Best practice

Last week I operated on someone I knew, not a close friend or relative but a vague acquaintance. This has happened before but previously I have been assisting someone else and not been the main surgeon. In summary, she presented late at night with bad acute appendicitis and I took her to theatre for a laparoscopic appendicectomy. Dead straight forward.

This patient got the best version of me that I have ever been. I explained at length the course of events that would unfurl over the next few hours as we waited on bloods and anaesthetists, I consented her (in my best writing) very thoroughly, I diligently checked every piece of paperwork and the bloods ensured her anti-thrombotic measures were adhered to, personally prescribed her analgesia and was available to her family to carefully explain the operation.

Then in theatre I asked for the 5mm operating laparoscope to ensure a smaller port and therefore smaller scar, I took the more expensive but smaller ports for the same reason. The operation was exactly as I would have done for anyone and I closed the wounds in my standard fashion.

Stay with me, because there is a lesson in here. I should be doing this all the time, for everyone, always. And I’m ashamed to say that most the time I am not as good and thorough and patient and personally deliver the care that I gave to this patient. They all get the same technical operation but they don’t always get the service that I gave this girl. Bad of me, but sometimes it is so busy that you forget that what you are meant to be doing is care for someone and not just complete as efficiently as possible a series of tasks.

Need to do better


A Woman Surgeon and her Patient

I am not a huge fan of German art (this chap is Dutch as it happens but it’s in the same style) or indeed German wine but this caught my eye. Cornelius Dusart is the artist, the original is in the Wellcome Library in London.

Cupping, not available on the NHS

Dr James Barry x

One of my WordPress friends has written this lovely post about her recent visit to Tower Bridge where she found out rather a lot about James Barry, who is a heroine of mine, obviously. It looks like a great day out in London, and is as always for Kate a beautifully illustrated and interesting post. Xx

Maison Bentley Style


Last week I was very fortunate to visit The Old Operating Theatre Museum and Herb Garret just by London Bridge with the wonderful Julie from Vintage Attitude.  Hidden away, up a steep spiral staircase and nestled in the dark timbers of the attic of an old church the museum is caught in a sleepy, rather delicious time warp.


It was part of St Thomas’s hospital – a hospital that was described as ancient way back in 1215…


On one side is the herb garret and apothecary. And on the other – the oldest surviving operating theatre in Europe.


What stories these walls could tell.


But what really caught my eye was this picture of James (Miranda) Barry, an amazing woman who overcame the general prohibition on women studying Medicine by disguising herself as a man to become the first female British surgeon.  Barry qualified in Medicine in 1812 and went…

View original post 272 more words