Martin Billing

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Martin Billing

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
Emerald Apple
Emerald Apple@AI_EmeraldApple·
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.
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Dr Steve Taylor
Dr Steve Taylor@DrSteveTaylor·
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 video
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…

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Howard Luks MD
Howard Luks MD@hjluks·
Just saying...
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James Pearce
James Pearce@JamesPearceLFC·
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…
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Martin Billing
Martin Billing@BillingMartin·
@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
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Tight Five Rugby
Tight Five Rugby@TightFive_Rugby·
Yeah Pollock, you’ve got to hold onto that ball. Cost England the game and Ireland the Six Nations.
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Martin Billing
Martin Billing@BillingMartin·
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”
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Martin Billing
Martin Billing@BillingMartin·
Happy Mother’s Day Miss you both ❤️
Martin Billing tweet media
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Martin Billing
Martin Billing@BillingMartin·
@hjluks It’s hilarious You’d think humans didnt have a functioning digestive and absorption system for the last 300000 years or so
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Crimson Desert
Crimson Desert@CrimsonDesert_·
Traverse the red sands of the desert. #CrimsonDesert launches in 6 days.
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Coasting
Coasting@CoastingGP·
Local rubbish musculoskeletal service wants to know why we are not referring into their service Should I tell them it’s because they are rubbish??
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Martin Billing
Martin Billing@BillingMartin·
@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.
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Jane
Jane@Janeajnet·
@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.
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Martin Billing
Martin Billing@BillingMartin·
@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?
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Jane
Jane@Janeajnet·
@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.
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Martin Billing
Martin Billing@BillingMartin·
@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?
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Coasting
Coasting@CoastingGP·
@BillingMartin Pt access into the service is difficult If a pt makes in thru, not a great deal gets done
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RugbyInsideLine
RugbyInsideLine@RugbyInsideLine·
🇫🇷🌹 FRANCE V ENGLAND COMBINED XV 1. Genge 🌹 2. Marchand 🇫🇷 3. Heyes 🌹 4. Itoje 🌹 5. Meafou 🇫🇷 6. Cros 🇫🇷 7. Pepper 🌹 8. Earl 🌹 9. Dupont 🇫🇷 10. Jalibert 🇫🇷 11. LBB 🇫🇷 12. Moefana 🇫🇷 13. Freeman 🌹 14. Attissogbe 🇫🇷 15. Ramos 🇫🇷
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Dr Katie Cairns
Dr Katie Cairns@kiityc·
@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.
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Nick Knowles
Nick Knowles@MrNickKnowles·
Can I just say you may have an opinion on how England are playing, as I do but abuse towards coach Borthwick isn’t OK He’s been a dedicated servant to England rugby both as a player & coach I guarantee he cares deeply. You can have an opinion on his tactics without being abusive
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