Found my to do list from 2013 with this action point in the 'amber' column, ie not super urgent, but try to do soon. Unfortunately it would quite be many years before I finally got round to it 😐 My only regret with YouTube is starting so late.

As you can see I went with 'f'. Image
Leonardo and his sinus did indeed become my first video ever, and remains one of my favourite ever bits of medical trivia. Advice for a newbie is maybe cut your teeth on B grade material, learn how to edit etc and then whip out your pièce de résistance once you've got some skills
Option 'c' also explains my channel name origin. Believe it or not I originally thought I'd make videos about fitness advice, dispelling broscience. I'd just turned 30, into the gym, had a sports car & a few (cheap) motorbikes so friends mocked me for having a midlife crisis.
My current to do list clearly needs to include 'check tweets for random extra words' shropshire

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More from @MedCrisis

25 Feb
A ward patient had a chest drain inserted & quickly went into pulmonary oedema. We know this as re-expansion pulmonary oedema. Solution usually involves clamping the drain to prevent further drainage (if it's an effusion). But why does it happen? Image
It occurred to me during my shift tonight that I don't understand why. It seems I am not alone. Often it's just a radiological finding, but I've seen patients in significant distress from it & it can apparently be be fatal.

But no one really knows why it happens.
#NotATweetorial Forgive this not being well referenced, I'm at work & just randomly reading around without making notes but a leading theory is about capillary permeability secondary to endothelial damage. Akin to an ARDS picture. Still not sure why though.
Read 7 tweets
26 Aug 20
You might not be aware there is an 'anti lockdown' protest in Trafalgar Square this Saturday, the 'Unite for Freedom' event. It boasts "Top World Class Doctors & Nurses" which piqued my interest.

So I thought I'd look them up.
A theme through many of my twitter threads & youtube videos is that doctors can be just as big morons as anyone else. Some of the 'doctors' saying social distancing & masks are unnecessary are fake, they're chiropractors or naturopaths. But the sad truth is, many are medical docs
Dolores Cahill is a University College Dublin immunology (I think) professor whose interview where she stated COVID deaths could've been prevented with vitamins & lockdown & social distancing aren't needed went viral. She retains her job at the medical school.
Read 12 tweets
1 Jun 20
Next procedure cancelled so sitting in the staff room with 2 nurses watching day 6 of #BlackLivesMatter protests in the US. Yesterday a huge protest in London & many other cities. The nurses felt protestors shouldn't use violence & were wrong to go near the White House. I said >
"what other options do they have?" But as I said it, I knew how tone deaf it is for me to saying that as both of the nurses are black and I'm not. You've heard the difference about non-racism vs anti-racism, I've been thinking about it a lot recently.
Being able to talk to others honestly & hearing their views is important, otherwise it's easy to never change your mindset, safe in the knowledge you are a 'good guy'. You don't hate black people! You're not like these racists. But we all have things to learn.
Read 12 tweets
27 Mar 20
Important update from @ICNARC - analysis of the first 775 patients admitted to critical care in the UK with COVID-19

Average age only 60 (remember this will be skewed, but pretty similar to typical admission with non-COVID viral pneumonia - R column)

icnarc.org/About/Latest-N…
Compared to typical viral pneumonia admissions to ICU, COVID patients:

Are in previously better shape (90% fully independent)
Have fewer pre-existing co-morbidities
Are *much* more likely to be mechanically ventilated
Mostly men (70%), broadly similar to typical viral pneumonia admissions (thin lines)
Read 7 tweets
5 Nov 19
A little tidbit for non-cardiologists who might not've heard of the Smoker's Paradox. WHY INCOMPLETE DATA CAN MISLEAD!

Yrs ago it was observed that although smokers had more heart attacks (MIs), they actually did *better* after having had one, compared to a non-smoker. wtf?
Can you think of any reason why this might be the case?
Forest plot showing adjusted odds ratio for death in smokers following MI. Towards the left & not crossing midline = favouring the Smoker's Paradox.
Read 9 tweets
27 Sep 19
I thought #BlackHistoryMonth (Europe) would be a great opportunity to make a video about 2 cardiac surgery stories that I love. Behind the blockbusting first Tetralogy operation & the first heart transplant were black men working in deeply racist times.
Followers/readers of @FredWuMD & @thomasngmorris will know these well. Hamilton Naki left school at 14 and worked as a gardener in Cape Town but ended up performing heart & liver transplants on dogs and is credited with devising the heterotopic heart transplant
Vivien Thomas saw the Great Depression dash his hopes of medical school so took a job as Alfred Blalock's lab assistant and proved himself a gifted and innovative surgeon, instrumental in achieving the first successful operation for 'Blue Baby Syndrome'
Read 5 tweets

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