Doctor at NNUH, husband, father, conspiracy theorist & occasional pirate. Author of GPpaedsTips. a paeds textbook and some other stuff.
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Sep 20, 2021 • 10 tweets • 3 min read
No Tonsils Tuesday
If you're interested in reducing decision fatigue and improving the flow of the care of unwell children, this may be for you.
Read on (a thread) #NoTonsilTuesday2- This only works if you practice in a setting with a low prevalence of complications of streptococcal infection, for example the UK, US and many other countries.
If that's you, throat infection in children may be simpler than you've benn led to believe.
Next, some truths
Oct 30, 2020 • 8 tweets • 2 min read
1/ We're going to need to look after each other really well in the weeks and months ahead.
This was highlighted to me recently when I was taking out my rubbish (trash).
I had a little stress reaction to getting a new rubbish bag. It really took me by surprise.
2/ I initially dismissed my feelings as bizarre and ridiculous.
I realised immediately that it was the tearing of one rubbish bag from the next that reminded me of tearing plastic PPE gowns off a roll.
I didn't understand why this association stressed me. So it isn't valid is it?
Aug 19, 2020 • 8 tweets • 2 min read
1/ Some reflections on remote and online classroom style medical education vs face to face (F2F)
A thread...
2/ The growth in remote MedEd has occurred through necessity. Remote is different but not better than F2F. It has some clear advantages but also significant disadvantages. Where possible we need to mitigate these problems.
May 16, 2020 • 6 tweets • 1 min read
1. People often ask at the moment, "What's the exit strategy for the Thursday clap?"
Is it going to continue indefinitely?
If it stops, who decides that?
Well I have a proposal from the NHS worker's point of view.
2. How about we all agree that we stop the Thursday clap when the government meet my three key tests.
Mar 15, 2020 • 10 tweets • 2 min read
1 With the impending #COVID19 pandemic peak in the UK, adult services are going to be hit disproportionately hard. Since paediatricians may be needed to help by looking after older patients, here's a guide to help children's specialists when the time comes to care for an adult.
2 Don't introduce yourself as a paediatrician. Most people think that's a foot doctor. Even if they know what a paediatrician is, confidence will not inspired.
Mar 13, 2020 • 11 tweets • 4 min read
1 A quick tweetorial on childhood immunology that might help to explain why children are less likely to be seriously unwell with #COVID19
Also a warning about neonatal Covid 19 based on what we know about novel infections in this age group. #FOAMed#FOAMped
2 There are essentially three main stages to human immune system development. The end result is a complex and highly intelligent response to pathogens. This response is most like the employment of an intelligence service to protect the body from infection.
