Tom Knowles
@tomtheknowles.bsky.social
Medical doctor, event Paramedic, visiting lecturer and clinical tutor. SCUBA diver, bi man. He/him. Husband, father. 🐓🐓🐓🐈⬛🐈⬛🐈🐠🐟🐠🦮
A reminder that psychiatric ill health is entirely distinct from being a rancid husk of a person
For years, they constructed notions of a "silent majority". So, when millions of blue-tick engagement-bots appeared overnight on X, they welcomed them as proof of the thesis, instead of asking: Who are all these people with 30 followers paying £100pa?
And A LOT of boats rowed A LONG way from shore.
And A LOT of boats rowed A LONG way from shore.
October 18, 2025 at 8:28 PM
A reminder that psychiatric ill health is entirely distinct from being a rancid husk of a person
There’s a special delight in reading the absurd reviews of obvious maniacs on otherwise overwhelmingly positive assessments of restaurants and hotels. Just saw one for a country hotel where someone had taken a photo of a doormat in autumn to complain about the dry leaves nearby.
October 16, 2025 at 9:49 AM
There’s a special delight in reading the absurd reviews of obvious maniacs on otherwise overwhelmingly positive assessments of restaurants and hotels. Just saw one for a country hotel where someone had taken a photo of a doormat in autumn to complain about the dry leaves nearby.
The best kind of dog walk weather
October 12, 2025 at 6:06 AM
The best kind of dog walk weather
I’m not sure there’s a living person I understand less than whoever decides what needs to be chilled at Gousto. Ciabatta? Fridge item. Half a cucumber? Nah, that’ll do fine at room temp.
October 9, 2025 at 6:20 PM
I’m not sure there’s a living person I understand less than whoever decides what needs to be chilled at Gousto. Ciabatta? Fridge item. Half a cucumber? Nah, that’ll do fine at room temp.
Don’t be ridiculous, no it isn’t.
September 28, 2025 at 9:58 AM
Don’t be ridiculous, no it isn’t.
Reposted by Tom Knowles
this exists it is called thinking
September 20, 2025 at 12:15 PM
this exists it is called thinking
Made the best sourdough I’ve ever made. Dog stole it. Twat.
September 20, 2025 at 3:44 PM
Made the best sourdough I’ve ever made. Dog stole it. Twat.
RIP Dougie Chamberlain, an absolute giant.
May 22, 2025 at 8:13 PM
RIP Dougie Chamberlain, an absolute giant.
A walk through the park with the youngling and came across this very dense webbed caterpillar nest - very cool, and can’t yet identify the species
May 21, 2025 at 4:26 PM
A walk through the park with the youngling and came across this very dense webbed caterpillar nest - very cool, and can’t yet identify the species
Passed MRCP Part 1 :)
February 21, 2025 at 6:00 PM
Passed MRCP Part 1 :)
Really enjoying the new Linkin Park album - Heavy is the Crown is a particular banger
February 4, 2025 at 6:54 PM
Really enjoying the new Linkin Park album - Heavy is the Crown is a particular banger
I’m afraid if you saw the video of Musk as anything other than a deliberate Nazi salute you’re a moron or caping for a fascist. You pick which one - neither will redeem you.
January 20, 2025 at 10:02 PM
I’m afraid if you saw the video of Musk as anything other than a deliberate Nazi salute you’re a moron or caping for a fascist. You pick which one - neither will redeem you.
A full night’s sleep! Praise be!
January 14, 2025 at 7:56 AM
A full night’s sleep! Praise be!
In 2016 we adopted a stray that our two cats had befriended. He was un-neutered and in a rough shape, with an abscess above his eye and generally downtrodden. We named him Gershom, after the firstborn son of Moses whom he named that “because I have been a stranger is a strange land.”
January 12, 2025 at 10:09 PM
In 2016 we adopted a stray that our two cats had befriended. He was un-neutered and in a rough shape, with an abscess above his eye and generally downtrodden. We named him Gershom, after the firstborn son of Moses whom he named that “because I have been a stranger is a strange land.”
Reposted by Tom Knowles
Discworld QOTD, from Hogfather
December 25, 2024 at 5:03 PM
Discworld QOTD, from Hogfather
Well I’ve had a lovely day in spite of the spouse being at work - I really should wake the child from her late nap and go for a dog walk though, lest bedtime be ruined.
December 25, 2024 at 4:49 PM
Well I’ve had a lovely day in spite of the spouse being at work - I really should wake the child from her late nap and go for a dog walk though, lest bedtime be ruined.
"Learning styles" *sigh*
December 17, 2024 at 2:10 PM
"Learning styles" *sigh*
Reposted by Tom Knowles
I was reminded of this poem earlier (Love After Love/Derek Walcott) and, a bit like the Tom Holland Umbrella lipsync, I think it is a good rule to always re-share it when I am reminded of it
Self-compassion is one of the hardest things to achieve I think 🫂
Self-compassion is one of the hardest things to achieve I think 🫂
December 16, 2024 at 10:12 PM
I was reminded of this poem earlier (Love After Love/Derek Walcott) and, a bit like the Tom Holland Umbrella lipsync, I think it is a good rule to always re-share it when I am reminded of it
Self-compassion is one of the hardest things to achieve I think 🫂
Self-compassion is one of the hardest things to achieve I think 🫂
Reposted by Tom Knowles
1/17
[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment unique to furosemide.
But is it accurate?
[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment unique to furosemide.
But is it accurate?
November 17, 2024 at 3:18 AM
1/17
[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment unique to furosemide.
But is it accurate?
[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment unique to furosemide.
But is it accurate?
For anyone who needs to hear it, The Lord of the Rings is a Christmas film (trilogy). The Fellowship leaves Rivendell on 25th December and the extended editions prolong the merriment, not least because of Merry.
December 6, 2024 at 10:17 PM
For anyone who needs to hear it, The Lord of the Rings is a Christmas film (trilogy). The Fellowship leaves Rivendell on 25th December and the extended editions prolong the merriment, not least because of Merry.
Had a really nice time at the child's nursery Christmas party but as I often am after spending personal time with her in large groups, feeling a little bit sad about how many dads were in the room but not present with their children.
December 6, 2024 at 9:41 PM
Had a really nice time at the child's nursery Christmas party but as I often am after spending personal time with her in large groups, feeling a little bit sad about how many dads were in the room but not present with their children.
Yeah that seems right
December 4, 2024 at 9:19 PM
Yeah that seems right
New rotation tomorrow might be the only one in foundation with a credible possibility of changing my career plans - palliative care here I come.
December 3, 2024 at 9:19 PM
New rotation tomorrow might be the only one in foundation with a credible possibility of changing my career plans - palliative care here I come.