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I voted no. Why? I would have accepted 5% the pay rise, but the not the changes to SPA time. What are SPAs? It is the time that makes me a consultant, it is when I teach, research, innovate, improve my service and educate myself. The NHS needs SPAs bbc.co.uk/news/health-68…

Midazolam is a widely used drug in endoscopy, but you’ve all been doing it wrong. The correct dose in mg is: ((0.5x mins spent consenting) x (1/mins left in recovery nurses shift) )-(number of flumazenil reversals in this JAG audit cycle) You’re welcome

I think they prefer the term ‘Westminster Government’ but fair enough bbc.co.uk/news/uk-politi…

ileoanal pouch surgery days 3d Edition - 28th-29th November 2024 Chelsea and Westminster Hospital - Primary and revisional pouch surgery - Pouch dysfunction - Robotics in iBD - Surveillance in UC - Alternatives to IPAA 12 CPD @ACPGBI Register [email protected]

Upskilling! As part of the upskilling in colonoscopy training that we provide to centres in the region, we have developed this poster which sits in all of our endoscopy rooms. What do you think has the biggest impact on polyp detection? Keith Siau Olly Bendall Charlotte Taylor

Mind blown! Often see press hail medical breakthroughs, and I’m left underwhelmed, but this is the real deal! Congratulations James Lee theguardian.com/society/articl…

At #BSGlive today. Heartened to hear much love for this thread from my colleagues. Apparently people I’ve never met talk about ‘doing an Appleby’’ so if you want to ‘do an Appleby’ get in touch!

I’m starting to consider the possibility that the disastrous Tory campaign is internal sabotage by an insider betting racket

Not a gastroenterologist? No one’s perfect, but you can still choose a slice of the good life in North Devon if you’re an Endocrinologist 👇

I’ve long been critical of the restrictions on training places, but seeing the data nationally is eye watering. The result: every Trust I know has a vacancy for a consultant gastroenterologist, with not enough trainees coming through and we’re told the solution are MAPs

A cautionary tale for polling day: LibDem voter, but in east London had no impact. In 2015 was living in a ‘safe’ LibDem seat, so I got creative, checked a policy website and voted Green. Vince Cable lost by 2000 votes. Tomorrow: think big picture, we need a change of government

CAAAAAAAAAAVVVV!!!!!!! #TDF2024

Respect to Jeremy Hunt, who held his seat (just) but is out as Chancellor: this is a decent speech

Good news for my hairline critics

The reverse is also true, all conservative supporters came out to vote because they knew how vital it was, many Labour would have stayed at home

Being abroad for the Olympics makes you really appreciate the BBC, the way things are going, French TV won’t show the 100m final if there’s not a Frenchman in it

This isn’t a failure of regulation of PAs, I’ve seen many Jr doctors make the same mistake, it’s a failure of local governance of who and where ascitic drains are done

73% of OGDs were for low yield symptoms and only 10% had any significant pathology. But how do we stop doing them? Patients expect and it’s increasingly difficult to say no when GPs refer, until we have the UGI equivalent of a FIT things will never change