This is like when I demonstrate my control over my cat by ordering him to lie somewhere comfortable, or scratch the furniture. www.bbc.co.uk/news/article...

It's definitely Big Coat Day today

Me to the medical student when I've asked them about the CO2 and it's reading "67" (Yes, I'm cross it's in mmHg too!)

Achievement from today's #HealthcareAI talk. Final one for a while!

Presenting today at @rcsi.bsky.social in Dublin on #HealthcareAI Looks like an interesting day of talks, and if pre-meeting chats are anything to go by, the panel discussion should be fascinating!

My new plan for encouraging resident colleagues to document in the electronic patient record appropriately...

Honoured to be asked to talk on #HealthcareAI at the Intensive Care Society of Ireland autumn meeting, along with @andymoz78.bsky.social Made the mistake of asking my brother in law for a Gaelic greeting and now have a 30-second voice note with what appears to be some kind of toast...

Someone replaced my HDMI monitor cable with a VGA one, and I'm wondering what it says about me that I noticed instantly...

Every time I write "explained anaesthetic" in the notes as part of a pre-assessment, I'm reminded of the fact that even the most expert professor of anaesthesia wouldn't *really* be capable of making that true.

As we inexorably head towards winter, please ensure you've set your cat to cold weather mode. #CatsOfBluesky

Predictably, it's our eldest who - even on holiday - refuses to give up on #Halloween traditions "Dolcetto o scherzetto?"

Not sure of the origin; ironically it looks like it might be AI-generated to me!

I had a quick dig around Grokipedia and honestly there's not even anything interesting enough to post about - just seems to be a low-effort regurgitation of the real thing. www.404media.co/grokipedia-i...

If anyone needs proof of my tech prowess, I just managed to transfer a file over Bluetooth, first time...

My client, Tantalus, regrets dismembering, cooking, and serving up his son to the gods and wishes to make clear that this was not a premeditated, organised party, but a work event at which he was, in a sense, ambushed by Pelops Pie

Transcribing some interviews with #AI, it is *alarming* how poor most of the diarisation engines are at telling the difference between two feminine voices... #AIBias

In light of the outage the other day, it's interesting to see that Amazon has apparently been replacing a significant proportion of its AWS DevOps staff (allegedly 40% according to some sources) with AI tools... www.reuters.com/business/ret...

"I've had my vaccines" says the badge they're giving out at the NHS flu-only vaccination stand...

Brilliant news. I can think of one or two non-pollutant-based diseases this might help with too!

Our homemade heating controller misbehaved this morning, so today I will mostly be blaming Chinese cyberattacks (and wearing a jumper)

I confess to having a limited understanding of immunology, but is anyone aware of a decent reason that playing conkers would be dangerous near someone with a nut allergy? Asking for a conker-playing child...

Friends don't let friends do this to SNOMED codes... (or use Excel as a database!) #DataScience

Estimating about 12 more cups before hospital productivity goes through the floor

"So, what does your AI company do? What NHS problem does it solve?" "What problems do you have? Our AI can do anything."

I'm not quite sure if I'm more annoyed by the prospect of trying to have Sunday roast for five people with this single carrot, or the incorrect grammar...

"He is for everything"

I feel I deserve the Nobel Peace Prize for the judicious use of a small syringe of saline with a red sticker, rather than a full on rant when the surgeon asks for muscle relaxation just before the end of the case.

Absolute genius seller... #YouGetWhatYouPayFor #Numeracy #SIPrefixes

Hit and run by a car when cycling in to work this morning (I'm fine, bike less so but hopefully fixable) What a surprise...

Robert Jenrick: <makes a racist remark> Lord Sewell on #PM: Hold my Real Ale. HAVE YOU SEEN BRADFORD???

Clearly catering for a... specific... section of the market.

Jimmy-Floyd Hasselbaink looked to be *really* enjoying his dance... #Strictly

SO MANY CONKERS! #StormAmy

Downloaded a synthetic dataset of doctor/patient conversations for some AI work. I hate to criticise what is an amazing resource, but...

When an AI company makes a digital avatar of your wife for patients to talk to, it's apparently Not The Done Thing to ask if it's available for private chat sessions...

Thanks, Online "Safety" Act... #Imgur #UKBoycott

Aside from possibly not having a foot down in front of the mount line, this is how I dream of exiting T1 next time I race a #triathlon... #UKTriChat

I had a bit of experimentation with "vibe coding" (#AI-based coding) over the weekend. tl;dr - I'm not entirely set on it but, like in healthcare, I can see value *if* it's used sensibly 1/

My wife has unfortunately worked out why I sometimes deliberately hide bananas so they go brown; but luckily her response remains unchanged...

I wonder if it says something about anaesthesia when my first assumption on seeing a colleague in street clothes was that she had been called in overnight, rather than just that it's a chilly day for cycling.

A rare score of simultaneous nerd and wife points... #HeatPump #esphome

Is there *anything* that Pedro Pascal won't do nowadays?

I do love* the fact that the MHRA has had to come out and say it's OK to take paracetamol in pregnancy just because of the words of a man who really needs to be run through the AMTS again... * no I don't

A plea for careful review of #AI outputs before using them Another plea for AI to be properly designed not to "compete" with human clinicians in a way that makes them just "liability sinks" for the tool! fortune.com/2025/07/20/u...

Like water off a crow's back... #Corvids

I appreciate it's fairly optimum conditions, but getting nearly 800% efficiency from a heat pump does feel like some kind of magic.

Does anyone else struggle to watch/read/play (and often avoid!) the last episode of something really good, because then it would be over? Would love to know if this is common, or if I'm just weirdly missing out on some really good stuff!

So it's happened again... When I first heard the term "vibe coding" I honestly thought it was a way to make fun of those using #AI to code. As usual, it's a useful tool - but not ready to be in charge of code, or patients!

Well it appears that bloody virus managed to ruin a second racing season five years later... At least I feel slightly justified in how I was feeling on the bike! Time for the off-season and some shockwave to get myself into shape for 2026 #UKTriChat

Well, I tried to race anyway in the hopes I was getting over it... Virus 1, Tom nil