Untimely article; and that number continues to march higher. Look after yourselves and your colleagues, friends. 🙁
"It's an enormous privilege to do this work; however, it shouldn't cost you your life in order to perform it,"
yes. tasting fabrics is one of the easiest ways to test fiber composition. natural fabrics, such as wool, cotton, and linen, breakdown in the digestive tract. synthetics such as polyester will not. so to test fiber composition, eat the garment. if fibers appear in your poop, it was synthetic.
Tis me right now. I feel your pain! My solution was to keep applying. 🤷♂️🥴
Very apt topic given what we were discussing last week 😆
Hawn! Trust you to chime in and nice to catch you on BSky (your med student from POW days + CCAM last year 🤣). Nice to see you speaking at the Code Blue Conference at UNSW this year; the conference has grown heaps!
I don’t disagree which is why we should appreciate the patient’s context/fn before recommending treatment (or not). But ultimately it’s also up to the patient themselves to decide what issues are important *to them*. Hence *shared* decision making! Don’t think it’s an abdication of responsibility!
The textbook answer would be shared decision making, but it’s really a shot in the dark with no/minimal statistics with no clear answer. Reminds me of this little comic strip from the patient perspective courtesy of Woke Salaryman. I feel for the patients - seems like rock and a hard place really.
I think this is what gets me - risk of spinal may be small, but those risks are highly consequential - had a patient say they’d rather be dead than be paralysed vs the benefits of reduced analgesia use.
I… somewhat empathise?!
Would you do it with Clopidogrel on board though? Genuinely curious - been drilled into me *not* to so curious what the thoughts are!
The rookie in me would ask what the upside of a spinal is apart from decreased analgesia requirements POD0-1.
Can’t imagine trying to position the patient for a spinal + the bleeding risk. GA+FIB might be better for the patient? Happy to be educated and will peruse the articles!
Definitely. These things tend to stick with you. But also important to be led by the evidence when things evolve!
Previous #AnSkyMedSkyDebate on anaphylaxis and how one's approach is shaped by their experience(s) really hit home for me this week. Shoutout to @maffygirl.medsky.social for that insight.
After seeing my first Grade 4 anaphylaxis, I can confirm: it's an experience you don't forget. #ansky #medsky
Crickets on BSky but booked in with an interview coach - fingers crossed! Strange b/c feedback last year for the most part was that I interviewed okay but needed (epidural) experience 😂 Hitting a moving target really, but alas!
Separately - feedback says that I need work in appearing more confident in my answers during interviews - been practicing. Anyone has interview coaches or performance psychologists in AU to recommend? Which of the two is more useful? Am already aware of frameworks eg SPIES, STAR, etc. #ansky
Interesting chat with mates from SG. How do training programs handle the trade offs between selecting for service provision (bearing in mind a training program should train) vs non-technical skills which are harder to train? #MedEd
Ah thought your discussion at the NZ ASM was eye opening and might (hopefully) interest folks at the college… 👍
Pre-operative use of GLP-1s is known to delay gastric emptying, but does that translate to an increased risk of pulmonary aspiration?
This systematic review and meta-analysis suggests NO.
#GLP-1 #AnSky #MedSky
doi.org/10.1111/anae...
All change for GLP-1
Do not stop taking the medications
24 hours of clear fluids and a 6 hour fast pre procedure.
www.anzca.edu.au/getContentAs...
Sometimes the best intervention is... presence. Sat with a patient navigating deep trauma this week. 20 minutes of just listening on the pain round. Her physical pain presentation faded. Reminded of the power of human connection and why we do what we do :)
Moved to WA. ✅
Bio+CV updated. ✅
Moved into share house. ✅
Registered with @anzca.bsky.social. ✅
Car delivered ❌ - still stuck in Melbourne since early January.
Scrubs and inner wear delivered ❌ - box went missing.
What a start - now maybe I'll get to meet @archiecurium.bsky.social in person!
Australia and New Zealand will soon follow in the UK's footsteps to have widespread adoption of PAs, and maybe even AAs. It looks inevitable.
A not-so-brief thread 🧵on how we got here and why I think this is a bad idea. #MedSky #AnSky
1/n
Happy birthday! Was nice putting a face to the name the other day in ICU 👍
SALG (Safe Anaesthesia Liaison Group; @rcoanews.bsky.social @assocanaes.bsky.social ) have been looking at the place for pre-filled syringes. www.salg.ac.uk/salg-publica... #AnSky
Has #NRFit adoption stalled in ANZ? Have the hospitals you work in switched to the ISO 80369-6:2016 standard? 🤔 @drnavsidhu.bsky.social @gonggasgirl.bsky.social @maffygirl.bsky.social
#ansky
That side eye 👀 😂
*wise, experienced. Still young at heart I reckon…
Anatomy of a basic general anaesthetic: a thread 🧵
Lots of people get understandably nervous about going to hospital to have an anaesthetic/operation, so I thought I'd go through the patient journey and what we do in theatre for a common, uncomplicated anaesthetic.
#Medsky #AnSky
The strict adherence applies to getting to metabolic meeting on time! 😉🥐
7am for the CTSx list, 730am for most others - those aren’t list start times though, usually try and catch patients and get them prepped (IVC, etc). 8am for PAC!
Walked into a 🇫🇷 restaurant in AKL and was waiting for a seat. Delightful chap joined the line and I passed the msg along - “might be a while!”. Said he’s up for sharing a table - I took the offer. Most delightful meal ensued. Talked about life, geopolitics and everything in between. Serendipitous. 😊