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I’ve just discovered this, and am pretty impressed. Obviously comes with all the usual AI warnings, but could be a helpful tool to support clinical practice!

#BlueCrew - Quote of the Day

Seconded!
Fantastic television!

@neuro_skeptic: The brain is a machine for turning glucose into mistakes

as a specialist i can finally reveal to #medsky the best kept secret in neurology. This, my friends, is the Deep Lore

We did our first CT perfusion brain scan at Northumbria today. It felt like a significant occasion.
Hopefully it’ll feel routine in a few months time!

Captain Picard: it is possible to commit no mistakes and still lose. That is not a weakness; that is life

Thinking on this quote from Yorkshire's finest captain today...

(Yes I'm vaguebooking; no I can't give details but would appreciate kittens/puppies/hugs)

Hope you’re ok.
I share your choice of leadership role model. 🖖

Excited to open the SMART study at Northumbria this week, looking to see if it’s possible to develop a standardised stroke risk assessment for patients referred to TIA clinic with migrainous sounding symptoms.

These are fantastic 😅

Geriatrics is easy. Four simple steps…

Me and the rest of the health and social care select committee will be quizzing Lord Darzi from 9:30 today. BBC parliament enjoyers may wish to watch.

Realistic Medicine – Shared decision making, reducing harm, waste and tackling unwarranted variation Shared decision making, reducing harm, waste and tackling unwarranted variation

We should do it much more!

I actually like “BRAIN” even better.

*Benefits
*Risks
*Alternatives?
*Instinct (patient & doc)
*Nothing (what if we do nothing)

Lots more in here:

#RealisticMedicine

realisticmedicine.scot

At one of my first meetings as a council member of the Royal College of Surgeons of England, we approved a report called Access All Ages. It encouraged less ageist thinking and bias among healthcare staff that might lead to them denying older people surgery. But sometimes an operation isn't the best option. Among patients who have surgery, 14% express regret and 15% experience complications, which are at least four times as likely if they're frail or physically inactive. The Centre for Perioperative Care has published information on the importance of exercise before surgery, but that alone may not be enough. We need shared decision making, including asking patients what matters to them. The public should be primed to ask about BRAN-the benefits, risks, and alternatives to surgery and the likely result from doing nothing. A slew of data supports this approach, especially from the Perioperative Care of Older People Undergoing Surgery (POPS) initiative. After discussion with a geriatric medicine team completing a comprehensive assessment and using shared decision making with a POPS approach, 14.8% of patients decided against surgery. Most of these then had their health improved through other means: adjusted medication, lifestyle advice, or other interventions.

This is a very helpful piece in the @bmj.com from @scarlettmcnally.bsky.social on improving shared decision making in medicine (here specifically, surgery).

When we talk about waiting list numbers, I’d be keen to know whether everyone on them has had a thorough review as described.

#MedSky

We’re a small secondary care team, so not quite the same, but I find the main challenge is the person off sick feels horribly guilty and sees it as their responsibility to arrange cover. The biggest thing I can do to help is tell them not to worry, and get the rest of us to sort a plan between us.

Feeling positive and energised after a meeting between ourselves and colleagues at Newcastle to talk about stroke pathways. Lots of shared challenges, but plenty of discussion about how we can work together to tackle them.

@stephenrobles.com @jasonaten.bsky.social
Just want to send the two of you some love and respect. I really enjoy the podcast.

(🪫%off)

The beauty of Twitter was that an account with tons of followers would tweet something whacked about wombats and the world’s leading wombat expert would reply to set the record straight. I think Bluesky has the potential for that.

Interested to follow the plans for single patient records. As a care provider for patients who have records held with multiple different organisations I believe, with appropriate safeguards, this has huge potential to benefit patients and clinicians.

@emmavardy2.bsky.social You’ve been name-checked by Dr Lyon for your work on delirium in Manchester! 😊

Excellent talk on delirium at the RCPE North East Symposium.
“Call it delirium and look for it”.
(Though “subacute befuddlement” is my favourite of the banned diagnoses).

In the unfolding world crises, it's good to follow people with a sense of perspective

Big change for the Northumbria Stroke Service this week - we have started using tenecteplase routinely for thrombolysis!

Hello BlueSky folk. I'm Ben, former classroom teacher and now proudly working for the Raspberry Pi Foundation leading our AI Literacy team.

Looking to recreate the network of super creative and passionate educators that I loved about Twitter.

Outside of work I'm a keen amateur astrophotographer

This is what process driven algorithmic medicine does to older people. (This is an obs chart, PR = patient refused). It drives me nuts. How do we stop doing this?

This Wendy Cope poem is new to me. It’s quietly magnificent.

Local authority dashboard The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. Find out more about us.

This is good to explore

www.health.org.uk/evidence-hub...

Congratulations! Exciting times ahead!

Yes - absolutely. But only if there is vascular disease/high cholesterol has is present. This applies to around 75% of people who have had a stroke. The paper was making the point that it's not 'one size fits all'.
Hope your experience wasn't too traumatic.
Delicately put by your cons 🙂

I've had positive experiences of using it as a decision-support tool when interpreting neuroimaging in patients with suspected acute stroke. Not perfect, but undoubtedly useful to have and has speeded up processes and treatment.