Urgent button battery warning (disc battery). Especially for those in Queensland. ImageImage
What will button battery do to the lining of your child’s throat? See the experiment I did. Here’s button battery on ham. Pics on the left are 0, 20 minutes and 40 minutes. The 2 pics on right are at 60minutes. It burned through 3 layers of ham.

Button batteries can kill. Image
Here’s a couple of button batteries I retrieved from a child’s throat & oesophagus a few years ago. They’ve been there for a few hours. Image
And here’s an example of the damage that a swallowed button battery can do to the lining of the pharynx and oesophagus. This may result in significant injury and it could be potentially fatal.

Button battery can kill. Image

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More from @DrEricLevi

25 Oct
Button battery (disc battery) fatality. Heart breaking. These batteries look like lollies to kids. Please protect your kids. @KidsafeVic @OperationOuch @xandvt @DoctorChrisVT abc.net.au/news/2020-10-2…
Here’s what it does to ham. My own experiment at home. The pics on left are at 0, 20 minutes and 40 minutes. The 2 pictures on the right are at 60 mins. Burned through 3 layers of ham. Image
Here is a couple of batteries I extracted from a child’s throat. They were there for a few hours as it was an unwitnessed event. Image
Read 8 tweets
25 Oct
Dear Melbourne,

Be patient. We will get there.

Soon we will be out to support our communities.

#MelbourneStrong
How do we feel today?

How will we feel in 3, 6, 12 months?

Decisions made today will be interpreted in the context of time.

Either stay the course (yet scrutinise mistakes) or open and see how we may end up like UK, US, Belgium, France, etc.
Totally frustrated too like many Melburnians.

There are things I can change. There are things I cannot change. Responding wisely to disappointments is something within my abilities.

Criticising bad decisions I can’t influence just make me mad but does nothing.
Read 7 tweets
14 Sep
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/
Read 13 tweets
2 Sep
Politicians, chefs, celebrities, sports people etc make all sorts of comments about the pandemic restrictions.

Nurses, docs, paramedics, allied health and other front line clinicians are asked to “comply to code of conduct”. Our hands are tied and sometimes we are muzzled too.
It’s the reality we work in. We can only do our best within the systemic constraints we. It’s always a challenge and there is no perfect system.

Sometimes voicing an opinion alone can be a career-ending move for some in the health industry.
Most of us are here to just get on with our patients and our lives. A few of us are here for the money and power.
Read 5 tweets
23 Aug
“Health Care Workers are heroes, putting themselves on the line” said the big people.

1 in 7 covid positive Victorians are HCWs.

But only 1 in 5 covid positive HCW caught it at work??? Where else did HCW catch COVID other than from work?

theage.com.au/national/one-i…
The attribution that majority of HCW catch covid outside work does not statistically make sense.

Because if we saw the truth and realise that HCWs are not well protected at work to do their job safely, then the workplace managers/owners will have to be scrutinised.
If anyone in my team caught covid doing our aerosol generating procedures, that’s a workplace safety issue.

Hence the noise many of us have made the last few weeks.

Good thing the old email keeps a record of conversations.
Read 8 tweets
8 Aug
It happened again the other day.

I asked for an N95 mask for my airway operating list. One hospital provided, another said no.

Yes, pre-op swabs are negative, but I spend 3-4 hours in multiple patients’ nose, oral cavity, oropharynx, larynx and trachea in one session.
My sinus cases involve me debriding the nasal mucosa, removing polyps and dissecting the nasopharyngeal mucosa.

My throat cases involve me dissecting the oral mucosa, tonsils, palate, tongue.

I’m always inches from patients noses and mouths.
My airway cases mean I’m 30cm away from a patient’s mouth with positive airway blowing into the patient and released on to my face. The airway is not secured or sealed. It’s an open ventilation with air returning on to my face and neck. Diagram below. medicine.uiowa.edu/iowaprotocols/…
Read 7 tweets

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