as you never know the beliefs of your patient (over whom doctors are undeniably in a position of relative power). I assume my patients want my medical expertise, not my personal philosophy!

Great topic. One thing i feel pretty strongly about is that when I am at work, political & religious beliefs should not be on show or part of decision making with patients. Many colleagues choose to wear e.g crosses, palestinian flags, even the rainbow badge at work. I disagree with this

Eg more than 1 judge or a judge and 2 magistrates. What alternative (costed) is being proposed to address the huge backlogs in the criminal court system? Waiting years for a trial is not great justice, either for victim or accused.

I’ve given this a lot of thought and concluded what the gov is proposing is actually reasonable. Juries are very expensive and inefficient. Jurors are not legally trained and have their own risk of bias. Other countries have different systems which work well, it can be done.

The question I’m actually interested in is whether mechanical vs chemical restraint reduces delerium and icu LOS. Very little used in the UK, but on the odd occasion I have seen it work extremely well for getting challenging patients off sedation and through their delerium.

But they are poisonous, which gives them a certain cachet, non?

Petition: Hold a referendum to bring the water industry into public ownership Hold a binding national referendum on whether the water industry should be returned to public ownership. Water is a basic human necessity; we believe our privatised system has failed, so the public sh...

If you're sick of water companies being allowed to pump s**t into our rivers with no accountability:

petition.parliament.uk/petitions/76...

Article on plastic waste. Excerpt here; YAWN, NOT MORE ON RECYCLING? Not this time. This is how plastic bottle waste has been used to make levodopa, a main treatment for Parkinson's disease. Scientists at Edinburgh University genetically engineered E coli bacteria to help transform polyethylene terephthalate (PET) into the drug. WASTE NOT, WANT NOT Quite. PET, which is used widely in food and drink packaging, is first broken down into building blocks of terephthalic acid The bacteria transform these into levodopa through a series of biological reactions. SOUNDS LIKE A WIN-WIN? The charity Parkinson's UK says that around 166 000 people have the disease. Those with the condition don't produce enough dopamine because some nerve cells have stopped working. There is no cure, but levodopa can top up dopamine levels, which can improve movement.

Turning plastic waste into useful medicines?

It sounds far fetched but here it is… in the @bmj.com, reported by Jacqui Wise.

Link:

www.bmj.com/content/392/...

#Recycling
#PharmacySky
#MedSky

Amazing day of racing! Wout winning was one for the romantics. And Franzi Koch on the line from Vos! (how did visma lose that?!) chapeau!!#parisroubaix
#lenferdunord
#parisroubaixfemmes

Has been a good councillor imo over the last year. Drew the short straw with elections so soon into what would have been a 4y term, deserves to be re-elected for that alone !

This graph doesn’t show it stopping?

Digestives were originally marketed and sold as a tonic against Victorian flatulence!

Oooo this looks fun!

What planet are you on? These strikes are so damaging for patients, exhausting for other staff, not to mention hugely expensive. They need to end. Government has been as generous as they can be I think, now lost patience with BMA wanting more and more. They have a health service to run.

The BMA has gone too far. 26% is pie in the sky, but BMA will not end strikes without it. This move is designed to highlight to resident doctors that the militancy of the BMA will now directly damage their prospects and careers. Shit. But that’s realpolitik. 28 + 7% plus exam fees. Take the deal.

It’s because the BMA are taking the absolute mickey. Another 7.1% on top of the previous 28% plus the training jobs plus exam fees (worth several thousand for most)? At some point, enough is enough. The government would, I assume, quite like to replace sections of the medical workforce.

Ilkley campaigners respond to Channel 4 sewage documentary-drama Ilkley Clean River group has written an open letter to the town and its supporters following the broadcast of “Dirty Business” on Channel 4.'If you watched Dirty Business you will be outraged, shocked...

www.ilkleychat.co.uk/post/ilkley-...

Taking this to an illogical conclusion, the family could have argued in the C of P for the patient to be placed on a kidney transplant list to avoid the burdens of dialysis. Highlights the distortion of making decisions on which treatments to offer via the MCA process.

Who will speak for the patients denied this chance as resources are diverted to patients who, as in this tragic case, have passed beyond our ability to heal? The Court of Protection is ill suited to consider these wider implications.

Clearly unworkable. As an intensivist, I have finite resources. I want to allocate them to patients who might benefit (recover to an acceptable quality of life).

Ok. We are not formally credentialed in many skills in anaesthesia or ICM. Pocus would, in fact, be pretty unique in this regard. I have done far, far more heart and lung scans to fusic standard than I ever have traches or bronchs. Why so special?

My all time fave. When you realise you’ve become dr cox, tho 🫣

Read kicking people off lists, delaying listing (hip and knee replacement prime examples) massaging the wait times with pointless rounds of triage etc. Etc. Every trick in the book.

It used to be on the dual CCT curriculum. Renal, resp and cardiology.

So poor from gov and EA. Funds for the South, you say, but not for Wigan’s kids? You shock me! Also-get those criminals locked up for a looong time asap.

always thought it daft that STOP BANG gives the same weighting to eg. ‘tired’ as to ‘observed apnoeas’! I get that it’s a screening tool, but it needs an overhaul. Be sending half my patients for sleep studies otherwise!

I don’t get this very often, tbh. Very little push back on reasoned decisions not to admit. A lot of sadly unrealistic expectations from patients and families approaching EOL, tho. Maybe parent teams could do more, or maybe it’s just the human condition!

I’d be washing it down with red wine myself!

Yep, Rachel’s had her chips, totally mad decision!