Dear people of Britain I appreciate that you're probably a bit bored now. Please be careful. It's a tad busy in EDs where I work and although japesome frolics may be fun, we don't want to have to stitch you up, remove foreign objects, or treat your burns. Be safe. Love ED

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Did not have “Olympic Ski Jumper Penis Injections” on my bingo card when searching for coverage of the Curling #WinterOlympics26 bbc.co.uk/sport/articles/cze…

Today I saw a patient whose notes read " He could climb the stairs in railway station to catch his train on the platform 3, with a suitcase easily 9 months back. Now he gets breathless with a small backpack" His cardiologist had written such beautiful, detailed functional assessment. Simple variables like BP, pulse rate etc have their place - but are often reductionist. That's where a clear description of fitness /frailty comes in. The cardio could have written NYHA class and called it a day. But he made it so vivid that anyone can understand. And in a beautiful handwriting. Reminded me of my cardiology Prof JBC. Doctor goals : write such beautiful case history that another doctor is so impressed that he shares it online 😍

Found a printout on the ward from ChatGPT indicating a colleague had asked it a long, complex medical question about a specific patient. Words cannot express what a bad idea this is.

The inability of leaders to delegate is one of the most significant blockers in workforce productivity & in making change happen. So I appreciated this new article by @RoFernn that offers a refreshing perspective & practical actions. Teams often don’t see the pressure that their leaders carry. Leaders fear that if something goes wrong, it will ultimately fall back on them. That’s why delegation feels risky: when we delegate, we can no longer control every action or thought. We can only have influence. The shift from control to influence triggers more fear. Most leaders don’t struggle with delegation because they don’t know they should delegate. They struggle with the daily symptoms of not delegating. The core problem is often a lack of clarity, trust & good processes. But because leaders are constantly firefighting, they rarely get the chance to step back & see it. Effective delegation focuses leaders on controlling what they can control: providing examples of what good looks like; leading by example - creating shadowing & learning opportunities; continuously improving clarity; designing systems with built-in visibility so fewer status meetings are needed & setting clear principles & fair rules. What actions can we take to enable both oversight (direction/control) & autonomy (delegation)? 1) Define the outcome & success criteria: don’t tell people how to do something - make the “what” crystal clear 2) Create visibility without micromanagement: build check-ins, dashboards & visual cues 3) Systematise autonomy: Build templates, process checks & decision prompts so teams can act effectively without leader presence 4) Multiply effort with repeatable systems: delegation through systems (templates, shared steps, clear rules) supports sustainable delegation 5) Use the “Five levels of delegation” to build autonomy: The author suggest using the @MichaelHyatt model to work out where current levels of delegation are & how people can move up stages as capability & systems improve Article: medium.com/@rociofernn/the-b… The Michael Hyatt "levels of delegation" model: fullfocus.co/the-five-levels… Graphic via @hosseini_samira

You can definitely tell the summer is over by the number of emails flying around and the number of urgent Teams meetings being scheduled

Every single man jack of the squad, those that didn’t play, through injury or rotation, Lee Grant and the coaching side, the medical staff, and @KevinNagleMLS Not the surprise of the round - HT to the chickens, Wendies, and Cambridge - but that's big for #htafc

If this government push through legislation to sell off allotments there should be a counter movement to re-wildlife golf courses. it's only fair.

Was in France recently A local supermarket had solar panels over the car parking spaces. Surely this, the roof of every suitable public building, and on every new home, is the way to go? Keep greenbelt for farming and leisure/wellbeing

Today is my last day as Head of Severn School of Radiology. This has been the best job of my career so far and a real privilege to support our radiology residents through their training. A few reflections on educational leadership follow. 🧵 1/10

Just been subjected to @AppleMusic 's "Top25 Manchester" Not one of the auto tuned, manufactured artists wrote a line half as good as "Son, I'm thirty I only went with your mother cos she's dirty" I guess I'm getting old

So true. I realised today I'd been 17 years in my shop - with a couple of years loaned out. Still true. I love EM. The team. The patients. The variety. Not stopping, or moving, any time soon. Thanks @Rick_Pescatore you nailed the job description

Interesting chat with a good friend who is currently in our shop waiting for care. How much can, and should, you influence care for those you know in the ED? stemlynsblog.org/vip-ed-st-e… #MedEd ping @stemlyns

As we winter deepens some advice from an aging Emergency Doctor about how to keep going, sometimes smiling and very occasionally thriving 1, Control the controllable—health policy and funding are not your responsibility, and you do not need to feel guilty or responsible for them

Glad that's cleared up then. The Oasis residency at Heaton Park next year will likely be fun for those there. Even if they are covered in others urine and paying £10/drink, half a mile from the stage, with shit sound. It'll be hell for the local EDs, including mine.

Possibly one of the most beautiful images ever. Get outside. Good night for stars and Perseid meteors and perhaps aurora