I’m sending a collection of these to my wife. Any good boob shaped ones?

Exactly, it’s counter-productive to blame individuals for doing the best they know how in a broken system.

Escalating conflict with someone with delusions of persecution is exactly the wrong thing to do.

Not knowing the system in the UK means I can’t give very good specific advice. You may be able to contact a local mental health network and there is a good chance they will know him. Let them know what is going on in as much detail as possible and suggest that he is increasingly agitated and alienating himself from the community. It sounds like this gentleman needs a conpulsory treatment order or whatever the UK equivalent is.

Like every new technology that is hailed as changing everything it is settling into a small handful of niches.

I use a service called Consensus which will unearth relevant academic papers to a specific clinical question, in the past this could be incredibly time consuming.

I also sometimes use a service called Heidi that uses voice recognition to document patient encounters, its quite good for a specific type of visit that suits a rigid template but 90% of my consults i have no idea why they are coming in and for those i find it not much better than writing notes myself.

Obviously for creative work it is near useless.

I dislike this idea that government run is bad.

I recently changed my name and had to call several government agencies and found them competent and helpful every time.

I’m a GP, here’s my opinion

Can’t have eaten/drank anything for the last half hour

• in principle could alter your BP but I wouldn’t worry too much unless it’s quite a large meal

Feet flat on the floor

• yes, this is important

Lying down but sitting up

• for some purposes docs want lying/sitting/standing but for home measurements do them sitting

Back against the chair

• yes

Don’t cross your legs/ankles

• yes, feet flat on the floor

Only use your left arm

• myth, if there is a significant difference between your left and right arms there is something funky going on with your subclavian arteries

Hand facing upward/downward

• not super important

Keep your arm down/raised

• keep your arm relaxed, ideally resting on a table or desk at close to 90deg or hanging straight down

Most important is be relaxed, sit still, don’t move your arm, if you get a high reading calm yourself and take it once more then leave it.

When I’m taking a BP in clinic the most important thing I do most of the time is distract the patient from the machine with some patter as for most people the biggest confounding factor is stressing about what the reading will be, I don’t correct posture etc unless they are substantially moving their arm around.

I have taken my own BP manually, it ain’t easy

You’re probably talking about the Chinese social credit score, not a replacement for currency but is up and working.

I think this is true and until we have easily accessible and free mental health services it is the next best option and far more likely to do good than harm.

Modern guns a extremely precisely engineered devices that are incredibly easy to use, for better or worse. I know modern sporting bows are also but it’s no contest in my opinion.

I’ve shot both, bows as a complete amateur and relatively competent with a rifle. There is no question that a modern gun is way easier to pick up as an amateur and hit what you want to hit and I cannot possibly believe there are anything other than extremely niche uses where a bow is superior.

I’m very much a privacy amateur but am interested in comments on my set up, I’m sure it’s not ideal.

I use firstname@lastname.tld for personal email. Anything @lastname.tld forwards to my main email so for the rare occasion I need to access Facebook my account is facebook@lastname.tld and so on for any other untrustworthy sites.

I can easily block emails from a leak or just if unsubscribing is made difficult.

Ug r the khez th ia2zugk8

We need to start letting people and organisations know that this isn’t acceptable. I’ve been guilty of just using an anonymous account or letting it slide but having a mailing list is not much effort for example, honestly having a basic website is pretty cheap and easy.

The Socratic method is used extensively in medical training to the point that I think most doctors wouldn’t think of it as the Socratic method but rather just as the way you speak to students and trainees.

I can’t imagine how it could work in a lecture hall, it’s best used one on one or at most small groups.

Someone told this to workers at a cafe I go to occasionally. They don’t usually have a particularly long wait which makes it seem insincere and a little ridiculous.

That’s what we call damning with faint praise

To be clear it has become popular as a substitute for (or adjunct to) smoking. As a quitting aid it isn’t especially effective, even if slightly more effective than NRT.

I must say in my practice I haven’t seen anyone quit using vapes, it just becomes a substitute.

Thankyou, I have been relying on an article I read several years ago, which in my memory was Cochrane also, I may be able to track it down. Turns out I’m out of date on that stat.

I stand by it having uncertain long term consequences when other forms of NRT are proven safe.

Vaping is about as effective as a quitting aid as other nicotine replacement methods but with an as yet undefined long term risk profile.

Buy them some gum or patches instead.

He leaves office to use his fortune to set up a charitable foundation leaving a JD Vance presidency