Matt Ives

@GWRHelp It’s more the way of being spoken to. That’s the problem. I don’t need help if lifts etc work normally. It’s just not acceptable to say “get here earlier” to someone with a disability if the system doesn’t work.

Hi there, really sorry to hear that. If you have a disability and need assistance please book assistance in advance. This ensures that a staff member will always be waiting for you to help at each station. Without assistance we cannot guarantee a staff member will be available to help as they may be helping other people. You can book assistance by: - Calling our assisted travel team on 0800 197 1329. You can also book tickets alongside your assistance booking - Using our online form at railhelp.co.uk/gwr/passenger-… - Using the Passenger Assistance by Transreport smartphone app - Dialling text relay free on 18001 0800 197 1329 Hope this helps - John

@GWRHelp The other one just told me to get here earlier. Doesn’t really matter what time I get here if your facilities are so poor. What about long term disabled folk. How early do they have to get there so that your staff are helpful and supportive and your lifts work.

@GWRHelp probably need some customer service training at Bristol Parkway. No one to help me as on crutches and very unreliable lift with a door that wouldnt open. Missed train despite getting to platform as guard was boarding. One member of staff very apologetic.

@drmatt_ives @drmatt_ives thank you for providing further information. Due to cancellation policies, you will not be able to amend the booking within 24 hours of your flight time. For more information, you may reach out to customer support on the Escape Lounge website by filling in the 1/2

@BristolAirport @Escape_Lounges I am trying to amend or cancel my booking with you. Website and AI ChatGPT says amend via website but the website doesn’t allow this. No phone number for lounge. No one answering airport switchboard. No help/contact function. Please contact me

@BristolAirport That is not what the website says in clear terms

@BristolAirport Today, flight no EZY2887 12:55. Booked lounge for 5 people for 8am instead of 11am but website has no change or cancelling facility despite saying it does

@drmatt_ives @drmatt_ives thank you for reaching out. Could you please provide more information on your flight details? (Date, time, flight number)

@PlasticsFella Early OM. In soft bone it creates terrible damage. You can go from a normal appearing P3 to almost not being able to see any bone on the X-ray a week later. It’s unbelievable when you witness it. Clearly not common but devastating when it happens.

@drmatt_ives yeh interesting - you seen more acute complications? or more osteomyelitis further down the line

#ThreadThursdays A Seymour fracture is an open, displaced distal phalangeal physeal fracture with an associated nail bed injury. This is commonly seen in children. So what's the best treatment? 🧵

@British_Airways emergency landing in Paris. Now 5 hours left in the crew hours and you can’t get us back to Gatwick today. #unacceptable #pathetic

Heartbroken to hear the death of the former right honorable member for Windhill West. Subsequently Lord Clarke of Chantry. Go well Squin Boy! xxx

@RestIsPolitics @RoryStewartUK fantastic Israel Palestine episode. I learnt loads. Eye-wateringly complicated and hard to see a resolution but take @campbellclaret view that you have to keep hope. Loads of armchair experts slating your “bias” etc. I thought it was brilliant!

@PlasticsFella I’ve certainly seen it displace some fractures. Maybe it’s choice and how you apply it. Perhaps it’s not just “simple” buddy strapping. But does it really make any sense? We know the fingers are rotated slightly compared adjacent, the joints are at different levels…

@drmatt_ives Yeah that’s interesting, will look into that. A few comments below seem to prefer volar (but with MCPJ flexed too). Assuming don’t like buddy strap for stiffening adjacent finger?

#FractureFriday How are you fixing this? Proximal phalanx, ring finger. Closed injury. Lateral X-ray minimally displaced

@PlasticsFella Exactly. Get the patient flexing, tightening that extensor hood and splinting everything underneath

@drmatt_ives 👍 any particular reason for dorsal instead of volar? Assuming it’s allow PIPJ to flex…

Love a London cabby “I mean obviously I’m as much a misogynist as the next man!” 😂

If you asked me about greatest change over the 40 years I worked in the NHS I would say the loss of consultant autonomy. The horrifying story of the baby-murders at Chester and the management’s refusal to listen to the doctors is a ghastly culmination of this process.

@holland_tom Evidence that this is clearly a deepfake video!

Notably not stuck in traffic

Anyone heading to Rhodes on holiday I would think again. The FCO says it is ok currently. But it’s pretty bad. We are a long way from the fires but our hotel is having to shelter large numbers of evacuees and new arrivals who have no hotel to go to. Sleeping on floors. Grim!

@campbellclaret @RestIsPolitics question for this week. How would @campbellclaret manage the fallout from Bairstow’s runout, if he was a member of the Australian Cricket press/comms team?

If you’re not watching the cricket there is something seriously wrong with you!! Don’t let anyone ever tell you Test cricket is boring!!