One of my favourite facts about Paris, it's one of the few cities with an entirely separate "grey" non potable water supply, from the canal de l'Ourcq, for street cleaning, fountains, watering parks etc.
Visitors will often notice (well I do cos I'm weird) water running down the gutters gushing from what might look like water leaks.

They are in fact deliberate, directed by a roll of old rug the street cleaners carry
Which then allows the hard working men and women in green of Propreté de Paris to sweep the gutters clean.
Note the design of the broom, the directionally pointed brush has changed little from the "witches' broomstick" as they figured it's actually the best design for cleaning city gutters
The system, put in place by Baron Haussmann, ensured Parisian streets could stay clean without wasting treated potable water.
The supply of water runs down the Canal de l'Ourcq, into the Bassin de la Villette, then into the Canal St. Martín (of Amelie fame)
Ending in the somewhat amazing Reservoirs de Passy in the 16eme.

So if and when you next see water running down the gutters in Paris, fear not, it's not clean water going to waste!
Incidentally, fresh water supply to Paris is another amazing story, which warrants its own thread.

In the meantime enjoy these Wallace Fountains supplying clean, free, drinking water to Parisians every day.

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More from @drphiliplee1

1 Feb
Not a virologist or epidemiologist, but I think it'll be a big challenge to persuade people that *some* level of social distancing measures need to remain even after all the >50 and clinically extremely vulnerable have been vaccinated.
The current strategy seems to be having the vaccinated to act like a shield wall, containing the virus in the less vulnerable population and prevent serious disease. This should stop healthcare systems being overwhelmed.

However, the virus will still be around.
With a lack of data in whether vaccines prevent asymptomatic/low grade symptom transmission, it's not safe to assume once you've had the vaccine you will not pass it on. (Though it'll be interesting to see what comes out of UK and Israel)
Read 6 tweets
23 Jan
I see that Germany, France, and Austria are considering mandating FFP2 masks in crowded places.

Frankly negligent of them not also mandating the Omnipotent White Plastic Apron (OWPA™®) as per UK guidance.
🇪🇺: oh yeah wear that mask on the 🚉

🇬🇧: wear what you want loser but when you come to work in a hospital have this surgical mask and an apron
👩‍⚕️*gets covid*

it's because of this flimsy mask when someone coughed in my face

🇬🇧Well were you wearing your PPE?



👩‍⚕️well I took off the goggles

Read 4 tweets
22 Jan
France: non French Healthcare workers put their lives on the line for us, please have a French citizenship.

England: oh thank you for your service but if you don't have British passport then no vaccine for you.…
It's been pointed out to me that this is not the dhsc/nhse position, and that staff should be vaccinated regardless of whether they have an NHS number.

This does not negate the fact that at least one trust has taken the position not to vaccinate without.
For an organisation that has extensive requirements for training and awareness about indirect discrimination, the NHS trust seems blithely unaware how their policy will disproportionately affect staff less likely to have an NHS number.
Read 4 tweets
19 Jan
If I hear any medical student ever describe the work of HCAs as menial, rest assured I would not want your assistance, paid or not, on our wards.

In fact you can go home, stay there, and never come back to the hospital.
Whilst I sympathize completely with having upcoming exams, needing time to study, and I will make the utmost effort to continue teaching you despite everything else, the most important lesson is that there is no task that is beneath anyone in healthcare if it helps the patient.
Also, here's a bit of training for free. If you ever find yourself writing a letter like this, write it, leave it for 12-24 hours, read it again (ideally get someone else to read it too) and think about how it comes off, then send it.
Read 4 tweets
17 Jan
Meet Lily, she is a cat who lives in Sum Shui Po, Hong Kong, in a grocery store with her owner Meher

Prepare for a while ride ImageImage
Twenty hours ago, Lily was outside the shop where she lived, she was well known in the neighbourhood.

Suddenly a middle aged woman picked her up, and ran off. The was captured on the dash cam of a nearby vehicle. ImageImage
Passers-by and store owners tried to stop the women, telling her that the cat has an owner, to no avail.

Distraught, Meher called the police.
Read 13 tweets
10 Jan
Under normal circumstances, most NHS acute hospitals will have several types of inpatient areas

1. Assessment unit
2. Specialty wards
3. Intensive care

As well as outpatients, emergency department, day case surgery etc.
Patients admitted from A&E would go to 1, then move to 2. Some might go directly to 2, sickest ones to 3.

In many hospitals, the assessment unit is vital to flow of patients out of Emergency Department.
Read 12 tweets

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