Paediatric Respiratory Medicine (and cycling)

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Introduction

December 06, 2011

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Hi! I am repurposing this site to talk about mountain biking, coffee, and things related to paediatric respiratory medicine.

See my padlet at https://padlet.com/christopheredwards11/PRMandCF_Leeds

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What will paediatric medicine look like in 2040 - a respiratory perspective

2040 History suggests that in twenty years time trials of therapies we see in journals today will be in use and because of this our patient cohort will change. But something’s will inevitably be the same. Using respiratory as an archetype I am going to give my thoughts as to how things are going to change. I have discussed some of this with our trainees who are already seeing some of these changes. Technology Dependent Patients Most tertiary paediatric centres in the UK care for 125-150 respiratory technology dependent children and the numbers are increasing. The numbers of patients with home PN are increasing, as are the numbers of children with gastrostomies. Children may also have renal/peritoneal dialysis. Currently the technology exists for home ECMO (cardio-respiratory bypass, eg whilst awaiting transplant), cardiac support ie internal rhythm generators and soon artificial hearts, and artificial pancreases for diabetics. We are entering an era of “if you ca...

Oil Tankers Vs Armadas: a brief comment on management and leadership in the NHS

Over the years I have attended several courses on leadership and management in the NHS. During nearly all of these, and in the media, the NHS is frequently described as an "oil tanker". The suggestion being that it is large and difficult to change course. In the last meeting I went to, I dared to suggest that actually it is more like an Armada. In particular I was thinking about Battlestar Galactica (2004). This confused and bemused people in equal mesaures, but eventually I got some heads to nod positivitively. I think the Covd19 response allows some reflection on this and I will be putting in some influences from other sources, for example Julian Stodd, eg "A Socially Dynamic Organisation is strong, not through infrastructure and formal power alone but, rather, through its people and the overlapping social structures that permeate it." Which seems to me a paralell to the paraphrase I heard when I was young, "A church is not a building but the people who come ...

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