Ang Li

@surfdoctor @jabberwock951 @LittlePersonDoc @Parody_RCGP In terms of professional use, yes. But the cat is out of the bag for individuals with their own data. Unless the major players agree to guardrail against this either voluntarily or through liability from their output, then expect queries back asking why the AI report is different

You can wait 18 months to see a Cardiologist with a heart problem and no one gives a shit. But if it takes a week to get a copy of your x-ray results we need to burn someone at a stake. Not sure how Hospitals managed to pull this off.

@jabberwock951 @surfdoctor @LittlePersonDoc @Parody_RCGP I predict there will be an increasing trend of people wanting images to stick into whatever AI model they are signed up to

@surfdoctor @LittlePersonDoc @Parody_RCGP If he wanted them sent to another NHS hospital they would've been electronically. If he wanted to take them to a private provider or somewhere out of the country he would've needed them on a CD (which is why most people ask). He has not been hard done by here. 2/2

We've kicked off what will be a big election year in Scotland with some new voting intention polling for True North Advisors. Fieldwork 8–12 Jan 2026. Adults 16+ in Scotland. n=1,003. Holyrood Constituency voting trend looks like this: Labour at 16% (-2) would be the lowest level we’ve recorded in Survation’s Holyrood constituency polling this parliament - down around six points on a year ago and roughly half the 33–34% we were measuring in mid/late 2023. Meanwhile, the SNP are steady on 34% (no change on our last poll at the end of 2025). Beyond Labour, opposition to the SNP remains fragmented. Reform’s momentum may be stalling at 19% (-3), while the Conservatives show a modest pick-up to 13% (+3). The Lib Dems are on 9% (+1) and the Greens 8% (+1), with Alba on 1% (no change) and Others 0% (-1). The net effect is the SNP maintaining a clear lead, now 15 points (+3) on the constituency vote. Would the SNP win an outright majority on these numbers? Most likely not. Two factors will moderate how these constituency figures translate into SNP seats. Obviously, regional list votes are allocated proportionally and act as a corrective to first past the post constituency outcomes; in our list-vote measure the SNP are on 28%, with Reform 18%, Labour 18%, Conservatives 13%, Lib Dems 11%, Greens 9% and Alba 3%. Separately, we’d also expect tactical voting in constituencies in seats where voters prioritise stopping the SNP or stopping a particular challenger which can further weaken the link between headline vote share and eventual seats. A simple projection, assuming limited tactical voting, using these polling figures, a version of Ballot Box Scotland's nominal 2021 figures and proportional swing, would yield an SNP seat count of 61 seats with Labour and Reform on 18 seats each, the Conservatives on 12, Lib Dems on 11, Greens on 9 and no seats for other parties, including Alba. devolvedelections.co.uk/scotland/ Full data tables can be viewed here: cdn.survation.com/wp-content/upl…

@PhilSmithIsBack @jim_crawfurd At least locally, we are no longer attempting culture first and using Entbio PCRs with E. Histolytica amongst the panel as generally much more sensitive (with some exceptions where microscopy will be done alongside). LSTM can still do a hot stool though (logistics pending)

@jim_crawfurd The app checks it... No, seriously, it would not make a diff to this case anyway as would not detect E.histo. You may know already but v unlikely trophozoites would be seen and cysts if seen can't be differentiated from E.dispar (non pathogenic) - see: fg.bmj.com/content/16/1/37

Taskification and substitution in the NHS - a hypothetical case of how splitting up pt care into "tasks" misses the diagnosis & costs more: A recently married 45 yr old Pt develops bloody diarrhoea over 4 weeks. "The protocol" says they need a blood test, stool MCS & FIT test 1/

Called it!

@Dr_JSA @blu3id I imagine the workaround is to write a little script that would open and then save the relevant pages on a day by day basis?

I agree with @blu3id, that this is intentional isn't in doubt. It is not an error. It is not a "IT gremlin". It is not an oversight. It's obvious as to why. I very much look forward to hearing council members and employees of my regulator discuss candour with a straight face.

This has been going on since at least 2023 and only on specific webpages regarding the regulation of associates. I tried archiving a @gmcuk webpage in October 23 and couldn't. I saved it instead, and have gone back to look at the coding that @blu3id highlighted. Lo and behold:

@trentconsultant I just need to know if I need to get the pitchfork out of the garage!

@TomStocks1982 @UKGastroDr @mouseter_chef It's actually probably just normal cheddar with some emulsifier! youtube.com/watch?v=0aGNAx…

Never buy a supermarket burger Minced in front of me today and only a fraction more expensive Meat, salt, pathetic murine pressure & nothing else I will die on this hill of burger making 🐭

@JPKellyID It doesn't explain the discrepancy. But is an interesting thought.

@JPKellyID I think there is a school of though that the difference between a Pen R Gallolyticus or VGS and Enterococci is not THAT big. Co-treatment for Enterococci appears to be important, so the same is applied across.

Am I the only one completely baffled by the treatment recommendation tables in the new ESC endocarditis guidelines? Trying to learn them for part 2 exam, but they often don’t make much sense?

@JPKellyID Whilst we await some more studies on it...

@JPKellyID Some of the references listed for Pen R Viridans Strep do report treating resistant Strep with Pen +Gent successfully. But it's presented in such a neutral way that is against most instincts to pick something else like Ceftriaxone instead.

@JPKellyID If an endocarditis question goes outside of those, then chances are most people will be getting it wrong and the pass mark will be accordingly lower.

@JPKellyID The table is badly laid out. I would suggest learning the empirical options, a first line for Staph/Strep/Ent (they are what you expect), Ceftriaxone for HACEK and if keen for some minor obscure points, then the BCNIE table which is short and normal looking.

@docfok @WL_Hamilton Do you reckon any of the ITU/Neuro ITU nurses/ANPs would fancy a different career step? Can put you in touch if helpful?

@docfok @WL_Hamilton Sorry to hear about the challenges. Think the only adv we have is geographical luck, which can't really be changed. We have a microbiology nurse specialist within the wider dept, who helps with the adverts' roles (and more!), from a crit care background so helps with liaison.

@docfok @WL_Hamilton I guess my q is (and in the assumption that this is money from a cons vacancy and that you've certainly already tried) why not a locally employed doctor? We have had luck with a fantastic post IMT doctor on a multi year contract who we are supporting towards specialty Dr or CESR

@WL_Hamilton The duties are appropriate for a physicians associate (pka assistant). Admin heavy. Not working independently. Helping to convey advice from the consultants and clinical scientists. No registrars in Plymouth. We wish there were.

@WL_Hamilton @HealthFirstAK @Microbedoc2 Can even be specialist/specialty doctor if the money is available locally. Atounded that there isn't an IMT doctor near to Plymouth that couldn't be tempted by a properly thought out career pathway towards either progressing to a specialist doctor or doing the portfolio payhway

@HealthFirstAK @Microbedoc2 Why not open an infection training post instead? Think the competition ratio for combined infection training is about 4:1

@PhilSmithIsBack @RCPL_trainees Unsurprisingly, I have ditched RCP membership as soon as I felt I could.

@PhilSmithIsBack @RCPL_trainees This was also the tone I got when I asked Dame Dacre about PAs when she visited Royal Berkshire Hospital during a meeting with the CMTs. Was essentially told that I was being silly to be concerned and that those in charge at RCP knew what was best.

Way back in 2015 when Twitter/X and social media was not as big a thing as it is now, back in 2015, there were lots of concerns how #PAs where being pushed forward by @RCPhysicians whilst junior doctor strikes were on the horizon 1/x