When I was accepted to med school in 2008 I told my mom, a life long tennis fan, that I would take her to Wimbledon one day.
Last year, she was diagnosed with a high grade liposarcoma, which raised the Wimbledon urgency a bit.
Radiation, multiple surgeries, and my own cardiac arrest later, here we are at Wimbledon, happy and healthy.
BATMAN was released 35 years ago today. One of the earliest classic superhero movies, and among the most popular of director Tim Burton. The story of how it came to the big screen will have you dancing with the devil in the pale moonlight…
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I have just finished another set of incredibly difficult weekend nights as the A&E consultant incharge.
Some thoughts:
The NHS no longer provides unscheduled care - we provide treatment. Care is with dignity - that's impossible for our patients in corridors.
The model of acute care is not working or sustainable. We need a completely different approach - with long term investment in prevention and community care
111 need to change risk thresholds as far too many come to a&e when they don't need to.
There needs to be alternative pathways to get care overnight for those who don't have accidents or emergencies. A&E shouldn't be anything and everything
Staff are broke - supporting staff is just as vital as looking after patients
This government have totally decimated our the NHS. They are the ones who should be apologising to our patients not our staff.
Hundreds are dying each week because of lack of hospital capacity and corridor care in a&e, yet it's not on the news and no public uproar. As staff and patients we have accepted the unacceptable.
Everyone needs to know the reality of what is happening - so that politicians offer a different solution and patients get the care they deserve. Sadly most of the public have no idea of what is genuinely going on.
And finally, a post night fry up is the best antidote for the stresses of the weekend. Goodnight!
Scottish man Angus Barbieri fasted for 392 days, from June 14, 1965, to July 11, 1966.
He lived on tea, coffee, soda water, and vitamins while living at home in Tayport, Scotland, and frequently visited Maryfield Hospital for medical evaluation.
He lost 276 pounds and set a record for the length of a fast.
Did you know there are some antimicrobials that are SO well absorbed by your gut, they almost NEVER need to be given IV?
-Metronidazole
-Ciprofloxacin
-Rifampicin
-Clindamycin
-Linezolid
-Doxycycline
-Fluconazole
All approach 90-100% bioavailability 🥳
1/The medulla is anything but DULL!
Does seeing an infarct in the medulla cause your heart to skip a beat?
Does medullary anatomy send you into respiratory arrest?
Never fear, here is a thread on the major medullary syndromes!
The Road Goes Ever On (2023).
I did have an idea what to draw for #inktober2023map but I just couldn't get around to do it, so I am at least sharing my most map-like picture for this occasion (with labels added 😄)
Signed art prints: https://t.co/u6Gho6oW0z
British Thoracic Society recently published a must-read Statement on pleural procedures. It is 26 pages long & is accompanied by 13 online supplementary appendices
“Microneurosurgery” by the father of modern neurosurgery, Professor MG Yaşargil. Peter Roth, Yaşargil’s longtime illustrator, created these incredibly accurate neuroanatomical illustrations using traditional media such as graphite and color pencil. @OGdukeneurosurg@chrost_hugo
Wow I absolutely love this London Underground schematic anatomy map of the essential structures in the complex head & neck region
Just like the underground some lines run deeper than others & can get closed causing major disruption including neurological or other symptoms!
Excited that a new Bailey & Love's Operative Surgery book for our specialty will be published in December
Before doing any surgery, surely its crucial to understand how to improve patient safety & reduce the risk of medical error
So Chapter 1?
Human factors!!! I'm thrilled
Love this map from Pauline Baynes.
Baynes was the only artist approved by Tolkien to illustrate his works during his lifetime and worked closely with Tolkien to create this map.
Huge thanks to all the NHS staff who are doing their best to keep the health service going despite having 10% fewer staff than we’re meant to have.
We see what you do, and couldn’t be more grateful 💙