Dr Eimear Darcy
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dreimeardarcy.bsky.social
Dr Eimear Darcy
@dreimeardarcy.bsky.social
GP. Interests: Primary Care Cardiovascular Renal Metabolic Review, Health Inequity, Prevention. Optimistic Realist #CVRM #longtermconditions
A plan has been plotted with our excellent practice nurse.👩‍⚕️

Waist to height ratio will now be an integral part of our General Practice T2D #CVRM review. ✅

Obesity is an independent condition within the #CVRM syndrome that deserves independent attention. Let’s get to work. 💪
February 13, 2025 at 9:09 PM
Reposted by Dr Eimear Darcy
Vaccines work. Say it again, and again - www.bbc.com/news/article...
HPV vaccine stops 90% of cervical cancer cases
England began vaccinating teenage girls in 2008 and results show it is paying off.
www.bbc.com
January 5, 2025 at 9:01 PM
Reposted by Dr Eimear Darcy
@trishgreenhalgh.bsky.social

Re-upping this excellent piece on complexity, values, research, medicine and humanity.

Thank you Trish 🙏🏼

Hope you’ve had a good Xmas!

onlinelibrary.wiley.com/doi/10.1111/...
Commentary: Without Values, Complexity is Reduced to Mathematics
This commentary on Sturmberg and Mercuri's paper ‘Every Problem is Embedded in a Greater Whole’ [1] argues that those authors have approached complexity from a largely mathematical perspective, drawi...
onlinelibrary.wiley.com
December 29, 2024 at 3:57 AM
Reposted by Dr Eimear Darcy
“Replacing the Carr-Hill formula with a needs-based formula is the best and most sustainable way to make general practice funding more equitable.” @becksfisher.bsky.social @nuffieldtrust.bsky.social @rcgp.bsky.social @drkatie.bsky.social @qmul.ac.uk
General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation.

Our briefing, proposes replacing Carr-Hill with a modern, needs-based formula.
Fairer funding for general practice in England: what’s the problem, why is it so hard to fix, and what should the government do?
General practice funding is inequitable: the Carr-Hill formula, which decides the distribution of funding, is outdated and fails to take account of socioeconomic deprivation. This briefing, produced…
buff.ly
December 15, 2024 at 10:45 AM
Reposted by Dr Eimear Darcy
Our paper on the impact of living with multiple long-term conditions on everyday life: a qualitative evidence synthesis. The 'work' is not only around medications and healthcare use, it is also emotional & financial with lots of learning & adaptation
bmcpublichealth.biomedcentral.com/articles/10....
December 18, 2024 at 1:37 PM
100% agree. This is entirely possible.
Chris Whitty highlights that geriatricians can’t prevent frailty. A systematic, concerted public health and policy effort is required #bgsconf
November 21, 2024 at 9:11 PM
Presenting the latest Medscape Primary Care #Hack by @drkevinfernando.bsky.social and myself!🕺🏾💃

The use of incretin therapies for adults living with overweight & obesity

We hope it helps & feedback welcome 😀

PDF medscape-uk.co/Hack-incretin

Hack home page medscape-uk.co/Hacks
November 20, 2024 at 8:00 PM
Hard agree! Primary Care CVRM review tries to stop Stage A and B heart failure in its tracks! We have to work smarter not harder 💪
We need to move toward new primary prevention paradigms in heart failure. #AHA24 @ahascience.bsky.social
November 18, 2024 at 8:21 PM
Reposted by Dr Eimear Darcy
Further sprinting towards intensive blood pressure lowering in TD2 👍🏻

Guess what the kidney outcomes look like…

#BROAD RCT presented at #AHA24 and in NEJM 👇
www.nejm.org/doi/full/10....
Intensive Blood-Pressure Control in Patients with Type 2 Diabetes | NEJM
Effective targets for systolic blood-pressure control in patients with type 2 diabetes are unclear. We enrolled patients 50 years of age or older with type 2 diabetes, elevated systolic blood press...
www.nejm.org
November 16, 2024 at 5:43 PM
Reposted by Dr Eimear Darcy
We should do it much more!

I actually like “BRAIN” even better.

*Benefits
*Risks
*Alternatives?
*Instinct (patient & doc)
*Nothing (what if we do nothing)

Lots more in here:

#RealisticMedicine

realisticmedicine.scot
Realistic Medicine – Shared decision making, reducing harm, waste and tackling unwarranted variation
Shared decision making, reducing harm, waste and tackling unwarranted variation
realisticmedicine.scot
November 17, 2024 at 11:06 AM
Excellent insightful read - relationship based care and continuity of care informs the consult and in-turn the outcomes - I find them non negotiable components of successful management of LTCs in primary care. We need to protect them.
Great piece in The Doctor @bmj.com on research by @trishgreenhalgh.bsky.social et al about whether quality suffers when GP working is ever more remote and fragmented. Traditional values still alive and well in primary care, but harder to realise them in the work.
November 17, 2024 at 8:22 AM
@laurawi.bsky.social welcome to the Leicester legends!!!😀
November 16, 2024 at 9:16 PM
Reposted by Dr Eimear Darcy
SUMMIT Trial #AHA24 Tirzepatide for #HFpEF & obesity
❇️Double-blind placebo controlled RCT
❇️⬇️risk of a composite of CV☠️/worsening #heartfailure
❇️⬆️health status(KCCQ-CSS) in HFpEF & obesity www.nejm.org/doi/full/10.... #cardiosky @robmentz.bsky.social @carysbarton.bsky.social @poppybrooks.bsky.social
November 16, 2024 at 3:42 PM
Reposted by Dr Eimear Darcy
@TheLancet session at #AHA24 starting now! #obesity
🫀Malnutrition was a problem but now obesity is taking over worldwide with few exceptions
🫀Severe obesity has also ⤴️
🫀BMI doesn’t reflect obesity as well as waist-to-height ratio
🫀⤴️ diabetes follows obesity
November 16, 2024 at 7:47 PM
An absolute honour & career highlight to give The Ulster Medical Society SirThomas & Lady Dixon lecture.

#CVRM thought process will be a cornerstone of General Practice Long Term Condition Mx,but primordial prevention is where the most strategical power lies to protect the nxt generation.
November 15, 2024 at 2:01 PM