Roger Jay

@Danford2013 Eee, when I were a lad it were 1st August. We was 'appy then - didn't go on strike.

14th July 1974 I commenced my 1st House Surgeon job at the RVI, Newcastle. Wards 17 & 18 Orthopaedics plus Fracture Clinic and A&E at night. A 1 in 2 rota (minimum of 80 hours before additional payments). And guess who I met? She was 18yrs old!

@Danford2013 We are possibly in a similar situation. Why worry if we don't need it and someone else does?

Winter fuel allowance reinstated: not for me as I am over the earnings threshhold .... but .... my wife is taxed separately and her income is will below the 35k. Live in same house. Clarify if you know pls: will she have her allowance reinstated? #winterfuel #RachelReeves

@Brian_H_Wood The phrase in aerospace seems to be 'unscheduled disassembly'

I'm sure they succeed a lot as well

@JoeMorrisMP @AnnaBatchelor Whitley Bay came third after Stratford upon Avon and Harrogate very recently. How many of the polls are there?

It is no surprise to me that Hexham has been named the third happiest place to live in Britain by Rightmove, although I would personally rank it as number one. It is wonderful to see our town and its people being celebrated.

My brave and courageous friend Paola who died in Dignitas earlier this. Her Stage 4 bowel cancer treatments had stopped working and she had a terrible intolerance to opioids. Paola was already in a huge amount of pain and knew she could face a horrific painful death due to what was already happening. She made the decision to travel alone to Switzerland, so as not risk her family being prosecuted and before she was ready. She wanted to be at home, surrounded by her loved ones, but was denied by the current cruel blanket ban. Many terminally ill people can’t afford to use this as an option, and over 600 a year resort to taking their own lives, often in catastrophic ways, in desperation to end their suffering. I hope that tomorrow MPs vote to stop this injustice from continuing to happen to terminally ill people #AssistedDying

@Jcalcolado Twas ever thus. But most of my Trust SHO grades seem to be there by choice and to give them time to decide, not through failing to obtain a training post, as I did as an SR before changing specialty.

I’m reminded of a post from elsewhere and copied below (anonymised)…it was posted over 2 years ago…things seem to have got worse since then…the new Lost Tribe is starting to look like an abandoned army and we can’t afford for them to march away from the UK or NHS

@Jcalcolado Crazy, as so often. Your solution should be the correct one - the assisted death will have already passed by a judge in this system, so what has it to do with the coroner?

Ahh…I’ve found some sort of reply on other thread…

One of my roles is as Medical Examiner. If assisted dying becomes allowed by law, what do people think should be listed on the MCCD (“death certificate”), e.g. 1a Assisted Death 1b Motor Neurone Disease….MCCDs are public records and accuracy is essential

@Danford2013 @HMRCgovuk Perhaps they thought it was made of illicit drugs like the recent MDMA garden gnome. Like the Lavender Hill Mob!

I tried to buy this original French 45rpm vinyl single. It was apparently sent by post from France but was rejected by customs and returned to the sender/vendor. Why would customs reject an old 1966 vinyl record? I have bought loads over the years and never has this. @HMRCgovuk

@cliveryton Hardwick Park - stayed at the hotel recently while examining PACES.

@cliveryton @NHSuk What's the response? Visits to the toilet??

Coffee catalyses clinicians, especially when they have 7 clinics across 4 Hospitals in 5 days. Guidelines on 'drinking coffee responsibly' @NHSuk website allow up to 5 cups daily which defo exceeds my caffeine tolerance threshold! Has anyone published dose response curves yet? 🤔

@christiplady @mgtmccartney Agree. My oft-repeated advice is not to follow the guideline, but to apply it to the patient whom the guideline writer has never met.

@mgtmccartney Increased rigidity following pathways you can't get off until every test is done.

Possibly controversial but. I fear that more less qualified staff create more work and more inefficiencies while also doing more stuff. More gets done but not necessarily the things that need to get done. Costs go up, appts go up, but stress on drs goes up esp in 1st care .

@davidashprice Welshman carrying his coracle?

#inktober hike

@AnnaBatchelor Can visualise at least 2 surgeons, but can't recall their names. And then there was Johnny Walker, radiologist. Enjoyed my year there - friendly bunch, and even got a multi-signed leaving card - the only one until retirement!

@RogerJay2 Did you meet the “characters” in surgery and anaesthesia….? 84-87 on and off

Yikes. Did my cardiac block in Groby road…..is it really that long ago…😳

@Danford2013 There's an inverted, rusting, Anthony Gormley on the ceiling at the Wellcome museum, methinks.

Strange art work in a shop in Santiago de Compostela. If you don't complete the pilgrimage .... well ...... #Santiago

It seems that I diced with death daily in 1977-8 when living in Sedgewick Street. Emmanuel College should have done a health and safety risk assessment before assigning me to such dangerous digs.

@christiplady Saw 6 together last week on Monkseaton Drive. And quite common in the parks in Newcastle now.

Just seen two parakeets in North Tyneside. Noisy.

@Danford2013 @IanFouk @RSPBSaltholme @teesbirds1 Thanks. I wondered how this eel ended up in a mountain stream in Cumbria. Eventually twigged it is a lamprey.

@RogerJay2 @IanFouk @RSPBSaltholme @teesbirds1 Yes. Glass elvers.

Video clip of a Greenshank catching small eels. Seen this morning from Saltholme Hide. @RSPBSaltholme @teesbirds1

@IanFouk @RSPBSaltholme @teesbirds1 Eels for dinner. Cresswell pond a couple of years back. And I saw a Goosander catch an eel in the Tyne at Wylam a couple of decades back. Lived in London but never had the jellied variety.