Of course. I’ve already roped in a friend who is having an equally bad day to be the barista.

My backup is a bookshop that may or may not be in the alps.

This is what we found. Sedation (often in elderly non-starved patients) is less safe that a well controlled GA and some vasopressor. It also makes the whole procedure much quicker. We heavily protocolise it (ideal drugs to use and haemodynamics to aim for) to help the Registrars out of hours.

I will add that acute strokes can often be Aphasic and/or have some degree of drowsiness or confusion which can mean they struggle to follow instructions and sudden movements during the procedure confer significant risk.

As someone who does a lot of thrombectomies I would think some of it comes down to better cardiovascular stability in an acute stroke compared to an active STEMI. AF is the most common problem and we usually want reasonable rate control before GA. Generally the procedure is much quicker under GA.

Also because I can’t be trusted: flower arrangement for the Mother’s Day mini-buffet? Lego.

Eat all the pizza.

The Salomon is what I’ve been looking at! I probably don’t need four litres (working up towards half marathon distance but probably not going beyond that!) but the smaller ones are definitely an option. The soft bottles look good! Thanks for this!

It somehow felt warmer this morning even though it was 0deg.