Geriatrician, violinist, belated husband and dad, word botcher (orthinologist), environmental worrier, cycle commuter, sconnoiseur. No views of my own.

UK
Joined November 2013
My brave and courageous friend Paola who died in Dignitas earlier this. Her Stage 4 bowel cancer treatments had stopped working and she had a terrible intolerance to opioids. Paola was already in a huge amount of pain and knew she could face a horrific painful death due to what was already happening. She made the decision to travel alone to Switzerland, so as not risk her family being prosecuted and before she was ready. She wanted to be at home, surrounded by her loved ones, but was denied by the current cruel blanket ban. Many terminally ill people can’t afford to use this as an option, and over 600 a year resort to taking their own lives, often in catastrophic ways, in desperation to end their suffering. I hope that tomorrow MPs vote to stop this injustice from continuing to happen to terminally ill people #AssistedDying
Before travelling to Switzerland to control her death, Paola spent some of her final moments making the case for a law that gives dying people choice. MPs have a unique opportunity to allow that option for us all. #YesToDignity
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It seems that I diced with death daily in 1977-8 when living in Sedgewick Street. Emmanuel College should have done a health and safety risk assessment before assigning me to such dangerous digs.
We've updated the collision data on our Bikedata site: free access to full details of every reported traffic collision in Britain, 1999-2023. It illustrates why reallocating space for cycling+walking, and removing through-traffic, is so urgently needed. bikedata.cyclestreets.net/co…
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I'm not sure if this is entirely joking.🤣
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I’m simply horrified to see @NHSEngland now literally breaking the law in how it misrepresents physician associates & other allied health professional - who are NOT doctors - to the public. These posters are from the Bradford District & Craven Health & Care Partnership. 1/n
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Is anyone surprised? No way can the carbon arithmetic balance between spewing out tons CO2 from an aircraft (or anything else) and planting a few trees. The origin of coal and oil took millions of years from plants, and we burn them in a couple of centuries.
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Junior doc strikes again leading up to election. They say that they will call them off if the PM makes an acceptable commitment. Nothing stopping him now - its a promise he will never have to keep. Do it, Rishi!
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#RCPUpdate - learned lots of new terms today. Additionality, RBD, EBS, ALF, not to be confused with ACLF, due to POD, 3P- MACE, ECTR.
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Call the speech therapists for a swallowing assessment!
The Komodo dragon is the largest extant species of lizard & can eat up to 80% of its body weight in one meal While it mostly eats carrion, the view of a goat that gets swallowed in one bite is truly impressive [📹 Ngasu Media] xitter.cf/Eyedentytee/status/157…
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A pearl of wisdom from our excellent CMO. We need an end to one specialty 'excluding' their stuff and passing on to the next.
We should be organising health systems around clusters of multiple health conditions, rather than individual diseases. @CMO_England speaking at our launch of One in four: A manifesto for people with multiple conditions. Read the manifesto here: richmondgroupofcharities.org…
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The government seems to think we are doing OK with our climate targets at present. There is no comfortable answer to this for any country, and we need to strive to lead the way, not tag along behind.
🆕NEW: Over the weekend, @ClimateAPPG MPs and Peers wrote to @ClaireCoutinho to call on the government to withdraw the Offshore Petroleum Licensing Bill, which has its second reading in Parliament today.
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Why is everything conical thought to be a Christmas tree? There is a wire cone full of giant baubles outside our hospital for the same reason.
The Christmas book tree sponsored by Hatchards books at St. Pancras Station. The little booths at the bottom have speakers that read you a story while you wait for your train.
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Brilliant
Today marks World Diabetes Day, so we're shining a spotlight on Professor Roy Taylor, whose pioneering research at Newcastle University has shifted how we perceive and treat type 2 diabetes today. 🏥 #WeAreNCL #Type2Diabetes #WorldDiabetesDay from.ncl.ac.uk/discovering-c…
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Piano wars! Wigmore Hall started life as the Bechstein Hall, before WW1 put a stop to German businesses in London. Bechstein is soon opening a studio and concert hall a few doors along. Thrilled to be going to Wigmore again next month!
Tomorrow night we celebrate the history and legacy of Steinway & Sons for the celebration of 170 years of Steinway at @wigmore_hall! Have you booked your seats? bit.ly/3tDC111
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In the NHS working from home is over and above, not instead of. But Mr Musk says both will become obsolete thanks to AI - digital examination of the prostate in two senses!
Our writer explains why the WFH evangelists were wrong - and lays bare home working's effect on the economy.

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Can we have a memory assessment too, since neither of us recall receiving this questionnaire.
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Seems paradoxical to me that birders/twitchers have such love of and knowledge about nature, and yet their greatest delight is finding a distressed bird so far away from its kin that it will never breed and probably die. Or do these 'mega' rarities often find their way home?
Probably the 2nd best bird I’ve ever seen! One I’d always hoped for, and to have it all to myself for an hour or so was such a privilege! The flight views the other day were great but to have this dancing in front of your eyes was mind boggling! ⁦@BirderGaz⁩ ⁦
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Just learned HS1 (Kent) was EU standard of 180mph, HS2 went for 225+. Speed needs smoother, straighter tracks, more tunnels, more damaging. We need capacity, not velocity.
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Pioneers of civilisation - orthopaedic surgeons!
Years ago, anthropologist Margaret Mead was asked by a student what she considered to be the first sign of civilization in a culture. The student expected Mead to talk about fishhooks or clay pots or grinding stones. But no. Mead said that the first sign of civilization in an ancient culture was a femur (thighbone) that had been broken and then healed. Mead explained that in the animal kingdom, if you break your leg, you die. You cannot run from danger, get to the river for a drink or hunt for food. You are meat for prowling beasts. No animal survives a broken leg long enough for the bone to heal. A broken femur that has healed is evidence that someone has taken time to stay with the one who fell, has bound up the wound, has carried the person to safety and has tended the person through recovery. Helping someone else through difficulty is where civilization starts, Mead said." We are at our best when we serve others. Be civilized. Credit: Ira Byock.
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