Vehicles and bikes must be totally apart

Mountains

Miami holiday 2022
And then down to the Keys

King could pull a sicky

Err yes the Sun shines in Dpain so makes sense.

Our flagship anaesthesia conference, and the largest gathering of anaesthetists in the UK, returns to Liverpool 16 -18 September 2026.

Join colleagues for three days of expert talks and workshops designed to improve your clinical practice.

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Keep children well out of it. Be civil about sharing childcare the key

Irrelevant.

The U.S. Navy’s attack on an Iranian frigate, the IRIS Dena, on Wednesday was the first time an American submarine has sunk an enemy ship since World War II. But the Dena may not have been armed

You want to watch some Ww2 stuff. Picking up sailors in the sea makes you vulnerable. This was an enemy warship. 100% a target

Shame err never mind

Trump likely to attack Iran this weekend. ( they deserve it but not a peaceful thing to do )

Pair of trainers and jeans

Went on my own to top a few times. Just a tent and me. Cost 10 quid. 2 days up one day down

Rather have Greg Wallace

Heart of happiness. Local anaesthetic surrounding popliteal nerve just at bifurcation .

• Faster, clearer recovery compared to inhalational anesthesia alone
• Lower incidence of postoperative nausea and vomiting (PONV)
• Good depth control with stable BIS values
• Preserved spontaneous respiration at low sevo concentrations
• Reduced awareness risk compared to TIVA alone

Synergistic anesthetic effect → lower doses of both drugs required
• Better hemodynamic stability than propofol alone
• Reduced propofol requirement → less hypotension and injection pain
• Reduced sevoflurane concentration → less myocardial depression
• Smooth induction and maintenance of anesth

CIVA. Ankle orif trauma. Propofol infusion Marsh in this case. In conjunction with sevoflurane low mac 0.4/0.5.

Amazing combo. Papers out there . Not often done in UK.
Advantages over tiva. No remi needed. Virtually guaranteed no awareness. Simple. Nausea rate same as tiva low.

share.google/Y88Gi1W2HWaS...

The Irish navy

open.spotify.com/track/1HL0UU...

The whole point of X Bluesky , too too, Facebook is to make silly comments. Don’t take life so seriously

😂I am Jewish

Wish I knew?

Maxwell’s Dad certainly was.

Had children tell me sevo like bubble gum!

KGB funds?

All on your own. Was mental

I worked in South Africa. We covered so much
A Saturday on call could be: an incarcerated hernia then a C Section then a nof fracture then a emergency cabg bypass

When were they assessed? Crucial.
They leave hospital with a smile opiate free pain free until 2 am at home and the rebound hits home
This is undetected as no phone assessment the next day.
Any trauma of moderate nature I often do a ga/ regional. All get oral opiod( Tapentadol ) dex.