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COVID comes to neurology
The consultant neurologists have a bad morning

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