Paul McCoubrie

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]

🏆ARTICLE OF THE MONTH: I’m exhausted
➡️https://buff.ly/Jbcg4Bt
“These were the words of one of my surgical colleagues as they slumped into a chair next to me one morning. I felt a pang of guilt: they were everything I was not. ”

🏅In this month's most popular read!

I loved this piece by Giles. Glorious. A paradoxical anti-law. Worth 5 mins of your time

I went once. Not a single lizard. They should rename it. Tsk!

A radiology request misspelling the word “hearing” as “herring”

A rather fishy radiology request

This is high order art

[polite applause]

Had to have a cold shower this morning - boiler on the Fritz temporarily. Not my usual thing TBH

You know how it’s supposed to make you all energised and refreshed?

I felt cold. Cold and miserable. And a bit angry

0/10. Would not recommend

Archetypal NHS presenteeism. I get that.

Today’s German-compound-word that-we-could-really-use-an-English-equivalent-of Number 238:

“Verschlimmbessern”

To paradoxically make things worse in honest but failed efforts to make things better

See also: NHS reforms of this century

An epic DR and Quinch cartoon where Marlon gets killed by an orange avalanche

No DR and Quinch fans in?

You need an uncooked baking potato per person and a number of small litter bins

Divide into teams, one bin each ~10’ away

The aim of the game is for each person to place their potato in the bin

Except they have to carry it between their thighs/butttocks, waddle then drop it in the bin

So funny

I blame Trump. He’s normally at the heart of most latter day Murcan evils.

Well, that’s enough about me. Any comment on current affairs?

Why I’m still so suspicious of AI AI systems are remarkable achievements, but there is a way to go before I’ll lift my scepticism of their role as anything other than a tool to be deployed judiciously and alongside other, human, solut...

Chris has been writing again. I know it is *another* column on AI but, as always, he writes with aplomb

www.auntminnieeurope.com/imaging-info...

We appreciate your continued service to the internet. 11/10: would recommend

Washed up: the end of an era for adrenal incidentaloma CT - Insights into Imaging Abstract For over 20 years, the two key tenets of adrenal incidentaloma (AI) evaluation have been the upper threshold of 10 Hounsfield units (HU) on noncontrast CT (ncCT) to delineate benignity, and t...

Bit of a game changer for the radiology of incidental adrenal lesions.

Fairly compelling argument for (1) doing away with washout CT (2) calling <4cm 10-20HU lesions benign

My life may just be about to become a little easier

insightsimaging.springeropen.com/articles/10....