Hugo Farne
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respdoc.bsky.social
Hugo Farne
@respdoc.bsky.social
Respiratory 🫁 doctor.
Specialist interest in asthma.
Reposted by Hugo Farne
I came to this country as a child refugee. No English, no certainty, no idea what my life could become. Britain gave me refuge.

Not on a timer, not with conditions attached, but with a chance to grow roots.

A thread 🧵 1/8
www.bbc.co.uk/news/article...
UK set to limit refugees to temporary stays
Shabana Mahmood is expected to say the era of permanent protection for refugees is over, in major changes to the UK's asylum and immigration system.
www.bbc.co.uk
November 15, 2025 at 10:29 AM
Reposted by Hugo Farne
Who would've thunk?
In a multicenter randomized clinical trial including 200 patients with persistent AF undergoing cardioversion, the risk of recurrent AF was SIGNIFICANTLY ⬇️ in the group allocated to coffee consumption (47%) compared to abstinent group (64%).
#ScienceMatters
#DoctorsWhoLoveCoffee
Caffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation
This clinical trial compares the effect of caffeinated coffee consumption vs abstinence from coffee and caffeine on recurrent atrial fibrillation.
jamanetwork.com
November 9, 2025 at 4:16 PM
Reposted by Hugo Farne
Shot, chaser

Young men more likely to vote Green than Reform. Young men second most progressive group of any demographic. Combined right-wing vote barely bigger than Green vote alone for young men
September 14, 2025 at 6:31 AM
Reposted by Hugo Farne
Duties of a Doctor (General Medical Council) imply that giving out false or misleading information that could lead to harm might be grounds for removing a doctor from the Medical Register.
September 6, 2025 at 5:37 PM
Reposted by Hugo Farne
@drkevinfong.bsky.social, Tim Cook & I have contributed to the Discussion of ‘Some statistical aspects of the Covid-19 response' by Wood et al url: academic.oup.com/jrsssa/artic...
Kevin Fong, Tim Cook and Charlotte Summers’ contribution to the Discussion of ‘Some statistical aspects of the Covid-19 response' by Wood et al
Kevin J Fong, Tim Cook, Charlotte Summers; Kevin Fong, Tim Cook and Charlotte Summers’ contribution to the Discussion of ‘Some statistical aspects of the C
academic.oup.com
July 26, 2025 at 9:13 AM
Superb training session for senior healthcare professionals delivered by the excellent
@simcourtie.bsky.social drawing on years as a professional broadcaster and coach. Really useful practical tips for patient / colleague interactions - can’t wait to try them out! Thanks again 🙏🏼
July 11, 2025 at 1:56 PM
Reposted by Hugo Farne
I always (broad brush) point out that Scotland went to Health Boards in 2004, brought in GPs in 2005, and have largely left them alone since from a top-down perspective.

Is it perfect? No. But it also hasn’t created an industry that just feeds money to management consultants for the next reorg.
July 5, 2025 at 6:56 AM
Reposted by Hugo Farne
The effects aren’t subtle

Vaccination simply works
ourworldindata.org/grapher/case...
Long run cases of vaccine-preventable diseases in the United States
Reported cases of diphtheria, measles, mumps, pertussis, polio and rubella.
ourworldindata.org
May 3, 2025 at 3:12 AM
FREE 2-day course in London in July covering generic topics like motivational interviewing, managing patient and peer engagement, etc. Sounds woolly but expert speakers and good feedback from a friend who did it last year!

For Resp / ID / Micro trainees within 12m of CCT or 2y of consultant post
April 22, 2025 at 10:48 AM
FREE 2-day course in London in July covering generic topics like motivational interviewing, managing patient and peer engagement, etc. Sounds woolly but expert speakers and good feedback from a friend who did it last year!

For Resp / ID / Micro trainees within 12m of CCT or 2y of consultant post
April 22, 2025 at 10:44 AM
Reposted by Hugo Farne
It’s #ThoracicThursday! We promised we’d be back and here were are! Join in! Share your answer. Explanation at the weekend! #RespEd #pulmsky #lungsky #RespIsBest
January 23, 2025 at 10:50 PM
Doctor looking for work April-Aug 2025?

Great job in a lovely and excellent Respiratory unit @ImperialNHS

Badged F1 as filling an F1 vacancy but we treat all our F1s/SHOs the same. Plenty of opportunities to upskill in Resp!

Get in touch if any Qs.

www.imperial.nhs.uk/careers/sear...
https://imperial.nhs.uk/careers/search…
January 22, 2025 at 10:24 PM
Reposted by Hugo Farne
Flu cases remain high in London—it’s not too late to get vaccinated.

If you're eligible, get your winter flu vaccination and help yourself stay well this winter.

www.nhs.uk/live-well/se...
Winter vaccinations and winter health
Find advice on how to stay well in winter, including getting the flu and COVID-19 vaccines and keeping your home warm.
www.nhs.uk
January 18, 2025 at 5:08 PM
Reposted by Hugo Farne
I’m worried sick about patient safety as highly trained clinicians are replaced by 2yr-trained associates. Does this make me a “social media rabble”? Or is the “be kind” movement being cynically weaponised? Those monitoring my posts, put this on the agenda for the meeting you’ve asked me to attend.
January 18, 2025 at 4:12 PM
Reposted by Hugo Farne
This is Oxford Uni sharing the Lancet study showing that giving out NHS contracts to private companies is WORSE for patients.

The only motive is profit. Anything else is BS designed to sneak this through.

www.ox.ac.uk/news/2024-02...
New study links hospital privatisation to worse patient care |
A new review has concluded that hospitals that are privatised typically deliver worse quality care after converting from public ownership. The study, led by University of Oxford researchers, has been
www.ox.ac.uk
January 8, 2025 at 7:58 AM
Reposted by Hugo Farne
Recall @jama.com 2023:

Changes in Hospital Adverse Events and Patient Outcomes Associated With Private Equity Acquisition

By Sneha Kannan et al

[SPOILER: adverse events went up, and they stopped caring for as sick patients]

jamanetwork.com/journals/jam...
Hospital Adverse Events and Patient Outcomes Associated With Private Equity Acquisition
This observation study examines changes in hospital-acquired adverse events (or conditions) and hospitalization outcomes associated with private equity acquisition among Medicare beneficiaries treated...
jamanetwork.com
January 8, 2025 at 1:47 PM
Reposted by Hugo Farne
And in mixed private-public health systems, I believe private will tend to service less complex, low equity needs with high turnover that are easiest to bill, drawing resources away from the public system while it continues to be burdened by all the hard stuff.
January 8, 2025 at 1:53 PM
Reposted by Hugo Farne
Segue from your thread

The story of sirolimus (= rapamycin) is fascinating - beyond the somewhat ironic reverse mTOR nomenclature

Longish story here pmc.ncbi.nlm.nih.gov/articles/PMC... @drugshortage.bsky.social will know much more of course

- Easter Island
- bioethics
- academia-Pharma jump
The origin story of rapamycin: systemic bias in biomedical research and cold war politics
METEI (Medical Expedition to Easter Island) was a Canadian-led expedition to Easter Island in 1964 that led to the discovery of rapamycin, launching a billion-dollar drug industry and major field of b...
pmc.ncbi.nlm.nih.gov
December 30, 2024 at 2:11 AM
Reposted by Hugo Farne
Have added some more folk to this lung health starter pack: #LungSky
go.bsky.app/UAR96WC
Let me know if I've missed you out.
#COPD #Asthma #Emphysema #Breathless #Cough #Wheeze #FCTC #TobaccoControl #StarterPack
November 23, 2024 at 4:13 PM
Reposted by Hugo Farne
Before you freak reflexively order IV hydralazine for that BP of 180/90, remember that people get BPs up to 480/350 (yes that is in mmHg) while weight lifting and don't "stroke out"

pubmed.ncbi.nlm.nih.gov/3980383/
December 28, 2024 at 2:54 PM
Reposted by Hugo Farne
This study of online e-cigarette vendors found widespread noncompliance with youth access restrictions, including low adherence to age verification, shipping bans, and flavored product prohibitions.

https://ja.ma/49M4Zgl
December 25, 2024 at 8:00 PM
Reposted by Hugo Farne
Now can we use CA-125 as a theragnostic biomarker of treatment response in patients with IPF? Why wouldn't we?

@ipfdoc.bsky.social @kaminskimed.bsky.social
#CurePF #CureIPF @ats-clinicalprobs.bsky.social @tkulkarni.bsky.social @jskim8223.bsky.social

pmc.ncbi.nlm.nih.gov/articles/pmi...
December 21, 2024 at 6:52 AM
Reposted by Hugo Farne
Also isn’t it time we call Ca-125 - MUC16 and KL-6 - MUC1 and CYFRA 21-1 - Cytokeratin 19.
Enough with meaningless names
December 21, 2024 at 4:54 PM