Chris Macdonald

@nirmalregency Or any lube?

I am a neurologist.

@SilenceInPolish Oh if only

FOURTH PLINTH ANNOUNCEMENT Following a year-long campaign, a statue of Wojtek the Bear has been selected to adorn the fourth plinth in Trafalgar Square. A member of the 2nd Polish Corps, the choice reflects widespread British appreciation of the Polish Armed Forcee in WW2.

@TobyCornish @dpatweet @SphereVegas Did you have a full M D T in line of sight ?

Pleased to announce that Dave McClintock and I have displayed and navigated a whole slide image on the Las Vegas Sphere — 580,000 sq ft of H&E at 256 megapixels. Press release follows. 1/ #digitalpathology #PathTwitter @dpatweet @SphereVegas

@drkeithsiau Feed your consultant coffee and biscuits at the end of the ward round.. you can clarify what went on and if you provide cake get the chance to go to opd

Doing an induction session today for our new GI interns and residents. Aiming to give them high yield tips that will give them an amazing experience. What should I include?

@drkeithsiau Ok shit happens

@ChrisTumdoc These were the photos from prior colonoscopy. The clip was no longer present.

Seen in the caecum in a patient with a massive lower GI bleed. What would you do here?

@drkeithsiau Politicians?

The mouth of a jellyfish is also the anus. What other species share this unique feature?

@StansaidAirport To easy have windows and those little things on far left and right they do something? Don’t they?

Benny in Maintenance upgraded the screens on a Garuda Indonesia plane and the pilot's just been going livid. Says they've lost all cockpit data because of turbulence. No idea how that can happen.

@drkeithsiau Yay and if in the trade can give an instant second opinion.. BUT choose your colonoscopist with care

Unsedated colonoscopy - yay or nay?

@ClassicII_MrMac Interesting I have similar the bottom hole is threaded for a fixing screw

Wait a second... what is this?

@JLcuyer @EmmanuelMacron My French is less good these days and the pits closed in the north of the uk by 1994 I thought the Lens pits closed well before so , it’s just for show?

Petit détail qui n'aura pas échappé aux Nordistes: @EmmanuelMacron garde toujours dans son bureau de l'Elysée la lampe de mineur offerte par les Lensois en 2018. 🧑‍🏭⛏️

@sepdigestiva @drkeithsiau Trainee tried to hard got enbloc dissection

#QuizSEPD ⚠️📸 Situación de tensión durante una colonoscopia ¿Qué ha ocurrido aquí? rt @drkeithsiau

@karthik2k2 I used to like the andina assessments on courses I’d played sx on 4 ,15 but not 18th at Pitlochry etc

Today I saw a patient whose notes read " He could climb the stairs in railway station to catch his train on the platform 3, with a suitcase easily 9 months back. Now he gets breathless with a small backpack" His cardiologist had written such beautiful, detailed functional assessment. Simple variables like BP, pulse rate etc have their place - but are often reductionist. That's where a clear description of fitness /frailty comes in. The cardio could have written NYHA class and called it a day. But he made it so vivid that anyone can understand. And in a beautiful handwriting. Reminded me of my cardiology Prof JBC. Doctor goals : write such beautiful case history that another doctor is so impressed that he shares it online 😍

@TrumpsHurricane Broiled

Help settle an argument……… Do you consider this filet medium well, medium rare, or something else ??

@KimFishlegs @AsdaServiceTeam No sherry

@dru_jlh Got to go on the portfolio. Relevant, wanted, multi specialty working, use it for out or region, uk, Europe engagement. Redo as a multi site project next year use the regional St training group. Name and shame IT depts. Local nurse/na feedback on bedtimes as Santa nears

@history99917180 Not if you don’t put it on SWMBO did it last week

Your advice needed. Is it too early to watch Love Actually?

@NEndoscopy @drkeithsiau There are others for observation the side that doesn’t move is sick chest, or sore abdomen, or broken ortho (but the won’t notice till the x ray ) (me)

@drkeithsiau Actually the saying was “97% in the history, 2% examination and 1% investigations.” Not sure what this is fully based on but flipping the pyramid is not better eg straight to scam means nothing without history at the very least…

80% of the diagnosis is in the history, 80% of the examination is in the inspection.

@NEndoscopy @drkeithsiau Stop having a spat you 2!! I was told it was Osler at 90% hx 10 exam ie pre ix (Osler is quoted as saying something to the effect of: ""Listen to your patient, he is telling you the diagnosis"," and that 90% of the diagnosis comes from a careful medical history)

@DouglasAdlerMD @Merit_Endotek Any covered stent if it’s esophageal uncontrolled bleeding. Great rescue rx. But you’ve still got a sick patient to get to stent removal and definitive rx

Monumental, uncontrolled bleeding from esophageal varices s/p banding 1 week ago at OSH. Mass transfusion protocol, pressors, shock. Tamponade of distal half of esophagus with a 23mm wide Endomaxx stent to good effect. Have you tried this? #gitwitter @Merit_Endotek