Alex Philip

Non coffee/tea drinking Consultant Anaesthetist with special interests in Liverpool Football Club and the Indian cricket team.

[Alex Philip @DrAlexPhilip]

@ajay43 Sir,is this KMC Mangalore?My alma mater.

[Alex Philip @DrAlexPhilip]

@xzx_slipknot Plus Wasim Akram rather than James Anderson for left arm variety,and good lower order hitter.

[Alex Philip @DrAlexPhilip]

@xzx_slipknot Sehwag rather than Smith as opener.More dynamic and destructive,can decide the test in a https://t.co/h1aoZwnJgm a valuable slow bowling option.

[Ben Kelly @bkelly776]

Seven years ago today. Nice to be reminded what a real parade looks like.

[Wayne Barton @WayneSBarton]

“190 years of precious human life” is arguably the best line anyone will ever write about the 2026 Champions League final. Absolutely outstanding.

[Chace Chambers @ChamberofFit]

No matter how much you exercise, you won’t get lean until you fix your diet.

Here are 9 cheat codes to quickly fix it:

1. Eat a lot of potatoes

[Mustafy | AI Video Creator @MustafyOf]

🚨Your Android can take better photos than any iPhone.

Your settings are simply wrong.

Samsung, Pixel, Techno, infinix or Redmi it doesn't matter which one you use.

Fix these 7 settings 👇

[RA-UK @RegionalAnaesUK]

Breast Surgery under Regional Anaesthesia (Dr John Nicholls)

[RA-UK @RegionalAnaesUK]

A Starter Guide to Gastric POCUS Views (Dr Tommy Lwin)

[RA-UK @RegionalAnaesUK]

The ESP: One Block, Two Stops (Dr Palbha Jain)

[RA-UK @RegionalAnaesUK]

Suprainguinal Fascia Iliaca Block (Dr Victoria James)

[Samuel @SamueILFC]

The Goal. The Moment. The Celebration. The Noise.

Everything about this goal was perfect. 🇪🇬👑

[. @_Riddock_]

End of an era. 🇸🇳 🇧🇷 🇪🇬

[The Redmen TV @TheRedmenTV]

End of an era 🥲

Celebrate and appreciate every single second we have left ✊🔴

[B/R Football @brfootball]

Mo Salah's Liverpool story is coming to an end.

What a ride it was 🥹

[Georgy Thomas @georgysthomas]

Kerala is one of the smallest states in India in terms of area. Malayalam-speakers make only a small fraction of India’s overall population. Despite this, we punch above our weight in several fields, one of which is Modern Medicine. 1/26

[Jeff Gadsden @jeffgadsden]

My ESP blocks never used to work. Then we realized what we were doing wrong….

Why Your ESP Block Fails (And How To Fix It)
https://t.co/RQxqTRbjna

[Shekar Iyer @SHEKARSUSHEEL]

The Phantom turns ninety today. Time passes and generations change, but the Ghost Who Walks remains eternal.

Celebrating his ninety years feels like celebrating a part of my own journey, the dreams, the inspiration, and the quiet strength he planted within me long ago.

[TheLiverDoc™ @theliverdoc]

Hello Tuluva Techie with zero critical thinking skills.

This is a frequently cited statistic that often gets misinterpreted as "Kerala has the worst cancer problem." It is not like that.

Yours and that useless man Rajeev's (who calls himself an Oncologist in the reel), ignorance is known as Simpson's Paradox Analogy. Let me explain.

Kerala has the most mature and extensive population-based cancer registries in India, operating for decades. States with poor registry coverage (UP, Bihar, many northeastern states) massively undercount cases. You cannot report what you do not detect. High incidence on paper often reflects better surveillance, not necessarily a worse disease burden.

Kerala's life expectancy (~75–77 years) is the highest in India, approaching that of developed nations. Cancer is fundamentally an age-related disease - the longer people live, the more time cells have to accumulate mutations. States where people die younger from infections, maternal mortality, or malnutrition never "survive long enough" to develop cancer.

Kerala has largely conquered the infectious disease burden that dominates mortality elsewhere in India. When you eliminate deaths from diarrhea, tuberculosis, and neonatal causes, the proportion of cancer in the disease landscape naturally rises. This is actually a marker of development, not failure.

Kerala has near-universal literacy (~96%), especially female literacy, which strongly correlates with health-seeking behavior. People present to hospitals earlier, get screened, and receive formal diagnoses. In states with poor access, cancers go undiagnosed, patients die at home labeled as "fever" or "abdominal illness," and never enter any registry.

What is Simpson's Paradox?
This is similar to the observation that hospitals with better ICUs report higher death rates - not because they kill patients, but because they receive sicker patients and actually count deaths properly. Kerala "looks bad" partly because it has the institutional capacity to look honestly.

This is a classic lesson in epidemiology: incidence is a function of both disease occurrence AND detection capacity. You must always account for the denominator and the measurement system before drawing causal conclusions.

Also, there is ZERO evidence to equate unprocessed red meat to cancer causation. Please dont send me useless data from WHO and other crap sources - none of them show causation of unprocessed red meat use and cancer. The associated RISK (again there is no causation proven) is from processed/ultraprocessed meats. The most common reason for increased cancer is tobacco, alcohol, obesity. So use your account to help people in controlling these well known risks, instead of trying to play "food jihad" ok? Let people from different States and Cultures enjoy their culinary delights. You can mind your own business.

So next time you visit Kerala with your friend Dr. Rajeev, enjoy some beef and porotta. Serving good food to hosts has always been our happiness mantra.

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

This systematic review updates existing recommendations for postoperative pain management after elective caesarean section performed under neuraxial anaesthesia.

#anaesthesia #obstetrics #MedTwitter

https://t.co/nI3VpQo3BL