Silvana McCaffrey
@silvmcc.bsky.social
Doctor, working in Guernsey and part time living in Northern Italy. Gen X, wife, parent of 2 humans and 2 dogs. motto- try not to hurt living things now and in the future, learn from mistakes of the past.
when you cancel a disney subscription, you get to put the reason for doing so.
will something come of it? probably not but it’s worth making them take some kind of financial pain
will something come of it? probably not but it’s worth making them take some kind of financial pain
September 19, 2025 at 7:37 AM
when you cancel a disney subscription, you get to put the reason for doing so.
will something come of it? probably not but it’s worth making them take some kind of financial pain
will something come of it? probably not but it’s worth making them take some kind of financial pain
even affecting the little island where I live across the atlantic
August 28, 2025 at 7:04 AM
even affecting the little island where I live across the atlantic
VQ is not an easy thing to whip up & interpretation tricky, though probably less so in fit pregnant women. the Royal College or Radiologists & the Royal College of Obstetricians and Gynaecologists seem to have given some sensible advice. not every hospital can access every test.we do what we can.
![guidance from the UK on investigation of suspected pulmonary embolism.
Royal College of Radiologists
Venous thromboembolism (VTE) is the main direct cause of maternal death in the UK [1]. The subjective clinical assessment of VTE is unreliable and assessment of d-dimer level is not helpful in pregnancy [2].
When pulmonary embolism is suspected in pregnancy, Royal College of Obstetricians and Gynaecologists advise the following investigations [3]:
1. An electrocardiogram (ECG) and a chest X-ray (CXR).
2. In women with suspected PE who also have symptoms and signs of DVT, compression duplex ultrasound should be performed. If compression ultrasonography confirms the presence of DVT, no further investigation is necessary and treatment for VTE should continue.
3. In women with suspected PE without symptoms and signs of DVT, a ventilation/perfusion (V/Q) lung scan or a computerised tomography pulmonary angiogram (СТРА) should be performed.
4. When the chest X-ray is abnormal and there is a clinical suspicion of PE, CTPA should be performed in preference to a V/Q scan.](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:3nog2fjhusrtq5arafikt6f3/bafkreicgxb24cnd35cgiwegfjkieywqeupxjo6u43lqqjsk5uflf4dg65y@jpeg)
May 7, 2025 at 7:18 AM
VQ is not an easy thing to whip up & interpretation tricky, though probably less so in fit pregnant women. the Royal College or Radiologists & the Royal College of Obstetricians and Gynaecologists seem to have given some sensible advice. not every hospital can access every test.we do what we can.
politicians need to stay out of medicine. evacuation of retained products of conception is not a termination of pregnancy. every definition of pregnancy has the word ‘developing’. Sadly, no heartbeat=no pregnancy. instead it is ‘retained products of conception’.
this is the law torturing women.
this is the law torturing women.
April 3, 2025 at 5:28 AM
politicians need to stay out of medicine. evacuation of retained products of conception is not a termination of pregnancy. every definition of pregnancy has the word ‘developing’. Sadly, no heartbeat=no pregnancy. instead it is ‘retained products of conception’.
this is the law torturing women.
this is the law torturing women.
2012/13 measles outbreak in Swansea,Wales. 447 confirmed, 64 hospitalised, 1 adult male died. MMR rates fell to <70% in 1990’s due to false narrative re the vaccine. 77,000 doses MMR were given to contain and prevent spread. that is Public Health 💪🏼.
phw.nhs.wales/topics/immun...
phw.nhs.wales/topics/immun...
February 21, 2025 at 8:10 AM
2012/13 measles outbreak in Swansea,Wales. 447 confirmed, 64 hospitalised, 1 adult male died. MMR rates fell to <70% in 1990’s due to false narrative re the vaccine. 77,000 doses MMR were given to contain and prevent spread. that is Public Health 💪🏼.
phw.nhs.wales/topics/immun...
phw.nhs.wales/topics/immun...
we all need to see some lovely photos to keep some peace in our hearts. doug ❤️
#DogsofBluesky
#DogsofBluesky
January 29, 2025 at 1:57 PM
we all need to see some lovely photos to keep some peace in our hearts. doug ❤️
#DogsofBluesky
#DogsofBluesky
January 28, 2025 at 7:36 AM
you can correct ‘errors’ in google maps
if perhaps the right organisations and governments (President Sheinbaum of Mexico) would take a moment to click on the link..
support.google.com/maps/answer/...
if perhaps the right organisations and governments (President Sheinbaum of Mexico) would take a moment to click on the link..
support.google.com/maps/answer/...
January 28, 2025 at 7:21 AM
you can correct ‘errors’ in google maps
if perhaps the right organisations and governments (President Sheinbaum of Mexico) would take a moment to click on the link..
support.google.com/maps/answer/...
if perhaps the right organisations and governments (President Sheinbaum of Mexico) would take a moment to click on the link..
support.google.com/maps/answer/...
my photo is not as good as yours but these are the donkeys taking the sheep and goats for a walk last summer in piedmont, italy
January 25, 2025 at 8:17 PM
my photo is not as good as yours but these are the donkeys taking the sheep and goats for a walk last summer in piedmont, italy
they don’t mention source?
also - virus ??
it’s literally in the name - mycoBACTERIUM . am 10 hours into a shift so I may be a teensy bit cranky
also - virus ??
it’s literally in the name - mycoBACTERIUM . am 10 hours into a shift so I may be a teensy bit cranky
January 25, 2025 at 5:32 PM
they don’t mention source?
also - virus ??
it’s literally in the name - mycoBACTERIUM . am 10 hours into a shift so I may be a teensy bit cranky
also - virus ??
it’s literally in the name - mycoBACTERIUM . am 10 hours into a shift so I may be a teensy bit cranky
ditto with Doug, ❤️
January 24, 2025 at 7:56 PM
ditto with Doug, ❤️
Bridge over the river Po in Turin
January 24, 2025 at 6:45 AM
Bridge over the river Po in Turin
hey Linda. you may recognise me from shows like PCN Clinical Director Herefordshire teams meetings in Covid. beautiful day in Guernsey. ED geriatrician would be a huge asset in Guernsey 😉
sunrise today and sunny day yesterday from my window
sunrise today and sunny day yesterday from my window
January 11, 2025 at 4:25 PM
hey Linda. you may recognise me from shows like PCN Clinical Director Herefordshire teams meetings in Covid. beautiful day in Guernsey. ED geriatrician would be a huge asset in Guernsey 😉
sunrise today and sunny day yesterday from my window
sunrise today and sunny day yesterday from my window
so how did Dragon transcribe that, “I’m a tyre”?
something that made me laugh on a shift 👇
something that made me laugh on a shift 👇
January 7, 2025 at 7:36 AM
so how did Dragon transcribe that, “I’m a tyre”?
something that made me laugh on a shift 👇
something that made me laugh on a shift 👇
if you can take on the responsibility of looking after these beautiful souls you are rewarded with love, companionship and adventure (which makes up for mess, poop and frisbee obsession)
January 6, 2025 at 6:58 AM
if you can take on the responsibility of looking after these beautiful souls you are rewarded with love, companionship and adventure (which makes up for mess, poop and frisbee obsession)
beautiful. this was the view over the english channel this afternoon
December 20, 2024 at 11:27 PM
beautiful. this was the view over the english channel this afternoon
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
20/20
selected by so many, quite right
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
20/20
selected by so many, quite right
December 20, 2024 at 2:47 PM
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
20/20
selected by so many, quite right
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
20/20
selected by so many, quite right
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
19/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
19/20
December 19, 2024 at 9:20 PM
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
19/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
19/20
Mika, the Finnish Lapphund filling me in on his observations having completed his morning patrol of the orchard.
December 19, 2024 at 8:15 AM
Mika, the Finnish Lapphund filling me in on his observations having completed his morning patrol of the orchard.
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
18/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
18/20
December 18, 2024 at 8:35 AM
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
18/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
18/20
can anyone say Gen X
can’t remember which one I saw first it was soooo long ago
can’t remember which one I saw first it was soooo long ago
December 17, 2024 at 8:17 PM
can anyone say Gen X
can’t remember which one I saw first it was soooo long ago
can’t remember which one I saw first it was soooo long ago
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
17/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
17/20
December 16, 2024 at 10:53 AM
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
17/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
17/20
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
16/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
16/20
December 15, 2024 at 5:38 PM
20 BOOKS CHALLENGE
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
16/20
Choose 20 books that have stayed with you or influenced you. One book per day for 20 days, in no particular order. No explanations, no reviews, just covers.
#BookSky
💙📚
#Books
#BookChallenge
16/20