Ian McPhee

So easy to forget that new therapies, as marvellous as they might be, can present with a myriad side effects. 6/12 of Pembrolizumab and I’m now thyrotoxic, with +/- hypophysitis. Rx by a second specialty service has commenced. I’m hopeful of symptom resolution. #Sèzary

For those following along, worth reading this article. Forewarned is forearmed. No, Covid is not over. It's insidious and keeps reinventing itself. Covid "continues to circulate globally at high levels and to evolve into new variants." #LongCovid

Tautology?? 🍋

Butcherbird nestling. ? Fallen from nest… unable to fly yet.

Make 2027 your year for Locum Anaesthetics. Looking for more flexibility in 2027, a short-term role before your next permanent position, or the chance to experience a new hospital or location? Now is a great time to line up your locum work for the year ahead.

To be hoped that she has no recollection of the torture she endured, and is set free.

Medical tourism - a high risk undertaking!! apple.news/AkDcgy8dATuS...

We live - as per the curse - in “interesting times”! This is folly of enormous consequence. #RisingTide

Babies who don’t get the vitamin K shot are 81 times more likely to develop severe bleeding. In many cases, oxygen can’t reach their brains and blood pools around their skulls. Yet driven by misinformation, more parents are refusing the injection. (Published May)

After 80 Randomised Controlled Trials with ~30,000 subjects latest Cochrane review says high certainty evidence vaping more effective quit smoking intervention than NRT. What say you tobacco harm reduction denialists? @algore09algor.bsky.social @igas2.bsky.social drive.google.com/file/d/10kEU...

Surgeons must be taught to present patients with a range of options and choose the best one together. Register for free to read why millions operations should be scrapped

Each year over 300m operations are conducted worldwide, according to the WHO. As the number continues to grow, some in the medical field are starting to ask an awkward question: how many are really necessary?

Pre-surgery exercise has benefits, whether it is supervised or home-based. But professional supervision can help patients achieve higher exercise intensities.

Surgeons must be taught to present patients with a range of options and choose the best one together. Register for free to read why millions operations should be scrapped

Surgeons must be taught to present patients with a range of options and choose the best one together. Register for free to read why millions operations should be scrapped

My half century in harm reduction: initially for illegal drugs, now for tobacco. Harm reduction is much more effective, safer & cheaper than supply reduction or demand reduction @algore09algor.bsky.social @igas2.bsky.social @jmenezes.bsky.social @sanho.bsky.social snusforumet.se/en/alex-woda...

Brilliant article by Ed Jegasothy and James Martin on Australia’s failed smoking vaping policy. Highly recommended. Must read @algore09algor.bsky.social @igas2.bsky.social @jamomartin.bsky.social @melissasweetdr.bsky.social @publichealthaus.bsky.social @mikedaube.bsky.social @jmenezes.bsky.social

What makes a meta-analysis believable? In our latest issue, a new Viewpoint outlines how to identify meta-analyses that merit clinical confidence. Explore the full issue: spkl.io/633277rxvt

New Cochrane report finds vaping can double smokers’ chances of quitting should bring more seriousness to the harm reduction debate. Adult smokers need tools that work in real life, not just idealised messages about abstinence. smokefreesweden.org/2026/08/26/v...

How many more PPPs must fail before the NSW Gov ends this folly?

This is a depressing read but we all need to be aware of the terrible potential of the bird flu that has finally made its way to Australia and New Zealand. www.abc.net.au/news/2026-08...

Let’s talk about dying… @igas2.bsky.social

Now a story (of ineptitude!) on the world stage. What a dork!!

@wallabies.bsky.social up for it tonight. Great showing against a well drilled side. Refereeing questionable, unfortunately. Nations series looking good!! 🏉

I was scammed… involved credit card. Australian Financial Complaints Authority intervened when bank unhelpful. Matter resolved in my favour. There can be justice! AFCA deserves credit.

⚠️ Up to a quarter of peripheral nerve injuries are iatrogenic, from nerve blocks and graft harvest to unrelated surgery, positioning and tourniquets. A sobering reminder of the stakes around the nerve. Read more: www.bjaed.org/article/S2058-5349(26)00020-X/fulltext

Great result for @socceroos.bsky.social A defensive effort like no other! 👏👏

My feet wouldn’t allow me past a second hand record joint this morning!! 🤣🎶🎶😎🎶😎

"We have a narrow window in which accelerating PBS listing processes could simultaneously help patients, address industry concerns and provide a credible argument to the US that our system is fair," writes Monique Ryan. trib.al/OG0D9yI

My article out today: why Australia has to now start reducing cigarette excise & make safer, smoke-free nicotine products easier to get than deadly cigarettes #auspol @algore09algor.bsky.social @jmenezes.bsky.social @igas2.bsky.social @ianamossyd.bsky.social pearlsandirritations.com/post/2026/05...

So, we moved house. Chose Allied Removals for the task. Big error! Let’s just say it was “Fawlty Removals” from the outset. Last straw was having the majority of a dozen or so terracotta garden pots completely destroyed in transit. Just DO NOT move with Allied!

White headed pigeon. #NambuccaNSW #birds

Wonderful news that Sam Neill is cancer free. And he's now dvocating for CAR T-cell therapy, "which he underwent as part of a clinical trial, to be rolled out for blood cancer patients across Australia." #science www.theguardian.com/film/2026/ap...

Opponents of science based safer, smoke-free nicotine products are unscrupulous. Smokers of the world unite. You have nothing to lose but your gains @algore09algor.bsky.social @ianamossyd.bsky.social @igas2.bsky.social @jmenezes.bsky.social

As the govt weighs options to raise revenue, balance the budget & confront the global energy crisis, one solution is staring them in the face: replace the broken PRRT with a fair tax on gas exports. It's long overdue, and has widespread support… www.abc.net.au/news/2026-04...

General anaesthesia for a caesarean birth can affect both the mother & the baby. The type of medicine used, how much is given, and when it is given can change how safe and comfortable this process is. Which medicines work best and are safest for mothers & babies? #AnSky doi.org/10.1111/anae...

New guidance on sterile gown use during spinal anaesthesia aims to reduce unnecessary waste while maintaining high standards of patient safety Guidelines published in @anaesjournal.bsky.social buff.ly/rvtALwy With CAI, @ra-uk.org, @oaa-anaes.bsky.social, @rcoanews.bsky.social, @anzca.bsky.social

Date claimer: the Tackling Stigma in Healthcare conference, hosted by UNSW 23-24 November 2026. Researchers: abstracts now open until June 16. Potential attendees: everyone welcome! All disciplines, clinical and non-clinical, patients and advocates. www.unsw.edu.au/research/csr...

“Evidence suggests that the use of nicotine-containing e-cigarettes supports cigarette smoking cessation & reduction among individuals who smoke cigarettes regularly .. ” @algore09algor.bsky.social @jmenezes.bsky.social @igas2.bsky.social @ianamossyd.bsky.social link.springer.com/article/10.1...

The use of Tylenol by women during pregnancy was not associated with autism in their children, according to results of a nationwide ​study in Denmark. https://cnn.it/4vuy1LT

“The question is not whether Australia can afford to invest in health and medical research. The question is whether we can afford not to.” www.healthservicesdaily.com.au/funding-rese...

Best-practice healthcare includes best-practice end‑of‑life care. Yesterday, I stood with Go Gentle to call for the government to make simple and reasonable improvements to legislation around voluntary assisted dying (VAD). People deserve choice, control, and dignity at the end of their lives.

6/ Bottom line: The consistency across meta-analyses is striking—nicotine e-cigs can help people quit smoking. The challenge now is how to use this evidence responsibly in policy and practice. 📄 Open access: onlinelibrary.wiley.com/doi/epdf/10.... @oxprimarycare.bsky.social @oxfordtag.bsky.social

I read a couple unconfirmed reports that Ireland and Wales have announced they are boycotting the 2026 World Cup, and German officials have begun discussions to do so as well. Obviously, Iran is boycotting it but my question is why any other country would want to attend World Cup matches in the U.S.

This is your friendly reminder to boycott the World Cup. It’s not worth it.

What’s this?… Qld leading the way on long overdue controls?? 😎

AND quality of care!

Sad day for live music!! 🎶🎶🎶😎😎🙁🙁🙁

Andrea Rothfuss steht kurz vor ihren sechsten Paralympics. Keine Selbstverständlichkeit: Die deutsche Skifahrerin setzte wegen Depressionen eine komplette Saison aus. Hier spricht sie über den beschwerlichen Weg zurück.

As much for today as it was for that moment! 🎶🎶 youtube.com/watch?v=4pyC...