Profile avatar
talexe.bsky.social
Brain droppings from an ST6 Psychiatrist in East London, working in a memory service and dementia inpatient unit. I mostly end up talking about the news.
145 posts 1,425 followers 511 following
Regular Contributor
Active Commenter
Posts 22 Comments 26

An interesting summary of changes coming to NHS England following the departure of Pritchard. "NHS England will shift to something of an Ofsted-style role: holding trusts accountable, publishing performance data, intervening when they are failing." www.thetimes.com/comment/colu...

submitted 16 hours ago • 0 comments

A growing cohort of young men falling behind in life, and under the spell of extreme right wing politics, seems a really concerning trend. www.thetimes.com/uk/society/a...

submitted 16 hours ago • 0 comments

It took seeing adult bullies to understand that my childhood bullies didn’t even really want to hurt me, they just wanted to feel powerful and how I felt about it wasn’t even in the equation. I can’t imagine someone not outgrowing that, but apparently it happens quite a lot!

submitted 2 days ago • 1151 comments

submitted 4 days ago • 0 comments

“Can’t tell if Ukraine is good at diplomacy or Trump bad at it”

submitted 4 days ago • 5 comments

Getting too close to Trump turns out to be electoral poison for Canada’s conservatives.

submitted 5 days ago • 10 comments

Some days I slightly miss MedTwitter. It would have been abuzz after news of Amanda Pritchard's departure. (Perhaps it is, but I'm not there to witness it!)

submitted 5 days ago • 0 comments

You’re laughing? We’re going to Ft. Knox to see if the gold is there because maybe somebody stole the gold, tons of gold, and you’re laughing??

submitted 6 days ago • 441 comments

Really important and moving account of state failure in this weekend's @financialtimes.com that is free to read for all here:

submitted 8 days ago • 21 comments

I have three reviews to go for the Obs but today, after 180 of them, is my last column for OFM. So I thought I’d summarise my searing advice from the last 15 years: the wisdom, the provocations and the occasional stupidities. Enjoy. Or grind your teeth. Your call www.theguardian.com/food/2025/fe...

submitted 10 days ago • 77 comments

GOP Senators and House members are scared of being murdered by Trump supporters if they don’t support Trump. This is fascism in America. My latest: www.vanityfair.com/news/story/t...

submitted 11 days ago • 92 comments

I'm sorry but this makes my blood boil. Why another review?? Just fix specialty training numbers and competition ratios, fix the lack of parking, hot food at night, and rest spaces, don't start rotations on a run of nights..oh and value resident doctors like part of the team. What else did I miss?

submitted 10 days ago • 10 comments

Authoritarianism suffocates not only political life but also economic life. Instead of the best products rising to the top, people get coerced into using Dogshit because the ceo of dogshit enterprises owns the government

submitted 10 days ago • 30 comments

I joined specialty training at just that little dip before the rocket took off. How lucky am I? I see friends just a couple of years younger really struggling. on.ft.com/4k5OX5O

submitted 12 days ago • 0 comments

This was one of RFK Jr.’s first orders after being sworn in. Just an astonishing denial of science and will cause so much pain to the 45 million Americans facing mental health challenges.

submitted 16 days ago • 1533 comments

StopTB has a new report estimating the impact of the foreign aid freeze. It's useful to understand the huge impact that global health efforts have everyday, and worrying. Some highlights... 🧵

submitted 16 days ago • 1 comment

The poisonous irony of it is this is exactly what Elon did at Twitter. Fire everyone, break it, then beg people to come back and keep it running.

submitted 16 days ago • 19 comments

1. Quick 🧵 on the change to policy that, on the face of it, bans refugees from ever acquiring British citizenship. @sonial77.bsky.social has published a short article on Free Movement: freemovement.org.uk/good-charact... And I've done a follow up on my Substack: open.substack.com/pub/wewanted...

submitted 19 days ago • 19 comments

may be beside the point/extremely obvious but i feel like you can only ignore extreme wealth inequality for so long before it metastasizes into something that fundamentally remakes and destabilizes the world by giving people access to so much money that they are fully above consequence

submitted 20 days ago • 121 comments

1. Today the NIH director issued a new directive slashing overhead rates to 15%. I want to provide some context on what that means and why it matters. grants.nih.gov/grants/guide...

submitted 23 days ago • 270 comments

A thoroughly excellent systematic review from @trishgreenhalgh.bsky.social on the evidence base around physician associates & anaesthesia associates. Currently shared as a pre-print a/w publication, I'll summarise her findings. A 🧵 1/18

submitted 25 days ago • 1 comment

It's clear that there were inexcusable failings in the care of Valdo Calocane, with tragic consequences. I'm disturbed by the language used in some mainstream reporting, though. I have heard him referred to as "the schizophrenic" and even "evil". Not much chance of a productive conversation there.

submitted 25 days ago • 0 comments