Paul McCoubrie

Perfect way to end another day of wedded bliss, alongside murmured positive phrases of ‘great job today, wife; great job’

#Multidisciplinaryteam meetings are expensive and time-consuming, and they don’t advance patient care and should be replaced by protocol-driven care and smaller meetings for complex cases, says @pmccoubrie.bsky.social. buff.ly/XzK9gHG #radiology #cancercare

Condolences. She sounds quite a character

@paulsinha.bsky.social described it succinctly when recently pushing his autobiography, calling it ‘borderline psychopathic self-promotion’

As someone who came to writing later in life, I 100% get it and similarly don’t object to it from others

U.K. cancer MDTs need rethinking - recent BMJ piece. All 4000+ radiologists would breathe a massive sigh if someone could. Please and thank you

www.bmj.com/content/bmj/...

He looks like a wrong ‘un TBH

This one is close my heart. I hope it resonates you

Still a damn good camera, albeit less forgiving than modern sensors.

Cat beans annotated with a crude face

A white furry cat paw with pink beans fully shown

Anyone ever noticed that the big cat bean looks like a nose?

Decision-making is central to clinical practice, but no one seems to make decisions now, writes @pmccoubrie.bsky.social in part 2 of his series about interactions between #surgery and #radiology. buff.ly/8sT03Ls

Mushos!

Mushos!

Mushos!

The whole stump was covered in them, inviting the amateur snapper!

A whole host of Sheathed woodtuft (Kuehneromyces mutabilis) growing on a tree stump in Ennerdale, UK’s Lake District.

Out on a walk? Look down as well as up. It’s fungi season in the Northern Hemisphere. These are all sheathed woodtuft #mushroommonday

Barf the hill

View from holiday cottage

Utter incompetence is another explanation

Some sympathy for the teleradiology company. General Medical Council again not fit for purpose. How hard is it to check that an individual is trained and licensed?

A picture from Wainwright’s North Western Fells of a small hill near Bassenthwaite Lake called ‘Barf’

Planning our walking holiday to the Lake District next week. Guess which hill we are going up first?

River Doe in the Yorkshire Dales in full flow, long-exposure effect on iPhone Live Photo

Storm Amy had an upside this weekend just gone. It was a wet walk in Ingleton but the rivers were very full. Made for some glorious snaps

Coffee and a mushy pea fritter. Delicious

I used to work at Atkinson Morley’s Hospital where they had several original CT images framed on the wall, from Hounsfield’s original prototype

🏆ARTICLE OF THE MONTH: Decision paralysis
➡️ www.bjsacademy.com/bjs-academy/...

🏅In this month's most popular read by @pmccoubrie.bsky.social

#Radiology #Surgery #medsky #surgsky @bjsurgery.bsky.social @bjsopen.bsky.social #decisions

A #ClinicalExam or #physicalassessment lacks sensitivity, but to omit it entirely is short-sighted, writes @pmccoubrie.bsky.social in a new series of articles about interactions between #radiology and #surgery. buff.ly/IG5RAJl

"The sausages" in Norwegian is pølsene which is pronounced 'Paul Sinha'

“If you think it's expensive to hire a professional to do the job, wait until you hire an amateur”

Red Adair

If it were easy, it wouldn’t need such expertise and experience

Which is a feature of using less expert staff. They don’t make decisions; they kick the can down the road, they hedge, they do more tests, they keep the patient in hospital

It’s a false economy too. Costs more. And patients hate it

Mother? Why do you have pictures of my mother? And in such a compromising position too.

“Thanks for the lovely mushrooms you dropped in. Made a delicious omelette.

Unfortunately I’m now in liver ITU but thanks for your kindness

Yours sincer… [aaaaaarrrggh]”

I'm fascinated by decision-making and it's central role in clinical practice. But also it is hard these days and I explore why in my latest column

It’s like people don’t chew or something. Oh, wait. They don’t

www.wrighthassall.co.uk

Still going strong

[clears throat modestly, raises eyebrows expectantly]