Luke Holmes

1/ Imagine you’re waiting for ice cream. 🍦 There’s one pro scooping — fast, smooth, efficient. Now she’s replaced by 3 helpers who sort of know what they’re doing. They spill more, take longer, and keep asking for help. That’s what’s happening inside the NHS. Welcome to queuing theory.

@liamhosie @dbab1981 @DewantDr92701 @Davembmd @abu_inayaat @OrthopodReg Spasms

@liamhosie @dbab1981 @DewantDr92701 @Davembmd @abu_inayaat @OrthopodReg Absobloodlelutey! Few dazzies for occasional spams and zopis for sleep. #howweownitinprimarycare

This patient came to OPD with complaint of knee and Hip pain. His weight is about 100kg and he wants relief from pain without TKR. What do you think sir? @Davembmd @abu_inayaat @OrthopodReg

@dbab1981 @DewantDr92701 @Davembmd @abu_inayaat @OrthopodReg OP didn’t mention he’s 104, in a wheelchair and not taking any analgesia. Start simple with some paracetamol…. 😬

@DewantDr92701 @Davembmd @abu_inayaat @OrthopodReg Hinge knee is the solution looking at the X-rays alone. Anything else likely to fail.

@dbab1981 @SkySportsNews Maybe it was broken rather than fractured…. 🤪🤪🤪

@SkySportsNews “Fractured tibia” sorry but this is nonsense. Old stress fracture most likely

"She has a crazy mentality" 💪 Sarina Wiegman has strong praise for Lucy Bronze, who played the whole tournament with a fractured tibia 😮 {Credit: UEFA}

@PaulMerse I bet you that you’re grifting. Oh…. Don’t answer that.

Just got on the plane and took my CBD and I feel really relaxed

@JeremyClarkson I wrote this as a lowly NHS GP and thought you might like it I’ve re-read it a couple of times and I keep doing so in your voice.

@jim_weems @ankitkant Publican health - great Freudian slip! Definitely needs more funding.

@ankitkant Shouldn’t have cut beds. Shouldnt have cut social care. Shouldn’t have cut publican health. Shouldn’t have cut primary care funding. We are witnessing a perfect storm

Anyone know what this email to GPs means when it states "discharge thresholds are being reviewed". Does that mean earlier discharges, and if true is there any resource to community teams to manage this? I would ask my ICB, but they don't respond.

@dbab1981 @agemjourney This goon is a consultant hammer whacker. He cries in his way to work. Cries over his mid morning brew. Cries on his own at lunchtime in his e-tron in the carpark. Then on his way home eats a massive bar of toblerone while considering driving to Scotland with no shoes (crocs) on

@agemjourney Finishing late means you care Crying means you care The other F1s don’t know what they’re doing. We all fail occasionally - especially at the start. You’ll get better cos you care. Don’t let others get you down. That’s rule no.1 in life and medicine.

First day of FY1 - Finished over an hour late - Sobbed in the store closet - Got almost everything wrong - Felt like all the other FY1s knew what they were doing - Failed bloods on easiest patient - Reg who expected me to do all the jobs on my own

My big (little) sister is pretty amazing.

@flavinska72 @DrMDownes @UCDPsychology @island_all_neur @ucdneuropsych @UCD_ABCneuro @JoeBathelt @lisa_keenan1 @JoniHolmes80 @ProfVicSimms @eadaoinslattery @TFosker @tom_dela @IBROorg @network_alba @FENSorg @UCDBabylab @QUBelfast @QUBPsych “All-Island Educational Neuroscience” Research Day!☘️ Amazing talk by Prof Joni Holmes on "Challenges of the diagnostic framework for identifying and supporting children's classroom needs"

@jim_weems @BMA_GP @kyyria_6 The government are going to be so mad when I refuse to sign any more data sharing agreements! The smug look on my face is going to be a picture.

@BMA_GP @kyyria_6 Voted 👍 YES

The non-statutory ballot for GP contractors/partners in England is now OPEN to 29 July. Look out for your email and voting link Vote YES to keep the pressure up Vote YES to protect your practice and your patients Vote YES to #TakeActionSaveGeneralPractice bma.org.uk/our-campaigns/…

@jim_weems Stick a gallon of diesel in it

Problem with your app I think. I deleted. Re-downloaded. Still the same error message

@AudiUKCare have this message on my app this morning. Only updated yesterdays. Now locked out totally and the car hasn’t charged overnight which is not good news! Happened a few times now. Disappointing

@jim_weems @WindsorDebs @GOVUK @DefraUKAir @metoffice OK Cartland….

@WindsorDebs @GOVUK @DefraUKAir @metoffice I was outside this afternoon. Lovely sunshine. Some planes flew over really high with Chemtrails. 4 hours later. Massive thunderstorm. The weather says something to do with a weather front? I’m not so sure.

Still spraying. It’s making me cough out here now. You can literally taste it in the air! #ChemtrailAwarenessMonth #climateengineering #HAARP @GOVUK @DefraUKAir @metoffice

@LeeAndersonMP_ Migrants…. Always killing pigeons. Why doesn’t someone stop this Les?

This is Blackpool A favourite holiday destination for British families for over 100 years. Just look what's happening to this once vibrant town. A lady on this street told me that 30 years when she moved in it was lovely. She then went in to say that the Romany community started to move in and the British have moved out. This is multiculturalism that the left bang on about. This is a Labour Council. Blackpool needs @reformparty_uk and so does the country. Disclaimer - for the Guardian readers this is not a racist or bigoted post. It's the facts.

@liamhosie Silva’s pen though…..

Should have won over 2 legs . Every winner of the CL needs luck at some point (city lucky in final last year). Madrid literally parked the bus .

@liamhosie 😢😢😢

The first person ever to run the entire length of Africa. Mission complete🫡

@ankitkant Leave it long enough and it’s one less person/patient/“service user” for the system to deal with. What a state.

Referral to the Mental Health team rejected as the patient has recently been diagnosed with cancer. GP to kindly refer back once cancer resolved. So now we have to cure cancer in our spare time in order to get a referral accepted by the mental health team.

@dbab1981 What? Conor McGregor should get an Oscar for best supporting actor mate. Top, top performance.

The new #RoadHouse film is er……not good. Bit of a chore to get through it.