Discover and read the best of Twitter Threads about #HE

Most recents (2)

What's the deal with Ammonia in hepatic encephalopathy?
A #cirrhosis QI #tweetorial

Aims
Try to answer this question while also showing
1) Ammonia levels dont matter
2) U should not restrict protein in patients with HE

Keywords: "ammonia hypothesis", sarcopenia
First, a poll:
Does Ammonia cause hepatic encephalopathy?
How did NH3 get involved with #HE in the first place?

Step 1: In 1877 Eck develops the first successful vascular anastamosis, a portocaval shunt. ncbi.nlm.nih.gov/pubmed/9186464
Step2: Pavlov improves it
Step3: Dogs get goofy after eating meat:"Meat stupor"
Step4: What's up with meat!?
Read 26 tweets
Hard evidence of collusion in Oxford!

Pembroke College, Oxford have just released their response to the UUK September survey on #USS pension risk ...

... and it is word-for-word the same as the University of Oxford's!

But it gets worse 😮 ... (THREAD 👇)
Let's begin by reviewing the evidence.

Pembroke College, Oxford: whatdotheyknow.com/request/466074…

University of Oxford: ox.ac.uk/sites/files/ox…
But it gets worse. The Bursar of Pembroke College claims here to be presenting an authorized institutional view!

He EXCLUDES the majority of members of the Governing Body from decision-making, on the grounds that they are members of the #USS pension!
Read 9 tweets

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