Merlin 🐂

@JamesMcPherson ‘Make it make sense’ - you’re getting so very close to a proper understanding of the relevant details

Everyone in this thread about how regular checks are awful, until they are colonoscopies or mammograms, then they are fine, encouraged even. Make it make sense.

Talked to an MD friend this morning who I respect who had never heard for @midjourney ‘s ultrasound scanner. He immediately started explaining how more information is bad. I tried to explain the concept of how more information leads to better ability to detect what is important or isn’t important. But he would have none of it. The entire medical field is just cooked.

@AlexCaswen Psychology is hard

you are a doctor there is a new, cheap, harmless test but it generates false positives What is your solution: A) Do more tests over time, then use time series analysis to reduce false positives B) Immediately escalate to the most invasive & high risk tests & treatments available

@peterrhague @IntelectualWino Incredibly stupid take.

@IntelectualWino I’m convinced lots of men die because they don’t have the social acumen to negotiate the conversation with the GP properly.

An interesting sidebar to the debate about doctors not liking elective full body scans. Clarkson wants you to lie to a doctor to make sure you get a blood test for prostate cancer. Because from the patients point of view, there is no downside - and they might catch it early.

@FamersDog I’m willing to bet that Jeremy Clarkson knows literally nothing at all about public health

An update and a message from Jeremy. “Thank you so much for all the kind messages I've had but now, an announcement.”

@timothy_stanley Humour?

A child spends 9 hours online and can think of nothing else to do but stare at the wall & self professed “conservatives,” think it’s hilarious or cool or ironic. Once again I have no idea what “civilisation” the right thinks it’s protecting.

@PeopleOfTheInt Undertone

The most terrifying film of the year.

@davidjbrooks34 @PolitlcsUK Resident doctors do not have the luxury of working in the private sector - the NHS is the only employer

@PolitlcsUK These greedy money grabbing twats should try working in the private sector….. ya know, the one that generates all the wealth and income for the country. So that we can give inflation smashing pay rises to resident doctors. Bullying W⚓️s

🚨 NEW: Resident doctors in England have called off strikes from Monday after a last-minute 6.6% increased pay offer from the Government

@mononoprix The first sentence is perfectly grammatically “correct” - lack of a comma doesn’t make it incorrect.

you know a book is good when the first sentence isn't even grammatically correct

@BMLBod My thoughts exactly. This is the United Kingdom - we don’t build anything here.

I’m flabbergasted they’ve actually started to build Universal Studios Bedford. This is the United Kingdom.

@drraja_ She shouldn’t have been so dishonest. Taxpayers money spent on a wedding day.

This doctor was in final years of training to become a Cardiologist. It is a very sad case as GMC suspension can have a impact on future employment prospects & progress in career.

@Vocal_GenX Why don’t we widen access to nuclear missiles then? People are the problem, not the objects.

People shouting 'ban the kirpan' I disagree You could kill someone with a brick - do we ban DIY? You could kill someone with a stiletto heel - do we ban high heels? You could kill someone with a branch - do we cut down all the trees? You could kill someone with a cast iron frying pan........... The object is not the problem - people are Education Respect Discipline Deterrent That's what we need

@MrBrum43 Because the blade used to carry out the murder is a Sikh blade specifically sanctioned by the government because of Sikhism. This inevitably drags the broader community into the debate.

Why are the Sikh community apologising for a murderer? He didn’t murder in the name of any religion. He murdered because he’s a violent killer. And his family helped him try to cover it up. This isn’t on the Sikh community, this is on one family and several failed police actions.

@tdearling Top signal

I know not all months will be like this, but my ISA balance grew £48k in a single month. To put that into comparison, someone would need to earn c.£1m gross in order to earn this Net a month.

@RealBlackIrish What? The father is directly addressing the murderer’s claim that his son was racist towards the killer and that this provoked the attack. The father is refuting this by speaking positively about his son’s character.

After everything he still feels the need to point out that his son was “one of the kindest, most inclusive people you could ever hope to meet”. It makes no sense to me.

@David_Cameron David Cameron - you evidently have no understanding of the relevant science.

Today’s recommendation from the National Screening Committee on prostate cancer screening is deeply disappointing and a real step backwards. I urge the new Health Secretary to reject it and go further - offering targeted screening for the most at-risk men. As I warned last November following the initial advice, prostate cancer is the most common cancer among British men. We are letting down too many men, their families and loved-ones if we don’t push for a wider screening programme that includes all high-risk groups. Prostate cancer can be symptomless early on - as it was in my case. That’s why screening is essential - catching the cancers early when they can be more effectively and successfully treated, like with me. If the advice is to be followed, you could be an older, black man with a family history of prostate cancer and STILL not get routinely screened. Surely, that can’t be right? There are now better screening options and more advanced focused treatments available in parts of the NHS. I benefitted from these and others could too. Yet this seems to have been ignored by the Committee. The new Health Secretary needs to be brave and bold. A more progressive and life-saving policy is within our grasp. Put in place a proper, targeted screening programme that involves all those at higher-risk. Without it, more men will die, and more families will lose a loved-one. As I said in November, this is avoidable and can be done.

@yarwoodwilliam Sleight of hand? The BMA analysis compares all other professions since 2008 to doctors since 2008.

The BMA’s “pay restoration” campaign is built on one giant sleight of hand. They deliberately start their analysis in 2008 because it ignores the huge above-inflation pay rises doctors received before then. In reality, resident doctors’ pay was already around 35% higher in real terms than in 1990. They have also been widely criticised for using a discredited measure of inflation (RPI) to calculate pay erosion, despite it being dropped as a national statistic more than a decade ago. And despite all the rhetoric about “underpaid doctors”, resident doctors have already received multiple inflation-busting pay rises, the NHS is receiving record taxpayer funding, and they enjoy employer pension contributions worth 23.7%, which is nearly double what it is in Australia and around six times the private sector average. At some point, politicians need to stop treating the BMA’s figures as neutral facts and deal with them for what they are - union militancy dressed up as economic analysis.

@ConsUltaNT_ACP “Top-tier consultant ACP” - inferiority complex

ACPs getting ready to fill those shifts.

@John0_ @stefan_mccauley What about ‘General internal medicine’ or ‘Acute medicine’? Why do these pathways take 8 years

@stefan_mccauley Technically it's IM + a subspecialty in 6 -8 years. But I think it's jus fundamental differences on how they deliver senior IM support overnight. US - consultant (attending) level care via hospitalists. UK - Med Regs. There also difference in funding etc service provision, hrs

How does the US do IM in 3 years but UK it’s about 8 years What happens in those 5 years man

@vxeno2 Bro he’s 7 years older

deram uma enfeiada forte no Capitão Pátria nessas últimas temporadas

@paleochristcon @amiKozak Ground it.

@amiKozak That if you hadn't said "This is satire of Andrew Wilson" nobody would have applied it to me.

First Date w/ @paleochristcon