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& another rheumatology consultant leaving the NHS One of the best of my cohort of consultants Signing on the dotted line with a non NHS employer 75% uplift in pay for a shorter working week ‘The NHS has become toxic & I value my family & my mental health’ her departing words

We have started randomising participants for METEOR2!! 👏👏👏 to everyone working on this super-important knee RCT Do you see patients with persistent pain >6m after meniscectomy? Send them to one of the trial sites! (sites & more details in thread..)

Doctors' strikes are a symptom of burnout says former NHS hospital chair Tom Hughes-Hallett on senior doctors voting in favour to strike over pay next month. #KayBurley LH

ACL Friday! Lots of discussion lately about the ACL "healing." Let's critically evaluate the main study that has brought this to the mainstream, the KANON trial (a thread) 1/5: Methods 120 pts randomized to rehab & optional delayed ACL recon vs early ACLR pubmed.ncbi.nlm.nih.gov/36328403/

ITV News Paul Brand It’s also the sad outcome of just how hard it has become for consultants to be listened to or effect change in the modern NHS. So depressing. So unnecessary. So needing to change.

Mike Henley 🤨 It's frightening how seven of the most experienced members of the paediatrics department complained and were all shot down and forced to apologise. Who would they have believed if not them? Emblematic of how poorly management think of their doctors these days.

This 👇🏽

Thicker grafts have been associated with an increase in the risk of arthrofibrosis, but grafts thinner than 7 to 8 mm have been associated with a higher risk of re-rupture. Read more from @CORRelationsMD

Today’s “NHS must change” chat I get paid fortnightly just received my first Sydney pay It’s more (if you extrapolate to a month) than a 🇬🇧 7 year, 12 PA consultant would earn The greatest resource in healthcare is the staff Pay them or lose them #medtwitter #orthotwitter

Wishing you a speedy recovery. We have a great team HHFT Homerton SRT Homerton Anaesthesia Dept Homerton Orthopaedics

Another option is to put a Wolf cannula through the pin hole, connect the suction and leave it in place during the whole cementation / implantation process.

Thank you for inviting me to speak British Veterinary Orthopaedic Association especially on your 60th anniversary. Fascinating to see what great work you are doing. 👇this was amazing though. Deborah Eastwood there tomorrow

Today it’s #WRD23 Wearing Red to show Racism the Red Card A big issue for the #NHS as per ALL data sets In other news, we have no national leads to tackle racism in the #NHS staff #WRES #MWRES Thank God we now at least have EDI - one term to tackle all discrimination Oh..

I have a sudden interest in shoulder surgery - lol

We have teamed up with Queen Mary University of London’s Sports Medicine program to investigate ACL reconstruction surgery 🦵🏥 We are looking for people aged 18-years+ and 9-months+ post-surgery to take part. 📝📚🔬 hubs.la/Q029rjrB0

What a great illustration of reality with a knee replacement. A great operation in the right patient for the correct indications - but a tough first few weeks of recovery.

Interesting case. Calcific tendonitis in distal quadriceps. Symptomatic, treatment options? Exeter Knee Reconstruction Unit Knee Surg in London Kash Akhtar Raghbir Singh Khakha

Certainly something to note in all ACL tears. In a primary with a high slope it is useful to counsel the patient explain that they may have a higher risk of re-injury. But slope correction in a primary, no. May add a LET to reduce risk of reinjury.

Attention knee surgery trainees! A last minute change has meant we have a knee fellowship post available starting August 2024. One year post (or 2 x six months) Come join the team of 8 specialist knee consultants to improve your knowledge of sports knee and arthroplasty

This photo of a single spark from the Singapore GP is stunning ✨ (via calloalbanese/IG)