It was a pleasure to meet Dr Suprun Уляна Супрун The Lancet

It was a pleasure to meet Dr Suprun Уляна Супрун The Lancet

Picture Quiz: A man presented with dizziness & hypotension during haemodialysis & had history of ischaemic cardiomyopathy requiring LV assist device implantation. Exam showed pulsatile liver & pulsation of facial veins. What is the likely cause? hubs.ly/H0hdWCn0

Clinical Picture pearl of wisdom: Dangers of being a drug mule The Lancet bit.ly/2TI7iIo If naloxone fails search the gut for condoms. Maximum 12 mg naloxone in IV boluses. Not recommended to use infusion #heroin #condoms #naloxone

The patient had complications of #heroin body-packing. Patient was given #naloxone for #opioid overdose. Naloxone is best given in IV boluses. Not recommended to use infusion, maximum dose 10-12 mg. Read the full Clinical Picture: hubs.ly/H0hjhJW0

Picture Quiz: Based on the x-ray, what is the most likely cause of unilateral chronic pain in a 10-year-old boy’s left hip? hubs.ly/H0hnLWy0

The cause was dysplasia epiphysealis hemimelica. In progressive, chronic, orthopaedic conditions presenting in childhood, conservative management may be best. Early intervention can affect height & reduce maximum growth. Best wait until skeletal maturity hubs.ly/H0hs3By0

Picture Quiz: A 50-y-o man, who had lived in Angola & was a renal transplant recipient, presented with 4-week history of dyspnoea. Bronchoalveolar lavage was examined under microscope. What is the most likely diagnosis based on this image? hubs.ly/H0htkD00

Three things the Sudanese govt must do: respect the people’s right to gather and to freely express themselves peacef amnesty.org/en/latest/camp…

A survey or cross-sectional study needs a response rate; without it the results are of doubtful validity and reliability #BJPsychBulletin

#therapeuticjournalclub varenicline safe post heart attack no mental health effects http:dx.di.org/10.1016/S0140-… dx.doi.org/10.1016/j.ahj.…

Smoking cessation for psychiatric patients. #BJPsychBulletin x.com/JonathanPimm/s…

Use validated reliable questionnaires if at all possible #BJPsychBulletin

The happiest city to work in is... Norwich theguardian.com/careers/galler…

Should Rory Bremner be treated for ADHD? He might lose his spontaneity and his wit. #Rory Bremner

The Lancet Psychiatry, May 2017, Volume 4, Issue 5, Pages 347-426, e8-e10 thelancet.com/journals/lanps…

Now senior editor @ The Lancet and very happy.

Looked at Bulletin at CUP website. Looks great. New editor Norman Poole. A new dawn with new leader and new owner. Think it is better.