Medicine in 2050:

Patients lie suspended above their own beds with anti gravity devices to avoid pressure damage but some gravity devices to prevent bone and muscle loss, developed from space medicine by @Kevin_Fong

Everyone is treated in their own home, with nurse robots, who are occasionally kicked and mistreated, like real nurses, but they never ever dispose of anything in the wrong colour bin bag. Patients' every vital sign is measured and fed

Into Google, which can predict, along with the new Sepsis Seven, which involves the blood marker Galanin, deterioration.

A pit stop team trained by Ferrari, who have little else to do now fast cars are banned on safety and environmental grounds, descend upon the dwelling and administer oxygen.

This can now be done by injecting directly into a vein which at last means we are freed from the tyranny of the airway. However IV access is still required so apparently, we still need anaesthetists.

Bedside bloods are finally here, and the nursing robot's tea mug doubles as a ROTEM machine. We have synthetic blood products with far better oxygen content than human blood, necessitating transfusion of a mere 50ml or so in extremis, preserving the glycocalyx.

Lumbar punctures are no longer necessary, because during the Covid pandemic of 2020, it was recalled mostly via tragic accident CSF was easily accessible via swab through the nose. This has at least been adapted to a micro swab.

Speaking of, humankind is onto variant of covid 837 and it became less virulent over the years, but part of the reason people became treated at home was to avoid contaminating hospitals, and avoiding the great Covid hoax crowds that gathered outside laughing at dying people.

It was also soon realised that mechanical and non invasive ventilation were inferior to ECMO, and the injection of synthetic blood containing oxygen was also a useful alternative. Now in 2050 tissue level oxygen is tracked by small nanochips

In key circulations, like the brain, heart, splanchnic circulation and kidney. It is established that oxygen requirements in critical illness are not the same as health, and tissue level oxygen is now targeted, not the index finger's.

Inflammation in 2050 is calibrated by continuous sampling devices like those of diabetic insulin boxes, and both the anti inflammatory and inflammatory cytokines are retitrated to a clinician decided level appropriate to stage of illness

Doctors now measure levels of cell and tissue damage, DAMPs and fragmented intracellular organelles. They ask the Golgi how it's feeling.

CT's are a thing of the past as a wizened @iceman_ex or his robot minions come along with a tiny ultrasound probe of 4K resolution and reconstruct a 3D hologram of the body. It still needs Segs to interpret it, but we cool.

Meanwhile all the radiologists have retrained as interventionalists. They have little micro cameras with tools that are injected into the radial artery (obviously still by an anaesthetist). From home their operate their all seeing gaze and the portable camera

Whips round the circulation, stopping to remove any clots or debris, or walling up aneurysms with a material like spider silk but hypoallergenic. They can biopsy anything they like.

In 2050 they know how to make neovessels and can tug them behind the micro cameras, bypassing large tumours or revascularising myocardium as they launch out of the LAD and fasten to the left ventricle.

Wound healing takes a mere 48-72 hours as a combination of tiny wound batteries sets a polarised voltage that recruits and directs tissue macrophages in a carefully calibrated stem cell micro environment that can regrow whole limbs and has been stolen from crocodile biology

To examine the brain, antibiotics are injected (by an gasdoc inserted cannula) that can switch on fluorescence associated with dendritic spike maintenance, allowing Radiologists to shine blue light on brain regions from within capillaries, to examine functional neuronal networks.

(Optogenetics). No one understands the brain yet because it is quantum and both alive and dead.

Once a year, cellular probes that can detect changes to p53, glycolysis, and cell-cell adhesion are used to track and trace malignant cells, destroyed through a crafty upregulation in T cells

Whose damage to the endothelium is mitigated by the IR micro camera, trailing a layer of glycocalyx, to seal off the wall. Sepsis is almost a think of the past

With the equivalent of the immune system pacemaker, that ensures any changes in immune activity from ageing, are amended with artificial signalling.

Microbiologists have finally cracked quorum sensing - the method of communication bacteria use to communicate and change gene expression, to allow them to manipulate the microbiome in health and disease.

Someone has developed a new drug called Epifentanil that is awesome at everything and regenerates mitochondria whilst enabling pain relief and neuroprotective coma, without bradycardia or respiratory depression and no addictive tendencies.

Antibiotics are no longer required because we ask the bacteria nicely via microvesicle signalling and quorum sending, to stop invading.

Prescriptions can be done with a fingerprint and no one makes you write out words and figures. A robot scribe keeps pace with everything and records it, freeing up humans for care.

In the NHS, Bluetooth telepathy technology available is still ignored in favour of pagers, which even during the pandemic of 2020 were a technology 50years old.

Diabetes is now managed with small intracellular construction machinery modelled on insulin bio factories if type 1, in type 2, epigenetic programming allows clinicians to reset metabolic enzyme pathways according to HbA1c.

Mandatory induction learning is still infuriating and necessary but you can swipe left and just skip to the assessment because several trusts got sued for repetitive strain injury from all the clicking.

Patients are cryogenically cooled between 10pm and 8am to allow healthcare staff to sleep.

Vein seeking cannulas are available to improve successful venepuncture but anaesthetists are still on call because no one even bothers having a go.

ED have a symbolic four hour wait in homage to their predecessors but with bedbase no longer being an issue they can do their own work ups and actually get the blood results before referral.

There are statues of Chris Whitty in Trafalgar Square.