Robert Manson

Used to be a chemical engineer. Now work as a doctor.

[Iain Cameron @theiaincameron]

Pakistan's name isn't ancient. Nor is it coined after some long-lost tribe or geographical feature.

In fact, it was named by a student from the University of Cambridge in England.

The name is basically a very clever bit of geopolitical wordplay.

1/n

[Robert Manson @manson_robert]

@fraserihudghton @scotgov Ideology and politics need to be removed from education policy

[Robert Manson @manson_robert]

@WalkerMarcus Sorry to read that, horrendous.

[Dylan O'Sullivan @DylanoA4]

C. S. Lewis, quit worrying and go do something real

[Alasdair MacLullich @A_MacLullich]

Mr T, 88, with dementia, became "aggressive at night" on the ward: shouting, striking out during personal care. The word "behavioural" was already in the notes, and sedation was already written up. Thankfully, someone questioned it.

A nurse noticed he winced when rolled. The unwitnessed fall from the week before had been documented and forgotten. X-ray: an impacted hip fracture. He had been walking on it, after a fashion, and hurting every time anyone touched him.

Regular analgesia transformed the nights within 48 hours. No antipsychotic needed.

In dementia, pain rarely announces itself in words. It shows up as fight, or as silence. Examine before you sedate, and ask what the "behaviour" is trying to say. #delirium #dementia

[Michael Tierney @TierneyMike]

Now 42 years since my wife’s big sister, Margaret, was murdered (age 24) by her husband. Still impossible to believe his sentence. Staggering after the depth of violence he committed.

https://t.co/BebAB7lLW9

[Heart of Midlothian FC @JamTarts]

Winning play-offs in Austria isn’t for everyone...

[Robert Manson @manson_robert]

@ewangibbs Congrats! Great pic!

[Cosmos: El Legado de Sagan 🪐 @cosmos1980]

El cielo nocturno de Marte visto desde el rover Curiosity de la NASA.

[Tommy Lundberg @TLexercise]

https://t.co/nijtAUtJmT

[Robert Manson @manson_robert]

@minwiswip @BrianRoemmele That’s brilliant

[Robert Manson @manson_robert]

@from_dove Fantastic, great thing to happen for your boy!

[Alasdair MacLullich @A_MacLullich]

Friedrich painted a mind gazing into fog.

"Clouding of consciousness" is the old description of delirium: attention and awareness gone hazy.

We named it a century ago.

#delirium

[Football Heritage @footyheritage]

As of Tuesday evening, Peebles Rovers are no more.

One of Borders football's oldest football clubs have been forced to fold. The issues surrounding their hunt for a ground have been well documented, but context is important.

It's ridiculous that their ground, Whitestone Park, was deemed not to meet league requirements. The club can trace their roots back to 1888 and have played at Whitestone since 1906.

Meanwhile other clubs with AI-generated badges and websites who play out of astroturf cages are given free rein within the pyramid to do what they want. Mental.

Our thoughts are with the supporters and everyone involved with the club. Hopefully they can find a way back into the pyramid in the future.

[Robert Manson @manson_robert]

@Mr_Mark_Brown @EastScotlandFA @edinburghunited @T_RANGERSFC Great pics, you captured some of the more contentious moments 😁

[Alasdair MacLullich @A_MacLullich]

"Too often, families are left to coordinate care on their own, facing a system that is complex, fragmented, and difficult to navigate."

Source: Alzheimer's Society

[Alasdair MacLullich @A_MacLullich]

Mrs A, 82, was admitted "off legs and confused". A urine dip was positive, a diagnosis of "urosepsis" was written, antibiotics started, and everyone relaxed.

She did not improve. On day three someone finally examined properly: she was dry as a bone, and her chest crackled at the right base. The urine had told us nothing except that she was old and had bacteria in her bladder, as many older women do without it meaning anything.

Rehydration and the right antibiotic for her pneumonia, and her mind came back.

A positive dip in an older person with delirium is not a diagnosis. Asymptomatic bacteriuria is common, and treating it while the real cause hides is one of the easiest mistakes in geriatric medicine. Examine the whole patient before you blame the bladder. #delirium

[Matthew Lindsay @MattLindsayHT]

🗣️"It is apparent that he harboured a grudge. But Rangers conducted their business with Masonic-like secrecy and didn’t pursue it."

SFA official's "sinister" plot to ban an all-time Rangers great from football for life revealed.

In @heraldscotland 🔗👇

https://t.co/K455HeN3C4

[Robert Irwin @RobertIrwin]

One of the most unique snakes on earth, meet the file snake!

[Robert Manson @manson_robert]

@MedRegoncall1 Other than the initial waste of £400, this is a system issue.

Lack of awareness or own responsibilities and those of others in the system.

As always, there is a patient stuck in the middle 🤦‍♂️