Richard Fish (@Rsfish190) header
Richard Fish (@Rsfish190) profile picture

NHS Consultant nephrologist | Cardiovascular complications of renal disease | Kidney care for young adults | Aiming to improve at chess | Opinions only

Joined February 2018
Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)Photo by Richard Fish (@Rsfish190)
Anyone seen a position like this before? Thought I'd given myself a chance with Ng8. Sadly still came up short 🤷‍♂️#chesspunks
#C24Live Great coverage from you guys, thanks for the expert insights. Great stamina too - 6 hours and counting. Keep up the brilliant work!
Home BPs are fine but you must ensure the patient is using the standardised technique at home. Very often it isn't a 'resting' BP that is being taken so careful explanations v important here #NephJC
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In my hypertension clinic I insist on having a separate area (room) for 2x left and 2x right arm BPs to be taken following 5 minutes resting. Explaining the rationale to clinic staff helps a lot #NephJC
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Hello. Richard North Midlands nephrologist. COI co-author of the renal association commentary on BP management #NephJC
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Renal CDs/Matrons. RA COVID Registry-dire. 400 cases and 50-60 UK death/week in CKD & ESKD/Tx. Actual ICHD COVID Mort 1: 25 lost. Priority vaccine grps 1-4 merged. CQC-satellite HD = nursing homes. PUSH ALL efforts for URGENT vaccination ICHD, Tx, Home Dial, IS & CKD end January
Latest #UKRR #COVID-19 surveillance report for #renalcentres in the UK now available - up to 8 January 2021 bit.ly/3blVBDV @BritRenalSoc @BAPNnephrology
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Some particularly good post-Christmas sales on offer this year!
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Richard Fish retweeted
If anyone knows a statistician looking for what seems to me properly complicated modelling (graphical Markov/sequences of regressions and multistate), to help home dialysis usage via Inter-CEPt study, here's a job jobs.ac.uk/job/CBX644/resear…
Hello to all our new followers! We are a patient-led peer support group for young adult kidney patients between 18 and 30. If you'd like to know more about us, please join our closed FB group (link in bio) or visit our website: yakg.co.uk
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Important paper from @tanyapankhurst highlighting young people (age 14-23y)-have the highest rate of renal graft loss -importance of embedded comprehensive young adult care-evidence supporting @RenalAssoc @UHBRenalTXTeam @BritRenalSoc @kidneycareuk
🆕#NDT study from the 🇬🇧 showing that #young adults have worse #kidney #transplant outcomes than other age groups Read more here➡️bit.ly/2M4jnpY @grahamlipkin @transplant4kids @AST_info @thePNRC #PedNeph @ParisTxGroup
Statement to CDs from NHSE&I: PPE usage and use of masks for dialysis patients. Please could all colleagues who are involved in the care of patients receiving dialysis read: bit.ly/2JEmjIV @BritRenalSoc @aaociation
Repeatedly now seeing dialysis patients with #COVID19 missing 1 or more HD sessions before presenting late. Theme so far is that they are often substantially *below* their dry weight +/- relatively hypotensive and very sick. Missed HD in vulnerable patient = ? #COVID19
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Richard Fish retweeted
We've put together some advice for women with kidney disease and pregnancy during the COVID-19 pandemic: rarerenal.org/wp-content/upl… @pregkidney @RenalAssoc #pregnancy #COVID19 #kidney
COVID-19: Stratified risk for prolonged self isolation for adults and children who are receiving immunosuppression for disease of their native kidneys - guidance for renal bit.ly/3doXHkU
The urgent hunt for effective treatment needs to continue... nejm.org/doi/full/10.1056/NE…
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Richard Fish retweeted
Together with @natyouthagency we have worked to provide some simple support around #covid19UK for young people and youth workers! 🙏Check it out here and please share with your networks👉bit.ly/3a2vY7t #coronavirus
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Only one analgesic left on the shelf this evening!
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The Renal Association, UK position statement on COVID-19 and ACE Inhibitor/Angiotensin Receptor Blocker use bit.ly/2TTzI5K @idasgupta7 @Roxytonin @drpaddymark @CharlieTomson
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COVID-19: @kidneycareuk patient information has been updated to include advice on BP medications & more detail on transplants bit.ly/2TZtS1q