Sara Barton

@a-cute-medic.bsky.social

Lapsed Nephrologist, Active Acute Physician Quality Improvement and Patient Safety dabbles a bit in musical theatre.....

As a passionate believer in #QualityImprovement, one thing that makes me sad is when organisations start doing things purely for the sake of regulators. Crib sheets for CQC inspections or couching change as "To address regulator feedback". We should do things because they are right for patients.

Working in the NHS is hard at the mo. Masochist that I am, seeing the impact on people I care about feels worse in some ways than the impact on me. #Denial I've decided to move Trusts & see if a new challenge helps, so now I worry about the great people I leave #BurnOut as far as the eye can see.

So, it seems once more I am in a situation. I am to fulfil my raging desire to play a "baddie" & have been cast as Queen Rat in a forthcoming pantomime. A part made for me. Or so I thought. I now realise I have not dedicated enough of my life to my maniacal evil laugh. Send evil laugh ideas....

So we've reached a point where the cat hates all the food I offer. We follow this charade periodically though he's very upset right now. He keeps taking me to the door miaowing fiercely. I think he wants to take me hunting in the woods to improve things. Maybe if it snows tomorrow we will go....

One of the pleasures of starting here is the chance to widen my horizons. Among the familiar faces are new people with different perspectives - despite the accusations of echo chamber. I'm really valuing the interactions.

I will NEVER stop advocating for vaccines. For the vast majority history, childhood diseases meant 50%+ of our kids would die before aged 5. Now, for the first time in the history of humanity, the loss of a child through disease at that age is a tragic rarity. AND YET SOMEHOW PEOPLE ARE ANTIVAX!?

Deaths caused by vaccine-preventable diseases, World The estimated annual number of deaths caused by several vaccine-preventable diseases, based on statistical modeling. Estimates come with wide uncertainties, especially for countries with poor vital registration'

The chart shows the cumulative deaths has dropped from over 4 million per year in 1980 to less than 2 million in 2021

1. Civil Registration and Vital Statistics system: A Civil Registration and Vital Stati stics system (CRVS) is an administrative system in a country that manages information on births, marriages, deaths and divorces. It generates and stores 'vital records' and legal documents such as birth certificates and death certificates. You can read more about how deaths are registered around the world in our article: How are causes of death registered around the world?Rate of cases and deaths from measles in the United States The reported annual rate of new cases and deaths from measles, per 100,000 people in the population.

Chart shows decline of cases from 100 to less than 0.1 and deaths from 10 to less than 0.001.

So I asked to go on a list, & now have followers. But I think I've forgotten how to do this - so little engagement in the bad place my impostor has crept back! Not sure who my SoMe self is - but start a new post in Jan so maybe it will be the challenges of mid career change. Til then, a cat...

A ginger cat, wondering why he is being photographed when he is comfortable

As an antidote to sadness and the mild tinge of burnout, last week I did my first show with my daughter. We were in Nativity! The Musical & had a blast. She had some solos and got to play Mary. I got to wear silly costumes and play multiple characters. Definitely reccomend some light escapism!

Bild