iiinova — where your digital self keeps evolving

Euan Lawson @euanlawson.social · 10/04/2025

Ah, I've just been nosing around on the Wayback Machine and even on the 6th April I can see that page has a form to fill. That's the bit that's missing at the moment for me on all my browsers. Which explains my confusion. If not a general problem at your end then all cool - I'll keep fiddling...

Screenshot of 'Become A Member' page on The Green Runners showing the boxes to fill in: Name, email, username, password.

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Euan Lawson @euanlawson.social · 20/11/2024

Thanks for this Petra. I used to subscribe to The Marginalian but found myself not reading it and feeling guilt. A timely recommendation is far superior - and this is a good one. Also, I actually seem to own this book - though a slightly different (?UK) title. Time for a re-read maybe...

Cover of a hardback book. Survive the Savage Sea in block capitals on a backgroun of a forbidding ocean. Just above the title the author name: Dougal Robertson

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Euan Lawson @euanlawson.social · 14/11/2024

Here's my sprocker, Sprout, absolutely owning it on Winder in the Howgills today. I live in #Cumbria but this is actually #YorkshireDales National Park. Yet only 8% of land in England has a right of access - we need #RighttoRoam legislation for everyone's health @righttoroam.bsky.social

A small brown dog, a spaniel, stands nonchalantly on a pile of rocks, a cairn, gazing meaningfully into the distance. In the foreground is green upland and the valley is full of cloud in a classic temperature inversion. The sun shows over the distant fells casting a warm glow over the landscape.

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Euan Lawson @euanlawson.social · 01/11/2024

Today on the local hills... in the interests of correcting an obvious bias, I think it's very important to post, occasionally, some crap photos rather than the usually lovely ones of the places we live and visit. Here's the summit of Winder today. Dreich, as they would say in Scotland. 😀 #crapPhoto

The bottom half of this image is mostly some indistinct greenery and this a classic UK white-painted trig point visible through some grey murk. There is another lump behind that - it's a built cairn with a viewing plaque on the top. There is no view in this photo - the overall vibe is bleak, misty, and generally dreich.

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Euan Lawson @euanlawson.social · 28/10/2024

If you see this, post a picture taken in the mountains. This old photo happens to be on my desk - the summit of the Matterhorn c1995. One of the slowest ever efforts on the Hornli ridge - 8½ hours up, 8½ hours down with a random bloke, Fletcher from Erskine Bridge, I met two days before. 😂

A mountaineer with ropes and harness in a blue jacket and white climbing helmet stands on a steep snowy summit while he puts on some woollen mittens. Behind a cross can be seen on the second summit and the snowy Alps stretch out on the horizon.

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Euan Lawson @euanlawson.social · 28/09/2024

My weekend reading is a little out of shape - but I am a huge fan of magazines and love that the #BJGP still has a print version. It's sad to me that the racks in WHSmith have dwindled over the years. I'm very happy to support them - even I don't always manage to read everything cover-to cover. 😀

Photo of a desktop with seven magazines arranged in an arc - New Humanist, Byline Times, Private Eye, London Review of Books, The New Statesman and Prospect. A vintage Olympus OM-1 camera is in the top left corner.

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Euan Lawson @euanlawson.social · 26/09/2024

Two weeks ago, the tumble dryer was asystolic - totally unresponsive. Hopefully the carbon cost of Googling diagnosis/Rx has not been too astronomical... but I have persisted. Finally, bought a new circuit board off eBay and it is fixed. Up there as my greatest achievement this month. 😀

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Euan Lawson @euanlawson.social · 16/09/2024

Thanks Rob. The conversations in the Mapping Doctors team - led by @lizbrewster.bsky.social of course - around SAS are always interesting. This is very positive, as it should be, and would be interested to get your views on the current challenges/problems. www.lancaster.ac.uk/mappingdocto...

Background image of a map of the Lancaster University campus with text at the bottom reading: Mapping underdoctored areas: the impact of medical training pathways on NHS workforce distribution and health inequalities.

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Euan Lawson @euanlawson.social · 09/09/2024

Yes, a staggering change in ownership - as per CMA this year - and if you look at only small animal practices it is worse. There are parallels with GP and NHS - but the NHS model does offer some resistance. However, the lack of GPs remains a major barrier to the viability of small practices.

In 2013, around 10% of vet practices belonged to large groups, but that share is now almost 60%, and many of the large groups have expressed an intention to continue expanding their business through acquisition of independently owned practices.

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Euan Lawson @euanlawson.social · 02/09/2024

Some evening reading lined up. Chanced on the new hardback Pawson book in the Uni library… And been doing more palliative care of late as an OOH GP and already, just 50 pages in, feel that @drkathrynmannix.bsky.social and her book With the End in Mind has shaped my future conversations. #books

Two books in B&W photo. One hardback How To Think Like a Realist and also a Kindle cover With the End in Mind by Kathryn Mannix.

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Euan Lawson @euanlawson.social · 02/09/2024

One cool feature of Bluesky is the feeds (as well as hashtags) so you can curate how you find content. Have collated several GP-adjacent hashtags into one 'GP and Primary Care' feed. #GeneralPractice #PrimaryCare #GPSky #BJGP #FamilyMedicine all included. bsky.app/profile/did:...

Text: GP and Primary Care

This feed is for posts with hashtags related to general practice and primary care.

These are included: #GeneralPractice #PrimaryCare #GPSky #FamilyMedicine #BJGP

Reposts are not included.

(If you like this feed then, well, like it! ❤️)

Let me know if there are problems: @euanlawson.social

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Euan Lawson @euanlawson.social · 02/09/2024

Overall though, it feels odd, though not untypical, that GPs are getting bashed for something that they almost certainly agree about… it’s just not helpful. www.bma.org.uk/advice-and-support/n…

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Euan Lawson @euanlawson.social · 02/09/2024

Which, frankly, feels like a sure-fire guarantee of some response bias. And I had a little dive into the technical report and here is the response rate by age. It skews very heavily indeed towards older age groups. Hmm.

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Euan Lawson @euanlawson.social · 02/09/2024

I’m not sure it’s easy to work out national avg consult lengths. But there was a BJGP study in 2021 of 300,000 people in England that put the average length at 10.9 minutes and, natch, it was worse in more deprived communities. I wrote then about the doomloop. bjgp.org/content/71/707/245

Text saying: Almost everyone agrees about the importance of the consultation in general practice but it is being slowly strangled by workloads. We can wax lyrical about the romance of the consultation and the joy of patient-centred care but it all rings hollow after the 50th contact of the day. A recent BJGP study of 300 000 consultations pegged the average length at a lowly 10.9 minutes with less time being spent with people in deprived areas.1 There are fewer doctors in deprived communities and these areas are now fighting to pull out of this unsustainable doomloop of demand and resources. The same study showed patients with multimorbidity got more time — an average of a whole 54 seconds.

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