Hardly “well”, Peter Kyle.
Get a bloody grip @labouruk.bsky.social
You have a massive majority. Keep pandering to the Tories and ReFuk. And, guess what? They don’t like you any better for it.
Meanwhile you are squandering the votes of those who would customarily support you.
IDIOTIC.
“Minister said 100k marching calling to shoot their leader is sign of healthy country.”
This reeks either big brain overthink or panic meltdown mode.
I’d counter by having pensioners sent to classes on climate change, trade economics and the histories of slavery and colonialism. Two can play at this game.
Breast cancer diagnoses rose by over 300% between 1973 and 1992.
Was there a breast cancer epidemic?!
NO.
Mammograms were implemented for screening in 1976.
PREVALENCE is a function of being able to correctly diagnose something.
This is also about autism.
Everyone needs to internalize that when they say they want to "eliminate autism" what they mean is "eliminate autistic people and their families".
The medicalisation of distress, and possible overdiagnosis of MH conditions needs discussion focused on how best to help people, rather than as route to cut the benefits bill.
Elspeth Davies and me in @bmj.com
www.bmj.com/content/389/...
Life on social media as a skeptic and science communicator.
@dennisrenmd.bsky.social @kaymd.bsky.social @aineyoremd.bsky.social @mdaware.org
I hope abolishing NHSE fixes some of these perverse incentives for trusts to seek alternative income streams.
More than anything I'm frustrated by poor leaders like Dr Navina Evans who must have been aware & yet can't listen to doctors & work to improve things.
8/8
The sad thing is, they're not even trying to hide it. Most screenshots from my FOI request but a lot of info is freely available online:
global.hee.nhs.uk/supporting-g...
www.hee.nhs.uk/sites/defaul...
education.uhb.nhs.uk/clinical-edu...
7/8
They can apply to any speciality. There's no workforce planning or ringfencing for specialities/regions most in need.
I've no doubt these doctors are suitably qualified.
But amidst ongoing NHS crises, how can we provide training for up to 300 Saudi drs & yet not our own?
6/8
It seems the agreement is expected to be renewed in 2030 when it expires.
This is so backwards.
UK drs are emigrating unable to get training & yet trusts are being paid by foreign govts to train their drs here.
Why can't we put money into training the drs we already have?
5/8
Where was the consultation with doctors, royal colleges, BMA about this? Feasibility to deliver training & impact assessment?
It's infuriating HEE, DHSC, GMC all approved this.
On a backdrop of ⬆️ competition ratios & ⬇️ training satisfaction during the same period.
5/8
What little comfort it may provide, it doesn't seem to take away from the pool of UK training nos.
I'm sure these doctors are highly capable & they do need to meet the same benchmarking standards.
But UK drs are expected to go through the CV & application rat race. Why?
4/8
NHSE said they didn't give or receive any money, but confirmed that Saudi govt pay UHB directly. (I have separate FOIs still pending about this).
Why UHB? The "prestigious" trust often in the news for toxic leadership has historical working relationship with Saudi DoH.
3/8
During covid in 2020+ as UK doctors faced redeployment, exam cancellations & delays, recruitment mishaps, moral injury, @england.nhs.uk, HEE, UHB were busy helping support a growing no of Saudi doctors enter UK training.
2/8
As UK doctors face yet another disaster in job applications & ⬆️ competition ratios, let me tell you how Saudi Arabia pays Univ Hosp Birmingham to allow their drs to side step into UK speciality training.
No competition. Guaranteed places. All with @gmcuk.bsky.social & @england.nhs.uk approval.
1/8
If people cant access appropriate mental health treatment and support in a timely way in stands to reason their mental health will further deteriorate and the severity of their mental illness will increase.
www.rcpsych.ac.uk/news-and-fea...
11/11 The paper is available here www.bmj.com/content/388/... and an accompanying editorial by Kieran Walshe is here www.bmj.com/content/388/... As he notes, “The prospects for extending their role … now seem remote”
5/11 ⚠️ Notably, we found no evidence that physician associates add value in primary care or that anaesthetic associates contribute positively in anaesthetics. If you add cost of supervision, which the studies don’t, it’s very unlikely they are cost-effective
4/11 🏥 Our findings suggested that the evidence was limited and preliminary. There were important concerns about the competence of PAs in managing complex patients and prescribing (which happens, even if illegal)
🧵 1/11 📚 Our new rapid systematic review, led by @trishgreenhalgh.bsky.social in @bmj.com examines the role of physician associates (PAs) and anaesthetic associates (AAs) in the UK. This is a crucially important question in light of the Leng Review
Pierre Kory, MD MPA & @PierreKory If DMSO was used for strokes and spinal cord injuries, millions would be spared from death, paralysis, and disability. As an ICU doc, I am in disbelief the FDA has kept this from us for decades. The evidence @MidwesternDoc presents here is mind-blowing. How DMSO Treats •Strokes and Brain Bleeds • Brain and Spine Injuries • Paralysis • Heart Attacks • Dementia • Amyloidosis • Developmental Delays • Down Syndrome • Raynaud's •Varicose Veins “DMSO Could Save Millions From Brain and Spinal Injury” From midwesterndoctor.com
He’s moved on from ivermectin but I still cannot overstate how lazy and stupid this guy’s scams are. People have died from experimenting with DMSO, an industrial grade solvent. There is a wealth of scientific literature on it, and the only people pushing decades-old junk science like this are frauds
Per @janemayer.bsky.social:
“POC” was targeted because they thought it meant “people of color.” It stood for “point of care” in medical emergencies: This Is the research Ted Cruz Calls “Woke.”
Interesting to watch the diplomacy dance.
Zelensky not only gets his visit to see the King before Trump, and so quickly after Trump’s shameful attack, but it isn’t a standard one at Buck House either, but a private visit in Sandringham.
clouds in black and white
a busy intersection of regent street in london, at night, in black and white
Also please ignore the vignetting, I'm using a DX lens on a film camera and Nikon's annoying changes mean it cuts off 35mm film.
tree branches
view of a single road ahead lined by small bushes and a few big trees on either side, with a monument at the end of the road in the middle of the picture.
wooden fence at a train station platform, with a sign saying to keep behind the yellow line, in black and white
tree branches, in black and white
Taking inspiration from @robjimfleming.bsky.social I'm sharing some of my own #photography.
I've never been a very arty or creative person, but the process of shooting and developing black and white film helps cover up the lack of skills.
Shot with Nikon F80 on Ilford HP5+ film.
That's definitely the way to go 🤣 it's what I do! take a bunch and hopefully some look good!
ICU Mechanical Ventilation (MV):
There are many books & articles on the topic but this 8 years' old review has nice graphs/tables & a good discussion of the specific ventilatory approaches in ARDS and COPD:
"In just two weeks, an outbreak in northwest Texas jumped from two cases among unvaccinated children in Gaines County to 48 people across four counties"
Geez...it's almost like measles is highly contagious or something🤔
Also, anti-vaxxers suck🤬
www.usatoday.com/story/news/n...
When evil men do their evil things and you're silent makes you an evil person.
