@OutsmartedPlay app not working on any iPhone or Samsung phone. Deleted and reinstalled. Unable to open the app at all. Had this game for 2 years and now awful
1/ This is dissapointing, and in parts misleading from @NuffieldTrust @LucinaRolewicz
Lets take a deeper look. Short 🧵on why start dates matter, why some have got it right, and why @NuffieldTrust got it wrong
@BMA_JuniorDocs havn't randomly picked a start date for erosion
@discoveryplusUK can’t access champions league through sky box as says need a subscription (it’s free). TV app and phone app constant buffering. Whoever let these charlatans have rights to football is a c**t. Not good enough
@discoveryplusUK appalling buffering on app through LG tv and on mobile phone. Currently unwatchable. Europa league final was the same. Wired Ethernet connection to Skys fastest broadband. YouTube stream last year so much better from BT.
There is limited evidence for much of what we do in anaesthesia but it’s amazing to get a huge population study like this confirming what most anaesthetists already knew, that epidurals in labour reduce your risk of severe complications of childbirth.
https://t.co/qxoePf1MBy
Getting accurate, up to date and accurate information out to women is essential in helping them make the best decisions for them. @labourpainsOAA@OAAinfo have amazing resources to help inform us https://t.co/XnLcQiDdd4
@ArcBroom @noolslucas
The difference an epidural can make.
Professor Rachel Kearns shares findings of her study which analysed the childbirth and labour experiences of over half a million mothers in Scotland, comparing those who had an epidural with those who didn't. @rjharrison79#Anaesthesia2024
✅Epidural during labour associated with significant reduction in severe maternal morbidity
Data from >0.5 million women
Out in BMJ NOW!!!
https://t.co/huOFstGxY0
#obanes@profscottnelson@LucyHalliday7@dr_aizhan
The news about Kate was released 16 hours ago.
Let's take a stroll through all the ways the Express have trolled Meghan and Harry since the announcement was made...
(Long tweet. Please expand. Thanks.)
REMINDER: The ONLY thing Harry and Meghan have done since Kate's bombshell is put out the following supportive statement: "We wish health and healing for Kate and the family, and hope they are able to do so privately and in peace."
NOTE: All the articles linked below were either written or updated AFTER Kate's news broke.
---------
1) Articles shoe-horning attacks on the couple into news about Kate's illness
Headline: "Prince Harry and Meghan blasted for 'pushing own agenda' after Princess Kate's cancer news"
Article: "But the PR expert added the Sussex couple's 'wish for privacy' is a 'nuanced addition' as it could be seen as a 'subtle promotion of their longstanding battle for personal privacy'."
https://t.co/sP4rsuFY1n
Headline: "Royal Family LIVE: Prince Harry and Meghan had ‘no idea’ about Princess Kate’s cancer"
Article: "Meanwhile, a source told the New York Post Harry and Meghan 'had no idea' about Kate's cancer and "only learned of the news around the same time the rest of the world found out. This goes to show the irreparable damage they have caused.'"
https://t.co/siHSPS32NX
Headline: "Princess Kate branded 'a bright light in troubling world' as Harry and Meghan send wishes"
Article: "Meanwhile, Prince Harry and Meghan Markle were cautioned that this is 'not a moment for anyone to seek notoriety' as Princess Kate undergoes preventative chemotherapy for her undisclosed form of cancer."
https://t.co/SwmwQsKLBd
Headline: "Prince Harry and Meghan Markle break silence after Princess Kate's shock cancer diagnosis"
Article: "Prince Harry and Meghan's reaction to the news came in the shortest of statements and was not always guaranteed given nothing was publicly said when King Charles's cancer diagnosis was announced in February."
https://t.co/baJkqr1eYK
Headline: "Kate's love shone through in video - in contrast to the hatefilled bile of her critics"
Article: "Just as nasty are Harry and Meghan’s deranged supporters, whose humanity has been obliterated by their partisan hatred of the House of Windsor."
https://t.co/pqYuSfaLhW
Headline: "Princess Kate's uncle Gary Goldsmith issues apology for ill-timed tell all chat on niece"
Article: "'I’ve got more chance of making it onto the Palace balcony than [Andrew] has. And then you’ve got Harry. F*** me! He and that woman are chasing the American corporate dollar and that is so, so ugly. William, Harry and Kate were such a happy little trio and it got totally ruined.'"
https://t.co/EI6iMiilHQ
Headline: "Prince Harry and Meghan Markle's rare public outing one night before Kate's cancer news"
Article: "It is not known if the royal couple had any knowledge of Kate's diagnosis when they attended the event."
https://t.co/xkAB6r6BWh
Headline: "Meghan Markle's mouthpiece tries to defend ‘disgusting’ Princess Kate alarm clock post"
https://t.co/N406w32ZKp
Headline: "Should Prince Harry return to royal duties amid Princess Kate's cancer diagnosis? Vote now"
https://t.co/faBX7ISw2i
2) General attack articles of the type the Express publishes every day of the year
Headline: "Prince Harry is ‘drifting away from Royal Family' despite his attempts at reconciliation"
https://t.co/VsfDS7pLHG
Headline: "Prince Harry's future with the Royal Family rests on three key factors"
https://t.co/jVbkd3Cpw3
Headline: "Donald Trump just 'flexing his muscles' by issuing 'empty threat' to Prince Harry"
https://t.co/yQHTvz3UKS
Headline: "Prince Harry's memoir should 'read like a novel' as it contains 'more fiction than facts'"
https://t.co/1Su44yyvWl
3) Articles digging up past things Meghan supposedly did wrong
Headline: "Meghan Markle’s surprising seven-word remark about Princess Kate’s royal wedding"
Article: "During the celebrated occasion, Meghan Markle, who had not yet met her future husband, Prince Harry, shared a polarising seven-word remark about the royal wedding between William and Kate on her lifestyle blog, the Tig."
https://t.co/sHwIpHHxhE
4) General articles designed to fool Express readers into believing that Meghan is busy seeking attention (whereas in fact she's done NOTHING since the cancer news broke except send the brief joint statement with Harry).
Headline: "Tell-tale sign Meghan Markle has been preparing to launch lifestyle brand for years"
https://t.co/ViIe7VaLGK
Headline: "Meghan Markle's simple three-word call to agent after Suits audition that changed her life"
https://t.co/cBJmFLCnhn
===================
So there you have it. More than one article per hour.
Aside from all the above, they also published a number of articles demanding that people stop trolling Kate.
Maybe it'll seem opportunistic.....
But as an example of senor doctors caring about safety.
This was published on Friday
https://t.co/lt44XltSZt
A four and a half year project (run through a pandemic) that involved
Senior doctors examining cardiac arrest during anaesthesia & surgery.
-11,000 anaesthetists providing their experience
-26,000 individual cases examined for complications
-881 cardiac carrests examined in detail
-350 NHS hospitals contributing
-identifying the impact of COVID on front line services (as an add on!)
The vast majority of the data were provided by senior NHS doctors. All case analysis was provided by senior doctors representing patient-care facing organisations. The team worked with lay input throughout.
None of the >300 local co-ordinators, >10,000 survey responders or 30 panel members were paid. Two 2 project leads employers were backfilled paid 4 hours per week.
The focus entirely on patient safety & improved care. Recommednations made for action.
I suggest it's unlikely any organiation outside the NHS could do this.
This sort of project has been going on for 15 years in anaesthesia (https://t.co/X8w0TywMmK). Similar types of projects undertaken in a similar vein by all specialties.
So, lots of positives among the turmoil!
A complex matter
A newspaper leading a ‘commission for NHS reform’ (as if we’ve not had enough reform in the last 30 yrs)
An ombudsman (whose job of course is to examine only cases where things appear to have gone wrong) firing a salvo of attacks on senior doctors for their culture, actions & inactions.
Yet all around me I see doctors working collaboratively with nurses, AHPs, administrators to keep patients safe in an ever stressed & over burdened service.
No room for complacency but much of the safety in the NHS is despite the system not because of it. It is because of senior staff not despite them.
Senior doctors, as the main decision makers in the vast majority of clinical settings, take on a burden of responsibility many others do not. They fight daily to deliver best care for individuals & to improve patient safety systemically.
Many junior doctors look above & for a multitude of reasons don’t like what they see & are moving on elsewhere.
And yes of course there will be poor performance & poor performers among senior doctors which we must seek to identify & improve but vilifying an entire senior layer of a profession when the system is at a breaking point is perhaps missing the point.
https://t.co/AZMsMjyjqU