Richard Simcock @BreastDocUK Twitter profile

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Richard Simcock

3 years

The 1946 (ie best) version of 'Great Expectations' is currently on iPlayer Worth a watch to be reminded to always be more Mr Jaggers...

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Last Seen Profiles

@Hijabbacol2883

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Richard Simcock

@BreastDocUK

4 years

Sometimes when I discharge patients they want to say thank you. I usually joke that the best thank you would be to get a postcard from them 10 years later from a beach Sometimes the cards come - and it’s wonderful

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Richard Simcock

@BreastDocUK

4 years

Patients are getting v. relaxed about telephone clinics. This morning I have spoken to one person who was riding a horse and another *on* a rollercoaster. I remain at my desk.

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Richard Simcock

@BreastDocUK

4 years

Any fellow Brits still insisting on a ‘o’ in front of ‘estrogen’? Asking for a pedant...

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Richard Simcock

@BreastDocUK

6 years

For people wondering where we are with #ASCO18 tweets we are just nearing the peak of the 'Slope of Arrival'

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Richard Simcock

@BreastDocUK

2 years

Me: Any other questions? Her: I’ll just check my notes Me: It’s good to write notes Her: Yes, I write them in this Me: …..

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Richard Simcock

@BreastDocUK

3 years

In 2021 I don’t think Texas is the right place to go for a conference on women’s health @SABCSSanAntonio

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Richard Simcock

@BreastDocUK

4 years

After 2 weeks of telephone clinics I have never been more keen to see people face to face. “Hi, this is LA1 we have Mr X here in 3rd week of radiotherapy and he...” “I’ll come straight down.”

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Richard Simcock

@BreastDocUK

2 years

Late running clinic. Last patient told me she'd waited so long that the government had changed. I could only apologise for part of that.

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Richard Simcock

@BreastDocUK

2 years

Today Rosie Loftus stepped down as CMO @macmillancancer Always determined to get better outcomes for people with cancer. @claire_taylor22 & I will do our utmost to follow her lead & because she doesn't tweet here's a pic of her doing the hoovering after a meeting...

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Richard Simcock

@BreastDocUK

5 years

It's not 'chemo brain' or 'fog' It's Cancer Related Cognitive Impairment (CRCI) - and however you measure it in #breastcancer it's real #bcsm

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Richard Simcock

@BreastDocUK

5 years

Here's the @macmillancancer eHNA data I presented yesterday. Ranking the top 5 concerns raised by n=5468 women with #breastcancer in 2018 Age differences exist but the the most common concerns are 'Worry' and 'Fatigue' #NCRI2019

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Richard Simcock

@BreastDocUK

5 years

Where shall I advertise my private proton unit? Oh yeah- here’s great

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Richard Simcock

@BreastDocUK

5 years

The Norwich fans told us it would be like this #bhafc

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Richard Simcock

@BreastDocUK

6 years

A Thread. Important to acknowledge @Rachael_Hodges and her huge contribution in advancing conversations in cancer. When we talk openly we understand more, and when we understand more we fear less #bcsm (1/11)

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Richard Simcock

@BreastDocUK

2 years

What a wonderful end to 2022 - to see Rosie Loftus awarded an OBE for her work for people with cancer at @macmillancancer . Proud to have her as mentor, colleague and friend. Go Rosie!

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Richard Simcock

@BreastDocUK

7 years

I hope one day we'll reach a point in understanding when doctors are *not* surprised at what they learn when they become patients #abclisbon

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Richard Simcock

@BreastDocUK

5 years

Can we ban talks that end “Further trials are needed” unless the expert on the podium proposes the trial design required? #ESTRO38

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Richard Simcock

@BreastDocUK

7 years

Jet lag. So I made #ASCO17 Bingo card. Have fun. First person to get them all wins my admiration for attendance and attention #Evergreen

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Richard Simcock

@BreastDocUK

2 years

I have trained to understand radiation physics and cancer cell biology but I will never, not ever, understand kitchen cabinet hinges.

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Richard Simcock

@BreastDocUK

2 years

I was on a ‘plane recently. Take-off was very delayed; snow, covid etc. Everyone was affected. An angry passenger started shouting at the crew. The crew couldn’t speed up global air traffic, but they would keep the passengers safe. NHS. Same. Stop shouting at the crew.

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Richard Simcock

@BreastDocUK

3 years

"...additional social care expenditure is more than twice as productive as additional healthcare expenditure" (in saving lives) Wow. What a paper.

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Richard Simcock

@BreastDocUK

2 years

Been treating oral cancer for 20 years. Sad to diagnose it in this old friend today.

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Richard Simcock

@BreastDocUK

5 years

In the audience at this @GeriSoc @macmillancancer @RCRadiologists #BGSConf #gerionc we have: nurses pharmacists GPs therapy radiographers palliative care SALT oncologists geriatricians researchers surgeons patient reps dietitians It's everybody's business.

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Richard Simcock

@BreastDocUK

6 years

Patient: Don’t call it cancer, call it cancel, because I’ve had to cancel everything.

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Richard Simcock

@BreastDocUK

4 years

Our wonderful @macmillancancer @Mac_Horizon centre is letting us do our telephone consults from there. Our cancer centre outpatients is now a haematology day unit creating valuable ward space. All acheived in 2 days by everyone pulling together.

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Richard Simcock

@BreastDocUK

6 years

There were 4579 delegates at #ESTRO37 and 1334 people tweeting it. It's been a great meeting and good to meet so many fellow #radonc Thanks @ESTRO_RT

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Richard Simcock

@BreastDocUK

3 years

A slip of the mouse and a whole new career awaits...

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Richard Simcock

@BreastDocUK

4 years

You want good news? Well I’ll give you good news, As of today our clinical trial team have recruited 117 more patients to trials than this time last year. #researchmatters @NCRI_partners

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Richard Simcock

@BreastDocUK

4 years

How to improve personalised care for patients with cancer. A Ten Top Tips for Primary Care from Anthony Cunliffe @macmillancancer GP adviser

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Richard Simcock

@BreastDocUK

4 years

Another day as redeployed medical consultant on care of the elderly Covid ward. Amazing team. So glad I paid attention to #gerionc wisdom @drohanlon @tania_kalsi

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Richard Simcock

@BreastDocUK

1 year

So very sad to see this. 18 months ago this Government were talking about 'levelling up' R&D spending in the UK Now we see an amazing organisation that has designed, driven and disseminated cancer research having to 'wind down' after 22 years.

NCRI Partnership

@NCRI_partners

1 year

Important news: NCRI is winding down after 22 remarkable years. Read more about this difficult decision here.

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Richard Simcock

@BreastDocUK

5 years

Today I got a postcard from someone I helped treat 10 years ago. I can only begin to tell you how happy it has made me.

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Richard Simcock

@BreastDocUK

5 years

Coffee has anticancer effect. Coffee. Has. Anticancer. Effect. This was worth the #NCRI2019 conference attendance alone (what? oh, in *mice*)

Sam H Ahmedzai

@Samhja

5 years

Prof Stephen Hursting, nutrition biologist N Carolina, gave plenary lecture on obesity-cancer links, now in #NIHR Cancer & Nutrition Collaboration session on mechanisms of how diet influences cancer risk. Coffee has anticancer effect. Calls for ‘precision nutrition’. #NCRI2019

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Richard Simcock

@BreastDocUK

6 years

My favourite quote of the week: "I've stopped taking the Letrozole. I've done my research and prunes are much better" Citations were not available.

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Richard Simcock

@BreastDocUK

4 years

Get rest - be safe! See you in 2021

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Richard Simcock

@BreastDocUK

1 year

The newest building in the NHS will be opening soon - and it's named after Louisa Martindale a #Brighton surgeon and pioneer of brachytherapy. Well done @UHSussex #radonc #womenwhocurie

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Richard Simcock

@BreastDocUK

1 year

I am very grateful to all the friends, colleagues and people affected by cancer that helped us develop this @macmillancancer report on the future of cancer care and I am happy to start sharing it here: via @LinkedIn

Influencing the future of cancer care

Standing for betterness Douglas Macmillan stood for ‘betterness’ when he founded our organisation in 1911 and we believe his ethos is as important and relevant today as it was over 110 years ago....

www.linkedin.com

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Richard Simcock

@BreastDocUK

5 years

Nonsense. Show me data anywhere that MFS and pCR are “patient centric” and that it is “most important to patients” - what, more important than OS?? #ESMO19

J&J Innovative Medicine EMEA

@JNJInnovMedEMEA

5 years

The use of novel endpoints in clinical trials can help to ensure results are more patient-centric, while allowing for more information on how treatments affect aspects of disease that are most important to patients. #ESMO2019

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Richard Simcock

@BreastDocUK

5 years

After all the talk about expensive drugs George Alagiah speaks from his experience that "the people who hold your hand in the night make the difference" #OF19

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Richard Simcock

@BreastDocUK

7 years

"Fight" "Fight" "Fight" all that cancer language. I won't know what words I'll use until the time comes but this vocabulary seems broken.

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Richard Simcock

@BreastDocUK

4 years

Got there in the end... Thanks due to advocates inc. @timfarron @ActionRTherapy and the clinicians and patients who provided the data and experience which *finally* supports wider rollout out of SABR @RCRadiologists now supporting safe expansion Onwards!

Tim Farron

@timfarron

6 years

Almost every radiotherapy centre has the equipment available to give patients the best chance of survival but Government contracts mean that only 20 out of the 52 centres in England are able to use the technology. This reckless and frankly lethal nonsense must end now.

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Richard Simcock

@BreastDocUK

5 years

Cancer Prehabilitation powerhouse. The doors have been locked and no one leaves for the next 48 hours until we’ve reviewed the 3000+ papers in this area identified in the @Mac_Evidence review #cancerprehab

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Richard Simcock

@BreastDocUK

2 years

I went to a party last night to celebrate a father and daughter 5 and 10 years clear respectively of their cancers. There were speeches and tears, and then everyone danced to ‘Don’t Stop Me Now’ by Queen and sang it loudly, and it was glorious.

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Richard Simcock

@BreastDocUK

3 years

@Liz_ORiordan Sex and money. Sells in Hollywood, fails in clinic.

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Richard Simcock

@BreastDocUK

5 years

Oncologists at #ESMO19 bursting out of sessions looking for an expensive complicated biomarker of response but many unaware or unwilling to measure and address frailty #gerionc #ESMO19

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Richard Simcock

@BreastDocUK

7 years

Forgive length: what follows is a thread as to why to you should read and likely comment on plans to reform NHS Radiotherapy provision (1/15)

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Richard Simcock

@BreastDocUK

5 years

When our new #Brighton hospital is finished - this will be the view from the café

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Richard Simcock

@BreastDocUK

5 years

Want to improve frailty assessment in your MDT? Get one of these on your wall.. #nudge #gerionc

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Richard Simcock

@BreastDocUK

4 years

I made a Freedom of Information request to ask how many Individual Funding Requests for cancer treatments had been granted in the last 3 years. The answer was 3% (20 from 656 submissions) I was surprised it was that high

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Richard Simcock

@BreastDocUK

1 year

I'm the junior doctor cover for the cancer centre today. Go easy on me, I'm learning all the things I'd forgotten...

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Richard Simcock

@BreastDocUK

3 years

A few photos from hereabouts the last few weeks. Come live here. We have a vacancy for a #radonc to treat urology and skin

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Richard Simcock

@BreastDocUK

4 years

For those of you stuck at home here’s 20 secs of beach from my morning commute. Usually the busiest part of this coast..

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Richard Simcock

@BreastDocUK

5 years

The #prehab guidance has landed. Full guidance, the evidence review and podcasts all available now via @macmillancancer here:

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Richard Simcock

@BreastDocUK

4 years

Important health and safety advice in #Brighton

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Richard Simcock

@BreastDocUK

4 years

Multimorbidity is the 'new normal' in cancer Please to have worked with a great team for this special edition of 'Clinical Oncology' Dementia / Falls / Obesity / Polypharmacy / Diabetes/ Frailty Re-up your med-ed

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Richard Simcock

@BreastDocUK

4 years

Levels of Evidence have been updated #COVID

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Richard Simcock

@BreastDocUK

4 years

At @Mac_Horizon our @macmillancancer dietitian Mhairi is sorting food parcels for cancer patients discharged home or struggling with supplies on treatment

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Richard Simcock

@BreastDocUK

4 years

Thanks to @ICR_London @EmmaHall71 and team. Rapid adaption to FASTForward and we have saved 320 fractions of #radonc on new starters to 3 April on basis of evidence. Will make a really helpful difference.

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Richard Simcock

@BreastDocUK

5 years

Matt Seymour presents the “revolutionary” idea of actually asking patients whether they thought treatment was worthwhile (in GO2 study) #NCRI2019

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Richard Simcock

@BreastDocUK

6 years

My daughter said she "would" tidy her room. It appears that she misspoke and reading back the transcript it seems clear that she mean't that she "would not". She is surprised that this is not obvious.

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Richard Simcock

@BreastDocUK

9 months

Frailty Assessment and Management in Oncology Services A "Why" and a "How" guideline Published by @RCRadiologists today with input from @macmillancancer @SIOGorg @GeriSoc Frailty is everyone's business #gerionc

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Richard Simcock

@BreastDocUK

2 years

Importance of patient reported outcomes and living well with and beyond cancer. Jo Haviland uses the 4 million figure of people LWBC in UK by 2030 estimated by @macmillancancer

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Richard Simcock

@BreastDocUK

1 year

Well done to @timfarron for once again calling out inequity of access to radiotherapy at PMQs today - our "radiotherapy deserts" What a disappointment to see that our PM doesn't even understand the difference between radiotherapy and diagnostic capacity...

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Richard Simcock

@BreastDocUK

10 months

The #MacmillanCoffeeMorning gets everywhere! ☕️ In this famous house to hear from people affected by cancer and healthcare professionals all supported by @macmillancancer Thank you for sharing your stories.

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Richard Simcock

@BreastDocUK

5 years

An Englishman an Irish woman a Scotsman an American a Spaniard and a Norwegian walked into a bar. It’s not a joke. It was dinner last night at #ESTRO38 and it’s why I like this meeting.

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Richard Simcock

@BreastDocUK

4 years

The doctor will steam you now

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Richard Simcock

@BreastDocUK

4 years

Arguments for omitting radiotherapy in low risk #breastcancer based on hormone therapy being cheaper, easier and less toxic. With modern hypofractionation all 3 of these assumptions may now be wrong. Nice editorial @CShahMD #bcsm #radonc

Balancing Treatment Deintensification Strategies in Early Stage Breast Cancer

Several decades ago, the concept of deintensification of breast cancer treatment began with randomized trials demonstrating breast conservation therapy (BCT) was equivalent to mastectomy with respect...

www.redjournal.org

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Richard Simcock

@BreastDocUK

1 year

Have you been treated with radiotherapy for #breastcancer in the last 10-15 years? Could you join a focus group to help design new trials of radiotherapy on 9 August at 15.00 - 16.00 or 10 August 16.00 - 17.00 in London Please email fastforward-icrctsu @icr .ac.uk #bcsm

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Richard Simcock

@BreastDocUK

6 years

At 11am today #NCRI2018 will reveal what >2000 patients, carers and HCPs thought were the Top 10 priorities in research in Living with and Beyond Cancer. Then the work starts....

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Richard Simcock

@BreastDocUK

6 years

Correspondence of the week! The low dose abiraterone and diet story suddenly got a lot more interesting when the great Ian Tannock led a pile-on in the JCO...

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Richard Simcock

@BreastDocUK

2 years

@drol007 @UHSussex @macmillancancer Thanks Ollie Very pleased and excited to take on the CMO role @macmillancancer A fantastic team.

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Richard Simcock

@BreastDocUK

2 years

A year ago many people were asked to spend time and effort submitting evidence for a Government 10 year Cancer Plan. It never appeared. Now promised a 'Major Conditions Strategy'. Feels like dilution and delay to me. I hope I'm wrong.

Written statements - Written questions, answers and statements - UK Parliament

Information from UK Parliament on written questions & answers, written statements and daily reports.

questions-statements.parliament.uk

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Richard Simcock

@BreastDocUK

2 years

The roof at Brighton Station is 140 years old, and it always makes me happy.

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Richard Simcock

@BreastDocUK

1 year

The hospital bedside of one of my patients speaks of all kinds of defiance. (Shared with their permission and delight)

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Richard Simcock

@BreastDocUK

6 years

Sometimes doing long term follow-up (in Trials clinic) is lovely @ICR_CTSU

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Richard Simcock

@BreastDocUK

6 years

33% of line managers do not know that cancer is a protected characteristic under 2010 Disability Discrimination Act (even when treatment is over) - data from @workandcancer

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Richard Simcock

@BreastDocUK

4 years

T o d a y I am c o n n ec t in g t o r em o t e r a dio t h e r ap y p l a nn i ng f rom h o m e

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Richard Simcock

@BreastDocUK

3 years

I love this stuff

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Richard Simcock

@BreastDocUK

5 years

Fabulous graphic from P378 @PeterHall001 and colleagues showing the multiple options available in the 'real world' for ER+ Her2- MBC #bcsm #ESMO19

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Richard Simcock

@BreastDocUK

4 years

These weeks have me reflecting that whoever said “a change is as good as a rest” was unchallenged and well rested.

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Richard Simcock

@BreastDocUK

5 years

In November I'm pleased to be co-Chairing with @abcdiagnosis : "Treatable not Curable - Cancer as Chronic Disease" at the @NCRI_partners Meeting in Glasgow It's a great program - early bird registration until 30th June

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Richard Simcock

@BreastDocUK

2 years

Cancer workforce was already struggling pre-pandemic and catch-up is too slow now. Despite promise of shiny innovations we still need to get the basics right across every part of the pathway. Spot on from @lynda_thomas @macmillancancer

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Richard Simcock

@BreastDocUK

1 year

I don't think it's a good look for the #radonc community to say that people who think radiotherapy is 'brutal' are wrong. Those are often people with lived experience We might not like how therapy is described in the media but that opinion does not arise from thin air.

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Richard Simcock

@BreastDocUK

1 year

Mum in hospital. Just texted to say that the doctor who saw her today was "very pompous" This is a good sign of her recovery.

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Richard Simcock

@BreastDocUK

5 years

The International System of Units have now agreed to reclassify the micron as the minimum distance required by two Italian drivers to pass each other on the Amalfi coast road.

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Richard Simcock

@BreastDocUK

4 years

Thinking of giving chemotherapy according to some random schedule I have just made up instead of the trial data. I wonder if the Chief Medical Officer and the JCVI could just confirm that’s Ok?

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Richard Simcock

@BreastDocUK

4 years

The ECOG PS is 40 years old and ready for retirement. Time to move on.

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Richard Simcock

@BreastDocUK

6 years

It's a hazard of working in this fabulous city that the clinc is difficult because the the Britney Spears soundcheck is drowning out your consultation #BrightonPride

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Richard Simcock

@BreastDocUK

4 years

One thing that feels *much* safer is the commute to work...

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Richard Simcock

@BreastDocUK

11 months

Marguerite was kind enough to send me a copy of this gentle and honest book. It is not afraid to be sad or loving. I recommend it.

Hayley Wells (they/them)

@HWIllustrator

1 year

It’s publication day for When I’m Gone, written by Marguerite McLaren and published by @ladybirdbooks . This emotional and affirming book deals with bereavement in a gentle and loving way. It was an honour to work on and I hope readers find solace within its pages 💛

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Richard Simcock

@BreastDocUK

3 years

Routine PROM collection @UHSussex helps me understand an individual's concerns in the clinic. The summary reports from @MyClinOutcomes help me see the unmet needs for the population. Fatigue leaps out from this report (and @drol007 has a trial ready for that).

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Richard Simcock

@BreastDocUK

8 months

Cancer #PreHab Megastar @ZoeMerchantOT at #BGSconf Two important learnings: -Don't say patients find prehab hard at time of diagnosis: co-design tells us patients *want it* -Doctors need to tell patients to do it

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Richard Simcock

@BreastDocUK

9 months

Here we go. @gemmapeters opens #macmillanprofessionals which I admit is always a highlight of the year. The energy, enthusiasm and commitment of our professionals from all over the UK is always such an inspiration.

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Richard Simcock

@BreastDocUK

6 years

Patients often worry if their adjuvant chemo dose is reduced due to haematological toxicity. This trial reassures that it is the right thing to do without harm. It's a correction not a reduction #bcsm

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Richard Simcock

@BreastDocUK

1 year

Poor sleep a major contribution to poor QOL after cancer. CBT delivered digitally by @Sleepio works explains @donalb5 #bmsconf2023 The sleepio app is available free to people affected by cancer via @macmillancancer

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Richard Simcock

@BreastDocUK

5 years

Lyon: A new acronym in overdiagnosis: VOMIT Victim of Modern Imaging Technology #BGSConf

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Richard Simcock

@BreastDocUK

5 years

Cuzick: HPV associated oropharyngeal cancer now more common than cervix cancer Rises mainly in white men #hncsm #ESMO19

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Richard Simcock

@BreastDocUK

2 years

@Ani_Louise @radiotherapy_uk Difficult for you both - but as a Therapeutic Radiographer you have incredible skills that are in very high demand. The world’s your oyster - as long as you can persuade the dogs to come along! (And yes, we do have vacancies in beautiful Sussex) Good luck.

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Richard Simcock

@BreastDocUK

5 years

My clinic Speech recognition has just called ‘capecitabine’ “cake Saturday” The latter would be a much preferred regimen.

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Richard Simcock

@BreastDocUK

1 year

Without @NCRI_partners we would have less: -Public - patient participation in trials -Trial development workshops and groups -Stimulus to research outside of major centres -Studies in living with and beyond cancer and more -Pharma driven research for 💸💸💸

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