If you return unwanted Reform local election leaflets to their party headquarters using their free post address, then it will cost the party £2.50 per envelope.
Please don’t share this information; it could cost Nigel Farage a fortune.
I don't think there's any useful information to be gained. The surgeon needs to know what it is and often get the imaging for this if unclear.
All else is irrelevant.
Even if the foreign body is psych related there's little useful to know, other than to plan their emergence.
I Work Very Hard, And I Would Like To Try Cake By A Horse Hello. I am a horse. I work very hard at my job of being a horse. When humans say move the heavy thing, I move the heavy thing. When humans sit on top of me and pull on my head, I carry them where they want to go. The main food the humans give me is hay and oats. But I am thinking it would be nice to have a different food. I am thinking I would like to try cake. Yes, yes. Cake. I know all about it. When humans eat cake, it is in glad times. It is the food for a celebration, such as when a woman becomes 47. I have seen cake on the Fourth of July. When humans have a cake, they stand around it and clap hands and smile and say happy birthday at each other. Sometimes there are beautiful markings on a cake, such as balloons or a pink shape. Sometimes the top of a cake is on fire and a boy must blow on the fire with mouth wind. This is the scariest cake. I do not want this kind. But I will eat any other cake. Any cake that is not the fire cake that tries to kill the boy. Please understand: I do not get money for doing work. I do not get to go inside the house. All I am either doing my horse job or standing in my pen or eating food off the floor. I always do these things. But I have never once gotten cake and I would like it very much. I have noticed that human children get to eat cake. But I am bigger than the children. I am more helpful to the farm. Children do not move the heavy things like me or let anyone ride on them. And yet they get cake. Maybe the humans will realize this. Maybe they will say, "You know who deserves cake? That horse. That horse whose back we are always on." Every day I dream about what it will be like if I get to eat cake. Here is what will happen. First, I will walk to the cake and putt my nose at it like hrrfff to make and stomping my hooves to make sure it is not a snake. Then I will trot in a circle to show that I am a horse and I am large. After that, I will nuzzle the cake to …
The horse op-ed is an instant classic. I can't tell you how much joy this piece gives me.
It should be taught in every introductory writing class in no small part because the horse arguments are so compelling. "I have noticed that human children get to eat cake. But I am bigger than the children."
Dr James Le Fanu was happy with £7500 in his day!
His day as a Junior Doctor 1974 - the following year Junior Doctors were in industrial action with Government
£7500 would be £72k now if kept with CPI inflation - no wonder he was happy
Maybe he should get back on his sofa
This is a great list of techniques for getting real information out of a Google search and avoiding AI slop and paid results.
(One thing not included is that if you add "-ai" to a search, you block the AI summary) cardcatalogforlife.substack.com/p/google-has...
A screenshot of Google search with verge headlines rewritten as slop Lego Computer Brick - Engineer James Brown Aug 20, 2022 — James Brown has brilllantly brought classic Lego computer bricks to life by outfitting them with a tiny OLED screen, processor, ... Y/ The Verge https://www.theverge.com› Al> Tech, Reviews: "Cheat on everything" Al tool Apr 23, 2025 - Two 21-year-old Columbia University dropouts are proposing a new $5.3 million twist on the concept: use their Al tool Cluely to "cheat on everything." Read more The Verge https://www.theverge.com» » Microsoft›Al› Tech: Copilot Changes: Marketing Teams at it Again 22 Aug 2024 — Microsoft is getting ready to rebrand its Copilot for its business Al efforts. It's part of an effort to push Microsoft 365 Al tools. The Verge https://www.theverge.com› Wearable Science Tech: Dexcom Stelo hands-on - OTC Continuous Glucose Monitor Aug 26, 2024 - The $99 Dexcom Stelo is an over-the-counter continuous glucose monitor designed for Type 2 diabetics who don't use insulin.
Google is now screwing with the 10 blue links in traditional search and rewriting headlines - including ours - to be the worst kind of slop. This sucks so bad www.theverge.com/tech/896490/...
Update to my PENG block Video out now on my YouTube channel!
Great for Hip Arthroplasty, Arthroscopy & Fracture!
Link Here👇🏽👇🏽👇🏽
youtu.be/ghKuVxQR1bQ?...
#RegionalAnaesthesia #RegionalAnesthesia #RAsky #AnSky
Plan A blocks in regional anaesthesia
Key components to increase patient access to regional anaesthesia:
• select high value blocks
• widespread competence
• ⬆️ patient access
• pathway implementation
#AnSky #RASky #PainSky
doi.org/10.1111/anae...
Considerations for shared decision-making in the use of regional anaesthesia for patients with diabetes
#AnSky #MedSky #EndoSky
doi.org/10.1111/anae...
"I've asked chatgpt and it says that I should have this xenon anaesthesia..."
New: Guidelines for anaesthesia and sedation in patients who are breastfeeding
Anaesthetic, sedative & analgesic medicines are transferred to breastmilk in only very small amounts. Patients should be advised that discarding of breastmilk after anaesthesia is not necessary
Download: buff.ly/KNnL8gR
Semaglutide, fasting and gastric ultrasound
Nearly 50% of patients receiving semaglutide treatment had a full stomach on pre-operative gastric ultrasound, regardless of dose, duration, route of administration or withholding time.
#AnSky
doi.org/10.1111/anae...
In this study, the presence of regional anaesthesia emerged as the strongest determinant of improved postop recovery.
#AnSky
doi.org/10.1111/anae...
Graph of maternal mortality rate against year for the UK. Rate bounces until and down around 500 deaths per 100,000 births until about 1940, when it falls sharply. It’s been very low (~1–3 per 100,000) ever since.
This graph is astonishing. The people that bang on about “natural birth” and “women have been doing this forever without help” need to be forced to stare at this until their eyes water.
Regional if possible. No clonidine. Opioid sparing (fentanyl in preference to longer acting). Discharge home if well.
Worry more about undiagnosed OSA or those who refuse CPAP
What was the overall feeling in the room about TIVA RSI?
Your peak inspiratory flow rate will be higher than your FGF through the CGO, so you'll be giving air at an unpredictable rate.
You could get the same effect with higher FGF through a circle can't you? I know there was an article saying 6L/min, but if O2 and air are cheaper run them fast?
I've played around with gen AI, about that it has made some tasks easier, but I don't believe it will achieve all that it's hyped to do (e.g. putting us out of work, especially doctors), and don't believe the altruistic goals (capitalism will stop that)
Cory Doctorow summarises why I'm an AI sceptic. It's a long read but worth the effort
www.theguardian.com/us-news/ng-i...
Yes exactly this.
Labour suites I got used to interpreting ECGs because the obstetricians weren't confident but being told I had to perform them too was a shock to me a few years ago but has just got worse (fewer midwives now have a nursing backgrounds)
It's just painful. Everyone loses.
We deskill and frustrate the nurses
We increase the workload on the doctors who end up doing it
The patients end up with delays
It's madness
It does when I've tried it on top of cottage pies.
Freezing is a good call if you have space. Turn them into part cooked potato wedges and then freeze works very well (cute into wedges, parboil or steam, cover in oil, part roast then cool and freeze)
I'm impressed your institution is running so low, well done.
I try to run 500ml for maintenance with 6-8L on induction, but a lot of my colleagues are running 15L on induction and 1-2 L for maintenance ("for safety margin").
I think you're doing a brilliant job and wish we could match
But with the GA, do you need a fully functioning epidural too? A spinal where the local is wearing off by the end you can turn the remi up (or other IV opioid), and the spinal still has the diamorphine for poat-op
Probably very similar to you but with spinal instead of epidural.
Much less clonidine and magnesium intraop and more opioids then?
I have updated my Serratus Anterior Plane Block Video
Full Link Here: youtu.be/_Bv8UL9jdWI?...
#RAsky #AnSky #MesSky
Latest video on Infraclavicular block on my channel now!
youtu.be/GmwpyQqeVxs?...
#AnSky #RAsky #MedSky #RegionalAnaesthesia #RegionalAnesthesia
'Tis the season for some festive science songs.
If you've ever wanted to hear someone sing about a dimunitive tyranosaur then now is your chance
