an elderly man with a beard is smiling and sitting on a couch ALT: an elderly man with a beard is smiling and sitting on a couch

How’s my week going?

Well I’ve written a note to myself on the theatre whiteboard as a reminder for the end of the case and I finished it with ‘please’.

A note to Myself.

Of course. I’ve already roped in a friend who is having an equally bad day to be the barista.

My backup is a bookshop that may or may not be in the alps.

If I win the lottery I won’t tell you but there will be signs.

And the signs are that I’ll be in the Alps with lots of dogs and horses.

Right, I’m becoming an Isack Hadjar fan because I think being a Landon Norris fan is actively shortening my life. #F1

This is what we found. Sedation (often in elderly non-starved patients) is less safe that a well controlled GA and some vasopressor. It also makes the whole procedure much quicker. We heavily protocolise it (ideal drugs to use and haemodynamics to aim for) to help the Registrars out of hours.

I will add that acute strokes can often be Aphasic and/or have some degree of drowsiness or confusion which can mean they struggle to follow instructions and sudden movements during the procedure confer significant risk.

As someone who does a lot of thrombectomies I would think some of it comes down to better cardiovascular stability in an acute stroke compared to an active STEMI. AF is the most common problem and we usually want reasonable rate control before GA. Generally the procedure is much quicker under GA.

This is a song for a YouTube/brain-rot generation. #eurovision #estonia

In a risky move I’ve just been setting up my new MacBook whilst eating a scone with lots of jam.

I like to live dangerously.

Also because I can’t be trusted: flower arrangement for the Mother’s Day mini-buffet? Lego.

Resisting the urge to build this on one go. Frame done.

Apologies to my neighbours but I have both hoovered and mowed before 10am on a Sunday. Sorry but I’m hosting today and still have a cake to make!

Help! I’ve offered to host Mother’s Day and whilst others are bringing most of the food I need to make a cake and have no idea what to make! Anyone got any ideas?

(I’m also oncall tomorrow and need to clean the whole house. This is fine)

Eat all the pizza.

Todays case has lots of cranial nerve monitoring on. The sounds is eerily similar to a CTG and it’s giving my obs PTSD.

It might only be 7 weeks since my last holiday but boy am I ready not to be in work for a bit.

The Salomon is what I’ve been looking at! I probably don’t need four litres (working up towards half marathon distance but probably not going beyond that!) but the smaller ones are definitely an option. The soft bottles look good! Thanks for this!

Proper runners: any top tips for mid long run fueling/hydration? I’m only now starting to do consistent long runs (10k+) and need to think about what to do. Any top tips?

Will someone please make me go for a run? I’ve been putting it off for *hours*.

Today in: Am I angry or am I hungry? The answer was: hungry.

It somehow felt warmer this morning even though it was 0deg.

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#anaesthesia

Today was a busy ITU day where a lot of work ended with the same net number of tubes as we started with. Just… rearranged.

Also it turns out you can just buy the Valentine’s Day Colin the Catepillar and no one checks if you’re in fact single and going to eat it on the 12th.

a little girl wearing a pink jacket and purple pants is standing on a blue bench ALT: a little girl wearing a pink jacket and purple pants is standing on a blue bench

Whoops I fell and booked another skiing holiday…. What a shame.

I’m meant to be going and doing a Fartlek run. Instead I’m still in ny pjs and ordering lamps.

A blank anaesthetic chart with nothing except the times complete, labelled until 2130.

When the fellow is really not optimistic about the ‘we’ll be finished by five’ case.

Dealing with the Sunday scaries by… signing up for a 10k and spending too much money on a a Runna subscription?

Is it very middle aged to look and a lamp and think: ‘it’s lovely but it’d be a nightmare to dust.’?

A few days ago I commented something on a YouTube video making a loose joke about something anaesthetic related and have since been accused of lying by multiple people. Social media is nuts these days.They’re probably all 12yrs old.