Colin C

[Colin C @doc_ccc]

Extraordinary slide from Milton Packer's wonderful lecture 🤯

What a time to be a #HeartFailure specialist... we just need a lot more of us (doctors, nurses and AHPs) to deliver all the therapies at our disposal.
#GDMTworks #BSH2021 #BSHAM2021

[Colin C @doc_ccc]

@AnilMakam @drjohnm What medical therapy is 'guideline-directed' in this situation?

[Colin C @doc_ccc]

@donsin4 It's not a negative trial. It's a neutral trial.

[Colin C @doc_ccc]

It's the first time EVER that the UEFA Conference League final is between teams from two different capital cities...

[EuroFoot @eurofootcom]

It's the first time in 55 YEARS that the UEFA Champions League final will be between teams from two different capital cities.

Arsenal (LONDON) vs PSG (PARIS)! 🏴󠁧󠁢󠁥󠁮󠁧󠁿🇫🇷🥵

[No Context Brits @NoContextBrits]

David Attenborough is officially too old to play with Lego.

[Colin C @doc_ccc]

@mmamas1973 @nolanjimradial By the end of the video they look exactly the same. Presumably the difference is only noticeable for the first few sips.

[Colin C @doc_ccc]

@jasonryanmd Perhaps Tom Jones should have called his hit song "It's Usual", rather than "It's Not Unusual"...?

[Colin C @doc_ccc]

@modeofg @pott95 Glenn Murray

[Dr Chris Monkhouse @chris_monkhouse]

ATP fails for three distinct reasons. Understanding which one and why is where the real EP fun starts.

#Electrophysiology #ICD #VentricularTachycardia #BHRS #HRS #EPeeps

[Colin C @doc_ccc]

@DrMarthaGulati They just follow the algorithm
https://t.co/OaUm79DVWY

[David Warriner @DrDavidWarriner]

Absolutely genius. An ECG guideline for surgeons....

[Colin C @doc_ccc]

@PhilDurkin3 The most frustrating situation is the the patient who has likely entered the last year of their life, where the minimum is <1 month, but the estimated is e.g. 14 months...

[Colin C @doc_ccc]

@mancunianmedic I expect he really did mean Doublebase

[Colin C @doc_ccc]

JF(K)DI

[@DrKatie.BSky.Social @doctor_katie]

Says it all….

[Colin C @doc_ccc]

@TheTilehurstEnd 7/10 for Pereira... seriously, what do you have to do to score 8, 9 or 10?

How can Joel have been rated only 2 points higher than MO'M??

The scale runs from 0 to 10. Yet it seems very rare for anyone to be awarded <5 or >8, now matter how terribly or amazingly they play!

[Colin C @doc_ccc]

@jtsaxon 'Extreme' doesn't work, as the extreme of a scale implies the end of the scale, i.e. there can't be a higher grade.

Why not just call it Grades 1, 2, 3, 4 & 5?

[Colin C @doc_ccc]

@DrDavidWarriner @Heart_BMJ @sumitku3007 Very interesting ECG finding, but what an utterly bizarre way to write up a case. Why would you do blood tests and an echocardiogram before doing an ECG in someone presenting with syncope and a heart rate of 25 bpm? 🤔

[Colin C @doc_ccc]

@cardiacpolymath 16 is the correct answer

[Benoy Shah MD @dr_benoy_n_shah]

Earlier today one of the BBC's leading stories was about patient harm after heart surgery in Newcastle, the focus upon a single surgeon

This highlighted text caught my eye

Why? Because we've been here before sadly...

1/3

[Colin C @doc_ccc]

@ProfDConnelly @DrDerekConnolly

[Jonathan @jabberwock951]

Hate switching to a new set of trust values.

I think I have to stop being nurturing and start being compassionate. And switch from being honest to being trustworthy.

Something like that, it's not like these are vapid meaningless buzzwords after all.

[Colin C @doc_ccc]

@ProfDConnelly Strictly speaking you could just call it foramen ovale, given that it must patent for it to still be a foramen. When it closes it becomes the fossa ovalis.