Andrew Elder @AndrewElder Twitter profile

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Andrew Elder

@AndrewElder

6 years

Always worth remembering what EBM was meant to be.....

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Andrew Elder

@AndrewElder

5 years

Honoured to be elected next President of the Royal College of Physicians of Edinburgh. Thanks to everyone who has sent messages of congratulations, support and encouragement. @RCPEdin

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Andrew Elder

@AndrewElder

6 years

@DShadowgazer I am a geriatrician.

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Andrew Elder

@AndrewElder

4 years

My personal take on Anticipatory Care Planning.

Agenda: Why families really ought to talk about end of life care

By Professor Andrew Elder

www.heraldscotland.com

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Andrew Elder

@AndrewElder

5 years

An outstanding radiologist tells clinicians that we should set more store on our own judgement. And scan fewer people.

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Andrew Elder

@AndrewElder

7 years

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Andrew Elder

@AndrewElder

5 years

Great to be back in the Scottish NHS!!!!

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Andrew Elder

@AndrewElder

3 years

Some pictures need no explanation.

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Andrew Elder

@AndrewElder

3 years

A real honour - and thanks to all my colleagues at @StanfordDeptMed , @JohnsHopkins , @uabimres , @Bedsidemedicine and many others for including me in their work on bedside teaching in recent years. @cuttingforstone

RCPEdin

@RCPEdin

3 years

We are pleased to announce that our President, Professor Andrew Elder, has become the first doctor practising in Scotland, and only the second in the UK, to be awarded a Mastership of the American College of Physicians. Please visit our website for more:

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Andrew Elder

@AndrewElder

4 years

Osler 1898. Sounds about right. #Covid_19

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Andrew Elder

@AndrewElder

2 years

Honoured to receive MACP at the @ACPinternists meeting in Chicago. Thanks to all my colleagues and friends in the USA for their support. @cuttingforstone @Bedsidemedicine

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Andrew Elder

@AndrewElder

3 years

Seen on the bedside stand of an older patient with extremely poor hearing. Communication this way takes longer, but is time well spent. @Bedsidemedicine

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Andrew Elder

@AndrewElder

5 months

At a time when concerns about NHS staff wellbeing have never been higher this is a deeply worrying decision that @RCPEdin will contest. @RCPEdinTrainees

NHS Practitioner Health

@NHSPracHealth

5 months

Important service update.

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Andrew Elder

@AndrewElder

1 year

My thanks to this group of doctors from Sudan, all working in the NHS at the moment, for coming to @rcpe to discuss how our UK and international medical communities can provide support at this very difficult time.

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Andrew Elder

@AndrewElder

2 years

Better care of older people, and faster discharge from hospital, and community prevention of admission all need more OTs. ( and physios!) Let’s push that up the agenda

Almost three-quarters of OTs feel there are not enough staff to meet rehab service demands - AT...

RCOT has revealed a huge increase in demand for occupational therapy-led rehabilitation services in the UK

attoday.co.uk

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Andrew Elder

@AndrewElder

7 years

Open book examinations becoming more popular as a consequence.

Dr Gordon Caldwell

@doctorcaldwell

7 years

@aroradrn @AndrewElder Tests based on memory should be valued far less. Memory so fallible

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Andrew Elder

@AndrewElder

6 years

1968. Plus ca change.....

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Andrew Elder

@AndrewElder

5 months

How much data, repeated how many times do we need to see before we understand that “social” care must be fixed? And not just to help treat people at the front doors of our hospitals, but to support those people stuck in hospital who don’t want or need to be. @RCPEdin @GeriSoc

Shaun Lintern

@ShaunLintern

5 months

A&E rising demand isn't driving long waits in A&E. Attendance rates are not dramatically up from pre-pandemic levels. The real issue is collapse of social/community care provision & some increased acuity. This is driving longer stays & means fewer open beds for ppl to go into

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Andrew Elder

@AndrewElder

2 years

RCPEdin

@RCPEdin

2 years

Today we have issued a joint statement with @acutemedicine on the current situation in acute medical care across the UK

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Andrew Elder

@AndrewElder

6 years

Geriatricians.........Make today the day you look in your patients' mouths.......you'll be amazed at what you might find....... #GeroTwitter

Nicky_P

@NickyPilbro

6 years

Off to deliver some #mouthcare prompt cards and pens for Albion wards away day on Monday. Which their ward manager will be delivering. #mouthcarematters

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Andrew Elder

@AndrewElder

6 years

Great to visit @HopkinsMedicine and see where Osler wrote and taught.

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Andrew Elder

@AndrewElder

5 years

Still a favourite........

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Andrew Elder

@AndrewElder

6 years

For @DrAseemMalhotra

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Andrew Elder

@AndrewElder

7 years

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Andrew Elder

@AndrewElder

4 months

Friday lunchtime.

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Andrew Elder

@AndrewElder

1 year

The world needs more geriatricians.

British Geriatrics Society

@GeriSoc

1 year

📢 REPORT OUT TOMORROW!📢 "We need conversations to support recruitment, retention & support for a workforce caring for older people. This starts with recruiting the #geriatrician numbers that we need." 'The case for more geriatricians' is out tomorrow! #MoreGeriatricians

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Andrew Elder

@AndrewElder

5 years

@NEJM This abdomen did not get like this overnight. "His medical history was notable for untreated hypertension and hyperlipidemia." .....and the fact that nobody had ever examined his abdomen, or if they had, had failed to detect this. @Bedsidemedicine

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Andrew Elder

@AndrewElder

6 years

Attention all those who prescribe statins to older patients, or want to stop them! More ( reasonable quality) evidence that current risk thresholds lead to overprescribing.

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Andrew Elder

@AndrewElder

6 years

Think very short answer questions should replace best of five? Here is our roundabout take on that, featuring a riddle and a bar! #meded @medicalaxioms @cuttingforstone

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Andrew Elder

@AndrewElder

6 years

"The best diagnostician may be the clinician who makes the diagnosis using the fewest resources"

Hardeep Singh MD

@HardeepSinghMD

6 years

Diagnostic excellence requires - ↓ preventable harms from both underdiagnosis & overuse - non-punitive feedback to calibrate how practicing clinicians think Our proposal for diagnostic performance measurement & feedback w/ @AshleyNDMeyer @JAMA_current

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Andrew Elder

@AndrewElder

2 years

Made in Scotland

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Andrew Elder

@AndrewElder

2 years

The key to unlock the problems of the front doors of our hospitals lies at the back doors.

BBC Health News

@bbchealth

2 years

Social care shortage compounds NI hospital pressures

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Andrew Elder

@AndrewElder

6 years

Physicians should be aware that respectful and patient-centered communication may be medicolegally protective in the event of an adverse outcome.

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Andrew Elder

@AndrewElder

3 months

Dementia is not going away anytime soon. High quality, fairly funded care is needed - it is a health problem, not a social problem.

RCPEdin

@RCPEdin

3 months

We welcome @alzscot Long Term Care Commission report and urge the Scottish Government to take forward its recommendations. Read the statement from our President @AndrewElder #DementiaAwarenessWeek

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Andrew Elder

@AndrewElder

5 years

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Andrew Elder

@AndrewElder

3 years

I ask my son to care for Flicker for the weekend and this is what happens.

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Andrew Elder

@AndrewElder

11 months

Many NHS units I know of couldn’t function without the input of SAS doctors. Whether it’s In-patient or out-patient work, we need you, value you and thank you!! #SASWeek2023 @RCPEdin @RCPEdinTrainees

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Andrew Elder

@AndrewElder

1 year

On reflection……

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Andrew Elder

@AndrewElder

3 years

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Andrew Elder

@AndrewElder

6 months

Discontinuity of care also happens in hospital and causes duplication of effort and frustration for patients and doctors. Has the impact been studied? @DrLKVaughan

BBC Health News

@bbchealth

6 months

Seeing the same GP better for patients and doctors, study says

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Andrew Elder

@AndrewElder

7 months

I’ve long thought that doctors don’t speak enough about - or have a place to speak about - errors they think or know they have made. So, great to see a session at #rcpetrainees24 on the topic of errors, leading off with a talk from Dr @AddyMcleod @RCPEdin

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Andrew Elder

@AndrewElder

2 years

A huge thanks to Dr @KerriBaker20 our @RCPEdin Director of Education and Dr Ishwinder Thethy Chair of the Organising Committee for putting together such a successful St Andrew’s Synposium.

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Andrew Elder

@AndrewElder

2 years

My own personal apologies to everybody affected by this. We’ll do everything we can to reschedule sittings just as soon as possible. @RCPEdin @RCPEdinTrainees

RCPEdin

@RCPEdin

2 years

A statement from our CEO on the cancellation of PACES exams this weekend

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Andrew Elder

@AndrewElder

4 years

“It was a day peculiar to this piece of the planet”.

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Andrew Elder

@AndrewElder

3 years

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Andrew Elder

@AndrewElder

5 months

Can't forgive Johnson for “The noblest prospect which a Scotchman ever sees, is the high road that leads him to England.” but I'm with him on knowledge. And just because there's more "knowledge" on our phones, doesn't mean to say that doctors need to know less.

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Andrew Elder

@AndrewElder

3 years

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Andrew Elder

@AndrewElder

1 year

Important message in this letter which I signed on behalf of @RCPEdin Multimorbidity already is - and will continue to be - the new normal for many patients. Healthcare systems, guidelines and clinical research must all adapt to that reality.

Adam Gordon MBE

@adamgordon1978

1 year

Open letter to @SteveBarclay from @GeriSoc @RCEMpresident @RCPhysicians @RCPEdin @rcpsglasgow and @NCFCareForum about need to include multimorbidity and frailty in the Major Conditions Strategy if it is to meet the needs of an ageing population. Read here:

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Andrew Elder

@AndrewElder

3 months

Good to see @RCPEdin leading on education in this difficult area.

Kerri Baker

@KerriBaker20

3 months

ME/CFS - a multisystem disease, often with an infective or other immune trigger (but trigger may not be identified). Defining characteristic is (delayed onset) Post-Exertional Malaise (PEM) - exertion can be physical, cognitive, sensory, emotional. - Karen Leslie #rcpeMECFSLC

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Andrew Elder

@AndrewElder

1 year

Our ward got some art.

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Andrew Elder

@AndrewElder

6 years

"Doctors who are warmer and more competent are able to set more powerful expectations about medical treatments." Can a Nice Doctor Make Treatments More Effective?

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Andrew Elder

@AndrewElder

1 year

Do hospital doctors know as much about “acute brain failure” as they do about acute cardiac or respiratory failure? They should…………

Alasdair MacLullich

@A_MacLullich

3 years

🔬⚗️The challenge of #delirium pathophysiology research. 🧠 Multiple routes to brain disruption Current practice = Rx triggers, normalising physiology, Rx symptoms, rehab. ❓ Will we have effective drugs for delirium in the future? 🔗

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Andrew Elder

@AndrewElder

6 months

I am increasingly uncertain about the difference between what we call “health” care and what we call “social” care. The distinction appears illogical and anachronistic and ultimately simply serves to permit means testing for “social” but not “health”.

Nuffield Trust

@NuffieldTrust

6 months

Social care has been let down by successive government of all hues. The starting point for #SocialCare reform needs to be the solid building blocks of a system we can all aspire to and want to invest in, says @NatashaCurry123 in her latest blog.

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Andrew Elder

@AndrewElder

1 year

Good to see my good friend’s @abe_verghese fabulous new novel - The Covenant of Water - on the shelf of a Glasgow bookshop. Dr Digby Kilgore has come home! And if you want to understand that comment, give it a read!

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Andrew Elder

@AndrewElder

2 years

So….I bought this orchid in a major supermarket chain about 6 years ago. It has flowered about 3-4 times a year since then, always well, but this time eclipses all past performances. Occasional water, feed it its own petals- that’s it.

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Andrew Elder

@AndrewElder

5 years

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Andrew Elder

@AndrewElder

1 year

At last. I’m ready for Masterchef.

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Andrew Elder

@AndrewElder

5 months

And Dr @hannahpreston and Lily show just how to co-chair a meeting! With Dr Fiona Duthie too. @RCPEdin @RCPEdinTrainees

Hannah Preston

@hannahpreston91

5 months

Amazing @RCPEdin giving us a whole room to chill out and feed in before this little one helps chair the later session at the #rcpejointspecialty24 !

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Andrew Elder

@AndrewElder

4 years

Well, I guess it’s autumn.

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Andrew Elder

@AndrewElder

5 years

Done it......San Francisco to Boston on four wheels. Next time...east to west!!

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Andrew Elder

@AndrewElder

5 months

Thinking fast and slow is a great book. And we should all heed this great quote. “A reliable way of making people believe in falsehoods is frequent repetition, because familiarity is not easily distinguished from truth.” @CASBSStanford

Wisdom Theory

@wisdom_theory

5 months

Daniel Kahneman, who changed psychology and economics forever, dies at 90. Thanks for everything. We remember him in 10 great quotes:

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Andrew Elder

@AndrewElder

6 years

Important paper regarding statin use in the old and older old..... ---- get out there and #stopastatin today!

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Andrew Elder

@AndrewElder

2 years

Great to meet with trainees preparing for @MRCPUK at Kuala Lumpur Hospital - one of the biggest hospitals in SE Asia! @RCPEdin

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Andrew Elder

@AndrewElder

5 months

How much data, repeated how many times do we need to see before we understand that “social” care must be fixed? And not just to help treat people at the front doors of our hospitals, but to support those people stuck in hospital who don’t want or need to be. @RCPEdin @GeriSoc

Helen McArdle

@HMcArdleHT

5 months

Situation 'getting worse instead of better'. Another grim set of A&E stats - these statistics would have been unthinkable a few years ago 'Deplorable' A&E waits see one in 20 spending more than 12 hours in emergency units

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Andrew Elder

@AndrewElder

7 months

Understaffing is bad for patients and bad for staff. Our older people, and those who work to care for them, deserve better. @GeriSoc

RCPEdin

@RCPEdin

7 months

This report is useful and a timely reminder of the extent of understaffing in older people’s healthcare which must be addressed. We will continue to push for additional action to tackle vacancies and invest in the dedicated workforce that cares for the health of our older people.

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Andrew Elder

@AndrewElder

4 months

Good to see a rapid change of change of mind here. Now aligns with decision in Scotland, which we heard about last week.

NHS Practitioner Health

@NHSPracHealth

4 months

Important service update.

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Andrew Elder

@AndrewElder

1 year

Great team of examiners out early on a Saturday morning at a great @MRCPUK PACES centre in Perth Royal Infirmary.

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Andrew Elder

@AndrewElder

3 months

Poor care at the front door of our hospitals often reflects poor care at the back door. We can’t get people in because we can’t get people out. Both groups deserve better - our @RCPEdin manifesto for the general election stresses this crucial matter for the next goverment.

The RCN

@theRCN

3 months

Being forced to treat patients in inappropriate spaces is unsafe, undignified and unacceptable. Our new report launched today shows the extent to which corridor care has become normalised and demands action to eradicate it across the UK. Read more.

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Andrew Elder

@AndrewElder

2 years

Old Edinburgh.

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Andrew Elder

@AndrewElder

5 years

I will miss this study @CASBSStanford

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Andrew Elder

@AndrewElder

6 months

After direct patient care, the most important role of the doctor is to teach and train those who will follow them. We must ensure that all doctors, and consultants in particular, have the time in their job plans to deliver teaching and training.

RCPEdin

@RCPEdin

6 months

We have published a joint statement with @rcpsglasgow and @RCPhysicians , welcoming @gmcuk 's plans to develop, revise and adapt education and training for medical students and doctors: @AndrewElder

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Andrew Elder

@AndrewElder

5 years

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Andrew Elder

@AndrewElder

7 months

Great talk from Dr Beth Routledge @sefkhet on managing acute medical problems in pregnancy. #rcpeTrainees24

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Andrew Elder

@AndrewElder

4 months

Waiting for the Aurora.

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Andrew Elder

@AndrewElder

1 year

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Andrew Elder

@AndrewElder

1 year

The nights are fair drawing out.

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Andrew Elder

@AndrewElder

5 years

Great talk from one of the great medical twitterati!! @drphiliplee1 @RCPEdin #rcpeStAs19

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Andrew Elder

@AndrewElder

5 years

Eggsactly.

Sek Kathiresan MD

@skathire

5 years

Quite embarrassing for @JAMA to continue to publish these horribly confounded nutritional epidemiology studies.

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Andrew Elder

@AndrewElder

3 years

Flicker’s third Munro.

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Andrew Elder

@AndrewElder

5 years

Boom.

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Andrew Elder

@AndrewElder

2 months

Case based learning remains vital - and cases presented by early post-grad colleagues are always special. Congratulations to Drs Deyvani, Agarwal and Roy for speaking so well at our @RCPEdin meeting in Cardiff.

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Andrew Elder

@AndrewElder

6 years

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Andrew Elder

@AndrewElder

3 years

I wonder how they got like that?

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Andrew Elder

@AndrewElder

6 years

Two Palo Alto octogenarians introduced me to Go Wish. One way of starting difficult conversations? @drkathrynmannix

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Andrew Elder

@AndrewElder

6 years

Thanks all, I enjoyed it.

MRCPUK Examinations

@MRCPUK

6 years

A massive thank you and farewell to our Medical Director of 5 years, Prof @AndrewElder . We wish him all the best with his Fellowship at Stanford University.

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Andrew Elder

@AndrewElder

2 years

Good to travel. Good to come home.

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Andrew Elder

@AndrewElder

3 years

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Andrew Elder

@AndrewElder

2 years

Just some of our superb @RCPEdin faculty speaking at the #JSIM22 in Amman today. @DundeeChest @LatanaMunang @nimbulteel

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Andrew Elder

@AndrewElder

1 year

“Care has implicit worth—we will continue to experience the problems we currently see if we fail to grasp that fact.” ⁦ @DrDMacaskill ⁩ ⁦ @scottishcare ⁩

Cutting investment in the social care workforce will undermine the NHS recovery plan

Health and social care are highly co-dependent—we must invest in the social care workforce or risk the collapse of the whole system, write Adam L Gordon and Andrew Elder A major societal concern of...

www.bmj.com

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Andrew Elder

@AndrewElder

1 year

A passer by

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Andrew Elder

@AndrewElder

7 years

Commonest I see is that "+ve" dipstick urinalysis = UTI requiring antibiotics and end of all diagnostic thought.

Dr Gordon Caldwell

@doctorcaldwell

7 years

@DrAndyCarr @cdeh27 @KateAllatt @diffstrokes @strokesite @NHSMillion @FemkeNijboer @elwah1983 @DrUmeshPrabhu @ArtfulDoctor @muntma Commonest Jumping to Conclusion I see is Assuming Low sodium Is Syndrome of Inappropriate ADH Secretion & End of thinking

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Andrew Elder

@AndrewElder

2 years

The Fionn Loch.

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Andrew Elder

@AndrewElder

7 years

Every geriatrician in the UK ( like me) knows this.......EBM is yet to touch the patients I care for.

Richard Lehman

@RichardLehman1

7 years

Study done 15 years ago but probably even truer today @hmkyale

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Andrew Elder

@AndrewElder

2 years

February

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Andrew Elder

@AndrewElder

6 years

Honoured, delighted, and no little daunted to be appointed as the Presence CASBS Fellow @CASBSStanford A real chance in my life to stand on the shoulders of giants - and study where they studied! @cuttingforstone

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Andrew Elder

@AndrewElder

5 years

Glencoe today.

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Andrew Elder

@AndrewElder

7 months

A compelling and deeply personal talk by @AmieBurbridge on misdiagnosis, how it effects patients and how it effects doctors. We really should have a symposium on the topic. @RCPEdin @RCPEdinTrainees @Bedsidemedicine