NHS guidelines stand In the UK, paracetamol (acetaminophen in USA) is the first choice of painkiller if you're pregnant. It's commonly taken during pregnancy and does not harm your baby www.nhs.uk/medicines/pa...

Awww a family of swans on my Dementia UK 1 mile walk today.

Just because I was walking past in the sun and I love it 😍

Anyone and everyone should read this article Patients & healthcare providers The machinery of the NHS is a magnificent & monstrous thing. We all need to be more aware of it Flatten the hierarchies, lose the egos, be open about our errors #MedSky #NHS #GMC #patients www.lrb.co.uk/the-paper/v4...

So much work to do. Hard to know where to start...

More high-quality research is needed to improve outcomes for people living with #dementia in hospital - conclusion of a systematic review of physical activity interventions by colleagues @arc-gm.bsky.social & Northern Care Alliance rdcu.be/eHwwS @emmavardy2.bsky.social

New @hepi-news.bsky.social report shows continued fall in foreign language study in England at A-level. Language teacher recruitment consistently falls well below government targets – in 2024, just 43% of the target was reached. on.ft.com/4l5SYX4 (Full report www.hepi.ac.uk/2025/07/31/n...)

I'd definitely struggle with this one. My daughter with pku asking if the Nazi would have killed her when we visited Berlin.....

Honestly. Freddie Flintoffs field of dreams series 1 (and likely series 2 and 3) is joyous television. The uniting power of sport, providing kids with a chance, space to play team sport, and working with kids regardless of ethnicity, immigration status etc. Uplifting.

What an amazing story... www.bbc.co.uk/sport/cricke...

After downpour yesterday been a lovely morning!

“People do not just believe what they see. They believe what they help spread.” Required reading.

The problem with focusing on healthcare costs as an outcome is that costs can be associated with better or worse outcomes. Assuming that less resource use is better is not necessarily accurate.

Today World Alzheimer’s Day 2025 is about #askboutdementia, so I wanted to share my thoughts on the new World Alzheimer Report 2025 about Rehabilitation. Why it matters for caregivers & the questions we should be asking. #dementia #caregivers

Enjoying a lovely week away in Kefalonia with my youngest daughter :-)

I hate Guardian blind date. Every week, 'we had a great time!' 'Would you see each other again?' 'As friends.' Who needs more friends? Just say 'I didn't fancy him/her but we got a free dinner.' We don't need nonsense lies about 'friends'.

Argh. A little behind due to family events at the end of the week. Ready to get a good few miles in tomorrow! fundraise.dementiauk.org/fundraisers/...

We are all exhausted and have so many reasons to be. But if you’re a menstruating person you may be iron deficient so get your ferritin checked & make sure it’s at least over 30 (even better over 50)! tinyurl.com/JAMAFe

Stop using Meta products and stop your children from using them too. - Facebook - Instagram - Threads - Whatsapp Ditch them, uninstall them from your children's phones too. Other alternatives exist. Especially since Meta aren't listening and are doing scummy things.

⭐️ Thank you to all at the wonderful POET TOWN launch at Hastings Book Festival this week. Edited by Richard Newham-Sullivan, POET TOWN Celebrates 200years of Hastings Poets, available in hardback, paperback, plus a poets portraits edition by photographer Maxine Silver. Out now! #poetry #hastings

This afternoon at CluB12 a fascinating overview of the history of B12 deficiency/pernicious anaemia from the amazing Ebba Nexo who has spent her whole career working in this field.

Points I learned were: 1."Normal" levels don't exclude deficiency. NICE suggest MMA if B12 180-350 (indeterminate) but our local haem suggests go straight to trial of Rx (MMA also problematic) 2.Many need maintenance more often than 2-3 monthly, so if Sx recur before next injection, shorten interval

PPIs and Metformin are recognised as risk factors for deficiency. Deprescribing is ideal if they are no longer needed, but if they are needed, oral treatment with B12 will suffice for PPIs, but less so for metformin (either B12 injection or combining oral with calcium & vit D improves absorption)

Even if levels are broadly "normal" (levels are difficult to interpret if taking oral supplements or fortified foods because they will be falsely raised), it would be worth a try because it's a low risk, low cost intervention with a clear symptomatic response which can guide future treatment.

doi.org/10.1136/bmj-... I would also read this. It's a brilliant starting point.

#SheffEvents #Date200925

I assume this man must be a relative. Born in Newcastle area, qualified in Edinburgh. He died in 1905. Wrote in the Edinburgh Medical Journal an incredible story of someone with a terrible head injury

The balance of B vitamins is also really important. If one is low, the others won't work properly.

If you follow the NICE guidance then you should be considering treatment. In general, they have relevant symptoms (fatigue, neuropathy, anxiety, mouth ulcers etc.) and a risk factor (diet, family history, autoimmune disease, gastric/bowel surgery/radiotherapy etc) then consider treatment and

Review symptom change after treatment (e.g. after 6 injections over 2 weeks, or after 3 months of oral if no neurological symptoms). If severe neurological symptoms may need a 3 month trial to see symptomatic change. Also, symptoms may worsen initially, this still indicates deficiency.

And check co-factors for B12: iron, folate and also vitamin D. They're often all deficient and need to be well topped up for B12 to work efficiently.

This is a really key point. E.g studies of "high dose (1mg) B12" are uninterpretable because they use blood levels not symptoms as an outcome (oral replacement can increase blood levels without adequately correcting deficiency).

"The road... is filled with people fleeing unpredictable falling bombs, the continuous attacks on their homes, public facilities and shelters." Al Jazeera's Hani Mahmoud describes the grim situation as Israel pushes deeper into Gaza City and forcibly displaces Palestinians.

If you come to our Open House tomorrow you’ll have the rare opportunity to see this piece by Hew Locke www.theguardian.com/artanddesign...

One of the great exhibits that will be available to view at our Open House on 21 Sept www.beyond.radio/news/local-n...

Pure joy!

Good morning. Lottie walked. Time for a brew.

Yep. Don't miss the primary school whatsapp group. www.bbc.co.uk/news/article...

[email protected] lovely to listen to you at the Lowry this evening. ps I guessed all 4 questions correctly much to my surprise. pps my question now would be who was the most powerful woman of the Roman empire.

Here is the first episode of Instant Classics Give us a listen and leave a comment ! open.spotify.com/episode/5s3Q...

Riff Raff to Elio: the seven best films to watch on TV this week

Daughter had a bit of a traumatic dental extraction today. Dentist was excellent. But honestly it's on replay in my head....

Thank you, yes, Penguin do a great job with cover design. This is my favourite one, love its ambiguity. Whoever chose it must know her writings well.

"It's the only thing that keeps her mind off death," Husam said. "It gives her hope that she can escape this life. She's putting all of her efforts to secure a scholarship abroad hoping that she would be able to travel." 🆓🔗 archive.is/ewOwu

Friday, 19 September sunrise, from Wainui Beach, Aotearoa / New Zealand. Another gorgeous morning. Weekend is coming! Ata mārie / Good Morning ☀️

The announcement of health insurance companies that they’ll continue covering routine vaccinations is a huge vote of no confidence in ACIP's recommendations. It reflects a desire by insurers to avoid the cost of illnesses by having their customers vaccinated. Gift link:

‘She was one of the greatest literary voices of the twentieth and twenty-first centuries. A fearless wordsmith whose prose shimmered with truth, beauty and rebellion.’ A new two-part radio documentary on Clare FM explores the life and work of Edna O’Brien: soundcloud.com/clarefm/word...

At dentist with 12 Yr old today. Offered mouthwash. Didn't want any as it transpires. But of note some mouthwashes do contain aspartame eg chlorhexidine. So should be avoided in people with #pku had no idea!

Intriguing! www.theguardian.com/commentisfre...