Been back a month but Bunger Hills will always be in my heart Deep field work is a particularly special privilege in remote medicine

18 days in the deep field at Bunger Hills and it was definitely time to wash my hair: at this point it has gone from festival hair (with dry shampoo) to festy hair Now I’m fresh, glam and fruit scented #polardoc

The rocks out here are just incredible. So much morphological drama This is tafoni - wind erosion holes in rocks The geologists out here are working hard with their science and generously teaching us #BungersHills #polarmed

Reading “Tomorrow, Tomorrow and Tomorrow” while sitting in a camp chair in the lee of the medical melon Outfit is UV protection on this beautiful -4C slightly breezy sunshine day in the Bunger Hills Yes, that is my laundry between the flags #polardoc #wildmed #antarctica

A23a has finally escaped the vortex! 🏊‍♀️🌀 The biggest iceberg in the world is on the move again after a casual half-year sabbatical spent spinning in circles. Our @magic.bas.ac.uk colleagues have illustrated A23's super circuitous 2024 journey via satellite imagery ⬇️ www.bas.ac.uk/media-post/w...

Deep field camp life is all hands on deck working together, regardless of your job I spent the morning setting up tents with our comms operator and the afternoon pumping water to primary and secondary tanks with the electrician and camp manager #polardoc #remotemed

Let’s vaccinate against COVID. It reduces the risk of long COVID. This should be a no-brainer.

Read about the incredible work of @nighatdad.bsky.social "In 2012, Dad established the Digital Rights Foundation, an NGO that aims to address the digital divide and fight online abuse of women and other gender minorities in Pakistan." www.wired.com/story/nighat...

Phew…flying out to Bunger Hills tomorrow after a crazy week and a bit at Casey station prepping our team’s cargo with the ops and science folk, and checking all my medical kit Excited to be heading to the deep field #polardoc

Here is a penguin It’s an Adélie penguin It’s my placeholder penguin til I can sort my photos from an epic day out walking on the sea ice around the Swain Island group ~40 minutes away from Casey station #polardoc

I want this on a shirt I feel like there's so many work teams and expeditions this is applicable for

Today I learnt that icicle is tautology

Under-resourced child/adolescent mental health services lead to many secondary consequences, not least a significant impact on young people's sleep which is difficult to compensate for without adequate CAMHS assessment/support Early intervention is essential www.theguardian.com/society/2024...

Researchers found a 62% drop in cervical cancer deaths in young women over the last decade due to HPV vaccination! That’s huge!  www.cidrap.umn.edu/human-papill... #MedSky #BlueSky 🧪 #medtwitter #IDSky #EMSky #EMedSky #nursesky #MedEd #fmsky #pedsky #publichealth

The unseen but critical aspect of wilderness and expedition medicine: preparing and packing your kit before you go No matter how large or small trip, prior preparation determines your success and safety #wildmed #remotemed #polardoc

Saying g’day to my penguino buddies at the Antarctic Circle Rather apt as I began my polar career at Casey and had a photo shoot with outgoing winter doctor at this very same sign 14 years ago #polardoc

We’re on snowbird one! Next stop ANTARCTICA

#primarycare #familymedicine We need SAFE , accessible green spaces and partnerships to support those populations and localities with the highest risk of mental health problems & the worst access to healthcare and community green space assets evidence.nihr.ac.uk/alert/local-...

A very interesting listen - long COVID may be a persistent infection rather than sequelae of infection #GPSky #Medsky

So it looks like I'm going to Antarctica tomorrow... I don't even care the bus is coming at 4:20am because I'M GOING HOME!

Describe your in-person skills with one image (I’m the penguin)

Yay, my latest publication examining the editorial cartoons of PMs Julia Gillard, Margaret Thatcher, Helen Clark and Jenny Shipley has now been assigned an issue. I also get another 50 free e-prints! So click the link below if you want to read the full paper: www.tandfonline.com/eprint/RHCQ6...

Clinicians use combat metaphors when describing critically ill patients and families in the electronic health record. Research in the #CHESTHumanities section of #journalCHEST: journal.chestnet.org/article/S001... #MedEd

Suggestions please for audiobooks and books to download to read in the deep field camp I realised tonight I’ve already listened to all my favourites while at Macca

It's a very difficult one. We interviewed 50+ people who believed either that vaccines made their LC worse or that it dramatically improved it, or that it had no effect. I have absolutely no doubt that it can do all three in different people. I don't know what I'd do if it was me.

Via @tryangregory.bsky.social www.swissre.com/press-releas...

This is educational and adorable! #GPsky #medsky

Me in squirrel form

Thread on #LongCovid based on our Lancet paper. #episky #medsky #medtwitter (lay summary link is right at the end).

Thanks for following this thread. Loads more in the paper. Here's a summary diagram of the factors that tend to predispose to getting Long COVID and also making you less likely to recover (right hand side of picture) and the factors that tend to protect / make you more likely to recover. 19/

Reproducing my thread from the Other Place on our Lancet paper 'Long COVID - a clinical update'. Coauthors Manoj Sivan, Alice Perlowski, Janko Nikolich. 1/ www.thelancet.com/journals/lan...?

Babies shouldn’t have to fight past this before they are even born. Placenta. Brown =vascular= good. White stuff =useless. #CutDownTransmission

If you’re a company that advertises your service by saying how crap GPs are and promise patients instant access: DON’T tell those same people to then see us for all the things you can’t be bothered doing Don’t erode trust in GPs while simultaneously expecting us to be your safety net

Optimist: the cup is half full Pessimist: the cup is half empty GP: you can have the cup once you’ve enrolled the patient in x government program. The contents will come in staged banded funding rolling out over the next five years and may be changed if there’s a change of govt

The truck on top delivers your ordered food while the sushi circles below on the underground I’m in heaven 💜

CORVID-19 Ca-caaaaawww

Canada apologized to the Inuit of northern Quebec for the mass killing of sled dogs in the 1950s and 1960s, which devastated communities depriving them of the ability to hunt and travel reut.rs/3B7IQMp

Polar research is critical to our understanding of anthropogenic climate change and the likely impacts on us amp.abc.net.au/article/1046...

GP is the best place to deliver the Essential Services, even considering the expansion in our scope. However, achieving this is impossible with limited resources. We need both adequate funding and a sufficient number of GPs to effectively meet the growing demands. (Shock horror)

So much work done by GP practices is unseen The media focus purely on appointments - 30 million a month & up 5 million since 2019 Imagine if appts are up 20% what is going on behind the scenes All this with 20% £/patient since 2016 in real terms cuts #MedSky #RCGP #GeneralPractice #NHS #TeamGP

Canadian friends - if y'all see one of these can you post it to me? Critical medical equipment and all that... www.canadiantire.ca/en/pdp/snow-...

Even if this statistic remained static over the next 5 years, you have to consider the population age, change in health status, complexity of need. I've not utilised my GP for many, many years - but I'm potentially entering a phase where I will increasingly need to do so.

A pack rafter had his leg amputated after become trapped in rocks and partially submerged for nearly 24 hours #wildmed #remotemed

Walking home with my dinner when suddenly one of the shop doors opens and out is thrown a hairdresser’s mannequin followed by any empty champagne bottle and then a sausage with a face drawn on it In the door way was a laughing woman on her knees, her friends behind her Tis the Xmas party season

So the question is - will these health insurers reduce fees since they’ve now reduced significantly the number of hospitals their customers can attend?

#GPsky #medsky

@who.int granted emergency use listing for the Lc16m8 vaccine developed by Japan this week - it is the first vaccine listed for children > 1 yr of age. Plans to roll this out in #DRC. Unfortunately MVA-BN - the vaccine currently being used in the outbreak, doesn't have an indication for children

This case of #H5N1 in #California is concerning: - Another case where we are unsure how the person became infected - We are unclear how many undetected cases of #H5N1 there are in the US - Letting the virus continue to circulate is allowing mutations to develop. - Important to scale up testing