1/ So, this document just dropped today from @ANZCA, GESA, NACOS, @AUDiabetesSoc

A consensus expert opinion on what do to with patients on GLP-1 RAs presenting for endoscopy and #surgery.

Let's unpack it in this brief thread 🧵
#Anaesthesia #Anesthesiology 2/ Focusing on pre-surgery.

This stands out: No evidence to support stopping these drugs before surgery, except for liraglutide on DOS (because it's once-daily dosing)

Followed by: Anyone taking these in the last 4 weeks should be considered unfasted and having a full stomach

1/ Spent the last 30 min on the phone with a UK junior doc and family friend, giving advice on whether to move to NZ or Aus. They suggested I write a 🧵 .... so here goes.
#JuniorDoctorsStrikes #JuniorDoctorsStrike #juniorDoctorStrike @BMA_JuniorDocs 2/ Firstly, agree that the term 'junior doctor' is not perfect and is misconstrued to mean young. A lot of junior docs in UK/NZ/Aus are well into their 30's and have families. All are qualified and trained doctors, who happen to not be consultants

https://twitter.com/shond3/status/1647154059621847040?s=20

1/
Some recent chatter about single-moment-in-time high-stakes examinations. Let’s call them #SMITHSEx for short.

Here’s why I think #SMITHSEx is dirty and should be consigned to the rubbish bin, as far as postgraduate / specialty medical training is concerned.

A thread 🧵 2/
Been ruminating on this for a while, and a recent #ICRE2021 thread on #SMITHSEx got my attention. @ICREConf

https://twitter.com/DrNavSidhu/status/1451801776701665284?s=20