Funny how these "difficult conversations" about the UK always involve attacking already vilified minority groups, rather than say, offering even the mildest criticism of the richest man in the world running an unhinged racist misinformation campaign against us

Musk’s latest intervention is objectively hilarious but the problem of a hideous human using his enormous wealth & power to promote lies & liars in the U.K., despite having no links to or other interest in the country, remains acute.

That’s all this year.

Someone shared this with me, and I think it's beautiful. That's what I wish for everyone I love and appreciate in this New Year 2025, that your life is filled with an abundance of real luxuries. ❤️

For Maths fans, 2025 is a square. 45² = 45 x 45 = 2025 Also, 9² x 5² = 2025 40² + 20² + 5² = 2025 My favourite? 1³+2³+3³+4³+5³+6³+7³+8³+9³ = 2025 #Mathematics #teaching #education

New year, new me. Healthy eating. January 1st: just ate an entire boursin with a tea spoon

Word of the Day is one I keep posting at the end of the year, hoping its time will come. ‘Respair’, from the 16th century, is fresh hope, and a recovery from despair. Here’s to a few drops of respair in 2025.

We don't defeat populists by calling out their lies. We tried that. Facts are complicated, and the audience for populism wants simplicity. It won't work. We defeat populists by enacting bold political ideas that improve lives for the disenfranchised, and make the world seem less grotesquely unfair.

Where are my anaesthesia/ICM/PHEM peeps? 700 accounts to follow below #Medsky #Ansky #Anaesthesia #Anaesthetist #ICM #ICU #Intensivist #Anaesthesiologist #PHEM #HEMS Pack 1 go.bsky.app/4N4D7MW Pack 2 go.bsky.app/QEgekcF Pack 3 go.bsky.app/CaeuLtL Pack 4 go.bsky.app/7gHUdmc PHEM go.bsky.app/NWQRhE1

I drug people till they’re unconscious so that somebody else can stab them and cut out body parts.

We need and we want trains. Trains. A lot more trains Comfortable trains Clean trains. Trains that have working toilets and some luggage space. Seat on trains for people not tiny insects. Maybe a bar. Some tasty snacks. Regular trains. TRAINS!

AI is generally & mostly bad for higher education & we should not participate in the simplistic charade that it is a technological panacea/innovation that will make learning & instruction better & everyone who does not agree is a stupid Luddite.

Absolutely bloody lovely and wonderful and perfect in every possible way. #GavinAndStacey

Tidy. That was well lush

'Family left 'in tears' after Sikh man's beard cut' Training in diversity and inclusion isn't just a tick box, it's about humanity & respect. This patient's experience demonstrates how things go wrong. www.bbc.co.uk/news/article...

The @rcoa is to be congratulated on navigating the treacherous path defining scope of practice for Anaesthesia Associates via -huge surveys of opinion -aiding #Nap7 analysing real life practice -Cochrane review -professional liaison/listening -pragmatic approach to patient safety & existing AAs 1/2

However the response by the @GMC is bordering on bizarre www.rcoa.ac.uk/sites/defaul... They state this should be based on ‘evidence’ …..the College has done a good job in trying to gain, assimilate & disseminate what evidence there is. There is not much! What has the GMC done? 2/2

It's the weekend, baby

Happy Winter Solstice to everyone! Today is the shortest day of the year, so days lengthen after this.

🎶 Last clinic, I gave you my slot, and the very next day, you just DNA'd 🎵

5/ I’ll get there and I’ll be so proud to take her to my FRCA ceremony but this has put such a dampener on Christmas. I will come back and play the game of FRCA again.

£10bn is more than all of the cost to eradicate the NHS high and significant risk maintenance backlog (the 'will disrupt treatment if it doesn't just kill people' problems). Cost in 2023/24 was £7.6bn. Which would be a better use of this money if it was just knocking about somewhere.

This 👇👇👇

⚠️WARNING⚠️ Do not try this! This is not a real patient! Intraneural Tibial nerve injection at the Popliteal Fossa It is really quite hard to impale a nerve and then perform an injection like this - Please do Not Do this! #RAsky #AnSky #POCUSky j

There are “do more” types of intensivists and “do less” types of intensivists. Having one type on days and one type on nights can make for a rough week.

Talking about starter packs again. Why? We need to find our community. Our interests. Build a new world away from EM & X. It works if we make it work. Starter packs speed this along! Follow and repost. Liking doesn’t boost posts on this algorithm. Repost content you like so folk find it! 🤩

This will kill children. Plain and simple.

Dr Tony Pension-Guru Goldstone is here! Highly recommend a follow.

The UK parliament has joined Bluesky, with proper verified domains and everything: • @houseofcommons.parliament.uk • @houseoflords.parliament.uk • @ukparliament.parliament.uk • @commonsspeaker.parliament.uk

Does HS2 have a future? And why does that question hinge on an unseen government document and a sugar mill in Nottinghamshire?

I’d argue most of the migration is straight up free market behaviour - people don’t like the terrible product that X has become, and want to take their custom elsewhere. ‘But you’re deserting the town square’ is just a lazy excuse for bad business choices.

Imagine waking up after surgery, you've been told things haven't gone to plan and then ON TOP OF DEALING WITH THE FALLOUT you're hit with another big bill! I will never comprehend the US healthcare system 🤦

The level of unhappiness in the state of healthcare in America is extraordinary. The US and the UK have profoundly different healthcare models, yet the levels of unhappiness are probably equal. Corridor care or bankruptcy?

Regardless of what you think of this letter how outstanding to have been a consultant anaesthetist called Dr I Gell

Interesting points of view about sepsis and timing of antibiotics!

I am seeing a lot on social media about a certain celebrity and “banter” and how some see it as harmless and women do not. There is criticism of women who speak out years after the event. A few comments as I have some experience of “banter” in medicine 1/? #MedSky

Morning all! @survivinginscrubs.bsky.social is here on Bluesky! This group have worked tirelessly to raise awareness of sexual misconduct and harassment in UK healthcare and are well worth a follow

The obsession with segregating STEM from humanities is kind of mind boggling that one of the most famous engineers of Western society in the popular imagination, DaVinci, was a polymath who embodied this relationship.

It’s official… @assocanaes.bsky.social has arrived on @bsky.app Our @anaesresidents.bsky.social committee and @assocsas.bsky.social committee are also here as well #AnSky #MedSky

The Warriors is an excellent concept album that I thoroughly enjoyed today on a long drive. If you like anything Lin-Manuel Miranda has produced, you'll like this too. Plus, Lauryn Hill 😍

I stand side by side with my fellow Andy on these hills! Especially about cricoid and BVMs on self ventilating patients...

Some tips for #MedSky #MedTwitter Xpats to get started and find followers! 1. Put a pic & description in your bio. As I build starter packs unless I know you I cannot tell whether you would be a great addition to the pack! 2. Packs are curated & to be relevant should include the right kind of folk

Musk’s X has become a poor quality product. It’s as simple as that.

I'm back on here after a period away and my my! Aren't there a lot of people here! Glad to see so many have made their #eXit

""just to let you know" call should result in a full review"... That will dramatically change the way I respond to those kinds of calls. Is asking outreach teams to review appropriate/enough? You'd hope so. But apparently relying on the referring clinician isn't!

This makes me so sad and angry. Birmingham is the UK’s second biggest city. This is a national disgrace. Screenshot btw from the Birmingham Dispatch, a great new venture in making local news richer and move away from clickbait ad traffic nonsense. www.birminghamdispatch.co.uk

🚨 Critical incident declared at James Paget Hospital due to "sustained demand" and 78 patients in escalation beds. Whole Norfolk and Waveney ICS system struggling: