Bryn

If it makes you feel any better I donated for the first time a couple of weeks ago. Appalling given my line of work I know.

Yep, they're brilliant. I'm a doctor and in most cases I'd still stick the defibrillator into automatic mode, it's a frantic situation and it adds a measure of calm. In most contexts I wouldn't need the manual features.

I think most do, although I'm not sure if it is a requirement. Unfortunately not all cardiac arrests can be reversed with defibrillation, which is why CPR remains so crucial.

If it is indeed the case that he suffered a heart attack leading to cardiac arrest and was defibrillated, it really emphasises the value of widely accessible and easy to use defibrillator kits. When circulation is interrupted, time is tissue, that is to say brain cells and heart muscle. Effective CPR can prolong the period before irreversible and fatal damage is done dramatically but shocking someone out of cardiac arrest rapidly has potentially amazing outcomes. If he went down like that in his own home, he would probably have died. I remember when I read that Carrie Fisher had been taken ill, I knew her chances were so slim in that setting. I suppose the message is it is worth knowing where the defibrillator is in your place of work and how to operate it. If you don't have one I'd campaign to get one. And I'd jump at the chance to learn basic life support skills.

I'm pretty sure when I watched your video before it had just commentary.

YouTube sometimes removes copyrighted audio and replaces it with free to use music.

I might actually get this.

They were loud.

Thought it was awesome today. Thunderous. And a genuinely amusing back and forth with the Porto fans.

To me it's clear a change of shape is needed badly and I think Gray will profit from it. Either 4 3 3 or 4 2 3 1 with Gray on the left.

107 on my phone, would have got them all on a PC I reckon.

Dick on road

Tits on the fake Sansa though.

Yes, they do. SHO is an old term. I am an "SHO" as a second year. Consultants cannot opt out of emergency weekend care. A consultant is on call for every specialty 24/7 and often work over 16 hour days over the weekend of shit hits the fan. Patients often do move over weekends, weekend consultant ward rounds are increasingly common and consultants agreed to contract change to facilitate this. If they don't move it's rarely because they are not declared medically fit.

I've decided I'm not saying another word on this. It's done. The BMA have sold us out and agreed to a contract that is unsustainable and even more punitive than the one we striked for. We went through all that, patients went through all that, our consultants and nursing colleagues went through all that, for nothing. I could not be more dejected.

Oh and look out for the nursing contract negotiations. You have to hand it to the DoH by the way. Handed the BMA it's arse on a plate.

I think so. It's nothing concrete though is it. Neither is not putting whistle blowing protection into legislation, neither is an hours guardian. I'll tell you what will happen. We will vote to sign the contract with a slender majority because we've had enough of striking and won't get anywhere. Then a huge number of us will leave. Those that are left will simmer with resentment. Numbers applying to specialty training will continue to fall. And the NHS, with its targets achieved numbers plummeting every year since 2010, will break.

Initial thoughts based on one read of the ACAS statement. 1) The pay offered for nights and weekends appears to have gone down even further 2) Some of the crucial conditions for safe and fair working, such as whistle blowing protection, have been achieved, but it seems to have be in exchange for an even deeper pay cut than ever proposed. Time and a half overnight has gone down to 37%, 37% on a Saturday has gone down to 2-10% for an entire weekend, the basic pay increase has gone from 13.5% to 11% and the highest rate for an ST8 of probably about 10-15 years of experience and just below consultant level has been abolished. 3) Still no explanation for how fewer doctors working fewer hours are meant to cover more days per week safely when there are already rotas gaps of up to 40%. I don't see this getting past a referendum.

Schmorkanthrezdy.

What a fycking melt

Where are you a student? If your uni has a dental school you can sometimes get free treatment from trainee dentists. Only if he is a risk to himself or others I would say.

I reject any insinuation that the workforce can give any more than it does already, the only reason it functions as it does is because we're all grinding ourselves into the ground for it. Not that I think throwing money without a strategy at it does any good either.

I can't even be arsed.

Course it means there's an extra forty billion, that's why pretty much every single target is getting worse and worse.

I don't have the numbers to hand but isn't it 30bn of efficiency savings with 10bn extra going in?