Colin C

Extraordinary slide from Milton Packer's wonderful lecture 🤯 What a time to be a #HeartFailure specialist... we just need a lot more of us (doctors, nurses and AHPs) to deliver all the therapies at our disposal. #GDMTworks #BSH2021 #BSHAM2021

David Attenborough is officially too old to play with Lego.

@mmamas1973 @nolanjimradial By the end of the video they look exactly the same. Presumably the difference is only noticeable for the first few sips.

@nolanjimradial That's exactly what i'm going to do- hadn't appreciated the difference

Long black it is then!

@jasonryanmd Perhaps Tom Jones should have called his hit song "It's Usual", rather than "It's Not Unusual"...?

There are some phrases we use in medicine with unnecessary words. Every once in a while you’ll come across an attending who hates these so beware. I used to get my notes carved up by one attending in particular: “…no prior history” = no history “multiple lesions” = lesions “not uncommon” = common

@modeofg @pott95 Glenn Murray

@pott95 Have we ever had a good striker on loan? I’m probably missing someone really obvious but all I can think of have been fucking stinkers

Will Keane is certainly up there as one of the worst ever loan signings we’ve ever had, and we’ve had some proper stinkers. #readingfc

ATP fails for three distinct reasons. Understanding which one and why is where the real EP fun starts. #Electrophysiology #ICD #VentricularTachycardia #BHRS #HRS #EPeeps

@DrMarthaGulati They just follow the algorithm x.com/i/status/99467…

Until the orthopedic surgeon needs to read an ECG… Who do you think call then? I don’t really think any specialty is the smartest, btw. There are great people in many specialties, thank goodness!

@PhilDurkin3 The most frustrating situation is the the patient who has likely entered the last year of their life, where the minimum is <1 month, but the estimated is e.g. 14 months...

Anything more annoying than a Medtronic battery estimate. Minimum 6 Months Estimated 29 Months Maximum 56 Months

@mancunianmedic I expect he really did mean Doublebase

JF(K)DI

@TheTilehurstEnd 7/10 for Pereira... seriously, what do you have to do to score 8, 9 or 10? How can Joel have been rated only 2 points higher than MO'M?? The scale runs from 0 to 10. Yet it seems very rare for anyone to be awarded <5 or >8, now matter how terribly or amazingly they play!

RATINGS: Some important defensive displays - in particular from Joel Pereira, Finley Burns and Jeriel Dorsett - were key for #ReadingFC in tonight's draw, but it was a night to forget for the attack. thetilehurstend.sbnation.com/player-ratings…

@jtsaxon 'Extreme' doesn't work, as the extreme of a scale implies the end of the scale, i.e. there can't be a higher grade. Why not just call it Grades 1, 2, 3, 4 & 5?

This thread will probably go nowhere. But we should at least make a massive effort to stop using words that don’t mean what we think they mean.

We have made a massive mistake. 🧵

@DrDavidWarriner @Heart_BMJ @sumitku3007 Very interesting ECG finding, but what an utterly bizarre way to write up a case. Why would you do blood tests and an echocardiogram before doing an ECG in someone presenting with syncope and a heart rate of 25 bpm? 🤔

Amazing. Just written an ECG textbook (out very soon) and yet I’d NEVER come across this before. Still learning! Nice work @Heart_BMJ @sumitku3007 #CardioEd #CardioX #cardiology #EPeeps

@cardiacpolymath 16 is the correct answer

Question for the adults in the room What is the minimum number of cheeses needed to qualify as a "Cheese board" 3, 4 or 5? Lets hear your opinions

Earlier today one of the BBC's leading stories was about patient harm after heart surgery in Newcastle, the focus upon a single surgeon This highlighted text caught my eye Why? Because we've been here before sadly... 1/3

@ProfDConnelly @DrDerekConnolly

Bumped into my near-namesake @DrDerekConnolly at #ESC2025

Hate switching to a new set of trust values. I think I have to stop being nurturing and start being compassionate. And switch from being honest to being trustworthy. Something like that, it's not like these are vapid meaningless buzzwords after all.

@ProfDConnelly Strictly speaking you could just call it foramen ovale, given that it must patent for it to still be a foramen. When it closes it becomes the fossa ovalis.

The correct terminology should be "persistent foramen ovale". Patent = open Foramen = hole. Q: When is a hole not a hole? A: When it's not open. (Am I being pedantic?)

@EJSMD @drjohnm We offer all our ILR patients the choice of explant or leaving it in, and a significant majority choose to have it explanted. So it must be of some psychological value to a significant number of patients to know that it has been removed.

@drjohnm LAAO benefit is plausible, just unproven. Loop explant benefit? Neither proven nor plausible. At least LAAO has a theory. Loop explant just has a scar.

Disagree. ILR explant near zero value. Percutaneous LAAO could easily be negative value.

New NICE Guidance announced 👇👇👏👏

Yearly reminder NHS mandatory training should include a section and a quiz about the difference between REPLY and REPLY ALL