As it gets closer to our inaugural Don’t Forget The Bubbles conference in Brisbane later this year we thought it about time we showcased some of the amazing and inspiring speakers we have lined up for you. Coming from a wide range of backgrounds and life experiences we hope that they will help us all become better at looking after unwell children and better at looking after each other.
Henry Goldstein is a paediatric registrar and one of the key players behind the DFTB conference and it was a treat to interview him and get to know more about the man behind the posts.
1) Who inspires you in your clinical practice and why?
I am inspired by people who exude energy and enthusiasm with an equal measure of calm, compassion and knowledge. Folk who are curious and unafraid to question (even if for the sake of it!). Obviously, Captain Jean-Luc Picard comes to mind. In this universe, Dr Tom Hurley from the Sunshine Coast has stoked the fire of many juniors keen on paediatrics. He was my first supervisor and mentor; I actually first met Dr Hurley at a hospital talent show! He was dressed as AC/DC’s Angus Young having just performed “It’s a long way to the top”; sage advice from the start, really.
Outside Paediatric medicine, a handful of other clinicians I’ve worked with fit the above description. They include; Dr Steven Hamwood, a model of physicianly qualities, one of the most compassionate clinicians and astute diagnosticians I’ve worked with. Dr Jannie Geertsema, a Child and Adolescent Psychiatrist, opened the world of child & adolescent psychiatry, not just in a way that allowed me to function clinically, but also to see interpersonal interaction and the mind’s growth and development through a profound new viewpoint. Another figure I have tremendous respect for is Dr Terry Nash; he’s considered by his peers a master for trauma and resus, which is unsurprising given that has also run a NATO trauma hospital. As well as running a resus with Zen-like calm, Terry is also one of the humblest medics I’ve come across any sphere.
2) What is a “career defining” moment that you can recall?
I would hope that my career is yet to be defined; however, my most memorable moment thus far certainly influenced the way I practice medicine. During one of my interviews to be a paediatric registrar, I was asked by the consultant what I would do if I was working nights and a child I was looking after died, and correctly or incorrectly, I felt that I was to blame. At the time I was caught slightly off guard by the question and managed an answer along the lines of having an extremely supportive medical fiancé (now wife) and friends and family. Unfortunately, events transpired that I encountered this scenario during a run night shifts only a few months later. The Birthsuite had called several times for an “Early discharge check”, and having done my best to defer things until the baby was now eight hours of life, I could find no medical indication for the baby to stay. I even discussed the case with the consultant on call; retrospectively, and despite all evidence to the contrary, I had this odd feeling that something wasn’t quite right. The mother took her baby home. Almost exactly 24hours later, just after dawn, a Cat 1 was called in ED. I was so Paediatrically-minded, I actually thought to myself “That’s an odd place for a C/section”. Instead, it was the same baby, CPR in progress. Time in the resus just flew past and was withdrawn once it was clearly futile. This experience has made me very cautious about early neonate discharges. If this child’s life can contribute anything to the wider clinical world, it is in the telling; most midwives wanting an early discharge check will hear it before I send one of their newborns home early!
3) How did you get involved with DFTB?
As a medical student, I wrote an anonymous blog which reached it’s natural end at graduation. In the interceding years, I’d become more active on twitter and had attended several Archives of Disease in Childhood (#ADC_JC) journal clubs. In early 2013, I had begun to miss blogging and sought an outlet for study; I started pumping out a weekly “top five” list of #FOAMped, which was pretty clearly unsustainable. Tessa sent me a message along the lines of “I like what you are trying to do. Want to do this properly?” Earlier in the year I’d also met Ben at (the now decommissioned) RCH Brisbane orientation. We caught up for a coffee and chatted about doing the project together; Tessa brought Andy on board, and the four of us began work on the site, launching DFTB on 1st September 2013.
4) What is a little-known fact about you?
I once won a “Where’s Wally?” look-alike competition.
5) What does DFTB mean to you?
Don’t Forget the Bubbles is about education; actively breaking down silos (both specialist and geographic), fostering a spirit of curiosity and asking, as well as answering, all kinds of questions. There is such a beautifully held tension between established knowledge & experience, knowledge translation and patient-specific or local information.
I also feel that DFTB provides a platform where we can consolidate primary evidence; that is, looking at, understanding and appreciating historical papers which explain the evolution of many of the therapies that fall into the “because we’ve always done it this way” box. Don’t Forget the Bubbles is also a way to rapidly increase interest in published literature. People often refer to textbooks for medical knowledge and, particularly when you are relatively junior, it can be difficult and overwhelming to figure out where to look once your knowledge or the fidelity of your clinical question eclipses the fundamental texts. At DFTB we can provide an independent cultivation of things to read that seek to go to the next level.