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Paul McCoubrie

@pmccoubrie.bsky.social
636 followers 437 following 307 posts

A radiologist who thinks too much, talks too much and does too little Order my new book here: amzn.eu/d/6U2J1z0 link.springer.com/book/9783031640933

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Paul McCoubrie @pmccoubrie.bsky.social · 04/10/2026
Locoregional Every. Time.
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Paul McCoubrie @pmccoubrie.bsky.social · 23/09/2026
Gouda wheel to mankind
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Paul McCoubrie @pmccoubrie.bsky.social · 20/09/2026
Gawd love those little Petri dishes that are children.
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Paul McCoubrie @pmccoubrie.bsky.social · 17/09/2026
They replumbed the gonadal vein not the ureter? Wow. Did they not notice the erm gross haematuria?
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Paul McCoubrie @pmccoubrie.bsky.social · 29/08/2026
You have more than your fair share this last year. Way more. So sorry xx
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Paul McCoubrie @pmccoubrie.bsky.social · 21/08/2026
Something is telling me that your next holiday needs to be to Italy !
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Paul McCoubrie @pmccoubrie.bsky.social · 19/08/2026
It is truly stunning. We were there last December
Grand canal, Venice
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Paul McCoubrie @pmccoubrie.bsky.social · 12/08/2026
First time I’ve ever captured sunspots before
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Paul McCoubrie @pmccoubrie.bsky.social · 12/08/2026
Few snaps of tonight’s partial eclipse. We got about 92% here in the UK 400mm lens, heavily cropped, manually exposed with big stopper filter (ND1000)
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Paul McCoubrie @pmccoubrie.bsky.social · 07/08/2026
Indeed
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Paul McCoubrie @pmccoubrie.bsky.social · 05/08/2026
I have great difficulty in distinguishing them from cormorants Which on one occasion created an almighty kerfuffle in the bedroom. Feathers and guano all over the duvet
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Paul McCoubrie @pmccoubrie.bsky.social · 25/07/2026
Sorry, very poor effort at a Monty Python joke
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Paul McCoubrie @pmccoubrie.bsky.social · 24/07/2026
TBH I expected hairier fingers and hands
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Paul McCoubrie @pmccoubrie.bsky.social · 24/07/2026
Is that an African or a European swallow?
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Paul McCoubrie @pmccoubrie.bsky.social · 21/07/2026
What a touching and lovely thing. Say hello to Teresa from me
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Paul McCoubrie @pmccoubrie.bsky.social · 15/07/2026
Doing my last on-call tonight. Off the radiology on-call rota after 26 years I’ve jinxed it now, haven’t I? It’s going to be a shocker.
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Paul McCoubrie @pmccoubrie.bsky.social · 13/07/2026
That’s tremendous work. A role you were born to play
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Paul McCoubrie @pmccoubrie.bsky.social · 13/07/2026
I know how much work you put into making these videos highly polished, so well done to you. And their original creators too.
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Paul McCoubrie @pmccoubrie.bsky.social · 06/07/2026
They could be described as “non-sensei”. Just a suggestion.
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Reposted by Paul McCoubrie
BJS Academy @bjsacademy.bsky.social · 05/07/2026
🐺 When every scan is flagged as urgent… is anything really urgent? In the latest instalment of his popular series 'A view from the dark side', radiologist Dr Paul McCoubrie explores how alert fatigue, defensive reporting, and inbox overload create unintended risks 🔗 buff.ly/LRAUKtL #surgsky
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Paul McCoubrie @pmccoubrie.bsky.social · 03/07/2026
Been writing for a surgical audience again “The radiologist who cried wolf” I think you’d enjoy it www.bjsacademy.com//bjs-academy...
bjsacademy.com
BJS Academy
Welcome back to Dr Paul McCoubrie’s a 'view from the dark side' — a series looking at the world of surgery through the lens of a radiologist. _______________________ The best kind of radiologist is li...
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Paul McCoubrie @pmccoubrie.bsky.social · 03/07/2026
St Jakob’s, Ortesi, Italian Dolomites. We climbed up the 3km steep path out of town but turns out there is a bus that takes you 7/8ths of the way I lugged my big Nikon all the way but it does have very good colours
A scenic church (St Jakob’s) in the Dolomites just outside Ortesi. Evening light, cloudless blue sky with woods and steep mountains in the background
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Paul McCoubrie @pmccoubrie.bsky.social · 29/06/2026
That’s the Italian dolomites. I was there last week! That’s St Maddalena with the Puez range behind. It’s stunning
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Paul McCoubrie @pmccoubrie.bsky.social · 25/06/2026
I shall have to up my game. Apologies for the low IQ posting
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Paul McCoubrie @pmccoubrie.bsky.social · 24/06/2026
But but that’s your handwriting!
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Paul McCoubrie @pmccoubrie.bsky.social · 23/06/2026
Lies. That’s not your brekkie
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Paul McCoubrie @pmccoubrie.bsky.social · 13/06/2026
Recent anecdote
An anecdote that reads as follows 

Heard a great analogy from a patient recently

We were talking about the occasional fragile ego of clinicians and how some pretend that radiologists still have little role in the management of their patients

He told me of a career visit from the RAF when he was at school which consisted of a fighter pilot and his navigator

The fighter pilot told them of their primacy, their vital role in mission success and so forth 

The navigator stood up and said that was all rubbish and that without them, there was practically no point setting off, they controlled everything

The navigator was then asked the role of the fighter pilot. He thought for a second and said “put it this way. Part of my job is to pass them bananas”
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Paul McCoubrie @pmccoubrie.bsky.social · 11/06/2026
I never knew Cranes liked sherry and olives. I look at them with renewed respect Perhaps if you put out haggis and whisky you will attract a pair of Capercaillies?
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Paul McCoubrie @pmccoubrie.bsky.social · 10/06/2026
An AI version of reality, I’m afraid But it really is stunning in real life
View of the south coast of Capri
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Reposted by Paul McCoubrie
AJ Jefferies @moonjam.com · 30/05/2026
Hey! It is my BIRTHDAY today and I am OLD. I know that most people will be outside, enjoying life BUT should you choose to shackle yourself to a screen instead, why not check out/share/re-watch/rate/review/shout at my film DUCKS? www.youtube.com/watch?v=L8vZ... ko-fi.com/moonjam 🎂🦆🍞🦆🎂
youtube.com
DUCKS | Award Winning Animated Short Film (2025)
YouTube video by AJ Jefferies
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Paul McCoubrie @pmccoubrie.bsky.social · 26/05/2026
They are absolutely huge in reality. Massive 500’ beasts. Not for the vertiginous
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Paul McCoubrie @pmccoubrie.bsky.social · 20/05/2026
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Paul McCoubrie @pmccoubrie.bsky.social · 15/05/2026
Ah-hur-hur-hur-huuuur!
Ade and Rick sight a small schoolboy in a London alley
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Paul McCoubrie @pmccoubrie.bsky.social · 08/04/2026
I would try to attend an in-person course. I did a MEd and the biggest benefit was meeting and discussing issues Difficult to maintain enthusiasm for on-line/remote courses, I find. And others too - the Dundee course was always distance learning and had a 50% dropout rate
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Paul McCoubrie @pmccoubrie.bsky.social · 07/04/2026
All hail Mothra!
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Paul McCoubrie @pmccoubrie.bsky.social · 06/04/2026
My wife bought this book recently and I was disappointed to find out it was nothing to do with long exposure radiographs
A book called “six minute x-ray”
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Paul McCoubrie @pmccoubrie.bsky.social · 28/03/2026
Quiz time. Have a look at this xray of a smöl child’s forearm. They hurt it playing football; falling on an outstretched hand (FOOSH) What do you see? Answer in 24hrs
X-ray of a child’s forearm showing an injury
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Paul McCoubrie @pmccoubrie.bsky.social · 14/03/2026
Bournemouth
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Paul McCoubrie @pmccoubrie.bsky.social · 12/03/2026
Nice to see it isn’t just radiologists that make VR howlers
A pathology report that reads ‘bladder tumour - multiple chickens together measuring 10mm’ (should be chippings)
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Paul McCoubrie @pmccoubrie.bsky.social · 10/03/2026
Next week: clothes ironing (using an unfeasibly sharp and oversized meat cleaver)
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Paul McCoubrie @pmccoubrie.bsky.social · 10/03/2026
Which bit? The gratuitous overuse of cleavers for routine household tasks?
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Paul McCoubrie @pmccoubrie.bsky.social · 09/03/2026
Whereas covering your cods in Parma ham is less expensive (though morally dubious) and would possibly cause Italians to faint at the mere thought
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Paul McCoubrie @pmccoubrie.bsky.social · 04/03/2026
A snippet from today A hapless colleague was described today as having the ‘Casanova touch’ “Everything he touches, he f*cks” I cackled
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Paul McCoubrie @pmccoubrie.bsky.social · 03/03/2026
It used to be a problem in the private sector only back in the mid 00s. But at least lung cancer screening with CT has now been proven and gone mainstream. And bowel cancer screening too. Sadly it’s NHS wide now. The thresholds for scanning are nonexistent www.bjsacademy.com//bjs-academy...
bjsacademy.com
BJS Academy
Welcome back to Dr Paul McCoubrie’s a 'view from the dark side' — a series looking at the world of surgery through the lens of a radiologist. _______________________ Every few years a campaign is laun...
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Reposted by Paul McCoubrie
BJS Academy @bjsacademy.bsky.social · 02/03/2026
🏆ARTICLE OF THE MONTH: All roads lead to outsourcing ➡️ buff.ly/EjI95dt With demand rising, workforce gaps widening, and costs escalating, is outsourcing a solution — or a symptom? @pmccoubrie.bsky.social takes on the realities behind outsourced radiology #medsky #surgsky
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Paul McCoubrie @pmccoubrie.bsky.social · 02/03/2026
Erm, you *seem* to have boobs growing out of your neck. I would see someone about that
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Paul McCoubrie @pmccoubrie.bsky.social · 01/03/2026
No horizontal lines in the brain, y’see [taps side of forehead, nods smiling]
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Paul McCoubrie @pmccoubrie.bsky.social · 28/02/2026
It’s a known thing We are brought up in a horizontal world & have strong perceptual bias toward horizontal lines. There are optical illusions that will show this It means pneumothorax and rib # are easier to see if you turn the CXR 90 degrees (as they are vertical things normally) I teach this!
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Paul McCoubrie @pmccoubrie.bsky.social · 26/02/2026
Might see you there !
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Paul McCoubrie @pmccoubrie.bsky.social · 26/02/2026
Any radiologists on here? If so, are any are going to ECR 2026 in vienna next week? Might see you there. Particularly if you come to this session, a rollercoaster of a session - perfectly serious insights wrapped up in a cloak of humour.
A screenshot of my ECR 26 session in Vienna in early march 2026 where I will be giving two back to back lectures about actionable reporting
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