Dr Imogen Patterson

I will never tire of this view!

@MCCCANM Could it be that you are a chef whose side hustle is aviation and not the other way around?

To celebrate having Deanna’s son for a sleepover weekend, tonight’s dinner was a spicy new ramen. Dialed the spice down for the kids. They like the peanut-miso broth base better, but tolerated this. I guess we keep searching for a second ramen for the family cookbook.

@taipan168 @MarekBage You know that Qantas owns Tripadeal.

@MarekBage Tripadeal is one of the cheapest tour operators out there, so you get what you pay for 🤷

Such rich pickings in the Traveller letters today! It is your own responsibility, and nobody else’s, to ensure that you understand and have complied with the entry requirements for a country, particularly if there is a lot of information about them available online. 🤦

@charlesdavis75 I'm so glad you remember her too.

I wanted to finish it on 5 May on the anniversary of her death but I couldn’t put it down. I was a bit angry after reading it. Disappointing that no accountability for this incident. Dr Kathryn Spurling is a great author. I’ll read this again. RIP Megan.

Just read this book “Fire at Sea: HMAS Westralia 1998”. Tough read. Megan Pelly was a classmate & a friend. Delightful young lady, always positive, cheerful & going places. Savvy & a delight to be in her company. I could’ve read this in 1 sitting but spread it over 2 days. 1/

@Keg767 @taipan168 @ThomasThorbur11 That'd be because NSWHealth pays everyone woefully. Salaries much better in QLD.

@taipan168 @ThomasThorbur11 Define ‘senior nurse’? My daughter a nurse. Six years out. Shift work. Didn’t crack $100K last FY. This year with the back pay and recent extra 7%, and year 7 she might just make $110K. Tops out at year 8 unless she promotes. Might lose shift allowances if she does. Pay drop!

People are mad but he's right our NHS nurses for example take home £40,000 that same NHS nurse can make up to $110,000 a year that equivalent to 58,000 british pounds.

Only one chance in this lifetime… Like watching sunset at the beach from the most foreign seat in the cosmos, I couldn’t resist a cell phone video of Earthset. You can hear the shutter on the Nikon as @Astro_Christina is hammering away on 3-shot brackets and capturing those exceptional Earthset photos through the 400mm lens. @AstroVicGlover was in window 3 watching with @Astro_Jeremy next to him. I could barely see the Moon through the docking hatch window but the iPhone was the perfect size to catch the view…this is uncropped, uncut with 8x zoom which is quite comparable to the view of the human eye. Enjoy.

Female doctors get their patients better outcomes. Female doctors do not outlive their male colleagues. The trade is not an accident. Dr. Noemi Adame, board-certified pediatrician and founder of Culver Pediatric Center, sat with this on The Podcast by KevinMD. The data she walks through: Female physicians demonstrate better patient outcomes across multiple fields of medicine. Portal data shows patients and staff make 25% more requests of female primary care doctors than male. Same panel. Same hours on the schedule. 25% more inbox work. Unpaid. Unrewarded. A JAMA article found that while women generally outlive men, female physicians do not get that longevity benefit. The added stress of being a female doctor may be why. When Adame was a hospitalist, she noticed staff and patients interacted differently with her than with her male colleagues. When she was in corporate medicine clinic, she was the last one out the door, often by hours. She blamed herself. She asked her employer for a time flow study, certain it would prove she was inefficient. The EHR super-user who shadowed her found the opposite. She was faster than average. Her notes were so thorough a scribe would have been a downgrade. The system was the variable. Her playbook for holding a boundary in medicine, worth bookmarking: Ask if the request is fair to both parties or only to one. Replace "I'm sorry" with "Thank you for waiting." Do not bend a rule once, because the negotiation never ends. Tell the patient exactly what you are giving up so the trade is visible. The structural problem she names is sharper than the burnout conversation usually allows. Female physicians are not burning out because they cannot keep up. They are burning out because the system asks them to do more for the same pay and rewards them with shorter lives. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. For female physicians: at what point in your career did you realize the workload was unequal, not your time management? #ThePodcastbyKevinMD #PhysicianBurnout

"Planet Earth: You. Are. A. Crew." Artemis II mission specialist Christina Koch reflects on what it means to be a "crew."

@CanesDavid PSA kinetics. One of my labs in one state draws a beautiful graph of historic PSAs, but doesn't in another state.

The urologist explaining what concept in this scribble diagram? Any guesses?

"We will always choose each other." Mission control has reacquired signal with the Artemis II crew after the mission’s planned loss of signal. Our astronauts are once again using the Deep Space Network to keep conversation and science data flowing between space and Earth.

The highest quality video of the moon was just released… this is so beautiful.

@taipan168 To be fair, I've been grilled at Norfolk Island on an out-and-back when accompanying the pilot husband on his work trip!

I call BS on this story. Unless Les isn’t an Australian citizen, Aussies can live and work in NZ without restriction, so why would he be grilled at immigration? And they wouldn’t know that he didn’t have a checked bag either.

@charlesdavis75 @MediocreJoker85 I LOVE a good dad joke!

@MediocreJoker85 Ping @dr_imogen 😜

I couldn't make it to the Urology Convention, so I watched the live stream.

@mrnextmusic @EM_RESUS Well pretty much every animal in Australia is trying to kill you. But thankfully, they don't form a Govt. But yeah, I can definitely say what I want online about my Govt without the fear of being arrested or shot. Also we have free healthcare. Just in case of the animals!

@EM_RESUS now watch which countries answer with fewer numbers and ask if that same country also is able to protect itself from their gov? many countries without GSW issues also exercise basic human freedoms, like posting online without getting arrested. there's a tragic trade off there

Serious question for colleagues outside the U.S. — how often do you take care of GSW victims?

@EM_RESUS I've honestly treated more injuries from kangaroos and sharks than guns.

@LachlanB_ Get better soon!

Just out of surgery with a freshly-inflated stent in one of my arteries. Doctors and staff here have been amazing despite the language issue. Thanks so much for all the wishes sent. Big love. Hopefully out of here tomorrow and a return to Sydney. This is a big reality check. 🥹

@DrAndrewLoblaw @urogeek Then the MDT has failed. I don't think Biden would have been offered a RARP in my hospital MDT setting. But a different octogenarian with less morbidity, yes.

@urogeek you and I don’t think so but in Australia I saw many cases like his presented at MCC with the Urologist pitching RP

@MCCCANM Can I dm you to ask a few questions please?

“Is there a doctor aboard? Please ring your call button” It does seem like it’s only something in the movies, but we actually do make that request. We’ll ask for a “medical professional”, though, and it’s significantly more complicated. First, the Flight Attendants (FA) are trained in basic first aid, as well as recognizing symptoms of things like a stroke or heart attack. They are the first to determine there is a problem…if it’s minor, they’ll handle it themselves. If not, though, they’ll ask for medical professionals onboard to identify themselves. They’ll take Doctors, Nurses, EMTs, etc…they’ll sort it by the highest level they can get if there are multiple. The professional then helps the FAs. At this point, the FAs are acting as helping hands for the professional, clearing seats or crowd control, etc.. The FAs are also aware of everything stored onboard that can be used to help & will advise the professional…the jet has a couple different kits that can be used. The basic kit has things like bandages & maybe Tylenol, etc., while the advanced kit has a few more implements & some other drugs. You won’t find knives or scalpels, due to security issues, but you’ll find the rest, including a defibrillator. It’s all kept in sealed bags; the FAs verify it’s onboard & the seal is not broken before every flight. As the medical professional works, the FAs are also informing the pilots of the situation. The first is just a call to say something is going on, but the second call will have lots of details, such as name, age, sex, heart rate, blood pressure, medical history & any medications they are taking, etc. Until now, the pilots have done nothing…once we have the data, though, we start our part. Our part is calling a service known as “MedLink”. MedLink has doctors on staff that know the environment of the jet (cabin altitude, etc.) & the contents of our kits, as well as the galley (orange juice / water). They’re trained to take some extra factors into consideration when coming up with a treatment / stabilization plan, and whether the condition merits an immediate divert or if we can continue to the destination. We reach MedLink via a “phone patch”; our dispatcher gives us a frequency to dial up & the radio operator can then tie both MedLink & our dispatcher onto the radio, at any point on earth, even over the ocean (if over the ocean, we’re using HF, which is the worst way to do this. The best is if the jet has a satellite phone & you can just call directly, but not all jets are so equipped). MedLink will make a treatment plan, using the drugs & other materials aboard. It often involves Orange Juice, I’ve noticed, presumably to stabilize blood sugar. Anyway, they’ll also make their recommendation to continue or divert, to have an ambulance at the gate or not, etc.. As Captain, I *can* override that recommendation on my emergency authority…but I’d have a lot of explaining to do once it’s over. It’s unwise to do so, and for legal reasons, the airline wants you to follow the advice of MedLink as much as possible. This sometimes conflicts with the advice of the medical professional onboard & that creates an awkward moment. We handle it as best we can. As for the medical professional, the FAs also take their information & pass it to the airline. The airline has various means of saying thank you through comps & such…I don’t want to promise what they’ll do, though, so won’t cover that. Of course, I try to personally thank them at the end of the flight, as well. When it’s over, the flight crew write reports. I’ve heard some medical professionals won’t ID themselves, as they’re worried about liability. They’re on vacation, too, & maybe they had a drink earlier. Understandable, but I think not warranted. As a bonus: nobody ever “dies” on a flight. We don’t have the certification to declare them dead. The FAs will cover them with a blanket & try to move passengers, but that’s all we can do. Hope that helps!

@tuShoh0ee @Video_Forensics A Robinson R22

@Video_Forensics Any idea what make/model helicopter this is?

#BREAKING: Helicopter crash, Sydney: Chopper crashes on top of car park dailymail.co.uk/news/article-1… #BreakingNews

@taipan168 Bingo! I love a laundry adventure! And in some countries there are services that will pick up and deliver from your hotel - loved that in Istanbul!

Rubbish. If I had done my laundry at my hotel in Finland it would have cost at least €200, so by going to a local laundromat it cost me €11 and I got to explore a huge local supermarket next door whilst it was washing/drying.

@taipan168 @sendboots Eat at Alma. The tomato cocktail is amazing!

@sendboots Go wander around the Britomart area, there are interesting shops and restaurants to see.

Hello I am in Auckland what should I do