Dr Eric Levi Profile picture
Sep 14, 2020 13 tweets 2 min read Read on X
So the other day the scrub nurse assisting me in the operation shared his story.

He was born in an African country ravaged by war. He saw his friends and family murdered violently. He had to flee his village with a handful of survivors. 1/
He jumped over the dead bodies of people he knew. He fled to another country. Lived in refugee camps and somehow made it to the UK as a refugee many years ago.

Fast forward a few years he spent 16 years working as an accountant. 2/
Since the EU, worked became difficult for him and he lost his job. He and his family returned to their country of origin and thought they could consider living in their post-war home nation.

They couldn’t fit in. They couldn’t deal with the lawlessness and corruption. 3/
Their kids struggled too. And they sought to return back to the UK.

His mum objected to them returning to the UK by not taking her antihypertensives. Ultimately she suffered a stroke and there in the village he felt the hopelessness of not being able to help his mum. 4/
Rather than returning to the UK, they took a gamble by choosing to move to Australia. He took an accounting job and soon realised the legalities of accounting was different in Australia. He had to retrain all over again.

Instead of retraining in accounting and law...5/
He decided to do nursing because he felt he wanted a career that was practical and tangible. When his mum died he promised to do something meaningful.

Nursing training was totally foreign to this middle aged man with teenage kids. He completed it. 6/
When he became a graduate nurse he remembered the day his patient died.

There was a lot of commotion and he was being contacted by nursing supervisors, educators and nursing seniors to see if he needed to take the shift off and to debrief (I never had this support as a Doc) 7/
Fellow nurses wanted to support him because he lost a patient. They were worried that he might not cope with the death of a patient.

He said, “It is sad, but that’s not the first time I dealt with death.” 8/
“As a kid I had to hop over the dead bodies of people I knew to run away from gunfire. I had to learn to be strong.”

Fast forward a few years, he is assisting me as a scrub nurse in a Head & Neck procedure. 9/
I asked, “Did your gamble coming to Australia pay off?”

He silenced the yankuer sucker and over the anaesthetic beeping said, “Australia has been the best thing that has ever happened to me & my family. 10/
“If I had known about Australia 20 years ago, I would have taken the boat to come here. Australia has give me and my family a new life.”

So I asked, what’s similar between Australia and the UK?

He replied

“Racism”.

11/
“In both countries, my skin colour and my accent, makes me less of a member of society than others.”

...

...

...

...

...

12/
I know.
I’m sorry.
4.0 vicryl & 5.0 monocryl please.

End/

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More from @DrEricLevi

Oct 10, 2022
Don’t confuse faith/spirituality and religion

1/
Spirituality teaches you to be open to things beyond you.

Religion teaches you to label others as dirty, unclean & sinful.

2/
Spirituality teaches you to embrace others.

Religion teaches you to judge others.

3/
Read 7 tweets
Oct 10, 2022
I worked with a new locum (agency/casual/temporary fill in) scrub nurse yesterday. He said there were more than 70 jobs listed for the day in Melbourne. He just went for the nearest and best paid option.

Think on that a bit…
70 gaps in theatre nursing position. Most nursing departments will first call their own staff to do extra shifts before looking to external agency to fill in (more expensive, unfamiliar staff)…
Think of the local staff that have to do more shifts. Think of the nursing managers that have to find staff daily. Local staff depleted. Money is way better as casual…
Read 7 tweets
Oct 9, 2022
Oh dear!

The multiple replies to this tweet from @JoshBBornstein is making every ENT surgeon shake their heads. So many inaccuracies, myths and confusion.

An ear discussion here is ear-resistible. Read those replies, and return to my thread. Let’s chat. 1/
Surfers ear is not swimmers ears.
Inner ears is the cochlea and semicircular canal. What you refer to as inner ears is actually the middle ear anatomically speaking. Surgery ears and Eustachian tube dysfunction is unrelated.
Middle ear fluid has nothing to do with swimming.2/
Surfers ear is bony exostosis. Bone haemorrhoids of the ear canal. It’s not infection. It’s not blockage. It’s not inflammation. It’s just bony growth. Of course it can predispose to wax blockage or infection. But then just call it wax blockage or otitis externa. 3/
Read 11 tweets
Aug 27, 2022
John Farnham, an Aussie legend, sadly has one of the many kinds of Head & Neck Cancer. Just like Michael Douglas, Sigmund Freud, Sammy Davis Jr, George Harrison and many others did.

A thread on Head & Neck cancer:

1/
2. Head & Neck cancer is a big group of cancer that arise from the Head & Neck region, involving the skin, inner lining of the airway & digestion, glands (saliva glands, thyroid), soft tissue, muscle, bone, sinuses, etc.
3. Depending on where they come from, they’re often squamous cell carcinoma, but they can be adenocarcinoma, adenoid cystic, acinic, papillary thyroid, follicular, sarcoma, etc. Not a single disease. Various kinds, types, locations, and degrees of aggressiveness.
Read 21 tweets
Jul 21, 2022
12 Tips on surviving a hospital admission in COVID times.

1. Prepare to wait. Staff overworked, doing double shifts. Hospitals at full capacity. Be patient.
2. Bring a book, a computer, a phone and necessary chargers.
3. Come alone if possible or with only 1 support person.

1/
4. Bring small snacks if needed (free of nuts if possible) & drinks.
5. Prepare to be cancelled or have your plans changed. Cancellations are always last resort but sometimes there are no other options.
6. Summarise your health needs and history on a page. Staff exhausted.

2/
7. Bring all your meds. Hospitals may have supply issues and you may need to rely on your own supply.
8. Bring any previous health notes, history or results. Often the IT system is not perfect.
9. Have contacts of your next of kin and GP ready on paper too.

3/
Read 5 tweets
Jun 13, 2022
What makes me smile?

The facial nerve.

What made @justinbieber’s face droop?

His facial nerve stopped working.

Let’s talk about the journey of the facial nerve from brain to face.

1…
2. Here’s a schematic diagram from Grays with my additional labelling. This complex nerve meanders through really tight structures.

Facial nerve is also called Cranial Nerve VII (“seven” if you don’t do Roman numerals).

I love it and I spend hundreds of hours operating on it.
3. We start at the facial nerve nuclei in the brain stem (pons). The nerve then swims through CSF like a hanging bridge to get to a tight bony tunnel called internal auditory canal. It’s not alone here. The tunnel is shared with vestibulocochlear nerve (CNVIII). Schematically:
Read 17 tweets

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