I’m doing some book keeping as a diversion for the next time someone tries to talk to me about basic science. An #anaesthesia 🧵 of 🧵’s regarding some of the things I think about during my day job. (Thank you to everyone that has contributed to the discussion) 1: Alfentanil

@mark_toshner Me too Everyone should watch that recording and decide for themselves

This is precisely the reason why new faces are needed to repair @RCPhysicians reputation After the harm caused, anyone that had their fingerprints on the associate project or the scandalous EGM should be no where near this election @DrLKVaughan @DrAsifQasim can sort this out!

RT @TYoungstein: @mark_toshner “We know that we [The RCP] may have to take a financial hit on this but I am concerned that we will be takin…

@DevanSinha @implausibleblog Buying a lottery ticket can lead to winning a jackpot *terms and conditions apply 🤪

vOcAl MiNoRiTy ⤵️ nOt HeRe To RePlaCe ⤵️ mOrE iMpOrTaNt ThInGs It’s anything to deflect from a huge mistake There are indeed so many issues but the associate one is a canary that differentiates people willing to make the right choices for patients from those with other agendas

@dieracg On a separate but related matter, sent this to a colleague today Will probably remain my favourite tweet in perpetuity 🫡

@valhumphreys51 The mask will generally deliver oxygen pre induction so that you have 5* as much reserve after you stop breathing in case anything goes wrong but can also deliver other gases depending how we’re sending someone off to sleep

RT @TomStocks1982: Many of our patients are detained against their will Some have a hard time telling the difference between what’s real a…

@totalguff IMHO the NHS has a social contract in which teaching is understood That being said, it should always be safe and supervised Also, an anaesthetic SHO has already demonstrated their aptitude through 5 yrs of medschool, 2 years foundation and highly selective applications

RT @DrAsifQasim: It’s an honour to be standing for election as president of the @RCPhysicians I’ve been encouraged to stand by Members an…

RT @MFAminGP: This is Classic!!! NHS E couldn't articulate any better than this tweet summary from @SJM_NHS on the value of *EXPERTISE* Y…

@MFAminGP @SJM_NHS @parthaskar @DrLKVaughan @dave_dlt @DrSteveTaylor @DrSelvarajah @doctor_katie This is the guy that parachuted from an imploding Credit Suisse’s risk management department (!) to chair the NHS & with zero clinical experience boldly proclaim doctors were over trained And now he’s talking about the value of expertise? Just for once I’d love some competence

@Jcalcolado @ExplosiveEnema2 @anonmedica51766 @AnaesUnited @gmcuk As an ex MRCP I can’t vote for 2 reasons. My opinion is irrelevant Your replies to established errors are commendable but when asked to opine on a contemporary & for some reason still controversial issue I feel a deflection more than direction 🙏 again for replying though

@Jcalcolado @ExplosiveEnema2 @anonmedica51766 In a Columbo-esque one last question fashion….. Given our agreement about non local scope setting and enforcement Why do you think all the colleges are so reluctant to come out in support of what we have just agreed and @AnaesUnited ongoing case against the @gmcuk ? 🙏

@Jcalcolado @ExplosiveEnema2 @anonmedica51766 Agreed Thank you

@Jcalcolado @ExplosiveEnema2 @anonmedica51766 Thank you for replying, appreciated Rather than e-mail may I ask one more question in the open? Where do you stand on scope, who should set it and how it should be enforced? (Also aware associates are just one issue amongst many, the next RCP president will have to deal with)