Ian Smith (@IjsSmith) header
Ian Smith (@IjsSmith) profile picture

Frailty. NHS. Violinist. Gardener. Tennis. Love, life, laughter.

Nuneaton
Joined January 2012
Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)Photo by Ian Smith (@IjsSmith)
Wisdom from a 95 year this weekend; "Let me tell you this, it is those things in life that bring you great joy and happiness that really are worth dying for." A poignant message loaded with all I'd hope to hear from a person confronted with ill health at this auspicious time.
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Frailty or multimorbidity: what matters most for prognosis in older adults? Our new study of 2,006 hospitalized patients shows that frailty is a stronger predictor of 6-month mortality than multimorbidity. Look beyond disease counts! doi.org/10.1016/j.jnha.2026.… #Frailty #Geriatrics
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Rahmeh Aladwan is a doctor in Britain. She wants people who blaspheme against Islam to be killed. I wrote to the General Medical Council calling for her to be struck off. They have now confirmed that she is under investigation for her statement.
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Vivaldi's “Winter,” visualized in a fascinating way, so that the auditory experience is even more intense; one can literally “see” the music, so to speak
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I am often asked what my priority would be if I was the prime minister. 1. Build 5 large modern day prisons. 2. While the prisons are under construction I would recruit 10,000 police and place them through a detailed training program to make their jobs recognised professionals. 3. While the prisons are being built.Recruit prison officers and make and pay them into respected professionals. 4. I would find the money by cutting back on military expenditure. In fact I would offer soldiers to apply for police or prison officer jobs. 5. My understanding of asylum seekers is that if they are trying to leave an oppressed county where they are in danger, they are supposed to go to nearest safe county. The people arriving on the shores of the UK have passed through plenty of safe countries. I would ask the Royal Navy to stop them arriving. Comments please . No jokers thanks Lord Sugar
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How is AI turning us into the intellectual equivalent of a cow? 🐮 @harari_yuval explains.
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Trafalgar Square this morning
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Someone once stopped me as I was stepping out of my Lambo “How many starving people could you have fed with the money you spent on that?” I told him the truth: “I don't know. But it fed the 1,800 families of the people who built it. It fed the designers. The carbon-fiber suppliers. The tyre manufacturers. The 300 technicians who spent hundreds of hours hand-crafting this machine with pride.” That’s the difference. Socialism demands you divide the pie Capitalism pays people to bake a bigger one Do you understand?
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If you receive welfare, you shouldn’t get to vote, because your prime concern will be maintaining and increasing your welfare, plus voting for any party that promises to do this.
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It looks like a horror movie, but it isn't.
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Restore Britain.
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What do people think? Is this too harsh?
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I have often thought that one of the ways to reduce cost as the NHS would be to centralise purchasing for all items from cotton wool buds to MRI machines. These days Amazon boast that you can place an order at 10 am and it can be delivered by 4pm the same day. Imagine a government contract awarded to Amazon to store in one central warehouse all NHS materials . Allowing every hospital in the UK to send orders for supplies. Also imagine as an example of one item, how many cotton wool buds are sitting in stock at each and every hospital in the country. It will run into millions, whereas using the just in time ordering this stock pile would be massively reduced. Further to this (and I maybe wrong) each hospital have buyers for all supplies. They are able to use any supplier they choose and I am sure not at the best prices . Centralised supplies offers great negotiation power with suppliers.
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Replying to @drobiy12
Yes, most of the recognised mechanisms behind anxiety are secondary to malabsorption, but some isoforms of tissue transglutaminase (eg TG6) cross the blood brain barrier and cause neurological effects, primarily gluten ataxia. I wonder if this could be the mechanism here. Would be fascinating if we had access to isoform levels! wjgnet.com/2307-8960/full/v1…
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Replying to @DailyMail
Because they are traitors
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Still think about this fascinating case of a man without any medical qualifications working as a GP for 30 years without a single GMC complaint and if there wasnt a row with his son over money may never had. By giving patients whatever they wanted bbc.co.uk/news/articles/ce98…
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The University of Cambridge can boast 126 Nobel Prizes. That’s more than any other university in the world except Harvard, and it does it on an endowment that is one twentieth the endowment of Harvard. In the Nobel ranking, Cambridge beats MIT, Chicago, Columbia, Oxford, and Yale (in that order). Cambridge, the university of Newton, Hawking, Russell, Wittgenstein, Moore, Keynes, Crick, Sanger, Kendrew, Perutz, Rutherford, Chadwick, Turing, Maxwell, Brenner, the list goes on and on, Cambridge is beyond question one of the very greatest universities in the world. The list of immense distinction continues to the present day. It is tragic, and deeply unfair, that the reputation of this truly great university should suffer at the hands one unfortunate anomaly, the Department of Education.
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A tenderpreneur is a politically connected businessperson who uses personal influence and political ties to secure lucrative government procurement contracts ("tenders"). The term is a blend of "tender" and "entrepreneur".
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