I’m delighted to share that a brand-new paperback edition of A SECOND ACT with this new cover will be out on 29 January 2026. Until then, you can read A SECOND ACT in hardback, on Kindle, or listen to the audiobook — narrated by me. After working as a doctor for twenty years,

Smugcast - You’re desperate to relate the heroic tales from the shift you’ve just undertaken, without interruption until the punchline. Submitted by Mark Tighe. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here https://t.co/lzxnnpgi0q

“You don’t need to learn to code to ship an app.” — Riley Brown AI can turn ideas into working apps, straight from your phone. I sat with Riley Brown, Co-founder of Vibe Code, and we built a voice-notes app live on iPhone Here’s what we did: Generated the UI with prompts

Crapuscular - As the sunrise comes up on your night shift, and you’re walking to see a patient, but can’t feel your legs any more, and you haven’t eaten or drunk all night. Submitted by Mark Tighe. Subscribe to The Dictionary of Blood and Silence for all your medical words for

Insultants - Consultants who act as if they are a genius and everyone else a moron. Submitted by Peter Brindley. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here https://t.co/lzxnnpgi0q

@cliffreid Best phrase I saw in BMJ this week, The fallacy of…. “Techno salvationist bullshit” @dr_mattmorgan @bmj_latest

College campuses are waking up. Whistleblowers are rising. I first saw this moment in a dream 10 years ago—months before the famous businessman from New York announced his run for President. Now the puzzle pieces make sense.  Go to my page to see full prophetic word.

Diurnausea - The vomity feeling experienced when approaching your 20th+ hour working and there’s no sight of stopping. Peaks at around 22-26 hours. Submitted by Roxy. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here

Disilloosionment - Finding someone is occupying the loo you have dashed to when you have told your body "you only need to hold on as long as it takes to get there". Submitted by Roxy. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here

Coldprep - The chilling swab of antiseptic before a painful procedure. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here https://t.co/lzxnnpgi0q

Achinophobia - The fear on seeing a person with an anatomically impossible intubation roaming around free in the streets or supermarket. Submitted by Roxy. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here https://t.co/lzxnnpgi0q

What a waste of money, particularly when we have doctors desperate to get into specialist training https://t.co/J7RQxo0cR7

Pregnosis - The feeling of knowing what the patient is going to say and likely diagnosis before they even open their mouth e.g. a patient with whiplash who can’t turn their head. Submitted by Ian Quigley. Subscribe to The Dictionary of Blood and Silence for all your medical

AI Agents vs. Chatbots: Why 'slow' is actually brilliant. 💡 From @NVIDIA GTC 2025 in Washington D.C., Aravind Srinivas (@AravSrinivas) (Co-founder, President & CEO of @Perplexity_ai ) joined host @PatrickMoorhead to discuss the future of AI workflows. Aravind explained that

Adam Duritz does remind me of @mancunianmedic in this video.

Absolutely stunning concert from @CountingCrows last night in Manchester.

Very well put by @dr_mattmorgan: “Grand strategies fill government white papers, but health is built in the everyday. Until we fix the printers, mend the mortar, and confront the politics, no plan will hold together—no matter how expert the writing.” https://t.co/rVYuvHXnmR

"Every patient I see is ultimately the product of social policy upstream. In bed 1, a brain injury echoes alcohol policy; in bed 2, polytrauma testifies to road speed; and in bed 3, poverty will decide how cancer ends one person’s story." @dr_mattmorgan https://t.co/xIPdUYXyyz

Matt Morgan: The NHS 10 year plan—expertly written by experts in writing expert plans - The NHS doesn’t need another 10 year plan.1 It needs a plan for next Tuesday. The real options for fixing it are actually brutally simple: more taxation, more rationing, more collaboration

" We don’t need smartglasses that can auto-classify the Bristol stool chart. But we do need someone to wipe the patient’s bum." https://t.co/ZeAPryu4WT @bmj_latest

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https://t.co/dwirTCoJXf - Always finds a reason not to help, not to admit, not to talk with a family. Submitted by Peter Brindley. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here https://t.co/lzxnnpgi0q

At ICONIQ Frontier, one question guided our conversations: What does it take to build at the frontier of AI? From @DarioAmodei to @drfeifei to @bradlightcap, a clear answer emerged amongst speakers: the most powerful force shaping AI isn’t technical. It’s human. How we lead,

101 members! Like a Dalmatian of dialogue. Thanks all for supporting https://t.co/lzxnnpgi0q

Chartshroud - How a life is flattened into a few cold lines on a screen after death. Subscribe to The Dictionary of Blood and Silence for all your medical words for free here https://t.co/lzxnnpgi0q