Hi guys due to some personal issues I will not be able to continue posting or keep this page running. So as a gesture of goodwill I will keep this active until the 18th of February to allow everyone to access the course. After that this will close down. Apologies ofcourse if you have questions your more than free to ask up until then.

If an adult has persistent unilateral ear discharge that smells foul, especially with hearing loss, think cholesteatoma this is not “recurrent otitis externa”. 🔴 Avoid ototoxic drops if there’s any chance of a perforated tympanic membrane 🔴 Don’t keep cycling antibiotics ✅ Refer to ENT urgently as this is a destructive condition, not a benign one Early suspicion = fewer complications (and fewer sleepless nights later) P.s. Cilodex (is non ototoxic)

Please let me know what you thought about the course. If anything could be improved or if you would like to have some coaching around it

Chest pain doesn’t need to be crushing, central, or radiating to be cardiac. Yesterday, I saw a patient in clinic: • Sharp chest pain • Non-radiating • SOB on exertion • Fine at rest • Onset occurred at rest where simply standing up triggered it • Associated nausea • OBS all normal • Pain lasted ~1 minute each time • Patient could feel it in sync with his heartbeat Not textbook. Not dramatic. Easy to dismiss. But concerning. This is a reminder that cardiac pathology doesn’t read textbooks. We rely too much on “classic” presentations and risk missing early or atypical disease. I’m waiting for permission to share the ECG, once I have it, I’ll post it here. Let’s see what you think. 👀 What would be on your differential at this stage?

I did want to do a live presentation of the course but for some reason I am unable to do so please don't hesitate to drop me a message I have added bonus cheat sheet style diagrams to aid in your journey seperately. I will try again to do a live session.