Shai
@shaiuk.bsky.social
Consultant in Intensive Care & Acute Medicine
Work interests in admission avoidance, ward deteriorating patient, POCUS & Critical Care Outreach.
Peri-sporty dad to two sporty boys. Step count up due to puppy. Sanity maintained by Consultant Resp wife
Work interests in admission avoidance, ward deteriorating patient, POCUS & Critical Care Outreach.
Peri-sporty dad to two sporty boys. Step count up due to puppy. Sanity maintained by Consultant Resp wife
Reposted by Shai
nobody posted the clip anywhere so i went and dug the whole episode up
February 13, 2026 at 5:22 AM
nobody posted the clip anywhere so i went and dug the whole episode up
Reposted by Shai
I will never forget what it was like working as an ICU physician during the pandemic. There were many days that I went back to my hotel crying because of the patients we lost.
I hate this so much.
I hate this so much.
After more than 1.2 Americans lost their lives to Covid, NIH director Jay Bhattacharya orders the agency to deprioritize pandemic preparedness & biodefense.
Make it make sense.
Scoop from @maxkozlov.bsky.social @nature.com www.nature.com/articles/d41...
Make it make sense.
Scoop from @maxkozlov.bsky.social @nature.com www.nature.com/articles/d41...
Exclusive: Key US infectious-diseases centre to drop pandemic preparation
Staff members have been instructed to scrub this topic and ‘biodefense’ from the agency’s website.
www.nature.com
February 13, 2026 at 10:53 PM
I will never forget what it was like working as an ICU physician during the pandemic. There were many days that I went back to my hotel crying because of the patients we lost.
I hate this so much.
I hate this so much.
Reposted by Shai
Thanks to @zentensivist.bsky.social for the HT
This is utterly, utterly, brilliant
www.leezhaomd.org/post/the-wic...
This is utterly, utterly, brilliant
www.leezhaomd.org/post/the-wic...
The Wicked Problem of Surgical Failure
Or: Why the Best Surgeons Cannot Escape Variance, and What That Teaches Us About Learning in Complex Systems1. The Ether Dome and the StatisticianOn October 16, 1846, William Morton administered et...
www.leezhaomd.org
February 13, 2026 at 7:44 PM
Thanks to @zentensivist.bsky.social for the HT
This is utterly, utterly, brilliant
www.leezhaomd.org/post/the-wic...
This is utterly, utterly, brilliant
www.leezhaomd.org/post/the-wic...
Oh my.
This is so well written and explored.
Thank you for sharing.
This is so well written and explored.
Thank you for sharing.
February 13, 2026 at 10:08 PM
Oh my.
This is so well written and explored.
Thank you for sharing.
This is so well written and explored.
Thank you for sharing.
Reposted by Shai
There are two wolves inside organizers: one are the people deciding how many condoms to give Olympic athletes, the other are the people deciding how many tampons to give to astronauts
Olympic village apparently ran outta condoms after 3 days so congrats to the next generation of elite athletes
February 13, 2026 at 8:31 PM
There are two wolves inside organizers: one are the people deciding how many condoms to give Olympic athletes, the other are the people deciding how many tampons to give to astronauts
The skeleton bobsleigh looks so exhilarating/petrifying.
The speeds these athletes get up to are insane. Then, through in the amount of concentration needed… genuinely impressed there aren’t more accidents.
The speeds these athletes get up to are insane. Then, through in the amount of concentration needed… genuinely impressed there aren’t more accidents.
February 13, 2026 at 9:48 PM
The skeleton bobsleigh looks so exhilarating/petrifying.
The speeds these athletes get up to are insane. Then, through in the amount of concentration needed… genuinely impressed there aren’t more accidents.
The speeds these athletes get up to are insane. Then, through in the amount of concentration needed… genuinely impressed there aren’t more accidents.
Reposted by Shai
Gift link:
"My doctor shrugged...dropping estrogen levels can thin and dry skin. Another doctor put me on a birth control pill. An “intuitive wellness practitioner”, functional health doctor prescribed progesterone cream. 2 years and 11 doctors later, I was diagnosed with Stage 2 Hodgkin’s Lymphoma"
"My doctor shrugged...dropping estrogen levels can thin and dry skin. Another doctor put me on a birth control pill. An “intuitive wellness practitioner”, functional health doctor prescribed progesterone cream. 2 years and 11 doctors later, I was diagnosed with Stage 2 Hodgkin’s Lymphoma"
My Doctors Blamed My Itch on Perimenopause. It Was Cancer.
Two years, 11 doctors and one diagnosis later, I’ve learned a lot about how medicine can miss women’s symptoms.
www.wsj.com
February 13, 2026 at 9:34 PM
Gift link:
"My doctor shrugged...dropping estrogen levels can thin and dry skin. Another doctor put me on a birth control pill. An “intuitive wellness practitioner”, functional health doctor prescribed progesterone cream. 2 years and 11 doctors later, I was diagnosed with Stage 2 Hodgkin’s Lymphoma"
"My doctor shrugged...dropping estrogen levels can thin and dry skin. Another doctor put me on a birth control pill. An “intuitive wellness practitioner”, functional health doctor prescribed progesterone cream. 2 years and 11 doctors later, I was diagnosed with Stage 2 Hodgkin’s Lymphoma"
Reposted by Shai
"For decades, medical community viewed women as small men...doctors didn’t even acknowledge we may exhibit distinctive symptoms of diseases...The law didn’t mandate that women be included in medical clinical research until 1993...doctors write off symptoms as hormonal when could be serious problems"
February 13, 2026 at 9:36 PM
"For decades, medical community viewed women as small men...doctors didn’t even acknowledge we may exhibit distinctive symptoms of diseases...The law didn’t mandate that women be included in medical clinical research until 1993...doctors write off symptoms as hormonal when could be serious problems"
Everyone looking at the the male ski jumpers
February 13, 2026 at 9:33 PM
Everyone looking at the the male ski jumpers
On this, I have no love for our former government, however if Sunak is remembered for anything, it should be his smoking bill.
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
Vaping in cars carrying children to be banned in England
Rising evidence that secondhand vapour from e-cigarettes poses health risks, government says
www.theguardian.com/society/2026...
Rising evidence that secondhand vapour from e-cigarettes poses health risks, government says
www.theguardian.com/society/2026...
Vaping in cars carrying children to be banned in England
Rising evidence that secondhand vapour from e-cigarettes poses health risks, government says
www.theguardian.com
February 13, 2026 at 9:19 PM
On this, I have no love for our former government, however if Sunak is remembered for anything, it should be his smoking bill.
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
On this, I have no love for our former government, however if Sunak is remembered for anything, it should be his smoking bill.
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
February 13, 2026 at 9:18 PM
On this, I have no love for our former government, however if Sunak is remembered for anything, it should be his smoking bill.
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
This would have been his lasting legacy to supporting a revolutionary improvement in the nation’s health.
One hopes the current government can pick it back up….
Slowly moving in the right direction.
February 13, 2026 at 9:15 PM
Slowly moving in the right direction.
Hear hear.
Listening to it right now.
Natalie Fleet has just phenomenal strength & resilience.
Additionally, some terrifying facts on female abuse that I was not aware of.
Her vocal support for what Starmer has been & could be, explains why a selection of the labour PLP are fully in his corner.
Listening to it right now.
Natalie Fleet has just phenomenal strength & resilience.
Additionally, some terrifying facts on female abuse that I was not aware of.
Her vocal support for what Starmer has been & could be, explains why a selection of the labour PLP are fully in his corner.
February 13, 2026 at 6:27 PM
Hear hear.
Listening to it right now.
Natalie Fleet has just phenomenal strength & resilience.
Additionally, some terrifying facts on female abuse that I was not aware of.
Her vocal support for what Starmer has been & could be, explains why a selection of the labour PLP are fully in his corner.
Listening to it right now.
Natalie Fleet has just phenomenal strength & resilience.
Additionally, some terrifying facts on female abuse that I was not aware of.
Her vocal support for what Starmer has been & could be, explains why a selection of the labour PLP are fully in his corner.
Reposted by Shai
Do recommend listening to the whole interview. She's just very, very impressive.
“There is an army of women behind Starmer who want him to succeed, but also hold him to account”.
The prime minister still has the backing of women in his party, says Labour MP Natalie Fleet, despite an internal crisis in regard to safeguarding women and girls.
The prime minister still has the backing of women in his party, says Labour MP Natalie Fleet, despite an internal crisis in regard to safeguarding women and girls.
February 13, 2026 at 6:16 PM
Do recommend listening to the whole interview. She's just very, very impressive.
February 13, 2026 at 6:21 PM
Reposted by Shai
Reposted by Shai
I just occurred to me that when I die Duolingo will be sending off-the-hook, post-mortem push notifications to my phone trying to communicate with me beyond the dead to do my lesson…
February 13, 2026 at 5:55 AM
I just occurred to me that when I die Duolingo will be sending off-the-hook, post-mortem push notifications to my phone trying to communicate with me beyond the dead to do my lesson…
I’d have thought so.
Not sure he’d go the full 12.
Not sure he’d go the full 12.
February 13, 2026 at 12:17 AM
I’d have thought so.
Not sure he’d go the full 12.
Not sure he’d go the full 12.
Reposted by Shai
“Jim Ratcliffe’s comments were outrageous. They are offensive and they were deeply wrong. We do have a problem in our country, and that problem is inequality. It’s not immigration.”
Ellie Chowns on #BBCQT, rejecting attempts to blame migrants for country's problems.
Ellie Chowns on #BBCQT, rejecting attempts to blame migrants for country's problems.
February 12, 2026 at 10:54 PM
“Jim Ratcliffe’s comments were outrageous. They are offensive and they were deeply wrong. We do have a problem in our country, and that problem is inequality. It’s not immigration.”
Ellie Chowns on #BBCQT, rejecting attempts to blame migrants for country's problems.
Ellie Chowns on #BBCQT, rejecting attempts to blame migrants for country's problems.
Reposted by Shai
ANZCA president-elect Dr Tanya Selak @gonggasgirl.bsky.social was featured in the Illawarra Mercury speaking about her journey. Read it here bit.ly/4tuyFrJ or watch the video: www.illawarramercury.com.au/video/local/...
Anesthetist Dr Tanya Selak on representing Wollongong in her new role
Dr Tanya Selak talks about her role as an anesthetist at Wollongong hospitals. Video by Natalie Croxon
www.illawarramercury.com.au
February 12, 2026 at 10:34 PM
ANZCA president-elect Dr Tanya Selak @gonggasgirl.bsky.social was featured in the Illawarra Mercury speaking about her journey. Read it here bit.ly/4tuyFrJ or watch the video: www.illawarramercury.com.au/video/local/...
February 12, 2026 at 10:21 PM
Well, I was not expecting this.
February 12, 2026 at 10:12 PM
Well, I was not expecting this.
Just pre-covid, looked after a post-op pelvic exenteration, who developed severe vasoplegia. Back to theatres for a re-look, nil bleeding/ischaemic.
Already on NA/VasoP.
Used MB.
Pressor requirement almost fully off over 12hrs.
I do reach for it when NA dose is rising and echo excludes 🫀cause.
Already on NA/VasoP.
Used MB.
Pressor requirement almost fully off over 12hrs.
I do reach for it when NA dose is rising and echo excludes 🫀cause.
Had a pt during the pandemic who was in the hydroxychloroquine arm. Which gave him methb. Got given MB to treat this. Which then haemolysed his G6PD deficient red cells. Gone off it ever since.
February 12, 2026 at 10:03 PM
Just pre-covid, looked after a post-op pelvic exenteration, who developed severe vasoplegia. Back to theatres for a re-look, nil bleeding/ischaemic.
Already on NA/VasoP.
Used MB.
Pressor requirement almost fully off over 12hrs.
I do reach for it when NA dose is rising and echo excludes 🫀cause.
Already on NA/VasoP.
Used MB.
Pressor requirement almost fully off over 12hrs.
I do reach for it when NA dose is rising and echo excludes 🫀cause.