Sagnik Sen, M.D. retweeted
Iām a doctor. I hope this works.
If AI can diagnose straightforward acne and prescribe as safely as an MD, let it. Prove it. Audit it. Publish the misses. And if it works, move on to something harder.
Doctors shouldnāt be protected from AI. Patients should be protected from bad medicine.
But if the AI gets the prescription pad, the AI company gets the lawsuit. Deal? š
Sagnik Sen, M.D. retweeted
šØ Almost HALF of all NHS Trusts are using non-doctors to fill doctor rotas due to āshortage of doctorsā
FYI - 40,000 doctors applied for only 10,000 available training posts last year
Doctors are unemployed
Doctor substitution is real
And itās DELIBERATE
Sagnik Sen, M.D. retweeted
Next-generation phenotyping of inherited retinal diseases: Eye2Gene (AI-driven algorithm). Better-than-expert accuracy for 63 common genetic causes.
@ucl @npontikos @GeoMichalis @MaximilianPfau3 @sktywagner @riksag @KonBalaskas #NIH
@NatMachIntell: brnw.ch/21wUfkJ
![Eye2Gene provides IRD-gene prediction given a retinal scan of one of three imaging modalities (FAF, IR or SD-OCT) for up to 63 gene classes. Images are initially resized to 256 by 256 pixels and rescaled to the range [0,1]. Each image modality-specific predictor block consists of an ensemble of five CoAtNet neural networks. The outputs are averaged to produce a final prediction output. The performance of Eye2Gene is evaluated on a held-out internal test dataset from MEH consisting of 28,174 images acquired from 524 patients over 9,291 patient visits since 2006.](https://pbs.twimg.com/media/GwI37RLXoAEmXLH.jpg?name=small&format=webp)
ALT Eye2Gene provides IRD-gene prediction given a retinal scan of one of three imaging modalities (FAF, IR or SD-OCT) for up to 63 gene classes. Images are initially resized to 256 by 256āpixels and rescaled to the range [0,1]. Each image modality-specific predictor block consists of an ensemble of five CoAtNet neural networks. The outputs are averaged to produce a final prediction output. The performance of Eye2Gene is evaluated on a held-out internal test dataset from MEH consisting of 28,174 images acquired from 524 patients over 9,291 patient visits since 2006.
Sagnik Sen, M.D. retweeted
I suffered with an eating disorder through my teenage years.
When I was 15, I spent over a month in hospital refusing to eat. I was on an IV drip, was a dangerously low weight, and my organs were on the brink of failing.
If I had the choice to die then, I would have taken it.
When you are as mentally ill as I was then, you will do everything in your power to convince those around you that you are well enough to make your own decisions.
When your organs are shutting down and every course of treatment has āfailedā to fix you, death becomes an attractive option.
If I had been given the choice to die, I wouldāve taken it ā no questions asked.
And thatās why the Assisted Dying Bill terrifies me.
Because when youāre that mentally unwell, you donāt see hope. You see pain, and you want it to end.
Youāll do anything to convince the people around you that youāre āof sound mind.ā Youāll say whatever it takes to be left alone. But behind those words is an illness doing the talking ā not you.
If this bill had existed when I was 15, I might not be here. Not because it was the right choice, but because I was sick and exhausted and desperate. I didnāt need a legal route to die. I needed someone to fight for me when I couldnāt.
It tells people like the girl I was that death is the easiest option ā to relieve your family, the NHS, and yourself of the burden of caring for you ā instead of showing them that life can be worth the fight.
I survived. I got better.
But I may not have.
Not if the law had made dying seem easier than recovering. The Assisted Dying Bill doesnāt protect people like me. It writes us off.
āAssisted dyingā is not dignity.
Itās abandonment dressed up as mercy.
Sagnik Sen, M.D. retweeted
I have zero respect for a researcher, perched in an ivory tower publishing thousands of papers, who publicly tells a practicing clinician, who spends their day caring for patients, that they are a "nobody" because they have not published a paper.
Sagnik Sen, M.D. retweeted
Blackheath fun fair was closed down because, allegedly, a bunch of kids were running around with knives.
This local woman had some choice for the parents⦠(expletives aside) sheās 100% spot on.
Sagnik Sen, M.D. retweeted
This is the Queen's Stepwell in Gujarat, India, built nearly 1,000 years ago.
It's incredible, but it isn't unique ā India is filled with hundreds of stepwells just like it.
Here is the story of the world's most extraordinary underground architecture...
Sagnik Sen, M.D. retweeted
Are IMGs truly responsible for UK graduates not getting into training?
Just last week the BMA sent out emails making known of their intentions to ensure IMGs are disadvantaged when applying for training positions compared to UK graduates. The main reason cited is the increase in competition ratios. In this post I will be exploring and debunking many of the half-truths told about why IMGs should not compete on fair footings with UK grads.
Sagnik Sen, M.D. retweeted
Thread/
Today, a devastating report from the @theRCN, based on the testimony of over 5000 NHS nurses, has rightly catapulted the national shame that is NHS 'corridor care' into the headlines once more. (1/n)
Sagnik Sen, M.D. retweeted
POV:
š¹ Youāre a new physician associate from 2021
š¹ By virtue of simply being not a doctor, you get featured on the āBreast Unit Consultant Staffā page
š¹ Consultants bow before you and recognise āthe importance of keeping my role interestingā
š¹ If youād gone to medical school youād be a YEAR 3 medical student;
š¹ BUT instead youāre doing independent operations under local anaesthetic, triaging new breast cancer patients and determining their wait times, operating with consultant surgeons, and āmanaging complicationsā
š¹ This is all after entering the workforce before even completing any national exams under the guise of another ambiguous āassociateā something or other
* meanwhile the ST8 breast surgeon with 8 years specialist training, 2+ years general training, and 5 years of medical school, is paid the same, has no āfeatureā on the staff page, and is disposable *
THE NHS HATES DOCTORS
ā ļøā ļøā ļø
Sagnik Sen, M.D. retweeted
No one wants PAs. Patients donāt want to be seen by them, doctors done want to work with them, why is the NHS shoving them down our throats. #AskForADoctor
Sagnik Sen, M.D. retweeted
Obviously the combo of multiple viruses on the rampage plus low vacc rates in the region will not help at all plus decimated social care (in an area that needs more not less social care)... BUT from someone in the region, like me, here are some other damning facts 1/15
Sagnik Sen, M.D. retweeted
I really wish medicine as a career wasnāt this painful. I really do.
Medicine as a subject is truly fascinating and a joy to practice. However, trying to map out a career in medicine, in the current climate, is a depressing and hellish experience.
Sagnik Sen, M.D. retweeted
Let's delve into the statements and evidence shared by @Paulscriven this evening, on PAs/AAs, in more detail. š§µš
hansard.parliament.uk/lords/ā¦
@natalieben @KeeleyMP @TheBMA @TheDA_UK @DrSteveTaylor @DrEilidhMaria @Shr_Nottingham @iDrSunny @DrOKaneAgain @cannula_service @parthask
Sagnik Sen, M.D. retweeted
My mother and aunts talk fondly of their experience of postnatal wards - in ways that my cousins and I are simply bamboozled by. We couldn't get home soon enough.
Apparently the generation before us spent a restful week after the birth with endless practical help, getting a full night's sleep whist midwives and maternity assistants fed the baby bottles of formula and changed their nappies all night long if they so desired.
But the newborn nurseries that facilitated this have all been removed from nhs maternity units. This was no accident or budgetary restraint. It was a deliberate decision to foist compulsory 24-7 "rooming in" on all mothers with the aim of "supporting breastfeeding and bonding".
There is no evidence that it does either. But what it does do is place an unworkable burden on women who have just had babies to assume 24-7 care of their newborn after birth, even when they have experienced complications in their babies birth, emergency surgery or severe birth injury.
US based paediatricians have linked this practice to newborn falls and accidental suffocation where dangerously exhausted mothers have dropped or fallen asleep on their newborns. I am not aware that the nhs even monitors such incidents.
That is why we must bring back newborn nurseries for any women who decides she wants to use it.
It is also why we must not make up stories about 24-7 contact being good for bonding or whatever other nonsense is being fabricated.
Women's needs matter in their own right and it is a danger to babies when this is not recognised and taken seriously.
That's why @sue_haddon, @catherineroyuk and I penned this letter to @thetimes
thetimes.com/article/caf3ee4ā¦
Sagnik Sen, M.D. retweeted
Unbelievable! It took several years for Public Enquiries into the Post Office Horizon Scandal, & the Infected Blood Scandal to take place. I wonder how many years we will have to wait for an inevitable Public Enquiry into the Inappropriate use of Physician Associates in the NHS?
Sagnik Sen, M.D. retweeted
āThere is then an ambition to increase PA numbers in the UK and to make sure that maximum value is derived from them as medical role SUBSTITUTES , which is largely behind the call for them to be subject to statutory regulationā - @gmcuk 2015
Not for patient safety then ?
Sagnik Sen, M.D. retweeted
Palliative Care Doctor, Dr Rachel Clarke,
"The predicament of those of us who work in palliative care - and I've worked with thousands of patients approaching the end of their life - is that the real world, right now, is one in which palliative care services are failing patients because they're underfunded understaffed"
"Wes Streeting himself admitted this"
"The lack of care might coerce patients into feeling that their only option is to take their life, because we're not giving them a life worth livinG"
Sagnik Sen, M.D. retweeted
My hottest take is I donāt think a massive number people in academia are that smart, which is why they are unemployable elsewhere.
I think they become very pedantic people that learn a ritualistic way of communicating that sounds smart, but if you really examine it - all it does is inflate weak ideas.
They become so focused on minor details theyāre unable to connect it to any larger narrative. Everything about their lives becomes missing the forest for the trees.
Sagnik Sen, M.D. retweeted
Itās started.
Just remember, @gmcuk spend almost £700,000 on private health insurance for their employees.
They will never see a PA, and are shielded from this national scandal.
Theyāre safe; Youāre not!







































