Note the speech valve between the trachea and upper oesophagus/pharynx. How do you think this person vocalises? #headandneck #ENTsecrets #headandneckcancer #surgeon #surgery
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#entsecrets
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Have a look at the scan. And look again. You might think this is a tracheostomy patient, but it’s not. This is a sideway (saggital) view of the airway of a patient who has had a total laryngectomy. Direct airway into the trachea. No voicebox. #headandneck #ENTsecrets #headandneckcancer #surgeon
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Surgeon with bloodied face.
I pray that you too will find rest this season. Good night. Take care. Hope to see you next year. #ENT #ENTsecrets #headandneck #surgery #surgeon
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How did I get here? A long surrender in the same direction. Many surgeons will have a similar journey of 12 hour days 6 days a week plus additional oncall, research, exams, supervisions, conferences, presentations, etc. #surgeon #surgicallife #surgery #ENTsecrets
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It’s a beautiful Saturday in Melbourne. Where else would you rather be than in the hospital with people you like running a mock exam drill for future ENT surgeon candidates? I love the skullbase. So exquisitely beautiful. #ENTsurgery #surgeon #ENT #ENTsecrets
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This is very important news in the world of #microbiology. From @dadjokesforthewin. #ENTsecrets #surgery
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Microlaryngoscopy is a procedure involving suspending the larynx and using a microscope to image diseases of the voice box and airway. We can then do biopsy, remove cancer with laser, inject the vocal folds, suture, implant, excise, etc. It’s a beautiful procedure on your voice box. #ENTsecrets
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Boy with snake on neck.
In Australia, examining the ear with the therapy pet in situ can be challenging.
(LOL, joking. This was my son a few years ago in a reptile park). #ENTsecrets #ENT #surgery #surgeon
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Rigid ventilating bronchoscopy in slow motion set up. LOL… #bronchoscopy #ENTsecrets #ENT #Surgery #surgeon #airway
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Speaking at a conference
My first time in Bahrain and Saudi Arabia was absolutely amazing. The extreme hospitality of the people. The amazing cuisines. The magnificent collaboration. These kinds of conferences and connections help me be a better surgeon for my patients. #ENTsecrets #surgery #surgeon #ENTsurgery #headandneck
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We explored old castles and buildings in Al Qatif, a place rich with history and art. Precious times with my 2 previous fellows here and their head of unit. #entsecrets #ENT #surgery #surgeon I
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Great use of technology. Two cameras on the live demonstration (one wide view, one zoom on hands). One endoscopic view and one PowerPoint slide. Bringing the learner closer to the action. 2/2 #entsecrets #ENT #surgery #surgeon
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Lecturing
Demonstrating a technique
The best way to master a topic is to teach it. When you prepare to teach, you are forced to think hard about a topic, to break it down and then synthesise it for others to make sense. The process of deep thinking about a topic helps you master it. 1/2 #ENTsecrets #ENT #surgery #surgeon
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There’s a lot of #ENT in medicine, history, humanity, story. Learned a few things about the amazing people and history of #Bahrain. Can’t help but look at some of it from the perspective of a #HeadandNeck #surgeon. #entsecrets #surgery
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1. Gas in the orbit and gas in the brain. 2. Gas and abscess in the orbit. 3. Abscess in the orbit. 4. Medial rectus myositis.
In all these cases, patients presented with eye symptoms. But the origin of the disease is in the nose. We drained the abscess in the first 3 patients through the nose, going behind the eyeball. If you’re not sure, seek a specialist opinion. #ENT #Surgery #ENTsecrets #surgeon #headandneck #rhinology
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Sydney Harbour Bridge and Opera House
Not a bad day to be out of the operating theatre. That building seems like a familiar shape. Maybe because that’s how I randomly stack the dishes and bowls… #operahouse #sydney #entsecrets #ENT #surgery #surgeon
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Computer showing slide of Human Factor in Specialist Practice
Pay attention to the humans in the system. In specialist practice, fully engaged clinicians are critical in delivering safe and effective care for patients. #ENTsecrets #ENT #surgery #surgeon #healthcare
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Briefcase and aeroplane.
Morning commute. One of the biggest privileges of being a surgeon is learning from other clinical craft groups. Everyday is a school day for the curious clinician. #entsecrets #ENT #surgery #surgeon
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Surgical instrument tray
Every instrument in my surgical tray has been designed with a clear purpose in mind. The scalpel, scissors, needle holders and retractors all work together for a bigger purpose. They are merely tools, but in the master’s hands they become instruments of healing. #ENTsecrets #ENT #surgery #surgeon
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Endotracheal tube in the nose
Usually we intubate patients through the mouth. Sometimes when I need to do complex work in the oral cavity such as tumour surgery or drooling surgery we may intubate through the nose or even insert a temporary tracheostomy. #ENTsecrets #ENT #surgery #surgeon
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Most of my talks are on complex paediatric airway, head & neck tumours, leadership, culture and clinician wellbeing. I am far away from mastering these topics. Come with me as I learn and explore these issues on my timeline. #entsecrets #ENT #surgery #surgeon #leadership 2/2
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I have 7 lectures to present in October in Melbourne, Sydney & Saudi Arabia. The cycle of learning, practicing, reviewing and teaching is an endless cycle that sees no endpoint. 1/2 #entsecrets #ENT #surgery #surgeon #leadership
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What used to sit in my garage is now sitting in my clinic waiting room. This is for the child of the 70s & 80s! Come and play! #entsecrets #ENT #surgery #surgeon
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Anatomy of the face
“I cant feel my face when I’m with you…” well that’s great because as a head & neck surgeon I know exactly how to anaesthetise different parts of your face. Here’s a simplified section. Don’t cut this. Can’t cut that. #ENT #entsecrets #headandneck #surgery #surgeon
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carotid body tumour, vocal cord palsy post recurrent laryngeal nerve reinnervation, and a few others. #headandneck pathology is incredibly broad. #ENTsecrets #ENT #surgery #surgeon 2/2
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In my urgent head & neck clinic recently I saw kids with rhabdomyosarcoma, orbital abscess post transnasal orbital decompression, laryngomalacia, mucocoele, mycobacterium avium complex, vascular anomaly, retropharyngeal abscess, parotid tumour… 1/2 #ENTsecrets #ENT #surgery #surgeon
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#flexible #bronchoscopy is performed for diagnostic and therapeutic purposes. We check anatomical structures, aspirate fluid, perform biopsy, take tissue samples, remove foreign body, etc. My kids just think that this is a cool video game to play. #ENT #entsecrets #surgery #respiratory #pulmonology
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