Sam Mindel

Junior doc & erstwhile London dilettante. Fan of new ideas, unusual theatre, great cooking and people who talk too much

[David J. Cohen, MD, MSc @djc795]

@AnilMakam This reminds me of one of my favorite studies... Not directly related but similar enough to repost. https://t.co/hF18wA8rdk

[Torsten Bell @TorstenBell]

It’s okay for the Tories/Times/Telegraph to pretend that taxes are up “because of welfare”. That’s politics. But if you care about policy you need to understand that is a long way from the truth - and wrestle with the consequences

[Elliot Tapper @ebtapper]

Went to a lecture long ago

Speaker did a GWAS for diabetes

Discovered that iron metabolism and heme genes caused diabetes!

TINY p values
CAUSAL effects, because genes

Then, from the audience, a question

“How was diabetes defined?”

Answer: hgb A1c

Stunned silence

[Paul Johnson @PJTheEconomist]

Lost for words. Never thought I’d see a British govt trying to set food prices. If there is one highly competitive sector it is food retailing.
Do we really want to live in a country where the state sets these prices?

https://t.co/yLqYOdfXNN

[Michael Baum @MichaelBaum11]

My riposte in today's Times letter page.

[Paul Johnson @PJTheEconomist]

As Ben says this is a quite extraordinary change. And a staggering statistic. One in ten teenagers (under 16) is in receipt of child disability living allowance. Doubled in a decade.

[Michael Dnes @MichaelDnes1]

So Gatwick is going to have a second runway. Probably.

But why will your ability to fly to China hinge on whether I take the 460 bus?

[San Raffaele Anesthesia and Intensive Care @SRAnesthesiaICU]

🩸Among adults undergoing cardiac surgery, ANH did not reduce the number of patients receiving allogeneic red-cell transfusion.

These are the findings of the #ANHtrial, our latest multicenter RCT, just presented at #CCR25 and published in @NEJM.

📎 https://t.co/coFhvR2VGm

[IMCrit @IM_Crit_]

One of my pet peeves is when every episode of fever in the ICU is treated. I have seen many patients who spiked a temp of 39 deg Celsius overnight & next morning I found them (shivering) in a cooling blanket in an attempt to "treat" the fever

I know that ICU is the kingdom of

[David Blagden @blagden_david]

This is why HM Govt’s enthusiasm for this deal is so baffling: you don’t have to be right-wing to dislike it.

It basically only satisfies the following constituencies: … 1/7

[Michael Dnes @MichaelDnes1]

@SamCoatesSky was expressing his astonishment yesterday on Sky News that the PM had singled out one judicial review applicant to blame for the legal challenges bedevilling infrastructure projects.

Let’s fix that 😈

Here’s a story that starts with a man shut in his cellar.

[Dan Tomlinson MP @Dan4Barnet]

Good to see The Times write up the bat tunnel story, and glad to add my 2p to their account.

The key thing for the future is that Labour's planned Nature Restoration Fund will put an end to these expensive within-project "mitigations". Instead, we will be able to raise and direct funds to preserve and enhance our environment to where it will have the most impact.

A genuine win-win.

https://t.co/opRSrc9mHC

[Shammy @Shamz_141]

This might be the most oval-shaped circular logic I’ve ever seen. GMC guidance for PA supervision is that you ask them what they can competently do or use your intuition. If they make a mistake you are responsible, and tribunal will assess your intuition regarding GMC guidance…

[Ed Conway @EdConwaySky]

If you're even half interested in energy, I bet you've seen this chart. I call it The Most Hopeful Chart in the World.
The point? We're embracing renewable power MUCH faster than expected.
Hurrah!
Only problem is, this chart has an evil twin. A chart we really need to discuss
🧵

[Duncan Robinson @duncanrobinson]

Column 🫵

[Dean @Dr_DeanS]

Birth centres, as a paediatric doctor, just fill me with dread.
There have been a fair few 'low risk' pregnancies and deliveries which I've attended requiring significant neonatal resus. Whilst of course my experience is skewed but there is a reason birth became more medicalised

[Sam Mindel @smindel]

@ellegist Surely the biggest problem is that nobody has any evidence to suggest the bats will use the bat tunnel. There are reasonable grounds to think it might be completely ineffective https://t.co/hAk8xmfQy5

[Sam Bowman @s8mb]

I don't want to single anyone out here, but it's important to realise that a sizeable share of people involved in public policy think you need some kind of formal expertise to judge whether £100m is an appropriate price to pay to protect a colony of bats from a train line.

[Dan Neidle @DanNeidle]

New polling paints an interesting picture of the public's tax-raising priorities, and a depressing picture of the public's understanding of tax and spending.

I have no easy answers, but I do have some rather alarming charts.

[John Mandrola, MD @drjohnm]

The most shocking trial in modern cardiology continues to find no signal of PCI benefit, despite enrolling pts most likely to benefit.

How the “clogged pipe” frame of thinking persists despite such evidence amazes me.