Laurie

[Laurie @groober]

@katganly Mainly I love that they aren't in my house any more? 🥰

[Amr Hassan @dramrsharaf]

Over 10 years continuously using it, I can’t remember that I missed even one case of spinal/epidural. Easy and effective skill. Every anaesthetist will need it at some point of his career. Wish it could be a plan A skills👌. totally recommend it 👉 https://t.co/u662rBCYuV

[Dr Dan Goyal @danielgoyal]

The U.K. had one of the longest lockdowns in the world, and this was due directly to Johnson’s decision-making…

Thread

[Dr Helen Webberley (she/her) @HelenWebberley]

In 2019, Caster Semenya was told she could no longer participate in sport unless she took hormone suppressants.

As a doctor, I find this unacceptable.

Medicine is prescribed for the benefit of the patient's health - not because a sports committee dictates it.

Genetic advantages are seen throughout the sporting world.

🏊‍♂️Michael Phelps has a super large wingspan and lung capacity.

🤸‍♀️Simone Biles is only 4ft8, allowing her to retain skills she's had since childhood (while other gymnasts have to re-learn new techniques as they grow.)

🏀Boban Marjanovic has the largest hands in the NBA, and is so tall he can dunk without jumping.

Do we ask any of these athletes to retire?
Do we ask them to undergo surgery to reduce their size?
Do we ask them to take growth hormones, or drugs that alter their abilities?

Absolutely not.

The truth is, because testosterone is linked to gender identity, it has once again been forced into the spotlight by the press.

While I'm relieved on the European Court's decision Semenya's rights were violated, it's a disgrace it even happened in the first place. Hopefully this can be an educational moment for everyone.

1 in 5 women have high testosterone levels.

And genetic advantages are seen in all corners of the sporting world.

Can we all start celebrating these incredible human beings, instead of trying to cut them out?

[Lou Calvey @LouCalvey]

The ‘Asylum Centre’ Jenrick wanted to make less welcoming by ordering the painting over of the children’s murals was the Kent Intake Unit - KIU. Where Unaccompanied Asylum Seeking children are taken for ‘processing’.

The last inspection reports shows some horrors…

[Susan @Suzy_dashey]

Come and join @MidlandsAccots

[Journal of Brown Hospital Medicine @BrownJHM]

Should you test patients for hepatitis B before giving IVIG? How do you diagnose peritoneal dialysis catheter associated peritonitis?

Read more pearls here: https://t.co/Bg6zzec8YY

#Medtwitter #Nephpearls #MedEd #FOAMed #AcademicTwitter

[Laurie @groober]

@katganly Annual congress is in Edinburgh this year…

[Laurie @groober]

@cassesque Watch the 2016 one. It’s the only one worth watching.

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

Balanced crystalloids vs saline in kidney transplant: a multicenter RCT

808 patients randomized
👇Balanced crystalloids reduced the incidence of dialysis within 7 days after transplantation (30% vs 40%; p<0.0001)

🙅Additional evidence against #saline
🔗 https://t.co/7co0G1d8hc

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

New ARDS guidelines @ESICM

👇Comparison with 2017 version

6 new sections
🔸Definition
🔸Phenotypes
🔸HFNO
🔸NIV
🔸Neuromuscular blockade
🔸ECCO2r

Changes in recommendations
❓High PEEP
🙆‍♂️Awake proning, proning in COVID
👍VV-ECMO in severe #ARDS
🔓https://t.co/p0F2AeHTiA

[Laurie @groober]

@em_j_b Six-thirty 🥹😭

[Notts TV @Notts_TV]

“Nottingham – he really loved you. We couldn’t get him home half the time.

“We stand here and we feel your love, we’re united in grief and shock and disbelief.”

Families address thousands at #Nottingham vigil.

📝 Full story: https://t.co/6Vycz07yPB

[Chris Tregenza @tregenza]

I'm a 3rd year fine art student and my final show has been censored by @NottmCollege.

Not because of nudity, offensive language, hate-speech or anything similar.

But because it contained criticism of the College.

1/17

[Laurie @groober]

@katganly Oh HECK 😭

[Laurie @groober]

@katganly She’s not fat. Merely slightly chonky.

[Dr David Hewson @davidwhewson]

🔷A 50yr old pt is listed for elective inguinal hernia repair.

🔷They reported symptomatic “Acid Reflux” to the routine preop assessment service.

These are the 5 questions I ask patients to help decide my airway management…

🧵1/8

[Laurie @groober]

@revkatebottley This is amazing! We had a full English at our wedding reception, referenced in my speech as a misunderstanding over what I was supposed to organise for the wedding breakfast…I totally knew what a wedding breakfast actually was by the way but 🤫 don’t tell anyone.

[Laurie @groober]

@katganly Sending some love in the general direction of your poor unsettled brain, dude. 💚