Simon 〽️ark
@simonmarkdaley.bsky.social
Husband & Father. Cardiology; 19years serving the @NHS. Realistic @ManUtd fan, unrealistic #FPL fan. 2xMarathoner. EverestBC trekker. Pro-truth.
🚫 “I feel fine, so my heart must be fine.”
Reality?
The first sign of heart disease in too many people is sudden death.
Don’t wait for symptoms.
🫀 Get checked.
🫀 Know your numbers.
🫀 Stay alive.
#Cardiology #KnowYourRisk
Reality?
The first sign of heart disease in too many people is sudden death.
Don’t wait for symptoms.
🫀 Get checked.
🫀 Know your numbers.
🫀 Stay alive.
#Cardiology #KnowYourRisk
July 6, 2025 at 11:31 AM
🚫 “I feel fine, so my heart must be fine.”
Reality?
The first sign of heart disease in too many people is sudden death.
Don’t wait for symptoms.
🫀 Get checked.
🫀 Know your numbers.
🫀 Stay alive.
#Cardiology #KnowYourRisk
Reality?
The first sign of heart disease in too many people is sudden death.
Don’t wait for symptoms.
🫀 Get checked.
🫀 Know your numbers.
🫀 Stay alive.
#Cardiology #KnowYourRisk
If you’re still ordering troponins “just in case,” you’re not risk-averse — you’re noise-generating.
🫀Elevated ≠ infarction.
📉Low yield = high chaos.
Stop testing when you don’t know what you’ll do with the result.
🫀Elevated ≠ infarction.
📉Low yield = high chaos.
Stop testing when you don’t know what you’ll do with the result.
June 5, 2025 at 5:49 AM
If you’re still ordering troponins “just in case,” you’re not risk-averse — you’re noise-generating.
🫀Elevated ≠ infarction.
📉Low yield = high chaos.
Stop testing when you don’t know what you’ll do with the result.
🫀Elevated ≠ infarction.
📉Low yield = high chaos.
Stop testing when you don’t know what you’ll do with the result.
Anyone involved in #syncope/ #TLoC/ #blackout clinic at #NottinghamHospitals , #HullHospitals , #LeicesterHospitals please comment / DM
March 20, 2025 at 12:13 PM
Anyone involved in #syncope/ #TLoC/ #blackout clinic at #NottinghamHospitals , #HullHospitals , #LeicesterHospitals please comment / DM
March 20, 2025 at 12:12 PM
Anyone involved in #syncope/ #TLoC/ #blackout clinic at #NottinghamHospitals , #HullHospitals , #LeicesterHospitals please comment / DM
ULTHT will be setting up a [cardiogenic focused] syncope clinic in the next 6-12/12.
I would be grateful to anyone that has been involved in doing this in their own trust, get in touch with me. TIA
#syncope #cardiosky #medsky #cardiology #acp #nurseledclinic
I would be grateful to anyone that has been involved in doing this in their own trust, get in touch with me. TIA
#syncope #cardiosky #medsky #cardiology #acp #nurseledclinic
February 23, 2025 at 9:44 PM
ULTHT will be setting up a [cardiogenic focused] syncope clinic in the next 6-12/12.
I would be grateful to anyone that has been involved in doing this in their own trust, get in touch with me. TIA
#syncope #cardiosky #medsky #cardiology #acp #nurseledclinic
I would be grateful to anyone that has been involved in doing this in their own trust, get in touch with me. TIA
#syncope #cardiosky #medsky #cardiology #acp #nurseledclinic
Rare opportunity to join our team of Advanced Clinical Practitioners at ULTHT. DM w/ any questions.
#medsky #cardiosky
#medsky #cardiosky
Apply now - don't miss our latest vacancies - United Lincolnshire Hospitals
We are committed to developing a workforce that reflects the community it serves and welcome applicants from all sectors of the community.
www.ulh.nhs.uk
January 25, 2025 at 11:45 PM
Rare opportunity to join our team of Advanced Clinical Practitioners at ULTHT. DM w/ any questions.
#medsky #cardiosky
#medsky #cardiosky
Reposted by Simon 〽️ark
I’m going to repeat this sage advice; keeping supporting, keep watching but emotionally divorce yourself from this club right now. They’ve caused me/us way too much pain. Sure, wins don’t feel as good but loses don’t make me depressed anymore. We haven’t hit bottom yet, it’s going to get worse.
December 26, 2024 at 7:30 PM
I’m going to repeat this sage advice; keeping supporting, keep watching but emotionally divorce yourself from this club right now. They’ve caused me/us way too much pain. Sure, wins don’t feel as good but loses don’t make me depressed anymore. We haven’t hit bottom yet, it’s going to get worse.
January 12, 2025 at 3:32 PM
Yes it’s just for “companionship”; which is why it has that waist & those breast.. 👀
If they weren’t presenting it as a masterbation adjunct, it wouldn’t need to look like that.
If they weren’t presenting it as a masterbation adjunct, it wouldn’t need to look like that.
January 11, 2025 at 3:16 PM
Yes it’s just for “companionship”; which is why it has that waist & those breast.. 👀
If they weren’t presenting it as a masterbation adjunct, it wouldn’t need to look like that.
If they weren’t presenting it as a masterbation adjunct, it wouldn’t need to look like that.
Reposted by Simon 〽️ark
In this day and age, living in a place that
- you like,
- you can afford,
- you can find a job,
- you have family/friends,
- you feel safe, and
- you *are* safe from natural disasters/bad laws/worse
is luxury and privilege. Almost no one gets to check all the boxes.
So maybe don’t be an asshole.
- you like,
- you can afford,
- you can find a job,
- you have family/friends,
- you feel safe, and
- you *are* safe from natural disasters/bad laws/worse
is luxury and privilege. Almost no one gets to check all the boxes.
So maybe don’t be an asshole.
January 9, 2025 at 3:30 AM
In this day and age, living in a place that
- you like,
- you can afford,
- you can find a job,
- you have family/friends,
- you feel safe, and
- you *are* safe from natural disasters/bad laws/worse
is luxury and privilege. Almost no one gets to check all the boxes.
So maybe don’t be an asshole.
- you like,
- you can afford,
- you can find a job,
- you have family/friends,
- you feel safe, and
- you *are* safe from natural disasters/bad laws/worse
is luxury and privilege. Almost no one gets to check all the boxes.
So maybe don’t be an asshole.
New research suggests that by the year 2030, NHS clinical staff will be spending more time completing e-learning than providing patient-facing care.
January 8, 2025 at 3:58 AM
New research suggests that by the year 2030, NHS clinical staff will be spending more time completing e-learning than providing patient-facing care.
Laughable make-believe.
So this is the new great idea🤔
I’m pretty sure if Sarah had seen a GP she wouldn’t have needed to have a CT scan, no need to speak to the ENT registrar & yes it could be managed in the community
Why does NHS England always underestimate the skills of GPs?
www.england.nhs.uk/long-read/re...
I’m pretty sure if Sarah had seen a GP she wouldn’t have needed to have a CT scan, no need to speak to the ENT registrar & yes it could be managed in the community
Why does NHS England always underestimate the skills of GPs?
www.england.nhs.uk/long-read/re...
January 7, 2025 at 5:24 PM
Laughable make-believe.
Reposted by Simon 〽️ark
So more work for private hospitals to cut waiting lists...the sector has many potential safety risks as government and NHS well know. Recommendations from the Ian Paterson inquiry have still not been implemented, leaving patients at risk. Read my 2023 piece here: www.thetimes.com/uk/article/y...
You can pay for private healthcare — but can you trust it?
More than a quarter of million people dipped into their savings or took a loan to pay for a private hospital operation or appointment last year — a record hig
www.thetimes.com
January 6, 2025 at 4:48 PM
So more work for private hospitals to cut waiting lists...the sector has many potential safety risks as government and NHS well know. Recommendations from the Ian Paterson inquiry have still not been implemented, leaving patients at risk. Read my 2023 piece here: www.thetimes.com/uk/article/y...
Very very good piece on caring for the [potentially] dying patient.
While we’re on the subject of End of Life Care, this is a blog I wrote a while back, on looking after people who might be dying.
It was written with junior doctors in mind, to help them navigate waters that I had found tricky.
#EOLC
#MedSky
sharingandlearningonline.wordpress.com/end-of-life-...
It was written with junior doctors in mind, to help them navigate waters that I had found tricky.
#EOLC
#MedSky
sharingandlearningonline.wordpress.com/end-of-life-...
End of Life Care
Background: Working as a doctor in Medicine of the Elderly, I’ve looked after a lot of people at the end of their lives. Although it might sound odd, it’s actually one of the best bits …
sharingandlearningonline.wordpress.com
January 4, 2025 at 12:45 PM
Very very good piece on caring for the [potentially] dying patient.
It’s not “becoming” dangerous; it’s been dangerous for a decade.
“Years of neglect and underinvestment left NHS buildings crumbling, staff forced to use outdated creaking equipment, and patients paying the price. It is unacceptable for patients to be treated in these conditions.”
www.independent.co.uk/news/health/...
www.independent.co.uk/news/health/...
Hospitals becoming ‘dangerous’ after underinvestment, warns NHS chief
NHS chief Matthew Taylor says parts of the health service are so rundown that patients are being treated in unsafe environments
www.independent.co.uk
January 3, 2025 at 7:02 PM
It’s not “becoming” dangerous; it’s been dangerous for a decade.
The cat in A Quiet Place Day 1 is so unrealistically chill I can’t even
December 29, 2024 at 5:21 PM
The cat in A Quiet Place Day 1 is so unrealistically chill I can’t even
🤯🤯
Before you freak reflexively order IV hydralazine for that BP of 180/90, remember that people get BPs up to 480/350 (yes that is in mmHg) while weight lifting and don't "stroke out"
pubmed.ncbi.nlm.nih.gov/3980383/
pubmed.ncbi.nlm.nih.gov/3980383/
December 29, 2024 at 3:16 AM
🤯🤯
Have honestly just had to look up “beers list” meds, & I’ve been a prescriber since 2016 - very frequently clerking over-65 year olds.
Another 5% is coming to the independent realization that seemingly no one gives a shit about avoiding Beers list medications in elderly patients except geriatricians and PCPs. Especially if they’re admitted.
December 29, 2024 at 12:58 AM
Have honestly just had to look up “beers list” meds, & I’ve been a prescriber since 2016 - very frequently clerking over-65 year olds.
#StarTrek Discovery dropped off significantly after s3 (when they go into the future), with the exception of a couple of moments/eps.
Finally got round to finishing the final season & am honestly pleased it’s over. Shame really.
Finally got round to finishing the final season & am honestly pleased it’s over. Shame really.
December 29, 2024 at 12:56 AM
#StarTrek Discovery dropped off significantly after s3 (when they go into the future), with the exception of a couple of moments/eps.
Finally got round to finishing the final season & am honestly pleased it’s over. Shame really.
Finally got round to finishing the final season & am honestly pleased it’s over. Shame really.
Reposted by Simon 〽️ark
A different option to remote monitor arrhythmias in the future.
While wearable devices using photoplethysmography offer more convenience, they sacrifice accuracy. This study presents a RF based sensing system that monitors long-term HRV with clinical-grade accuracy
www.nature.com/articles/s41...
While wearable devices using photoplethysmography offer more convenience, they sacrifice accuracy. This study presents a RF based sensing system that monitors long-term HRV with clinical-grade accuracy
www.nature.com/articles/s41...
December 28, 2024 at 4:56 PM
A different option to remote monitor arrhythmias in the future.
While wearable devices using photoplethysmography offer more convenience, they sacrifice accuracy. This study presents a RF based sensing system that monitors long-term HRV with clinical-grade accuracy
www.nature.com/articles/s41...
While wearable devices using photoplethysmography offer more convenience, they sacrifice accuracy. This study presents a RF based sensing system that monitors long-term HRV with clinical-grade accuracy
www.nature.com/articles/s41...
“You’ll be visited by 3 spirits”
The 3 spirits..
The 3 spirits..
December 24, 2024 at 2:19 PM
“You’ll be visited by 3 spirits”
The 3 spirits..
The 3 spirits..