CR Chandrasekar

@jeffreyfarma @AmCollSurgeons @RASACS @AcademicSurgery @UnivSurg #Surgeons -Disciplined -Assertive -Indefatigable -Confident -Resilient -Courageous -Driven and focussed along with..

#BSG2026 Fantastic venue -Oxford Town Hall and a great programme

Continuity of care is essential for patient care and safety Sadly this basic medical principle is often compromised by ‘management’ under the guise of time and cost savings

Of course it’s Dublin ‘Treat everyone with the same respect and dignity that we wish for’. -is an important history lesson. Imperialism fails to learn this basic lesson even today, creating division and conflicts, to feed greedy elite at the expense of humanity.

Great colleague and a wonderful human being. His supportive leadership of the directorate during pandemic was exemplary. Heartfelt condolences.

Due to high cost&high false negative rates, leading to unnecessary investigations &anxiety, it may not be an economical screening option in publicly funded health systems. However it maybe an additional health test ‘MOT’for other healthcare models (private/ insurance/corporate)

Agree...Prompt starts, improving efficiency&efficacy is important. Despite this w/ls are longer.. One way to tackle this is to utilise the redundant elective #NHS weekend theatre capacity, with teams willing to take on additional work. 20th century 9-5 Mon-Fri model is a relic

Monday to Friday elective theatre Utilisation is the elephant in the room. Adequately remunerated utilisation of weekend theatre capacity will rapidly reduce waiting lists bmj.com/content/380/bm…

Continuity of care is cornerstone in medicine learning and treating every individual as a unique person prioritising their needs&help them if possible or guide them for appropriate care is indeed the key to General Practice-no AI or other substitutes can replace a professional GP

Simple measures like wearing seatbelts can save many lives.. Improved road network has increased high speed crashes.. Best cars&experienced drivers can’t protect someone without a seatbelt in a high speed crash.. Remember&insist on seat belt for all passengers

Will be remembered for his landmark paper amongst many other contributions to Orthopaedics and Trauma pubmed.ncbi.nlm.nih.gov/10795049/

Misinformation masquerading as science is sadly the state of DIY ‘research’ With early correct diagnosis through a small sample/biopsy of the tumour, diagnosed by expert Pathologists, paves way for correct sequence of treatment (surgery/chemo/RT etc)&has saved millions of lives

No consolation for those who used airy lead aprons in the past, not weighed down, drenched after prolonged surgeries… It’s high time, risks of prolonged low dose radiation as an occupational hazard is taken seriously by the NHS, retiring old style lead aprons sooner

@DrLKVaughan Continuity of care was the cornerstone of firm based care. This was dismantled to facilitate shift patterns, where it’s more time based&not learning from continuity of care.. Tick box competency without continuity of care is not ideal learning especially in surgical specialties

Consultants SHOULD see pts on their own! Using resident doctors just to drive computers is awful! Work fit for only someone else! The hoo-ha over derogations has prompted me think a bit more about what ACTUALLY happens on a WR. Thread about cognition + safety 🧵 1/

Lumps and bumps are not uncommon. Many benign lumps can become large and can be a source of discomfort as well as causing loss of self confidence Early diagnosis and surgery can be helpful to establish diagnosis and restore self confidence

"The ability to skillfully perform a procedure is not an indication to perform the procedure" -Anon paraphrasing John Hunter

The bottom line of medicine is help others when possible within one’s limitations

Day 8 - Wars & Children: Day spent exploring the ways of helping children from the war zones. We operated on 6 refugee children (please read the 2 consented stories shared). We mainly see the destroyed buildings of the war zones in the media but there is enormous human suffering, especially children with long term health conditions and those injured in the war. A struggling baby from interior Sudan could not get any help as all medical facilities are used for war injured. Mother takes the baby to near by city where a doctor picks up that the baby has a heart condition and Down’s syndrome needing immediate operation before it is too late. She travels hundreds of miles to reach Cairo and luckily gets her baby operated during our mission. A boy from Syria underwent heart surgery as a little one but the problem persisted and grown with him leading to heart failure and severe symptoms. There was no scope of getting it fixed in Syria, the family travels hundreds of miles to Cairo and successfully underwent a repeat heart surgery with full repair. These are only a few of several hundreds of children needing heart surgery from the war zones of Africa and the Middle East. How could they be helped? Wars are devastating. If only! the greed, hatred, intolerance and insecurity is replaced by kindness, tolerance and love for fellow human beings, the world will be a better place for everyone.

@rbarbosa91 Monocryl, though similar has a shorter half life and the risk of wound dehiscence is higher with tumour surgery, where seromas are common- hence the preference of 3 0 clear PDS.. Of course there are different ways of achieving the same end point - primary wound healing

@12crc We often use Monocryl for that as it doesn’t last quite as long and it’s softer, so a little easier to work with in the skin.

Redo🧵 regarding PDS (polydioxanone) surgical sutures. For reasons that will become evident later, it is useful for me to revisit an old 🧵I posted about PDS 3 years ago. We will again go over the properties of PDS, its history, and what each of the sizes are used for. (1/ )

Hypofractionated Preoperative Radiation Therapy for Extremity and Superficial Trunk Soft Tissue Sarcomas: Results o… pubmed.ncbi.nlm.nih.gov/40389098/ 23% Major Wound complication rate is high Compared with 8% WC reported from our series of MLS and std preopRT bit.ly/44rSfZp