Alasdair Munro @apsmunro
Senior Clinical Research Fellow in Paediatric Infectious Diseases | Clinical trials | Vaccines | Antibiotics | Husband and dad alasdairmunro.substack.com United Kingdom Joined April 2013-
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I had plans to do lots of productive admin this afternoon Fortunately those plans were torpedoed by a torrent of fascinating and challenging clinical problems I love treating infectious diseases 🥰
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Sharing this as a reminder that we need to keep monitoring the long-term impact of policies after most people have forgotten and moved on. For me not about blame but learning and doing better in future.
Sharing this as a reminder that we need to keep monitoring the long-term impact of policies after most people have forgotten and moved on. For me not about blame but learning and doing better in future.
To mark #EuropeanVaccineWeek and celebrate the #ValueofVaccines come and see our stand outside the Lagoon in @GreatOrmondSt @UCLchildhealth
Obvious that zero covid psychologists knew little infectious disease epidemiology.Seems they were limited wrt to psychology too. Great paper by @BareReality @princessjack @rwjdingwall @LucyGoBag @michael_riordan @SelfHarmRes onlinelibrary.wiley.com/doi/full/10.10… COI: I have a psychology degree
Now hearing from the venerable Woolf Walker on the management of infections in Cystic Fibrosis in children Pseudomonas and biofilms…not good Important to aggressively treat first isolation of PA to try and eradicate before biofilm formation
Just finished fascinating discussions around osteoarticular infections in children How much do we care about Kingella kingae? Do associated bacteraemias with S aureus need longer courses of IV? Can some kids have entire oral courses of antibiotics?
Just finished fascinating discussions around osteoarticular infections in children How much do we care about Kingella kingae? Do associated bacteraemias with S aureus need longer courses of IV? Can some kids have entire oral courses of antibiotics?
Excited to be hosting the @bpaiig training days this week in @SotonChildHosp! With some amazing speakers, 30 delegates in person and loads more joining virtually should be a great couple of days!
I’ve been MIA from Twitter for a while. But, I came back to recommend this podcast with @apsmunro. A concise, realistic podcast on FEVER with plenty of clinical pearls and suggested explanations to reassure parents. Excellent!
I’ve been MIA from Twitter for a while. But, I came back to recommend this podcast with @apsmunro. A concise, realistic podcast on FEVER with plenty of clinical pearls and suggested explanations to reassure parents. Excellent!
If you use Twitter you may wonder: why is everyone so extreme in their views? It turns out that they aren’t, but an overlapping set of intentional and unintentional design choices suppresses the large number of moderate voices & amplifies extremists, with bad consequences for us
If you use Twitter you may wonder: why is everyone so extreme in their views? It turns out that they aren’t, but an overlapping set of intentional and unintentional design choices suppresses the large number of moderate voices & amplifies extremists, with bad consequences for us
Really enjoyed this episode at @RCPCHtweets Paeds Round Podcast by @apsmunro! open.spotify.com/episode/43Tlwq… ‘Observation is the best investigation for febrile children’ is definitely my take home message from this excellent discussion. #PaedsRound #Paedstwitter
I just overheard my 3yo say, “happiness is chicken” And he is very much giving the same energy as his father in a @NandosUK 🌶️ 🐓
I was recently able to answer a pretty complex clinical query based on a fact I originally remembered seeing and learnt on Twitter (and subsequently independently verified to be true ofc) I learn a lot here, but pretty cool I can directly attribute this clinical advice to it
a 1 month old child died of pertussis few days ago in italy. In 2024. that makes no sense, for such a preventable death. hearth broken
If you doom-monger about every new variant, making apocalyptic claims and ignoring the impact of hybrid immunity This is the sort of plant that grows from that fertile ground Vaccines and your immune system are amazing - THAT is the message
If you doom-monger about every new variant, making apocalyptic claims and ignoring the impact of hybrid immunity This is the sort of plant that grows from that fertile ground Vaccines and your immune system are amazing - THAT is the message
Tying a medical intervention to an ideology (in particular political ideology) has to be one of the most destructive and harmful things you can do It is the ultimate enemy of evidence based healthcare
Every time I hear a health care professional refer to “stronger antibiotics” in reference to broader spectrum a small piece of me dies inside forever
First day on Paeds ID service for a few weeks today (leave/general night on calls etc) Reminded how much I love this job Bugs 🦠 and drugs 💊 are just too interesting 🧐
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The age at which scientists or inventors achieve their moment of genius increasing: Half of all pioneering contributions in science now happen after age 40, it used to be younger. Why? There is much more to master before making a contribution to a field. nber.org/papers/w19866
Prof Francois Balloux @BallouxFrancois
148K Followers 1K Following Director @UGI_at_UCL. Interest in Infectious disease epidemiology, pathogen genomics and global healthStefan Baral @sdbaral
49K Followers 4K Following 🇨🇦🇸🇪,MD,MPH FRCPC (CM) & CCFP (Fam Med), 🏳️🌈 ally No COI Papers: https://t.co/FQjCu7BsNE Course: https://t.co/yLabiMSsvj COVID Talk: https://t.co/u1t1lAc0vTTracy Høeg, MD, PhD @TracyBethHoeg
80K Followers 1K Following PhD in epi & public health |Researcher @SyddanskUni & @ucsf |PM&R doc |🇩🇰🇺🇸 dual citizen |Run, bike swim; former team 🇺🇸 runner|6 languages |🏔️views mineKelley K @KelleyKga
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185 Followers 309 Following Clinical Lecturer in O&G | Fetal Med Subspec | 2:16 marathon | Stroke survivorOr doing admin work I guess Maybe not that same thing
Men will work up unexplained fever instead of going to therapy
I had plans to do lots of productive admin this afternoon Fortunately those plans were torpedoed by a torrent of fascinating and challenging clinical problems I love treating infectious diseases 🥰
@apsmunro "Fever of unknown origin for 3 weeks, rash, spleen and liver slightly enlarged, polyserositis, high inflammation lab. No serology possible because treated with IVIG in previous hospital". I love those cases. Will get better with doxy and we won't find a diagnosis, but still...
⏰ Today is the LAST DAY to submit your application to become an #ESPID2024Ambassador! Apply now and let's make a difference together! 👉 bit.ly/3UBOIER #ESPID2024
Anyone who knows me is aware that I revere my Dad, who selflessly asked: “Why not me? Why should I be exempt from the floods and famines, accidents and disasters, that bedevil my brothers and sisters? By what extravagant mercy I have so far survived that to which others succumb?”
I am not half the man he was (as much as I’m flattered by the comparison) but I try to remember his example of “why not me?” when caring for patients with cancers far more aggressive and threatening than what I’ve personally dealt with so far There but by the grace of God go I
An underrated bonus of GP is that we do actually manage and work-up most things across all specialties without referring. It's intellectually satisfying. (I know in secondary care it doesn't feel like that, but you don't see all the patients we DON'T refer.)
When I was on renal there were a lot of “mild, explainable AKI, please review” referrals. On haem it was “FBC abnormal, please advise”. Now on gastro its “LFTs mildly deranged, kindly review”. When did we all get so helpless at first line investigations?
I am now on the job market. I'm interested in how to mitigate harms from infectious diseases, from a broad range of perspectives. Also open to other impactful work that leverages my skills and experience. DMs open.
Hoping to get some of this out publicly shortly. A massive thank you to everyone (on and off Twitter) who has helped in this journey. 2/3
Proud to announce that I recently submitted my thesis! It has two parts. First, estimating how long people test PCR positive for. Second, using this for transmission modelling with the ONS Coronavirus Infection Survey. 1/3
Yes, thanks 🤦♀️ #PredatoryJournals
Sharing this as a reminder that we need to keep monitoring the long-term impact of policies after most people have forgotten and moved on. For me not about blame but learning and doing better in future.
'Looking back I think we failed our children during the pandemic.' @susannareid100 School closures during the pandemic mean poorer GCSE results for pupils in England well into the 2030s.
@apsmunro @surf4children Totally agree. I think this is all vaccination. It’s no coincidence that we’re not seeing big spikes in the “traditional” diseases of immunocompromise, but we are seeing diseases with high R-numbers that are also vaccine-preventable breaking through.
people: "scientific fraud has consequences!!!" the consequences:
Former Stanford president Marc Tessier-Lavigne, who resigned following an investigation, has left the university for "biotech’s new AI mega-startup." endpts.com/marc-tessier-l…
To mark #EuropeanVaccineWeek and celebrate the #ValueofVaccines come and see our stand outside the Lagoon in @GreatOrmondSt @UCLchildhealth
Does anyone else think its completely weird how many academic docs jumped out of their specialty to pursue research in completely orthogonal fields solely because it was “COVID”
Obvious that zero covid psychologists knew little infectious disease epidemiology.Seems they were limited wrt to psychology too. Great paper by @BareReality @princessjack @rwjdingwall @LucyGoBag @michael_riordan @SelfHarmRes onlinelibrary.wiley.com/doi/full/10.10… COI: I have a psychology degree
Pleased to say I successfully defended my PhD thesis on placental and early brain development in congenital heart disease yesterday. A privilege to be examined by Prof. @ela_chak and Prof. McQuillen, with some very thought-provoking discussions. Now, on to the next challenge!
@apsmunro @bpaiig @SotonChildHosp Enjoy, we are preparing the next ones in Newcastle 7 and 8 November, pencil them into your diary! @GreatNorthCH
@apsmunro @bpaiig @SotonChildHosp glad to see you pulled in a crowd! 😉