Joanne Dale

Guidelines for anaesthesia and sedation for patients who are breastfeeding Introduction Breastfeeding is acknowledged widely as one of the most effective ways to ensure the health and well-being of both child and birth parent. Historically, advice given to patients who req...

associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....
“Sleep and keep” rather than “pump and dump” -
Remember also to not co-sleep post anaesthetic/opioids and that patient is not primary carer for children same day as procedure/min 12hrs post anaesthetic

#ColorectalCancer is now the leading cause of cancer death in females and males younger than 50 years combined in the US, surpassing other cancer types over the past three decades.

️ 📽️ Watch the video and read the full article:
ja.ma/4pRCZOH

Graph titled 'Social Media Time Trajectories by Age' from JAMA, published online October 13, 2025. It charts social media use vs. age (9-13), showing trajectories for high (5.8%), low (36.6%), and no/very low (57.6%) social media use.

In US adolescents, increasing social media use from ages 9 to 13 was associated with lower scores on measures of reading, memory, vocabulary, and composite cognition.

ja.ma/4poAl2P

Nanoplastics are teeny-tiny chemicals that are hard to detect and may lead to health complications. Although, they need to be studied further to fully understand all the potential health impacts.

Cyclone Alfred update.
No power since Sat night (no phone or internet)…
Learning how to cook on camp stove (without google advice). Ignore the burnt crust

U.S. Terminates Funding for Polio, H.I.V., Malaria and Nutrition Programs Around the World Here are some of the 5,800 contracts the Trump administration formally canceled this week in a wave of terse emails.

U.S. Terminates Funding for Polio, H.I.V., Malaria and Nutrition Programs Around the World www.nytimes.com/2025/02/27/h...

Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts.

Here’s a list of just some of the lifesaving awards that were terminated. Nearly all were Congressionally mandated. They’ve saved millions of lives. 🧵

Just asked RACS when it is joining the team @anzca.bsky.social…

WHO comments on United States announcement of intent to withdraw The World Health Organization regrets the announcement that the United States of America intends to withdraw from the Organization. WHO plays a crucial role in protecting the health and security of the world’s people, including Americans, by addressing the root causes of disease, building stronger health systems, and detecting, preventing and responding to health emergencies, including disease outbreaks, often in dangerous places where others cannot go. The United States was a founding member of WHO in 1948 and has participated in shaping and governing WHO’s work ever since, alongside 193 other Member States, including through its active participation in the World Health Assembly and Executive Board. For over seven decades, WHO and the USA have saved countless lives and protected Americans and all people from health threats. Together, we ended smallpox, and together we have brought polio to the brink of eradication. American institutions have contributed to and benefited from membership in WHO. With the participation of the United States and other Member States, WHO has over the past 7 years implemented the largest set of reforms in its history, to transform our accountability, cost-effectiveness, and impact in countries. This work continues. We hope the United States will reconsider and we look forward to engaging in constructive dialogue to maintain the partnership between the USA and WHO, for the benefit of the health and well-being of millions of people around the globe.

WHO comments on United States announcement of intent to withdraw bit.ly/4hrbeJ7

Just to be sure they are clean - my clothes often get rinsed ‘again’ on the line a few times before I bring them in…next weekend #summerrain

SB motility should always be assessed in the surgical management of slow transit constipation…. On spectrum of hollow visceral neuropathy or systemic neuropathology

Merry Christmas 2024

An 80yr old having colorectal surgery requiring GA - I would generally indicate 1/5 chance of not returning home (multifactorial, nursing home), 30% rapid cognitive decline over 1yr (more then if didn’t have surgery/GA).
I discuss regional options to reduce risk cognitive decline in essential surg

👏👏 Even more importantly - if patient is 50yrs or older/ post menopausal - find the cause of Fe deficiency - excess loss GI source needs exclusion

Agreed…start posting and encourage others…and stop using 🦜

#christmastree

So I shouldn’t ask about your dental health, last optometry visit, HPV screening, breast or bowel cancer screening then?
A walk in nature?
#kangarooinbackyard

Early onset colorectal cancer is likely multifactorial environmental - diet (low fiber, high fat, high sugar, processed food), overweight between 18-40yrs, alcohol, ? microbiome through microplastics, ?? sleep ??? light #never2young

Rates of bowel cancer are rising in 25-44yrs
Know the ‘bowel’ symptoms - see your GP, be examined and get tested
If you have symptoms don’t do a screening poo test
#bowelcancer #N2Y

From another platform/history…but so good that I had to restate

Coming home #labrador

A new beginning #bluesky
I joined 🐦‍⬛ in 04/2016 and as of today 🪹
Forgive me as I learn a new platform. Happy to be given #tips (or just #dog images) 🐾