mike margarson

Medical Educator & European Specialist Society Vice President

[Dr. Naveen Eipe, MD @NaveenEipe]

@mmargarson @ESPCOP @euroanaesthesia @OttawaHospital @uOttawaPGME @CAS_RegAnes @ON_Anesthesia @ISPCOP_notes @SOBAuk @IfsoSecretariat Really comprehensive CME/CPD course on Obesity Anaesthesia!
Great to be part of this amazing line-up of expert speakers!
See you in Rotterdam!

[mike margarson @mmargarson]

@NaveenEipe @ESPCOP @euroanaesthesia @OttawaHospital @uOttawaPGME @CAS_RegAnes @ON_Anesthesia @ISPCOP_notes @SOBAuk @IfsoSecretariat Lots of real experts talking on our daytime Key Issues on Obesity Anaesthesia course - followed by the #ESPCOP Evening Research Forum. Ease yourself into the @euroanaesthesia weekend with 7CPD Points and a refreshing look at today's controversies! https://t.co/gxp7VHVfJx

[Dr. Naveen Eipe, MD @NaveenEipe]

Looking forward to speaking on 'Ideal Analgesic Technique' at the Obesity Anesthesia Course
@ESPCOP preCongress @euroanaesthesia #ESAIC2026 #Rotterdam
And also debating 'Day Case Sleeve Gastrectomy' with Prof Jan Mulier at the Obesity Anesthesia Research Forum! #Controversial

[ESAIC @ESAIC_org]

Obesity is reshaping anaesthesia practice.

Join the Obesity Anaesthesia Course at #EA26 and gain practical insights into managing complex patients — from airway to pharmacology.

📍 5 June 2026, Rotterdam
👉 https://t.co/sLpJ7N9SRl

[Private Eye Magazine @PrivateEyeNews]

BBC Under Attack: Pot and Kettle Special 

The new Private Eye is out now.

[Led By Donkeys @ByDonkeys]

Farage: epic grifter. Part 2

[Led By Donkeys @ByDonkeys]

Farage: epic grifter. Part 1

(Part 2 below 👇)

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

Do you consider the possibility of airway trauma when you select a tracheal tube introducer?

When you consider a bougie vs a standard, video or optical stylet, is one more likely to cause airway damage than another?

@AdamBoulton17 @eddnicsmi

🔗https://t.co/PBQO5DADUj

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓Useful metrics for ethical decision making: a reply.

"Whether TIVA is a wise alternative remains to be seen once a proper audit of its real carbon dioxide emissions in a hospital setting has been conducted."

🔗https://t.co/s5pLOeF77x

[Brendan May @bmay]

I always think of this letter on days like today.
#LestWeForget

[Keith Burge @carryonkeith]

"Hi Rishi, it's Michelle from Mone Military Uniforms."

[ESPCOP @ESPCOP24]

ESPCOP
@ANZCA Coming to Munich? The 5th Obesity Anaesthesia Fundamentals Study Day - an @ESAIC_org approved Friday course! Top Tips on safe practice; great interaction with a massively experienced faculty. Reduced for @ESPCOP & @SOBAuk members. Links at https://t.co/jyX9baNBv5

[Mike Henley 🤨 @trentconsultant]

Don't bother with private insurance. Save a regular amount in a bank account instead, then decide on your specialist and hospital without the restrictions. If you must then WPA! https://t.co/kp9lw896Hy

[Tim Cook @doctimcook]

Thanks for asking

As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with

Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut things can improve efficiency. It is doing the opposite. Now not enough diagnostic centres, not enough doctors, not enough beds (numerous reports - ask @NuffieldTrust or @TheKingsFund or @HealthFdn)

The rest are relative minutiae but areas to address include

* understanding that promotion of the private sector as a realistic alternative to the NHS is flawed. The private sector can do sone things well (low risk procedural
stuff) but is no substitute for real NHS hospitals with the full gamut of services (staff, systems, space)
https://t.co/5UEr0DJIGc

*don’t dumb down medicine.
There appears to be a concerted effort to suggest that medicine has become less complex, easier to learn, answers available on google etc and as a consequence medicine can be taught over a shorter period and the role substituted by others who are notably less trained/qualified.
The truth is that medicine has become more complex, delivered to ever older more complex and more comorbid patients with ever higher expectations (most of which are actually met). https://t.co/MBvAISjraq This all happens in the framework of an environment in which litigation (certainly costs and numbers to an extent) is mushrooming. https://t.co/96MGGYPbjc While there may be value in working in new ways the lie that doctors can be replaced by less qualified alternatives because the job has become easier is misplaced, disingenuous and dangerous (as well as quite likely being cost-ineffective). There is a danger these systems will be brought in without testing of efficacy, safety or cost effectiveness.
https://t.co/KQM8KMpNO1

https://t.co/oFAYdi3s4n

* IT systems that are slow, outmoded, inefficient and don’t talk to eachother. Wasting thousands of hours of clinicians time every day.

Hope that is enough for now.

At the core it is FUNDING.
No point in reform without funding.

[ESAIC @ESAIC_org]

Join our colleagues from #ESPCOP for their pre-congress course on #ObesityAnaesthesia on Friday, 24 May 2024, the day before #Euroanaesthesia2024 in Munich, Germany!

https://t.co/3wWjlYg4jU

This course is organised by ESPCOP with support from the #ESAIC.

#EA24

[ESPCOP @ESPCOP24]

Obesity Anaesthesia Research Forum before the Munich @ESAIC_org kicks off - Cutting edge research & controversies - then Networking over Buffet Supper. CPD approved by @RCoANews. Plus reduced rates @SOBAuk @ESPCOP members https://t.co/i8b1lSSHlk

[ESPCOP @ESPCOP24]

Trainee Prize Competition @ESPCOP24 Munich Obesity Anaesthesia Research Forum - bringing together best abstracts from @ESAICTraineeN @SOBAuk and @ESPCOP of the past 18 months - Submissions closing date midnight Friday 19th April. https://t.co/aN049NohJi

[mike margarson @mmargarson]

Registrations climbing for @ESPCOP2024 - Trainees Prize Presentations with €500 first prize at Evening Obesity Anaesthesia Forum - details at https://t.co/bqh39ZGvOm

[Intensive Care Society 💙 @ICS_updates]

Today, our Zermatt to Verbier challengers fly out to start raising money for intensive care!

In a couple of days, they will start their hike of the famous Patrouille des Glaciers🏔️

Find out more about their progress next week and contribute below👇

https://t.co/ENl1sXWAiw

[mike margarson @mmargarson]

Ten weeks today at #euroanaesthesia it’s the #ESPCOP Obesity Anaesthesia Events. Trainees prize presentation (€500 1st prize) and pro-cons. See https://t.co/NRViF3125G Reduced rates also for #SOBA members!