To share some of my experience with my hosts, I did a teaching session for the sickle team in which I chose to discuss the relationship and interactions between malaria and the sickle gene. I came a novice, and left quite proficient in imaging and non-imaging TCD techniques. There were lecture sessions and practical sessions, I scanned volunteer subjects and sickle subjects. It was a predominantly one-to-one instruction and interaction. The other aspect of my secondment experience was to undergo TCD training for which I was mentored and tutored by Dr Soundrie Padayachee, the TCD lead for the UK National Haemoglobinopathy Panel. There were also patients who were referred to the school for educational psychology assessments and an education and health care plan (EHCP) in order to provide additional special educational support to meet the needs imposed by their neuro-disabilities. I observed up close the management of a broad range of sickle cell disease vasculopathy manifestations: patients with abnormal transcranial Doppler (TCD) velocities maintained on red cell exchange programs, the application of the TWiTCH study, neuro-psychological assessment for patients with vasculopathy, and post-stem cell transplant patients who had previous stroke and severe sickle phenotypes. I really felt at home, and it made the London chaos inconsequential. And people hurled banters all over the place at every opportunity. Then there were chocolates, biscuits and lots of snacking to douse the atmosphere during meetings. Someone was always ordering coffee, even though I found it hard to indulge. The team dynamics and communication was great. There was a good balance of business and humour! We had clinics, ward rounds, multi-disciplinary team meetings, even occasional trips to the haematology lab to view slides under the microscope. So I was introduced to the paediatric sickle cell team, led by Dr Samah Babiker who took me in and made me feel a part of the team. Prof Baba had just retired from his clinical role when I arrived at Evelina London Hospital, which is the children’s hospital in Guy’s and St Thomas NHS Trust (GSTT). The case studies provided during this course may be used to help satisfy the 100 supervised studies required to take the ASN Neurosonology examination.It was not the best of times to visit London cost of living crisis, environmental protests, rail strikes, tube strikes, bus strikes, even a nationwide nurses strikes! There were lots of distractions and uncertainties around. Using established guidelines and criteria, each subject will be explored as case studies are reviewed, analyzed, and discussed in an open and supportive atmosphere by our expert faculty. This online course will build the basic skills required for interpretation for a variety of transcranial Doppler diagnostic and advanced studies.

Professions - Nurse, Nurse Practitioner, Other (non-physician), Physician, Physician Assistant Specialties - Cardiology, Critical Care Medicine, Emergency Medicine, Imaging, Neurology, Neurosurgery, Pediatrics, Radiology, Vascular Surgery

Transcranial doppler course