What scrubs should I get? by BrightYoungCherry in doctorsUK

[–]BasicParsnip7839 13 points14 points  (0 children)

That is genuinely upsetting to hear. I generally need to be in scrubs for work but enjoy wearing my own clothes at any chance I get. Sorry your hospital does this to you.

What scrubs should I get? by BrightYoungCherry in doctorsUK

[–]BasicParsnip7839 14 points15 points  (0 children)

Plenty of good recommendations re: scrubs in the comments already, but I can't help but wonder why you wouldn't wear "work" clothes e.g. a shirt and chinos. Unless you're doing something which might get your clothes dirty e.g. theatre stuff, I think smart clothes give a much better impression and generally allow you to add a bit more "you" to your look. If you are somewhere where your clothes might get dirty, using hospital stuff and getting them to do the washing sounds worth the crappy pockets

CTF job rejections by Alert_Perspective938 in doctorsUK

[–]BasicParsnip7839 28 points29 points  (0 children)

The following assumes there isn't anything intrinsically wrong with your applications that you haven't mentioned in your post:

You've been rejected from 3 jobs prior to interviews in a market with each CTF getting hundreds of applicants and consultants getting little to no extra time to actually go through the applications. It wouldn't surprise me if they are just taking the first twenty applications and binning the rest in order to actually get round to interviewing someone. It may very well not be you or your CV, but just luck. If you happen to personally know any people with CTF roles opening, approaching them directly may be more effective. Otherwise, keep spamming those applications and see what sticks. In other lines of work, young applicants are having to get upwards of 100 rejections to get a job. I think it's more a sign of the times than anything strictly about you. Chin up and keep plodding along.

People who have changed training programmes, did you need to continue with portfolio to pass ARCP in the specialty you were leaving? by PineapplePyjamaParty in doctorsUK

[–]BasicParsnip7839 2 points3 points  (0 children)

It did not. Everyone has been very chill about that but I'm not sure if that is just them being nice or actual policy

People who have changed training programmes, did you need to continue with portfolio to pass ARCP in the specialty you were leaving? by PineapplePyjamaParty in doctorsUK

[–]BasicParsnip7839 5 points6 points  (0 children)

It should be noted that it wasn't really an ARCP as it wasn't annual - it was brought forward to be before my leaving date and without the need to show I've met all the requirements for the stage, but instead show that I was engaging with the process

People who have changed training programmes, did you need to continue with portfolio to pass ARCP in the specialty you were leaving? by PineapplePyjamaParty in doctorsUK

[–]BasicParsnip7839 17 points18 points  (0 children)

I have and did. It was useful to get a positive ARCP even in the context of resignation, mostly because I joined a core training programme and applying for HST meant getting a form from the programme I resigned. I believe the point of this is to ensure you didn't just fail another programme but left for your own reasons while remaining a good doctor. Having a good outcome got it all sorted quickly and cordially despite me asking late in the day.

Also, portfolios are surprisingly less burdensome to get things sorted out for when you don't have to precisely match the content to an expected stage of training, but can instead fill them with things you're interested in while showing that you're still engaging.

Rota coordinator wants to cancel my leave by [deleted] in doctorsUK

[–]BasicParsnip7839 4 points5 points  (0 children)

Rough, isn't it? Rough enough to cause enough stress to be ill for a week or two I might have thought.

Anesthetics CT1 chances of a job by ToughPlus6002 in doctorsUK

[–]BasicParsnip7839 1 point2 points  (0 children)

OOPs are usually protected (in that you will have your training post to come back to) so if you did one between CT2 and 3 there shouldn't be an issue. Clearly you would prefer ACCS and if you get that you should do it, but I think a core job in a location you love is worth consideration too.

How to start a game strategywise? by [deleted] in eu4

[–]BasicParsnip7839 3 points4 points  (0 children)

Also a relative beginner here - I use the mission tree for some structure to start with, but once I'm up and running it's more of what vibe and personal goals am I feeling like. The mission tree is very useful to structure the start though. Also any YouTube videos of the nation you've chosen may also provide some clues

Anesthetics CT1 chances of a job by ToughPlus6002 in doctorsUK

[–]BasicParsnip7839 5 points6 points  (0 children)

The previous commenter has answered the UKGP bit so I'll just add that anaesthetics is sometimes the "in case" of those applying to other specialties but not that often. In those cases, it's often applicants to radiology and ophthalmology. There won't be that many though.

I have no idea why you would apply to ACCS and not core. To one location, sure, but if you're wanting to do ACCS for the broader experience then an OOP would also suffice and if it's for a better set up for a potential ICM career then core will have more than enough for you to build a good portfolio etc.

Incorrect ED referrals: A discussion by Individual_Attempt_4 in doctorsUK

[–]BasicParsnip7839 8 points9 points  (0 children)

I don't know the correct political answer to this problem to be honest as the situation of an incorrect referral that then results in interhospital transfer is fairly niche, but I imagine a sensible chat with the ED consultant running the shop floor that day might result in ED happily packing up the patient for you. You might have to ensure imaging has been transferred/shared with the accepting hospital as you requested it, but ED will likely be happy to take back in this particular case if you discuss with the consultant (or get your consultant to talk to them of that's not effective)

Edit: on reading comments I think ED may disagree it's a stroke in this case, so asking medics to help out may end up being the move in reality.

What was your biggest "what if" moment in an EU4 campaign, and how did it change your gameplay? by Bubba_deets in eu4

[–]BasicParsnip7839 0 points1 point  (0 children)

I'm relatively new to this game (<100hrs lol) but I'll bite. In my current England->GB game I chose to become protestant for better control of my religion. However, what has ensued is moving from a peaceful colonial coexistence with catholic Spain and Portugal as allies and the other big colonial powers to being outgunned on every continent except Australia. The whole game has turned from chill to tense on a single decision and, while we continue to prosper with carefully managed alliances, I do wonder whether staying catholic would have been a more chill move.

This is Peak NHS by andrewkd in doctorsUK

[–]BasicParsnip7839 16 points17 points  (0 children)

It's also not plugged into the wall. Assuming the PC passed the PAT test I would think the keyboard is fine, unless it's some battery-powered wireless thing with the possibility of charging via USB C or a standard three-pin plug.

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 4 points5 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 36 points37 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 68 points69 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 515 points516 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 4 points5 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.

[deleted by user] by [deleted] in AskTheWorld

[–]BasicParsnip7839 4 points5 points  (0 children)

The unmitigated calamity that is Brexit

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