Fourteen-twenty

  Actor Ally Villain Joe Don Baker GoldenEye and Tomorrow Never Dies – Jack Wade The Living Daylights – Brad Whitaker Nadim Sawalha The Living Daylights – Tangier police chief The Spy Who Loved Me - Fekkesh

  RoboCop (1987) Total Recall (1990) Basic Instinct (1992) Starship Troopers (1997) Ronny Cox Dick Jones Cohaagen     Sharon Stone   Lori Catherine Tramell   Michael Ironside   Richter   Lieutenant Rasczak Michael Gregory Lieutenant Hedgecock Rebel lieutenant     Marshall Bell   George / Kuato   General Owen Dean Norris   Tony   Commanding Officer  

  From https://en.wikipedia.org/wiki/File:Buffalo_buffalo_Buffalo_buffalo_buffalo_buffalo_Buffalo_buffalo_sentence_diagram.jpg

Patrick Magee , the IRA bomber of the Brighton Hotel (missing part of right little finger). Professor Jordan from, the German spy from Alfred Hitchhock's adaptation of John Buchan's The 39 Steps (missing part of right little finger). Esdale, one of the embezzling partners of Moxon's General Securities in Freeman Wills Croft's  Mystery in the Channel , through not the ultimate villain of the story (crooked left little finger). 

This interesting study tested the hypothesis that giving people a handle on the uncertainty in numerical measures does not affect their trust in the source. The experiment was conducted using a BBC News article on unemployment. The headline finding was that uncertainty communication does not reduce trust. However, I draw attention to this sentence An ANOVA showed a significant main effect of uncertainty communication on perceived uncertainty [ F (2,   1526)  = 4.67,  P  = 0.01;  η 2 = 0.006 ]. So the effect of uncertainty communication on perceived uncertainty was absolutely minuscule (partial-eta 0.006)! The findings on trustworthiness then need to be taken with a large pinch of salt. I would then revise the take-home message of this paper to be - the methods used to communicate uncertainty in this study were pretty ineffective.

Number of migrant workers in Qatar construction industry - 1 million  https://www.hrw.org/world-report/2020/country-chapters/qatar Guardian estimate of deaths - 6500 in 10 years https://www.google.com/amp/s/amp.theguardian.com/global-development/2021/feb/23/revealed-migrant-worker-deaths-qatar-fifa-world-cup-2022 So that's 650 per year per million workers UK construction worker deaths - 36 per year https://www.hse.gov.uk/statistics/industry/construction.pdf&ved=2ahUKEwj32dnJxO77AhWJYcAKHdVwDhMQFnoECBgQAQ&usg=AOvVaw2ic5DpdnAErcexbme-DYOT Number of UK construction workers - 1.4 million https://www.ons.gov.uk/businessindustryandtrade/constructionindustry/articles/constructionstatistics/2020 So that's 25 per year million workers UK alcohol deaths - 96410 per year per million https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/alcoholspecificdeathsintheuk/2021registrations#:~:text=There%20were%209%2C641%20deaths%20related,14.0%20deat...

I asked chatGPT to write a clinic letter with headache advice, in iambic pentameter: Dear patient, I write to give advice, Regarding headaches that you often bear. Our consultation showed that stress and strife May be the root of the pain that you share. To ease your symptoms, try relaxation And pain relief, like ibuprofen or Tylenol. But overuse may lead to medication Rebound, so stick to the daily control. For worse headaches, we may prescribe more strong Relief, tailored to your personal need. But healthy living can help all along, Like rest and exercise, and diet to feed. Stay hydrated, and avoid caffeine or booze. If your symptoms change, do not hesitate To contact us, and we will help diffuse The pain and work towards a better fate. Sincerely yours, [Consultant's Name] [Consultant's Title]

What does the data say? Men are more than twice as likely to be murdered than women (14 vs 6 per million). The murder rate for women has not changed over the last 10 years (in 2011 it was 7 per million).

When a pair comes together there's a lovely warm feeling they match! nothing better though at times it's tough and holes will appear you can never have enough that's why I'm telling the world I'm letting it out of the box; these are the things I love about socks.

This is a poem to all women well, not all women, for a start, I'm not sure that all women can read I concede that maybe I should have started smaller, 'a poem to all shrews', something like that then again, I'm not sure that many of them can read either neither do I have much to say about them.

I thought I'd do something nice today, and then I thought I’d write you a poem. 'Why not do both?' I thought after that. So I think I shall do that without knowing. Poems shouldn’t be difficult to write, but this one is. So I think I shall write disjointed clauses, And then to make it a poem I’ll simply cut the sentences with pauses. I don’t really see the point of this poem, I mean I wrote the end before I wrote the rest. So I suppose I started with just a few words; I love you, you're the best.

I don't think I know how to write a poem, because I never really paid attention when they taught us about rhyme but I suppose that’s not essential, because a poem is a feeling, I think that has been converted to words so that the feeling can be read over and the poem returns a touch of perception, a sense of cost, I mean of understanding, of comprehension that sadly would otherwise be lost.

For a school exercise we had to write a letter to Holden Caulfield , and imagine a response. Here is what I wrote. Dear FT, Thank you very much for saying that my book was that good. It makes me really proud to hear someone say that. Anyway so I should answer your questions. Yeah so I did go back to old Mr.Antolini’s house after all because I was really feeling sour leaving the old guy all of a sudden like that; but it sure was freaky him touching me like that. I thought that he was a goddam pervert or something! Anyway so I went down there and I asked him why he did that and he came up with all this bull about being lonely and all and he thought that I looked to peaceful when I was asleep. Sometimes that Mr.Antolini can be real neat, but sometimes he sure can be a real bore. I mean we’re all lonely for chrissake. I mean every now and then I feel lonely as hell all alone in my room. Sometimes I think back to old Jane, or Sally and what life would be like now if she had agreed to come t...

I ask most clinicians the same question. 'Tell me about the last patient who taught you something'.  RH smiles a wry smile. Man hands on experience to man. He draws up a patient's notes, and together we read through the letters. The story emerges of a otherwise healthy middle-aged man who is fitted with a pacemaker. Every year thereafter we find a letter that reads; Pacemaker checked - normal operation The list continues for several years without excitement. Suddenly there is an aberration; frank, in black and white;  Out of hours service. Your patient has died The next letter is the pathologist's report.  Cause of death: tuberculous myocarditis I suck my teeth. 'So what do you think is the lesson here?' he asks. Turning the question around; an old trick. I smile a wry smile. 'Always be on the lookout for tuberculous myocarditis.' He says no, firmly but politely. He is right. The lesson is finer than that. We can no more be on the lookout for tuberculous...

 Men who roll their own cigarettes (and they are invariably men) sometimes develop a curious automatism of the hands, whereby they continually mime the action of rolling the paper. This may at first glance mimic a 'pill-rolling' tremor.

 'Was she comfortable, doctor?' I looked into his eyes. It had been a prolonged cardiac arrest. My wrists ached. I could still feel the crack of her ribs. We had got her back twice and she had gagged on the tube, choking and vomiting, before we finally called it after an hour. I looked into her husband's eyes, and I lied to his face.  'Yes, she was comfortable. She was asleep the whole time.' I felt sick. That's one of a hundred memories I don't want. 

 It is a truth universally acknowledged, but not often stated, that clinical judgement is insufficient to exclude subarachnoid haemorrhage with acceptable certainty. Why wax lyrical about the minutiae of the clinical assessment? Perhaps the neck was slightly stiff. Perhaps one pupil was slightly sluggish. What of it? Ultimately, when the patient came in complaining of a first episode of acute severe headache, we all knew that a CT was inevitable. And, to boot, since we were sufficiently suspicious of subarachnoid haemorrhage to perform a CT, and in the absence of a compelling alternative explanation, we would be negligent not to then follow-up the normal scan with a lumbar puncture after 12 hours to look for xanthochromia.  Is this intellectual bankruptcy? Wise heads on the post-take ward round will cluck knowingly. 'Ah, rushed in with a scan, did we?' How infuriating! The luxury of the normal CT scan report is enabling of maddening arrogance. The same is true of troponin. A 6...

'Gaugain?' 'But I already went that way...' 'Can you see Vermeer?' 'No it's too far. Give me your Monet!' 'Hey get off me - Constable!'

68 children a year were killed in the UK in 2019. In 21 cases the suspects were the parents or step-parents ( ref ). The same year saw 650,900 referrals to social services ( ref ). If we assume that each of those 21 children had been referred to social services (a big assumption; it may well be that children who are murdered are less likely to be referred), that would mean that social services were unable to prevent a child murder in 0.003% of referred cases (about 1 in 31,000). For comparison, the risk of being killed by a motor vehicle in one year is 1 in 20,000, and in a lifetime is 1 in 240 ( ref ).

It was a busy shift, fighting fires, physically and psychologically tiring. I was dealing with two unwell patients in A&E when a house officer from the surgical ward called. He was worried about Mr X’s blood pressure. The numbers didn’t sound too worrisome to me, at least not compared to the patients in front of me. ‘Give him some fluids,’ I said, ‘I’ll be there when I can’. I thought but didn’t say ‘Not for several hours mate’. I continued seeing the patients in A&E. He called again. I tried to buy time with more fluids. Even in hindsight, I don’t know if on the basis of the information available I made the right prioritisation. The crash bleep went off, rudely monopolising attention and trivialising all previously-prioritised thoughts. I raced to the surgical ward, to find an ashen-faced Mr X, in the throes of CPR, and an equally ashen-faced house officer. Pink froth was bubbling from Mr X’s mouth. Pulmonary oedema. He had had too much fluids. The blood gas came back. Lactate...