Timothy de Wet

MBChB PhD. I like mycobacteria, microscopes and high-throughput genetics. Currently trying to not make a fool of myself in the clinic.

[Timothy de Wet @timdewet]

My PhD thesis in 3 minutes - for an online conference, but a nice way to condense each year down into a minute.

https://t.co/0eqiJr1Sfd

[Timothy de Wet @timdewet]

Is twitter/X still a good place to talk science? I may be looking for a postdoc next year, and it’s previously where I would have started looking.

[Timothy de Wet @timdewet]

Jono’s videos are always worth watching!

S.African Syrah & its Global Glow-up | Old Road Wine Co. 12 Mile Syrah 2... https://t.co/rXGPF29Lu6 via @YouTube

[Timothy de Wet @timdewet]

Training clinician scientists in South Africa is possible. But it requires multiple steps we’re not doing. It’s not enough to have an MBChB and a PhD. You need to support integrated postgraduate training and then the shift to independence. None of this happens currently.

[Timothy de Wet @timdewet]

It’s crazy how much worse GSH has gotten in the 18 months I’ve worked here. Staff shortages, theatre lists cut, no lab IT systems, no functioning lifts, now no PACS for radiology. At our leading academic hospital. And it’s even worse elsewhere.

[Timothy de Wet @timdewet]

The scale of this security breach is huge. Essentially the entire public sector laboratory infrastructure is down for days to potentially weeks. The impact on patient care is going to be enormous.

[Sowetan @Sowetan1981]

The National Health Laboratory Service (NHLS) had a security breach on Friday resulting in servers and data storage being inaccessible and some – including the backup data – being deleted.

@J_chabalala
https://t.co/469arjba6L

[Timothy de Wet @timdewet]

The worst part of working in public healthcare in South Africa at the moment is dealing with patients who have waited 8 hours to see an overworked doctor in an understaffed facility. And then telling them that things are not going to get better - they’re actively getting worse.

[Timothy de Wet @timdewet]

When you listen to descriptions of the current NHS, it doesn’t sound too different from SA either

[Richard Poplak @Poplak]

This is a very good piece that, despite some unwelcome contortions, remind us that failing states eventually merge into amorphous lump of globalised shit. https://t.co/t0Wa8TYNQt

[Timothy de Wet @timdewet]

I’m becoming increasingly interested in the historical evolution of medical note taking, especially in South Africa, where electronic records are patchily implemented - As @AdamRodmanMD notes in one of his Bedside Rounds episodes, how we document reflects how we think.

[Timothy de Wet @timdewet]

@webafrica and @vumatel may be the most useless combination of companies in South Africa. 2 weeks trying to get a fibre line activated, and you can’t even speak to a human being from either company.

[Timothy de Wet @timdewet]

Are you burnt out, or do you actually just not like being a doctor?

[Eric Reinhart @_Eric_Reinhart]

Burnout in healthcare—and many other fields—is the discourse du jour. The “wellness” response has been widely panned. Working conditions are appropriately a focus. I’ve tried to emphasize ideological dynamics at play. But what’s often ignored is the place of desire. 1/

[Timothy de Wet @timdewet]

Or maybe it’s that tertiary hospitals prioritise registrar teaching, while using interns as clerks and phlebs. I wonder if it’s different elsewhere, especially a secondary level?
Either way, I don’t think any of us have access to journals or UpToDate.

[Timothy de Wet @timdewet]

Internship isn’t really about learning; it’s about service provision. Which is not to say that you can’t and don’t learn. Just that it’s not optimised.
It’s especially obvious at an academic hospital like GSH, when you have no access to academic resources (eg UpToDate).

[Timothy de Wet @timdewet]

Some of that is probably from the rotational structure - when you’re in a department for 2-3 months, there’s relatively little motivation to invest in you.

[Timothy de Wet @timdewet]

Proud to see this finally out after 3 years, a pandemic and a return to med school. Hope it’s a good read!

https://t.co/cUTPnbQ5nq

[UCT Health Sciences @UCTHealthSci]

Congratulations to Professor Valerie Mizrahi, Director of @UCTIDM on her election as Fellow of the Royal Society, London, for her substantial contribution to the advancement of science, particularly in the area of tuberculosis in Africa.
Read more: https://t.co/0WIqMm3ROq

[Timothy de Wet @timdewet]

The HPCSA internship logbook repeatedly misspells the word “pregnancy” as “pregnancynancy”.

So I really trust them to regulate the profession and protect the public.

[Timothy de Wet @timdewet]

I just worked 92 hours in a 7 day stretch, and I would not recommend it.

But at least in exchange for the 12 days in a row I’ve worked, I get a single day off. It’s the little things.

[Timothy de Wet @timdewet]

I don’t love private healthcare. But the inefficiencies within the public sector are insane, and there’s almost no incentive to streamline or optimise systems. And honestly, I don’t think it’s fixable.

[Timothy de Wet @timdewet]

Beautiful work in a disease-relevant model. Congrats all!

[Max Gutierrez @maxgabgut]

💥Happy to see this out @NatureMicrobiol today! Very proud of this work from a fantastic team leaded by @berenaylan @EBernard1993 @enricapel @TheCrick and entirely done in the lab: human #macrophages without #autophagy cannot restrict #Mtb and die.🧵
https://t.co/eXyhNKvDXH