Recollecting Oxford Medicine: Oral Histories

Derek Hockaday interviews consultant chest physician Donald Lane, 31 Oct 2013. Topics discussed include: (00:00:12) coming to Oxford; (00:04:20) Honor Smith; (00:07:37) Christchurch College; (00:09:02) clinical years at St. Barts. Hospital, London; (00:12:43) working in surgery, medicine and Accident and Emergency at Redhill Hospital; (00:14:54) returning to Oxford for post-registration house job; (00:16:45) senior house job in Manchester; (00:18:16) Douglas Black; (00:20:16) research Dphil; (00:24:29) returning to Oxford, registrar position; (00:26:27) Paul Beeson; (00:30:14) combining general medicine with respiratory medicine at the Chest Unit and Churchill Hospital; (00:35:10) changes at the Chest Unit in Lane's time; (00:38:22) work on asthma, importance of The Asthma Society; (00:45:40) stopping general medicine in 1980; (00:48:23) university work during consultancy; (00:50:46) national commitments; (00:51:54) role of Oxford education in medical career; (00:53:07) evolution of treatment of Cystic Fibrosis; (00:58:37) legacy of the Oxford hospital orchestra; (01:01:34) comparing standards of care between Oxford, Redhill and St. Barts.; (01:04:15) case presentations.

Derek Hockaday interviews Derek Jewell, Emeritus Professor of Gastroenterology, 14 Feb 2013. Topics discussed include: (00:00:00) coming to Pembroke College, Oxford, time as an undergraduate, including memories of Percy O'Brien; (00:02:27) year of studying animal physiology; (00:05:47) Oxford for clinical years; (00:07:40) entrance procedure to Oxford Medical School; (00:12:40) clinical years; (00:15:27) interest in the blood laboratories during senior house surgeon job; iron, vitamin b12 and Dphil in gastroenterology area; (00:18:46) John Badenoch and Sidney Truelove; (00:19:52) house jobs; (00:21:25) Oxford hospitals compared to Hammersmith Hospital; (00:23:36) Paul Beeson; (00:25:46) more on DPhil research; (00:28:09) senior registrar role, Radcliffe Travelling Fellowship to Stanford; (00:34:03) experience of working with inpatients; (00:37:37) work at the Royal Free Hospital, returning to Oxford; (00:40:46) Sidney Truelove, Oxford school and inflammatory bowel disease, editing the textbook of gastroenterology; (00:50:56) advances in gastroenterology; (00:54:58) interaction between gastroenterologists and surgeons; (00:58:54) pathogenesis of ulcerative colitis and Crohn's disease; (01:02:36) changes in treatment of Chrohn's disease; (01:07:57) Oxford compared to other places in relation to inflammatory bowel disease; 01:11.40 miniature sabbatical trips; 01:12:46 stopping general medicine; (01:17:57) National Health Service trajectory since the 1970s; (01:23:12) final thoughts. Note the following sections of audio are redacted: 00:45:05-00:45:19; 01:25:56-01:26:07; 01:26:28-01:26:39.

Interview with Trevor Hughes, neuropathologist and fellow of Green Templeton College, conducted by Derek Hockaday, 2015. Topics discussed included: (00:00:17) Hughes coming to Oxford from Stoke Mandeville in 1957; (00:05:12) how Stoke Mandeville and Oxford hospitals compared to each other, distinctions between Oxford hospitals; (00:07:18) changes in Oxford hospitals as a result of the creation of NHS in 1948, comparing Oxford to Manchester in the 1940s; (00:10:04) moving to neuropathology over haematology; (00:14:38) John Spalding; (00:18:12) neuropathology during the the Second World War, memories of staff colleagues including Peter Daniel and Sabrina Strich, more on John Spalding; (00:33:05) Honor Smith; (00:40:16) change of techniques in neuropathology over time, working in field; (00:44:30) balancing consultancy, teaching and tutor for post-graduate medicine in Oxford; (00:48:18) neurosurgeons including Joe Pennybacker, Hugh Cairns and Walpole Lewin, other Nuffield Professors; (00:59:10) committees and the university including the Nuffield Committee for Medical Research and the Clinical Medicine Board; (01:08:13) working with Richard Doll; (01:18:56) researching of the spinal cord, publication; (01:21:35) neuropathology and the John Radcliffe Hospital. Note the following sections of audio are redacted: 00:16:38-00:17:01; 00:18:55-00:19:07; 00:26:19-00:29:14; 00:31:37-00:31:47; 00:56:45-56:59; 01:11-01:13:21; 01:14:37-01:15:22; 01:22:17-01:24:00.

Derek Hockaday interviews Tony Hope, Professor of Medical ethics and honorary consultant psychiatrist, 6 May 2014. Topics discussed include: (00:00:16) first degree at Oxford prior to Medicine and early academic career; (00:06:58) physiology department, Oxford, and colleagues; (00:09:15) clinical years, including remembering Jim Holt; (00:12:34) interest in psychiatry during house jobs; (00:17:00) the Middlesex Hospital teaching compared to Oxford; (00:18:46) move into psychiatry, the Phoenix Unit at Littlemore Hospital; (00:22:00) diagnosis in psychiatry; (00:23:54) Cognitive Behavioural Therapy; (00:27:40) medical ethics, Sid Bloch, student society The Oxford Medical Forum, developing teaching practice skills in Oxford, change of ethical management of patients in the 1970s; (00:41:45) teaching role in ethics and communications; (00:47:25) assessing success of teaching ethics; (00:51:51) working on dementia; (00:56:55) interaction between hospital and community relating to psychiatry; (01:01:13) Oxford university lectureship; (01:06:58) setting up the Ethox Foundation; (01:09:31) clinical work from 2005 onwards; (01:12:38) ethics research including on anorexia nervosa; (01:18:29) changes in student interest in medical ethics; (01:20:47) publications; (01:21:53) the Oxford Medical Forum; (01:23:47) proudest contribution to clinical work; (01:25:35) final thoughts, the Uehiro Centre for Practical Ethics. Note the following sections of audio are redacted: 00:59:56-1:01:12 and 01:04:54-1:06:58.

Interview with Peggy Frith, deputy Director of Clinical Studies for Oxford University Medical School and consultant ophthalmologist, conducted by Derek Hockaday, 15 Sep 2015. Topics discussed include: (00:00:18) why Frith came to Oxford for clinical training; (00:02:01) admissions procedure into Oxford Medical School; (00:04:19) time as a clinical student; (00:06:55) finals and surgical viva; (00:10:29) house jobs post qualification; (00:12:42) paediatric surgeon role; (00:17:29) role as senior house officer at Nuffield Department of Medicine and memories of colleagues; (00:18:48) neurology work; (00:20:25) move into ophthalmology; (00:26:29) setting up neuro-opthalmology clinic and training flexibly in London; (00:30:45) working at the Dragon House as housemasters wife; (00:31:38) Oxford Eye Hospital; (00:33:01) setting up a London clinic service for HIV patients with retinitis; (00:39:23) Oxford Eye Hospital; (00:46:02) moving across to University in role as deputy Director of Clinical Studies; (00:49:16) pastoral care of medical students; (00:57:46) most enjoyable experiences in career; (01:01:11) addressing sexism in medicine; (01:04:44) publications and national meetings; (01:06:16) dermatology and skin clinic links; (01:11:39) position at New College; (01:13:53) Athena Swan; (01:14:44) Tingewick society; (01:17:25) Oxford compared to other medical schools and hospitals around the country. Note the following section of audio is redacted: 01:00:10-01:00:39.

Derek Hockaday interviews Andrew Freeland, ENT consultant and surgeon, 22 May 2014 Topics discussed include: (00:00:10) starting in Oxford as a senior house surgeon in 1968 in ear, nose and throat (ENT) surgery, colleagues work and training at Guys Hospital; (00:04:00) Ronald Macbeth and Gavin Livingstone, history of ENT at the Radcliffe Infirmary during second world war and thalidomide disaster; (00:09:34) why Freeland applied for Oxford role; (00:10:15) research year in Banting institute, Toronto and laryngeal cancer work; (00:14:48) clinical students and teaching ENT; (00:16:19) Bill Lund; (00:19:50) deafness and cochlea implants; (00:23:00) private practice alongside day work (00:24:35) nursing in Oxford hospitals; (00:26:06) evolution of handling wax in the ears and hearing aid clinic; (00:28:46) honorary lecturing and students; (00:30:01) importance of anaesthetists; (00:31:44) Oxford tracheostomy tube; (00:33:09) tonsils; (00:35:45) ENT department; (00:39:17) committees; (00:40:30) changes in ENT medicine throughout career; (00:44:49) change in relationships between consultants and administrators; (00:50:00) future of medicine; (00:53:13) NHS in Oxford; (00:55:04) ENT conditions more common due to ageing population; (01:00:53) deciding to study medicine. Note the following sections of audio are redacted: 00:01:22-00:01:37; 00:32:48-00:33:09; 00:38:27-00:39:16; 00:43:18-00:44:00; 00:54:48-00:54:52.

Derek Hockaday interviews Godfrey Fowler, general practitioner and medical scientist, 7 Mar 2014 Topics discussed include: (00:00:09) admissions procedure to Oxford Medical School; (00:02:21) choosing to come to Oxford, early experiences at University College; (00:07:31) University College Hospital, London, for clinical training and then the return to Oxford as General Practitioner; (00:12:00) students in general practice; (00:14:54) role as a college doctor in Oxford; (00:23:23) case for a general practice post at Oxford University; (00:29:30) clinical students being sent out to general practices routinely; (00:31:12) research during readership post; (00:34:20) Bent Juel-Jensen and other colleagues; (00:40:57) publications; (00:42:49) successors to Fowler's chair of General Practice since 1996; (00:45:59) remaining a GP in Oxford throughout career; (00:47:12) Oxford hospitals and Oxford University as an institution; (00:49:12) involvement in national committees; (00:54:02) teaching small groups of clinical students; (00:56:05) health centres in central Oxford. Note the following sections of audio are redacted: 00:25:39-00:25:51; 00:38:12-00:38:38; 00:43:26-00:43:39; 00:53:05-00:53:09.

Derek Hockaday interviews Pierre Foex, Emeritus Nuffield Professor of Anaesthetics, 21 November 2018. Topics include: (00:00:12) coming to Oxford initially in 1970; (00:03:50) respiration unit at Churchill and the Radcliffe Infirmary; (00:05:20) Guillain-Barre and first case treated by temporary pace maker; (00:07:23) Dphil thesis on effect of carbon-dioxide on the heart and circulation; (00:10:38) research into beta blockers and anaesthesia; (00:13:00) relationship with the university; (00:16:07) teaching clinical students; (00:19:08) the Pain Clinic; (00:22:01) anaesthetic Dphil students; (00:26:07) moving from lecturer to professor to retired professor and university changes such as the Nuffield Benefaction including the field of grants; (00:31:20) relationships with surgeons, and memories of collaboration with Peter Morris as Nuffield Professor of Surgery; (00:40:51) working with the nurses and importance of nurses; (00:44:56) changes in fluid balance management throughout career; (00:49:07) differences in nursing between Geneva and Oxford; (00:50:50) balancing writing, lecturing, working and being involved on national scene as member of Council of the College of Anaesthetists and representative on the Oxford Radcliffe Trust Board; (01:00:24) interactions with Oxford relating to NHS university department; (01:05:30) comments on being in Oxford during first rate developments, impact of the Oxford Centre for Simulation at the John Radcliffe; (01:15:11) use of exercise electrocardiograms ECGs. Note the following sections of audio are redacted: 00:23:31-00:24:39, 00:55:42-00:56:19; 00:58:05-01:00:24.

Peggy Frith interviews Derek Hockaday, 24 Sep 2020 Topics discussed include: (00:00:22) context of interviewing Derek Hockaday, thoughts on the recollecting oxford medicine interviews in general; (00:01:40) getting into medicine, first contact with the Radcliffe Infirmary as a patient in 1946, school days; (00:03:46) time at Brasenose college, Oxford in 1947; (00:05:30) George Gordon and increasing terms tutored in physiology; (00:06:55) research in physiology; (00:07:55) being drawn to clinical medicine; (00:08:42) BSc research work; (00:11:10) clinical training in the Middlesex Hospital; (00:13:31) anecdotes about clinical student visits; (00:15:15) medical finals; (00:16:10) Wheatley Military Hospital; (00:17:59) discussing Hugh Cairns and Cairns hospital for head injuries; (00:19:48) George Pickering, Ian Bush and chemical investigations into psychiatric patients; (00:24:00) angiography patients at Wheatley, angiography pre scanning; (00:26:59) George Pickering; (00:28:22) Cambridge pre-clinical students coming to train clinically at Oxford; (00:29:38) year in Boston, Massachusetts endocrine unit at the Mass. General Hospital; (00:35:20) returning from America to Oxford, becoming a consultant; (00:39:37) the Oxford Diabetic Clinic, introduction of dialysis to Oxford; (00:43:24) wards and firms looking after patients; (00:44:13) hutted wards; (00:45:06) teaching and lecturing of clinical students; (00:45:50) medical tutor 1980 at Brasenose; (00:48:09) training diabetologists including George Alberti; (00:51:13) Sheffield speciality in Renal medicine, influence of Ranjan Yajnik on diabetic medicine in India; (00:52:57) figures involved in Oxford research in diabetes; (00:54:43) diabetic coma treatments research trials; (01.01:33) contact bedside testing; (01.02:33) inception of, and effect of Sheikh Rashid Diabetes Unit, Oxford; (01:10:16) the fifth principle of physiology; (01:11:10) randomised trial on diabetic treatments and Richard Doll; (01:12:10) side effect of alcohol flushing; (01:15:04) medical administration; (01.23:25) sport; (01:28:14) final thoughts including clinical appointment times, praising nursing profession and first ward round as consultant. Note the following sections are redacted: 00:33:21-00:33:43; 00:40:35-00:41:54; 001:12:47-01:12:56.

Derek Hockaday interviews Julian Britton, surgeon and former Director of Clinical Studies for Oxford Medical School, 23 Jan 2019. Topics discussed include: (00:00:10) deciding to come to Oxford; (00:03:18) going to Newport as a senior registrar; (00:06:00) thoughts when first arriving at Oxford, surgeons, memories of Ted Maloney; (00:11:26) leaving the Nuffield Department of Surgery and applying for professorship; (00:12:34) research whilst in the Nuffield Department of Surgery and with the haematology department, Cardiff; (00:15:30) impressions of the Radcliffe Infirmary nursing and facilities when arriving from Newport; (00:19:04) time as Director of Clinical Studies at Oxford in 1983; (00:26:02) interest and training in keyhole surgery and endoscopic retrograde cholangiopancreatography; (00:32:24) liver surgery; (00:37:11) the development of ultrasound, use particularly with jaundiced patients; (00:41:13) nursing changes and the Salmon report; (00:42:22) medical administration changes; (00:52:23) private practice; (00:54:18) surgical departments, surgeon colleagues; (01:01:40) publications; (01:04:37) laparoscopic repair; (01:06:35) holidays and hobbies; (01:09:11) training up junior staff in surgeries; (01:11:06) Green Templeton college and The Radcliffe Committee, time as the Vice-Warden of the college; (01:17:30) portraits of John Walton; (01:22:20) final thoughts including changing opinion of arts subjects and how they help in medical career, Alex Gatherer, Peter Morris and David Weatherall; (01:33:25) grand rounds of endoscopic and laparoscopc surgeries. Note that the following sections of audio are redacted: 00:11:57-00:12:20; 01:18:06-01:18:25; 01:27:25-01:28:00; 01:31:04-01:32:45.