Ed Palmer
@doced.bsky.social
Doctor in Anaesthetics & Intensive Care Medicine | Part time academic | R enthusiast | Sci-Fi fan | Dad
https://doced.github.io
https://doced.github.io
Pinned
Ed Palmer
@doced.bsky.social
· Dec 3
People often talk about the time critical nature of sepsis. But it may surprise you to hear that the evidence to support “early” antibiotics actually isn't a settled debate. Why is that? The key question is “early in relation to what”? 🧵 1/n
First time using outlook for android (by necessity). Pretty awful user experience. How do people workflow tasks that require looking at email and calendar at the same time?
November 1, 2025 at 11:05 AM
First time using outlook for android (by necessity). Pretty awful user experience. How do people workflow tasks that require looking at email and calendar at the same time?
Reposted by Ed Palmer
"One intangible advantage of capillary refill time is that performing it brings the clinician back to the bedside to reassess the patient. This act may be itself the holy grail of early sepsis management."
great piece on #sepsis
great piece on #sepsis
💬 Editorial: While capillary refill time shows promise for early #SepticShock management, integrating it into broader, multimodal resuscitation strategies remains key to improving outcomes.
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
#LIVES2025 @esicm.bsky.social
ja.ma/4hAs5u7
October 29, 2025 at 2:32 PM
"One intangible advantage of capillary refill time is that performing it brings the clinician back to the bedside to reassess the patient. This act may be itself the holy grail of early sepsis management."
great piece on #sepsis
great piece on #sepsis
Masking up on public transport for the approaching winter. Get some funny looks. I just enjoy being less sick. Weird.
October 3, 2025 at 3:31 PM
Masking up on public transport for the approaching winter. Get some funny looks. I just enjoy being less sick. Weird.
Fascinating how so much food has its protein content promoted front and center. Even bread. Even though most of these sources lack the necessary amino acids for utilisation. Nutritional awareness in the UK is silly.
September 12, 2025 at 2:51 PM
Fascinating how so much food has its protein content promoted front and center. Even bread. Even though most of these sources lack the necessary amino acids for utilisation. Nutritional awareness in the UK is silly.
Reposted by Ed Palmer
Doing shit statistics.
What's something that isn't considered embarrassing but you think it should be?
August 23, 2025 at 7:17 PM
Doing shit statistics.
www.theguardian.com/politics/202... what a collosal and irresponsible waste of tax payer money this would be. I could think of thousands of better uses for this money.
Deal to get ChatGPT Plus for whole of UK discussed by Open AI boss and minister
Exclusive: Deal that could have cost £2bn was floated at meeting between technology secretary Peter Kyle and Sam Altman
www.theguardian.com
August 24, 2025 at 7:39 AM
www.theguardian.com/politics/202... what a collosal and irresponsible waste of tax payer money this would be. I could think of thousands of better uses for this money.
I think it's incredible that AI is going to kill us all, not because it's a super intelligence that has deemed us an existential threat, but because it's just so overwhelmingly stupid
"They (AI chatbots) not only repeated the misinformation but often expanded on it, offering confident explanations for non-existent conditions."
www.mountsinai.org/about/newsro...
www.mountsinai.org/about/newsro...
AI Chatbots Can Run With Medical Misinformation, Study Finds, Highlighting the Need for Stronger Safeguards
www.mountsinai.org
August 15, 2025 at 3:35 PM
I think it's incredible that AI is going to kill us all, not because it's a super intelligence that has deemed us an existential threat, but because it's just so overwhelmingly stupid
Reposted by Ed Palmer
August 14, 2025 at 8:00 PM
Reposted by Ed Palmer
Digital literacy should really be a minimum requirement to run a country
August 5, 2025 at 4:28 PM
Digital literacy should really be a minimum requirement to run a country
This is actually a pretty good idea. It's become very trendy in recent years to install a wood burning stove. Which is idiotic. Massively increases indoor air pollution and contributes to local particulate emissions (amongst other things). We should look at this as we do smoking.
We know it’s the height of Summer, but interior magazine editors are currently planning their #Christmas editions. Can you write to them, asking them to consider not using images of blazing fires on their front covers or within features this year? #AirPollution #WoodBurning
Writing to magazine editors about Christmas editions — Mums for Lungs
Help us raise awareness with magazine editors that using images of stoves and fires in their magazines inadvertently promotes wood burning.
www.mumsforlungs.org
August 6, 2025 at 10:59 AM
This is actually a pretty good idea. It's become very trendy in recent years to install a wood burning stove. Which is idiotic. Massively increases indoor air pollution and contributes to local particulate emissions (amongst other things). We should look at this as we do smoking.
Reposted by Ed Palmer
We know it’s the height of Summer, but interior magazine editors are currently planning their #Christmas editions. Can you write to them, asking them to consider not using images of blazing fires on their front covers or within features this year? #AirPollution #WoodBurning
Writing to magazine editors about Christmas editions — Mums for Lungs
Help us raise awareness with magazine editors that using images of stoves and fires in their magazines inadvertently promotes wood burning.
www.mumsforlungs.org
August 6, 2025 at 8:00 AM
We know it’s the height of Summer, but interior magazine editors are currently planning their #Christmas editions. Can you write to them, asking them to consider not using images of blazing fires on their front covers or within features this year? #AirPollution #WoodBurning
Its come to my attention that pokemon cards are valuable again? I have the entire original run, including all holographics in an original presentation folder. Pretty much all in mint condition. Does anyone know how I can go about getting them valued?
August 4, 2025 at 7:25 AM
Its come to my attention that pokemon cards are valuable again? I have the entire original run, including all holographics in an original presentation folder. Pretty much all in mint condition. Does anyone know how I can go about getting them valued?
I occasionally get asked why I chose medicine as a career. Easy answer. 50% following my brother whom I adore. 50% @robertpicardo.bsky.social who was the best doctor in starfleet. Naturally I didn't say this in my interview, but on reflection, I wish I had!
July 31, 2025 at 6:53 PM
I occasionally get asked why I chose medicine as a career. Easy answer. 50% following my brother whom I adore. 50% @robertpicardo.bsky.social who was the best doctor in starfleet. Naturally I didn't say this in my interview, but on reflection, I wish I had!
Of all the bad medical takes, this is one of the worst. Well played bad medical takes... Well played.
July 30, 2025 at 2:19 PM
Of all the bad medical takes, this is one of the worst. Well played bad medical takes... Well played.
As I come to the end of my training, and my 27th and final rotation, I have reflected on this rotational aspect. It has made me extremely adaptable and provided a rich background of experience. But equally, it has broken me, prevented me from creating the social connections that are so... human.
July 29, 2025 at 7:34 PM
As I come to the end of my training, and my 27th and final rotation, I have reflected on this rotational aspect. It has made me extremely adaptable and provided a rich background of experience. But equally, it has broken me, prevented me from creating the social connections that are so... human.
Reposted by Ed Palmer
My latest, exploring with numbers how the millennial household budget is basically incomprehensible to retired boomers.
WASPInomics and the magic avocado tree
Why boomers struggle to make sense of the millennial world.
open.substack.com
July 29, 2025 at 7:29 AM
My latest, exploring with numbers how the millennial household budget is basically incomprehensible to retired boomers.
Reposted by Ed Palmer
Who was it that described “Shrodinger’s resident doctor”?
Too important to strike, yet as an “apprentice” not important enough to pay properly …
Too important to strike, yet as an “apprentice” not important enough to pay properly …
July 28, 2025 at 7:45 PM
Who was it that described “Shrodinger’s resident doctor”?
Too important to strike, yet as an “apprentice” not important enough to pay properly …
Too important to strike, yet as an “apprentice” not important enough to pay properly …
Reposted by Ed Palmer
Every. Single. Story. about women not using AI as much as men portray it as bad for their future career prospects (without a shred of evidence) and a result of women being fearful little ladies rather than looking at AI's output and saying "this sucks, it's not going to help me."
For women, the increase of AI use in the workplace may affect their careers: Harvard study
Women are using AI significantly less then men and it’s going to have a major impact on their careers, according to extensive research on the topic.
www.ctvnews.ca
July 26, 2025 at 3:47 PM
Every. Single. Story. about women not using AI as much as men portray it as bad for their future career prospects (without a shred of evidence) and a result of women being fearful little ladies rather than looking at AI's output and saying "this sucks, it's not going to help me."
Please stop using chatGPT in clinical contexts. If you don't know the answer, check a reputable source or ask a colleague. ChatGPT is absolute medical garbage and not safe to use in this context.
July 25, 2025 at 11:22 AM
Please stop using chatGPT in clinical contexts. If you don't know the answer, check a reputable source or ask a colleague. ChatGPT is absolute medical garbage and not safe to use in this context.
Reposted by Ed Palmer
Last week, Em Dash had some things to say. Now, it's En Dash's turn. What's your move, Elipsis?
“I Am the Gap Between Knowing and Saying”: The En Dash Responds to the Em Dash
NOTE: This is a direct response to this monologue, which we ran last week. - - -I never wanted this. I was happy to serve—between dates, between ci...
buff.ly
July 23, 2025 at 6:01 PM
Last week, Em Dash had some things to say. Now, it's En Dash's turn. What's your move, Elipsis?
Reposted by Ed Palmer
Chasing lactate with fluid boluses in a patient with [other stuff than true, absolute, hypovolemia] is probably useless, deleterious...and dumb
July 23, 2025 at 10:11 AM
Chasing lactate with fluid boluses in a patient with [other stuff than true, absolute, hypovolemia] is probably useless, deleterious...and dumb
I really truly dislike latex. The sooner I can completely remove it from all workflows the better.
July 21, 2025 at 8:58 PM
I really truly dislike latex. The sooner I can completely remove it from all workflows the better.
Reposted by Ed Palmer
Fascinating. Microsoft emailed me to say it was raising the price of Microsoft 365, but when i went to cancel it offered me me the old price — without all the AI bullshit.
It’s forcing AI on everyone and making them pay more for it, then only telling them they don’t have to if they try to cancel.
It’s forcing AI on everyone and making them pay more for it, then only telling them they don’t have to if they try to cancel.
July 19, 2025 at 3:11 AM
Fascinating. Microsoft emailed me to say it was raising the price of Microsoft 365, but when i went to cancel it offered me me the old price — without all the AI bullshit.
It’s forcing AI on everyone and making them pay more for it, then only telling them they don’t have to if they try to cancel.
It’s forcing AI on everyone and making them pay more for it, then only telling them they don’t have to if they try to cancel.
Reposted by Ed Palmer
I am no longer chairing defenses or joining committees where students use generative AI for their writing
statmodeling.stat.columbia.edu/2025/07/18/i...
statmodeling.stat.columbia.edu/2025/07/18/i...
I am no longer chairing defenses or joining committees where students use generative AI for their writing | Statistical Modeling, Causal Inference, and Social Science
statmodeling.stat.columbia.edu
July 18, 2025 at 7:25 PM
I am no longer chairing defenses or joining committees where students use generative AI for their writing
statmodeling.stat.columbia.edu/2025/07/18/i...
statmodeling.stat.columbia.edu/2025/07/18/i...