmiller3

5 years

@JRCPTB This is NOT just an extra year of CMT. It is a totally new innovative programme allowing you to become confident and competent in the care of all aspects of internal medicine including the very sick patient. Both ITU and out patient clinics are mandatory

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Alastair Miller

@alastairmiller3

5 years

A very useful and productive afternoon

JRCPTB

@JRCPTB

5 years

Today we held a joint Medical and Clinical Oncology Curriculum Event with the @RCRadiologists . We are working together on a curricula consultation with our heads of training. Thanks to all those who attended!

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Alastair Miller

@alastairmiller3

4 years

@JRCPTB Thanks to everyone for attending and engaging so enthusiastically. We thought it went really well and will be extremely valuable in driving the E&D agenda in development and implementation of our new curricula. Thanks again

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Alastair Miller

@alastairmiller3

6 years

#jrcptb fantastic 3 day faculty development with extremely enthusiastic and committed colleagues in Wayanad #aster

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Alastair Miller

@alastairmiller3

7 years

#JRCPTB . Training the trainees in Kerela @Aster Medcity14. An excellent and committed group

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Alastair Miller

@alastairmiller3

7 years

David Owen’s description of hubris remains remarkably accurate

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Alastair Miller

@alastairmiller3

7 years

Excellent International Development Day with very engaged and committed delegates and faculty #JRCPTB

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Alastair Miller

@alastairmiller3

5 years

#JRCPTB Excellent interaction with our many friends and partners at today’s event. Exciting future for internal medicine training overseas

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Alastair Miller

@alastairmiller3

3 years

Has anyone ever calculated or even estimated the cost per life saved by imposing precipitous travel bans. The cost to the travel industry and individuals is enormous and their effectiveness has never been shown ...

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Alastair Miller

@alastairmiller3

4 years

At the start of the pandemic in January 2020 the NHS had about 5900 critical care beds running at 83% occupancy. On Saturday 592 ventilator beds were occupied by Covid patients

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Alastair Miller

@alastairmiller3

3 years

4 individuals in the world literature have had a proven second attack of CoVid so why on earth does Johnson need to self isolate? What nonsense

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Alastair Miller

@alastairmiller3

3 years

@AndyWelch13 I know 3 people who wanted to vaccinate - retired RGN, GP and anaesthetist. 2 bailed at the bureaucracy and weight of online learning. The third spent a whole day doing the latter and was then told it would be mid Feb before her days practical course!

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Alastair Miller

@alastairmiller3

4 years

The NHS clearly has capacity to deal with any further “surge” in CoVid cases. There are empty beds all over the country and we need to unlock some of the restrictions and allow more infection so we do not go into the winter with a highly susceptible population

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Alastair Miller

@alastairmiller3

5 years

@JRCPTB And a good day was had by all

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Alastair Miller

@alastairmiller3

3 years

@AndyWelch13 Surely it’s a no brainer. Would you rather give 100 people 2 doses of vaccine or give 200 people a single dose of vaccine? - with little evidence of reduced effect

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Alastair Miller

@alastairmiller3

3 years

Ok so the guy on radio4 said 22 cases of reinfection out of more than 50 million cases. Johnson had a 35 minute meeting in a CoVid secure setting and yet still has to isolate in a crucial political time. This is the precautionary principle gone mad..

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Alastair Miller

@alastairmiller3

2 years

Why did a PCR at Delhi airport last week cost me £5 but one at Manchester cost me £120???

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Alastair Miller

@alastairmiller3

3 years

The fact that I support CBTGET for the treatment of MECFS does NOT mean I feel it is a psychological condition. CBT relieves symptoms in cancer, the principle of GET is used in cardiac rehab after heart attacks. Nobody would suggest they are all in the mind

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Alastair Miller

@alastairmiller3

3 years

@AndyWelch13 Quite agree. Very encouraging. In my hospital in the North West there have been 3 CoVid positive tests in the last 3 weeks. None had a CoVid illness - they were merely screening pick ups but of course they will count in the figures to keep us locked down!

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Alastair Miller

@alastairmiller3

2 years

Just finished acute medicine shift. Busy but not “unprecedented, flat out, ramped up “ or any cliché . 0nly two CoVid pos patients and neither had CoVid disease. This is TOTALLY different from 12 months ago

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Alastair Miller

@alastairmiller3

3 years

@AndyWelch13 Hear Hear Andy

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Alastair Miller

@alastairmiller3

4 years

We are extremely fortunate in UK to have Chris Whitty and Patrick Vallane who combine common sense, science and excellent communication skills. To date the Government seems to be listening and ignoring the rants of the ill informed

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Alastair Miller

@alastairmiller3

8 years

@porthcawltown sorry. No longer in clinical CFSME practice. You could still contact service @ Liverpool

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Alastair Miller

@alastairmiller3

5 years

Another great night at the MFMF 2019 ⁦ @themainssite ⁩

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Alastair Miller

@alastairmiller3

4 years

@iturriza_miren @RunningMadProf @BBCBreakfast Quite agree. Such draconian and non evidence based interventions are utterly non sustainable

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Alastair Miller

@alastairmiller3

6 years

@RCPEdin @MRCPUK @NHS_Lothian PACES examiners valiantly fighting to get back to College after exam at CSAC today #jrcptb

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Alastair Miller

@alastairmiller3

8 years

Really sorry I shall miss DEMEC after falling off my mountain bike and ending up in MTC @ Plymouth with #pelvis !

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Alastair Miller

@alastairmiller3

5 years

Delighted to see Amber Rudd has had the integrity and courage to quit Johnson’s doomed cabinet. How come Nicky Morgan is till there?

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Alastair Miller

@alastairmiller3

2 years

@AndyWelch13 @Peston Totally agree Andy. Have we heard of anyone who has been really I’ll with this new variant. All the reports I’ve seen are of mild or no symptoms

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Alastair Miller

@alastairmiller3

4 years

Cases, deaths and R0 are tumbling worldwide and this cannot be just due to infection control. The NHS has ICU capacity. IF there is to be a second spike we need it in the summer so we need rapid easing of restrictions

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Alastair Miller

@alastairmiller3

3 years

@AndyWelch13 it’s bizarre that I can see several CoVid patients today at work and don’t have to do anything but if an asymptomatic one pings me in a pub I have to be off work for 10 days

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Alastair Miller

@alastairmiller3

4 years

@drphilhammond @AndyWelch13 Totally Agree Phil. The risks of CoVid are being exaggerated and the current infection control strategies are costly and ineffective. It is quite clear that lockdowns do not work

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Alastair Miller

@alastairmiller3

2 years

@AndyWelch13 @Peston And the world indulges in its favourite activity of closing the stable door after the horse has bolted by imposing needless non evidence based travel restrictions

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Alastair Miller

@alastairmiller3

3 years

Trying to stop the spread of CoVid variants by stopping international travel is like Canute trying to hold back the waves ie useless

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Alastair Miller

@alastairmiller3

9 years

Just seen Tamar Broadbent at the Edinburgh fringe. Brilliant

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Alastair Miller

@alastairmiller3

9 years

@VauxEmma and lots of good things about QI at today's Academy mtg

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Alastair Miller

@alastairmiller3

4 years

The average life expectancy in UK is 81.4. The average age of those who have died from CoVid since March is 82.4 (Times 10 Oct 2020)

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Alastair Miller

@alastairmiller3

9 years

Get the skis out! http://t.co/akGi8XGgkq

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Alastair Miller

@alastairmiller3

5 years

@JRCPTB More than 100 individual and artificial competencies will be replaced by 14 Capabilities in Practice (CiPs) to give a more holistic and authentic assessment of performance. Reduces assessment burden but maintains reassurance

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Alastair Miller

@alastairmiller3

6 years

Hopefully the webinar has answered some of the questions and allayed some of the anxieties around our new Internal Medicine training #IMcurriculum

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Alastair Miller

@alastairmiller3

6 years

Brilliant brilliant night again@ mains farm

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Alastair Miller

@alastairmiller3

6 years

@parthaskar @WigtonDrJohn @RCPLondon @DacreJane Thanks John & Partha. Glad to see my predictions for your career success were true

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Alastair Miller

@alastairmiller3

6 years

Hopefully keeps the good bits of CMT, ditches the bad bits and adds lots more good bits

JRCPTB

@JRCPTB

6 years

Internal medicine training is a 3 year programme beginning August 2019. It will prepare doctors for the role of medical registrar & set them up to manage patients with various symptoms/conditions. Here's why you should apply on 7 November > #IMcurriculum

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Alastair Miller

@alastairmiller3

9 years

Recommendations for the Fringe. Barbu circus, Raz, Mervyn Stutter Pick of the Fringe (always good), Jimmy McGhie, Tamar Broadbent...

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Alastair Miller

@alastairmiller3

7 years

@RunningMadProf @edfringe @ThePleasance It's break a leg isn't it? Good luck

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Alastair Miller

@alastairmiller3

5 years

@JRCPTB An excellent day. Lots of enthusiasm and new ideas

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Alastair Miller

@alastairmiller3

3 years

@AndyWelch13 There is little doubt that there is a great level of protection from a single dose of either vaccine. The trials pragmatically chose an interval of 21 days between doses but there is no biological reason why increasing the interval should reduce the protective efficacy

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Alastair Miller

@alastairmiller3

7 years

Getting very excited about the Mains Farm music festival this weekend. Hope the weather holds. We don't need Glasto mud!

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Alastair Miller

@alastairmiller3

3 years

@BorisJohnson This is the precautionary principle gone mad. There have been 22 cases of reinfection documented worldwide in 50 million cases. The chance of your being infected and transmitting are negligible. I think you need to get back to work without restrictions

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Alastair Miller

@alastairmiller3

4 years

@DrEmBurnsEDS @JRCPTB Yes there will be a full report when we have had. A chance to analyse all the data and input

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Alastair Miller

@alastairmiller3

5 years

Completing training in Internal Medicine (IMT) will allow you entry into any of 30 JRCPTB Medical specialties (gastroenterology, space medicine etc) or allow you to train in radiology, clinical oncology etc

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Alastair Miller

@alastairmiller3

8 years

Are you #InOrOut in the #EURef ? @CrowdpacUK ’s test says I’m 91% IN. See where you stand:

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Alastair Miller

@alastairmiller3

3 years

So because of “criticism”, the PM and Chancellor will now self isolate! They are meant to be leaders not followers of public opinion

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