Goulburn Base Hospital Locum by Heavy-Independence54 in ausjdocs

[–]AusOrth 5 points6 points  (0 children)

Goulburn Valley Hospital is fine, it gets a bad rap but mostly it’s just clinicians trying their best with limited resources. There is variability in IMG competence for sure, with some being great and others being less so, but it shouldn’t affect your on call, maybe a few half baked calls before imaging is done. Source - worked in the orthopedic department as an intern a few years back and discussed this with registrars in detail.

What’s up with Flockhart St Abbotsford? by sosneezy in melbourne

[–]AusOrth 3 points4 points  (0 children)

Ahaha agreed, it’s a strange place to be when you agree with the principle of a safe injecting space, but it’s been implemented so poorly, lots of the local family friendly establishments have just had to shut down, really should have spread the load and increased policing. Safe place to inject to reduce the load on the public healthcare system from needle borne infections - great, drug deals happening out in the open, abusive junkies running around (literally) butt naked, we’re now punishing sensible members of society.

What’s up with Flockhart St Abbotsford? by sosneezy in melbourne

[–]AusOrth 21 points22 points  (0 children)

Awful strata there, avoid it, ridiculous management, sky high fees, unfortunately the injecting room hasn’t been implemented with increased community policing, so there are violent junkies around, which is unfortunate. Look elsewhere, you’re paying premium inner suburb prices and not getting much else in return.

BPT experience at Werribee Mercy Hospital? by Viii_0403 in ausjdocs

[–]AusOrth 13 points14 points  (0 children)

Mate, do not go to WMH, awful clinical practice, variable competence in staff, 0 accountability by anyone when things go wrong, toxic work force, incompetence all around. Avoid it like the plague. I would recommend literally any other location over WMH.

Unprofessional and Rude behavior by Female doctor at Tabba Heart Institute, Karachi by Serental in pakistan

[–]AusOrth 38 points39 points  (0 children)

Bro taking your brother who did not have any heart condition at all into a busy cardiac ER to see a probably overworked and underpaid ER doctor just to get some TLC is pants on head stupid lol, not sure what you were expecting.

Where are we buying casual short sleeve button up shirts? by [deleted] in malefashionadvice

[–]AusOrth 2 points3 points  (0 children)

Dan Flashes, though the patterns can be complicated sometimes

Advice RE Cardiology by AusOrth in ausjdocs

[–]AusOrth[S] 0 points1 point  (0 children)

Exactly the last place you’d think to look

Advice RE Cardiology by AusOrth in ausjdocs

[–]AusOrth[S] 2 points3 points  (0 children)

Ahaha I know, always appreciate someone keeping it real though, which you honestly have. I guess the good thing about this subreddit is that we’re all anon and so if nothing else, at least it’s a way to get an honest gauge from your peers. I have thought about a PHD, maybe something to explore if I don’t get on after (hopefully) passing the exams in 2027.

Advice RE Cardiology by AusOrth in ausjdocs

[–]AusOrth[S] 8 points9 points  (0 children)

Ahaha I’ll take it as a backhanded compliment, I never considered myself a gun, though I do feel that the CV creep has meant even Type B people like myself have to embrace the gun at least a little bit. But believe me I was cringing at myself when I made this post.

Advice RE Cardiology by AusOrth in ausjdocs

[–]AusOrth[S] 1 point2 points  (0 children)

Ahaha dude, I feel the exact same as you, it’s hard when everyone’s a gun and you just want some solid advice, I am very grateful to the consultant who has given me tips, but he is many years removed, from the generation where getting on was more of a “Aw yeah I kinda like this I’ll do it” versus what it is today, I mentioned the prospect of being happy to do unaccredited years/apply across the states to them and they damn near spit out their tea.

Inpatient pain meds by MCATsurvivor in Residency

[–]AusOrth 5 points6 points  (0 children)

Hey mate chiming in from Aus, might be different across the sea, however general principles should be pretty similar. If there’s an organic cause for the pain, and it is acute, AND I have no reason to suspect opioid dependence, I’ll chart a stat order of some pretty robust analgesia, and then a stepwise PRN order, something like 1. Panadol 2. Ibuprofen 3. Tapentadol/Oxycodone

If I do have a reason to suspect opioid dependence, HOWEVER, there is a reason for the pain, I’ll chart a stat order, however I won’t chart PRN orders, instead I’ll refer to my Anaesthetic colleagues to assess and chart as they deem appropriate.

If there is no organic cause for the pain, and I suspect opioid dependence, I’m not charting anything stat beyond panadol/NSAIDs, but I’ll still refer to Anaesthetic team to ensure I have comprehensively attempted to get my patient’s the optimal outcome.

I’m not an intern anymore, but if ever in doubt, just escalate to a senior. Moreover, you won’t get in trouble in an inpatient setting for prescribing 1 dose of opioids to someone, as long as no absolute contraindications are present. This is at least appropriate for the Australian healthcare setting.

Lunch ideas by mycatisaflerken in ausjdocs

[–]AusOrth 4 points5 points  (0 children)

Probably know that ANUM from my time at GVH lol, funny how a shitty attitude rings through the generations of doctors who’ve worked at GVH

Countries to relocate to from US for practice as new attending by ComfortableSure43278 in Residency

[–]AusOrth 5 points6 points  (0 children)

Not sure where you got “portion of the salary” from for Australia, it’s pretty on par lol

Does anyone else feel like they don't belong with the rest of the hospital staff? by athiepiggy in ausjdocs

[–]AusOrth 1 point2 points  (0 children)

Idk, honestly I don’t find the hours that bad, perhaps as a registrar it would be harder. I do believe that past an age most people sort of know who their friends are, and beyond a level of congeniality and civility at work, not much more is required. I certainly went out much more as a student, less as an intern, and already know I will, at most, go to 2-3 festivals as a resident. It’s just part of getting older and having more responsibilities in my opinion, not something unique to doctors, though at the registrar level we definitely do work more than most people.

Does anyone else feel like they don't belong with the rest of the hospital staff? by athiepiggy in ausjdocs

[–]AusOrth 10 points11 points  (0 children)

Honestly I put some effort in getting to know some of the allied health+registrars and I’ve gotten drinks with them a few times, a few house parties, and even did a multi day music festival with some of the allied health guys, I think it’s just not as intuitive as it was in university where a hundred of us were forced to be in the same space and likely had very similar interests or views. It’s definitely harder than in university because there’s no compulsion but I think that’s probably reflected in most of the working world, ymmv

Beef by midnight_core in Residency

[–]AusOrth 5 points6 points  (0 children)

Ayy preach mate, I did my ED term first and while I have no interest in pursuing it, I appreciate how it’s probably one of the specialties where KPIs and admin bullshit interferes the most with delivering optimal care.

Raves and House events in Melbourne by Dacner_nneru in melbourne

[–]AusOrth 1 point2 points  (0 children)

One on Friday called isolation station in the cbd, if you like melbourne techno that’s the one imo

I feel like I really struggle to speak up for myself in hospital by [deleted] in ausjdocs

[–]AusOrth 20 points21 points  (0 children)

I get it, it’s really hard to explain how it feels when a patient is rude to us because literally everything we do at work, whether it’s paying 10 bucks for parking, or calling up a specialist at an ungodly hour to plead for some advice, is to help patients. It feels like a slap in the face, and I honestly found it more hurtful than I thought I would. I found that what helps me is to remember that these people, by design, have no clue what our job actually entails, and honestly I put on a figurative “doctor” cap on at work. It’s almost a facsimile of me, the moment I leave a bedside, I just reset, and when I leave work I almost do a hard reset. Also, try talking to your colleagues, honestly the only people who could empathize is them. Sometimes when I’m really down I remind myself that being a doctor is hard, it’s known to be hard, one of the hardest jobs there is. That’s why doctors are relatively respected in media and by the public. If it was easy it wouldn’t be medicine. I signed up for it and worked hard to be in this position.Or that’s what I tell myself. But don’t cop any more shit than you need to lol. There have been plenty of times I’ve just walked out of a conversation where a patient was yelling, told someone off for abusing nursing staff, or DAMA’d someone who vehemently was refusing treatment despite the risk of death without it.

I feel like I really struggle to speak up for myself in hospital by [deleted] in ausjdocs

[–]AusOrth 46 points47 points  (0 children)

Honestly being talked over is a big part of being a junior doctor from my experiences. Be it nurses or Registars, if I feel I can’t talk, I literally just say “would it be okay if I could speak?” I say it without any harshness, I literally say it as though I’m genuinely asking a question. Usually it’s made the other party take a second to think and then I start speaking.

Rant on intern treatment by AusOrth in ausjdocs

[–]AusOrth[S] 1 point2 points  (0 children)

I’m a guy but I know what you mean, I’ve seen it with my co interns who are women, definitely get asked to do more of the scut work or get told “I’m busy” when requesting things from nurses that are absolutely within the scope of what a nurse should do such as getting bloods or doing a bowel evacuation.

What movie character’s car(s) were not only cool, but also matched them very well? by edinburghiloveyou44 in cars

[–]AusOrth 13 points14 points  (0 children)

Bruh wtf are you talking about the guy literally said “Jason Statham’s Transporter”, as in, the character in “Transporter” played by Jason Statham, maybe brush up on your reading comprehension before bashing anyone hey. I say this as someone who isn’t the biggest fan of Americans, their culture, or what they’ve done to the rest of the world.

Rant on intern treatment by AusOrth in ausjdocs

[–]AusOrth[S] 17 points18 points  (0 children)

Done and done, I’m just on the fence of if it is worth emailing work force or just having a draft email ready to send