Hugh Logan Ellis

'Doctor, I'm worried about this patient's observations.' We find them bolt upright, gripping the rails, wheezing with each gasp. RR & BP up, sats down. Classic APO - we got here just in time. Yet an AI for detecting deterioration might have missed this. Our paper explains why...

Just one more example of how the UK is a formerly dynamic and growing economy behaving as if it is still a dynamic and growing economy, and then being surprised when things that used to work (and work for other countries that haven’t stagnated) no longer work here.

@DAaronovitch @DevanSinha I think this reddit user captured the feeling of disconnect well too: reddit.com/r/JuniorDoctor…

@DAaronovitch I'm a loyal listener, but this was disappointing. Goddard even admits on air he knows the consultant situation better. Here are 16 reasons we're angry, by the excellent @DevanSinha x.com/DevanSinha/sta…

"Why are early career doctors angry?" asks @DAaronovitch on BBC Briefing Room. Two consultants who qualified in 1979 and 1990 are on to explain. Part of it? Feeling that consultants don't understand their struggles. Funnily enough, that didn't come up.

Here's a chart of the marginal tax rate for someone with two kids. They pay 53% tax on every £ they earn between £60k and £80k. 62% on every £ they earn between £100k and £125k. 9% more if they've a student loan (See all the detail in our calculator, pinned to my profile)

@somerset_mat @pash22 @debzly @DrNickDalmon RE: mean scores. They aren't equivalent - they are statistically significantly different. Everyone agrees on this, including the original authors. Please could you show me where you got the sense I was "admitting" to anything, so I could correct it?

@somerset_mat @pash22 @debzly @DrNickDalmon Hi Mat The paper hasn't been published because I have other things to do (like write my thesis), I submitted it to the BMJ but they made an editorial decision not to publish it but it was peer reviewed I didn't get any funding to do this 1/2

I'm interested in the publics opinion here. Free choice, base it on what you want not what you can currently get. If you go to your GP surgery or hospital with a worry or injury, who do YOU want to see? You can explain answers or ask questions if you wish Please RT for more n

doi.org/10.1093/ageing… DOI link in case the other one doesn't work

Thank you: To the reviewers who genuinely improved this work To @age_and_ageing & the editorial team who are incredibly helpful And of course to @Krockdoc! It is an immense privilege to work with someone who literally wrote the book on frailty indices 8/8

In the UK's national frailty screening tool, harmful alcohol use is weighted 25x more heavily than dressing problems This improves prediction. But does it capture frailty? New commentary with @Krockdoc in @age_and_ageing 1/8

It’s a good reminder that not every problem needs more machine learning. Sometimes the real progress comes from simple, transparent measures that can be applied to more patients and actually make life easier on the wards.

Even more interestingly, they tested a “NEWS-Light” that just uses the easiest vital signs to measure: heart rate, respiratory rate, SpO₂, AVPU and oxygen requirement. It performed almost as well as the full NEWS and could be done faster and more reliably

I just stumbled upon this preprint that shows the Early Warning Paradox isn’t just theory, it happens in practice. Lovely work from @katsiferis and colleagues across more than two million hospital admissions in Denmark. medrxiv.org/content/10.110…