AldrinAU
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aldrinau.bsky.social
AldrinAU
@aldrinau.bsky.social
Thoracic medicine & asthma physician. Loves family, 🍫,🍦,🍣, ☕️, and ChelseaFC (supporter since 95’). Views are my own.
Happy Father’s Day to all fathers out there. Be good. Be happy. Be thankful. Be safe.
June 15, 2025 at 12:20 PM
Don’t your just love freshly made bread🥰!
May 25, 2025 at 1:00 PM
March 23, 2025 at 3:22 PM
Looking forward to the next few days when the temperature will start rising and hopefully all the snow will finally melt here.
January 12, 2025 at 12:09 PM
We noticed earlier the snow (that has yet to melt in our garden over the last one week) has developed into snow crystals or frost crystals. These intricate ice formations apparently occur when water vapor freezes directly into ice, often creating delicate, crystalline patterns.
January 11, 2025 at 7:58 PM
It’s super cold out there tonight 🥶🥶🥶-7°C
January 8, 2025 at 10:44 PM
Why do we need to exclude atypical Mycobacterium (NTM) before starting prophylactic Azithromycin?

Because in doing so in a person who already has an active, undiagnosed MAC infection can lead to development of resistance & inadequate treatment.

(Images source- BTS guidance)
January 2, 2025 at 11:17 AM
Happy New Year 2025!

May the new year brings us good health, happiness, growing wealth & especially peace🕊️. May you and your loved ones stay safe and celebrate the joy of togetherness throughout the year.
December 31, 2024 at 3:01 PM
‘Daily use of moderate-high dose inhaled corticosteroids was significantly associated with increased risk of pneumonia, major (adverse) cardiovascular events, and pulmonary embolism; although the mechanism for this observation is largely unknown.’
www.atsjournals.org/doi/full/10.... #asthma
December 30, 2024 at 8:09 PM
The main causes of occupational asthma are set out in Section C of HSE's Asthmagen Compendium - www.hse.gov.uk/asthma/asset... 𝟑/𝟑
#MedSky #RespSky #RespEd
December 15, 2024 at 11:43 AM
Asthma care #MedSky #RespSky
There are many factors that can and should be improved in the management of asthma. Here are the basics for good standard of care.
December 15, 2024 at 11:21 AM
A great win away at Spurs today👌🏽! Always an interesting game whenever these two London teams play each other!
#CFC #TOTCHE
@chelseafcn.bsky.social
December 8, 2024 at 8:35 PM
Platypnea or platypnoea is shortness of breath (dyspnea) that is relieved when lying down, and worsens when sitting or standing. It is the opposite of orthopnea.

Platypnea, derived from Greek 𝓅𝓁𝒶𝓉𝓊𝓈 meaning flat and 𝓅𝓃ℴ𝒾𝒶 meaning breath.
November 30, 2024 at 4:23 PM
Exactly. As Resp physicians, we may be able to navigate this but will be challenging for the GPs. BTS/SIGN/NICE acknowledged ‘current knowledge did not support a specific cut off’. So why did they suggest this as a strong indicator to diagnose asthma together with FeNO>50ppb plus symptoms🤷🏻‍♂️?
November 27, 2024 at 3:23 PM
Unfortunately it is unclear what eosinophil levels one should look out for. An eosinophil ‘𝐚𝐛𝐨𝐯𝐞 𝐭𝐡𝐞 𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐨𝐫𝐲 𝐫𝐞𝐟𝐞𝐫𝐞𝐧𝐜𝐞 𝐫𝐚𝐧𝐠𝐞’ is rather ambiguous. The normal range in my Trust lab is 0.1-0.7, suggesting eosinophil >0.7 in our case🧐 is positive? #RespEd #Asthma #MedSky
November 27, 2024 at 3:14 PM
Hi Tom, can you please clarify with the BTS Asthma team now what is the cut off for the eosinophil levels that we should look for. This needs clarification as will help GPs in the community to help them with diagnosis. #BTSWinter2024 #RespEd
November 27, 2024 at 3:09 PM
Here is the summary of objective tests for diagnosing asthma in adult based on the latest NICE guideline
#MedSky #RespEd #RespSky #Pulmonology
November 27, 2024 at 2:53 PM
Whenever I do my severe asthma and respiratory clinic, these are the two websites that I would always have open during any sessions. RightBreatheUK physio4bpd
#RespSky #Lung #MedSky #Pulmonology 🫁
November 24, 2024 at 12:32 PM
Many deaths from #asthma are preventable. Vital that patients are assessed, risk stratified when they exacerbate & managed accordingly with due diligence. #RespSky #Lung#MedSky #Pulmonology 🫁
November 24, 2024 at 12:31 PM
It’s -4°C currently in Sheffield, and it definitely feels like -7°C 🥶❄️🥶
@metoffice @Met4CastUK
November 21, 2024 at 7:29 AM
Mechanisms & characteristic pathological features of #asthma immunopathology. Features are divided into eosinophilic (allergic/non-allergic), non-eosinophilic & mixed granulocytic inflammation.
(🔵 = licensed therapies)
#RespEd #biologics#Respsky #pulmonology
onlinelibrary.wiley.com/doi/full/10....
November 20, 2024 at 11:17 PM
It’s snowing 🥶❄️🥶❄️
November 18, 2024 at 10:16 PM
For inhalation of aerosol, important to note that 100 micrograms of beclometasone dipropionate extrafine in Fostair® is equivalent to 250 micrograms of beclometasone dipropionate in a non-extrafine formulation. #asthma #doseequivalent #fostair #QVAR
November 18, 2024 at 8:19 PM
Asthma deaths. Most occur out of hospital in those with
-chronic severe disease
-receiving inadequate medical Rx
-been symptomatically deteriorating
-adverse behavioural & psychosocial factors

Fatality is due to hypoxia & acidosis. Reversal of hypoxia is vital.
November 14, 2024 at 10:54 PM