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Kevin Monahan Profile
Kevin Monahan

@kevinjmonahan

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Gastroenterologist from @StMarksGenomics with an interest in hereditary bowel cancer and occasional rants about other random things

Joined March 2012
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@kevinjmonahan
Kevin Monahan
4 years
Guidelines for the management of hereditary colorectal cancer published today @Gut_BMJ from @BritSocGastro @ACPGBI @UKCGG #LynchSyndrome #Polyposis Many thanks to my co-authors @SDolwani @JamesHill1010 @Rutter_Matt @AndyLatchford @bowelcanceruk and others
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@kevinjmonahan
Kevin Monahan
3 years
This month I diagnosed 3 new colorectal cancers in consecutive patients on a bowel cancer screening colonoscopy morning list for the second time this year... we must find a way not to cancel urgent cancer work during this new escalation of the #Covid19 pandemic @bowelcanceruk
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@kevinjmonahan
Kevin Monahan
4 years
Today t were only 8 bowel cancer patients on our weekly multidisciplinary meeting - we normally have 35-40 each week! We need to find you, diagnose & treat you, and we need you to talk to your GP if you have bowel symptoms @bowelcanceruk @StMarksHospital @GenEdwards #Covid_19
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@kevinjmonahan
Kevin Monahan
4 years
It works by ‘killing’ the host... 🖐 🤚 #TrumpDisinfectant
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@kevinjmonahan
Kevin Monahan
4 years
Still smiling on the new #COVID19 ward ⁦ @StMarksHospital ⁩ and ready for whatever is coming! ⁦ @LNWH_NHS
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@kevinjmonahan
Kevin Monahan
4 years
After a first #bowelcancer screening list for almost 3 months today, I am 100% convinced that we have to fully recommence across the country right now! #screeningsaveslives @bowelcanceruk @stmarksbcsc
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@kevinjmonahan
Kevin Monahan
2 years
Faecal immunochemical testing (FIT) in patients with signs or symptoms of suspected colorectal cancer (CRC): a joint guideline from the ⁦ @ACPGBI ⁩ and ⁦ @BritSocGastro ⁩ full text now available from ⁦ @Gut_BMJ ⁦thanks to fantastic colleagues
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@kevinjmonahan
Kevin Monahan
4 years
Wearing my impregnable #PPE on the #Covid19 ward round yesterday... #NHS overuse?
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@kevinjmonahan
Kevin Monahan
4 years
It’s a massive relief to get cracking on with previously delayed colonoscopy for our #LynchSyndrome and other patients ⁦ @StMarksHospital ⁩ ⁦ @StMarksFCC #obligitoryPPEselfie @GIwolfsonunit #COVID19
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@kevinjmonahan
Kevin Monahan
4 years
Lynch MSH2 patient, accepted colonoscopy only after positive FIT, this lesion at hepatic flexure, completely excised by underwater EMR.... I think we have prevented a cancer? Normal colonoscopy 2 yrs ago.... if you are a Lynch patient in the UK who receives a FIT please return it
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@kevinjmonahan
Kevin Monahan
4 years
We need to diagnose bowel cancer to save lives... but endoscopy capacity is severely hindered because of lack of Covid19 swab availability - please address this urgently @MattHancock
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@kevinjmonahan
Kevin Monahan
3 years
I’m delighted for our team @StMarksFCC that the #LynchSyndrome Clinic has been awarded a certificate of high commendation by the @BritSocGastro thanks everyone including @VickyCuthill @AndyLatchford @menna_hawkins @SueClark16 @LNWH_NHS @StMarksHospital
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@kevinjmonahan
Kevin Monahan
1 year
Thanks to the brilliant team @LynchSyndromeUK for this award….. let’s keep striving to improve the care of people with #LynchSyndrome !
@lauramongar
Lauramonje 💙
1 year
I would like to thank @LynchSyndromeUK for giving @kevinjmonahan the award in recognition of services to Lynch syndrome this year. Photo below confirms that I handed the award (intact)! Thank you @LynchSyndromeUK for everything you do!
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@kevinjmonahan
Kevin Monahan
3 years
I feel very lucky to have received the Pfizer #COVID19 vaccine this morning- thanks ⁦ @LNWH_NHS ⁩ ⁦ @StMarksHospital ⁩ for keeping me safe and helping me do my job of caring for others
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@kevinjmonahan
Kevin Monahan
1 year
Through this project #Lynchsyndrome tumour testing #colorectalcancer has increased from 43% to 91% and #endometrialcancer from 19% to 89% nationally, and we are delivering #mainstreaming of genetic testing by cancer teams across England @bowelcanceruk @LynchSyndromeUK @eveappeal
@kevinjmonahan
Kevin Monahan
1 year
The English National GMSA Transformation Project: Lynch Syndrome ⁦ @NorthThamesGLH ⁩ ⁦ @NHSgms ⁩ ⁦ @NHSEngland
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@kevinjmonahan
Kevin Monahan
2 years
Are we failing young people with cancer? Our new ⁦ @ACPGBI ⁩ ⁦ @BritSocGastro ⁩ guidelines recommend FIT testing by GPs to improve early access to investigation for young people with symptoms #never2young @bowelcanceruk ⁩ ⁦ @BBCNews
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@kevinjmonahan
Kevin Monahan
3 years
Have just finished my first of two bowel cancer screening colonoscopy lists this morning, everybody turned up which was fantastic - please do turn up if you have an endoscopy appointment (it will be Covid-safe), and we’ll take care of the rest @bowelcanceruk @stmarksbcsc
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@kevinjmonahan
Kevin Monahan
2 years
I am extremely honoured to receive this commemorative plaque from St Vincent’s Colorectal Meeting 2021: Women’s Health and Colorectal Disease …. Wish I could have been there in person!
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@kevinjmonahan
Kevin Monahan
3 years
I am delighted that the FIT for #LynchSyndrome Study has received ethical approval - we will begin site initiation and patient recruitment shortly - thanks to our funder @curebowelcancer and colleagues @anneglincolnkc1 @CancerPrev_KCL @petersasieni @BowelsOfStMarks @StMarksFCC
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@kevinjmonahan
Kevin Monahan
1 year
Thanks Laura and a huge thanks to the people @LynchSyndromeUK for this huge honour, I’m overwhelmed to receive this and look forward to carrying on this road alongside you
@lauramongar
Lauramonje 💙
1 year
Key speakers at the @LynchSyndromeUK conference today. Very interesting talks. At the end @kevinjmonahan was given an award in recognition of his services to #LynchSyndrome . A really lovely token of appreciation. Congratulations Kevin!
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@kevinjmonahan
Kevin Monahan
3 years
I ran the ⁦ @RoyalParksHalf ⁩ in 1 hour 33min for ⁦ @BowelsOfStMarks #bowelcancer research please sponsor this good cause
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@kevinjmonahan
Kevin Monahan
4 years
Thank you my wonderful neighbours here in London... such kind words #ClapForCarers #communityspirit
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@kevinjmonahan
Kevin Monahan
4 years
Guidelines for the management of hereditary colorectal cancer now published online, from @BritSocGastro @ACPGBI @UKCGG #LynchSyndrome #Polyposis
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@kevinjmonahan
Kevin Monahan
1 year
I’m proud to be part of this NHS project designed to “find the missing 95%” of people with Lynch syndrome and use this diagnosis as a tool to save their lives @NorthThamesGLH @BowelsOfStMarks @curebowelcancer @StMarksGenomics @bowelcanceruk @LynchSyndromeUK
@NHSgms
NHS Genomic Medicine Service
1 year
‘They saved my life, it’s as simple as that.’ Charlie was diagnosed with bowel cancer and was deteriorating but after being diagnosed with Lynch syndrome he was able to access a new treatment that saved his life. #Genomics
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@kevinjmonahan
Kevin Monahan
4 years
We need investment in our endoscopy units NOW as without adequate air exchange most reopened units are operating at only 25% capacity due to #Covid19 risk @bowelcanceruk @BritSocGastro : NHS waiting list 'could hit 10 million this year' - BBC News
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@kevinjmonahan
Kevin Monahan
4 years
We have developed a decision aid for people with #Lynchsyndrome who may take aspirin to prevent colorectal cancer with colleagues ⁦ @NICEComms ⁩ ⁦ @LynchSyndromeUK ⁩ see our guideline recommendation ⁦ @jdcamcolorectal ⁩ ⁦ @ShiYunZhao
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@kevinjmonahan
Kevin Monahan
3 years
My run to work, my run home from work @LNWH_NHS @StMarksHospital
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@kevinjmonahan
Kevin Monahan
3 years
Colorectal cancer incidence drops by 2.5% annually in countries with long-standing programmes of screening colonoscopy and faecal tests
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@kevinjmonahan
Kevin Monahan
1 year
We have developed free #LynchSyndrome online information & training for GPs and other primary care clinicians ⁦ @StMarksGenomics ⁩ ⁦ @RMPartnersNHS ⁩ ⁦ @NHSgms
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@kevinjmonahan
Kevin Monahan
3 years
Last night’s sleepover for my daughter’s 9th birthday was a lot like a major incident night shift #chaos #unrelenting
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@kevinjmonahan
Kevin Monahan
11 months
GP information sheet and 8 minute #LynchSyndrome online training for primary care clinicians #practical #tips @RMPartnersNHS ⁩ ⁦ @rcgp ⁩ ⁦ @bowelcanceruk ⁩ ⁦ @eveappeal ⁩ ⁦ @LynchSyndromeUK ⁩ ⁦ @NHSgms
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@kevinjmonahan
Kevin Monahan
4 years
Delighted - Post-polypectomy and post-colorectal cancer resection surveillance guidelines published ⁦ @Gut_BMJ ⁩ ⁦ @BritSocGastro ⁩ ⁦ @ACPGBI ⁩ ⁦ @PHE_uk ⁩ well done Matt Rutter ⁦ @SiwanTG ⁩ ⁦ @DrAmandaJCross ⁩ ⁦ @Rutter_Matt
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@kevinjmonahan
Kevin Monahan
5 years
I’m incredibly excited to be starting my first day @StMarksHospital today @PolyposisRegUK @stmarksbcsc
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@kevinjmonahan
Kevin Monahan
5 years
Relative Risk Increase - 20% Absolute Risk Increase - 0.08% (0.4 - 0.48%) Good to inform the public, tell them there were 8 more bowel cancer cases in every 10,000 people over 6 years. BBC News - A (daily) rasher of bacon 'ups cancer risk'
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@kevinjmonahan
Kevin Monahan
4 years
I feel inspired by their kindness and hard work of our @StMarksHospital trainees working on our Covid19 ward this weekend - they were outstanding, remaining positive in difficult circumstances - Luke Tyson, Krishna Shah, Lovesh Dyall and the marvellous @RishiFof @LNWH_NHS
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@kevinjmonahan
Kevin Monahan
3 years
We developed a decision aid with @NICEComms for the use of aspirin in people with #Lynchsyndrome to facilitate discussion between patients and GPs @LynchSyndromeUK @CaPP3
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@kevinjmonahan
Kevin Monahan
7 months
Lynch Syndrome Patient Information Evening Wednesday 11th October 16:45-18:45 for our annual event… hear about the new Lynch English national colonoscopy programme! speakers including @CaPP3
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@kevinjmonahan
Kevin Monahan
4 years
All people with endometrial cancer should now be tested for #Lynchsyndrome - we must learn the lessons from colorectal cancer and implement this systematically using a multifaceted approach @RMPartnersNHS @StMarksHospital
@bowelcanceruk
Bowel Cancer UK
4 years
Today @NICEComms recommends expanding the Lynch syndrome testing programme, to people with womb cancer (endometrial), in England and Wales. This will help identify people at increased risk of #bowelcancer and other cancers. @OfficialUoM More info here:
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@kevinjmonahan
Kevin Monahan
4 years
Is nearly half of early onset colorectal cancer preventable? @josepereag #never2young @HHampel1 #EOCRC @bowelcanceruk
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@kevinjmonahan
Kevin Monahan
5 months
Any gastroenterology or surgical trainees interested in a research fellowship @StMarksHospital @stmarksbcsc in #LynchSyndrome and #Colonoscopy please get in contact, thanks! @BSGTrainees @Dukes_Club @ImperialSandC
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@kevinjmonahan
Kevin Monahan
1 month
Prof Sir John Burn is ready with some resistant starch to share with attendees at the ⁦ @LynchSyndromeUK ⁩ conference today @capp3 #LynchSyndrome
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@kevinjmonahan
Kevin Monahan
2 years
#Lynchsyndrome day 2022 is like a second Christmas Day for us ⁦ @StMarksGenomics #LetsGoDotty today ⁦ @LynchSyndromeUK ⁩ ⁦ @NorthThamesGLH
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@kevinjmonahan
Kevin Monahan
4 years
New national service to support #LynchSyndrome patients needing #colonoscopy - many thanks for the support of the ⁦ @BritSocGastro ⁩ - designed to provide better access to care for patients during the #Covid19 pandemic & recovery phase
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@kevinjmonahan
Kevin Monahan
1 year
From May 2023 people with #LynchSyndrome in the England will be provided with high quality and timely colonoscopy wherever they live, provided by National Bowel Cancer 1/3 Screening @BritSocGastro @JAG_Endoscopy @royalmarsdenNHS @stmarksbcsc @CGAIGC @EHTG_Tweets @insightmeeting
@FrontGastro_BMJ
Frontline Gastro
1 year
It's time for the finals of the #FGCUP2023 ! Who is going to claim the crown for 2023? Will it be @kevinjmonahan @DrPebsEdwards Lynch Syndrome OR Identification of Liver disease @imacpherson90 @stumcp @adyeoman @KushAbey
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@kevinjmonahan
Kevin Monahan
3 years
Attention colorectal cancer teams! National Genomic Test Directory updated - if your patient has had CRC diagnosed under age 40 please offer genetic testing ⁦ @NHSEngland ⁩ ⁦ @BritSocGastro ⁩ ⁦ @ACPGBI ⁩ ⁦ @UKCGG #Lynchsyndrome
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@kevinjmonahan
Kevin Monahan
3 years
Risk of colorectal cancer in serrated polyposis syndrome: Overall risk of CRC in SPS was 19.9%. CRC risk at the time of diagnosis was 14.7%, while risk during surveillance was 2.8%…. Underlines the value of colonoscopic surveillance!
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@kevinjmonahan
Kevin Monahan
1 year
Another morning run in Osterley Park, London… euphoric meditation
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@kevinjmonahan
Kevin Monahan
4 years
My 7 year old had a cough and fever, so I have tried to book a Covid19 swab.... I’ve been offered a drive-though 440 miles away from West London #worstdrivethruever
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@kevinjmonahan
Kevin Monahan
2 years
So important to do clinic as usual today… there were no DNAs and no complaints from patients about missing the Queen’s funeral #CancerCantWait @LNWH_NHS @StMarksHospital @StMarksGenomics #Never2Young #LynchSyndrome
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@kevinjmonahan
Kevin Monahan
10 months
Support for #Lynchsyndrome colorectal cancer MDTs ⁦ @ACPGBI #acpgbi2023 fantastic engagement from the audience ⁦ @lauramongar ⁩ ⁦ @NorthThamesGLH
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@kevinjmonahan
Kevin Monahan
3 years
I’m really looking forward to speaking to people with #Lynchsyndrome at 6pm tomorrow as part of the webinar series organised by @LynchSyndromeUK
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@kevinjmonahan
Kevin Monahan
3 years
It was great to present our national #LynchSyndrome Mainstreaming Genomics project @StMarksHospital grand rounds today with @VickyCuthill from @StMarksFCC @PolyposisRegUK in collaboration with @NHSgms @ForGenomics @genomicsedu
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@kevinjmonahan
Kevin Monahan
4 years
My poo is now famous, oh the glory! “What do the experts do for their own bowel health? We asked, and the answers are enlightening”. # via @HuffPostUKLife
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@kevinjmonahan
Kevin Monahan
3 years
2nd National Oversight Meeting today for the #LynchSyndrome Project with @NHSgms @ForGenomics @genomicsedu @NHSEngland @LynchSyndromeUK @eveappeal @bowelcanceruk @ProfEmmaCrosbie @neilajryan - lots of ideas about how to provide optimal care for people with Lynch Syndrome
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@kevinjmonahan
Kevin Monahan
2 years
New ⁦ @NICEComms ⁩ quality standard for #Lynchsyndrome - cancer MDTs must have a lead responsible for testing pathway in newly diagnosed cancer patients, and delivery measured ⁦ @LynchSyndromeUK ⁩ ⁦ @bowelcanceruk ⁩ ⁦ @NHSEngland ⁩ ⁦
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@kevinjmonahan
Kevin Monahan
3 months
If you are a bowel cancer patient in England, ask your surgeon, nurse or oncologist: Do I have #LynchSyndrome ? It may improve your chances of recovery, and save the lives of your family members @bowelcanceruk @LynchSyndromeUK @BowelResearch
@bowelcanceruk
Bowel Cancer UK
3 months
🧵 (1/4) We’re pleased to announce the launch of our new report: ‘Finding the missing 95%: Unlocking the potential of Lynch syndrome services'. Lynch syndrome is a genetic condition that can increase a person’s lifetime risk of #BowelCancer to up to 80%.
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@kevinjmonahan
Kevin Monahan
8 months
A pleasure to have the brilliant @capp3 Sir John Burn here ⁦ @StMarksHospital ⁩ ⁦ @StMarksGenomics ⁩ this morning to deliver the visiting Professor Grand round and meet our clinical fellows afterwards #LynchSyndrome @BowelsOfStMarks
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@kevinjmonahan
Kevin Monahan
4 years
People with #LynchSyndrome in the UK may be asked to perform a ‘FIT’ stool test ... please complete and return - as it helps us identify those who need their colonoscopy urgently @StMarksFCC @LynchSyndromeUK
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@kevinjmonahan
Kevin Monahan
5 months
Anyone with #LynchSyndrome contacted by the new bowel cancer screening programme service - we advise you to accept this invitation - but you do have a choice, including asking for transfer to a different screening centre if you want to stick with a unit you know @LynchSyndromeUK
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@kevinjmonahan
Kevin Monahan
5 years
Thanks @bowelcanceruk for organising another brilliant medical advisory board today and helping me get the message out about the new UK hereditary colorectal cancer and post-polypectomy guidelines from @BritSocGastro @ACPGBI @UKCGG @PHE_uk now available
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@kevinjmonahan
Kevin Monahan
4 years
Can we add this to the agenda for next weeks 3 times a day meetings please? #Covid19 @NEJM #GameChanger
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@kevinjmonahan
Kevin Monahan
3 years
We will shortly be recruiting a clinical fellow for 12 months for the National #LynchSyndrome genomics and cancer Project with @NHSEngland @NHSgms @StMarksHospital let me know if you are interested! Thanks @LynchSyndromeUK @bowelcanceruk
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@kevinjmonahan
Kevin Monahan
4 years
I love the #ClapForOurCarers not only because it’s a clap for my amazing colleagues in the #NHS who clearly deserve it - but because it’s a clap for our community, our society and for humanity
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@kevinjmonahan
Kevin Monahan
1 year
Finding the missing 95%: The national #Lynchsyndrome Project # via @LondonNorthGLH
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@kevinjmonahan
Kevin Monahan
1 year
200 pathologists signed up for today’s @NHSgms National #LynchSyndrome workshop, “Diagnosis of cancer to diagnosis of Lynch syndrome”! @NorthThamesGLH @RCPath
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@kevinjmonahan
Kevin Monahan
1 year
Brilliant meeting with colleagues from the National #LynchSyndrome Project oversight meeting today, lots of new #mainstreaming services offering testing to their own patients, new Lynch nurses and expert networks, and soon the national Lynch nursing workshops @NHSgms @NHSEngland
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@kevinjmonahan
Kevin Monahan
2 years
Honoured and thrilled to have been selected to be second substitute on the year 4 parents school quiz team this year #daretodream #lifegivesback
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@kevinjmonahan
Kevin Monahan
3 years
Thanks to Matthias Kloor for speaking about the development of #Lynchsyndrome vaccines ⁦ @StMarksHospital ⁩ grand round this morning, so fascinating and such exciting work! ⁦ @StMarksFCC ⁩ ⁦ @BowelsOfStMarks
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@kevinjmonahan
Kevin Monahan
5 months
It was great to meet with my co-lead Adam Shaw for the ⁦ @NHSEnglandLDN ⁩ ⁦ @NHSgms ⁩ Lynch Syndrome National Transformation Project at the National Genomics Summit today
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@kevinjmonahan
Kevin Monahan
6 months
Lynch Syndrome & GPs: A quick reference guide online training for primary care clinicians ⁦⁦ @NHSgms
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@kevinjmonahan
Kevin Monahan
3 years
“Can FIT fix the colorectal 2WW pathway?” Excellent and topical @StMarksHospital grand round brilliantly delivered by @mrnigeldsouza of @nicefitteam this morning - thanks Nigel!
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@kevinjmonahan
Kevin Monahan
3 years
Very excited to present our #FITforLynch project @UKCGG Winter meeting this morning to colleagues in clinics genetics #LynchSyndrome @StMarksFCC @curebowelcancer #LynCstudy @CancerPrev_KCL
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@kevinjmonahan
Kevin Monahan
21 days
It was great to speak at this event and see the determination of Colorectal cancer MDT and other clinicians to improve care for people with #LynchSyndrome in Wales @LynchSyndromeUK
@MoondanceCancer
Moondance Cancer Initiative
22 days
Today, in collaboration with @WalesCancerNet , we are hosting colorectal MDTs from across south Wales to learn, network & share best practice around Genomics & Lynch Syndrome. #LynchSyndromeWales #bowelcancerawarenessmonth
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Kevin Monahan
3 months
The comprehensive English National #LynchSyndrome Registry: a new resource with complete population ascertainment supporting the new Lynch #Colonoscopy National Screening Programme
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@kevinjmonahan
Kevin Monahan
2 years
We are all immigrants or the children of immigrants
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@kevinjmonahan
Kevin Monahan
3 years
We are hoping to gain an insight in to the creation of personalised colonoscopy follow-up in people with #LynchSyndrome with 8 centres across the UK signed up thus far @LynchSyndromeUK @StMarksFCC @anneglincolnkc1 @petersasieni #FITforLynch
@ISRCTN
ISRCTN registry
3 years
Examining the efficacy of faecal immunochemical testing (FIT) in patients with Lynch Syndrome The FIT for Lynch Syndrome study has been registered at #ISRCTN #ClinicalTrials
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@kevinjmonahan
Kevin Monahan
3 years
Pleased to contribute to this ⁦ @NHSEngland guide⁩ “Implementing #Lynchsyndrome testing and surveillance pathways” with ⁦ @mohaquespeaker ⁩ ⁦ @CaPP3 ⁩ ⁦ @Emilyjwatts ⁩ ⁦ @LynchSyndromeUK ⁩ developed for cancer and genetics teams
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@kevinjmonahan
Kevin Monahan
2 years
National #LynchSyndrome project workshop has over 170 participants today… clinicians in the NHS are hugely engaged! Diagnosis of cancer to a diagnosis of LS with Nick West ⁦ @StMarksGenomics ⁩ ⁦ @NorthThamesGLH ⁩ ⁦ @NHSEngland
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@kevinjmonahan
Kevin Monahan
3 months
Obesity is not the cause of this trend - we need not reach for facile and spurious correlations…. UK bowel cancer death rates forecast to rise by third among under-50s ⁦ @guardian #Never2Young @bowelcanceruk
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@kevinjmonahan
Kevin Monahan
4 years
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@kevinjmonahan
Kevin Monahan
3 years
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@GIwolfsonunit
Wolfson Endoscopy UK
3 years
Team @GIwolfsonunit @StMarksHospital limbering up for #teamgabe @RoyalParksHalf 👟 Clearly @kevinjmonahan set to win this...although @donalshee might well be the silent assassin! Still time to donate #beatingbowelcancer
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@kevinjmonahan
Kevin Monahan
4 months
The diagnostic yield of colonoscopic surveillance following resection of early age onset colorectal cancer - our paper adds a little much needed data & shows that future risk can be molecularly stratified ⁦ @UEGJournal
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@kevinjmonahan
Kevin Monahan
2 years
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@kevinjmonahan
Kevin Monahan
2 years
I made this for my wife’s birthday… it’s a detox cake because it’s (unintentionally) so dry it sucks all moisture from your bloodstream in to your gut…. #happybirthday #luckyher
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@kevinjmonahan
Kevin Monahan
2 years
Why does cancer MMR status matter? Because it changes oncological management - National #LynchSyndrome Pathology Workshop ⁦ @NorthThamesGLH ⁩ ⁦ @SEgenomics ⁩ ⁦ @NHSEngland
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