Books

VOCATION

Training to fight on the NHS frontline

Tony plans to save the world one patient at a time, but first, he has to survive the training.

Tony McCluskey is brimming with youthful vigour and enthusiasm at the start of a six-year training programme to fight death and disease on the NHS frontline. Even though his first patient is already dead, there's a lot Tony can learn from somebody with...

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RESUSCITATION

Saving Lives on the NHS frontline

Getting your patients under is an art. Bringing them back safely again is a bloody miracle.

Tony sets out on his career as an anaesthetist and soon discovers that getting his patients off to sleep and keeping them asleep until their operations are over is easier said than done. Waking them up safely afterwards with no ill effects is even harder....

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RESIGNATION

Burnout on the NHS frontline

“The buck stops here” isn’t just a metaphor for an NHS consultant – it’s a cardiac monitor flatlining and you're the person who will have to tell his wife.

After years serving in the trenches on the NHS frontline, Tony has been transferred to staff headquarters as a consultant anaesthetist with a special interest in the care of critically ill...

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Blog

Doctors, Nurses, Patients, Hearses What is a spinal anaesthetic?This is

What is a spinal anaesthetic?

This is quite a long post. I considered breaking it up into two parts but decided against it. The subject matter is a tad cerebral, and I think you will get more out of reading it in one session, if you can manage it. It will be well worth the effort, especially if you ever find yourself in the future having to consider whether or not to consent to a spinal anaesthetic. Or an epidural, which we’ll also be covering in this post. So, put the kettle on, grab yourself...

Doctors, Nurses, Patients, Hearses You’re not really asleep when you’re

You’re not really asleep when you’re under a general anaesthetic!

Yes. You heard me correctly, but I’ll repeat what I just said: you’re not really asleep when you’re under a general anaesthetic (GA).

It’s understandable that there is confusion about exactly what a GA entails. Patients having surgery under a general anaesthetic certainly look like they’re asleep, lying still with their eyes closed, unaware of their surroundings. Anaesthetists like me don’t help the cause when we casually refer...

Doctors, Nurses, Patients, Hearses How can someone with a beating heart be

How can someone with a beating heart be dead?

A beating heart has been the prime indicator of the presence of life for thousands of years. A beating heart means life. Its absence means death. Modern medicine forces us to accept that this rule is both simplistic and wrong. A person can be dead while their heart continues to beat in their chest. On the other hand, a person can be very much alive even though their heart has stopped. A person can be alive even if they don’t currently have a heart....

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