So great to see friends and colleagues, old and new, at @BAOMSOfficial this week - Fantastic learning and always a pleasure to be reminded why we do what we do!
Just had large study of >2000 UK medical students accepted for publication
>50% of respondents felt the allocation system for newly qualified (FY) doctor posts was unfair
46% noticed negative impact on physical/mental health
Up to 48% are considering career outside the NHS
A key to success is to spend your 20s & 30s reading voraciously:
1. History & biographies
2. How to write well
3. Finance & Economics
4. Personal development
5. Relationships
Metastasis—the spread of cancer to new organs—is responsible for 90% of all human cancer deaths.
Exercise—particularly high-intensity exercise—increases blood flow and shear stress in blood vessels. This mechanical force makes it harder for circulating tumor cells to survive, spread, and form metastases.
Several lines of evidence support this anti-cancer mechanism:
- In vitro studies show that exercise-equivalent levels of shear stress kill up to 90% of circulating tumor cells, including highly metastatic and drug-resistant breast cancer cells.
- In animal studies, mice who exercise have fewer circulating tumor cells and a 50–60% lower rate of metastasis and tumor growth.
- In humans, higher physical activity levels are linked to reduced cancer recurrence, possibly due to lower metastatic spread.
The powerful force of blood flow achieved during exercise actively disrupts cancer spread, which is just one of the ways exercise benefits the long-term health and survival of cancer patients.
Physical inactivity is as deadly as smoking
Yet, we don’t treat it that way
By age 50, most Americans have lost 10% of their peak muscle mass—by 70, up to 40%
This isn’t about vanity; it’s about survival
Resistance training isn’t optional; it’s the most powerful defense against aging we have
Recipe to feel great each day:
•Don’t finish big meals
•Avoid sugary foods
•Stretch at every chance
•Walk whenever possible
•Get a standing desk
•Optimize sleep
•Be kind
Combining omega-3s, vitamin D, and regular exercise may reduce biological aging far beyond the impacts of these interventions in isolation, a new study indicates.
Specifically, supplementing with omega-3s alone reduced biological age on several next-generation epigenetic clocks during the 3-year study. It also slowed the pace of biological aging.
Omega-3s combined with vitamin D or exercise had an even greater benefit on phenotypic age when compared to any singe intervention. The biggest benefit for phenotypic age—a nearly 4-month reduction—was observed when omega-3s, vitamin D, and exercise were combined.
This aligns with what we know about the individual effects of these interventions. Having a low omega-3 index is more strongly associated with all-cause mortality than smoking. Vitamin D plays a critical role in modulating several mechanisms associated with the "hallmarks of aging." Being sedentary is one of the strongest predictors of an early death—and exercise is one of the most powerful ways to delay it.
These results suggest that while omega-3s have powerful anti-aging effects, they also enhance the benefits of supplementing with vitamin D and engaging in regular exercise. There is a synergy among healthy lifestyle habits.
Study PMID: 39900648
go to bed
right now
it can wait until tomorrow
yes you do need more than 6 hr
you are not fine
you do have a lot going on
and why you need sleep
I know your friend only sleeps 4 hrs
he also frequently melts down
off you go
The requested 🇦🇺 pay update:
*Currently* working as a (year 1) ortho surgeon boss in QLD (salary varies by state & “metro centre” vs DGH)
I take home £7,250 - £10,500 per month (on-call dependant)
work 4 days a week, no private, 1:7 on-call
Main issue is a shortage of anaesthetists
It is also sometimes quite warm
#medtwitter
Interesting topic of discussion not talked about enough I think. How the stress index of your work and rota patterns affect your metabolism and cravings!
I can empathise with this hard. Since finals and F1 I’ve gained over 40lbs and am honestly the unfittest I have ever been.
I am hopeful to try and get back into shape after Christmas, if my heavy ED rotation allows it 🤣