James Dundas

Imaging Cardiologist. TTE, TOE, CMR, Cardiac CT. Astronomy, cinema, wine, beer, coffee, board games, politics, doomscrolling, Leicester Tigers, SAFC.

[James Dundas @angularboxoid]

@JasonSeaforth @DouglasTodd I mean sure but London and Paris are only 200mi apart, so further away than Seattle from Van, but closer than Portland or Spokane. They aren’t extremely different weather wise.

[James Dundas @angularboxoid]

@2manypeople4me @Parody_RCGP Well, I wasn’t suggesting that this is the case in Dublin, but I have had exactly that service from a GP in France, including him doing the X rays himself.

[James Dundas @angularboxoid]

@Parody_RCGP This is just word salad.

[James Dundas @angularboxoid]

@VAMS6323 @DeanEggitt This says it all about the unreasonable expectations from some people, @DeanEggitt - they literally think they are owed an instant response on social media, let alone in real life, and are not shy of making demands despite being completely ignorant of the reality.

[James Dundas @angularboxoid]

@sharrond62 He’s not the prime Minister in Paris, Sharon.

[James Dundas @angularboxoid]

@skittles_kitty @LucyGoBag Completely wrong, I’m afraid. Constantly reviewing your own practice is the cornerstone of professionalism and you simply cannot do that without the notes. Wider clinical review is a separate (and also necessary) process, additional to, not instead of, reflection.

[James Dundas @angularboxoid]

@JamesTitcombe Every day, somebody comes up with another stupid idea to make our jobs harder, less efficient,and more painful, for no possible benefit or reason, and then later has the temerity to ask why healthcare is hard, inefficient, slow and painful.

[James Dundas @angularboxoid]

@btharris93 @SimpGanassi It doesn’t, but there was - albeit as part of a larger trend of suicides in general falling across the 90s and early 2000s

[James Dundas @angularboxoid]

@A_MacLullich @nickmmark I agree about absolutes, but I suspect some of the difference here is about terminology - the concept “maintenance” has often encouraged persisting / recurrent fluids long after any deficit is corrected, and that is harmful. I don’t think that invalidates all slow IVF everywhere.

[James Dundas @angularboxoid]

@A_MacLullich @nickmmark Whilst there are no absolutes in medicine, IV fluids as commonly used are often unhelpful and sometimes harmful in both of those settings.

[James Dundas @angularboxoid]

@JoshuaBarzon Of course it is D. With AEP you go to the luxury top tier Safari in Zambias South Luangwa, then Vic Falls, Okavango, then Namib desert then Cape Town.

[James Dundas @angularboxoid]

@The76thIcePop @axiochrono While the idea of the paranoid faithfuls banishing each other is fun, the game already has this in the final (if there’s a faithful win, they may banish other faithfuls after the last traitor), and it would sap all the tension for the viewer for however many weeks it happened.

[James Dundas @angularboxoid]

@_ellestar Oil level. Like on a car.

[James Dundas @angularboxoid]

@dr_musgrave Fascinating that you pre-emptively label criticism of your offensive comments as “discriminating against you”. Essentially trying to classify any disagreement with you as illegitimate.

[James Dundas @angularboxoid]

@pjsrobertson Don’t forget to ask it to add a weird modern soundtrack nobody would put in a kids fantasy movie already scored by John Williams.

[James Dundas @angularboxoid]

@Pino_1983 @melimers09 @deliicait I really really hope they are pets, not children. Partly because of “taking them” and partly because one of them is called Bug.

[James Dundas @angularboxoid]

@doctorhelgi Yeah, they can do that if they want, but if I’m the patient and especially if there is a device / implant then I’ll have the full scrub please. What are we trying to achieve here?

[James Dundas @angularboxoid]

@HaQ_mAn Well, if you wouldn’t bother to hand over an acidotic hyperviscotic elder with creatinine of nearly two thousand (20 in American money converts to like 1800 ish) then… well we definitely know what sort of ED you work in.

[James Dundas @angularboxoid]

@HarryWilkinsonn @Ocar2z9g I mean, that’s insane isn’t it, as well as impossible for 1/3 of them (stormont due to the GFA). It wouldn’t work as a strategy either for the tories (not enough English people would care, instantly burn their slow recovery in Scotland) or for the UK/unionism (same reasons)