Susan Bewley @susan_bewley Twitter profile

Last Seen Profiles

@billcoffin

@elizarose159630

@circuits_lab

@MarcioRuiz12

@evligiz60125833

@RapidCityRush

@maatdraws

@AikenComedy

@munhoz_mariano

@GoddessJasper

@cubas_margarita

@LSUFootballNews

@_typedev

@douworld

@mustafakamal98m

@HampshireFA

@tc_carbonell

@CoachTKAINE

@sirdibbydukes

@callejeritosDLV

@blockscoutcom

@feeds

@CalmesEddy96169

@BuoyCamell71674

@PlanetAyurveda4

@GareySimpson

@GiltonHaze10151

@GaubMarnie45011

@eigenform

@HPOP8I

@AltonSerio34876

@daisukeasakura

@dreamofkarIa

@stephen_va45486

@bitcoinrow

@ijayamusic

Susan Bewley

@susan_bewley

4 years

@alexjarmitage @ShahrarAli Alex! I am so sad as we must have failed terribly in our teaching you O&G at STH.😢 Sex is not a spectrum. All of us started from egg & sperm. No other gametes. Biology will neither smash patriarchy nor trans lives; its indifferent. But culture...

Editorial: Defining and Regulating the Boundaries of Sex and Sexuality

Sex and sexuality are contentious concepts, blending the deeply personal with the profoundly political. They concern most of us in our private spaces of fa

academic.oup.com

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop Dear Adrian, I'm sure you wouldn't wish to encourage reckless prescribing. 1/ As with any drug, the harm:benefit ratio depends on indication, dose, time etc. Insulin is vital in Type 1 diabetes, and can be fatal in the well

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Susan Bewley

@susan_bewley

3 years

@Dr_embi_mbbs I find the badge superficial. Its 'faux friendly' but unprofessional as it doesn't use full name. A full name suggests you're an adult with nothing to hide. First name only is like being a child or the anonymous burger server at McDonalds @TheBMA @gmcuk @pash22 @mgtmccartney

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop 2/ There is no comparison with menopause guidance . The menopause is not a disease of oestrogen deficiency (but a kind of withdrawal from one normal level to another), there is a LOT of research. @NICEComms

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Susan Bewley

@susan_bewley

3 years

@zeno001 @SophiaDanielleD @vagina_museum @TheLancet @LancetChildAdol It's a very well written & interesting review. 'Girl' & 'woman' do appear. But @TheLancet front cover just says "Historically, the anatomy & physiology of bodies with vaginas have been neglected". What a way to call out institutional sexism whilst belittling 1/2 human species!

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop @NICEComms 6/ Some people might think it mischievious to deliberately muddle the (usually temporary & well researched) prescribing of oestrogens for women with menopausal symptoms with the (planned permanent & less well documented) prescribing of oestogens to natal male/ transwomen.

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Susan Bewley

@susan_bewley

3 years

@RCObsGyn @stonewalluk @GoodLawProject All your phone lines are down. Have the evidence-based trans Greentop Guidelines promised 2 years ago been written yet? Given the JR applied Gillick why are you falsely saying it affects access to RSH? It doesn't. Did you consult members? @morris_ep @DrsforChoice_UK

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Susan Bewley

@susan_bewley

4 years

Brilliant animation showing the cumulative deaths worldwide day by day globally. So educational about 'usual causes' & were Covid-19 fits in (& this is still early days..). Do share @HealthWatchUK @pash22 @Johnrashton47 @trishgreenhalgh @mgtmccartney

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop @NICEComms 7/ I want to do right by all patients, with compassion and dignity. But when asking GPs to prescribe drugs for life (& more esp for new group of female-to-male adolescents), I think its OK to ask for & generate evidence. DOI Chair @HealthWatchUK

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop @NICEComms 3/ General pharmacological principle is to use the smallest dose for the minimum time.

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop @NICEComms 4/ Open ended prescribing of a powerful drug with psychoactive effects requires proper shared decision making - here where there is an absence of good decision aids or evidence, for a much less well understood indication and harms:benefits

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Susan Bewley

@susan_bewley

2 years

@EvelynTweedSNP You will be misleading your own Parliament if you dont get the facts or language right. You might find useful information on the NHS website

Differences in sex development

Find out about differences in sex development (DSDs), a group of rare conditions where the reproductive organs and genitals don't develop as expected. Some people prefer to use the term intersex.

www.nhs.uk

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop @NICEComms @HealthWatchUK 8/ Also, in interests of transparency, DOI here at

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Susan Bewley

@susan_bewley

5 years

@AdrianHarrop @NICEComms 5/ Thus its important for us all to be clear thinking, and to address the evidence and uncertainty gaps - which is the basis of present differences in thinking/approach between 1ry, 2ndry & 3ry care.

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Susan Bewley

@susan_bewley

5 years

Unbelievable language @Telegraph referring to 40yr old Drs child sex conviction as a 'fling' & 'illicit affair' with a 15yr old (she'd said 16). That's why he's on sex offender register & not allowed on a children's ward! @K_IngalaSmith @RASASC_London

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Susan Bewley

@susan_bewley

4 years

What'd you call an annual 1.4m unindicated, unnecessary, vaginal examinations on US teenagers? Well-meaning but ignorant & misguided? Or systematic gynaecological violence? @acog @RCObsGyn @DrJenGunter @jimgthornton @DrPetra @K_IngalaSmith

Prevalence of Potentially Unnecessary Bimanual Pelvic Examinations and Papanicolaou Tests Among...

This cross-sectional study estimates the prevalence of potentially unnecessary bimanual pelvic examinations and Papanicolaou testing performed among young, asymptomatic women and adolescent girls in...

jamanetwork.com

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Susan Bewley

@susan_bewley

4 years

Lancet: "without nurses and midwives there would be no health care" Giving midwifery & nursing the status they deserve is long overdue @ProfMcCourt @pash22 @Humanisingbirth @TeamCMidO @SandallJane

The status of nursing and midwifery in the world

Two reports mark the International Year of the Nurse and the Midwife, and World Health Day, April 7, in honour of their vital work providing health services. State of the World's Nursing 2020,...

www.thelancet.com

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Susan Bewley

@susan_bewley

5 years

Oh! Oh! This is the first time I've seen an icon array used to explain the dangers of screening in the media. Its as gorgeous as the first crocus in Spring. Hooray for @BBCNewsnight @HealthWatchUK @pash22 @Johnrashton47 @trishgreenhalgh @mgtmccartney

BBC Newsnight

@BBCNewsnight

5 years

“For every 1000 people scanned annually for three years, 391 will show apparent indications of lung cancer. However, only 40 of those positives are genuine.” #newsnight

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Susan Bewley

@susan_bewley

4 years

1. I was surprised that @JoTrust suggests some trans women who have had gender confirmation surgery have a cervix & need smears. @HealthWatchUK @RCObsGyn

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Susan Bewley

@susan_bewley

6 years

Dear Mr Hunt, the real failures in the breast screening programme are that women are not told the full truth: no impact on all-cause death & an increase in mastectomy.

Jeremy Hunt

@Jeremy_Hunt

6 years

My thoughts today with the thousands of women and families affected by failures in our breast cancer screening programme. We will get to the bottom of this so we can stop it happening again.

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Susan Bewley

@susan_bewley

5 years

@zeno001 @DaveDavidDave_ @MRKHvoice @mgtmccartney We have criticised the term 'assigned gender' in published BMJ & Lancet letters before. It was used in BMJ (again) & although we spotted this online & contacted authors & BMJ editor it was too late for a correction to paper version.

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Susan Bewley

@susan_bewley

3 years

@geordie_medic Pens are like rabbits - you have one, it runs away; you have two, they breed in your pocket...

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Susan Bewley

@susan_bewley

2 years

@EvelynTweedSNP @RCPCHtweets @RCPCHPresident @RCObsGyn @CAIS_Files @dsdfamilies @theSNP @theSNPMedia @BBCMoreOrLess @BBCHughPym @mgtmccartney @GussieGrips @lecanardnoir @Native_Orchid @ChynowethSusan @evie1evie @odysseus62 Its not a good look for an MSP to get facts wrong & ignore (& block) people who know more & understand better what she was trying to talk about. It's noble to wish to raise awareness, but can't be good for our elected leaders to confuse the public instead.

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Susan Bewley

@susan_bewley

4 years

@pash22 @JoTrust @HealthWatchUK @RCObsGyn The govt clearly says "Trans women & non-binary people assigned male at birth who are registered with a GP as male do NOT need cervical screening as they do not have a cervix" @JoTrust & @PinkNews are spreading misleading information. Please amend.

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Susan Bewley

@susan_bewley

4 years

3. This study of 20 samples over 15 yrs is not enough to support @JoTrust claim - for publicity? It's really wrong to mislead women, esp as so many don't understand/ can't name their own anatomy. Drs who prescribe hormones for transmen/ non binary can inform them about smears.

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Susan Bewley

@susan_bewley

2 years

@EvelynTweedSNP Or this review article

DISORDERS OF SEX DEVELOPMENT

Normal sex development depends on the precise spatio-temporal sequence and coordination of mutually antagonistic activating and repressing factors. These factors regulate the commitment of the...

www.ncbi.nlm.nih.gov

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Susan Bewley

@susan_bewley

5 years

Worth a read esp the part on blaming women for their own health problems. @Healthwatch @ProsserSnelling @RCObsGyn @birthrightsorg @MaternityAction

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Susan Bewley

@susan_bewley

5 years

Why are "healthcare professionals considered the weakest link of CTG technology", rather than the technology itself? Because when gizmos dont work there has to be someone to blame?

Dr Shawn Walker

@SisterShawnRM

5 years

Increasing healthcare professionals' CTG interpretation skills did not affect the risk of fetal hypoxia.

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Susan Bewley

@susan_bewley

3 years

@stonewalluk @GlitchUK_ @DCMS @OliverDowden I couldn't even read this to the end, the strange colours and text are starting to give me a severe headache/migraine and I'd worry about the strobe effect for epileptics. @stonewalluk PLEASE change immediately as I think its dangerous. @MigraineTrust @EpilepsyRUK

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Susan Bewley

@susan_bewley

5 years

@TJDPMF @ProsserSnelling @jimgthornton @RCObsGyn @DrJenGunter Oh, don't play the victim, Tim! Your explanation makes clear you were taking the piss out of a pregnant woman & home birth for a cheap laugh. Not a good advert for EBM obstetricians

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Susan Bewley

@susan_bewley

3 years

@vagina_museum We dont think so - could you supply any reference for this before spreading misinformation? @RCObsGyn Best historical work using parish records etc shows average age of last childbirth was 41 (ie similar to now when periods themselves stop 10 yrs later)

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Susan Bewley

@susan_bewley

1 year

How many private obstetricians & midwives (let alone NHS) keep such meticulous records to publish & reflect on their own evidence-based practice? What a career! @buist_rob @OBSevidence @rcog @TeamCMidO @jimgthornton @SisterShawnRM

OBGYN

This is a reflective article, summarizing a 25-year obstetrical career.

obgyn.onlinelibrary.wiley.com

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Susan Bewley

@susan_bewley

4 years

Is it just me, or do other people feel that we need to tell our PM to TAKE SICK LEAVE if he is going to #GetWellBoris ? Nobody in hospital should be working, nothing is more important than getting better. If you are ill (which he must be), his judgement is impaired (by definition)

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Susan Bewley

@susan_bewley

4 years

@BlairWilliams26 @DrJessTaylor @jk_rowling The science is pretty settled about this issue of reproduction; you & all other billions of humans started with one egg & one sperm, there are no other viable gametes. That's the binary that spawns fantastic diversity.

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Susan Bewley

@susan_bewley

5 years

"This is transformational". Low cost neonatal tray that keeps the cord intact. Yet we don't even bother to measure the harm we do everyday in UK with cord clamping during transition against @NICE guidance. Shameful! @RCOG @HealthWatchUK @optimalclamping

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Susan Bewley

@susan_bewley

4 years

1/ You'd not know from @RCOG response that women were let down, or a single UK urogynaecologist was blinded by the 'kit' & freebies, or ignored women's distress. No reflection or 'fulsome' apology. Maybe too shocked? Lets await later detailed response

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Susan Bewley

@susan_bewley

6 years

Isn't it too much of a coincidence that the rare offence of medical negligence manslaughter (total 22 cases since 1795) should be independently commited on the same day, in the same hospital and while caring for the same child?

Re: Paediatrician convicted of manslaughter must be erased from register, rules High Court

www.bmj.com

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Susan Bewley

@susan_bewley

5 years

@zeno001 @nonmanfryingpan @mgtmccartney @emmajaned0lan Really? Why would Dr Harrop not want to engage with a senior doctor taking him very seriously but questioning his elision of menopausal symptoms and gender affirmation? @GLADDUK @AdrianHarrop

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Susan Bewley

@susan_bewley

9 months

@mancunianmedic @LeahFHardy If this is the @HysteroscopyA discussions, I'm flabbergasted - we have to know nervous supply of the reproductive organs to pass MRCOG pt 1, and we all know (as we have to sort it out during miscarriages) that objects passing & dilating cervix can lead to severe pain & collapse!

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Susan Bewley

@susan_bewley

2 years

@EvelynTweedSNP Or you could ask @RCPCHtweets @RCPCHPresident @RCObsGyn (rather than blocking their patients like @CAIS_Files @dsdfamilies who are trying to explain your errors about something complex).

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Susan Bewley

@susan_bewley

8 months

@BrennanSurgeon Its faux friendly, anonymous & infantilising to use first names only. Might as well be a fast food outlet. Full names followed by job roles are best for 'equal but different' professionalism. Peter Brennan (consultant), Ben Smith (SpR 4), Charles Jones (FY2) etc.

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Susan Bewley

@susan_bewley

2 years

When we don't care about the health of all pregnant women, don't be surprised by bad outcomes (whether maternal deaths, morbidity, prematurity, or more dangerous ways to make money) @MaternityAction @rosbragg @GaryJPowell @RCObsGyn @MidwivesRCM

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Susan Bewley

@susan_bewley

2 years

1/ You'd almost think the APPG was being paid by pharma given there's no evidence all women need hormones (for symptoms, not 'replacement' to go through natural event) let alone a health check for 'flaws'. @HealthSenseUK @jimgthornton @NICEComms @RCObsGyn

MPs call for menopause health checks at 45 and free HRT in England

All-party group report on menopause also calls for more workplace support and training for health workers

www.theguardian.com

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Susan Bewley

@susan_bewley

3 years

Stop terrorizing pregnant women! They are not 'fair game' as fear harms them too. Why won't journalists ask the simple question of 'what is the absolute-sized risk?' @MCR_SB_Research @RCObsGyn @MidwivesRCM @d_spiegel @HealthWatchUK

Study links caffeine intake in pregnant women to small baby size

New study suggests consuming below 200 milligrams of caffeine per day - about two cups of coffee - increase risks of impaired growth in the foetus.

www.dailymail.co.uk

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Susan Bewley

@susan_bewley

4 years

@drphilhammond Depressing that the well understood architecture of public health, inc knowledge, strategy, systems, expertise, localism, communication, learning etc is cast aside in favour of 'innovation', tecchy toys & throwing ££ around. Viruses dont read Govt advisers' & spad briefings.

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Susan Bewley

@susan_bewley

2 years

@EvelynTweedSNP Or from wikipaedia

Disorders of sex development - Wikipedia

en.wikipedia.org

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Susan Bewley

@susan_bewley

5 years

Spread the word to all MWs/Obs of this learning resource about caring for women who experienced CSA. We need to be aware of prevalence (we don't have to know details) & emphasise dignity & respect. NB Power & control are not helpful.

Survivor Stories - The Survivors Trust

thesurvivorstrust.org

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Susan Bewley

@susan_bewley

4 years

No! No! This is rubbish. It's so untrue there'll be a tsunami of cancer deaths because of halting screening (esp breast). We must prioritise high risk, symptomatic, look at the evidence & redeploy resources to where needed @UKLabour @theSNP @mgtmccartney

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Susan Bewley

@susan_bewley

4 years

@JFr4ser @JoTrust @HealthWatchUK @RCObsGyn I appreciate the human rights issues & sentiment, but @ActionAidUK are wrong. Have they taken advice about this matter, say, from @RCObsGyn

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Susan Bewley

@susan_bewley

4 years

@trishgreenhalgh So far, my acting at the individual level is to keep hand washing, sneezing into hankies & keeping 2m from people & away from crowds (getting on the bicycle). Banned already from visiting father's nursing home, so hopefully others acting to flatten the curve...

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Susan Bewley

@susan_bewley

4 years

@ohdofuckoffdear @JoTrust @HealthWatchUK @RCObsGyn Whatever @JoTrust & @PinkNews meant is unclear & erroneous & needs correction. You cant have a screening policy based on 20 microscope slides. Did they take advice from @PHE_uk first? I doubt it, this looks bad journalism & attention grabbing (££), not being factual with public

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Susan Bewley

@susan_bewley

4 years

2. Did I miss something in training? Pubmed brings up one article about the cytological findings of bowel & (penile) skin-lined neovaginas in patients with gender dysphoria & individuals with a congenital or acquired absence of a natural vagina.

Cytology of the neovagina in transgender women and individuals with congenital or acquired absence...

Cytological findings of the neovagina resemble normal cervical cytology with superficial, intermediate and parabasal cells as well as Döderlein bacilli in a minority of cases. Because precancerous...

pubmed.ncbi.nlm.nih.gov

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Susan Bewley

@susan_bewley

6 years

Is continuous electronic fetal monitoring useful for all women in labour? Special pleading by cherry-pickers for yes, but better evidence for no?

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Susan Bewley

@susan_bewley

4 years

One of the first women doctors on the GMC register who practiced obstetrics & set up a midwifery school in Lambeth (now in KCL) with fabulous results @Humanisingbirth @SandallJane @DebraBick

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Susan Bewley

@susan_bewley

3 years

@CharlieSandero @vagina_museum We dont think so. Vagina Museum is encouraging the spread of misinformation. @RCObsGyn We are not evolving to have babies later in life. Sadly, evolution pays no attention to women's rights.

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Susan Bewley

@susan_bewley

4 years

Thank you @RCObsGyn for taking a clear stance

RoyalCollegeObsGyn

@RCObsGyn

4 years

The US has joined 32 illiberal or authoritarian countries in declaring that women have no intrinsic right to abortion. We believe all women should be able to access abortion care easily, without fear of penalties or harassment. #abortionishealthcare

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Susan Bewley

@susan_bewley

5 years

What's the name for the feeling of 'I wish I'd had/known this when I was younger'? Please forward to friends, midwives, obstetricians & students. An AMAZING resource by, and for, women who experienced child sexual abuse contemplating/ having children

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Susan Bewley

@susan_bewley

3 years

No one should be arbitrarily manhandled by medical staff. Given no mention of medical issues or incapacity, this seems a shocking abuse of human rights. @MaternityAction @birthrightsorg @PregnantScrewed @BPAS1968

Agoraphobic pregnant woman can be forced into hospital, UK judge rules

Judge rules medical staff can use minimum force on woman who has barely left home in four years

www.theguardian.com

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Susan Bewley

@susan_bewley

4 years

@PeterTatchell @lascapigliata8 No. This letter only says "it MAY be impossible to condone" & moves onto to a justification (in certain circumstances..., just like "I was never damaged by being beaten as a child" blah blah). It could have said "it IS impossible to condone". Slightly different, Peter.

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Susan Bewley

@susan_bewley

2 months

Editorial re fixing the medical canon. Women have wider health needs relating to diseases & conditions that “present only in women, disproportionately in women, & differently in women” @HealthSenseUK @SophiaForum @RCObsGyn @DrKarleenG @senseaboutsci

Women’s health needs beyond sexual, reproductive, and maternal health are missing from the govern...

A view of women’s health as synonymous with sexual, reproductive, and maternal health means gaps in health provision across a wider spectrum Since its launch in 2022, the Women’s Health Strategy for...

www.bmj.com

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Susan Bewley

@susan_bewley

2 years

@EvelynTweedSNP Or here

What are Differences/Disorders of Sex Development (or intersex conditions)?

If fetal tissues were to receive erroneous signals at an early stage, or fail to receive appropriate ones, reproductive development could halt, or attempt to proceed down the opposite sex pathway. …

can-sg.org

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Susan Bewley

@susan_bewley

2 years

@EvelynTweedSNP @RCPCHtweets @RCPCHPresident @RCObsGyn @CAIS_Files @dsdfamilies Just trying to help! Many more MPs than this are getting inaccurate information @theSNP @theSNPMedia @BBCMoreOrLess @BBCHughPym @mgtmccartney @GussieGrips @lecanardnoir @Native_Orchid @ChynowethSusan @evie1evie @odysseus62

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Susan Bewley

@susan_bewley

4 years

Why did early reports of COVID‐19 in pregnancy describe CS, strict isolation of neonate & formula feeding? Were known harms justified? No! Neonatal infection is uncommon & no greater when baby born vaginally, breastfed or "allowed" contact with the mother

OBGYN

Risk of neonatal infection with COVID-19 by delivery route, infant feeding and mother-baby interaction. This article includes Author Insights, a video abstract available at https://vimeo.com/rcog/a...

obgyn.onlinelibrary.wiley.com

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Susan Bewley

@susan_bewley

4 years

Bears repeating. Medical sounding labels do little to understand distress or what's needed. Almost all diagnoses mask the role of trauma and adverse events @Mental_Elf @HealthWatchUK @concettaperot @DJConnolly94

Study finds psychiatric diagnosis to be 'scientifically meaningless'

A new study, published in Psychiatry Research, has concluded that psychiatric diagnoses are scientifically worthless as tools to identify discrete mental health disorders.

medicalxpress.com

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Susan Bewley

@susan_bewley

4 years

More maternity units closing. How's crowding into large hospitals with busy anaesthetists, limited visitors & underemployed gynaecologists help maternal morbidity & infection control? @birthrightsorg @deb_cohen @RCObsGyn @TeamCMidO @Humanisingbirth @RoyLilley @MaternityAction

Susan Bewley

@susan_bewley

4 years

@FWmaternity @KingstonMSLC @BerksMaternity @homebirthKH @KingstonHospNHS And another....

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Susan Bewley

@susan_bewley

4 years

My grandmother had to give up medicine on marriage in 1920s. What a waste of her talents, made worse by realizing how even earlier amazing Drs were written out of history. Until now @medicalwomenuk @MonaAquilina @DrKateLovett @ClareGerada @doctor_oxford

Endell Street by Wendy Moore review – the suffragette surgeons

A fascinating, carefully researched study of life partners who became pioneering army hospital doctors in the first world war

www.theguardian.com

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Susan Bewley

@susan_bewley

2 years

Here are the pre-print changes demonstrated side by side. . This is what many papers would look like between draft 1 & submission. Less so after peer review. I'd praise the educational aspects, but it'd be a retraction / major correction post publication!

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Susan Bewley

@susan_bewley

2 years

Thanks @PRSGlobalOpen for publishing my letter about replicable methods, results & DOIs. Poor show that @valeriabustosmd et al still fail to reply or correct further errors. Its not science if you can't see or defend the workings. @GLADDUK @wpath @segm_ebm

Regret after Gender-affirmation Surgery: A Systematic... : Plastic and Reconstructive Surgery –...

An abstract is unavailable.

journals.lww.com

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Susan Bewley

@susan_bewley

6 years

Our longstanding reliance on cardiotocography shows the effect of a rigid mindset but might be related to vested interests from equipment manufacturers, plaintiff lawyers, and experts with lucrative medicolegal practices

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Susan Bewley

@susan_bewley

4 years

Having worked as a Sexual Offences Examiner in a SARC, I can affirm this is one of the first tiny kindnesses that restore some sense of self; "you are cared for"

Prof Catherine White

@catherinewhite7

4 years

Happy to be working on this very special Duchess of Cornwall initiative with ⁦ @BootsUK ⁩ Twice year organising delivery to 50+ SARCs across UK Washbags for people reporting rape to use after forensic medical exam. Now in it’s 4th year #kindness #sarcs ⁦ @StmarysSARC ⁩

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Susan Bewley

@susan_bewley

5 years

Top 10 tips for birth (evidence based no less) for companions, midwives & doctors!

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Susan Bewley

@susan_bewley

4 years

@PeterTatchell @lascapigliata8 Thank goodness @DrJessTaylor explains why Peter Tatchell's approach to sex positivity for children is wrong @K_IngalaSmith @RASACS

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Susan Bewley

@susan_bewley

2 years

This is too sad. It's as if all the knowledge about maternal mortality keeps being forgotten. Noone likes abortion, but it can't be wished away. We choose between two kinds of policy: legal & safe vs criminalised & unsafe @DrsforChoice_UK @RCObsGyn @WHO

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Susan Bewley

@susan_bewley

3 years

@geordie_medic I can drink cold tea, cold coffee, and stuff that's been made in the wrong flask or urn so that you can't tell whether it was tea or coffee....

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Susan Bewley

@susan_bewley

4 years

Good news about breast screening (for sceptics) in my BMJ blog @mgtmccartney @HealthWatchUK @MichaelBaum11

Susan Bewley: Things should never be the same again in the screening world - The BMJ

The suspension of routine breast cancer screening during covid-19 offers an opportunity to reconsider criticisms of the programme, argues Susan Bewley Some unexpected good news has resulted from the...

blogs.bmj.com

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Susan Bewley

@susan_bewley

6 years

@breastcancernow @HealthWatchUK Propaganda is not the proper job of charities. Mammography screening doesn't cut the chance of death (all-cause) & increases risk of mastectomy (see Cochrane). If screening rates are falling because women know more, that's called informed choice.

Breast Cancer Now

@BCCare

6 years

Over 70% of women invited went to their breast screening appointment last year. Watch our new video, and hear from a few women who went to theirs.

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Susan Bewley

@susan_bewley

3 years

1/2 GP tells it as it is "Not correctly implementing an agreed change [to defn] is a disgrace: I continue to have to tell patients to lie to get a covid pcr test [..] inaccurate public health messaging is shocking and shameful.. @mgtmccartney @martinmckee

Could expanding the covid-19 case definition improve the UK’s pandemic response?

Alex Crozier and colleagues evaluate the potential opportunities and challenges of expanding the symptom list linked to self-isolation and testing as vaccines are rolled out During the covid-19...

www.bmj.com

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Susan Bewley

@susan_bewley

5 years

Women get pregnant. This isn't a reason to suspend their human rights. Deeply important to recognise the existential sex-based threat, however well intentioned (& esp when other means available). Up till Tues to comment @WEP_UK @RCObsGyn @FiLiA_charity

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Susan Bewley

@susan_bewley

3 years

"Remarkable trial", demonstrating the harm of overdiagnosis to pregnant women & babies @HealthWatchUK @buist_rob @jimgthornton @nelson_piercy @OBSevidence @RCObsGyn though @NICEComms takes a different two-step approach only doing one step after screening on risk factors

Michael L. Barnett

@ml_barnett

3 years

There was a totally overlooked trial in @NEJM this week with jaw-dropping results. The question: how should we diagnose diabetes in pregnancy? 23,792 pregnant women randomized to receive either 1-step or 2-step screening for gestational diabetes. /1

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Susan Bewley

@susan_bewley

4 years

Few obstetricians are insightful & educated enough to insist what 'works' needs proving. Whether measuring FMs (AFFIRM) or realising the CTG is not a benign intervention (screen or diagnosis), it's an uphill struggle to wean them & vested interests (inc ML/safety 'experts') off

Declan Devane

@decdevane

4 years

Chasing a piece of info in my files around fetal monitoring during labour. Came across this from a guy I'd loved to have met. Writing in 1979 about electronic fetal monitoring, Robert Munsick, MD said "We begin by restraining a woman early in labour. We allow her to ....1/4

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Susan Bewley

@susan_bewley

4 years

1/ Where is Andrew Landsley? Here's the 2013 report that found "in a major pandemic the newly reorganised NHS in England is likely to face extra challenges. In part .. an inevitable consequence of the disruption caused by such a major re-organisation"

Susan Bewley

@susan_bewley

4 years

Where's Andrew Landsley when you need him? I want an explanation of how a fragmented NHS, with devolved public health function, outsourcing & subcontracting, & loss of SoS's responsibility was going to be the best way to deal with a pandemic - always top of UKs risk register

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Susan Bewley

@susan_bewley

5 years

The support & provision of midwifery (funding, boundaries, regulation, consumer mobilization) is the touchstone of how a society sees women as worthy professionals & recipients of care. Worth reading

Every Woman Needs a Midwife, and Some Women Need a Doctor Too | Request PDF

Request PDF | Every Woman Needs a Midwife, and Some Women Need a Doctor Too | Global recognition is increasing of the contribution of midwifery services to optimal outcomes for women and babies, and...

www.researchgate.net

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Susan Bewley

@susan_bewley

2 years

Every. Word. Is. Wrong.

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Susan Bewley

@susan_bewley

3 years

This is not a failed study into research integrity. It IS the important finding. @senseaboutsci @GoodThinkingSoc @HealthWatchUK @mgtmccartney @newscientist @CebmOxford @Healthy_Control

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Susan Bewley

@susan_bewley

2 years

@9Nylon I was always taught to say 'I'm asking all authors to please describe their contibution using these criteria'.

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Susan Bewley

@susan_bewley

2 years

...esp when it's a citizen who's spotted the errors. Is this the new era of 'self-correcting' science? @HealthSenseUK @ivanoransky @Healthy_Control @PGtzsche1 2/

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Susan Bewley

@susan_bewley

4 years

It's a basic human right to stay at home, to birth or to die, even now with Covid19. Useful guidance about end of life care with support at home @trishgreenhalgh @MartinRCGP @rcgp @HealthWatchUK @mancunianmedic @fgodlee

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Susan Bewley

@susan_bewley

4 years

We don't have independent investigation & prosecution of research fraud in UK, even though likely many more people are harmed & die than other crimes, just unpaid sleuths like Peter Wilmshurst @ethicsconsult @TranspariMED @sarahwollaston @HealthWatchUK

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Susan Bewley

@susan_bewley

2 years

Errors about DSDs & offense about intersex make O&Gs look foolish & remain uncorrected in the "toolkit". Are @RCOG hiding, letting @RCM colleagues take the flack? . @CAISFiles @RaneeThakar @morris_ep

RoyalCollegeObsGyn

@RCObsGyn

2 years

Read our inclusivity statement with @MidwivesRCM . We're committed to ensuring everyone can thrive, feel included and valued whilst working with us. We strive to provide a service that does not stigmatise and where everyone has equal access to care. Visit:

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Susan Bewley

@susan_bewley

4 years

1. Excellent work on social determinants of stillbirth, needs wider soln than NHS care. Unsuprisingly; poverty, unemployment, drugs, stress & domestic abuse. Clues to need for continuity, community advocacy in 'didn't answer' @MichaelMarmot @K_IngalaSmith

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Susan Bewley

@susan_bewley

4 years

I wanna be a superheroine for scientific truth. My biggest difficulties are 'it worked for me', before & after studies, & general public ignorance about screening & over-diagnosis @docpgb @dr_mattmorgan @HealthWatchUK @ClareGerada @mgtmccartney

Peter Brindley and Matt Morgan: It’s time to be super heroes for scientific truth - The BMJ

Don’t get frustrated, get involved, say Peter Brindley and Matt Morgan Recently, Simon Stevens, the NHS chief executive, criticised celebrities and wellness companies for promoting unproven and...

blogs.bmj.com

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Susan Bewley

@susan_bewley

2 years

@OrthopodReg @beckybeckyfish @RoshanaMN @parthaskar @OrthoDiversity @WomenSurgeonsUK @RCSnews @orthoWOW @speakuportho @BAPRASvoice @PLASTAUK Well done. Here is my anonymous account from over 30 years ago (O&G also being a surgical specialty).

Personal View

www.bmj.com

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Susan Bewley

@susan_bewley

5 years

"There are conflicting media portrayals of pregnancy as a time of happiness and joy versus a time of risk and danger. Given this discourse, it is not surprising that women’s experience in reality may be fearful and stressful."

Increased awareness of fear of childbirth

www.bmj.com

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Susan Bewley

@susan_bewley

4 years

@ShaunLintern @NHSEngland Why blame dead pregnant women for being "mistaken" rather than the institutional abuse that is NHS charging; arcane, complicated, unfair & misapplied to destitute women? Bring on the judicial review! @MaternityAction @SandallJane @K_IngalaSmith @HealthWatchUK @NPEU_Oxford

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Susan Bewley

@susan_bewley

4 years

Ooh, published. Lets hope discussed thoughtfully not dismissed. What inhibits obstetricians implementing reliable guidelines? @OctaviaWiseman @EndoExplained @pash22 @fedupobstetric1 @birthrightsorg @Humanisingbirth @doctor_oxford @DrJenGunter @hannahdahlen

OBGYN

Click on the article title to read more.

obgyn.onlinelibrary.wiley.com

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Susan Bewley

@susan_bewley

5 years

Goodness, we had almost complete congruity in RCOG/ RCM/ NICE guidance about the safety of home birth in low risk, but still DM say its 'controversial'. It might have been a news first to say 'non-controversial' @SandallJane @BerksMaternity @millihill

Controversial home births are 'safe for low-risk pregnancies'

The study by McMaster University in Canada comes after Megan Markle's hopes of a home delivery were dashed when she was whisked to a London hospital a week overdue in May.

www.dailymail.co.uk

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Susan Bewley

@susan_bewley

2 years

2/ Oh wait! It is paid for by pharma! Who benefits from the trope that 100% of us are 'dis-eased' (qua female) whereas only some suffer a transition needing help? @pash22 @mgtmccartney @ClareGerada @rcgp @MartinRCGP @FPH @felly500 @leilafrodsham

About - Menopause APPG

Menopause APPG chaired by Carolyn Harris is an APPG concerned about Menopause and the impact of Menopause on women and families.

menopause-appg.co.uk

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Susan Bewley

@susan_bewley

4 years

Why are only Scandinavians looking into & doing something about fear of childbirth? Main theme “Ownership of Childbirth” & 3 others “Facing the fear”, “Feeling empowered”, “Managing the fear with a sense of security” were generated through metasynthesis

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Susan Bewley

@susan_bewley

4 years

A long read, but worth the time to understand what's needed. Do we accept a lot of deaths or move closer to something like severe lockdown? We're ready for that in London, surely! @HealthWatchUK @pash22 @Johnrashton47 @mgtmccartney @drmarkporter

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Susan Bewley

@susan_bewley

10 months

Given research shows we cant agree "intrapartum CTG should be used with caution for clinical decision making given its questionable reliability." Its surprising how reliable it becomes in retrospect @jimgthornton @adweeks @OBSevidence @RCObsGyn @NICEComms

Reliability and agreement in intrapartum fetal heart rate monitoring interpretation: A systematic...

There is great variation in reliability and agreement measures for continuous intrapartum FHR monitoring, implying that intrapartum CTG should be used with caution for clinical decision making given...

pubmed.ncbi.nlm.nih.gov

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