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This CT scan is definitely the most traumatic during lockdown I've been shown. Archery accident.
Arrow through the heart.
Miraculously and thankfully the patient survived.
Let's look at all the ways they were lucky:
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Devan Sinha
10.9K posts
Devan Sinha
@DevanSinha
Neuroradiologist | Molecular Medicine | into science and data | via Oxford Med | https://t.co/V1TDFk8fVq
Katılım Eylül 2013
581 Takip Edilen5.6K Takipçiler
Devan Sinha retweetledi
Devan Sinha retweetledi
The Pitt Case (S02E08):
Middle age women presents with painless monocular vision loss 1 hour from onset. VA light perception, and fundus photos show signs of CRAO (confirmed by ophtho).
CTA negative.
Would you recommend thrombolysis? 🤷🏻♂️
#stroke #neurology #MedEd
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@BhanotAnisha Congratulations! You have an awesome future ahead of you.
I know less about US residency, but UK rad residency was genuinely fun too :)
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Matched into diagnostic #radiology, my long-time dream speciality!! I’m so excited to see where I matched for residency on Friday! 🙏🏽🧿✨ #radres #match2025
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@AlistairHaimes They weren't enriching uranium; their nuclear activity halted last June- from annual US intelligence report & congressional hearing yday
On missiles - opportunity cost of getting rid of (large?) proportion is globally reduced real output / living standards ≈ trillions over yrs
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@TheEMboardround @francisdeng @DrLKVaughan It's no longer standard of care. Much lower sensitivity for abscess, empyema or cerebritis. 50% CT CE Vs 95% for MRI CE + DWI . We no longer do them for that indication.
I work in neuro & trauma centre. Lots of post brain surg pts so a fair few post op complications/infections.
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@DevanSinha @francisdeng @DrLKVaughan At risk of showing my ignorance here…
For brain abscess, Is CT head +/- contrast not good enough for that? If they’re small enough that only MR can pick them up, then surely antibiotics and MRI in normal hours is reasonable as it won’t change management?
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Yeah. But Wes thinks AI will fix it. 🙄
The BMJ@bmj_latest
"Currently, in radiology, doctors are struggling with unsustainable increases in demand for our services and, consequently, an unsupportable workload. But this is nothing new." Giles Maskell looks at what we fail to learn from NHS history bmj.com/content/392/bm…
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@TheEMboardround @francisdeng @DrLKVaughan OHH we do mostly CES but also MSCC, post traumatic cord compression/contusion and the occasional brain abscess (spinal epidurals wait for day slots).
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@DevanSinha @francisdeng @DrLKVaughan The increase in CT out of hours doesn’t surprise me, but MR?! The only indication to get an MR out of hours in the places I’ve been has been ?CES …
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Devan Sinha retweetledi
France: PLEASE USE MORE ENERGY – WE HAVE TOO MUCH.
UK: If you reduce your boiler temperature, you can save £100 a year.
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@Birdyword this problem of 'weekend respite' has been solved thanks to perpetual futures contract for synthetic barrels linked to stablecoin
app.hyperliquid.xyz/trade/flx:OIL
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Devan Sinha retweetledi
Simplifying radiology reports with large language models: privacy-compliant openversus closed-weight models
acrobat.adobe.com/id/urn:aaid:sc… @ABarotchi1 @DevanSinha
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Devan Sinha retweetledi
Pro tip: you can stop counting after 5. That already excludes anti-amyloid therapy.
Eric Topol@EricTopol
100 brain microhemorrhages in a patient with cerebral amyloid angiopathy and 2 copies of APOE4 after amyloid antibody therapy cureus.com/articles/47297…
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@medicalmodelbri A registrar wld never hv such a role.
Straight up consultant breast radiologist substitution.
Med degree, postgrad rad specialty training w/ breast higher specialty & FRCR fellowship exams are irrelevant @RCRadiologists?
Either that or the service delivered will be substandard
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Consultant Breast Radiographer
At what stage of training would a resident dr have to be to work in this way ?
@RCRadiologists @_the_SRT @theboobiedocs @r1chardf1tzg3r1 @ClinOncDoc
jobs.nhs.uk/candidate/joba…
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@DrLKVaughan Oh and in that period we have deployed AI to assist CTH and CTA for strokes and bleeds.
It just induces more imaging demand and radiologist reviews!
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@DrLKVaughan Today had a consultant management meeting where service data presented showed we provided 110% more CT reports on call in Feb 2026 than Feb 2020. (MRI 'only' rose 60% on call)
The consultant neuroradiologist staffing covering the shifts/delivering that hasn't changed naturally.
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Devan Sinha retweetledi
Most of governing is picking losers. So idea that no-one can ever lose out is pretty fatal for good governance
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So the world's pre-eminent military superpower is unable to keep the most important sea lane of global commerce open. All bc they unnecessarily pissed off (attacked) a second tier regional regime.
JFC.
🇬🇧🇫🇷 Actually achieved total military control of the Suez canal in 1956.
OSINTtechnical@Osinttechnical
Hegseth: “The only thing prohibiting transit in [Hormuz] right now is Iran shooting at shipping.” “It is open for transit should Iran not do that”
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@AlistairHaimes longer term probably means nuclearisation as the old Supreme leader and senior leadership were openly against that.
might be good it it establishes MAD like strategic equilibrium 🤷♂️
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This doesn’t sound like massive progress?
Avi Kaner ابراهيم אבי@AviKaner
🚨 BREAKING: According to sources, a major, silent power shift has occurred in Iran. The traditional mullah establishment has lost control, with a powerful faction of IRGC commanders now de facto running the country. Khamenei’s son is being used strictly as a figurehead to maintain the illusion of continuity.
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$11.3 Billion in six days for US war costs.
or a cool $700 Billion per year annualised if this drags.
Cf: Iraq+Afganistan peaked at $270 Billion in 2026 dollar terms back in 2008
nytimes.com/2026/03/11/wor…
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@therealrthorat it was only 'realigned' but that's part of what I'm saying there are hundreds of examples of US bases having only part of their land sold/redeveloped for civilians purposes whilst remaining base continue within living memory. It's not unheard of. eg famously Washington Navy Yards
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@DevanSinha Iran didn't close this base. They just changed one building to be a school, leaving the rest as military use. It's odd to say the least.
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The horrible school bombing appears to hv transpired bc targeting was based on out of date intel (12+ yrs old)
Does this say anything of the effectiveness of early US-Israeli KO strategy if other military-industrial targeting may also not hv been thoroughly analysed/up-to-date?
Christiaan Triebert@trbrtc
The Feb. 28 strike on the elementary school was the result of a targeting mistake by the U.S., preliminary inquiry says: “U.S. Central Command created the target coordinates for the strike using outdated data provided by the Defense Intelligence Agency.” nytimes.com/2026/03/11/us/…
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@therealrthorat 1991-2010 US closed 190 bases + realigned >900 others in post cold war re-organisation.
Force structure/basing changes happen all the time! Esp given recent seismic drone & pandemic command & supply chain changes you'd hope US had a current target list!
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@DevanSinha Sure. That doesn't change anything I said though. How was the US to know this change was made? I would expect them to learn of changes the other direction - civilian buildings that get militarized - but a military building that goes the other way will not draw attention.
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@therealrthorat a lot of UK/US bases have schools nearby for military families and the communities that sustain the bases!
But dispassionate war thinking- how meticulously (or not) did the US plan things: they expended 3x $2.5M tomahawks on the school itself out of ~400 available to CENTCOM
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@DevanSinha How often does a country turn a part of a military base into a school? Why would the military have any interest in the facility that would allow it to realize it's now a school? Just an odd situation all around.
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