A couple of years ago I went on the advanced bronchoscopy course Palav Shah runs at the Brompton. I walked away with ideas of starting up a cryotherapy service, and excited about trying out some of the new lung volume reduction coils. I had a tinker with a cryotherapy machine, and hope to have another […]
This case in the NEJM has an amazing CXR, not to mention the fact that the lady in question survived. I suspect that even the elemental mercury is pretty bad for you… […]
The WISDOM of ICS
I was speaking at a local educational meeting in Perth last night, the topic being COPD, as it usually is at the moment. Every month another inhaler is released, another device, another pharma company courting our prescribing pens, another combination of drugs. So when I’m asked to go out to speak to our primary cary […]
I’m not at the ERS, I’m in sunny Dundee, but due to the wonder of social media, we can all follow the goings on in Munich on the Twitter hashtag #ers2014. If you want to see what’s happened on this first day click here Of great interest – those COPD patients with an increased Eosinophil […]
There’s a thread over on on the Doc2Doc website about the ERS over in Munich. A couple of trainees asked about what to do and where to go – one of the more senior members over there thinks that conferences have become bloated, oversized, and are now so big that they have become too large […]
Should we have a Dr House?
You’ve seen House, right? Prince George from Blackadder III plays a misanthropic “diagnostician” in a fancy Boston Hospital, taking on the hardest cases, those without a diagnosis, and works out what’s wrong through a range of tests carried out by his underlings, a whiteboard that *always* has sarcoid on it, and by being quite rude […]
Summer BTS, Insidious Advertising, Le Grand Dèpart, The benefits of time off.
I’m just back home from 2 weeks of annual leave. 2 whole weeks, with my whole family, without having to go to work. I think the last time my wife and I had 2 weeks off, together, back to back, was our honeymoon. In September 2000. After one week off my e-mail inbox usually has […]
How many beans make 5?
More importantly, how many consultants make a department? We interviewed for two new colleagues recently. 2 posts, 2 applicants, 2 shortlisted, 2 interviewed, 2 appointed. All smiles down at the DCA that night. This brings us up to 6 consultants, but 5 Whole Time Equivalents, for our teaching hospital service. The Royal College of Physicians […]
Summer BTS – Day 1 in the BTS House
I like the Summer BTS. It’s not as well attended as the Winter meeting in London, there’s a smaller choice of talks, it’s doesn’t have a pub right opposite into which to retire post conference, there’s a far smaller number of posters, talks, and it’s shorter, out there’s something relaxed about the Summer meeting that […]
IVOST-ing, and Mycoplasma
The verbalising of nouns is an insidious threat to modern civilisation, some would have us believe. Things are ‘actioned’, when the already existing verb, ‘to do’, would seem perfectly suitable. Adjectives seem to be replacing adverbs: the triathlon magazines I read each month promise to tell me how to ‘run fast’, or how to descend […]