Four months ago I was diagnosed with metastatic lung cancer. Early 50s a non smoker it was a huge shock. #medsky #anaesky

The reason I’m sharing this is to spread awareness of ALK +ve cancer They can be managed for years but (as I understand it) can become drug resistant. We still need research into ALK positive cancers. Please support: @alkpostitiveaust.bsky.social @alkpositiveuk.bsky.social @alkpositive.bsky.social

New anaesthesiologist: “I’ve been looking for theatre nine and three-quarters for hours, where is it” Surgeon: “Just walk past theatre 8 and then charge with one of the scrub trollies at the wall near the sign, Harry…” #Ansky #Medsky #Anaesthesia #HarryPotter

Commiserations to Sir David Attenborough on his 100th birthday, as he is now too old to be allowed to play with LEGO.

Very little (any?) fanfare about this, but Australia joined just 29 other countries to be declared trachoma-free last month. Excellent news!! Such hard work and research by many should be celebrated. Trachoma is caused by the bacterium called Chlamydia trachomatis. www.who.int/news/item/29...

The #hantavirus outbreak on the cruise ship off the coast of Africa is a serious public health event that needs to be handled properly. But if you are having #Covid flashbacks, put those worries to rest. The risk here is to people on the ship & their close contacts. www.statnews.com/2026/05/07/h...

At @jama.com today, 2 radiologists publish the correct consent form for a total body MRI in healthy people Note "no major medical society recommends whole-body MRI screening in the general population because it is unproven, and the harms likely outweigh the benefits." jamanetwork.com/journals/jam...

It drives me crazy that people are using the term "peptide" in a manner suggesting that it denotes a drug class with archetypal pharmacodynamic effects. Of all uninformative labels that could inform you as to the properties of a drug, this has to be the uninformativest.

Recession tornado siren.

#CPR skills getting a workout at the #ASM26AKL "Bring your kids to work" day workshop at #AucklandCityHospital 😀

The #ASM26AKL "Bring your kids to work" workshop at #AucklandCityHospital was a big hit this morning with aspiring #anaesthetists being shown the ropes:

Fact: The person who named sweetbreads isn't allowed to name things anymore.

This is NOT AI. These are green dragontail butterflies (Lamproptera meges), native to S & SE Asia. They compensate for undersized wings with long 'swallowtails' to generate lift. Butterflies that fly in cursive, swimming like fish through the air. (📷: Center for Biological Diversity)

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Stop press: sterile gowns are no longer mandatory for spinal anaesthesia. I’m so proud to have been part of this process trying to simplify our practice, making us efficient, more sustainable without increasing risk associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/...

Nice to see a multinational agreement as well. Bravo.

New guidance on sterile gown use during spinal anaesthesia aims to reduce unnecessary waste while maintaining high standards of patient safety Guidelines published in @anaesjournal.bsky.social buff.ly/rvtALwy With CAI, @ra-uk.org, @oaa-anaes.bsky.social, @rcoanews.bsky.social, @anzca.bsky.social

I can't stop laughing at this post. It's perfect.

After almost twenty years on the platform, EFF is logging off of X. This isn’t a decision we made lightly, but it might be overdue. 🧵 (1/5) www.eff.org/deeplinks/2...

Continuing #GLP1 or GIP agonists before upper endoscopy increased the risk of clinically significant residual gastric volume, with no additional aspiration events. ja.ma/4bYbVIK

Before anesthesia, surgery meant unimaginable pain. Science transformed it into something you can safely sleep through. What is your health and science story? Ahead of #WorldHealthDay tomorrow, Together for Health. #StandWithScience 💙

I wrote about the findings from the inquiry about the impact of the pandemic on the NHS, and the mistakes of the first year. I hope it makes you angry - it should make us all angry. open.substack.com/pub/christin...

Reminder that Ethicon Biopatch used as an adjunct in central line dressings is chlorhexidine (CHG) impregnated. The effort in avoiding a chlorhexidine impregnated CVC in a patient with chlorhexidine anaphylaxis can easily be undone. www.jnjmedtech.com/en-EMEA/prod... #ansky #anaphylaxis

In his 1st PhD paper Ben shows respiratory failure (bronchospasm) is the main cause of death in fatal anaphylaxis. Food allergy deaths nearly if not all due to bronchospasm Important-most resuscitation guidelines don’t prioritise intubation & ventilation #Medsky bmjopen.bmj.com/content/16/3...

As a fully immunised (=successfully vaccinated and boosted) individual, this study is good news. If you get infected, you're a bit more likely to come away with an unnoticed infection.

Vaccines save lives and have protected millions of people. Choosing to vaccinate is a simple step to safeguard your health and that of your loved ones. Check out today’s daily dose by @drtedros.who.int

Fun fact - Febreze is also a cyclodextrin, and traps odour molecules to 'neutralise' smells.

Brainwashing, 2026 edition. This paper shows how X's algorithmic feed shifts people's views rightwards. It's a sophisticated, highly effective form of reorientation. And it is utterly chilling. If you're still on that platform, unhook yourself now. www.nature.com/articles/s41...

To help you understand how bad people are at the concept of estimating relative risk, about 1 person dies every two years from a shark attack in the US, whereas cows kill about 20 people per year.

Whooping cough cases hit record high after vaccine rate drop in Australia. -we need a government Comms campaign about the benefits of vaccination. Yesterday. www.abc.net.au/news/2026-02...

What frikkin epic writing! www.abc.net.au/news/2026-02...

Horrible news. Each of these are future cases of horrible, painful, devastaing cervical cancer in the making. This is a safe and hugely effective vaccine.

A brief statement clarifying the ethical boundaries of #InfectiousDose is now live. www.infectiousdose.com/statement-of...

“This episode is not a scientific explainer & not an invitation to debate. It exists to make clear where this podcast stands, why silence is not an option, why evidence, accountability & human rights are inseparable from public health” @infectdosepodcast.bsky.social

Well that’s an experience! Awake surgery. Anaesthetist was 😊 one of my old regs but been a boss for a while. But I know is high cognitive load when you have awake colleague! A thread…

So in homage to the fine traditions of anaesthetic anecdotes, what descriptions have your patients given of the ‘flavour’ of anaesthetic agents? #AnSky @maffygirl.medsky.social

The reference for this is from the ASRA guidelines & is based on the catheter tip culture in 214 parturients with labour epidural. Rates of colonisation were 9.2 vs 7.6% (ungowned vs gowned). The background paper states that there’s no good evidence for their use. Not sure that translates well.

Interesting! I wonder if/when the UK will do the same.

The @anzca.bsky.social “PG28 Guideline on infection prevention and control in anaesthesia 2025” now states that sterile gowns are not required for all single shot spinals. This could reduce a significant amount of waste. #Ansky www.anzca.edu.au/getContentAs...

This is the first of 2026 #MedSkyDebate. Managing obstructive sleep apnoea -OSAS, as a day patient does not require any changes to your techniques. Discharge if ok post op should occur normally. How do you manage patients with known or high risk of OSAS?

AI bot swarms threaten to undermine democracy - When AI Can Fake Majorities, Democracy Slips Away garymarcus.substack.com/p/ai-bot-swa...

I like being an anaesthetist on days like this. Both @assocanaes.bsky.social and @rcoanews.bsky.social are well established on a lot of platforms. The more folks realise that as users, WE get to decide which platforms should succeed, the better.

Well done @rcoanews.bsky.social and @assocanaes.bsky.social for taking action and stepping away from activity on Twitter/X It seems that every day reputable organisations are waking up to the fact that they do not need to remain there.

I hope this Microsoft email outage lasts until the sun dies

Team For anyone involved in paediatric airway management KEY PHRASE "PILLOW PLEASE" www.maskinduction.com/positioning-... Aman Kalra, Professor of Anesthesiology, (Author, Illustrator and Web Designer) #Ansky #Medsky #Anaesthesia #Anaesthetist #ICM #ICU #Intensivist #Anaesthesiologist #PHEM #HEMS

#ansky Our 25yr review of anaesthetic FGF just published by @anesthesiology.bsky.social. We’ve been banging on about the $ & CO2 savings by avoid waste from hi FGF for a while…Despite >60% TIVA we’ve kept our avg FGF with sevo at 850ml/min. journals.lww.com/anesthesiolo.... 🧵

Wow and the rate of pulmonary aspiration is 0.01% !

Peri-operative risk of non-cardiac surgery in patients with aortic stenosis ⚠️ Severe aortic stenosis is associated with nearly 10% mortality within 30 days postoperatively #AnSky doi.org/10.1111/anae...