Dr Richard Pile @DrRichardPile Twitter profile | Pikagi

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Dr Richard Pile

@DrRichardPile

1,644

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97

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1,557

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GP🩺Lifestyle Medicine🏃‍♂️ Cardiology♥️ 🥗Medical Director @thrivetribeUK . Clinical advisor @guildofhealth 📚Author @HarperCollins .TEDx speaker & coach

Saint Albans, East

https://t.co/EdcpQeAgL4

Joined May 2010

Don't wanna be here? Send us removal request.

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@DrRichardPile

Dr Richard Pile

10 months

In my #TEDx talk "Loneliness may be worse for you than cancer" I talk about its causes & effects and how we can help each other to address it and the power of #socialprescribing . Do you feel lonely? Or know someone who is? Please watch & share widely 🙏

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@DrRichardPile

Dr Richard Pile

9 months

I've just been shown the NHS "Healthy Living with Type 2 diabetes" web page 😬 Highlights include "there is no cure...but there is research looking into this" and (even better/worse) "you need at least 130g of carbohydrate a day". I'm banning it being shared in our practice.

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@DrRichardPile

Dr Richard Pile

4 years

Just watched David Unwin’s presentation on beating type 2 #diabetes into remission. Humble. Gentle. Brilliant. Thank you. Potential £267 million saving to NHS. Better quality of life. One word...knighthood. @lowcarbGP #lowcarb @NHS @MattHancock @BritSocLM

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@DrRichardPile

Dr Richard Pile

2 years

My consulting room carpet has been replaced with something more appropriate for infection control. And just for the record, this is the official reason for my happiness and no other. #primarycare #TeamGP #wintersports

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@DrRichardPile

Dr Richard Pile

2 years

Just had a discussion re in what circumstances GP’s would offer a home visit to mobile children with URTI. symptoms. We agreed it was probably in the 1950’s. On horseback. Between a home delivery and a round of golf.

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@DrRichardPile

Dr Richard Pile

9 months

@RevRichardColes Coffee cups and suitcases. Same issue. My wife’s pet hate. @beccy_pile

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@DrRichardPile

Dr Richard Pile

10 months

I’m putting it out there: I don’t believe it takes 5 years to get a medical degree. And I do believe that you can learn on the job if you already have a clinical role. Doctors should be honest with themselves. Was every minute of your degree spent in learning/working? Was

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@DrRichardPile

Dr Richard Pile

4 years

Pre-diabetic patient. Generally good lifestyle. Not overweight. Pushed harder at lower carb and healthy fats. Result? No longer prediabetic. Slightly raised total cholesterol but significantly improved TC/HDL ratio. Happy patient and doctor 😁 #lowcarb @lowcarbGP @jen_unwin

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@DrRichardPile

Dr Richard Pile

1 year

Private GP online consultations appear to consistent of getting paid for having a chat with a patient….before referring them back to their GP to get any actual investigations or treatment. Nice (albeit pointless) work if you can get it. Am I wrong? #MedTwitter

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@DrRichardPile

Dr Richard Pile

3 years

@ksb79 Sorry Ketan. Hope your doc is ok. This behaviour is not just pathetic and aggressive but also illegal. I prescribe immediate removal of him and his family from the list and police involvement. Zero tolerance.

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@DrRichardPile

Dr Richard Pile

3 years

I was giving my card details as St Albans lost power. Half an hour later we’re contemplating beans on the stove and a man turns up clutching a bag. He’d been wandering in the dark without sat nav to deliver us food we hadn’t paid for. Customers for life 😊🙏👏

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@DrRichardPile

Dr Richard Pile

4 years

Whilst the evidence for Vitamin D specifically in coronavirus may not yet be clear, I think it's sensible to consider supplementation. I've been doing this for years anyway. Every little helps, particularly as people may struggle to get outdoors as much in winter #Covid19UK

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@DrRichardPile

Dr Richard Pile

1 year

Letter from a secondary care doctor. It actually uses the phrase "do the needful". And there was me thinking that we lived in the 21st century. Trying to figure out whether to be amused or enraged. Possibly a bit of both 😆

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@DrRichardPile

Dr Richard Pile

3 years

I’m not militant. I haven’t been on strike in 25 yrs as a doctor, 21 of them as a GP. I will vote for strike action now. Enough’s enough. I won’t peddle the fiction that primary care is doing ok and that a few more targets and a little extra cash is going to solve this.

@TheBMA

The BMA

3 years

93% of respondents to our snap poll of GPs told us the ‘rescue package’ proposed for general practice is unacceptable. Demand a better plan; sign and share our petition calling for more GPs, staff and better facilities #SupportYourSurgery #ProtectGP 👇

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@DrRichardPile

Dr Richard Pile

2 years

@DrNeenaJha Absolutely Neena. I don’t start a consultation until they’ve finished and I pause it if they answer their phone during a consultation. Once I’ve established it’s not an emergency I politely offer them the choice of finishing either their conversation or our consultation.

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@DrRichardPile

Dr Richard Pile

1 year

@DrWallBolton Home visits should be for end of life care or people who are truly housebound (never leave the house for any reason), with very occasional exceptions. No one expects a dentist or a consultant to visit them at home, so why should a GP? Too precious a resource.

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@DrRichardPile

Dr Richard Pile

3 years

@DrShanHussain I still don’t understand why this bloke gets airtime. Having an ex surgeon holding forth about primary care is like a retired electrician telling someone how to build and maintain their entire house. It’s a more or less random opinion based on insufficient experience. Baffling

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@DrRichardPile

Dr Richard Pile

2 years

Why is the prevalence of inflammatory arthritis increasing? Whilst I agree that diagnostic criteria, better records and an ageing population may be relevant, the underlying cause is pro-inflammatory factors, the greatest of which is ultra-processed food. No mystery here.

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@DrRichardPile

Dr Richard Pile

1 year

My first patient today has made my day. We met 6/12 ago: type 2 DM, obese, hypertensive. Discussion re #lifestyle changes. Cut carbs, increased steps. Today: hba1c from 63 to 37. BMI from 29.9 to 26.9. Normotensive. Lost 10kg. #diabetes reversed 😃👏

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@DrRichardPile

Dr Richard Pile

5 years

Not very humble-brag alert. One more sleep until my boys are on Michael McIntyre’s big show tomorrow night, 20.15. So excited. I promise it will be worth the watch and not just because I’m a #ProudDad

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@DrRichardPile

Dr Richard Pile

6 months

@RevRichardColes I very rarely disagree with you Richard, but have to on this occasion. Particularly eggs..they are delicious in fish pie!

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@DrRichardPile

Dr Richard Pile

4 years

Looking forward to reading Burn by @HermanPontzer . In the words of @stephenbleach ’s article in @thesundaytimes , “ we’re designed to run and working out will make you live longer, healthier and happier. Just not smaller“. Can’t outrun a bad diet @DrAseemMalhotra #wellbeing .

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@DrRichardPile

Dr Richard Pile

10 months

@gp_recept10n Thank you for all that you do. Our receptionists are a fundamentally important part of the primary care team and never "only a receptionist" 🙏

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@DrRichardPile

Dr Richard Pile

6 months

@DeputyGrocott Absolutely yes to the first question. My kids didn’t have a phone in their room under the age of 18. WiFi locked down via router. The text bit…maybe something along the lines of “if we’ve given you a phone we reserve the right to check it occasionally”. We stopped short of

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@DrRichardPile

Dr Richard Pile

3 years

@thismorning People struggling with their weight deserve compassion. It’s a complex issue, everyone has a different story and pain to deal with. I speak to a lot of patients about this. Need to address underlying issues before weigh-ins, diets and counting calories.

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@DrRichardPile

Dr Richard Pile

3 years

@DrGoblin3 This clearly needs to be settled by a drinking contest. Specialists have to take a drink for every patient that the GPs see and never refer. GP’s have to take a drink for every patient seen by a specialist because GP’s have refused to. It’ll all be over pretty quickly.

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@DrRichardPile

Dr Richard Pile

8 months

Not all medicine is complicated. Some conditions are perfectly appropriate for a pharmacist to advise on and issue meds. Yes, there's a risk associated with this. A good relationship between surgeries and pharmacies is key. It's not perfect. Neither is the world we live in.

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@DrRichardPile

Dr Richard Pile

4 years

I heartily endorse this view Phil. I made the mistake of carrying on with surgery telephone triage and CCG conference calls for over a week before having to admit defeat and allow myself to be sick and give myself time to recover.

@drphilhammond

Dr Phil Hammond 💙

4 years

If you get symptoms of the virus, & you’re working from home, my advice is stop, even if you feel you can keep working. You need to destress as much as you can, get plenty of rest, stay well hydrated & forget work. Otherwise you risk far worse fatigue in the short & longer term.

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@DrRichardPile

Dr Richard Pile

7 months

@VictoriaAtkins I’m sorry, but I have to ask. An “M&S moment” ?!

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@DrRichardPile

Dr Richard Pile

5 years

@emeicen @agnessjonsson “No decent person supports Brexit”. Good to see no sweeping generalisations here. And this presumably means that the majority of people who voted in the referendum are (by whatever scientific/moral means you’ve judged it) not decent? Thanks for your contribution. Next.

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@DrRichardPile

Dr Richard Pile

6 years

GPs in mission to halt pill-popping menace . A really good article. Great contributions from @DrAseemMalhotra , @lowcarbGP and @drangelagoyal . Particularly struck by David's comments about making him re-think retirement...exactly how I feel.

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@DrRichardPile

Dr Richard Pile

8 months

@DrEmmaNash Speaking as a GP partner/plumber, all of this results in me: 1. doing fewer shifts due to workload & complaints 2. Using assistants to help with capacity and finances. 3. teaching new plumbers to work differently & help the holiday makers look after their plumbing better, so

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@DrRichardPile

Dr Richard Pile

5 years

That’s my boy. We should all think about how we’ll reply to the question”what did you do to help during #Covid_19 ?” #NHSCovidHeroes #primarycare @HVCCG

@PrincestoKings_

Princes to Kings

@PrincestoKings_

5 years

Shout out to Josh who’s working in reception at our Dad’s GP Surgery. We appreciate all of you out there who are working in the NHS, thinking of you atm 🙏❤️ For everyone else #StayAtHome #NHSheroes

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@DrRichardPile

Dr Richard Pile

4 years

If you find #covid news scary, you’d be terrified by the meetings I’ve had this week with #nhs colleagues. #clappingforheroes means nothing, especially if you clapped whilst ignoring the rules and risking everyone’s lives and health. Please #StayAtHome #protecttheNHS #SaveLives

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@DrRichardPile

Dr Richard Pile

5 years

NNT for low risk patients to prevent one CVD event, using latest guidelines, is 400. Would any antibiotic ever be approved or used by clinicians with that NNT? No compelling evidence for statins in primary prevention in these patients. #statins #cvd @DrAseemMalhotra #ebm #bmj

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@DrRichardPile

Dr Richard Pile

2 years

My son Luke has severe #epilepsy and a learning #disability Helped by the lovely people @zerothreecare_ he has put this together for his community. He plans, shops & cooks his own food ♥️ #healthy #delicious #inclusion

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@DrRichardPile

Dr Richard Pile

10 months

A really helpful and honest account of coming off antidepressants from @BibiLynch . As a GP I've learnt that it's a fine line between supporting someone through an appropriate reaction to their life circumstances, formally diagnosing mental illness and prescribing. Historically

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@DrRichardPile

Dr Richard Pile

2 years

Good morning. Am I the only one who, when a vehicle driver lets me walk across the road in front of them, not only waves but breaks into a gentle mini-jog for 3-4 steps to fully acknowledge this and demonstrate that I’m playing my part in this road-safety based social nicety?

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@DrRichardPile

Dr Richard Pile

11 months

@RobynJ85 With very occasional exceptions a 1* review usually says more about the person rating you than the service they received 🤷‍♂️ and if any response was appropriate I wouldn’t spend any clinician’s time on it. Our PM once had a review taken down from NHS choices.

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@DrRichardPile

Dr Richard Pile

2 years

@CatrionaRennis1 Bluntly…it’s total nonsense. Surgeries are open. When I did an audit of walk-in ED patients in Herts most had not even bothered to ring their GP first. I wouldn’t waste time debating it, just correct and re-direct. There are longer phone waits..so some will turn up @ ED 🤷‍♂️

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@DrRichardPile

Dr Richard Pile

5 years

My article arguing against labelling #obesity as a #disease is out today @bmj_latest . Link for full PDF . Articles in @Independent and @Telegraph @Dr_Ayan @malcolmken @drchatterjeeuk @DrAseemMalhotra #hvccg

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Obesity should be classed as a disease to remove the stigma it is 'self-inflicted' medics say

Obesity should be classed as a disease to remove the stigma that it is "self-inflicted" and encourage those with weight problems to get help, medics have said.

www.telegraph.co.uk

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@DrRichardPile

Dr Richard Pile

2 years

@allanson_j @Parody_RCGP We have a practice policy that tasks requiring patient contact are not allowed and are turned into an appointment. This means the patient has to wait longer, but we have to accept that we have finite capacity. We must have boundaries and reach the end of a day.

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@DrRichardPile

Dr Richard Pile

2 years

Celebrating our 28th wedding anniversary today 😊♥️ Pleased to report that life is still an adventure and that Beccy is still putting up with me 😉

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@DrRichardPile

Dr Richard Pile

9 months

@DrEilidhMaria I support the right of doctors to strike. As an older doctor I am full aware of my privilege. However, I can’t support the timing. There was no need to do it this week. No Dr wants patients to suffer…but they will. The public are losing sympathy. Playing into Tory hands 🤦‍♂️😢

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@DrRichardPile

Dr Richard Pile

4 years

Fantastic work on virtual wards done @WestHertsNHS leading nationally on creating virtual wards for #Covid_19 patients. Very proud of my secondary care colleagues @DeputyCEO_WHHT @CEOAllenC @Mikevanderwatt @mjknight0380 @hvccg @andrewgregory

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@DrRichardPile

Dr Richard Pile

11 months

@RestoreGPUK On whose behalf is this being spread around? We have a great multidisciplinary team and we triage patient requests to the most appropriate member of the team. There’s a good reason why “only” 43.9% are with a doctor…because most don’t need one. #itsOkayToAsk for a doctor?

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@DrRichardPile

Dr Richard Pile

7 months

@GylesB1 Better not come to any NHS meetings then, Gyles. You might require emergency admission afterwards.

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@DrRichardPile

Dr Richard Pile

3 years

I have pre-ordered! Really looking forward to this @DrAseemMalhotra

@MaryanneDemasi

Maryanne Demasi, PhD

@MaryanneDemasi

3 years

Cardiologist @DrAseemMalhotra ’s new book details how to tackle heart disease without the use of statins; a diet plan, recipes & advice on reducing stress. Order now: Congrats Aseem 👏👏

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@DrRichardPile

Dr Richard Pile

11 months

Yet another patient who, after a couple of discussions with me over the last couple of years, has completely reversed their diabetes purely with adopting a sustainable low carbohydrate lifestyle. I've seen this in all ages from people in their 30's to their 80's 🙂👊👏 It's

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@DrRichardPile

Dr Richard Pile

5 years

If the #NHS is to take wellbeing seriously, it should start by serving real food in hospitals. Not processed crap. Whole systems approach, whole foods. #foodismedicine ⁦ @HVCCG ⁩ ⁦ @DrAseemMalhotra ⁩ ⁦ @doctors_kitchen ⁩ ⁦ @drmarkhyman ⁩

NHS slammed by Harley Street consultant for serving 'junk' food

Dr Aseem Malhotra raged about a local hospital providing his retired GP father a 'disgraceful' egg mayonnaise sandwich after a major operation on his sinuses this week.

www.dailymail.co.uk

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@DrRichardPile

Dr Richard Pile

5 years

@MattHancock Most patients don’t need A&E. I hope this app doesn’t encourage them to go there just because the queue is short. It’s not like pre-ordering a Starbucks. Consider self care, pharmacy, GP surgery, urgent treatment centre and finally A&E in that order. #hvccg #urgentcare

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@DrRichardPile

Dr Richard Pile

3 years

Big moment today. Got to hold my book in my hand. Bit emotional. Looks fantastic! Great job by @HarperInspire team. #fitforpurpose #wellbeing #lifestylemedicine @HarperCollinsUK @HarperCollins

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@DrRichardPile

Dr Richard Pile

2 years

What are the words you most dread hearing in your job? I’ll start with “Whilst I’m here, doc…” 🤦‍♂️😝

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@DrRichardPile

Dr Richard Pile

3 years

Good morning everyone who works in #primarycare . As you start today, remember that the greatest service any of you can do for your patients is to first look after your own wellbeing. No medals for martyrs. We are humans, not heroes. #MondayMotivation #medtwitter #wellbeing

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@DrRichardPile

Dr Richard Pile

6 months

@JanjuaAdam Yep. Massive workload-dumping. The good ol' GP will do it. I assume that our new contract will come with the broom that we can shove up our collective a***s so we can sweep the figurative floor whilst we're at it. Looking forward to the massive pay rise to go with this 😉

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@DrRichardPile

Dr Richard Pile

4 years

#FitForPurpose is out on April 15th! Your guide to #health #wellbeing and living with #purpose & #meaning . Paperback, e-book & audiobook. More info: . Pre-order from Amazon Audible and all good bookshops!

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@DrRichardPile

Dr Richard Pile

5 years

Another cracker. Good food is good for your mood, isn’t expensive and saves money in healthcare. Should be step zero for treating depression. No need for diet wars...anything is better than standard western diet. And lots more! #fblm #mentalhealth #eatwell

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@DrRichardPile

Dr Richard Pile

5 years

Hi. I’m a GP. I first stormed to the top of the charts with my breakout hit “It’s Probably A Virus”. Further smashes included “There’s A Lot Of It About”, “Take Two Paracetamol” and the dance floor classic “If It Hurts When You Do That Then Don’t Do It”

@drbillgibson

Bill Gibson

5 years

Hi. I’m a geriatrician. You may know me from my smash hits “how’re your bowels”, “who’s at home with you?”, what’s important to you?”, and my regular specials “why is he on bendroflumethiazide?”, “let’s stop the BFZ”, and everyone’s fave, “for fuck’s sake, who restarted the BFZ?”

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@DrRichardPile

Dr Richard Pile

8 months

@ScepticalDoctor A high carb plan??!! Not based on my 25 years of medical experience. I heartily recommend you take a look at the evidence provided by @lowcarbGP

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@DrRichardPile

Dr Richard Pile

9 months

As a doctor, father of a disabled young adult & person of faith, I agree with this article. I didn't become a doctor to end people's lives. I'm worried about the thin end of the wedge and protecting the rights of the vulnerable. We need good palliative care, not #AssistedDying

@giles_fraser

Giles Fraser

9 months

Why Starmer is dead wrong about assisted dying. Excellent in the Morning Star.

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@DrRichardPile

Dr Richard Pile

10 months

@nicknorwitz Thanks for sharing Nick. I was diagnosed with IBD after a 2 week wait cancer referral. Put on meds. Told by my consultant and IBD nurse that what I ate made no difference. Went low carb to lose some weight…cured my IBD. Off all meds for years.

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@DrRichardPile

Dr Richard Pile

2 years

@holmanm You may also wish to consider that no heart attacks, strokes or deaths are prevented by controlling mildly raised blood pressure with drugs (140-160/80-100 mm Hg). We'd be better off focussing on prevention and lifestyle measures which have no adverse side effects

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@DrRichardPile

Dr Richard Pile

5 years

What a night. We are very proud of all of our boys.

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@DrRichardPile

Dr Richard Pile

4 years

Signed my first book contract this week! Due out 2021. It’s a great feeling to work with people who share my vision about the importance of #wellbeing and #faith and how we can be #fitforpurpose . Now for that submission deadline... @HarperInspire @rosesandy @HarperCollins

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@DrRichardPile

Dr Richard Pile

4 years

On Good Friday we celebrate the restoration of our connection to God. We are valued, forgiven and loved. #goodfriday #easter #holyweek #goodnews

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@DrRichardPile

Dr Richard Pile

1 year

@BenAllenGP Agree. I'm heartily sick of the vitriol I see on twitter. I have no issue with people raising their concerns, and there are clearly issues to iron out and questions re the govt's agenda but it can also be a cover for arrogance, snobbery, insecurity, protectionism and cruelty.

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@DrRichardPile

Dr Richard Pile

2 years

Treating ourselves to a special weekend away to celebrate Beccy being Fabulous at Fifty. Started with a 10k stroll round Wollaton Park & the university…where it all began, over 30 years ago!

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@DrRichardPile

Dr Richard Pile

4 years

Is it just me or is Rishi Sunak channelling Penfold when he says “Thanks, PM!” 😂😂😂. Does that make Dominic Cummings his Baron Greenback ?

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@DrRichardPile

Dr Richard Pile

5 years

Completing cardiac rehabilitation after a heart attack should be considered as important as completing chemotherapy. @jhfrudd and @DrScottMurray discuss the evidence and the challenges. @https ://overcast.fm/+Oc-sPTMa8 @CarysBarton @CLCHNHSTrust @HCTNHS

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@DrRichardPile

Dr Richard Pile

6 years

Very proud of my boys. They smashed it at the Camden Assembly last night. Fantastic crowd. Thanks to all those that supported @PrincestoKings in raising money for @youngepilepsy and raising awareness of #epilepsy , a cause dear to their hearts.

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@DrRichardPile

Dr Richard Pile

4 years

Proud of my boys this evening for giving something back to their community.

@PrincestoKings_

Princes to Kings

@PrincestoKings_

4 years

Such a privilege to perform for our neighbours as part of our #ThankYouNHS ❤️ @theweeknd retweet to spread the love! x #ClapForTheNHS @NHSuk #COVID #covid19UK #isolation

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@DrRichardPile

Dr Richard Pile

3 years

“In a group consultation, 95% of patients felt more in control of their condition and able to keep themselves healthy. “ Just imagine if there was a pill for this…how much would it be worth?! #BSLM2021 #Wellbeing #groupconsultations #empowerment

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@DrRichardPile

Dr Richard Pile

3 years

@DrShanHussain And to tell the public that they should absolutely not rush out and get one. Under any circumstances.

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@DrRichardPile

Dr Richard Pile

2 years

@Azeem_Majeed I’d say it was more like spending all our time, effort and money on making the ship better at crashing into icebergs rather than detecting and avoiding them in the first place!

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@DrRichardPile

Dr Richard Pile

3 years

The moment you realise that no one else is wearing a Christmas jumper to the practice party tonight 😂

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@DrRichardPile

Dr Richard Pile

10 months

@TheSalariedPA I also find it fascinating that as doctors we all talk about learning on the job and developing ourselves throughout our careers to become better...but this is apparently couldn't possibly apply to any PA, ever.

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@DrRichardPile

Dr Richard Pile

9 months

I agree re properly funding GP, obvs. What I’m a little baffled by is the negative response to a pathway from PA to doctor. Are the same people who bash PA’s for not being doctors (duh!) now also objecting to a way to make this possible and overcome their previous concerns?

@doctor_katie

Katie Bramall-Stainer

9 months

OR… Fund GP at the level you did 15 yrs ago & the public will get access to an expert generalist who knows them & an NHS that feels safe. Reward the one sector of the NHS with no IA, no deficit, & biggest productivity with investment, hope, & sustainability. Not PAs.

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@DrRichardPile

Dr Richard Pile

3 years

I didn’t follow their “advice” btw, after d/w patient. Scary to think how many patients and GP’s might just blindly/reluctantly follow this one-size-fits-all approach. Medicine is more than algorithms, pathways & box-ticking.

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@DrRichardPile

Dr Richard Pile

3 years

They're called GP's, Chris. Might be a good idea to try and keep some of them around. Maybe have a word with @BorisJohnson @MattHancock @NHSEngland ? It's a crazy idea, but it just might work. @DrShanHussain @ClareGerada @SteveLaitner @Dr_Ayan @drmarkporter @DrJonGriffiths

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@DrRichardPile

Dr Richard Pile

4 years

Early Father’s Day present from Princes To Kings. I’m biased but I’d say it’s rather good! Proud dad ⁦⁦ @PrincestoKings_ ⁩ ⁦ @darren_everest ⁩

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@DrRichardPile

Dr Richard Pile

3 years

To those that inspired me to write #fitforpurpose I’d like to express my thanks...through the medium of my bookshelf! @HarperInspire @HarperCollins #wellbeing #meaning #purpose #lifestylemedicine #health @Dr_Ayan @themindfulgp @frisbyelliott

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@DrRichardPile

Dr Richard Pile

10 months

@thetimes @wesstreeting @ShaunLintern Oh dear, oh dear, oh dear. How to demonstrate that you know naff all about the #NHS . I thought that rubbishing the GP partnership model was a bad start, but you've doubled down here @wesstreeting . A masterclass in how to alienate the entire NHS before you're even in power.

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@DrRichardPile

Dr Richard Pile

3 years

Very impressed with #COVID19 swabbing service at St Albans City hospital this morning. Turned up for my pre-procedure test. Polite and professional staff, nicely explained and back to work before my official appt time! @WestHertsNHS @DeputyCEO_WHHT @HVCCG

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@DrRichardPile

Dr Richard Pile

5 years

Advice I would give to my five year old self: 1) be a good friend 2) do what makes you happy 3) we can all make a difference #5YearOldSelfie @YoungMindsUK . Three friends I’m tagging @SteveLaitner @PSimey @Dr_Ayan

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@DrRichardPile

Dr Richard Pile

4 years

It’s my biggest boy’s birthday today. We can’t be with him in his care home. He’s a huge @ManUtd fan and his favourite player is @MarcusRashford . Please retweet and make this as special as possible @youngepilepsy @bbc5live @AndrewLancel

@PrincestoKings_

Princes to Kings

@PrincestoKings_

4 years

Today is our amazing big bro Luke’s 23rd Birthday. He is safe and well in his care home but we do really miss seeing him atm. He is our inspiration. Today is all about him, let’s get him as many happy birthdays as we can. Maybe one from @ManUtd ? 🙌❤️ Do your thing twitter!

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@DrRichardPile

Dr Richard Pile

4 years

I just rang up B&Q. I asked a bloke how big the queue was. He said it was the same size as the B.

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@DrRichardPile

Dr Richard Pile

6 years

Really looking forward to this @drchatterjeeuk Finished reading the 4 Pillar plan today. Has inspired me to start creating a wellbeing template on EMIS for my patients that reflects this approach #the4PillarPlan

@drchatterjeeuk

Dr Rangan Chatterjee

@drchatterjeeuk

6 years

Stress is something that affects so many us, but combating it might be easier than you think. My upcoming new book, #TheStressSolution looks at how small changes to your Body, Mind, Relationships & Purpose can help you lead a more fulfilled, calmer life.

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@DrRichardPile

Dr Richard Pile

2 years

Hello my name is Prince. I have a sprained tail. Getting this diagnosis cost my owners a small fortune. But I’m worth it. @AFPetInsurance #dogsarefamily #DogsofTwittter @AllDogsMatter

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@DrRichardPile

Dr Richard Pile

3 years

Indeed. I accidentally put my IBD into remission by going low carb 5 years ago. The start of my journey into learning about inflammation as the common soil for non-communicable disease. When I was first diagnosed my specialist doctor and nurse told me diet made no difference 🙄

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@DrRichardPile

Dr Richard Pile

5 years

@CatrionaMcNicol My wife would like to book 😂😂😂

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@DrRichardPile

Dr Richard Pile

3 years

@elinlowri You could get one of your team to send them a form to have the test done and cut out the GP middle man/woman...who is otherwise being used for an admin task. Presumably you want to know the result so you can advise accordingly?

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@DrRichardPile

Dr Richard Pile

3 years

@NadiaKamil “Running around the consulting room playing with the sharps bin”

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@DrRichardPile

Dr Richard Pile

9 months

@drphiliplee1 Whilst I don’t use that particular word myself, I’m more than happy to stand behind those who do. In fact, I think he may have been overly generous. I would have added “disgraceful, lying & self-serving”.

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@DrRichardPile

Dr Richard Pile

2 years

@zackferguson Yep. That should do it…a Plan. To do more. Presumably with no attached funding or increased capacity. To be delivered in…2-3 weeks? I don’t see any problem with this. In fact, I can’t believe we didn’t think of it earlier 😂

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@DrRichardPile

Dr Richard Pile

4 years

Statins may have their place, in higher risk patients, but @NICEComms guidance re 10% QRISK for primary prevention is farcical. Is every man over 60, and every woman over 70, diseased and statin-deficient? I don’t think so. Neither do my patients. #toomuchmedicine #lifestyle

@DrAseemMalhotra

Dr Aseem Malhotra

@DrAseemMalhotra

4 years

Are most statin side effects imagined? NO! More likely that most patients in the real world are experiencing genuine side effects ‘If you put garbage in to a study design you’ll get garbage out’ 😉 Read it & weep statin pushers👇🏼 Via @bmj_latest

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@DrRichardPile

Dr Richard Pile

3 years

“Dear GP, your patient’s angiogram shows no obstructive coronary artery disease. However because they are 71 with minor atheroma (and because I’m covering my a**e) I’d like you to treat them as aggressively with aspirin and a statin for secondary prevention” 🤦‍♂️ @DrAseemMalhotra

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@DrRichardPile

Dr Richard Pile

6 years

Really good conversation about lifestyle with a young man who needs to make some big changes in his life. He knows the What, but struggles with the How. I recommended #fourpillarplan . He gets out his phone and orders it to be delivered to his house tonight! @drchatterjeeuk

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@DrRichardPile

Dr Richard Pile

3 years

@drlukeallen I’m sorry. I know I really shouldn’t laugh at other people’s misfortune but am still chuckling as I type this. I feel your pain. @beccy_pile

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@DrRichardPile

Dr Richard Pile

9 months

@RevRichardColes Well it's certainly a refreshing change from throwing television sets out of hotel rooms, Richard. 🤣

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@DrRichardPile

Dr Richard Pile

3 years

Now that’s what I call a pitch invasion! My kids are in there somewhere 😂 Congratulations to @stalbanscityfc !! Thoroughly deserved. #FACup @PrincestoKings_ @ENTERSHIKARI

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