This is very important news in the world of #microbiology. From @dadjokesforthewin. #ENTsecrets #surgery

Microlaryngoscopy is a procedure involving suspending the larynx and using a microscope to image diseases of the voice box and airway. We can then do biopsy, remove cancer with laser, inject the vocal folds, suture, implant, excise, etc. It’s a beautiful procedure on your voice box. #ENTsecrets

In Australia, examining the ear with the therapy pet in situ can be challenging. (LOL, joking. This was my son a few years ago in a reptile park). #ENTsecrets #ENT #surgery #surgeon

That’s ear drum reconstruction. Don’t worry about ear drum perforation. We can fix it. Multiple techniques: onlay/inlay/underlay through transcanal/endaural/postauricular approach with temporalis fascia/fat/cartilage/perichondrium using microscope/otoscope/combined. It’s a beautiful operation.

This is a magnified image of blood vessels being joined together (anastomosed) under the operating microscope. This is for microvascular free flap reconstruction of a head and neck cancer defect.#ENTsecrets #ENT #surgery #surgeon #headandneck 1/2

That’s the 27th and maybe the final lecture this year. Every talk takes about 2-5 hours to prepare. The topic may be similar but audiences are different each time. There is a difference between an academic and a teacher. Both require rigorous practice and training. It doesn’t happen accidentally.

Rigid ventilating bronchoscopy in slow motion set up. LOL… #bronchoscopy #ENTsecrets #ENT #Surgery #surgeon #airway

Saudi Hospitality. One of our previous ENT fellows hosted us for dinner and dessert. Most amazing hospitality. I am missing the taste of Saudi coffee already!

Home sweet home. Half my luggage contained gifts from the hospitable people I made friends with in Bahrain & Saudi Arabia. (Yes that was a valid excuse to buy a new bag!) The kindness extended to me has been unforgettable. Tomorrow morning, Arabic coffee at my place. Let’s go!

My first time in Bahrain and Saudi Arabia was absolutely amazing. The extreme hospitality of the people. The amazing cuisines. The magnificent collaboration. These kinds of conferences and connections help me be a better surgeon for my patients. #ENTsecrets #surgery #surgeon #ENTsurgery #headandneck

We explored old castles and buildings in Al Qatif, a place rich with history and art. Precious times with my 2 previous fellows here and their head of unit. #entsecrets #ENT #surgery #surgeon I

I spent a memorable day today in Al Qatif & Tarout Island with the 3 Specialist #Paediatric #ENT #surgeon of eastern #SaudiArabia. Two of them were my fellows in Melbourne. We were with an amazing local guide @ismail_hejles. Absolutely knowledgeable, passionate about his town and truly gifted.

The world would be a much better place if we all could sit around a communion table (or floor) and deepen friendships. Hospitality is a strength. This was a memorable night in a local Saudi home. To be welcomed as a guest is a humbling honour.

#mespo2025 Every day is a school day for the curious clinician.

I work in a specialty where gentleness, care and superspecialist competence are absolute necessities. These women and so many like them around the world have advanced the care of their communities. I’m amazed to think that there are heroines walking humbly amongst us. #womeninsurgery

The best way to master a topic is to teach it. When you prepare to teach, you are forced to think hard about a topic, to break it down and then synthesise it for others to make sense. The process of deep thinking about a topic helps you master it. 1/2 #ENTsecrets #ENT #surgery #surgeon

Doing 7 talks in another country. I haven’t worn some of my suits for years. I’m afraid all my suit pants shrunk on the flight en route.

Hospitality is acceptance wrapped up in tangible experiences of sight, smell, taste, touch, music & voice. What would the world be like if we extended extreme hospitality to each other beyond cultural and religious boundaries? #Halwa reqaq was beautiful!

There’s a lot of #ENT in medicine, history, humanity, story. Learned a few things about the amazing people and history of #Bahrain. Can’t help but look at some of it from the perspective of a #HeadandNeck #surgeon. #entsecrets #surgery

In all these cases, patients presented with eye symptoms. But the origin of the disease is in the nose. We drained the abscess in the first 3 patients through the nose, going behind the eyeball. If you’re not sure, seek a specialist opinion. #ENT #Surgery #ENTsecrets #surgeon #headandneck #rhinology

My little family loves to eat everything.

As I get older, all my shirts seem to be gradually shrinking. Especially in the middle section. Does this happen to any other men? #askingforafriend

As I get older, all my shirts seem to be gradually shrinking. Especially in the middle section. Does this happen to any other men? #askingforafriend

Not a bad day to be out of the operating theatre. That building seems like a familiar shape. Maybe because that’s how I randomly stack the dishes and bowls… #operahouse #sydney #entsecrets #ENT #surgery #surgeon

Pay attention to the humans in the system. In specialist practice, fully engaged clinicians are critical in delivering safe and effective care for patients. #ENTsecrets #ENT #surgery #surgeon #healthcare

Morning commute. One of the biggest privileges of being a surgeon is learning from other clinical craft groups. Everyday is a school day for the curious clinician. #entsecrets #ENT #surgery #surgeon

The things that get me excited! #mespo2025 #ENT #surgery #otolaryngology #surgeon #education

Medical language of love. When the nurse in charge of ENT names an instrument set after you. #ENT #Surgery #surgeon #airway

It’s one of my son’s birthday. 50 metre range. First time ever. We gave it a good shot.

#sinus #sinusrinse #sinuslavage #nasallavage #entsecrets #ENT #surgery #surgeon

Every instrument in my surgical tray has been designed with a clear purpose in mind. The scalpel, scissors, needle holders and retractors all work together for a bigger purpose. They are merely tools, but in the master’s hands they become instruments of healing. #ENTsecrets #ENT #surgery #surgeon

If you have a culture of inclusive excellence, you’ll execute your strategy well. If you have a culture of fear and hierarchical authority, you might get things done in the short term, but you will not enjoy long term loyalty from your team. #leadershipinmedicine

Usually we intubate patients through the mouth. Sometimes when I need to do complex work in the oral cavity such as tumour surgery or drooling surgery we may intubate through the nose or even insert a temporary tracheostomy. #ENTsecrets #ENT #surgery #surgeon

There’s a private hospital in Melbourne that has the most expensive clothes hangers ever. How do I know? Because these clothes hangers are bolted and secured into the rails. You can steal bags and expensive suits, but not clothes hangers!

Leaders are in charge of strategy. But what’s more important than strategy? Culture. And culture is everyone’s responsibility. You can positively (or negatively) influence your team culture even though you might not have a leadership position. #leadership #culture

I have 7 lectures to present in October in Melbourne, Sydney & Saudi Arabia. The cycle of learning, practicing, reviewing and teaching is an endless cycle that sees no endpoint. 1/2 #entsecrets #ENT #surgery #surgeon #leadership

Friendly reminder. Spring forward, fall back. Tonight the clocks go one hour forward. That means for Australia, this is the time where we go from 3 time zones to about 17.

If everybody is special, then no one is special. Everyone is unique, of infinite equal worth.

What kind of a leader do you want to be? What kind of a leader do you follow? That “strong” guy might actually be the weakest person on the team just trying to act tough and hiding his weakness by being a bully.1/2

What used to sit in my garage is now sitting in my clinic waiting room. This is for the child of the 70s & 80s! Come and play! #entsecrets #ENT #surgery #surgeon

Kindness and courage can co-exist in leadership. Kindness does not equal weakness. The opposite is true. Kindness is strength personified. When you can be kind to others, you are displaying strength of character. Weak leaders make it all about themselves. Be a lighthouse in the storm.

The Venn diagram circles of Christian Nationalism, Narcissism & Toxic Masculinity probably overlap by a lot. And I bet you can list the names of the people who stand in the centre overlap of those circles.

“I cant feel my face when I’m with you…” well that’s great because as a head & neck surgeon I know exactly how to anaesthetise different parts of your face. Here’s a simplified section. Don’t cut this. Can’t cut that. #ENT #entsecrets #headandneck #surgery #surgeon

This picture was taken in the red heart of Australia. Whether it’s a signpost or a person, we all need a guide in life. Otherwise we’re just going to waste our time getting lost in the wilderness.

ENT After Hours: airway emergencies, laryngeal burns, subglottic stenosis, tracheal stenosis, inhaled foreign body, hanging injury, handlebar trauma, tracheal fracture, massive epistaxis, nasal tumour, facial burns, facial trauma… 1/3 #ENT #surgery #surgeon #headandneck #trauma

Dear Lord, it’s September.

If you are a parent of a child with autism, I’m so sorry that the words of some can be harmful and confusing. You are not to blame. You are doing your best. You are enough. I wished I could give you a hug to say you are doing good. Keep loving your child. #autism

#paracetamol #acetaminophen