📒The Lull What if hope wasn't the thing that kept you safe? What if hope was the thing that left the door open for the shadow to walk back in? A chair. A tremor. Damage with no marks. 👇👇👇👇 open.substack.com/pub/davetris...

📝 The Bunker In month six in Kandahar we stopped flinching at incoming rounds. In a consulting room in February we stopped flinching at sixty-four week waits. The threshold moved. Nobody agreed to move it. 👇👇👇👇 davetriska.substack.com/p/the-bunker...

Fantastic experience at the Charlie and The Chocolate Factory afternoon tea. One Aldwych in London.

Big steps again with Rose 🌹 the rescue eating for the first time with her sister Molly

Saturday night is all about Mind Enterprises and Campari 🇪🇺 music.apple.com/gb/album/tut...

📒I cried in a treatment room recently. Nothing bad was happening. That was the thing. New piece. The Visitor's Chair. 👇👇👇👇 open.substack.com/pub/davetris...

📝 The Fog What if the delusion wasn’t that you were failing? What if it was believing you were ever at the wheel? One drive home. One windscreen clearing. 👇👇👇👇 open.substack.com/pub/davetris...

6 months after we rescued her, Rose 🌹 finally chose to eat inside with Mrs T there - never been with us like that before. Bittersweet for me after months of inching her bowl millimeters closer to the house, but awesome. She keeps coming back and staring at the door - badly wants to be inside🥹

🧵A Monday morning in general practice. One small rural GP surgery in Surrey. Real numbers from a real working day. Here's what happened between 07:30 and noon.

A little bit of sibling rivalry today (the good kind). Rose is figuring out if it’s worth venturing from her den to compete with our tiny pug for some liver treats. Getting better by the day

There’s a meditation program on Meta called Tripp which is absolutely lovely. Just putting yourself somewhere serene and calm is quite wonderful.

📝 The Heaviness You carry it for long enough and you forget you’re leaning. You call it love. You call it coping. You don’t know what you look like underneath. One hallway. Twenty heartbeats. The moment the weight came off. 👇👇👇 👇 open.substack.com/pub/davetris...

Yesterday the Green Party WON in Margate. Today I campaigned with teams in Hackney, Southwark, Lewisham and Newham - ready to do it too! All so fired up and ready to win on May 7th. Let's go! 💚🚀 Join.greenparty.org.uk (📸 - Aldoshoots)

What nobody sees In the old model - the one I trained in, the one they dismantled - these threads would have sat in the same building. The man’s script, the son’s behaviour, the wife’s exhaustion You’d have pulled the threads. I don’t have threads. I have encounters A must read

This is very good. I’ve sat with families just like this for about 10 years now - and have really only just started to feel the benefits of that continuity I can now bring to the room. Takes time

….’That’s what continuity is. Not a policy word. Not a contractual metric. Not a slide on a presentation about neighbourhood health. It’s the thing that lets you see the whole cloth when everyone else is looking at individual threads.’ Brilliant writing by @davetriska.bsky.social thank you 🙏🏽

This is so powerful and reflects what continuity with a GP means. It rings true as both a doctor (not my specialty but we have more depth of input than many specialties which gives some of these moments) but even more so as a patient in a practice with good continuity and compassionate care

📝 The Transaction Who will hold the threads of a community in 5 years? A companion piece to What You Can’t Measure (link below, read first) 👇👇👇👇 open.substack.com/pub/davetris...

This is where medicine moves from a mere matter of measurement & data to an art There is nuance, understanding, empathy, knowledge, kindness, compassion, being inquisitive This cannot be replaced & needs to be saved #TeamGP

The Pitt but for UK medicine

📝 What you can’t measure What happens when a GP sees something others couldn’t reach? What if the instrument wasn’t training - it was years of knowing a community? Who measures what matters? One room. One family. One conversation. 👇👇👇👇 open.substack.com/pub/davetriska…

‘Not the NHS Again!’ A new podcast series released every Friday. This week ‘The GP employment crisis’ with GPs Dr Sarah Jacques, Dr Neena Jha and Dr Steve Taylor youtu.be/bT08Zoj7F3A?...

I nearly died after eating this. But it was worth it

A fun 4 years on a farm. Onward to new beginnings

Fab day with fab people - ‘Rise of the Technocrats’ workshop

Great achievement this week - running Space marine on an Amazon Kindle . @dr-shenanigans.bsky.social

Omg my physical copy arrived!! This one might not end up immediately in the recycling www.bmj.com/content/388/...

I know that face.....in this week's @bmj.com Tis I!! If any medical people want to join our mini discord here is the link discord.gg/KzSK8SsV

Bit of sous vide steak tonight 🥩

Anyone got some happy memes or thoughts to share this Monday afternoon?

Have you ever seen a snugger looking dog?

Pretty interesting pile on yesterday for wearing a mask on a train We’ve learnt nothing.

1st Monday after the hols is always appalling in GP, today definitely one of the worst

Luckily we recorded the meeting and can show you Tom's feed when he "accidentally" turned his camera on

An extraordinary 28hrs in ED, with a 96 year old with a compressed spinal cord, in a corridor. In my worst nightmares starting medicine, I wouldn’t have dreamed of this.

We seem to mix up #AI replacing humans in healthcare (eg Sajid Javid on #BBCR4Today suggesting patients could see a chatbot instead of a doctor) versus augmenting humans (@davetriska.bsky.social using one to draft notes) An attempt to put down some thoughts: www.sciencedirect.com/science/arti...

Trevor is dug in 🐢

Ziggy is upset that I took away Filbert's toy that Ziggy stole from him. Filbert lost two balls today at the vet, can't take the third one he wants to play with. @puggymama21.bsky.social

The "unprecedented demand" trope is frequently used. It's usually a lie to deflect blame from people who have cut capacity so they don't face the consequences of their actions in the way patients in corridors enduring dangerous "care" do. The "demand" has been predicted for 20 years btw.

Learn this lesson and never forget it.

Pardon my French but; Piss. Off.

Glorious bacon. 🥓

We done some gym. Didn't feel sick. Call that a win

It’s beyond ridiculous now

‘Playing games turns me into a person who makes sense’

Since the holiday season is almost upon us, I thought I'd share one of my favorite pictures I took of my late pug, Molly from 2 years ago. In honor of the best Christmas film ever, National Lampoons Christmas Vacation! 🤣 #pug #dogsofbluesky #holiday #christmas #trek #dog #love

Rainy day gaming

Absolutely knocked for 6 with vertigo from URTI. Seen so many people like it the last few months, funny times

Christmas tree you say?