Richard Simcock @breastdocuk.bsky.social · 28/02/2026With some incredible actuarial input from the team at Scottish Widows we have launched a projection of cancer prevalence in the UK for 2045. A 58% increase. 5.4 million people living with or beyond cancer. A combination of ageing, rising incidence and better treatments accounting for the rise. 022
Richard Simcock @breastdocuk.bsky.social · 30/09/2025Multiple calls to our Macmillan helplines about Ivermectin. Always check with your medical teams or call us at Macmillan but in this piece I’m clear that there is no current place for it in treatment protocols. www.express.co.uk/news/uk/2114...express.co.ukWarning issued over drug touted as miracle cancer cureActor Mel Gibson claimed his friends had become cancer-free after taking the drug. 052
Richard Simcock @breastdocuk.bsky.social · 18/06/2025My Oncologist colleague Jo Stokoe is *right now* currently aiming to be the 165th person to swim the North Channel. No wetsuit Lions Mane jellyfish And all in aid of the @RNLI and @SxCancerFund Donate here 👇 www.justgiving.com/team/jos-nor...justgiving.comTeam fundraising for Sussex Cancer Fund & RNLIHelp Joanna Stokoe raise money to support Sussex Cancer Fund 100
Reposted by Richard SimcockShinyBlackShoe (Calum Polwart) @shinyblackshoe.bsky.social · 12/06/2025Dynamic-III guided ctDNA Looks like ctDNA useful to predict recurrence (possible surrogate endpoint), but not yet found a role in predicting treatment escalation/de-escalation in Colorectal ca #UKOF25 011
Richard Simcock @breastdocuk.bsky.social · 12/06/202531 years ago I first started medic-ing alongside this lovely human @nikjohnson.bsky.social To be back at #NHSConfedExpo and hearing from him how devolution could improve the public health was all that I didn’t know I needed 000
Richard Simcock @breastdocuk.bsky.social · 04/06/2025Final round up from Day 4 of #ASCO25 www.linkedin.com/pulse/asco-d...linkedin.comASCO Day 4: The Birmingham ScrewdriverMy father used to upholster furniture. It’s a skilled job that required great care. 000
Richard Simcock @breastdocuk.bsky.social · 01/06/2025Day 2 at #ASCO25 ‘Why Not?’ www.linkedin.com/posts/richar...linkedin.comASCO Day 2: Podcasts, trust and "Why not?" | Richard SimcockDay 2 at ASCO: Why podcasts are good, trust is fading and that “‘The difficult is hard, the impossible is a little bit harder.” And more AI... 010
Richard Simcock @breastdocuk.bsky.social · 31/05/2025A trial at #ASCO25 showing that podcasts improve education and confidence in oncology trainees will be no surprise to @radchat.bsky.social ! 051
Richard Simcock @breastdocuk.bsky.social · 31/05/2025Some thoughts from D1 #ASCO25 yesterday www.linkedin.com/posts/richar...linkedin.comDay 1 at ASCO: Innovation, inequity, and inevitably, AI. | Richard SimcockReflections from Day 1 at ASCO: Innovation, inequity and the inevitability of AI 120
Richard Simcock @breastdocuk.bsky.social · 28/05/2025People with cancer deserve truthful and understandable health information. Macmillan are proud to have the PIF tick and to be a source of reliable cancer information 121
Richard Simcock @breastdocuk.bsky.social · 08/05/2025Because I want good news in my life… New cancer centre approved at Brighton hospital www.bbc.com/news/article...bbc.comNew cancer centre approved at Royal Sussex HospitalThe cancer centre at the Brighton hospital will include more inpatient beds, the NHS trust says. 021
Richard Simcock @breastdocuk.bsky.social · 02/05/2025Runcorn worn by 6 votes on a turnout of only 46.2% tells me two things: Your vote is always important Too many people think it isn’t 011
Richard Simcock @breastdocuk.bsky.social · 30/04/2025A blog for Macmillan on misinformation in cancer Inspired by this cartoon in The New Yorker exhibition currently at NY Public Library www.macmillan.org.uk/healthcare-p... 021
Richard Simcock @breastdocuk.bsky.social · 30/04/2025A blog for Macmillan on misinformation in cancer Inspired by this cartoon in The New Yorker exhibition currently at NY Public Library www.macmillan.org.uk/healthcare-p... 000
Reposted by Richard SimcockElisabetta Bonzano MD, PhD @elisabettabonzano.bsky.social · 30/03/2025📌 Awareness of genomic testing among patients with breast cancer in Europe 🧬 www.sciencedirect.com/science/arti... @oncoalert.bsky.social #OncoAlertAF @breastdocuk.bsky.social @csabadegi.bsky.social 111
Richard Simcock @breastdocuk.bsky.social · 27/03/2025Explaining genomic tests (Oncotype DX) can be difficult The IMPARTER studies shows a that a video helps understanding: bmjoncology.bmj.com/content/4/1/... See post below for links to videosbmjoncology.bmj.comImproving patient understanding of GEP test results (IMPARTER4): an RCTObjective Explaining gene expression profiling (GEP) test results to patients can be challenging. We examined the utility of two 8 min films about Oncotype DX and Prosigna to aid the knowledge and dec... 122
Reposted by Richard SimcockPeter Sagal @petersagal.bsky.social · 10/03/2025Since I just posted something the Post did that was very good, I am obligated to post this with the observation that this is very bad. 251144131
Richard Simcock @breastdocuk.bsky.social · 07/03/2025A tight surgical glove. Simple and elegant study of compression to reduce taxane neuropathy in people with #breastcancer acting as their own control (dominant hand) Room for bias, a 20% withdrawal rate and small sample (n=101) but a meaningful reduction in CIPN jamanetwork.com/journals/jam...jamanetwork.comEfficacy of Hand Cooling and Compression in Preventing Taxane-Induced NeuropathyThis randomized clinical trial evaluates the efficacy of hand cooling and compression in reducing the risk of chemotherapy-induced peripheral neuropathy in patients with breast cancer. 181
Richard Simcock @breastdocuk.bsky.social · 06/03/2025Nicola Ranger from @rcn.org.uk on safe staffing: There is legislation that a dog walker can have no more than 6 dogs Yet no legal limit on how many sick people a nurse can be asked to manage 022
Richard Simcock @breastdocuk.bsky.social · 06/03/2025This obituary to Sheffield pathologist Kim Survana is a reminder that we can all choose to deal with cancer differently. 030
Reposted by Richard SimcockKevin Robillard @robillard.bsky.social · 28/02/2025reality show host president, podcast host vice president 901155225
Reposted by Richard SimcockWendy Woodward, MD, PhD @ibcradiation.bsky.social · 26/02/2025Texas measles outbreak marks first fatality, with more cases being reported - STAT #medsky A preventable death, unprevented. 092
Richard Simcock @breastdocuk.bsky.social · 19/02/2025A double bill of Rebecca Frecknall in one week (Cabaret on Broadway and Streetcar in the West End) has been amazing soul food. I feel very lucky. 020
Reposted by Richard SimcockElizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 19/02/2025I want to be clear once more that every single vaccine on the childhood vaccine schedule in the United States has already been subjected to a randomized clinical trial. There is no evidence that giving more than one of these vaccines within the time period specified by the schedule poses any risk. 343454503
Richard Simcock @breastdocuk.bsky.social · 07/02/2025That incredible pair @radchat.bsky.social have launched their website If you know you know If you don't - have a look - kudos for their work to start building a library of clinical #radonc images across a range of skin tones and demographics www.radchat.co.uk/image-libraryradchat.co.ukImage Library | Rad Chat 162
Richard Simcock @breastdocuk.bsky.social · 04/02/2025A short video from the Royal Family on life after a cancer diagnosis With reflections from Macmillan, @cancerresearchuk.org Maggies, people affected by cancer and me x.com/royalfamily/...x.comx.com 010
Richard Simcock @breastdocuk.bsky.social · 20/01/2025Is it possible to block words and phrases on this app, in order to maintain sanity and avoid a doom-scroll feed? Just for example “Trump” ? 120
Richard Simcock @breastdocuk.bsky.social · 15/01/2025Scientific representatives of big pharma do themselves no favours when they come onto #R4Today and decline to talk about side effects *at all* 030
Richard Simcock @breastdocuk.bsky.social · 12/01/2025This survey of text messages received by US Oncologists (its a lot!) 97 hours a year per oncologist answering them But it's what a modern patient would expect, and there is a lot of work to do here in routing appropriate queries to the right staff quickly jnccn.org/view/journal...jnccn.org 011
Reposted by Richard SimcockHayley Gullen @hayleygullen.com · 09/01/2025The NHS has lots of problems. But one problem I’ve been able to solve is something that’s been needed for a long, long time: silly names for the different parts of the radiotherapy machine. #cansky #graphicmedicine 1166
Richard Simcock @breastdocuk.bsky.social · 31/12/2024I’ve liked Bluesky Here’s to more blue sky in 2025 060
Richard Simcock @breastdocuk.bsky.social · 25/12/2024Seeing the King’s speech from the Fitzrovia chapel reminded me on when they saved it after demolishing the old Middlesex Hospital 2114
Richard Simcock @breastdocuk.bsky.social · 17/12/2024Reposting this Starter Pack of UK Oncologists as now up to 50 A bullseye of cancer experts If you know of anyone missing please let me know… 143
Richard Simcock @breastdocuk.bsky.social · 13/12/2024Ian Krop discussant on ctDNA in discussing the ZEST trial: No study has shown that intervening on a positive trst improves outcomes No study has shown that deescalating therapy on a negative test is safe For trial use only! #SABCS24 052
Richard Simcock @breastdocuk.bsky.social · 12/12/2024Great quote in the AI session at #SABCS24 “A doctor that can be replaced by a computer deserves to be replaced by a computer” 041
Richard Simcock @breastdocuk.bsky.social · 11/12/2024A (very) positive PROMS study in metastatic breast cancer 🇩🇪 High adherence PROMs prompted an alert which improved the primary outcome (fatigue) …but it’s unclear what the action was that the PROM prompted… #SABCS24 060
Richard Simcock @breastdocuk.bsky.social · 11/12/2024Immunotherapy in TN breast cancer is more toxic than seen in the published KN522 study Yet another collection of real world evidence showing tox rate much higher than the published study Delayed tox not captured in study period one possible explanation #SABCS24 040
Richard Simcock @breastdocuk.bsky.social · 11/12/20244w Denosumab or 12w The efficacy results of the REDUSE study are not mature yet but the tox results are in Less drug - fewer tox events ONJ all grades 8.1 vs 5.2% #SABCS24 183
Richard Simcock @breastdocuk.bsky.social · 10/12/2024I wasn’t expecting the first drug to be discussed at #SABCS24 to be cannabis Highs: - usage by people with cancer - misunderstanding Lows: - disclosure by patients - useful research - current indications (nausea) 141
Richard Simcock @breastdocuk.bsky.social · 04/12/2024You’ve had your Spotify Wrapped So now: What’s your Oncology wrapped? What have you been doing in treatment of people with cancer in 2024 that you weren’t doing before? What data/trial/research has been transformative for you in last 12 months? 100
Richard Simcock @breastdocuk.bsky.social · 02/12/2024(Double posting on the other place too) Dear #radonc here is my #Grayzone question: If a person has had a prophylactic femoral rod inserted for a threatened path fracture in a bone and referred for post-op RT Would you irradiate all the metal or GTV + margin Or just let the drugs do the work? 200
Reposted by Richard SimcockShinyBlackShoe (Calum Polwart) @shinyblackshoe.bsky.social · 28/11/2024#UKSACT2024 Ann Rigg telling us 16% increase in SACT activity in last 5 years. New service specification coming (11 years since the last draft) Register as a stakeholder to be consulted on it 143
Reposted by Richard SimcockTim Robinson @drtimrobinson.bsky.social · 28/11/2024The SONIA trial shows the utility of well-designed academic trials. But funding such studies is getting harder and harder. We need to work with industry to design smarter trials that don’t need further costly and lengthy trials to fill gaps www.nature.com/articles/d41... @oncoalert.bsky.social #bcsmnature.comToxicity and costs of cancer treatment reduced by deferring CDK4/6 inhibitor useNo difference in survival outcomes between use of CDK4/6 inhibitors as first- or second-line treatment in metastatic breast cancer. 382
Reposted by Richard SimcockOncology book club @oncologybookclub.bsky.social · 27/11/2024We would love to get your help choosing our next book - it’s the turn of something medically related - this can be fiction/ non-fiction/ memoir. Something with a medic in it, or a medical event, can be serious/ fun. All and every option considered! Let us know your suggestions! 242
Reposted by Richard SimcockSantam Chakraborty @santam.bsky.social · 23/11/2024Some additional accounts added to Isocenter starter pack. Please message / like / repost / reply so I can add you. This is meant to be a general list of professionals of #radonc #ClinOnc #medphys #radther #rmeddosim #brachytherapy #EBRT #IGRT #IMRT #IORT #ProtonRT #SBRT #StereoRT go.bsky.app/9dMTnSr 1102
Richard Simcock @breastdocuk.bsky.social · 27/11/2024For several years I’ve given a talk to senior Oncology resident doctors about the benefits of being on social media In 2024 I’m less sure what those benefits are. What should I tell them? 330
Richard Simcock @breastdocuk.bsky.social · 22/11/2024Here is my blue sky for today This is my good friend (and excellent GP) Laura who is currently one hour from the end of 800km trek across the Maasai steppe to raise money for schools and medical facilities there www.justgiving.com/page/laura-m... 051
Richard Simcock @breastdocuk.bsky.social · 20/11/2024@kylecrawfordonc.bsky.social That was quick!! Good to see you tonight Now the big question - do we allow @gerryhanna.bsky.social on the list of UK oncologists?? 420
Richard Simcock @breastdocuk.bsky.social · 20/11/2024So here’s a starter pack of the UK Oncologists I’ve found so far - LMK who I have missed and I will follow and add. 132711