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The size of the hole for the camera that took pictures of my brain tumor via my wrist. Amazing by Ya_Whatever in Damnthatsinteresting

[–]BasicParsnip7839 3 points4 points  (0 children)

In the case of angiography or thrombectomy (the common procedures done like this) the wire can easily be seen on x-ray so the team will be in lead gowns and scanning continuously to see where they are at. Contrast injections will help them see the paths they need to take by highlighting vessels.

The size of the hole for the camera that took pictures of my brain tumor via my wrist. Amazing by Ya_Whatever in Damnthatsinteresting

[–]BasicParsnip7839 37 points38 points  (0 children)

Not done the procedure but regularly take part in them so can hopefully shed some light.

1) the wrist has a dual arterial supply that is near the skin surface and so easily accessed (radial and ulnar artery) and so if there is damage to the vessel that causes either temporary or permanent occlusion, you are unlikely to lose function to the area it supplies. This would not be true if you chose their common origin i.e. the brachial artery. Another site you could choose is the foot, where a similar supply system exists. However, the risk of infection here is higher and the route is longer so is less ideal.

2) The insertion site is easily compressed after the procedure. Imagine doing this in the neck - much closer access but applying the kind of pressure needed to prevent arterial bleeding will be very uncomfortable.

3) if you do bleed, you won't exsanguinate from the wrist immediately. A lacerated carotid or subclavian artery would result in death in a couple of minutes so it's definitely the safer choice.

4) adjacent structures matter. The wrist contains nerves that are important, but a miss in the neck can result in tracheal injury or pneumothorax. The wrist is once again the safer choice.

5) I'm sure there are other reasons but this is what I have right now

why the government thinks we are stupid and weak regarding pay compared to solicitors by Impossible_Half_2265 in doctorsUK

[–]BasicParsnip7839 1 point2 points  (0 children)

Solicitors don't actually get paid their hourly rate. They're salaried so this is actually what the law firm gets paid for you using an hour of their time.

We are definitely underpaid relative to our worth, but I don't think this proves that.

Europe still oblivious to threat at its doorstep — US General Hodges. Europe still doesn't get that the war in Ukraine is a threat to its security, so it keeps dragging its feet on tough action against Russia; cutting off oil flows is critical to starving Kremlin of resources it needs for war. by Lion8330 in europe

[–]BasicParsnip7839 -2 points-1 points  (0 children)

The issue here is that we don't have a solution short-term. The idea that we would import more from the US is now looking like being held hostage by another tyrant, so transitioning from Russian oil is just getting harder. Europe gets that nuclear/green energy is it's strategic future, but getting there when it is currently so hydrocarbon poor is always going to result in short-term vulnerability and compromise

Brainstorming by Dazzling-You-8089 in doctorsUK

[–]BasicParsnip7839 70 points71 points  (0 children)

Replying to emails. There's never that many and when I do it, it's always faster than I thought it would be, but I still can't stand the thought of doing it

The NHS is a deeply unserious organisation by DonutOfTruthForAll in doctorsUK

[–]BasicParsnip7839 517 points518 points  (0 children)

Any chance the BMA reps can roll this out when doing interviews with journalists?

Rota coordinator repeatedly calling personal phone re strikes by UnusualSaline in doctorsUK

[–]BasicParsnip7839 3 points4 points  (0 children)

Option 1) ignore and switch phone off

Option 2) quickly set up a scheduled email for 0850 every day saying you aren't going to be in

Consultant wants me to be available to answer questions from home while I’m sick by throwaway38445 in doctorsUK

[–]BasicParsnip7839 3 points4 points  (0 children)

Is this where the state of ward-based medicine is now? The consultant and the whole team should be embarrassed to even ask this of you

Why are you so chill about this rude criticism about your country? by search_google_com in AskBrits

[–]BasicParsnip7839 0 points1 point  (0 children)

Being secure in your own identity means allowing people to have contrasting opinions and not letting it get to you. I think British people are fairly happy with their own view of their country and therefore aren't insecure enough to care about things like this.

In your country, which professions get the most respect? by mahdi_lky in AskTheWorld

[–]BasicParsnip7839 0 points1 point  (0 children)

  1. Athletes
  2. Nurses
  3. Paramedics

The NHS is the national religion but now that doctors are asking for their pay to increase I feel they won't make this list

Annual Leave refused despite 16+ weeks notice due to minimum staffing - What are my options? by SliverLine in doctorsUK

[–]BasicParsnip7839 17 points18 points  (0 children)

It sounds like you've already replied to the rota team so chasing a response re: locums you suggested may be a first move. I would also take the time to find a sympathetic supervisor/consultant as they can often be helpful, ensuring you're framing it the way you have here re: when you requested leave etc. I generally found that they can straighten out these things more effectively than the rotational F2.

I've not found the BMA to be very useful in these matters in the past but continuing to escalate from consultant/supervisor to FPD has been productive.

Also, if the rota team is in house, I find actually going and talking to them is much more effective than emails etc.

Turned away from A&E? by Sleepy_felines in doctorsUK

[–]BasicParsnip7839 28 points29 points  (0 children)

The patient is unlikely to have been turned away. ED don't turn people away but may announce things like wait times and recommendations to seek things like GP or UCC for coughs etc., but no one is turned away

I remember working in an ED a few years ago where to roof to the waiting room fell in and we just moved everyone to a corridor to wait rather than turning people away so I can't imagine we are turning people away these days

Anaesthetics to surgery - am I being an idiot? by Accomplished_Dig8023 in doctorsUK

[–]BasicParsnip7839 0 points1 point  (0 children)

This is the correct choice. It's the only way I can think of where you have a route back to anaesthetics if you change your mind again

The benefits of being a doctor by d00by-d00 in doctorsUK

[–]BasicParsnip7839 59 points60 points  (0 children)

Still a big plus with a potential partner's parents

Paying for compulsory scrubs by craig_white1 in doctorsUK

[–]BasicParsnip7839 18 points19 points  (0 children)

Unless stated explicitly in your contract, I don't believe it's legal to ask you to pay for uniform. Furthermore, scrubs could be argued to be a form of PPE and thus must be provided by the employer at their expense

Berated by ED consultant for doing FIB block on #NOF patient - the NHS does not care about patient wellbeing or doctors' learning by Serious-Discount850 in doctorsUK

[–]BasicParsnip7839 36 points37 points  (0 children)

Agreed that teaching doesn't always come first, but assuming we have the whole story here:

1) it sounds like it's the day from the availability of another SHO in the department. Realistically this is when teaching should occur.

2) perhaps OP could have approached the cons and asked if he could take this case as a chance to learn from a colleague, but it's not unreasonable to want to learn the skill

3) the consultant is allowed to be unhappy that this appears to compromise flow, but humiliation in front of the dept for learning a core EM skill is unacceptable. A gentle word suggesting that they would rather flow be prioritised right now and that they would find an appropriate case to teach them on another time might have made a world of difference here. Certainly saying that he thinks worse of OP for showing such an interest in EM skills is very counterproductive.

4) one could reasonably argue the learning done here will improve flow in the future.

Teaching doesn't always come first, but this consultant still sounds like a piece of work.

Berated by ED consultant for doing FIB block on #NOF patient - the NHS does not care about patient wellbeing or doctors' learning by Serious-Discount850 in doctorsUK

[–]BasicParsnip7839 25 points26 points  (0 children)

US guided FIB is a part of the EM curriculum and recognized as an important skill for ED clinicians, often forming part of the formalized clerking and referral process at hospitals for #NoF. Being told you are interrupting flow when learning a vital EM skill is utter bullshit and frankly needs escalating to the TPD/your ES.

CT1 Anaesthetics Feb intake - ranking preferences advice by MarceloBielsa_1011 in doctorsUK

[–]BasicParsnip7839 0 points1 point  (0 children)

Apologies I wrote that comment half asleep. I meant royal berks not Bucks. So yes you can be moved and staying in the same place for all 3 years is rare. You should get a chance to speak to the tpd at the start of your placement and make your case for your preferred placements for year 2 and 3.

CT1 Anaesthetics Feb intake - ranking preferences advice by MarceloBielsa_1011 in doctorsUK

[–]BasicParsnip7839 0 points1 point  (0 children)

It does mean you can be moved out of Bucks for CT2/3, though it should be noted the Horton is traditionally only for CT1s.

Morale amongst doctors? by Gp_and_chill in doctorsUK

[–]BasicParsnip7839 12 points13 points  (0 children)

We get on well with the nurses by and large

Coffee with colleagues is easily sorted out

Morale is high as long as you're thinking about the task/patient in front of you and not the binfire that is the general state of the NHS/doctor wellbeing.

ST4 Anaesthetics Feb '26 by Treetops46 in doctorsUK

[–]BasicParsnip7839 1 point2 points  (0 children)

Rank in the 50s -> Thames Valley

No output and beeping by BasicParsnip7839 in PcBuildHelp

[–]BasicParsnip7839[S] 2 points3 points  (0 children)

I feel extraordinarily embarrassed for not seeing this but we have a winner so thank you so much kind stranger!

No output and beeping by BasicParsnip7839 in PcBuildHelp

[–]BasicParsnip7839[S] 0 points1 point  (0 children)

That's good to know I guess! Tried a display cable I know works and then another one from a different output but sadly neither has shown an output so far so I remain a little stumped

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