
Martin Billing
24.5K posts

Martin Billing
@BillingMartin
MSK Ops Lead in NHS. Trying to be better and test my limits. Opinions my own
East Yorkshire, UK Katılım Ocak 2013
4.2K Takip Edilen5.8K Takipçiler

@AI_EmeraldApple Agree 💯
Only an hour in and I’m hooked @CrimsonDesert_
Going to just take my time and enjoy!
English

My first impression so far...
Crimson Desert is a VASTLY complex game that is a deep dive... a true single-player sandbox game that most modern players are not used to.
So far, the main issue many people have with Crimson Desert is that it doesn't include the typical "hand-holding" common in most Western AAA games.
It has barely any tutorials and no spoon-fed mechanics, leading to the overwhelming, confusing, and obtuse complaints coming from many players. For most things, you are left to "figure it out on your own", and for many players like me who love the complexity, that's the beauty of it.
For me, I HATE tutorials. I hate game "onboarding". I want to just dive in and explore the world and figure out the mechanics as I go along.
The other issue is the story. The story is mid, but for the game, the story is just there as a backdrop, not as the main focus of the game. The real "plot" is whatever adventure you, as a player, go on... not some linear track story common with pretty much every other western AAA game.
For me so far... the beauty is in the discovery, the “oh shit, that’s how it works” moments, hours of exploration and experimentation.
That is where the friction is so far.
Complex controls, complex combos, Inventory where you can't loot everything you want, convoluted crafting system, a quest line that doesn't hand-hold, no theme park, no linear narrative epic, and a world where a rabbit hole deep dive is the point.
This isn't a game like Elden Ring where its hard but simple, or other open-world games where mechanics are spelled out for you. It really feels like an old-school sandbox with a 2026 open-world glowup.

English
Martin Billing retweetledi

I’m fuming
Dr Amir Khan on ‘No Appointment Necessary’ nails the problem with the new Advice and Guidance
It’s effectively moving the hospital waiting list to the community so it’s not counted against Govt targets
We see you @NHSEngland @wesstreeting
youtu.be/X9MkVcquAOk?si…

YouTube
Dr Steve Taylor@DrSteveTaylor
Government sets target for one in four GP referrals to be ‘diverted’ by 2027 The hospitals are making such a bad job of reducing the waiting lists so Dear GPs kindly sort it out for us! There is one GP for every 5.3 hospital Doctors Do the maths🤷🏻♂️ pulsetoday.co.uk/news/2026-27-g…
English
Martin Billing retweetledi
Martin Billing retweetledi

Dominik Szoboszlai: "I don’t think it helps us that after 80mins people start to go home. Everyone is noticing that and when we concede a goal still people are leaving the stadium. I understand the frustration but we need them. I think it should be normal that in hard times we stick together even more.
"We want to make them happy, it’s not that we do it on purpose. They can be angry but stick with us because we are a family, we need you guys."
nytimes.com/athletic/71203…
English

@TightFive_Rugby Missed conversions, yellow card, referring decisions that were at best a bit odd, lapses in defence, penalty count etc etc
How about those reasons? It wasn’t down to one person losing that game and certainly not pollock
English

A reminder that @EnglandRugby despite last nights performance have very uncomfortable “records” under Borthwick
The very fact they are so unfathomably inconsistent shows to me, a lack of overall plan and systems within patterns of play
It always feels the are “in development”
English

@hjluks It’s hilarious
You’d think humans didnt have a functioning digestive and absorption system for the last 300000 years or so
English

What is it with water these days? wtf? Ffs? What else?
Dr. Eric Berg@dr_ericberg
Drinking just water in the morning, when blood volume is lowest, may dilute electrolytes and increase dehydration. Adding a pinch of sea salt can help retain water in the bloodstream and improve how you feel.
English
Martin Billing retweetledi


@Janeajnet @CoastingGP Wasn’t my intention at all, was seeking to understand. I wasn’t going to give an opinion or form any judgement anywhere.
Was genuinely interested.
English

@BillingMartin @CoastingGP OP said the service was not good -some services cost a lot of money and are not delivering as they should. You asked a question the OP answered. I may be mistaken but I thought you were sea lioning or asking for an answer that would suit you. This is how an apologist begins.
English

@Janeajnet @CoastingGP Good evening Jane. I was just genuinely interested.
I didn’t give an opinion I was seeking information so can you explain why you took that as apologist?
English

@BillingMartin @CoastingGP You seem to be an apologist for a poor service with these questions when apparently your job is ensuring MSK services are efficient, high-quality, and patient-focused.
English

@CoastingGP Is this a comm msk? Tier 1? Tier 2 ?
What access routes are there, is it self ref?
What’s the expectation when you say not a great deal gets done?
English

@BillingMartin Pt access into the service is difficult
If a pt makes in thru, not a great deal gets done
English

@dave_dlt Take Med3s away from GPs.
Would free up so much time and resources.
I don’t want to be the job police.
Self cert up to 6weeks.
Remember longer self certs allowed during height of Covid pandemic? Then mandatory formal Occ Health assessment on return.
English

The system is set up for this. If we refused a sick note, there is a never ending set of complaint pathways that would eat up many 10s of hours rebutting what may be a perfectly sound refusal.hence it never happens
BBC News (UK)@BBCNews
Hundreds of GPs tell BBC they have never refused a sick note over mental health concerns bbc.in/4ru5piK
English
Martin Billing retweetledi





