COVID comes to neurology
112,551 views • 3/29/2020
The consultant neurologists have a bad morning
00:00 - 00:03 | it's finally happened |
00:04 - 00:05 | the enemy is among us |
00:05 - 00:07 | COVID-19 has come to the QEUH |
00:08 - 00:12 | infiltrating the receiving complexes and general medicine |
00:12 - 00:15 | even the orthopods have seen a few cases |
00:17 - 00:19 | We're protected in neurology |
00:19 - 00:21 | in a separate building |
00:24 - 00:26 | my colleague |
00:27 - 00:28 | we're |
00:31 - 00:33 | We're being redeployed to general medicine |
00:34 - 00:36 | they want us to start tomorrow |
00:53 - 00:58 | FYs, clinical fellows, registrars out. consultants stay here |
01:13 - 01:15 | this is an outrage |
01:15 - 01:17 | what use are tendon hammers now |
01:18 - 01:23 | I may as well throw my tuning fork into the Clyde |
01:25 - 01:28 | all those years memorising muscle groups |
01:29 - 01:31 | perfecting fundoscopy |
01:31 - 01:34 | ordering complicated immunological tests |
01:34 - 01:37 | that no one else understands |
01:37 - 01:40 | All to waste on some virus |
01:40 - 01:42 | But it's a national emergency |
01:42 - 01:46 | Do you know where your stethoscope is?? |
01:46 - 01:48 | I've already bought a replacement off medisave |
01:48 - 01:52 | I don't want to hear about your shopping spree |
01:53 - 01:54 | We're all going to die |
01:56 - 01:57 | Do we even know anything |
01:57 - 02:00 | other than myesthenia and GBS |
02:00 - 02:03 | and maybe a bit on demyelination |
02:04 - 02:08 | what use is IVIG now |
02:08 - 02:13 | not even a bit of prednisolone |
02:14 - 02:16 | We can't use steroids against this virus |
02:17 - 02:21 | can any of you even remember cardio-resp physiology, frank-starling? |
02:27 - 02:29 | They kept on trying to explain NIV to me |
02:30 - 02:34 | It's got something to do with these lungs |
02:34 - 02:36 | filling them up a bit better |
02:41 - 02:42 | alveolar gradient, recruitment |
02:43 - 02:47 | who really understands what these mean |
02:48 - 02:53 | I swore I'd never do another ABG |
02:54 - 02:56 | after the mess I made last time |
02:56 - 02:59 | there was blood everywhere, over the patient, on my shoes |
03:00 - 03:02 | I got a needlestick |
03:04 - 03:07 | It's ok, he didn't contract anything |
03:14 - 03:16 | Who will look after the functional patients |
03:19 - 03:23 | the non-epileptic seizures |
03:25 - 03:26 | the tingly bits |
03:31 - 03:33 | we have to cancel the outpatient clinics |
03:40 - 03:46 | the medical students won't get teaching this year |
03:46 - 03:49 | not that they get spinal tracts anyway |
03:53 - 03:56 | may Charcot save us all |
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