gordon launcelott retweeted
Replying to @AirwayMxAcademy @mick_kerr @jeffgadsden @amit_pawa @EMARIANOMD @elboghdadly @RegionalAnaesUK @docmorne @DrJeniMD @EngySaid_MD @ajrmacfarlane @galusweegie @Nadia_Hdz_MD @michyaries888 @pritanand @BlockIt_Hot_Pod @deepak_neuro @rosie_hogg @DrNavSidhu @NavBahal @PeterMerjavy @DrTuhinM
This is getting interesting ☺️
I don’t use POGUS ..I’m elderly and near retirement 😜..maybe I should get trained for interest but I’m busy doing other things.
Also..Are we not ALL airway experts ?? I certainly consider myself to be one.
gordon launcelott retweeted
Things fall apart; the centre cannot hold;
Mere anarchy is loosed upon the world,
The blood-dimmed tide is loosed, and everywhere
The ceremony of innocence is drowned;
The best lack all conviction, while the worst
Are full of passionate intensity.
W.B. Yeats
gordon launcelott retweeted
Replying to @MHJ83AD @jeffgadsden @KalagaraHari @KartikBSonawane @HouthoffKavita @ESRA_Society @DaraEsra @DrRobbieErskine @AoraIndia @vrushali_ponde @Ropivacaine
Thank u .. Citation: Imbelloni LE, Chandra R. The state of the art of thoracic spinal anesthesia. From Jonnesco in the early 20th century to the present day. J Anesth Crit Care Open Acces Source:%20National%20Institutes%20of%20Health%20(NIH)%20%7C%20(.gov) share.google/XayAJ5IOQ4npGXq… Source:%20Gavin%20Publishers share.google/qgorZV2bf3FHlyh…
gordon launcelott retweeted
Excellent analysis of the banking crash of 2008 and its consequences - which we are still living with.
Those consequences have had a polarising effect, across the world. Heaping the costs of bailing out the banks & financial institutions onto the people while failing to hold those responsible properly to account has (@afneil argues) led to the rise of Le Len, AfD, the populist Right in Sweden, to Donald Trump and to Brexit.
Quite a list!
gordon launcelott retweeted
Three golden rectangles, set mutually perpendicular, quietly define a regular icosahedron. Their twelve corners are exactly its twelve vertices.
gordon launcelott retweeted
Yesterday s case -h/o asthma n HTN post chemo therapy 3 cycles ..under TSSA MRM was done , it was difficult surgically .lots of adhesions ..took 3 hours ..I gave 1.4 mL isobaric Levo with 7.5 mcg dex ..at T 5/6 level ..worked well .
gordon launcelott retweeted
Replying to @DrAndyLangdon @jeffgadsden @glauncel @HouthoffKavita @RootDocFASA @amit_pawa @DaraEsra @ESRA_trainees @CAREsraPortugal @ESRA_Society @claralexlobo @Wilkinsonjonny @KalagaraHari @ajrmacfarlane @Nadia_Hdz_MD @rhasnab @MKwesiKwofie @James_Kim_MD @PeterMerjavy @NYSORA @Jerryblocksthat @Jennythatcanbl1 @rosie_hogg @DrJeniMD
I started with standard 18g epidural catheters but have since tried only a couple of intralong CSA catheters
One slight concern is that the catheter is very fine and could fracture on removal ??
I find the 18g epidural to be very useable and I am not so concerned about breakage
gordon launcelott retweeted
Je ne m’en lasse pas.
46 mesures, 4 minutes d’éternité. En juin 1791, Mozart dépose dans l’Ave Verum Corpus un fragment de ciel. En 1990, Bernstein le fait revivre à Waldsassen, comme si chaque note était trop sacrée pour s’achever.
Renversant.
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This artist performs one of Vivaldi’s most difficult pieces… on the accordion...
A work usually played by a full orchestra, here performed solo with astonishing precision and intensity.
gordon launcelott retweeted
Having listened to the arguments of both sides over the last year, I'm no longer on the fence about Israel's war. Here is why:
gordon launcelott retweeted
But it couldn’t be social contagion, folks. It’s just that young people, especially autistic, gay and mentally ill ones, are finally free to be their authentic selves.
The sudden explosion of young women who want to cut off their healthy breasts and take testosterone? Well, it’s absolutely not the newest form of self-harm, to which troubled adolescent girls are provably prone, ok? It’s not a consequence of the commonplace fear of becoming an adult woman, with all that that entails. No, there’s nothing to worry about there.
The possibility of regret? Naturally, we don’t let minors get tattoos or own guns or vote, because that would be ridiculous, but if they want irreversible surgeries and drug treatments, they must be given them, and everyone around them must immediately agree they are now the opposite sex. That’s called being kind.
And the mounting numbers of detransitioners? They were never trans, obviously, and should be mercilessly attacked, especially if they now say they were vulnerable and in a friendship group, online or off, dominated by trans identities, where transitioning was presented as a way to resolve all their social and emotional difficulties. (I have the emails).
No, there’s nothing whatsoever to see here. Keep justifying it, keep cheering it on, keep insisting that the doctors and drug companies making serious money out of it all are acting with the purest of motives. Answer every reasonable question with an accusation of hatred and bigotry. Dispel every qualm of conscience with an activist-approved talking point. Reassure yourself that everyone on your dinner party circuit agrees with you.
And when, in years to come, we’re all looking back on graphs like this, be proud that you did your bit to monster whistleblowers, parrot unevidenced claims and create the climate of fear that allowed the worst medical scandal in a century to take place.
This data never ceases to "amaze" me. In 2005, very few people received any transition related genital surgery (120 over the whole of 🇩🇪), in 2025 it was 4,184.
And the shift in the age distribution is staggering: Surgeries on 18-25 year olds were almost non-existent in the noughties, now they dominate every other age group by a large factor.
(This is official data)
gordon launcelott retweeted
A few weeks ago I sent the final draft of the fourth volume of The Political and Strategic History of the World to my publisher, and I must confess, when I finally pressed “send,” it was a relief.
It is a history of the world, but since people make history, it is a history of people: great people, terrible people, mediocre people, evil people. I set out to write a magnum opus, and after eight years of almost daily toil I am gratified with the end product.
With this last volume I will have almost run my course as a historian—but not quite.
I will continue to offer my commentary on current events so long as there is an audience interested in reading it, but my real passion since I was a boy continues to be history. And between us, it sometimes gets awfully tiring writing about Donald Trump or Mark Carney or the latest entrant through what has become the revolving door at 10 Downing Street.
Which brings me to my point. I have launched a Substack. It will include some missives on contemporary politics when, as happens from time to time, I feel the need to get something off my chest, or wish to let my hair down to a greater degree than my editors would allow. But mainly it will be about the fascinating people and events that have shaped the world. I am starting out with a series on what I regard as the most important speeches ever delivered. If you, too, love history, please consider joining me.
I will provide a link in the comments below.
gordon launcelott retweeted
Let me introduce you to this amazing structure. It scares many people who learned it as medical or paramedical student, but to me it’s wonderful clever & beautiful. A triumph of developmental neurology and essential in all we do- let me introduce the brachial plexus via a thread
gordon launcelott retweeted
Steven Pinker on postmodernism.
More great Pinker quotes here: stevestewartwilliams.com/p/t…
gordon launcelott retweeted
Nonsense. It's the inability to balance metabolically (get rid of), the carbohydrate content of a high carbohydrate diet. This causes increased fat production (de novo lipogenesis) in the liver, exactly as Dr Norwitz @nicknorwitz elegantly explains, leading to increased insulin resistance, obesity and type 2 diabetes.
In those who do no exercise, the body is simply not designed to cope with a carbohydrate intake of more than about 250g/day. Yet the dietary guidelines that have been promoted across the globe until very recently, encourage unlimited carbohydrate intakes, often exceeding 500 or more g/day. The explosion in global rates of obesity since 1977 is relatively easy to explain. It has been caused by (associated with) a dramatic increase in daily carbohydrate intake NOT IN FAT INTAKE.
Replying to @Olusholzz
The cause of insulin resistance is fats, it has always been fats.
Normal humans have metabolic flexibility.
The solution to all this think pieces to make yourself sound smart is this, keep your fats < 20% of calories if you're healthy.
And <10% to reverse insulin resistance.
*Neurogenic Thoracic Outlet Syndrome* The thoracic outlet is a specific region of anatomy; like the carpal tunnel, or the abdomen, a named space rather than a diagnosis in itself. It sits at the base of the neck, between the collarbone and the first rib. nerveinjury.co.uk/thoracic-o…
gordon launcelott retweeted
ovid.com/jnls/ijaweb/pdf/10.……total laptoscopic hystrectomy can be conducted under TSSA
gordon launcelott retweeted
1885 Sept 27: Newspaper item "Curiosities of Local Anaesthesia" About two items in the Sept 19 issue of the "New York Medical Journal" #histmed #medicalhistory #anesthesiahistory


























