Vipin Zamvar
@VipinZamvar
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Consultant Cardiothoracic Surgeon, Edinburgh. Editor-in-Chief, Journal of Cardiothoracic Surgery. Past-President, World Society of Cardiothoracic Surgeons(2015)
Edinburgh, UK
Joined July 2009
@viditchess @arseinho You will play hundreds of tournaments in your lifetime. But to celebrate an Olympiad Gold medal with all your team mates and the Prime Minister is a once in a lifetime opportunity. Hope you have a great time with @PMOIndia.
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@Lady_doc_artist When I was 23, I was a Surgical Registrar at JJ Hospital, Mumbai. (1988). Salary was Rs 1500 per month. We had to queue for our salary, which was given to us in cash.
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Merry Christmas to all from Cardiac Theatre team @RIE_Lothian . About to start an emergency. Huge Shoutout to Chenchuan Fang for staying back on Christmas morning to help with the case. @NHS_Lothian #Christmas
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@ShashiTharoor When funds are limited, priorities have to be set. There is nothing wrong with setting guidelines for what kind of research will be paid through the public purse. Every organisation has criteria laid down prospectively. Here is a link to BHF criteria.
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Just implanted a Trans-Subclavian Evolut Pro + valve @RIE_Lothian . First in UK? Slick Valve. @MedtronicUK
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#TAVR MDT. Last TAVI MDT before Professor @nealuren retires from @RIE_Lothian for greener Swiss pastures. All the best, Neal. @EdwardsLifesci @Medtronic @BCIS_uk
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All ready to resect a lung cancer in full PPE gear. Morale is high, #PPE stocks are adequate @NHSLothian; We are all set #COVIDー19. But a word of caution for those of us who find ourselves with enough #PPE, we should be more careful how we use it. It is a scarce resource. @NHSuk
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Just published. The first edition of “Key Trials in Cardiothoracic Surgery”. Available on Amazon and with all major booksellers. Almost all of the most impactful trials from recent years discussed in detail. Congratulations to Ghaith Qsous and Malcolm Will too. @NHS_Lothian
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On 9 September, 1896, Ludwig Rehn sutured a laceration of the Right Ventricle. The patient survived. This was the first successful operation on the heart. Cardiac Surgery was born then. Today is the 125th Anniversary. @WSCTS_WSCTS @SCTSUK @ctsnetorg @STS_CTsurgery @AATSHQ.
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Fourth-year medical students from @EdinburghUni . Budding cardiac surgeons, practising operating on the heart. In the @Medtronic truck in the car park today @RIE_Lothian @NHS_Lothian . Truck will be here all day (with snacks on board). Still time to visit.
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@SnotSurgeon My wife is also a doctor. But all the joint correspondence (from the children’s school, banks, etc) has always been to “Dr and Mrs Zamvar”. We have never bothered to correct them, but next time I will.
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The death knell of Cardiac Surgery has been sounded every other year (as long as I can remember). With every major innovation in the field of Cardiology, this is repeated. But cardiac surgery continues to thrive @scts @kulvinderlall @WSCTS_WSCTS .
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@ShashiTharoor @Microsoft Surprised that you are not using a Mac. Five years ago I moved from PCs to my MacBook Pro; and all I could say afterwards was "Why did I not move earlier?".
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#EACTS2019 Debate: Should Coronary Surgery be a specialisation ? Taggart (For) vs Fremes (Against). Conclusion: Every department must have at least 1 surgeon specialised in CABG Surgery to offer off-pump, or Total Arterial Revasc for selected patients. @EACTS @SCTSUK @WSCTS_WSCTS.
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@davidhackam @HopkinsKids @hopkinssurgery When paediatric surgeons operate, they have the potential to alter a “full” lifetime.
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If there were no Heparin, there would be no Cardiac Surgery. A very nice article on the discovery of Heparin. @annalsthorsurg @STS_CTsurgery .
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Spent a wonderful three days in Tokyo attending the International Coronary Congress. Coronary surgery in Japan is miles ahead of anywhere else from the rest of the world. And every patient gets an angio after surgery, before discharge from hospital. @FaisalBakaeen @GianTorre610
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On 13 January 2003, I performed my first VATS Lobectomy (A left Upper lobectomy, T2N0, Adenoca) for lung cancer at the old Royal @RIE_Lothian. The patient did well and after a few years we discharged him. Just by chance, I received a letter today from a chest physician in.
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Congratulations @Sandeshgulhane on becoming an MSP. First @BAPIOUK member to enter Parliament. Scotland and NHS Scotland will benefit so much from your presence in Parliament. Wishing you all the best @Sandeshgulhane.
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Just now I signed up for the “Covid Symptom Study”. On my iPhone , via the “Covid Symptom Tracker” app. First research study where I am a participant. Excited. @KingsCollegeLon @Join_ZOE @timspector
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@JJcolemanMD My cardiac surgeon self "Bloody Anaesthetists!! Where are the Platelets, the Protamine, the FF Plasma?.My anaesthetic colleague from over the drapes "Try some more Prolene?".
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Time to follow the Science. Excited to have got my first COVID Vaccine jab today. Thank you to the NHS. @NHS_Lothian #vaccine #PfizerBioNTech .Hope all my friends and family take up the vaccine when it is offered to them.
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A comprehensive review of the Anatomy of the Mitral Valve by @ChrisMalaisrie at the International Heart Valve Congress at the Royal College of Surgeons of Edinburgh. @IHVCongress @RCSEd #IHVC2023
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A very powerful speech by Ananta Dave @adave_NHS at BAPIO Scotland Annual Meeting at the @RCPEdin on “Women as leaders in the NHS” @BAPIOUK @subodhdave1 @RameshMehta15
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25th Anniversary of the first VATS Lobectomy today. 1 April 1992, William Walker, from Edinburgh performed the first modern VATS Lobectomy.
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This is lottery. When you come to the changing room, and find shelves full of scrubs of all sizes.
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The Robot was late arriving in Edinburgh, and we started doing Robotic Surgery only in 2023. Our training involved hours on the simulator and visits to centres in London, Amsterdam, Hamburg and Leiden. Thank you to Sasha Stamenkovic for mentoring Malcolm and me; (20 years ago,
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Registrars training to perform Aortic Valve Replacement at the @MedtronicUK Wetlab, @RIE_Lothian @SCTSUK
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When I was a Registrar, I would spend hours at night in the ICU measuring Cardiac Output with the Swan-Ganz catheter. The cold saline had to be injected at right time, three readings; best one noted. Nowadays, we have these continuous Cardiac Output monitors. Life is so easy now.
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@pickover Yes, true. (P+1) x (p-1) is a product of two even numbers( because p is prime). So it will always be divisible by 2x 2 i.e 4. Also p-1, p, and p+1 are three consecutive numbers, so one of them has to be divisible by 3. So yes, the p sqred - 1 will always be divisible by 4x3 = 12.
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Feeling chuffed. My contribution to the Gross Anatomy of the Heart. The Zamvar pericardial fold
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A patient on whom I had operated 10 years ago left this outside my door today with a lovely card. So nice. #CABG is such a wonderful operation.
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@GreggWStone Gregg, If somebody in my family had a LMS lesion, I would explore the option of stenting (And I am a cardiac surgeon). Does that answer your question?.
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Excited to have won this prize. The #MiniMitral trial will answer an important question. And even during a pandemic, our patients in Edinburgh continue supporting Research trials, and say Yes to taking part. Any suggestion #MedTwitter what we do with the prize? @RIE_Lothian
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Forty years ago, I joined Grant Medical College in Bombay. What a journey it has been. Chakaraka Chakaraka. All GMCites on Twitter, Let’s connect. Chakaraka. #GrantMedical
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Congratulations to @BrennanSurgeon and all other wonderful doctors from England. Pity, Scottish doctors do not have these opportunities to show how much they too go the extra mile, and go over and beyond what is expected of them.
Congratulations to Peter Brennan, Consultant Oral and Maxillofacial Surgeon, who has been awarded a Gold Clinical Excellence Award for his outstanding work and going above and beyond for his patients. Read more here: #AlwaysImproving
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My daughter is working from home, and I was delighted to see my CT surgical education coming of such use to her in her home office.
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@KatieSNason1 @drnikkistamp Been a consultant CT Surgeon for 16 years in Edinburgh. On call one in six. Cannot remember being called to A&E to deal with a gunshot injury. A few stab injuries now and then. Nothing more. Love Edinburgh. Love UK. #ThisIsOurLane.
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Went with my daughter for her vaccination at Royal Highland Centre, Edinburgh @HighlandCentre . So fantastically organised, excellent staff, 5* overall. Great work @NHSScotland , Thank you @NHS_Lothian.
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@SusanPolgar @WarriorJhansi In our Hindi lessons, at school, we were taught a poem about her” Khoob Ladi Mardani, woh to Jhansi wali Rani thi”. Perhaps the most well known “valour” poem in Hindi literature. Even now, I get goose bumps, when I think of those lines.
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@pickover After a basic lesson in Mathematics, almost everyone should be able to answer this very easy question.
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Bravo. #NHSLothian Royal Infirmary of Edinburgh: Yesterday, a trainee surgeon walked 6 miles (2 hours) in treacherous weather to assist at a cancer operation. Again an unnamed female trainee surgeon. #committed #trainees
Hero surgeon walks eight miles through snow to operate on patient
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This tweet prompted me to look out for my Littmann (purchased in 1991). I found it ultimately and was surprised to find my name badge from my Cardiff days (25 years ago) when I was a senior registrar with a bleep. Obviously not much used since my move to Edinburgh. (I still
After 34 years of use (admittedly less in recent years!) my trusty Littmann Cardiology II stethoscope has broken. Bought before I started as a house officer it almost made it through to the end but not quite.
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Time for sub-specialisation in CABG surgery? This paper (first of its kind) shows CABG specialisation improved outcomes.
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@isabelpochet All the best in your new job. A scientific curious mind can make any job/situation interesting.
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Talking about AF ablation #EPeeps with Bart Maesen. #EPFellows @NeilGrubb @colinstirrat @MedtronicUK @Medtronic So much potential for Surgical AF Ablation in Edinburgh. @nicola15375394
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This taxi driver drove me from @ashornehill to Leamington Spa station. He asked me what I did, and when I said I am a doctor in the #NHS , he gave me some of the choicest blessings and good wishes, “Parmatma Aapka khayal rakhe, Aapke parivar ka khush rakhe” and so many more.
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Lynn Miller, So next time you refer a patient for CABG surgery, I expect the referral letter to read (see photo) @LynnGreigMiller @NHS_Lothian @SCTSUK
Daughter’s first piano lesson today inspired me to get some music out this afternoon and spent the most lovely time with Debussy, Ravel and Bach. I need to get back to doing that much, much more often.
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Caroline Braund’s last day at work today. Happy Retirement, Caroline. Ward 102 @CTS_RIE @RIE_Lothian will miss you. A photo from her last handover today. @NHS_Lothian
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Long-term Outcome of mechanical vs tissue Aortic Valves. Mechanical valves have better survival for patients aged 50 to 70 years. (A few years ago, a 4th year Edinburgh medical student looked at all our patients, and reached the same conclusion).
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Last minute touches to my talk at the International Coronary Congress, New York. @KLM have inflight WiFi too!!
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@jkwillettmd What a nice Tweet. I will use these words now "We will do everything possible to help you". Of 100 patients, 5 thank you,1 complains. Unfortunately, the complaint has the most effect on modifying words, practice. (Defensive medicine, not good). My words will change from tomorrow.
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@ChessMishra @lachesisq @FIDE_chess Great sense of humour, GrandMaster. I am waiting for the day when you beat Yan in a game of Classical Chess. I guess that day will not be too far off.
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Just met @BrennanSurgeon @RCSEd . He left the copy of Grays Surgical Anatomy in his room under armed guard. !!! Already plotting the next edition!!! Can’t wait to see it tomorrow! @WISEMANSURGEON
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Debate: TAVI vs Surgery for Aortic Stenosis. At the International Heart Valve Congress at the Royal College of Surgeons of Edinburgh. Michael Mack is a treasure trove of knowledge and wisdom. This is his final slide in the debate. @RCSEd @IHVCongress @WSCTS_WSCTS #TAVR #IHVC2023
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It was a great honour to meet Prime Minister @PMOIndia @narendramodi in Glasgow today. Such a charismatic personality and a visionary. #COP26
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Thank you to all our patients. 220 patients from Edinburgh took part in this landmark cardiac surgical trial. Published NEJM today.
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@boldmovebydan The FIDE match is the REAL world championship match. Due process has to be followed. I am sure @ArjunErigaisi will one day ( very soon) be a Candidate too.
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#TAVR trends, and outcomes in the USA. @BavariaMd giving an update at the @RCSEd @TaviFeb #ITC2020 @STS_CTsurgery @AATSHQ @ACCinTouch
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I heard so many people clapping just now. And we clapped too. Wonderful NHS, Wonderful Public Services, Wonderful Britain. #çovid19 @NHS_Lothian @NHSuk
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It turns out she had been taught these techniques by Mr Keith Buchan at Aberdeen. Keith and I were Registrars in Cardiff 25 years ago, and these were techniques taught to us by Mr Kulatilake. The lineage continues (No atlases, no textbooks)@ctsnetorg @STS_CTsurgery @ASiTofficial.
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@chesscom @GMJuditPolgar Now that you have told me there is a solution, I found it in 30 seconds.
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After hundreds of trips, even now, every time I travel by the London Underground, I feel a sense of awe for the genius of the engineers from more than 150 yrs ago, who built the first underground trains;and those who manage it now. So efficient, so precise, so easy to use @TfL
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Some patients stay in the memories for a long time. Have a great holiday, Emma.
Great to see patients looking so well when they come back for a visit! Have a great holiday Emma @VipinZamvar @NHS_Lothian @RIE_Lothian
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RECOVERY: Very nice study. Operative Mortality 0% here. So if patient: low risk for SAVR; surgery should be offered for asymptomatic patient with severe aortic stenosis. Of course, some patients may choose to wait. Can have low threshold to intervene. @SCTSUK @TaviFeb.
At a median of 6 years of follow-up, operative mortality or CV death occurred less frequently in asymptomatic patients with very severe aortic stenosis who received early valve replacement surgery than in those conservatively managed. #AHA19
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Starting the second day of this wonderful #BAPIO25 Conference at Edgbaston Cricket Ground, Birmingham. President of @BAPIOUK Dr Ramesh Mehta. @RameshMehta15 . Happy 25th birthday to @BAPIOUK
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Surgeon experience and Surgeon volume determines good results with off-pump coronary surgery. On-pump and off-pump coronary artery bypass grafting for patients needing at least two grafts: comparative outcomes at 20 years.
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I have always resisted suggestions of virtual consultations uptil now. But this week, I did my first virtual clinic. I spoke to (instead of seeing) newly referred patients, and listed them for Coronary Surgery, VATS Lobectomy, AVR, #TAVR. #COVID19 @NHS_Lothian
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#eacts2019 Controversy surrounding the interpretation of the EXCEL trial results. A slight difference of opinions. @EACTS @STS_CTsurgery @AKappetein @NEJM @TCTConference @SCTSUK
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Delighted to have @TheRakeshArora talking on Delirium in the surgical patient. @NHS_Lothian @A_MacLullich @daisy_varghese . Delirium post-op is a real problem, needs more attention.
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From one of the best hospitals in the world.
10 days within ICU and we are delighted to be able to move our amazing patient to HDU. #Happydays #teamwork @NHS_Lothian
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@shailinthomas Sometimes it is just “Have Scrubs” or “Have-Not Scrubs” for us @RIE_Lothian @NHS_Lothian
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1/2 When I passed my FRCS exams @rcpsglasgow in October 1992, my Dad was so immensely proud. Within a few hours, he had phoned ALL his friends, and all of the family, and many others. My mum tells me he was so excited, and two days later he hosted a celebration party in our . .
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Wednesday 17 November 1993. I was a Registrar in Southampton, and on this day did my first CABG operation. As usual, I had harvested the LIMA, and had put the patient on bypass, and was waiting for Mr James Monro to scrub up and do the case.
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Delighted to speak to @univofstandrews Surgical Society on a career in Cardiothoracic Surgery today. So many keen future Cardiac or Thoracic Surgeons. The future is bright.
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3 cm pericardial effusion on the CT scan, in a patient with Type A Aortic Dissection. All scrubbed ready to start, while the anaesthetist induces the patient.
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Frank Wells talking about Leonardo Vinci and his descriptions of the Mitral Valve at the International Heart Valve Congress at the Royal College of Surgeons of Edinburgh @RCSEd . #IHVC2023 @IHVCongress @WSCTS_WSCTS
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#TAVR. @RCSEd @NHS_Lothian . International TAVI Congress @TaviFeb @Fitwise_mgt All set to welcome delegates.
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Close to a million downloads in 2020 from @JournalCTSurg . "Journal of Cardiothoracic Surgery" Looking forward to 2021. @SCTSUK @STS_CTsurgery @ctsnetorg @WSCTS_WSCTS
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Bicuspid Aortic Valve Repair: @BavariaMd at the International Heart Valve Congress at the Royal College of Surgeons of Edinburgh @RCSEd . #IHVC2023 @IHVCongress @WSCTS_WSCTS
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Life will never be same after the pandemic. Before Covid, I would drive the same route to the hospital almost on auto-mode. Since the lockdown, as the roads are clear, I have discovered at least 8 different routes to the hospital. Some more interesting than others.
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@drraja_ All hospital colleagues I know, have a lot of respect for GPs. You are right about them having a wide knowledge base covering all systems and specialities.
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Delighted to receive this Fellowship pin and the “College Voice” in the post today. @rcpsglasgow . Will wear the pin from tomorrow. Looking forward to reading the Voice.
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