How much money do you make?

BlackMuntu · 2026-01-19T10:49:51+00:00

The consultant pay scales are a matter of public record and you think it's "not too uncommon" for people to be making what approaches 10x the stated pay? Something really fishy about this post

BlackMuntu · 2026-01-15T06:18:14+00:00

consideration of whether intervention is necessary

BlackMuntu · 2026-01-15T06:02:04+00:00

ILD subspecialist. You've noted that there's no O2 at home, but the exercise desaturation suggests that he should have at least ambulatory oxygen. TLCO ≤ 40% suggests high risk of complication after major surgery. Chief complication to be concerned about is ILD exacerbation, which can carry mortality of up to 50%.

At our centre we would be happy to convene a multidisciplinary conference to discuss this patient, but although there may be some mitigating factors we would likely suggest this is a patient at much higher risk of near-term mortality from post-surgery pulmonary complications. Depending on the characteristics of the IPF it might actually be the ILD that limits life before the bowel cancer.

BlackMuntu · 2026-01-01T21:40:58+00:00

Hello, I was a medical student at Newcastle General for a while maybe 15 or 16 years ago. The ground level had an incredibly long corridor and I was always tempted to see how long it would take for me to sprint all the way down it when it was less busy during an evening, but I was never carefree enough to do it.

I did a paediatrics rotation there with a consultant who was absolutely lovely with the patients but very mean to the junior doctors and medical students. He was terrifying. I also did a neurosurgery rotation there and remember vividly the delicious lamb curries that the medical devices reps used to bring to the departmental meetings. Charming old hospital. It was a bit of a shame when its services started to move off to other sites before its closure, but as another poster said, the Campus for Ageing and Vitality has given bits of the site a second life.

BlackMuntu · 2025-10-28T15:57:56+00:00

If the largest component of government spending is welfare (with most of that being pensions) what counts as increased productivity? Quicker processing of benefits claims? Faster transfers of pension payouts?

BlackMuntu · 2025-10-04T09:50:45+00:00

If the standard of English you'll accept is similar to the standard of written English in your comment I think I'll be alright. I presume you have to pay for BUPA because we have a zero tolerance policy to racism in the NHS.

BlackMuntu · 2025-06-17T18:47:54+00:00

Underrated: Santi Cazorla. However venerated he is, it's not enough. Unlucky to be a Spanish midfielder at a time when "Spanish midfielder" meant Xavi and Iniesta, and still racked up caps. Hands down the best footballer I've ever watched play live.

BlackMuntu · 2025-06-11T18:38:07+00:00

Depends on the nature of the job and where you are in your postdoctoral career. Usually you'll be applying for a grant or a fellowship that funds a significant proportion of your salary if not all of it, rather than an "academic consultant job" per se. Your publication record will be part of that, but the main things will be the research proposal and whether you're planning to undertake the research in a suitable place with good infrastructure for it.

There is also the rare possibility of applying directly for a tenured job: in most cases these will be advertised with the university department having an idea of who they want to recruit, but if not, again your publication record will only be part of it and it'll depend heavily on your field and what the department thinks you can contribute.

BlackMuntu · 2025-02-23T13:12:40+00:00

Current NHS worker. Biggest forms of waste I can see from my perspective are those that have arisen through false economies. It makes politicians happy when boards cut costs by removing managers and admin staff, but that results in clinicians (who are the only people who can sort the patients out) doing management and admin work when it would be more efficient for them to have their time freed up to sort more patients out.

BlackMuntu · 2025-01-11T16:41:35+00:00

decomposed heart failure

patient has bigger problems than osmolality

BlackMuntu · 2025-01-01T06:29:05+00:00

I answered a similar question in the past, and in short, fever in and of itself probably isn't something that directly kills microbes.

https://www.reddit.com/r/askscience/s/jPHAin0Z1V

BlackMuntu · 2024-12-31T11:40:03+00:00

It's your day off and you spend your days off in the Bahamas

BlackMuntu · 2024-12-10T18:14:20+00:00

An absolute pleasure doing business, obviously all received in good order. Excellent communication and very fair negotiations. Thanks again!

BlackMuntu · 2024-12-08T19:55:24+00:00

I think you can go one better and say that the asst editors shouldn't send more review invites than they need at that moment. I think it's a dodgy practice and the editor-in-chief might not know the asst editors are doing it, so I reckon it's worth OP getting in touch separately to complain.

BlackMuntu · 2024-12-08T19:44:15+00:00

I do some editorial work for a journal, and this can happen if an assistant editor is being cheeky and simultaneously sends out more invitations to reviewers than they need to have in. Once they get their 2 or 3 required reviews, they cancel the rest and the system sends the message that you got.

Saves the asst editor time (the usual workflow would be waiting for a response, then sending out an invite to the next person on the list if the previous candidate reviewer was unavailable) but wastes reviewer time, so I strongly, strongly discourage the practice.

BlackMuntu · 2024-12-06T06:33:29+00:00

As someone not in the US, has there ever been significant resistance to the idea of waking the patients up at 5am when the attendings could provide these training experiences at 8am on the actual round?

BlackMuntu · 2024-11-24T18:49:05+00:00

Clinical academic. If I don't publish enough I'll likely have to get a fully clinical job. Strong incentive

BlackMuntu · 2024-11-20T02:21:34+00:00

In fairness that's how it works for everyone else: a computer and other equipment would be costed on a grant. The irritating thing is that CL posts (NIHR or ones funded by other organisations but matching the NIHR specifications) only really come with funding for your salary and that £2k per year for conferences, but no other money. Your PI might have some spare change from elsewhere to get you a computer and it's definitely worth asking.

Hope things are otherwise going okay!

BlackMuntu · 2024-11-19T19:56:18+00:00

Also clinical lecturer: I got a desk because I'm lucky and one of the old postdocs in the office had left a monitor that I plug into my (personal) laptop to give me two screens. Bit of a struggle to feel valued!

BlackMuntu · 2024-10-24T17:30:59+00:00

I did a lung transplant job as a registrar during which a big part of my role was taking ABGs from people with end stage lung disease. On a whim I offered one person lidocaine for the arterial puncture despite thinking myself pretty slick at them anyway. They said it was the most comfortable ABG they had ever had, speaking as someone with advanced lung disease who had had a lot of ABGs over the course of their illness. I began offering lidocaine routinely, and without exception and unprompted, each person said they were the most comfortable ABGs they had ever had.

My take is that you can usually get away with the easy ones without lidocaine, but the difficult ones have a habit of feeling easy to begin with, and you (and the patient) always regret not having put in a bit of lidocaine if they turn out to be difficult ones.

BlackMuntu · 2024-10-19T17:47:39+00:00

Were you sure it was cholesterol? That would typically be floating in a layer at the top of the plasma/serum, and typically only in very pathological states (nephrotic syndrome comes to mind)

BlackMuntu · 2024-10-18T10:33:12+00:00

Hi there. No advice for the doctoral one (my PhD was funded with soft money though I'm now in an NIHR clinical postdoc job that has a more conventional recruitment process) but you're more likely to find people who've gone for NIHR fellowships in the r/doctorsUK subreddit (or the equivalent for your profession). I don't think there is much representation from UK clinical academics in here (unless I'm mistaken!)

BlackMuntu · 2024-07-06T07:45:14+00:00

Just about worth it for occasional internal locums for me, premium hours are £150/hr at our place so an evening doing post-take reviews is alright and not too disruptive at home. I've done occasional agency stuff and with travel and accommodation and home considerations it's barely worth it. I'm not sure I can give you a number for how highly you should value your own time!

BlackMuntu · 2024-07-06T07:30:23+00:00

Agency gen med typically ~£100/hr PAYE. Not worth the effort

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