• Why I spent my day off standing in front of JP Morgan

    So today, I spent my day off from working as an A&E doctor, not in any recreational pursuits or undertaking any hobbies, but feeling a bit silly standing in the cold outside of JP Morgan’s headquarters. Why would I undertake such a strange action? A tiny, seemingly pointless gesture in the grand machinations of the world. In my work as…

  • Oral anti-hypertensives in pregnancy

    MSF Blog Surprise trauma Trauma basics Trauma skills Blunt trauma Penetrating trauma Evidence reviews Compendium Cardiology Infectious disease Paediatrics Neurology Pharmacology Toxicology/electrolytes Respiratory Best of FOAM Websites Journals Podcasts Ultrasound Anaesthetics French About A review of some of the latest low-resourcs emergency medicine evidence Oral anti-hypertensives in pregnancy. Oral antihypertensive regimens (nifedipine retard, labetalol, and methyldopa) for management of severe…

  • Teamwork, ambition and the peak/end rule.

    Visa problems, national catastrophe and local events had reduced out international team to two. I wondered what this would do to the last two weeks of my mission. It turns it would make them awesome. I had vaguely been aware that out team lead was a slightly legendary figure, casual stories of negotiating with the Taliban and facing off angry…

  • Measles, adventure and vaccines

    It has been commented several times that I had a more “interesting” first mission than most. Now the adjective “interested” is a dangerous, loaded term when working for MSF. So on my second the day in the clinic, when the nurse lead comes in and says to my colleague “you have had measles cases!?” I knew that things were going…

  • Donkeys, “primary” healthcare and complexity

    After the quiet significant detour of being transferred to be lead doctor in a field hospital ofa refugee camp, three quarantines, an enforced holiday to Ethiopia and more than weeks waiting a travel permit I was finally on a UN plane to Nyala, Darfur. The donkey-based project I had originally be earmarked for. The UN plane was something that, predictably,…