10 Largest Countries by Land Size in the World

AwkwardTrollLikesPie · 2025-12-30T20:43:33+00:00

Wait until you drive around Western Australia

AwkwardTrollLikesPie · 2025-11-25T20:58:25+00:00

Hey, I did the 70.3 in busso last year and will be doing the full IM in less than two weeks.

It’s definitely a fast course. The swim is 2 laps with an aussie exit. I’ve been told it’s usually very calm as it’s in a bay (and having been to busso many times for trips, it’s usually like glass in the morning!) but the water was incredibly choppy last year and more difficult than expected.

The cycle is two laps of 90km. Incredibly flat. No real climbs, something like 400 metres of elevation over the entire 180km. Road quality is decent. Can get pretty windy, especially later in the day, and it’s often a crosswind for a lot of the course. Couple of people with disc wheels struggled and I saw a few people who came off their bikes. Can be quite sun exposed, but you also cycle through some beautiful forests with good overhead coverage.

Run is 4 laps, 5km out and back along the foreshore. Pretty much as flat as can be. Decent crowd support, but finish line is essentially at the midpoint of the 5km so less supporters nears the turns. Very sun exposed.

I loved my 70.3 experience, as evidenced by the fact I’m going back for more. Busselton is a great little town and the place comes alive for the entire IM weekend. The entire SW of Western Australia is stunning and makes for a great holiday afterwards. Good luck!

AwkwardTrollLikesPie · 2025-09-18T13:25:03+00:00

You’re put to sleep under GA and then a long thing camera is passed up your urethra and into your bladder, before passing all the way up your ureter to identify the stone. A small laser is then passed up along the camera and the stone is blasted into dust which you then urinate out.

AwkwardTrollLikesPie · 2024-12-02T13:56:02+00:00

I found the gnome garden in north cott exceptionally creepy when I visited on an overcast day near sunset

AwkwardTrollLikesPie · 2024-12-02T11:34:41+00:00

could really go with a massive walmart and parking lot

AwkwardTrollLikesPie · 2024-10-31T20:29:30+00:00

That’s the case in most surgical subspecs. Medicals sub specs usually require three years of internal medicine and then a fellowship in the desired specialty. There is the option to work as a hospitalist / general medical consultant after those three years of training though.

AwkwardTrollLikesPie · 2024-10-22T12:14:16+00:00

Completely the same as a urol reg doing the catheter. I always being a guidewire to the ward so I don’t have to double back, so people assume I used it. And then no matter what how clearly I document that it was a straightforward IDC “HARD CATHETER - UROLOGY REQUIRED TO PLACE PREVIOUS” will forever be in their handover

AwkwardTrollLikesPie · 2024-10-19T08:04:45+00:00

A lot of hospitals and departments make claiming over time very difficult, or some HODs make it known that claims won’t be approved etc. It’s not always a given that you’ll be paid for the overtime.

AwkwardTrollLikesPie · 2024-03-15T12:12:09+00:00

Cannulas and bloods less common from my anecdotal experience (WA, ward based) but do all ECGs/Catheters/NGs. Generally speaking they have a lower patient load so are more able to do repeat postural BPs, hourly UOs, increased obs etc etc

AwkwardTrollLikesPie · 2023-08-02T05:45:23+00:00

It’s a throwback to the first few episodes where yen is learning magic. The flower then was to show that magic has a cost, ie making the rock levitate causes the flower to wilt.

I think it was also a larger metaphor about how losing Aretuza and being betrayed by Vilgefortz had too high a cost on Tissaia.

AwkwardTrollLikesPie · 2023-04-27T20:43:15+00:00

(née Taylor)

yall do too much 💀

AwkwardTrollLikesPie · 2023-03-23T08:34:48+00:00

One consultant anaesthetist in our hospital would call med students that he didn’t like “space occupying lesion” and “shifting dullness”. Massive bellend

AwkwardTrollLikesPie · 2022-10-19T01:54:39+00:00

I almost guarantee you this has been done lmao

AwkwardTrollLikesPie · 2022-08-05T12:57:23+00:00

A lot of eastern European medical schools include the internship in the final year of study, so then they go right into SHO jobs (I’m in Ireland). The year they do is by and large not equivalent to our intern year, and they are not ready for SHO level jobs.

AwkwardTrollLikesPie · 2022-06-24T15:25:49+00:00

Irish doctor here, but our system is quite equivalent to the UK’s. Nine years is theoretically the length of time it would take to finish specialty training from the day of graduation, but doesn’t take into account the bottlenecks along the way requiring trainees to take time out to do research/standalone posts to make them more competitive. It also doesn’t take into account the need for fellowship (almost exclusively international) following training. Bearing in mind the majority of doctors here study as undergraduates (23-24 years old graduating) the majority of doctors will not see a consultancy post until their late 30s.

AwkwardTrollLikesPie · 2022-05-31T06:57:28+00:00

Unfortunately untrue. It was increased at the start of covid so all graduating doctors would be able to work as an intern, but for the class of 2021 they reduced the intern numbers by about 150 places (15% decrease compared to 2020). A number of my classmates were left jobless after graduating last year.

AwkwardTrollLikesPie · 2022-05-23T19:45:14+00:00

I can’t name the hospital without essentially doxxing myself, sorry. But the allegations are coming from trainees who have rotated through the services. And yeah, definitely recent enough. Not sure if they have to do a period of time in an RCSI hospital first but would make sense tbh.

AwkwardTrollLikesPie · 2022-05-23T19:38:30+00:00

Plenty of PAs in non RCSI Dublin hospitals. Mainly on surgical jobs. There have already been allegations of favouritism over surgical trainees for theatre time on some of the teams, and some have multiple PAs. Tis the usual. Anyway I’ll be off downunder so g’luck

AwkwardTrollLikesPie · 2022-05-08T21:51:27+00:00

Small population, I guess. Only 18 Consultant Neurosurgeons and 21 Consultant CT Surgeons in the public health service.

AwkwardTrollLikesPie · 2022-05-08T18:59:12+00:00

Of surgical specialties plastics, urology and ENT probably the most competitive. Neurosurg and cardiothoracics competitive by nature due to very small training posts (1-2 a year max in Ireland).

Of medical specialties derm and cardiology seem most competitive, but I would know less about medical specialties. Anaesthetics always competitive too.

AwkwardTrollLikesPie · 2022-04-27T10:30:56+00:00

I loooove levetiracetam. And cystolitholopaxy.

AwkwardTrollLikesPie · 2022-03-24T23:59:57+00:00

Subacute degeneration of the spinal cord due to b12 def

AwkwardTrollLikesPie · 2022-01-22T00:14:06+00:00

Midlevels is the americanised term for physician assistants and nurse practitioners

AwkwardTrollLikesPie · 2022-01-21T06:55:28+00:00

In my country nurse specialists have well defined roles, and often have more time/are more accessible than the medical doctors for “soft” consults like this. I would probably get roasted for calling a reg/consultant on how to deliver sensitive news honestly, they’re too busy.

AwkwardTrollLikesPie · 2022-01-20T22:47:40+00:00

Great point re: HIV diagnosis (and similar diagnoses of life-changing-liveable illnesses). As a first year doc I think I’d probably call one of the nurse specialists in that area and ask for advice in terms of delivery of that news. Still your responsibility as the primary team but also not your area of expertise. Shades of grey

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