It is #RoaldDahlDay. He did as much for medicine as he did for literature. Have a read below about how he influenced brain surgery, vaccination policy and stroke care. 1/6
2/6 It started when his son, Theo, was hit by a New York taxi.
3/6 Dhal used his love of flying to invent a new type of valve to treat water on his brain.
4/6 The BFG is dedicated to his daughter Olivia after she died from measles. His support for the vaccination program likely saved many lives.
5/6 Caring for his wife after a major brain bleed helped lead to the foundation of the Stroke Association that is still going strong today.
6/6 If you like history, science and stories, you can read the whole book "Critical" here amzn.to/3bIsjwD.
After a year of working in Australia 🇦🇺, here are my top 5 things the NHS 🇬🇧could replicate to help prevent a fatal haemorrhage of staff alongside pay restoration 🧵#medtwitter#NHS
- 2 week pay cycles
With frequent movement of NHS staff in training, pay errors are common and distressing. Having a shorter pay cycle allows these to be quickly captured and corrected. It may also allow easier financial planning for those on low incomes. 1/5
- Up-front study leave
Rather than using slow, bureaucratic claim processes that reimburse in retrospect, Australia pays a study budget in your regular pay. This encourages professional development and staff can afford to pay for courses prospectively. 2/5
Do you do on-calls from home? Here are my top tips for being non-resident. Share yours at the end. #oncall🧵
I previous worked as a critical care consultant with in-house cover 24/7. Being on-call from home has taken some adaption.
I now use the "six P's" for the things I definitely want to be called about:
Pregnant patients
Paediatric patients
Palliative patients (worried they are going to die)
Perplexing patients (uncertain diagnosis)
Political issues
Practical help
🏥What a dusty book about a hospital’s past can tell us about the future - a thread . . . 📚
1/7 I got a little lost today in the old bowels of my hospital. On an old dusty cupboard, I found this old dusty book. It details the reasons behind the building plans of @CV_UHB . Re-learning lessons from the past may help design the future.
2/7 Integration of research & medicine was a clear goal. In the world of audit and QI, this close relationship can be lost. Here corridors filled with science and trials are next to patients. This fosters true integration, changing human behaviour hand in hand with science.