Middle aged (and onwards) cyclists - this is worth a listen. Expert and sensible advice. An interview with cardiologist Dr Nigel Stephens youtu.be/SEnygjXGs8I?...

I’ve spent the past few weeks travelling around #Kerala #India - coast, backwaters, mountains. What I found was the most stunningly beautiful country I’ve ever seen and the warmest, happiest, most hospitable people I’ve ever met.

Here’s a handy reference for GP Trainee revision. Red flags in child development 2 page A4 summary (PDF) www.childrens.health.qld.gov.au/__data/asset...

Well done to everyone on the team!

Gavin & Stacey fans - it is a thing. Juboraj, Rhiwbina…. #Jamdhanihaash

You know you’re in a city of culture when…..

“Suffering stars add to worries about prostate cancer ‘overtesting’” www.thetimes.com/article/fcf3...

This podcast with ⁦‪@mancunianmedic‬⁩ and ⁦‪@ClareFuller17‬⁩ really is worth a listen. As valuable for 1y care clinicians and general public as it is for 2y care. ‘Public misunderstanding and the impact on care” speakforme.co.uk/podcast-epis...

Golden hour

Nottingham University campus. Lovely soft light at the moment

Dear parents - Yes you can give your sick child paracetamol if they’re >3 months old. It’s an excellent painkiller. It brings down a high temperature. It’s one of the safest drugs available. You are right to want to soothe your child’s distress. Evidence supports your good parenting. Be confident.

Older athlete? This is an excellent short video - How hard to train? A Cardiologist on heart health for older athletes youtu.be/olg90Dq9ay8?...

New from @sheencr.bsky.social open.substack.com/pub/sheenacr...

I remember the days when work was punctuated by a trip to make a cuppa while data is downloaded over a modem. Now it’s waiting for an LLM to do its thing following an elaborate prompt

How many Drs who qualified the same time as me ever thought they’d see this in their lifetime? Isn’t science (and aren’t experts) great?

As we head into autumn, in many instances, patient expectations following a community acquired pneumonia can have a profound effect on repeat appointments (“I feel better but I’m still coughing, Doc”). Here’s a timely reminder from NICENG250

Stunning videography. Beautiful #Scotland. Watching this has been a treat. End of the Journey : Suilven youtu.be/8_qZ4WsxLcw?...

Some typos are worse than others….

Your periodic reminder that mRNA vaccines are a scientific and public health game-changer. Those that have been approved have passed stringent efficacy and safety checks. They protect you and your child against potentially fatal diseases. You may, however, get a sore arm.

Walking the South Hams Way. Absolutely beautiful!

Musos, guitarists and Floyd fans - a must see video. Just dropped. David Gilmour: The Studio Interview 2025 youtu.be/OT_KFCidz_s?...

The “boy” is back in town….. #GP

Whether you’re interested in #AI or not, this is worth a listen because it’s going to have a profound impact on all of us and soon open.spotify.com/episode/7McZ...

Wondering if the poster at the top has anything to do with the poster at the bottom

Home made pizza and a cold beer in the garden with the #Ooni oven. More days like this please!

That end of summer feel out on the bike this morning

South Wales coastline’s looking stunning at sunset tonight, BlueSky

How is this even possible? We have a desperate shortage of GPs, patients are waiting weeks for a GP appointment yet fully qualified GPs can’t get work. Surely this needs fixing urgently www.gponline.com/huge-rise-gp...

End of an era. Best bike shop around. Thank you Richard, John, Martin and the gang. Thanks for giving my lads Saturday jobs when they were students. Thank you for keeping my bikes in pristine condition.

Had supper in Gorse, Pontcanna this evening. Special occasion fare, really, but, boy can these folks cook. Delicious.

If you’ve not visited Garwnant visitor centre recently, I highly recommend it. Excellent cafe too. Transformed since I last came. The woodland walks are food for the soul.

GPs and hospital Drs are crying out for help with insurmountable workload. Cutting off the supply of new blood is absolute madness and building even bigger problems for the future. www.bbc.com/news/article...

"When I called my wife Pauline she said, 'You have done what?!'" Mr Cowlard recalled. "I said to her, 'Is there any chance you could pick me up from the hospital and bring a complete set of clothes?'" www.bbc.com/news/article...

It’s been an absolute honour and pleasure to sit on @Coeliac_UK Health Advisory Council for the past 15 years. However, as I reduce my clinical activities in general, the time is now right to step down. A fantastic organisation and true advocates for people with coeliac disease.

“Leave health tests to medical professionals, researchers warn” www.thetimes.com/article/c207...

Today’s Tour de France stage finished on Mt Ventoux. I know that the cyclists following me will know about Tom Simpson and Ventoux. The Tom Simpson Memorial Fund does excellent work in Tom’s memory. How about putting a few £ their way on #Ventoux day👇 tomsimpsonmemorialfund.co.uk

Zero points for originality, but I feel compelled to post this photo from my last trip. I’ve ridden it many times and it is a mountain like no other. It calls you back. I can’t wait for the next trip. Shame #MVDP won’t be there to drop a wattbomb today* #Ventoux (*but Pogi may!)

Listening to a graduation ceremony speech delivered to a number of very talented young people. “It’s not what you know, but what you do with what you know”

This leaflet is a useful guide for anyone thinking of #cycling in #Girona for the first time

Velodrom and La Fabrica #Girona fast becoming my favourite cafe/brunch stops

This night scented stock smells sensational right now, as the sun starts to set.

To adapt Keith Bontrager’s quote to Primary Care: Cheap | Rapid access | High quality Choose any two?

At times like this, I wish BlueSky conveyed aromas

Cruise liner “Silver Shadow” docked in Cardiff this evening. www.cruisemapper.com/ships/Silver...

Plenty studies showing that your postcode is a better predictor of your health outcomes than your genome.

This is why a proper bike fit is worth its weight in gold. Fit first and foremost. '30-50% of My Clients Come in on Race Bikes' (what's the problem?) youtu.be/U4TfZKDLwpw?...

The descent from #ElsAngels to Madremanya has to be one of the most rewarding descents ever. My new favourite loop. Ribbons of smooth tarmac. Superb handling #Colnago V4R. A great day 🚴🏻‍♂️ #Hincapie loop

Folks, forgive me the indulgence, but I’ve lucked out. I’m riding a #Colnago in Catalonia under cloudless blue skies. Does life get any better? I only wish my 19yr old self was here to put it through its paces.

This is an absolutely beautiful setting and music. The smell of white jasmine, beautiful music and surroundings. Capturing the moment. 🎶

Best bike shop in the world? Certainly has the wow factor. Velodrom, Girona #NEWSRAM