Ewan MacDermid

@Footinit @fesshole

@Theotherewan @fesshole Their fess or my faux outrage for being overlooked? It’s both, isn’t it?

I want to have an affair. The problem: I don't have a partner to cheat on in the first place

With less than 24 hours left until Hungarians head to the polls, I figured it is a good moment to take one final look at what Viktor Orbán has achieved in his 16 years of uninterrupted, near absolute reign in Hungary, by comparing Hungary’s performance with that of Romania.🧵

No money for your health care because it’s needed to prop up pro-Russian parties in Central Europe.

@Footinit @fesshole 😢 #firstworldproblems

@fesshole Really Fesshole? You didn’t want my numerous, salacious confessions but we get…this?

Fucking outrageous. And highly illegal. "Trump has grifted his entire life. Now he’s just taking it. The State Department transferred $1.25 billion in foreign aid to Trump’s Board of Peace, pulling $1 billion from international disaster assistance, $200 million from peacekeeping operations, and $50 million from international organizations. Money that Congress authorized for hurricanes and refugees, moved without a congressional vote, into a fund that Trump created by executive order and controls personally. When reporters asked the State Department about it, a spokesperson said they had nothing to announce at this time. The Board of Peace has one defining characteristic. Trump controls it forever. He named himself chairman for life. No audits. No transparency requirements. No conflict of interest rules. Countries pay $1 billion into a fund he runs to get a seat at the table. It has transferred nothing to Gaza, disclosed nothing about its spending, and received $1.25 billion of your disaster relief money without a word of explanation. When he leaves the White House he keeps the fund. That is not a loophole. That is the design." He’s Not Grifting Anymore. He’s Just Taking It. open.substack.com/pub/meidastouc…

@travelingflying Ireland managed to colonise the West coast of Scotland pretty well. Another moron placed in front of a big microphone.

“Ireland didn’t colonize anybody; they were a colony. They suffered terribly. They were willing to be brutalized, occupied, starved, all of these things for centuries to defend their little slice of the world, and yet Ireland is on track to be a minority Irish by 2070. I don’t like that. People think diversity means every place in the planet should look like Jackson Heights in NYC, but that’s not diversity at all. Diversity is that when I go to Ireland, it’s Irish.”

@Microinteracti1 @Gmanmaximus Not quite true, Trump buried his first wife on a golf-course remember, as a tax-break.

Robert Mueller died last night. He was 81 years old. He had a wife who loved him for sixty years. He had two daughters, one of whom he met for the first time in Hawaii, in 1969, on a few hours of military leave, before he got back on the plane and returned to Vietnam. He had grandchildren. He had a faith he practiced quietly, without performance. He had, in the way of men who have seen real things and survived them, a quality that is increasingly rare and increasingly mocked in the country he spent his life serving. He had integrity. And tonight the President of the United States said good! I have been sitting with that word for hours now. Good. One syllable. The thing you say when the coffee is hot or the traffic is moving. The thing a man who has never had to bury anyone, never had to sit in the specific silence of a room where someone is newly absent, reaches for when he wants the world to know he is satisfied. Good. The daughters are crying and the wife is alone in the house and good. I want to speak directly to the Americans reading this. Not the political Americans. Just the human ones. The ones who have lost a father. The ones who know what it is to be in that first hour, when you keep forgetting and then remembering again, when ordinary objects become unbearable, when the world outside the window seems obscene in its indifference. I want to ask you, simply, to hold that feeling for a moment, and then to understand that the man you elected looked at it and typed a single word. Good. This is not a country having a bad day. I need you to understand that. Countries have bad days. Elections go wrong. Leaders disappoint. Institutions bend. But there is a different thing, a rarer and more terrible thing, that happens when the moral center of a place simply gives way. Not dramatically. Not with a single catastrophic event. But quietly, in increments, until one evening a president celebrates the death of an old man whose family is still warm with grief, and enough people find it acceptable that it becomes the weather. Just the weather. That is what is happening. That is what has happened. The world knows. From Tokyo to Oslo, from London to Buenos Aires, people are not angry at America tonight. Anger would mean there was still something to fight for, some remaining faith to be betrayed. What I see, in the reactions from everywhere that is not here, is something older and sadder than anger. It is the look people get when they have waited a long time for someone they love to find their way back, and have finally understood that they are not coming. America is being grieved. Past tense, almost. The idea of it. The thing it represented to people who had nothing else to believe in, who came here with everything they owned in a single bag because they had heard, somehow, across an ocean, that this was the place where decency was written into the walls. That idea is not resting. It is not suspended. It is being buried, in real time, with 7,450 likes before dinner. And the church said nothing. Seventy million people have decided that this man, this specific man who has cheated everyone he has ever made a promise to, who has mocked the disabled and the dead and the grieving, who celebrated tonight while a family wept, is an instrument of God. The pastors who made that bargain did not just trade away their credibility. They traded away the thing that made them worth listening to in the first place. The cross they carry now is a costume. The faith they preach is a loyalty oath with scripture attached. When the history of American Christianity is written, this will be the chapter they skip at seminary. Now I want to talk about the men who stand next to him. Because this is the part that actually breaks my heart. JD Vance is not a bad man. I have to say that, because it is true, and because the truth matters even now, especially now. Marco Rubio is not a bad man. Lindsey Graham is not a bad man. They are idiots, but not bad, as in BAD! These are men with mothers who raised them and children who love them and friends who remember who they were before all of this. They are not monsters. Monsters are simple. Monsters do not cost you anything emotionally because there is nothing in them to mourn. These men are something more painful than monsters. They are men who knew better, and know better still, and will get up tomorrow and do it again. Every small compromise they made had a reason. Every moment they looked the other way had a justification that sounded, at the time, almost reasonable. And now they have arrived here, at a place where a president celebrates the death of an old man and they will find a way, on television, to say nothing that means anything, and they will go home to houses where children who carry their name are waiting, and they will say goodnight, and they will say nothing. Their oldest friends are watching. The ones who knew Rubio when he still believed in something. Who knew Graham when he said, out loud, on the record, that this exact man would destroy the Republican Party and deserve it. Who sat next to Vance and thought here is someone worth knowing. Those friends are not angry tonight. They moved through anger a long time ago. What they feel now is the quiet, irrecoverable sadness of watching someone disappear while still being present. Of watching a person they loved choose, again and again, to become less. That is what cowardice costs. Not the coward. The people who loved him. And in the comments tonight, the followers celebrate. People who ten years ago brought casseroles to grieving neighbours. Who stood in the rain at gravesides and meant the words they said. Who told their children that we do not speak ill of the dead because the dead were someone's beloved. Those people are tonight typing gleeful things about a man whose daughters are not yet done crying. And they feel clean doing it. Righteous. Because somewhere along the way the thing they were given in exchange for their decency was the feeling of belonging to something, and that feeling is very hard to give up even when you can no longer remember what you gave for it. When Trump is gone, they will still be here. Standing in the silence where the noise used to be. Without the permission the crowd gave them. Without the pastor who told them their cruelty was holy. They will be alone with what they said and what they cheered and what they chose to become, and there will be no one left to tell them it was righteous. That morning is coming. Robert Mueller flew across the Pacific on military leave to hold his newborn daughter for a few hours before returning to the war. He came home. He buried his dead with honour. He served presidents of both parties because he understood that the institution was larger than any one man. He told his grandchildren that a lie is the worst thing a person can do, that a reputation once lost cannot be recovered, and he lived that, every day, in the quiet and unglamorous way of people who actually believe what they say. He was the kind of American the world used to point to when it needed to believe the story was true. He died last night. His wife is alone in their house in Georgetown. His daughters are learning what the world is without him in it. And somewhere in the particular hush that falls over a family in the first hours of loss, the most powerful man and the biggest loser on earth sent a message to say he was glad. The world that loved what America was supposed to be is grieving tonight. Not for Robert Mueller only. For the country that produced him and then became this. For the distance between what was promised and what was delivered. For the suspicion, growing quieter and more certain with each passing month, that the America people believed in was always partly a story, and the story is over now, and there is nothing yet to replace it. That is all it needed to be. A man died. His family is broken open with grief. That is all it needed to be. Instead the President said good. And the country that once stood for something looked away 🇺🇸 Gandalv / @Microinteracti1

@StephenM “Live for a thousand years”

Democrats declared to the world their searing disdain for, and profound disloyalty to, the actual citizens of the United States. They were repeatedly entreated to stand. Over and over. They refused. It was a moment that chills to the bone and which will live for a thousand years.

Early cholecystectomy for recurrent versus first-time cholecystitis: nationwide population-based study ➡️doi.org/10.1093/bjsope… This population-based cohort study from Sweden found that patients undergoing early cholecystectomy for recurrent cholecystitis had higher rates of complications than those operated on during their first episode. Those with recurrent cholecystitis had increased risks of bile duct injury, intestinal perforation, prolonged surgery, and conversion to an open procedure. The findings support early surgical intervention during the initial episode to reduce the risk of adverse outcomes associated with recurrence. 👏👏👏Magnus Edblom , Lars Enochsson , Hanna Nyström , Gabriel Sandblom , Urban Arnelo , Oskar Hemmingsson , Ioannis Gkekas #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4hpb

Wait… how is this not everywhere right now? In one email, Jeffrey Epstein invites Elon Musk to “come, stay, plenty of room and much fun.” Elon replies: “Ok, will try to make it.” Then in another message, Epstein writes: “I gave another girl to kimball and he is thrilled.” No speculation here, just what’s written. But when names this big appear in Epstein correspondence… it raises some very uncomfortable questions. Why isn’t this being discussed more?

Hey @grok who is featured in the Epstein files? Is it British cave diver Vern Unsworth or is it Elon Musk?

And they were willing to let little kids die for it.

@StephenM bbc.com/news/videos/cg… You are a lying PoS.

A would-be assassin tried to murder federal law enforcement and the official Democrat account sides with the terrorists.

@drewsparkley @peterstopcrime @RabbiPoupko

@peterstopcrime @RabbiPoupko That was an accident not a deliberate policy.

The most impactful testimony in the Eichmann trial in Jerusalem was not famous for what he said; it was famous for what he clearly could not say. Yehiel De-Nur, who was famous for his pen name Katzetnik (which means that of a concentration camp), got up on the witness stand and began speaking about the impossibility of explaining to the world what Auschwitz was like. It was like living on “another planet,” he said. He slowly began collapsing on the stand until he was taken out of the courtroom. That is when the world began understanding the depth of the trauma those who have been through the Holocaust have been through. Before he collapsed, De Nur said about Auschwitz: "I was there for about two years. Time there does not exist as it does here, on the face of the Earth. Every fragment of a moment moves there on a different wheel of time. And the inhabitants of that planet had no names. They had no parents, and they had no children. They did not dress as people dress here. They were not born there, nor did they give birth. They did not live by the laws of the world here, nor did they die. Their name was the number."

@doctimcook The second one sounds much better in a news-story. That’s the only time I’ve heard this description.

Answer me this Why when a patient is anaesthetised…..almost always full unconscious, often paralysed are they popularly described as ‘asleep’ Yet when sedated in ICU the term ‘put into an induced coma’ is most often used. These patients are usually sedated, non fully unconscious and very rarely paralysed. Both basically wrong and potentially misleading. One seemingly trivialising anaesthesia and the other dramatising ICU sedation. Anyone explain it to me?

The science and art of decision-making in surgery ➡️ doi.org/10.1093/bjs/zn… 🔪 Surgery is a cornerstone of global healthcare, with the Global Burden of Disease study estimating ~313 million operations every year worldwide. 🧠 This makes surgical decision-making a core skill, shaped by healthcare resources, culture, religion, funding models, and legal frameworks across regions. 👥 Decisions are increasingly complex due to frailty, obesity, multimorbidity, and rising patient expectations, alongside rapid advances in minimally invasive techniques. ⚖️ Surgeon-related factors—training, experience, and individual risk tolerance—also strongly influence choices. ❓ In many surgical “grey areas”, where evidence is limited and uncertainty is high, deciding whether and how to operate is far from straightforward. Work by Carly N Bisset , Robert Baigrie , Nicola Dames , Stefan Corbett , Susannah Hill , Ewan Macdermid , Vincent Q Sier , Joost R van der Vorst , Umar Rehman , Mohammad S Sarwar , Peter A Brennan , Jennifer Cleland , Ricky Ellis , James E Bryan , Adele Ketley , Jenna L Morgan , Peter Gogalniceanu , Haytham M A Kaafarani , Rhea Liang , Susan J Moug #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial

@Mishi_2210 95

What is the number..? Only 1% will succeed

@MayMayspeaks Playing chess

@honeymoon250 Self-esteem

Men, what’s preventing you from dressing like this?

@lady_valor_07 Lou Reed

Apparently, if you can see a fish, you're left-brained, and if you can see two people holding hands, you're right-brained. What do you see 🤔