Cheery Littlebottom

Cheery Littlebottom

@cherrylittlebottom.bsky.social

Anaesthetist. TIVA leaning (Eleveld if available, Schnider if not). Here to learn, do please teach me. I read much more than I post.

846 followers928 following197 posts

Cheery Littlebottom
@cherrylittlebottom.bsky.social

A thoughtful essay on the problems facing emergency medicine doctors. Written from the American perspective but same problems are happening here in the UK. www.linkedin.com/pulse/always... Huge respect to my EM colleagues

linkedin.comAlways Open. Already Full.Why I'm leaving emergency medicine and worried about its future “I was drunk last night and accidentally drank a bottle of Suave peach conditioner because I thought it was juice” is not a chapter in a...

Cheery Littlebottom reposted

By Cory Doctorow (GPG 0xBF3D9110957E5F4C)
@doctorow.pluralistic.net

No matter where you shop, you're getting screwed by Amazon. Amazon has found a way to make everything you buy - at Target, at a mom-and-pop shop, even direct from the manufacturer - more expensive. And they're not the only one: Expedia's done the same thing, but for hotel rooms.

Cheery Littlebottom
@cherrylittlebottom.bsky.social

Nicely designed study on GLP1 use increasing the risk of perioperative aspiration 11-fold (1.4% rate)

Anaesthesia@anaesjournal.bsky.social

Launching now! #AC26 GLIMPSE: GLP-1 receptor agonist Management in the Perioperative Setting ⚠️ 1 in 36 patients undergoing anaesthesia care received GLP-1 RAs ⚠️ ⚠️ The incidence of pulmonary aspiration and/or regurgitation was 1 in 71 ⚠️ #AnSky #MedSky doi.org/10.1111/anae...

Cheery Littlebottom reposted

Tuta
@tuta.com

If you have a Gmail account, you need to read this. Google's AI now scans your emails and attachments, bank statements, tax files, medical letters, all of it. It turned on by default, and there's a class-action lawsuit over how. Here are 5 moves to shut it off, the switch is hidden in two places:

Cheery Littlebottom reposted

Anaesthesia
@anaesjournal.bsky.social

Do you routinely discuss the risk of death as a complication of anaesthesia for your paediatric patients? Great Ormond Street have increased the rate of discussion of the risk of death from 4/138 (3%) in 2020 to 131/143 (92%) in their most recent audit. #AnSky #MedSky doi.org/10.1111/anae...

Cheery Littlebottom reposted

Raj LB
@rajlb.bsky.social

That in the UK we use the start of team brief as a some sort of meaningful measure of theatre efficiency. ANAESTHETISTS HAVE TO SEE PATIENTS THE TIME OF THE BRIEF IS ENTIRELY DEPENDENT ON THE NUMBER AND COMPLEXITY OF PATIENTS #AnSky

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Cheery Littlebottom
@cherrylittlebottom.bsky.social

This is a really good post which everyone who has suffered through a PowerPoint presentation should read It's a bugbear of mine that presentation skills are not taught in medical education, so you learn by osmosis how to give a presentation from others who are also terrible at it

This post is unavailable.

Cheery Littlebottom reposted

Dr Steve Taylor
@drstevetaylor.bsky.social

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep Govt banned them in case I was influenced to prescribe medications This should also be banned Influence is being bought in Govt Patients should influence not the healthy & wealthy

Good Law Project@goodlawproject.org

Our breakdown of Wes Streeting’s donors has been doing the rounds online for the last year. Now we’ve updated it – with another £55,000 from OPD Group.

Cheery Littlebottom reposted

WHO
@who.int

It's #WorldImmunizationWeek Vaccines have saved more than 150 million lives since 1974 — not by accident, but because ordinary people made the decision to protect themselves, their children and one another. That’s 6 lives every minute, every day, for more than 5 decades https://bit.ly/4mH2HWi

Cheery Littlebottom reposted

Jones
@theearlofpowys.bsky.social

If you return unwanted Reform local election leaflets to their party headquarters using their free post address, then it will cost the party £2.50 per envelope. Please don’t share this information; it could cost Nigel Farage a fortune.

Cheery Littlebottom reposted

RedruM
@dorsalstream.bsky.social

Replying to @dorsalstream.bsky.social

The horse op-ed is an instant classic. I can't tell you how much joy this piece gives me. It should be taught in every introductory writing class in no small part because the horse arguments are so compelling. "I have noticed that human children get to eat cake. But I am bigger than the children."

Cheery Littlebottom reposted

Dr Steve Taylor
@drstevetaylor.bsky.social

Dr James Le Fanu was happy with £7500 in his day! His day as a Junior Doctor 1974 - the following year Junior Doctors were in industrial action with Government £7500 would be £72k now if kept with CPI inflation - no wonder he was happy Maybe he should get back on his sofa

Cheery Littlebottom reposted

Laura Helmuth
@laurahelmuth.bsky.social

This is a great list of techniques for getting real information out of a Google search and avoiding AI slop and paid results. (One thing not included is that if you add "-ai" to a search, you block the AI summary) cardcatalogforlife.substack.com/p/google-has...

cardcatalogforlife.substack.comGoogle Has a Secret Reference Desk. Here's How to Use It.40 Google features to find exactly what you need, the alternative search engines that do things Google won't, and the reference desk framework underneath all of it.

Cheery Littlebottom reposted

Anaesthesia
@anaesjournal.bsky.social

Plan A blocks in regional anaesthesia Key components to increase patient access to regional anaesthesia: • select high value blocks • widespread competence • ⬆️ patient access • pathway implementation #AnSky #RASky #PainSky doi.org/10.1111/anae...

Cheery Littlebottom reposted

The Association of Anaesthetists
@assocanaes.bsky.social

New: Guidelines for anaesthesia and sedation in patients who are breastfeeding Anaesthetic, sedative & analgesic medicines are transferred to breastmilk in only very small amounts. Patients should be advised that discarding of breastmilk after anaesthesia is not necessary Download: buff.ly/KNnL8gR

Cheery Littlebottom reposted

Anaesthesia
@anaesjournal.bsky.social

Semaglutide, fasting and gastric ultrasound Nearly 50% of patients receiving semaglutide treatment had a full stomach on pre-operative gastric ultrasound, regardless of dose, duration, route of administration or withholding time. #AnSky doi.org/10.1111/anae...

Cheery Littlebottom
@cherrylittlebottom.bsky.social

I've played around with gen AI, about that it has made some tasks easier, but I don't believe it will achieve all that it's hyped to do (e.g. putting us out of work, especially doctors), and don't believe the altruistic goals (capitalism will stop that)

Cheery Littlebottom reposted

Dr Steve Taylor
@drstevetaylor.bsky.social

How many had a 28.9% pay rise! ANSWER - EVERYONE WHO DIDN’T HAVE SUCH A BIG CUT If you hadn’t had the cut your haven’t needed the rise! It really is that simple - shouldn’t be this hard Unless you’re a history graduate Wes Streeting or bad at maths The answer below

Cheery Littlebottom reposted

Anaesthesia
@anaesjournal.bsky.social

The following are associated with a reduced incidence of postoperative neurocognitive complications: dexmedetomidine; esketamine; remimazolam; acupuncture; cerebral monitoring; sleep interventions; corticosteroids; antipsychotics; & peripheral nerve blocks. #AnSky #MedSky doi.org/10.1111/anae...

Cheery Littlebottom reposted

Dr Steve Taylor
@drstevetaylor.bsky.social

As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep Govt banned them in case I was influenced to prescribe medications This should also be banned Influence being bought in Govt Patients should influence not the healthy & wealthy

Cheery Littlebottom reposted

Micah
@rincewind.run

Replying to @rincewind.run

please enjoy Discworld Elysium, everyone this was clearly written for me personally but I think a lot of you will also like it

folk tune stan account 🎻@folktunes.bsky.social

OH MY GOD IT'S A FULL POLL-BASED CYOA AND IT'S MAJESTIC

tumblr.comPost by @higgsbison · 1 image💬 11  🔁 984  ❤️ 1781 · Discworld Elysium Masterpost · Since I can't edit polls to retroactively link parts together, here's a masterpost of them all, updated as it happens. Vote to solve a thrilli…

Cheery Littlebottom reposted

Greg Jenner (Historian)
@gregjenner.bsky.social

This brilliant video by singer Chris Cron deserves its own applause (he’s on Instagram), but it also reminds us how astonishingly good Queen were as songwriters and musicians. The melody, harmony, and lyrical flair are all elite — and this isn’t even one of their Top 5 most downloaded songs!

Cheery Littlebottom reposted

Amit Pawa
@dr-amit-pawa.bsky.social

I love the medial needle insertion approach to the IPACK block. Have you tried it? I find it Faster, Easier to perform Easier to see the needle But you must take care not to puncture long saphenous. #RegionalAnaesthesia #RegionalAnesthesia #RAsky Full video here: youtu.be/q-4TXakDoXA?...