Rhys Williams
@RhysWMPharm
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MPharm PGDip MRPharmS. Cardiology Pharmacist Specialist interest in Heart Failure. Cwm Taf Morgannwg University Health Board. (All views are my own)
Bridgend, Wales
Joined November 2020
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Pinned Tweet
@sarah4bridgend
delivering an important message to
@SeneddWales
. Thank you for raising the profile of
#HeartFailure
on the national stage.
2
3
21
Starting tomorrow,
@CwmTafMorgannwg
#pharmacist
led
#heartfailure
clinics in
#Bridgend
will double its capacity, ensuring more
#HF
patients can be reviewed and prescribed
#GDMT
in a timely manner.
@CTMPharmacy
@PharmacyPow
@BSHeartFailure
#25in25
#theFword
#freedomfromfailure
8
7
137
Pharmacists can successfully up-titration patients on
#GDMT
, with improvements in
#LVEF
and reduction in
#NTproBNP
.
#ESCcongress
10
25
120
Proud to announce that our poster evaluating
@PharmacyPow
#heartfailure
#pharmacist
led clinic was rated 4th at the
@BSHeartFailure
annual meeting
#BSH25
and the abstract will be featured in the
@BrJCardiol
.
@CwmTafMorgannwg
@cardiacnetwork
@RPS_Wales
@ukcpahf
@UKCPACardiac
13
10
109
@michael_dowdall
@LSHTM
@PJOnline_News
@RoyalHistSoc
Might I suggest you remove this post; it is abundantly clear that pharmacists operating at the highest level don’t agree with you and is extremely damaging to our profession. Our skills are expanding, yes, but we are not doctors!
3
0
91
Princess of Wales Heart Failure Team won 3rd best poster at the
@CwmTafMorgannwg
Research and Development Conference 🫀🏥
#moreheartfailurenurses
#moreheartfailurepharmacists
#MDT
14
4
82
💊Comprehensive therapy (ARNI,BB,MRA,SGLT2i) can offer an additional 8.3 years compared with conventional therapy (ACEi,BB) in patients with
#HFrEF
.
💊 Make every visit count
👨🏾⚕️
@mvaduganathan
et al.
🔗
What will you do next time you see your patient?
2
20
76
It’s an honour to have been considered for the role of
@BSHeartFailure
Observer to the Board. Here’s to an exciting 2 years ahead…
@CwmTafMorgannwg
@cardiacnetwork
@RPS_Wales
@ukcpahf
We are delighted to be able to welcome the following new Observers to the BSH Board to support the society for the term 2024-2026:
Brian Halliday - Representing Researchers
Rhys Williams - Representing Pharmacists
Raj Thakkar – Representing General Practice
Shaun Robinson –
9
8
46
11
2
63
Received the most wonderful gift from a patient today. I’m speechless! ⏱️
4
0
55
The Princess of Wales Heart Failure Team
@CwmTafMorgannwg
and our new device consultant
@savodoc
😜 enjoying
@BSHeartFailure
#BSH25
. Thoroughly enjoyed, see you all soon! 👋
4
0
54
Proudly nominated for Welsh Hospital Pharmacy Team of the Year award
#wpa2021
for our services to the
#heartfailure
team! 2nd year running! Proud to be a
#pharmacist
, proud to be working in
#heartfailure
.
#thefword
@BSHeartFailure
@pumpinghearts
@CwmTafMorgannwg
@CTMPharmacy
4
2
46
Well that was fun and also terrifying! Thank you
@BSHeartFailure
for the opportunity to chair at
#BSHAM2023
. Many thanks to my co-chair
@DrSuePiper
for the support!!
6
4
48
Key message from
@IronmanKalra
@CardRenalForum
“RAASi are NOT nephrotoxic drugs”.
Practical guidelines for clinicians managing RAASi with worsening renal function👇
Credit to
@MrTheProf
@markcpetrie20
@IronmanKalra
0
8
44
Today marks the start of
@escardio
#HeartFailure
awareness week. I urge
@WGHealthandCare
@Eluned_Morgan
@PrifWeinidog
@AndrewRTDavies
to work together to make
#HF
a national priority, as this treatable condition has worse outcomes than some cancers. Symptoms? See you GP ASAP!
1
18
43
Pleasure to speak at
@UKKidney
#UKKW2023
, highlighting the importance of
#MDT
working in improving outcomes for patients with
#HF
and
#CKD
. Many thanks to
@AndrewFrankel1
for the invitation and wonderful to see
@drcplymen
as always! 🫀
#nokidneyemoji
?
3
6
43
Proud to be part of
@CwmTafMorgannwg
Princess of Wales
#heartfailure
team and
#echocardiography
department, who have had specific mention in the latest
@CardiacAudit
#NHFA
report. 🎉👏
@BSEcho
@BSHeartFailure
@cardiacnetwork
@Pauldmears
@dom_hurford
4
2
39
In 25 years, I still plan to work in the
#NHS
, I can’t wait to see the results. This is a fantastic opportunity; multiple organisation, highly decorated clinicians, collaborating to reduce
#HF
deaths by 25% in 25 years. Let’s go…
@CwmTafMorgannwg
@BSHeartFailure
@pumpinghearts
5
7
39
Last minute slide preparation before heading to
@CPCongress
, hope you see some familiar faces, hope to see plenty of new ones.
🖥️ The role of the
#pharmacist
in the maintenance and optimisation of
#RAASi
therapies in
#heartfailure
6
0
37
Thank you
@escardio
#HeartFailure2024
for a memorable congress, full of education, collaboration and international friendships. Until next time…
1
2
38
Big thank you to the
@cardiacnetwork
for having me along to discuss the
#4pillars
of
#HFrEF
. Remember:
1. Rapid simultaneous initiation of
#GDMT
2. Up-titrate to optimal dosing
3. Make every visit count
#thefword
#25in25
#freedomfromfailure
3
1
38
Fellow
#HeartFailure
#pharmacist
@angharadgriffi5
expertly delivering a session on who is at risk of HF, how we find them and how we should refer for appropriate prevention and management
#FindMe
#25in25
@bancccouncil
@BSHNurseForum
@ukcpahf
@UKCPACardiac
0
5
36
Immensely proud to work with Dr Aaron Wong, who just presented
@CwmTafMorgannwg
data on the world stage at
@escardio
#ESCCongress2023
with
@PACEcme
. Proud to work as part of the POW
#HeartFailure
service 🫀🏥💊
@BSHeartFailure
@cardiacnetwork
2
5
37
First
@American_Heart
Congress, excited to see Chicago, but more importantly, the results of the
#IRONMAN
trial! Let’s go!!
#AHA22
3
0
35
#Pharmacists
, if you’re interested in
#heartfailure
and management of
#irondeficiency
, then the
#IDEAL
(Iron Deficiency: Education and Learning) may interest you. 18th May 2022. Royal College of Physicians (London) and online. Register at
2
11
35
Only 1 in 3 patients have access to NTproBNP in a community setting. This is crucial for early diagnosis and needs to change
#25in25
@BSHeartFailure
2
11
35
Big thank you to
@sarah4bridgend
MS, our local
@SeneddWales
member who came to visit the
#heartfailure
service at the Princess of Wales Hospital. Thank you for raising awareness of HF and we hope to work with you in the near future! 🏥🫀🏴
1
4
32
👨👩👦: T2DM with moderate UACR
💊: SGLT2i, GLP-1a and nsMRA
📈: 35% ⬇️ major adverse MACE & 3.2 years ⬆️ in survival free from HF 🏥
📊: NNT = 23
Should HF clinicians be expanding their expertise into CaReMe medicine?
#AHA23
@hFRenDsUK
@AndrewFrankel1
4
14
34
Pleasure having the Director for
@RPS_Wales
@Elenmai85
and the team shadowing the work being done at
@PharmacyPow
, including the
#heartfailure
#pharmacist
-led clinics.
@CwmTafMorgannwg
@Hannahwilton79
@BSHeartFailure
1
3
32
Well Barcelona, it’s been fun. Made lots of new friends as well as colleagues, hope to see you all again very soon!
@escardio
#ESCCongress
0
0
31
Packed house and very engaging audience, thanks to all who attended, was a pleasure to share not only the evidence, but our local 🏴
@CwmTafMorgannwg
practice!
Next stop,
@escardio
#HeartFailure2024
🇵🇹🇪🇺✈️
2
4
31
Wishing all my
#pharmacy
,
#heartfailure
and
#cardiology
colleagues a very merry Christmas 🎄🎅🎁 and a prosperous 2023!
6
0
30
Fantastic time at
#AHA22
, learnt lots, laughed lots and congratulations to
@IronmanKalra
on the completion of the
#IRONMAN
study! The
@BSHeartFailure
family is amazing and I’m privileged to know and work with you all!
1
1
30
If you’re attending
@escardio
#ESCcongress
and interested in
#hyperkalaemia
and barriers to
#GDMT
, I’ll be participating in a panel meeting tasked with discussing exactly this. Friday 26th at 7pm CEST. See you in
#Barcelona
!
1
3
27
Was great to network with so many
#pharmacists
yesterday at
#BSH25
!
@PharmacistHF
I think a ‘batch’ of pharmacists may be the word you’re looking for…
@VixRz
@JanineBeezer
@jo_bateman3
@LucyyPages
3
2
29
I think I need a new coaster as I currently do none of these things! 🏥🫀💊
2
0
27
Just seen someone compare
#AtrialFibrillation
to
#CardiacArrest
after the
#TomLockyer
@LutonTown
incident yesterday. For those interested, I would recommend this
@TheBHF
website, which helps understand common cardiac conditions:
.
7
2
28
Was an honour to attend the
@BSHeartFailure
board meeting as a
#pharmacist
observer, with Chair Dr Lisa Anderson demonstrating why
#HeartFailure
services are required, now more than ever…
#25in25
3
3
28
Amazing news and thoroughly deserved. Congratulations
@jo_bateman3
, great to see more and more pharmacist’s achieving
@rpharms
consultant credentialing in
#heartfailure
🥂🍾
Joanne Bateman FRPharmS (Consultant).
Many congratulations on your recent accreditation as a Consultant Pharmacist, from all your friends and colleagues at the
@BSHeartFailure
🫀🎉
4
3
48
2
1
28
Cardiorenal benefits on use of SGLT2i, once again, being delivered (pun intended) by
@CwmTafMorgannwg
HF rockstar, Dr Aaron Wong 🫀🏥🏴
0
1
27
❓How often do we discuss with our
#heartfailure
patients about palliative care and when?
🟰 Anytime!
Expertly chaired by
@m4ggiesimpson
, and wonderful speakers in
@drstephenpettit
and
@savodoc
2
6
27
Full
#pharmacist
led
#heartfailure
clinic this morning and an afternoon full of discharges.
@SkinnyLager
needed!!
1
0
27
Amazing, well done
@mandiewelch3
💪 our HF nurses are essential in delivering great
#heartfailure
care and in
@CwmTafMorgannwg
, we have some of the very best! 🏴
@BSHNurseForum
Mandie Welch, Heart Failure Nurse Specialist at Cwm Taf Morgannwg University Health Board was chosen to be part of this year's RCN's International Nurses Day campaign...
1
10
51
2
4
27
@HeartLifeCanada
@Ricky_Turgeon
@Simroop_L
@CanHFSociety
@jilliannec
@MarcBains
@DktrV
@DrNatHawkins
@UBCmedicine
@UBCPharmD
@SCC_CCS
@chfalliance
Great to see fellow pharmacists showing benefits of pharmacist led interventions 👍 this was our local data showcased at
@escardio
Congress 2022
3
3
24
Was a pleasure to speak on behalf of the
@BSHeartFailure
to
@acutemedicine
on the management of
#HeartFailure
in an ambulatory setting. Remember,
#RAASi
are NOT
#nephrotoxic
! Great advice found in
@Heart_BMJ
below ⬇️
1
1
23
This is certainly an ambition of mine and we should be up-skilling ourselves in
#renal
and
#diabetic
management.
#HfRenDs
#CaReMe
@hFRenDsUK
I look forward to discussing with
@AndrewFrankel1
in June
@Brown_ie_Chris
@BSHeartFailure
#BSH25
0
0
24
Big thanks to
@Pauldmears
and
@dom_hurford
for visiting
@CwmTafMorgannwg
Princess of Wales
#HeartFailure
Service; we hope to continue serving the local population to the best of our abilities, thanks to the wonderful
#MDT
we have in
#Bridgend
🏥🫀
1
0
24
Well done
@JanineBeezer
, showcasing what we can achieve as pharmacists, in practice and research!
#polypharmacy
in
#heartfailure
.
@BSHeartFailure
#BSH25
@ukcpahf
@UKCPACardiac
@STSFTrust
#makeheraconsultant
🫀👩⚕️💊📈
3
5
24
I am delivering a talk at
@CPCongress
on how pharmacists can help optimise
#RAASi
in
#heartfailure
, with a focus on
#hyperkalaemia
. If you’re interested, please attend and I welcome all questions!
📍London ExCeL
📆 Friday 10th May
🕣 10:45-11:30
1
2
23
I’ve had the pleasure of working with many great
#pharmacytechnicians
during my career, I could not do my job without them and it’s amazing watching the profession evolve. Happy
#RxTechDay
!
@APTUK1
1
0
22
If the last 3 days are anything to go by, then pharmacy isn’t for me 😞 highly specialised, covering 3 different specialists, chasing medication orders and DOAC counselling. I aspire to be like my HF colleagues
@angharadgriffi5
and
@PharmacistHF
, keep up the amazing work!
11
0
22
Specialists in
#hyperkalaemia
, colleagues and privileged to call friends, fantastic
@PACEcme
session delivered, with
@CwmTafMorgannwg
case study and guidance presented on the international stage! 👏👏
@BonanadClara
4
5
23
Who’s going to
@escardio
#HFA2024
? 🙋♂️ I hope to see some old friends, meet new ones, learn from the best and showcase the work that
@CwmTafMorgannwg
Princess of Wales Heart Failure service are providing to the people of Bridgend 🏥🫀🏴
7
1
23
An evening’s light reading? I’ve got you covered. Proud to have been able to publish a
#caseseries
with
#esc
#europeanheartjournal
on the use of
#potassiumbinder
allowing continuation of
#raasi
therapies in
#hfref
4
4
23
One graph to demonstrate the importance of dosing
#iviron
in
#heartfailure
. The difference between a patient being able to leave their house or take a walk along the coast.
@CwmTafMorgannwg
@BSHeartFailure
@pumpinghearts
1
2
23
I’ve only been working within
#heartfailure
over the last 3 years, such a fantastic talk by Milton Packer, explaining the history of the disease and it’s progression. It’s great to see the journey we’ve taken and how far we’ve come. I’m in awe of this clinician!
@BSHeartFailure
2
0
22
I’ll be discussing how the new
@escardio
guidelines fit in to everyday practice. Join us on the 21st at 7pm to hear all about it 🫀💊
1
6
22
Administration of
#ferricderisomaltose
was associated with a lower risk of recurrent HF hospitalisation and CV death (which approached statistical significance) in patients with EF <45% and
#irondeficiency
. Congratulations to
@IronmanKalra
2
6
21
Reiterating the importance of ‘four-pillar’ treatment including
#ARNI
, used first line in NHS Wales. Delivered by Wales’ very own Dr Jenkins (
@SwanseabayNHS
) and Dr Chaggar (Royal Cornwall)
@cardiacnetwork
@BSHeartFailure
#BSH25
1
4
22
On the 75th birthday of the
#NHS
, I received an email, inviting me to achieve a goal of mine since I started working in
#HeartFailure
. Today was a good day.
@BSHeartFailure
#25in25
#freedomfromfailure
#theFword
1
0
21
Haven’t tweeted for a while, feel deflated since coming back from
@escardio
#esccongress
, meeting so many likeminded colleagues who aspire for greatness. I could post a picture of relevant trial data, but tonight, here’s a picture of my beloved Corgi, Gilbert!
3
0
20
Fantastic session discussion management of
#atrialfibrillation
and
#ventriculartachycardia
, expertly chaired by the inspirational
@drpmcampbell
and
@Kieranfdocherty
@BSHeartFailure
#BSH25
1
4
22
If you want to hear from the very best in the business,
@santon74
(Cons. Pharmacist) will be discussing his fantastic work and I am privileged to be joining his discussion!! Please, feel free to listen in! Thanks to
@ASTRAZENECAUK
for hosting.
@RPS_Wales
@CTMPharmacy
1
7
19
Over the last couple of days, I’ve witnessed public slandering of AHPs, secondary care workers and I don’t think I can fight back anymore. I’m proud of what I do. I will do all I can to fight for my patients. I also vow to never put down another colleague, especially in public.
3
0
21
Happy
#WorldPharmacistDay2023
to all my wonderful colleagues in
@CwmTafMorgannwg
and throughout 🏴🇬🇧🇪🇺🌍. I’ve had the privilege to meet and work with some amazing people - keep up the good work 🏥💊👩⚕️👨⚕️🫀
0
1
21
@AndrewRTDavies
If a child was calling another child names in the playground, would you intervene? I would class this as bullying and intimidation. You’re a public official.
0
0
21
Ok, I am now starting to become very jealous and upset that I won’t be attending
#heartfailure2023
. Wishing all my friends and colleagues a fantastic few days in Praha (begrudgingly)….. 🫀💊
@escardio
@HFA_President
1
0
21
We’ve kicked off
@BSHeartFailure
annual meeting
#BSH25
, fantastic opening session of
#NICOR
data and best of British,
#IRONMAN
,
#REVIVED
and
#DELIVER
. Proud to be a
#heartfailure
#pharmacist
0
1
21
Proud to call
@m4ggiesimpson
a colleague, hugely inspirational, congratulations on the publication 👍👏
🫀Delighted to see launch of
@escardio
#ACNAP
updated core curriculum for
#cardiovascular
nurses & AP
@EditorEJCN
🔗
🙏🏾
@lisneubeck
for leading
@catherinemross
@cvnurselin
@Jenni__Jones
@IzaUchmanowicz
@ProfFastin
@DrJaarsma
& R Mindham for⏲️& commitment
3
13
56
2
2
18
Big congratulations to
@jo_bateman3
FRPharmS 🥂🍾 time to celebrate at
@BSHeartFailure
Annual Meeting!!
@ukcpahf
@UKCPACardiac
Congratulations to the new RPS Fellows appointed today!
Find out who they are:
12
13
55
6
2
19
👇👇👇 many congratulations to
@angharadgriffi5
on showcasing the role pharmacists can play in Heart Failure in Wales (
@clarelthomson
for mirroring this in England). 👇👇👇
Amazing experience and echoing Clare Tweet. Really was fantastic to see so many pharmacy professionals who are eager to make a difference on improving HF outcomes.
@ukcpahf
@CPCongress
@BSHeartFailure
#fword
#25in25
0
1
25
1
2
18
Too many to mention, but I’ve worked with so many wonderful nurses and today is about you all, celebrating your invaluable contributions to patient care. Thank you all 👏
#InternationalNurseDay2023
@BSHNurseForum
@WelshHFNF
@ScottishHFNF
@IAHFNurses
@WeNurses
1
1
19
@alyrans
@NHSWalesAwards
@SwanseabayNHS
@Haylstaylor
@PasseySian
@garethhowells1
@HazelPowell11
@Geraint67
@AnjulaMehta
@BSHeartFailure
@doctoddy
@CarysBarton
I’m sure I speak on behalf of all the guys at
@CwmTafMorgannwg
Heart Failure services when I say many congratulations on your success and recognition of the wonderful service you provide for your patients 👏👏
@WelshHFNF
@cardiacnetwork
@mandiewelch3
1
1
19
@BSHeartFailure
and
@ukcpahf
delivering a Masterclass on where Pharmacists across all sectors can benefit patients with Heart Failure. Fantastic to see pharmacists being discussed at
#BSHAM2023
@UKCPA
@RPS_Wales
@rpharms
0
4
19
No difference between
#torsemide
versus
#furosemide
in reduction of primary or secondary endpoints in the
#transformHF
trial
@American_Heart
#AHA22
1
8
18
If you’re passionate about
#heartfailure
and want to work as part of a fantastic
#MDT
, then you should apply for this job immediately! Led by the fantastic
@drcplymen
and
@CarysBarton
, I’m even tempted myself!
2
5
16
Today, a patient called the clinic administrator to say that he’d been having worsening orthopnoea and pitting oedema. Within 2 hours, they had bloods, CXR and full clinical assessment and sent home with PO diuretics. Today was a good day.
1
0
17
@RACGPPresident
@3AWNeilMitchell
Please elaborate how you feel pharmacist prescribers will endanger patient safety?
4
0
18
Finally, framed and hanging pride of place in our living room! Thanks
@cpgale3
, masterpiece!! 👍
2
0
18
@CarysBarton
is a shining example of what
#heartfailurenurses
can achieve and great
#pharmacists
such as
@VixRz
@PharmacistHF
@JanineBeezer
@jo_bateman3
@angharadgriffi5
showcasing pharmacy to the HF world. 👏🫀💊🇬🇧🇪🇺
@CarysBarton
making the case for
#more
#heartfailurenurses
&
#pharmacists
at an excellent guidelines implementation session
#ESC2023
#HeartFailure
with
@GianluSava
@markcpetrie20
@lamcardio
@SJGreene_md
#Amsterdam
1
14
35
1
5
18
NHS faces ‘ticking bomb’ with number of
#heartfailure
patients set to soar.
- 80% diagnosed in 🏥
- 30% ☠️ within 12 months
- Estimated 400,000 undiagnosed patients in UK
- NNT = 4 to prevent 1 ☠️
- INVESTMENT NEEDED IN HF SERVICES
1
8
18
It was a pleasure to talk to
@RosalynnAustin
about my introduction into research. Am I a researcher? Give it a listen and judge for yourself!!
1
0
18