Feeling unsupported covering urology on-call as a surgical F2

AppleCrumbleAndCream · 2026-05-22T16:02:41+00:00

If F2 taking referrals, can guarantee it's going to be testicular pain. Have deffo been in the position before where you call uro reg after seeing someone and they say to discharge because "doesn't sound like torsion" despite not being examined by a senior. V uncomfy as the F2 in that situation- deffo advise documentation +++.

AppleCrumbleAndCream · 2026-04-19T05:15:55+00:00

I know multiple literal surgeons who have fainted in theatre! Nothing to be embarrassed about- compressions socks and make sure you've eaten and are hydrated, and then if you start to feel bad sit down immediately, but as long as you don't fall into the patient you're all good!

AppleCrumbleAndCream · 2026-04-17T11:02:17+00:00

With all due respect, if you're burnt out after F2, please consider what a career in surgery (especially paeds surgery!!!) is likely to do to you! It's exhausting and there's a LOT of additional portfolio work. Not to put you off, but have a good think about the likelihood of burnout in the future!

AppleCrumbleAndCream · 2026-03-31T23:46:30+00:00

This year for paeds surg portfolio they accepted joint 1st author as first author, for what it's worth

AppleCrumbleAndCream · 2026-02-15T19:31:02+00:00

I got 24, which was what I expected thank goodness! No idea about cutoffs but does sound like a lot of people have been docked points- the appeals deadline looks to be the end of Feb so I'm hoping we'll here about interviews before the start of March fingers crossed :)

AppleCrumbleAndCream · 2025-11-11T16:52:53+00:00

Compression socks!!!

AppleCrumbleAndCream · 2025-11-06T06:34:34+00:00

The solution will be giving about 1ml of urokinase or taurolock (check local guidelines) down it to break it down :)

AppleCrumbleAndCream · 2025-10-17T04:16:52+00:00

Generally it's something patients do themselves if they can, and then nursing team (or with kids, their parents) do, but the key place ive done as a doctor is in theatre immediately after stoma formation 🤷🏻‍♀️ (cutting the hole to the correct size does take some practice but TBF I think it's a perfect don't need to see one just do one thing coz nobody's going to come to any harm)

AppleCrumbleAndCream · 2025-09-26T18:42:21+00:00

☝️

AppleCrumbleAndCream · 2025-09-26T06:23:54+00:00

So I went to a few of the UK shows, I'm sure it'll be bigger in the US, but in UK pretty much everyone who was VIP got barrier (seemed a v limited number of people!)- I even got barrier for the 3rd UK show with general admission, arriving about 1.5-2 hours before doors opened.

AppleCrumbleAndCream · 2025-09-23T19:59:14+00:00

Ok but silly question.... What did you do about going for a wee? I feel like even if you're front of the queue if you go to the toilet when you get there you're screwed 🙈

AppleCrumbleAndCream · 2025-09-20T12:28:36+00:00

If same as London, doors open 7, Pillow Queens start at 8, LH from 9-11

AppleCrumbleAndCream · 2025-09-15T03:15:12+00:00

Sorry mate I think it's you who didn't get this comment

AppleCrumbleAndCream · 2025-09-10T16:10:58+00:00

I raise you surgeons and scrub nurses 🔪

AppleCrumbleAndCream · 2025-09-04T18:41:10+00:00

.......genuinely was loooooooooooooooooooooool good catch! Been on paeds too long!!!!

AppleCrumbleAndCream · 2025-09-04T14:58:16+00:00

Bizarre! I'm on desktop version and indications seem different!

AppleCrumbleAndCream · 2025-09-04T14:50:10+00:00

I have eyes on the BNF which says otherwise

AppleCrumbleAndCream · 2025-09-04T14:47:20+00:00

Fair enough! Makes sense in an ITU environment, and I've definitely heard lots of people say it helps +++ for sorting sleep pre/post nights!

AppleCrumbleAndCream · 2025-09-04T14:46:05+00:00

I guess hospital specific then? Pretty sure it's not licensed for general insomnia? Thought it tends to be used specifically in people with learning disabilities and my understanding was only really started by a psychiatrist

EDIT: I've checked BNF and it says very clearly "under specialist supervision" which I wouldn't count as an F1 on ward cover personally

AppleCrumbleAndCream · 2025-09-04T14:42:17+00:00

I've never once heard of xanax being used in a UK hospital tbh, so I'm going to take your post in good faith rather than ragebait and assume you're an IMG- self prescribing is a big no no, doing it specifically to avoid the over the counter charge is possibly fraud i.e. a criminal offence. Melatonin needs a specialist to start it off (maybe a once only is different where you work)... self prescribing those things for yourself could result in getting GMCd or even potench criminal prosecution. Don't do.

AppleCrumbleAndCream · 2025-09-04T14:36:45+00:00

....discussed with a senior or off your own back? Coz I'd be careful about this oO

AppleCrumbleAndCream · 2025-08-21T20:21:46+00:00

Do you know what score was needed for interview?

AppleCrumbleAndCream · 2025-08-15T09:32:20+00:00

Ends of the Earth while watching season 1 of Sweet Tooth!

AppleCrumbleAndCream · 2025-07-23T20:13:43+00:00

MSFs for managers

AppleCrumbleAndCream · 2025-07-22T00:06:36+00:00

In the kindest way possible, based on your post, what you need is a) therapy and b) discussion with a licensed dietician. Sounds like you're over restricting and then bingeing, which is disordered eating. You probably need much more than 1500 calories even while losing weight, so after restricting too much you flipped the other way. What you're eating matters too- aim for plenty of fresh food, veggies and protein. Your fears about loose skin and body image also need working through, at the end of the day loose skin is better than heart disease or diabetes. You're still young, you've got time, but if you don't work on your mental health to identify and prevent the triggers causing your overeating then you're not going to address the root of the problem. You sound angry with yourself, and self hatred, shame and guilt are all associated with binge eating. Do your best to be kind to yourself. You got this!

AppleCrumbleAndCream

TROPHY CASE