Since its discovery in December 2019, COVID-19 has changed the way we live and work. In the UK we are living with social distancing of 2 metres, with a slow release of lockdown measures. When social distancing is not possible we should be wearing masks to protect each other. Elective surgery is going to be slow to move to pre-COVID capacity, and cl…
The profession must be applauded for taking all communications and meetings online. We have adapted to the COVID crisis in a remarkably short period of time. .An ‘IT’ step for man and a giga step for mankind. Remarkably, it does feel as though we have always done IT this way because it feels so natural – but is it? Screen fatigue is real – notwi…
The NHS has announced that from the 15 June that all staff in hospitals must wear a mask. The common euphemism is Service with a smile – I believe the operative word in the title National Health Service is the word service. We are here to serve. Service industries service depend on the quality of the service they provide – if they do not deliver…
I was taught that history and examination was the foundation of ninety-five percent of clinical diagnosis. Indeed, all the syndromes cited at the back of the Oxford Handbook of Medicine are descriptions of astute clinical acumen. The character of Sherlock Holmes was based on observations of Professor Joseph Bell – he had a holistic approach to su…
I can think of a few profound occasions where my decision making was fundamentally changed by inviting, involving, and including the patient or trainee. Patient I instituted a Fit to Admit clinic to consent and set expectations for elective admissions – this resulted in significant clinical and operational benefits that have since been published.…
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