Don Milliken (@milliken_don) 's Twitter Profile
Don Milliken

@milliken_don

🇬🇧🇨🇦🇺🇸
Onco-anaesthesia /
Prehabilitation /
Risk prediction /
Functional assessment /

Not medical advice

ID: 4276446922

calendar_today25-11-2015 16:55:03

6,6K Tweet

748 Followers

655 Following

Andrew Jordan (@andrew_jordan_) 's Twitter Profile Photo

Modelling student loan debt data. Based on a debt of £88,210 when finishing med school. If you go direct from FY1 - ST8 and then directly through Consultant pay thresholds - with a 3% pay uplift applied each and every year - you repay by year 30 £258434 and clear the debt.

Modelling student loan debt data. 
Based on a debt of £88,210 when finishing med school. 
If you go direct from FY1 - ST8 and then directly through Consultant pay thresholds - with a 3% pay uplift applied each and every year - you repay by year 30 £258434 and clear the debt.
Richard Murphy (@richardjmurphy) 's Twitter Profile Photo

I just listened to Tony Blair being interviewed on Radio 4. I can recall the days when Tony Blair, who had apparently never turned on a PC, believed that IT was the solution for every problem in government . Now it seems that he thinks that AI is the answer to every question.

Tim Cook (@doctimcook) 's Twitter Profile Photo

𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Sarah Massey @LeeVarney2000 National Audit Projects I think this is one key point Anaesthesia Associates currently provide <2% of anaesthesia activity and <0.2% of anaesthesia activity as a main provider If (with the long term staffing plan) this is expanded 15- to 20-fold (raising numbers from 150 to 2000) the will have a

Tim Cook (@doctimcook) 's Twitter Profile Photo

Regarding ANAESTHESIA ASSOCIATES there is -one published cost analysis bjanaesthesia.org.uk/article/S0007-… -one large survey rcoa.ac.uk/sites/default/… both of which suggest cost are higher for AAs To assess quality (casemix etc) there is only -NAP7 & while there is nuance the design did

Regarding ANAESTHESIA ASSOCIATES there is 

-one published cost analysis
bjanaesthesia.org.uk/article/S0007-…

-one large survey 
rcoa.ac.uk/sites/default/…

both of which suggest cost are higher for AAs

To assess quality (casemix etc) there is only
-NAP7 &amp; while there is nuance the design did
Mark Lewis, MD, FASCO (@marklewismd) 's Twitter Profile Photo

The note is an epiphenomenon of the patient visit Writing it during the appt is missing an opportunity for a truly human exchange (not unlike people who take so many pictures of an event or place that I wonder if they’re experiencing it as deeply as if they were fully present)

Andy Cowper (@hpiandycowper) 's Twitter Profile Photo

“People are developing magical beliefs that AI is going to transform everything in healthcare very soon. It isn’t: most of us use significant healthcare resources during the first two years and last six months of our lives.

bernoulli_defect (@bernoullidefect) 's Twitter Profile Photo

Older Brits should recalibrate their understanding of £100k+ incomes in light of inflation and tax changes: > £125k income in 2024, after income tax, NI, student loan: £69,264 > £63K in 2007, after income tax and NI: £42,845 -> £70,233 in 2024 £s

Richard Marks - London Anaesthetist (@londonanaesth) 's Twitter Profile Photo

Seems to be a lot of confused excitement over whether or not PAs "study medicine". As though somehow this is really important. But really it isn't. Lets look at an analogy Imagine an essay by a GCSE student on 'the causes of the First World War'. Their essay will be different

Sam Bowman (@s8mb) 's Twitter Profile Photo

Many Tories seem to be deluding themselves that they lost because of immigration alone. The attacks on Labour today, claiming that the economy is doing really well, suggest that they have very little grasp of how catastrophically the UK economy has performed since 2010.

Ben Chu (@benchu_) 's Twitter Profile Photo

Quite a letter from Office for Budget Responsibility - says unaware of 2024-25 spending pressures until this week (i.e not when it made its March forecast) - points out it would be one of biggest in-year overspends on record - launches review of "adequacy" of what HMT told it before the March Budget...

Quite a letter from <a href="/OBR_UK/">Office for Budget Responsibility</a> 

- says unaware of 2024-25 spending pressures until this week (i.e not when it made its March forecast)
- points out it would be one of biggest in-year overspends on record
- launches review of "adequacy" of what HMT told it before the March Budget...
Don Milliken (@milliken_don) 's Twitter Profile Photo

Having been in this situation, loss of personal allowance and childcare entitlement at £100k stifles ambition and undermines productivity. A more rational system is urgently needed. Rachel Reeves

Graham Crossley (NHS Pension Wonk) (@gdcuk) 's Twitter Profile Photo

I wonder if Wes Streeting Rachel Reeves understand the impact of tax policy on doctors ability to work? I've been talking to journalists on AA Taper & 60% tax trap & how it impacts doctors Crazy that tax policy discourages doctors from working, given current waiting lists 🤦‍♂️

La Flamme Rouge (@laflammerouge16) 's Twitter Profile Photo

It will not be recorded as a medal for him, but Van Aert holding Van der Poel's wheel was key in this race. If Van der Poel had gone solo, it likely would have been harder for Belgium to win. #Paris2024 #CyclingRoad

Jack Tindale (@jacktindale) 's Twitter Profile Photo

I say this a lot but I think Michael Johnson is the best commentator. No bullshit. No spin. Just totally honest feedback and he does it for the BBC because he thinks the American networks don't take Athletics seriously.

I say this a lot but I think Michael Johnson is the best commentator. No bullshit. No spin. Just totally honest feedback and he does it for the BBC because he thinks the American networks don't take Athletics seriously.
Louella Vaughan (@drlkvaughan) 's Twitter Profile Photo

This is why the Colleges and GMC need to draw and hold lines on scope creep etc. Independence of practice = demands for equality of pay. Which erodes ANY of the putative benefits of PAs in the longer term and puts pts at risk. Lesson here for you too Queensland Health!

Jacob de Wolff 🇳🇱🚲☕️ (@jfdwolff) 's Twitter Profile Photo

Hyperkalaemia: using Lokelma rather than insulin & dextrose for K+ 6.0-6.5 without ECG changes prevents a whole lot of insulin/dextrose related hypos & associated harm. Clinical Medicine (ClinMed) sciencedirect.com/science/articl…

Matthieu Legrand (@matthieulegrand) 's Twitter Profile Photo

The Stop-or-Not Trial published with the hotline session ⁦European Society of Cardiology⁩ in ⁦JAMA⁩ 🙏to all investigators, staffs and patients for making it possible @etiennegayat @aphp ⁦@INICRCT⁩ UCSF Anesthesia and Perioperative Care⁩ ⁦⁦UCSF Critical Care Medicine⁩ jamanetwork.com/journals/jama/…

Tim Cook (@doctimcook) 's Twitter Profile Photo

Great to see this published in 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 TLDR - Stylets best for hyperangulated VL intubation Dynamic bougies next best Standard bougies worst Effects more marked when difficulty increases Manikin studies are often criticised, but may in some cases be the optimal design.

Great to see this published in <a href="/Anaes_Journal/">𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢</a> 

TLDR - 
Stylets best for hyperangulated VL intubation
Dynamic bougies next best
Standard bougies worst
Effects more marked when difficulty increases

Manikin studies are often criticised, but may in some cases be the optimal design.