I had assumed the entire Internet had seen this joke 5 years ago but I looking at the replies, I stand corrected.

Ok guys. I think I’ve won this thing.

UK GPs of Bluesky- what’s happening with the new contract? Can HMG mandate things to GPs without consultation? #medsky

No relationship between deltaSBF and deltaCO?

Glenn Hernandez will probably investigate this further using data from ANDROMEDA2. It will be interesting to incorporate fluid intolerance measurements in order to try to understand this.

I'm at the stage, where I think any therapy applied to "sepsis" is just a bit silly. It's like having a treatment for "cancer". We need to be more specific and treat biological entities. Also... That dose is absolutely wild.

They're already running an RCT so I'm not sure why this paper exists or why we need to engage with it. I'm not giving megadose vitamin C on the basis of sheep studies and one (???) case report, no.

Ok #criticalcaresky controversy Anyone here either researching, or giving, MEGADOSE vitamin C in sepsis? No not the Marik stuff- like 300g pubmed.ncbi.nlm.nih.gov/34061355/ Thoughts?

"I actually do not expect an apology given the lack of intention. I do expect an acknowledgment of the pain caused" Best thing I've read about this. (Apologies to the person who originally shared this such that I saw it. Cannot now find the post.)

Fascinating application of AI deepfake. A real British doctor called Alex Wibberley has, I assume, deepfaked himself to make medical youtube videos. 1200 videos posted in 2 months. Channel has exploded, almost 200k subs. Weird social media presence, bot accounts... www.youtube.com/@DrAlexWibbe...

What you need to look like on the Internet to be considered working class in the UK

Me, in my 20s, pre-transition, studying Buddhism: "Sure, I totally know what a 'nectar beam' is" Me, in my 40s, having tasted a Good Mango:

have to endorse this important message. the mango flavor distribution runs from "mild upgrade on cantalope" to "proof of the existence and boundless love of God"

The NHS in England is suffering from Greige Expectations and Stuck Record Syndrome. Unpaywalling this week’s column for a few hours. www.healthpolicyinsight.com/cowpers-cut-...

Very sadly Seshagiri Mallampati, the anesthesiologist who devised the Mallampati score, die two weeks ago. He only retired in 2017, 49 years after he began clinical practice. litfl.com/seshagiri-ra...

We're pleased to support the development of #SCAN-EF, a research project to explore if AI-enabled handheld cardiac ultrasound can help improve the early diagnosis of #HeartFailure #cardiosky #echosky

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...

We're delighted by the interest in our new Echocardiographer of the Year award for healthcare scientists in partnership with the Advancing Healthcare Awards 2026 - we can't wait to celebrate with the nominees! #echosky #cardiosky Find out more: https://ow.ly/3jBx50YffJ8

Written English has barely changed in 300 years. If you can read Harry Potter, you can read Robinson Crusoe (1719).

Following the global supply issue affecting the NHS’s main provider of bone cement, NHS England is hosting a webinar briefing for all orthopaedic surgeons to discuss potential alternative bone cement products. 📅 Monday 23 February 2026 🕟16.30-17.30 🔗https://ow.ly/S1Wc50Yjm9b

In 2024 NHS staff reported working unpaid overtime equivalent to at least 49 000 full time employees. A BMJ data analysis finds this discretionary effort, which has long underpinned NHS service delivery, is declining. What does this mean for workforce planning? https://bit.ly/4cBRFOU

A British grandmother with a valid visa detained by ICE for 6 weeks. "So why did ICE detain her, and keep her locked up for so long? ICE officers are paid a bonus every time they detain someone. 'Individual ICE agents get money per head that they detain – the guards told me that,' Karen says."

I’ve found it, I’ve found the worst take

Yes!

So Waqas (for those who don’t know) is on the specialist register for Cardiology Acute Medicine Intensive Care And there is not going to be anyone like him for the foreseeable future in the U.K., because of the problems that he has mentioned. Thoughts? #medsky

Yes absolutely, we came close a few a years ago with a training programme but the problem with the GIM and cardiology specialist curriculum has meant everything has been stalled - the main concern from cardiology was not to encroach more on specialist training time with ICM dual training.

8 billion people in this world, ten squillion bajillion hours of video uploaded to youtube and not a SINGLE video of professional flamenco dancers dancing to Gerudo Valley? Honestly this is the most disappointed I’ve been with humanity (this week)

18/ Marilyn Hughes Gaston, MD - research led to nat’l #sicklecelldisease screening program - 1st Black woman to direct Bureau of Primary Health Care in US Health Resources & Services Administration - 2nd Black woman to serve as asst Surgeon General #BlackHistoryMonth #BHM

Just in case anyone is wondering… the cement is being prioritised for cemented hemiarthroplasty for hip fracture. #OrthoSky #AnSky

Can we PLEASE stop calling them “hallucinations.” A hallucination is a false sensory perception. LLMs don’t *perceive* anything. These are “CONFABULATIONS.” Thank you for your attention to this matter.

Exploratory laparotomy in #ECMO 🩺 indications? bowel pneumatosis, portal venous gas, free air, mesenteric edema, distention + rapid Hb decrease, increasing vasopressors or ventilatory pressure 🩸 most ischemic injuries? watershed hypoperfusion due to CS or ECMO: thromboembolism rare 🔗 bit.ly/4alLSvB

The ASCeXAM Review Course will cover all aspects of cardiovascular ultrasound essential to these examinations, including physics, valvular heart disease, strain and 3D imaging, contrast echocardiography, ischemic heart disease, congenital heart disease, and more. Sign up: bit.ly/3F3DX5S

It's almost time for BSE Ireland and our hearts are fluttering! 💙 Our Education Officer, Ms Lyndsey Staunton, stopped by. She talks growing up in Cork, Dublin and what makes BSE Ireland so special Read more here: https://www.bsecho.org/Public/News/Articles/2026/2026-02/202602-ICF001-Lyndsey.aspx

Want to start reading Superhero comics, but are intimidated by the massive lore/hundreds of back issues? I got ya. Here are a few hints: 1. People will kill me for saying this, but the lore doesn't matter (except to folks like me). Or, it matters less than you might think. Don't let it stop you.

This is one of the best posts I’ve ever seen

Exploratory laparotomy in patients on #ECMO 🔍 >1,3K #ECLS patients: 4% abdominal exploration 🔪 procedures pts resection of necrotic bowel, repair of perforations, other 🪦 mortality 57%; higher disease severity scores/mesenteric ischemia: significant factors influencing mortality 🔗 bit.ly/4alLSvB

www.thelancet.com/journals/lan... My spider senses are tingling all over the place in the wrong way @redneeraj.bsky.social @damienbarraudmd.bsky.social

From @theathletic.com: Johannes Hosflot Klaebo is now in sole possession of the all-time Winter Olympics gold medal record, as Norway sits in a league of its own, winning yet another gold. Michael Phelps is the only Olympian with more gold medals than Klaebo. nyti.ms/4rk5pSU

To celebrate Valentine’s Day I left my wife at home and spent the day dissecting animal hearts for the most enthusiastic, intelligent and frankly fairly bloodthirsty group of kids, as part of Norwich Science Festival

Words written anonymously in MSFs, MTRs and other feedback mechanisms especially to resident doctors can cause months, sometimes years of harm. I've provided pastoral support to many literally wounded by harsh negative words without comeback. Resident doctors (and others) are humans with feelings...

Painfully accurate

NHS workers to receive a 3.3%pay rise. Many of the most junior will have a plan 2 student loan - the government is charging 6.2% on this.

Thanks to @zentensivist.bsky.social for the HT This is utterly, utterly, brilliant www.leezhaomd.org/post/the-wic...

State-of-the-Art Echocardiography™ (#EchoSOTA) has officially begun in Scottsdale, Arizona! 👏 Attendees will enjoy a new, refreshed program focused on cutting-edge imaging technologies that are transforming patient care in valvular heart disease and beyond!

Life is so very short. Go where you want to go, and spend time with those people you love, and who love you back. Your inner peace is priceless. When you survive a critical illness, you see things very clearly.

High-concentration chlorhexidine in isopropyl alcohol reduced catheter-related infection rates more than povidone-iodine or aqueous formulations, with alcoholic PVI and aqueous agents reserved for CHG or alcohol intolerance. ja.ma/4qu9T8l

my interview with Gisèle Pelicot is now up on the website: www.dailymail.co.uk/lifestyle/ar...

And we're live! Welcome to everyone joining us for tonight's webinar on #AorticRegurgitation in partnership with @gehnhstrust.bsky.social - share your thoughts using the hashtag #BSEAR #BSERegional #echosky #cardiosky