During the response to the COVID-19 pandemic, doctors will be redeployed into roles with which they are unfamiliar. Adequate training must be provided to reacquaint doctors with medical ward practice, supporting psychological wellbeing and patient safety. Here we describe a cross-skilling programme in North Bristol NHS Trust designed to address colleague anxiety and support wellbeing during redeployment.
cases are the response of the tissues (anergy or allergy) to a tuberCulous invader, but it is more than likely that the second stage in infection is a non-specific one, and that the appearances of disease of a common sort are only produLced when the balance between attack and defence is so disturbed as to allow of the development of the proliferative lesions of the third stage of' disease, with the characteristic tissuie immunity. Summary An unusLual case of sarcoidosis is described, with visceralization" in the nervous system, producing Adie's syndrome.Episcleritis and Luveo-parotitis oCCLerred later in the same patient.A general discussion of the possible mechanisms of infection is attempted, and it is maintained that conditions such as sarcoiditis represent a non-specific second stage of disease. REFERENCESGarland, H. G., and Thomson. J. G. (1934). Lancet, 2, 743. Heerfordt, C. F. (1909). v. Graeles A-ch. Oplihtal., 70, 254. Ingram, J. Fr. (1938). British Medical Jourcnal, 1, 872. Lemming, R. (1940. Acia ned. wsand., 103, 400 (quoted in British Mle(dical Jourtial, 1941, 1, 92 1from the mains of the near-by town, was chlorinated duLring the period of investigation.Among a very large number of troops about 150 reported sick, and some 30 of these had to be admitted to hospital. In addition many had'had similar symptoms. buLt of suLch mild degree that they did not seek medical advice. In those cases admitted to hospital every effort was made to obtain a careful history of the illness and its opening phases, and thorough bacteriological examinations were made of the faeces and the blood in the acuLte phase and during the convalescent stage ten days after the onset and later. All bloods sent to the laboratory were culttLred. It may be noted at once that the bacteriological examination of both blood and faeces was entirely negative. Blood counts were not done, and as we were unable to obtain specimens the vomit was not subnmitted to laboratory examination. The history of the illness was not constant, though 60% conformed very closely to what we can call the typical case. In such a case the patient retired to bed feeling perfectly fit. In the early hoturs of the morning he or she would wake up with intense and urgent vomiting, followed by diarrhoea of a very watery type. There was little malaise, and the most prominent symptoms apart from diarrhoea and vomiting were mild backache and a feeling of heaviness in the abdomen. The diarrhoea varied from a few motions a day to, in, one case, twenty-six motions. The stools contained no blood or mucus; they were offensive, ol the typical small-intestine type, and usually chocolatecoloured. The course of the illness in its acute stage was short. Most patients had a temperature varying from 990 to 1000 for from twenty-four to thirty-six hours. A few had a higher temperature, but none over 1010, and in a few cases the pyrexia persisted for seventy-two hours. There was no prostration in any case, and imniediately after the 'acute phase all patients complained ol hunger and as...
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