A lesson in keeping it simple- or as @glauncel says - KISS - Keep It Simple Stupid!

1/5

So - a member of the Pawa household dropped a plastic cap down the shower drainage hole by accident- see exhibit A below 👇🏼
2/5 Unfortunately- the shower was now unusable - a big deal for us all!
So - as someone who had been using a fibrescope on ICU recently, I had a great idea! I used my Amazon prime account and ordered a Wifi transmitting portable endoscope to get down the drain - exhibit B👇🏼
3/5 As a frustrated wanna-be surgeon (joking!) I was delighted when I inserted the endoscope, and through the gross “drain waste” , I could see the cap!

All that remained was for me to extract it with the selection of hooks provided.
After 45 mins, and Sore knees - we aborted!
4/5 It occurred to us that one trick had not been used, the faithful 🪠 plunger!

We don’t own one, but after a brief trip to the supermarket - we do now
Exhibit C 👇🏼
5/5 - With one attempt with the plunger 🪠 lasting 3 seconds, the cap was extracted.

Lesson 1 :- Keep it Simple - always
Lesson 2:- Just because it costs £25 and is available on Amazon Prime, doesn’t mean you have to buy it! 😂😂😂

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More from @amit_pawa

25 Jan
So here is a quick thread about the #PlanABlocks from @RegionalAnaesUK that feature in the tweet below - I feature links to the RA-UK book chapter 📖, Video 🎥 & Posters in the thread below...
The concept came from an excellent editorial from @LloydTurbitt , @EMARIANOMD & @elboghdadly

One of the key points of the editorial was to focus on a small number of high-value blocks, and to train everyone in them, and then implement into pathways👇🏼

…-publications.onlinelibrary.wiley.com/doi/10.1111/an… ImageImageImage
The First of these blocks is the Interscalene Brachial Plexus Block

RA-UK 📖: ra-uk.org/index.php/inte…

RA-UK🎥 : adobe.ly/3nTlHAX

RA-UK Poster: ra-uk.org/index.php/post… 👇🏼 Image
Read 11 tweets
5 Oct 20
I had a desire to pen another of my #PawaPoems -this time, a non-rhyming-type. Here goes...

A whole New World

The alarm goes off at 0530,
A battle of the snooze alarm versus my state of wakefulness then ensues,
I struggle to get out of bed- that much has not changed !

1/n
I shower and dress for work - no longer wearing suits or chino-blazer combos - they don’t do well when thrust within the depths of the Washing machine during my nightly “return from work corridor strip routine”.

2/n
Heading out of the door I double check my belongings citing my Morning Mantra - “Phone, Keys, Santiser, mask”
No longer needing my wallet- when was the last time i used cash anyway?

3/n
Read 12 tweets
1 Oct 20
This time on the otherside of the webinar situation!!
Looking forward to learning from @ICUltrasonica @Wilkinsonjonny @PARADicmSHIFT and crew! 💪🏽💪🏽💪🏽
First up... @PARADicmSHIFT
Lots of TEE studies/courses available
FICE
FATE
FEEL
FUSIC
FUSIC HD
BSE level 1 and 2
Read 37 tweets
19 Sep 20
My last #ECONGRESS2020 #ESRAASRA2020 session for the day! Image
Shoulder surgery hurts!

Interscalene block is currently the gold standard

#ECONGRESS2020 #ESRAASRA2020 Image
Read 20 tweets
19 Sep 20
#ECONGRESS2020 #ESRAASRA2020
Next we are listening to the use of Ampres 2% (Chloroprocaine) from @SinteticaUK

I have never used it, but suspect there are some situations where this has a useful role.

sintetica.com/global/page/pr…

What do Peeps think?
The question I have is what operations are short enough for the use of Block with Chloroprocaine?

#ECONGRESS2020 #ESRAASRA2020
The key must clearly be the provision of pain medicine to work past the duration of the short acting block.
Is that Oral Analgesia or Local infiltration by the Surgeon?

Key must be identifying appropriate procedures & having a plan for post-op pain
#ECONGRESS2020 #ESRAASRA2020
Read 4 tweets
19 Sep 20
Finishing my #ECONGRESS2020 #ESRAASRA2020 attendance “in the hands” of my dear friend @DrEAlbrecht

A really interesting session on innovations in #RegionalAnaesthesia Image
And here they are!

@DrEAlbrecht ‘s accent has become more British though!

#ECONGRESS2020 #ESRAASRA2020 Image
First we are going to hear about Onvision from @BBraunUK .

Initially was a skeptic, but after an intial trial with it, I have had my eyes opened!
Read 8 tweets

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