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Bristol Neurosurgery 75th Anniversary | Mr Ramez Kirollos

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Summary

This teaching session will explore the pioneers of Frenchay medical practices and the innovative techniques they used to revolutionise their field. Taking a trip down memory lane, this discussion will look back to the days when medical practices each had an individualised human touch and were highly catered to the specific patient. Led by professionals who brought insight and experience to their practices, this teaching session will reflect on how this time of personal medical care has changed over the years and the possible implications of our current medical policies. Perfect not only for medical professionals to learn from, but to reflect on the impact of our professional autonomy and regulations on medical progression.

Description

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Bristol Neurosurgery was founded in 1948, at Frenchay Hospital by the first female neurosurgeon in the world. This year marks the 75th anniversary for Bristol Neurosurgery.

Mr Ramez Kirollos

Learning objectives

Learning Objectives:

  1. Identify pioneers and consultants who influenced the development of French Neurosurgery.
  2. Describe the innovative techniques and procedures used during this period.
  3. Recognize the collegiality, collective vision for progress, and sense of belonging among staff members in the unit.
  4. Recognize the importance of clinical science and evidence-based practice in combination with the art of neurosurgery.
  5. Appreciate the concept of professional autonomy to induce innovation while redundant protocols and regulations hinder progression.
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Computer generated transcript

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The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hello, it is great. I have the opportunity to congratulate. You're on the 75th anniversary of French in your survey. Thank you. I wish I was there. How special it was talking about. What does it mean to have a special experience and talk about the impact of the inspiration. I had my time in friendship Bristol was 73 years ago as part of the surgical rotation when I was an essential specifically to Mr Cummins and Mr Nelson between August 1990 January 1991 first. What I remember about the history of this period, I hope I may have forgot or omitted. Uh many things. The department was cheap by pioneers and truly mastered consultants. I cannot say more than what is already known about the great Mr Griffiths and comments, the youth contribution, uh Professor uh Coke. Um and uh what the career and influence Mr Nelson achieved. Mr Torrance was moving to essence uh grease at the time, Ian Peuple, apart from giving me the excellent career advice, whoever knows uh he was at that time and also beyond is a brilliant the reception uh and it's, it's manor and way to deal with everything, uh including the most perfect events, which is so exemplary and hard to follow. As I remember there was swarming from India, so cool and experience at the same time, Martin mcgee Khalid from Australia. And I was delighted to meet him 4 to 5 years ago in Sydney at Professor Michael Morgan's retirement event. George San Cialis was so cool as well and eventually achieved a lot in Greece, you know, surgery briefly. There was Nigel and Jamjoom who became a prominent Saudi Arabia neurosurgeon and his nephew, I got to know and he's now practicing in the UK. My fellow is a choose Rowley Walsh. We were very good friends and he pursued Ent Simon's or no, went to orthopedics, Tim German, all you know is a neurosurgeon. I hope I will meet with him as I have not seen him since that time. There are so many events that are stuck in my memory and I shall show later some of these really shaped mine and other future practicing. There were these are only few the war grounds teaching uh series and uh meetings were most vulnerable, but at times were so tedious and never ending. I'm sure everyone from that era will remember Mr Cummins, cycling to the hospital, especially Tim German will remember because he almost knocked him down and appear late evenings on the world to check on earlier operated cases in his gardening gear and woods back is although not really is the primary original research but was adjusting dressing around et tubes protruding from patient's head that were placed into glioma cavities before loading. For brachytherapy, the others to maintain their careers, the registrars were struggling all the time not to admit they just discharged patient's after they case number diskectomy to keep the records while GPS as their homes struggling with analgesia or to the secretly shunting patient's attending endless time for choroid plexus coagulation. While Mr Griffiths was on leave behind his back. Having said that for entertainment, these procedures were truly pioneering innovations and working in many. There were the days when early mornings, we all saw all patient's in the unit and not just our own. One day, the registrars spotted that one very long staying patient who was almost in semicoma for months after subarachnoid hemorrhage at that day was even worse. I have no idea how they detected this subtle change that particular day then asked to do a diagnostic lumber puncture which I did to get a call from the lab asking if the patient has any recent but tests because the CSF showed extremely high glucose and ketone bodies. This was keto acidosis diagnosed by lumber puncture. Of course, the blood tests that were done uh ever since did not include glucose and no one checked. This makes you till this day to learn a lot for the future. Personally, this was a memorable period as I did pass. Then the final FRCS exams for both Edinburgh England. This is, was the time before mrcs uh was the certificate. How special it was is about inspiration first. What was so inspiring about friendship Bristol New Service? And, and I'm sure until now, then briefly, I'll say a bit about what is inspiration. What first determines the achievement of the neurosurgery unit is the drive. What was so obvious to me uh that was there would drive to innovation. Examples include Mr Griffiths image transfer which we later got to know aspects to transfer scans from hospitals to consultants on board. Mr Cummins, transverse rectum ease and fashioning grafts from surgery, bone and stainless steel wires to eventually creating cervical disc replacements. Others have no doubt as I mentioned before was the daycare survey for number uh this disease by uh by all the department and endoscopic choroid plexus coagulation for hydro Catalyst by Mr Breakfast and all the oncology, basic Science research by Professor Coke. Um even much further was Mr Cummins quest to study ICP in high altitudes. I'm sure you may have heard this story before how early uh one morning, Mr Cummins had a bear hold. An exception of an ICP sensor performed on the local anesthetic using a noisy husband brace, performed on him by Mr Griffiths before going to do a clinic with blood soaked dressing that caused his first clinic patient to faint. He joined the group on an expedition in the human lioce with one of the group happened to have a VP shunt and studies the effects of high altitude and ICP. Although this was before my time, but to hear the details about it from lectures by Mr Cummins himself remains memorable. Indeed, the success of the unit was the true collegiality, the collective vision for progress and innovation, the aims and ideas were shared by everyone and this led to the same and the sense of belonging among all the stuff you would continuously witness that in particular during the run rounds at junior, we had the privilege to go for lunch to Mr Griffiths home and dinner at Mr Nelson's with great cooking. So important as such that this remains a vivid memory. 33 years later, the learning experience is enormous in particular. It was my second neurosurgery as a true job and also I did the House Officer in your surgery after graduation at that time, uh I started to understand the mixture of the art of clinical neurosurgery and uh previous science and evidence based practice. I saw inspiring surgeries that was so diverse. Like Mr Nelson approaching and like getting the first part of the vertebral artery localized in the vertebral triangle deep in the neck. So it at that time to be an effective treatment for uh dural fistulas to Mr Torrance Pelvic stimulators for better control. I did my first ever complete craniotomy with Mr Cummings. So, so what I was going to amputate the tip of his fingers by the incision I learned how to teach. So what is inspiration for me? This results from my opening event or events that we realize our new to our usual thinking that these are so good that it is worth adopting these ideas and make them shape our future actions. Simply inspiration is the stimulus to creativity. It depends not only on inspiring mentors but also our willingness to learn and change ie to be inspired. It is the actions rather than the words that are most inspiring. And I'm sure that there are many times that our mentors have no ideas how much inspiring they were. Hence, we all should be aware of our actions as this may also have influence in shaping others and future generations. I'm always grateful to Bristol um neurosurgery for everything. Final word change is the way forward. But before we decide what to change, we should learn the past. When I look back and think, why were those days were so special? I realized that those were the days when medicine was an art as well as science, when professional teams rather than so called MDTS, which also based on great ideas, becomes so detrimental. It badly conducted and applied with the MS and conception to abolish autonomy. It is professional, professional autonomy that induced innovation while senseless regulations on the contrary and protocols hinder progression. Those were the days one unwritten human touch dictated our actions. Those were the days of natural rather than artificial intelligence. How special those days were? Thank you very much.