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Teddy Tun Win HLA

@teddyhla.bsky.social
1.1K followers 464 following 586 posts

- intensive care medicine specialist registrar in London with an interest in cardio respiratory failure #ECMO - data scientist in health sector [own views / not related to employer]

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Teddy Tun Win HLA @teddyhla.bsky.social · 08/10/2026
Love the double space between marginally above average !
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Richard McElreath 🐈‍⬛ @rmcelreath.bsky.social · 05/10/2026
It can be hard to define anthropology, because of the field's empirical and theoretical breadth. But an anthropologist is just someone who reads the headline below and yells SHERDS NOT SHARDS
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Teddy Tun Win HLA @teddyhla.bsky.social · 04/10/2026
Enjoying peace and quiet 🤡🤩?
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Libby Heeren @libbyheeren.bsky.social · 02/10/2026
Nic ( @niccrane.bsky.social) taught us all about FREAKING PARQUET FILES on the #DSLab, which are wayyyyy cooler than I realized. Parquet files: Preserve data types Are fast & small Are column-oriented so you can read just 1 col if wanted! & Positron displays'em out-the-box! ▶️ youtu.be/2mQ4kc9J9uQ
youtu.be
What is a Parquet file anyway? Why is Parquet good? | Nic Crane | Data Science Lab
YouTube video by Posit PBC
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Teddy Tun Win HLA @teddyhla.bsky.social · 15/09/2026
Oh that’s very good. Raycast 2.0 definitely changed. Thanks for sharing this
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/07/2026
My sincere condolences. 💐
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Sarah Murphy @13sarahmurphy.bsky.social · 02/06/2026
“Reform has the most extreme policy on energy and climate the UK has seen since modern science on the subject began. The party opposes solar; it opposes wind; it opposes batteries… Once again: Reform is largely funded by fossil fuels” Private Eye on the anti-thought, pro-corruption threat of Reform
MELTING TICE

RICHARD TICE, Reform
UK's deputy leader and spokesman on energy and climate, made an extraordinary appearance on Bloomberg's Zero podcast last week. A few things soon became clear: firstly, he hasn't read the science.

Tice claims the UK. is "almost
unilaterally" beggaring itself by choosing low-carbon power (tell that to China, building hundreds of gigawatts of solar and wind each year). He hasn't read the Intergovernmental Panel on Climate Change's (IPCC) summary for policymakers. He says "thousands" of scientists disagree with accepted climate science but wouldn't - couldn't? - name any scientists who'd advised him.

He thinks net zero will bankrupt Britain (jobs in clean energy are growing faster than much of the rest of the economy). He threatened to walk out twice - once when presented with the IPCC's summary. When asked about batteries, which store solar and wind power safely and cheaply until the evening peak, he said: "We don't need batteries. It's ridiculous."

Reform UK has the most extreme policy on energy and climate the UK has seen since modern science on the subject began. The party opposes solar; it opposes wind; it opposes batteries, for God's sake. Its policy is "drill, drill, frack Lincolnshire".
Once again: Reform
is largely funded by fossil fuels.

The main defence Tice wielded was that the IPC recently abandoned its always implausible
"RCP8.5" scenario - the worst-case, which predicted coal use doubling or tripling this century.
İronically, Tice himself is the British politician who would do more than anything else to bring about that polluted world.

'Young Windy'
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/04/2026
@jama.com hi I can’t seem to access supplementary material of this paper. It just didn’t load. Other colleagues with right access tried unsuccessfully too. Can you have a look? Thanks jamanetwork.com/journals/jam...
jamanetwork.com
Levosimendan to Facilitate Weaning From ECMO in Patients With Severe Cardiogenic Shock: Research Summary
This study aimed to determine if early levosimendan administration shortens the time to successful weaning from venoarterial extracorporeal membrane oxygenation (VA-ECMO) in adult patients with severe...
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Teddy Tun Win HLA @teddyhla.bsky.social · 14/03/2026
A point of view. Thought you might like this. @doced.bsky.social kancelaria-skarbiec.pl/en/the-death...
kancelaria-skarbiec.pl
The Lucy Letby Case: Presumption of Innocence vs Statistics
The Letby case illustrates a broader truth about human cognition: we're pattern-seeking creatures in a world where true randomness often looks like pattern.
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Teddy Tun Win HLA @teddyhla.bsky.social · 11/03/2026
I wonder if ficm as a formal group representing can have a say?
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Ed Palmer @doced.bsky.social · 10/03/2026
www.weightmans.com/media-centre... This ruling is just a lot to unpack. 😨
weightmans.com
Clinicians or Court: Who decides about medical treatment options? Exploring the case of Townsend v Epsom
The Court of Appeal decision of Townsend v Epsom would change medical law fundamentally, but we should not overreact pending any appeal...
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Teddy Tun Win HLA @teddyhla.bsky.social · 27/02/2026
@ficm.bsky.social is here on Bluesky. 👏🏽👏🏽👏🏽Give a follow iCM people ! :)
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Teddy Tun Win HLA @teddyhla.bsky.social · 26/02/2026
Proud to be part of this ! Excellent work from the team. www.kcl.ac.uk/news/securin...
kcl.ac.uk
Securing patient data in large-scale AI healthcare development: AI Centre and deepc launch FLIP | King's College London
The AI Centre for Value-Based Healthcare, King’s College London, and Guy’s and St Thomas’ NHS Foundation Trust, together with strategic partner deepc, in collaboration with OneLondon and Flower Labs, ...
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Raj LB @rajlb.bsky.social · 23/02/2026
Very sadly Seshagiri Mallampati, the anesthesiologist who devised the Mallampati score, die two weeks ago. He only retired in 2017, 49 years after he began clinical practice. litfl.com/seshagiri-ra...
litfl.com
Seshagiri Rao Mallampati
Seshagiri Rao Mallampati (1941 – ) Indian born American anesthesiologist. Eponym: Mallampati Score used to predict the ease of endotracheal intubation
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Darren Dahly @statsepi.bsky.social · 23/02/2026
This is basically my villain origin story. "How old are you?" (unique responses)
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Ben Goldacre @bengoldacre.bsky.social · 23/02/2026
OpenSAFELY is open from today! Huge thanks to all who supported this vast collaboration: whole population GP data; in a productive platform; innovative privacy protections; unprecedented support from professions, privacy campaigners; &c Now it's over to users! www.bennett.ox.ac.uk/blog/2026/02...
bennett.ox.ac.uk
OpenSAFELY news: you can apply to do non-COVID research, from today! | Bennett Institute for Applied Data Science
We are delighted to announce that - from today - you can submit applications to the OpenSAFELY service for non-COVID-19 studies.
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Teddy Tun Win HLA @teddyhla.bsky.social · 30/01/2026
Sending u best energy. Partner got morning sickness for months … one of the worst thing she said. And there’s nothing “morning” about morning sickness either .. (the misnomer!!) May all beings be nausea free 🙏
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/01/2026
3/7!! 🙏
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/01/2026
That’s how I feel too. With my nice cup of coffee ! I did phem at a great place for elective. Admire the skillset and teams and the review mechanisms but solidifies my approach for hospital based.
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Teddy Tun Win HLA @teddyhla.bsky.social · 17/01/2026
Proud to have graduated at this venue @ficm.bsky.social and didn’t realise its history ! youtube.com/shorts/VqtA9...
youtube.com
What incredibly historic meeting took place in Methodist Central Hall 80 years ago?
YouTube video by Jack Chesher- Living London History
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Teddy Tun Win HLA @teddyhla.bsky.social · 24/12/2025
research.google/blog/titans-...
research.google
Titans + MIRAS: Helping AI have long-term memory
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theelso.bsky.social @theelso.bsky.social · 14/12/2025
🎥 Maximizing donor pool: #ECMO driven advances in #transplantation: ELSO & @ishlt.bsky.social #ELSO2025 session 🧠 diagnosing BD in #ECLS 🚑 #ECPR to organ donation ⚙️ #NRP and MP in cardiothoracic #Tx ⚖️ ethical dilemmas of #ECLS, DCD, NRP 🫁🫀 DCD for pediatric recipients 🔗 bit.ly/ELSO2025virtual
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Segun Olusanya (He/Him) @drfreeze.bsky.social · 10/12/2025
Go Arthur!
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Segun Olusanya (He/Him) @drfreeze.bsky.social · 24/11/2025
@kamranabbasi.bsky.social shines with this scathing editorial on the mess that has been made with locally employed Doctors (LEDs) in the U.K. www.bmj.com/content/391/...
bmj.com
NHS 2025: a wobbly triadic stool and a gig economy
The NHS sits seventh on the list of the world’s largest employers, rubbing shoulders with the armies of China, India, and the US, as well as mega-corporations.1 It’s also part of the “gig economy.” Th...
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Teddy Tun Win HLA @teddyhla.bsky.social · 25/11/2025
Hope ya like it ! And then the yes minister :)
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Teddy Tun Win HLA @teddyhla.bsky.social · 15/11/2025
I do both but lately more python. Agree with article. Python advantage is that for productionising & abstracting away a lot - then the OOP & its design patterns make it much much easier: article alludes to it with DL & MLOps productionise PyTorch. But R for win if doing mixed effect models.
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Jack Iwashyna @iwashyna.bsky.social · 10/11/2025
Firstly, do no (net) harm. ~ (adapted from) Hippocrates Reading Hunink et al (2014) this morning…
Textbook page with same quote
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Teddy Tun Win HLA @teddyhla.bsky.social · 09/11/2025
🧐
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Richard McElreath 🐈‍⬛ @rmcelreath.bsky.social · 04/11/2025
So a recent Veritasium video on natural selection explains kin selection and does the unavoidable thing of saying that a parent shares "half of its genes with the child". This is wrong, because for any 2 humans, we share almost all of our genes. We share more than 95% with chimpanzees ffs. >>
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Kevin Mitchell @wiringthebrain.bsky.social · 30/10/2025
This honestly should be required reading for anyone undertaking (or evaluating) exploratory studies... ⬇️👍 (It's proper funny too 😅)
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Gary Collins @gscollins.bsky.social · 30/10/2025
NEW paper "Clinical prediction models using machine learning in oncology: challenges and recommendations" --> tinyurl.com/2h2mcy5h #machinelearning #prediction #statssky #MLsky #methodsmatter
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Teddy Tun Win HLA @teddyhla.bsky.social · 30/10/2025
Cool cake
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Teddy Tun Win HLA @teddyhla.bsky.social · 30/10/2025
Whisky is so apt
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Teddy Tun Win HLA @teddyhla.bsky.social · 30/10/2025
We talk about SDd every few years don’t we and my experience is that even in its heyday .. in my uk practice .. never get enough buy in from micro to do it and become a thing.
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Teddy Tun Win HLA @teddyhla.bsky.social · 30/10/2025
As in why mortality is such a high end point or whether it should be used as threshold?
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Julia M. Rohrer @dingdingpeng.the100.ci · 30/10/2025
Which reminds me of this old classic on the Noise Miners. “'Noise mining is a funny thing,' he said. 'When you first see a bit of noise, it doesn’t look so impressive. But as you work it out of the rock, it gets more and more refined.' This process, he explained, is called 'shucking.'"
medium.com
The Noise Miners
As regulators turn an eye toward noise mining, I wanted to meet some of those who will be affected
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Andy Conway Morris @andymoz78.bsky.social · 29/10/2025
Remembering the most likely mediator of reduced mortality in the original EGDT therapy was the presence of the CI in the intervention arm, the regular attendance of an interested and informed clinician (and skilled ICU nurse) likely has a bigger impact than any single drug or intervention.
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
I don’t understand why we are seeing a temporal effect with results. May be other things are changing ?!
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JAMA @jama.com · 29/10/2025
💬 Editorial: The BICARICU-2 trial finds IV sodium bicarbonate may delay or reduce kidney replacement therapy in #criticallyill patients with severe #acidemia and #AKI, but its effect on mortality remains uncertain. #LIVES2025 @esicm.bsky.social ja.ma/47NwK8E
An editorial from JAMA titled "Sodium Bicarbonate in Severe Acidemia and Acute Kidney Injury—Turning the Tide or Chasing a Myth?" by Prit Kusirisin et al., published online October 29, 2025.
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
Completely ! And the trial indication is purely for MAP. It’s important to not justify one trial to throw A line away or usher in bad practices which have taken decades of hard work to standardise etc.
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Aoife Abbey 📟 🩺 ⚕️ @whistlingdixie.bsky.social · 29/10/2025
ANDROMEDA-SHOCK-2 is up next…. this looks at personalised phenotype-based, capillary refill time (CRT) targeted resuscitation in early septic shock, comparing to standard resuscitation. It is large (86 centres, 19 countries). Read it free from JAMA: tinyurl.com/mjcj8s5w #Lives2025 #criticalcare
tinyurl.com
Hemodynamic Resuscitation Targeting Capillary Refill Time in Early Septic Shock
This randomized clinical trial examines whether a personalized hemodynamic resuscitation protocol targeting capillary refill time was more effective than usual care in patients with early septic shock...
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Aoife Abbey 📟 🩺 ⚕️ @whistlingdixie.bsky.social · 29/10/2025
EVERDAC is hot off press @esicm.bsky.social #Lives2025 in @nejm.org open access currently: www.nejm.org/doi/full/10.... Reports that in (non-blinded trial) patients with shock, management *without* early a-line insertion was noninferior to early catheter insertion…. #Lives2025 #criticalcare
nejm.org
Deferring Arterial Catheterization in Critically Ill Patients with Shock | NEJM
In patients with shock, whether noninvasive blood-pressure monitoring is an effective alternative to the recommended use of an arterial catheter is uncertain. In this multicenter, open-label, nonin...
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
PS. Also this is not just a rant about one specialty or one hospital. It was just my lived experiences rotating through various places in the uk
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
Have to be careful not to cite this paper as a cowboy practice and less optimal situations to provide critical care. As time and time again it’s never devices that make critical care .. the team and culture. I guess rant over. What do you think ? N/n @drfreeze.bsky.social
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
and over my years of practice, those places have been phased out to single provider icu model: FFICM and ICM has become stronger. I would argue rightly so and there is evidence to back up. So whilst this trial may show no need to rush to art line but this need to be done in a safe place 4/n
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
Those are the places where people with acute niv who have 2+ abg’s in a shift without artline , with low dose norad / metaraminol for extended periods with NIBP or art lines but transducer on the floor and no one really cares 🤷🏽‍♂️ or rather it is done if person so and so is on shift 3/n…
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
What I mean by properly .. is run by people who know and appreciate physiology. Art lines were not just sited but zeroed twice a day if not more and at proper height. Metaraminol is run only as until cvc goes in (don’t add me re low dose norad via pivc) and other non icu places …. 2/n
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
In light of the art line trial. Interesting result. Need to read in depth. We really have gone full circle. A lot reflects on my practice and how I have grown up doing icu 2016 on wards and the UK practice. Back in those days, icu is a place where things are done “properly” @drfreeze.bsky.social 1/n
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Teddy Tun Win HLA @teddyhla.bsky.social · 29/10/2025
Anyone doing live tweets ?
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JAMA @jama.com · 29/10/2025
📚 Development and Validation of the Sequential Organ Failure Assessment (SOFA)-2 Score: Presented today in the #LIVES2025 Hot Topics session. 🔗 Free to read online: ja.ma/4qzouAz
Image reads: "Read papers from the JAMA Network." The ESICM logo is in the upper left, with the JAMA Network logo in the upper right. The background is a gradient of red.
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