Balazs
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cannulaservice.hibalazs.net
Balazs
@cannulaservice.hibalazs.net
Anaesthetist with interest in ICU, paeds, and TIVA. Unapologetically AuDHD.
Pinned
My entry for the @sivatrainees.bsky.social #SIVA24 infographic competition.

Is there one model to rule them all? Well tbh I think it doesn't matter all that much, as long as you know your model well!

You can find a more detailed explanation on my website: hibalazs.net/anaesthesia/...

#ansky
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Hardly “well”, Peter Kyle.

Get a bloody grip @labouruk.bsky.social

You have a massive majority. Keep pandering to the Tories and ReFuk. And, guess what? They don’t like you any better for it.

Meanwhile you are squandering the votes of those who would customarily support you.

IDIOTIC.
September 14, 2025 at 9:57 AM
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“Minister said 100k marching calling to shoot their leader is sign of healthy country.”

This reeks either big brain overthink or panic meltdown mode.
September 14, 2025 at 10:03 AM
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I’d counter by having pensioners sent to classes on climate change, trade economics and the histories of slavery and colonialism. Two can play at this game.
May 4, 2025 at 8:39 AM
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Breast cancer diagnoses rose by over 300% between 1973 and 1992.

Was there a breast cancer epidemic?!

NO.

Mammograms were implemented for screening in 1976.

PREVALENCE is a function of being able to correctly diagnose something.

This is also about autism.
April 21, 2025 at 10:14 PM
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Everyone needs to internalize that when they say they want to "eliminate autism" what they mean is "eliminate autistic people and their families".
This bit is also fun
April 21, 2025 at 11:35 PM
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The medicalisation of distress, and possible overdiagnosis of MH conditions needs discussion focused on how best to help people, rather than as route to cut the benefits bill.
Elspeth Davies and me in @bmj.com
www.bmj.com/content/389/...
How do we talk about overdiagnosis of mental health conditions without dismissing people’s suffering?
On 16 March the health and social care secretary, Wes Streeting, made headlines by declaring in an interview that there was an “overdiagnosis” of mental health conditions. The comment was made in the ...
www.bmj.com
April 4, 2025 at 12:54 PM
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Life on social media as a skeptic and science communicator.
@dennisrenmd.bsky.social @kaymd.bsky.social @aineyoremd.bsky.social @mdaware.org
April 4, 2025 at 11:42 PM
As UK doctors face yet another disaster in job applications & ⬆️ competition ratios, let me tell you how Saudi Arabia pays Univ Hosp Birmingham to allow their drs to side step into UK speciality training.

No competition. Guaranteed places. All with @gmcuk.bsky.social & @england.nhs.uk approval.

1/8
March 25, 2025 at 5:26 PM
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If people cant access appropriate mental health treatment and support in a timely way in stands to reason their mental health will further deteriorate and the severity of their mental illness will increase.

www.rcpsych.ac.uk/news-and-fea...
“Rise in people with mental illness being driven by real societal challenges and lack of available treatment” says RCPsych President
RCPsych President Dr Lade Smith CBE responds to the Secretary of State for Health and Social Care's comments about the overdiagnosis of mental health conditions.
www.rcpsych.ac.uk
March 18, 2025 at 6:48 AM
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11/11 The paper is available here www.bmj.com/content/388/... and an accompanying editorial by Kieran Walshe is here www.bmj.com/content/388/... As he notes, “The prospects for extending their role … now seem remote”
Physician associates and anaesthetic associates in UK: rapid systematic review of recent UK based research
Objective To summarise research on the efficacy and safety of UK physician associates and anaesthetic associates in the context of an ongoing policy review. Design Rapid systematic review. Search st...
www.bmj.com
March 7, 2025 at 5:25 AM
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5/11 ⚠️ Notably, we found no evidence that physician associates add value in primary care or that anaesthetic associates contribute positively in anaesthetics. If you add cost of supervision, which the studies don’t, it’s very unlikely they are cost-effective
March 7, 2025 at 5:25 AM
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4/11 🏥 Our findings suggested that the evidence was limited and preliminary. There were important concerns about the competence of PAs in managing complex patients and prescribing (which happens, even if illegal)
March 7, 2025 at 5:25 AM
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🧵 1/11 📚 Our new rapid systematic review, led by @trishgreenhalgh.bsky.social in @bmj.com examines the role of physician associates (PAs) and anaesthetic associates (AAs) in the UK. This is a crucially important question in light of the Leng Review
March 7, 2025 at 5:25 AM
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He’s moved on from ivermectin but I still cannot overstate how lazy and stupid this guy’s scams are. People have died from experimenting with DMSO, an industrial grade solvent. There is a wealth of scientific literature on it, and the only people pushing decades-old junk science like this are frauds
March 3, 2025 at 12:18 AM
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Per @janemayer.bsky.social:

“POC” was targeted because they thought it meant “people of color.” It stood for “point of care” in medical emergencies: This Is the research Ted Cruz Calls “Woke.”
A Study of Mint Plants. A Device to Stop Bleeding. This Is the Scientific Research Ted Cruz Calls “Woke.”
The senator flagged thousands of National Science Foundation grants for using words like “female” and “diversify.” A ProPublica analysis found numerous examples of projects caught up in his crude meth...
www.propublica.org
March 2, 2025 at 4:45 PM
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Interesting to watch the diplomacy dance.

Zelensky not only gets his visit to see the King before Trump, and so quickly after Trump’s shameful attack, but it isn’t a standard one at Buck House either, but a private visit in Sandringham.
March 2, 2025 at 5:22 PM
Taking inspiration from @robjimfleming.bsky.social I'm sharing some of my own #photography.

I've never been a very arty or creative person, but the process of shooting and developing black and white film helps cover up the lack of skills.

Shot with Nikon F80 on Ilford HP5+ film.
March 2, 2025 at 12:53 AM
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ICU Mechanical Ventilation (MV):

There are many books & articles on the topic but this 8 years' old review has nice graphs/tables & a good discussion of the specific ventilatory approaches in ARDS and COPD:
February 14, 2025 at 10:11 PM
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"In just two weeks, an outbreak in northwest Texas jumped from two cases among unvaccinated children in Gaines County to 48 people across four counties"

Geez...it's almost like measles is highly contagious or something🤔

Also, anti-vaxxers suck🤬

www.usatoday.com/story/news/n...
Measles continues to spread as Texas outbreak rises to 48 cases: Here's what to know
A fast-growing measles outbreak has infected dozens of people in Texas and now New Mexico as officials warn of further spread.
www.usatoday.com
February 16, 2025 at 12:00 AM
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When evil men do their evil things and you're silent makes you an evil person.
February 8, 2025 at 5:43 PM
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"Citizenship by birth is an unequivocal Constitutional right. It is one of the precious principles that make the United States the great nation that it is. The President cannot change, limit, or qualify this Constitutional right via an executive order."

storage.courtlistener.com/recap/gov.us...
February 7, 2025 at 9:55 PM
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Only in the foothills of 2 college elections (RCP + RCR) and already seeing:
WhY aRE Pas aN iSSue? MoRe imPortAnt FinGs haPpeniG.

Here's my response. 🧵
1/
February 7, 2025 at 11:35 AM
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My good friend @drasifqasim.bsky.social is standing to be President of Royal College of Physicians…I’ve only got to know Asif over the last 2 years in all the mess over #RCPEGM

He is an outstanding physician, I cannot commend him enough. Tell your FRCP chums #VoteAsif asifqasim.co.uk/prcp
PRCP Election — Dr Asif Qasim, MA PhD FRCP
Dr Asif Qasim candidate for election at President of the Royal College of Physicians - restoring the RCP as the Voice of Physicians
asifqasim.co.uk
February 6, 2025 at 7:35 PM
A thoroughly excellent systematic review from @trishgreenhalgh.bsky.social on the evidence base around physician associates & anaesthesia associates.

Currently shared as a pre-print a/w publication, I'll summarise her findings.

A 🧵

1/18
February 5, 2025 at 6:55 PM
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Look: The thing you need to understand about genAI is that every Next Big SV Thing of the last 15 years—NFTs, Web3, Metaverse, VR—has been utterly rejected by the market and the tech grifters know this is their last chance, no more. That’s why there is an apocalyptic level of capital invested in it.
January 13, 2025 at 12:08 AM