Deputy Secretary - Dr Ganesh Subramanian
Dr Ganesh Subramanian
Honorary Deputy Secretary, BASP
I am a Consultant Stroke Physician at Nottingham University Hospitals NHS Trust since Jan 2010 (I was previously a Consultant Stroke Physician at Manchester University NHS Foundation Trust from 2002). Nottingham is a large comprehensive stroke centre providing thrombectomy (currently only in hours) and neurosurgery for East Midlands. Its active research department is led by Prof Philip Bath and Nikola Sprigg. I am a full time clinician and lead the development of mechanical thrombectomy and Chair the stroke clinical governance. I am also the non-radiology clinician lead for East Midlands Radiology Consortium (which was given a Vanguard status in 2016). I am the Chair of Clinical Advisory Group for Stroke in East Midlands since 2016.
My other interest is Medical Education. I completed my Masters in Education in 2006 from the University of Sheffield. I was the Director of Medical Education at Manchester from 2005 to 2009. I took on the role of Training Programme Director for GIM in East Midlands (2011 – 2020) and also an Associate Post Graduate Dean (2012 – to date). I am a member of Investment Advisory Panel and Internal Medicine Advisory Group at the Royal College of Physicians. I was the RCP’s Regional Advisor from 2011 to 2016. I conceptualised and generated a MSc Programme for SAS doctors (based at De Montfort University), which attracts candidates from across the Country. I am also a Chair of Registration and Fitness to Practice Panel at the GIM since 2015.
Stroke and me
When I was a Senior Registrar in Respiratory Medicine in mid 90s, I remember my Consultant (who also had GIM patients in the ward) telling me that there is no point in doing a CT scan in those with stroke as 90% of them would have had ischaemic stroke. Whilst this is not too inaccurate, it was worrying to think whether he would have given aspirin to his family member without ruling out a haemorrhage. I did end up quitting that post (for completely unrelated reasons) and did some training in Neurology. I realised that in Neurology, whilst you did fancy tests, the mainstay of treatment was steroids or nothing! Hence, I decided to go to Munich to get some training in acute stroke and got hooked.
When I was appointed as a Consultant, Manchester University NHS FT (was called Central Manchester and Manchester Children’s Hospitals NHS Trust) did not have a stroke unit. It was a blank canvass and hence I could mould it as I saw fit (I was single handed). I started thrombolysing acute ischaemic strokes in 2005 and negotiated urgent endarterectomy for TIA patients (I had once a week clinic, but the patient had surgery within 48 hours after that). I worked with my colleagues from Salford Royal NHS Foundation Trust and developed the 3 tier system of stroke care (comprehensive, primary and rehabilitation) – the Trusts in Greater Manchester were asked to present how they would make the vision viable before granting them the appropriate status in 2008 (before it happened in London). As my Trust didn’t want to move to ‘primary centre’ status, I decided to leave. Even then I was interested in implementing advanced radiological imaging in a clinical setting (I confess that I was never cut out to be a Researcher).
Since moving to Nottingham, I work full time as a clinician in addition to my education role. Our thrombectomy numbers are rapidly improving. My interest also includes managing patients with complex neurovascular problems (in particular, assessing those who may need EC-IC bypass to improve cerebral perfusion).
I love working in stroke medicine as it is truly a specialty where multidisciplinary working is at the heart of patient care. I genuinely think that there are very exciting things ahead in the next few years and I would whole-heartedly recommend trainees to pursue a career in stroke medicine.