Data collected 2016 - 2024. Anesthesia publications on GLP-1 RAs and delayed gastric emptying started to appear mid-2023. These findings likely reflect the continued use of GLP-1 RAs into the perioperative period.

It’s a dark night when you look at the news and are forced to admit that you no longer believe in the power of the FIFA peace prize

A picture is worth 1000 words... This appeared on the BBC News today, showing the increase in solar electric generation in the UK. Not sure who produced it, but genuinely think this is a genius piece of scientific communication - the construct and choice of colour scale is near-perfect. Chapeau!

No cheating, repost with the most recent photo of your pet.

First book of the year finished. A thoughtful exploration of hunkering fown in the winter seasons of our lives. Hit a bit close to home. Find grace for yourself, and others, in 2026. www.goodreads.com/book/show/21...

Vaccines are one of humankind’s most effective technologies.

From Wintering by Katherine May

New SRMA combining HEMOTION, TRAIN, and SAHARA trials. “Liberal transfusion reduces the risk of unfavourable neurological outcome (risk ratio (RR)=0.89, 95% CI 0.84 to 0.95, high certainty)…no difference in the risk of most adverse events, including death.” bmjopen.bmj.com/content/15/1...

Calvin and Hobbes was one of three comics that shaped my sense of humour and self. The Far Side covered absurdism and science; Bloom County covered politics; and Calvin reconnected me to my imagination and foretold my role as father.

Knives Out: Wake Up Dead Man is just a really elaborate Rick Roll.

Does #ERAS in #majorabdominalsurgery actually affect complications rates? New #retrospectivecohortstudy from Ontario of >100,000 patients https://www.bjanaesthesia.org/article/S0007-0912(25)00595-1/fulltext

Painted cycle lanes are the non-smoking sections of today's urban landscape. Both recognize a problem and the harms it causes, but are designed without the will or imagination required to implement a real solution.

Christmas Mail Train Maud Lewis c. 1957

This sounds lovely.

Year 1 data on congestion pricing in Manhattan… * Vehicle traffic: -11% * Foot traffic: +3.4% * Storefront vacancy: -0.9% * Pollution: -22% * Revenue for mass transit: $548M So YES this has been a huge success.

Insane but true fact: making US roads as safe as Canadian, Australian, or European roads would save more lives than eliminating murder from the US.

Always thought of us as more Dudley than Snidely, but with the tariffs and 51st state nonsense I can twirl my moustache.

Stumbled upon this thoughtful post on performance while reading themorningshakeout.com. While this piece from Adam Grant is rooted in teaching, it applies equally well to work and sport. www.nytimes.com/2024/12/26/o...

Writing Genres: First draft: Horror Abstract: Action thriller Hypothesis section: Fantasy Results section: Tragedy Limitations section: True crime Implications section: Satire Grant application: Science fiction

Solstice Drive to St. Anthony Christopher Pratt 2008

What does it take to move 1000 people? Smart infrastructure supporting choices that don’t take up so much space (or produce so much emissions/pollution, cost so much public money etc). Mobility in cities is about space. Graphic via @seattlesubway.org based on a Sydney graphic I spread years ago.

Where to find the perfect holiday gift for the anesthesiologist in your life

To Whamhalla! Undone by the radio in our out-of-hospital cataract shop. #Whamageddon

Love a properly done stepped wedge. If you're into implementation science this design and its successors should be front of mind.

Throw in the mockumentary This is Spinal Tap (1984) and that's quite a string. What a tragedy.

Four White Boats: Canadian Gothic Christopher Pratt 2003

“The universe does not offer financing … We are conditioned to enjoy the benefit today and pay the cost tomorrow … Achievement reverses the transaction. It requires full payment in advance” @farnamstreet.bsky.social

Hooray! www.cbc.ca/news/canada/...

Highway 17 Sumac #2 Christi Belcourt ~ Métis c. 2023

Aimee Mann: Sleigh bells Beastie Boys: RING Mann: Are you Beastie Boys: LISTENING Mann: In this lane, snow is Beastie Boys: GLISTENING

On a guided bike tour in France this summer. Our British guide saw Americans and Canadians turning right on red and screamed at us to wait for the light. When we explained NA rules of the road she said, “What’s the f***ing point of the light then?” She’s not wrong.

Get your flu shot, Ottawa!

It's a lot to expect from a few hours of drug exposure. Part X of Y. [P]ropofol-treated patients did not exhibit better survival (propofol 230 deaths out of 881 [26.1%] vs. volatile 202 deaths out of 882 [22.9%]; hazard ratio, 1.16; 95% CI, 0.96 to 1.41." pubmed.ncbi.nlm.nih.gov/41363871/

SARS-CoV-2 infection is associated with an increased risk of venous thromboembolism. Post-operative infection and recent infection increased risk. Unvaccinated patients had the highest risk. A single dose of vaccine had a 20% relative risk reduction. #AnSky

I associated our overdosing of rocuronium to the "aerosol preventing" intubations of the COVID era. In Boston, it seems it was sugammadex. Just for fun, ask a trainee or colleague for the ED95 of roc. journals.lww.com/anesthesiolo...

The FIFA Peace Prize is the comedic offspring of Monty Python’s Philosophy Football. youtu.be/LfduUFF_i1A?...

On the morning of 1917-12-06 the Mont Blanc, a French ship laden with munitions, collided with the Imo in Halifax Harbour. The resulting explosion killed 1,782 and injured nearly 9000 more.

Je me souviens

“In 2023, cars and their drivers killed 8,820 American pedestrians and bicyclists — 7,314 pedestrians and 1,166 cyclists. They injured another 136,281, an increase of over 5,300 injuries from 2022.” Put the responsibility where it belongs. Via @jalopnik.bsky.social

😆

RIP Frank Gehry: his childhood home in Toronto still exists!

Canadian-born architect Frank Owen Gehry, dead at 96. Slayed on the Simpsons at 76. Loved that this clip played in a loop at the Art Gallery of Ontario whose renovation he designed. youtu.be/9MyT-wk0DuI

This is a great example of the benefit of multidisciplinary research groups. Of universities.

Influenza A signal surging in Ottawa wastewater. Get vaccinated folks! Earlier and stronger than last season (similar to 2023). ottawacitizen.com/news/local-n...

My 2025 Epic Wrapped just dropped: - 3,817 preop chart reviews - 924 Chat messages - 3,036 EKGs reviewed - 121 PACU order addendums - Top song: “Monitor Not Linked to Charting” - Top artist: Cardiology Clearance and the Echos - Top alert: “Did you mean to order that drug?”

“You become what you give your attention to.” - Epictetus

“[I]f I’m not exploring my true interests, I’m not sure why I’m doing any of this in the first place” - Oliver Burkeman

#Whamageddon begins. Who’s in?

Smears of Jam, Lights of Jelly Mary Pratt 2007