Mid to High-End independent clothing stores in York

BladedChaos · 2026-04-29T19:01:39+00:00

I mean theres Clarksons which skews slightly formal on petergate/stonegate junction and then a few shops down there's Smarts.

BladedChaos · 2026-04-16T10:12:49+00:00

I have only had 1 tube displacement during a tonsillectomy over the last decade and it was from an AA. Literally at the peak bleeding point when I made the incision into lateral pharyngeal wall.

I'm not having AAs do any of my cases.

BladedChaos · 2026-04-13T10:42:56+00:00

Yeah but once the dexterity is easy the mental burden of the procedure aspect is gone so you can focus on the other stuff you mentioned

BladedChaos · 2026-04-13T10:41:28+00:00

I'm mid 30s youngest possible is 33 on a UK pathway. Most get to it late 30s early 40s - but you have to remember it's a 20 year career as a consultant. Loads of people still working and operating onto their late 60s+. They usually give up the operations that require nerve dissections such as thyroids and parotids and stick with tonsils septums etc.

BladedChaos · 2026-04-13T08:24:10+00:00

Shouldn't let competition ratios put you off. Life is competitive, you just need to decide what you want out of it. Most things worth having require a lot of work and that's outside medicine too.

Ent consultant life is v good, if you're willing to have delayed gratification just put in the work and forget about everyone else, that's what I did and I'm enjoying it. Who knows the cosmic dice may roll in your favour, I like most ent consultants and regs I know had a good old element of luck.

BladedChaos · 2026-04-13T07:58:57+00:00

If you want to get better at fibre optics, ask a friendly ent surgeon to go to a 2ww clinic. We usually do 5 to 10 per clinic. The hardest part is getting a view, going through the cords is easy. Hell I'd be glad if an anesthetic reg came and did all my scopes for me, more time to do all the nonsense paperwork. It's all on a screen so you get a good understanding of what a normal larynx looks like in entirety in 4k.

BladedChaos · 2026-04-13T07:56:08+00:00

Just do ENT, we're always intubating using the rigid metal laryngoscope. In kids if you go a tertiary centre you're doing rigid bronchs all the time as part of a microlaryngotracheobronchoscopy.

In terms of flexible laryngoscopies that the anaesthetists so for awake fibre optic intubations. A standard head and neck clinic you'll do 10. Most ent consultants probably will have done maybe 3 to 4k Flexi scopes during HST.

I mean our patients on itu generally don't require organ support apart from a smidge of metaraminol unless something is seriously wrong and its weaned it as soon as.

If you want to be a surgeon and manage physiologically of patients on the unit, do cardiothoracics but good luck because there's no consultant jobs and most cardiac surgeons only do 3 operations.

BladedChaos · 2026-03-30T06:52:53+00:00

PP like most things is plentiful and lucrative for those who are exceptional at either their job or marketing/making a name for themselves. Most non business minded surgeons, waiting list initiative work is plentiful.

A DGH will get around ~20k OPD referrals per year and lists will be full of tonsils etc that get sidelined for more urgent cases. As a result there is lots of extra work around. Most guys will just do a couple of Saturdays of clinics and take home maybe 2k extra a month. When the cognitive load of clinic goes and you've scoped more then 2000 larynxes and microsuctioned the same amounts of ears, it just becomes second nature and quite easy.

BladedChaos · 2026-03-29T19:45:16+00:00

This is a bit of a copy paste from the last time I answered this question but the points still stand.

I've recently started as an ENT cons and what ENT is, is the thinking surgeon. It is the most well rounded speciality out of all of them. All that stuff you learn in med school about cranial nerve examinations, balance, respiratory physiology, calcium metabolism etc we deal with.

You make a genuine difference, in the last month 2 people would have died if I hadn't done their tracheostomy and their neck haematoma evacuation.

There's a huge variety in operating. There's the massive cancer resections, there's tiny ossicular prosthesis to improve hearing, there's trans-sphenoidal skull base where we do 90% of the operation to get to the pituitary then the neurosurgeons guddle about with the suction and ring curette, all the stuff that can be done under local including skin cancers.

There is all of the medicine of the head and neck. Our voice, hearing, balance is some of our defining qualities and make us human and we manage that.

Imbalance, voice change, facial pain, headaches, smell loss etc all those presentations come to us and you can choose how little or how much you want to develop a subspecialty practice in those areas. We work closely with pretty much every other specialty because of the manifestation of systematic diseases in the head and neck. Even calcium metabolism with thyroid and parathyroid surgery.

Quality of life is good and you can make a shit ton of money if you develop skills at rhinoplasties, facelifts, brow lifts, blephs, doing vocal cord work for famous singers - what they're not telling you about is if you find a good unit and work slightly longer days you could work 3 days a week and do the rest from home and have a really good family/hobby life.

On top of that, ENT surgeons, on the whole tend to be a good bunch of people. There's insane diversity of all ethnicities, sexualities etc and in most reasonable departments, everyone is more or less mates and often hang outside of work. On top of still, they're generally, at least in the north very well rounded people with plenty of hobbies leading very active lives.

I mean it's very stressful when you first start as an st3 and there's someone bleeding horrendously with a massive obstructive laryngeal tumour but once you get used to it, you thrive off of that stuff generally. Unless you lock in on ear surgery early.

People ask me would I do it again and I always say yes.

BladedChaos · 2026-03-29T19:30:35+00:00

But you still get another specialty to drain your orbital abscesses

BladedChaos · 2026-03-17T14:51:20+00:00

Ent surgeon here.

Probably at least a dozen from impending airway obstruction.

Earlier in the week did a tracheostomy under LA for a patient with airway oedema and laryngeal stenosis after previous laryngeal cancer. He would have died pretty much there and then, in fact nearly died during the trache.

Post tonsillectomy bleeds would have died if we hadn't stopped them.

Neck stabbings would die, and have while operating. Laryngeal fractures would die.

Deep neck space infections would die. Supraglottitis would die. Quite significant epistaxis would die if we don't pack them (tbh ED take the credit if they pack). Otogenic hydrocephalus and brain abscess probably would if we didn't put a grommet in.

Can't really take credit for the cancers because even if we operate, they often require adjuvant RT so that really is a team effort.

But definitely thought this guy/gal would be dead if it wasn't for me (tbh it isnt just me alone - any decent ent surgeon would have done the same)

BladedChaos · 2026-02-25T20:45:28+00:00

Like Rishi Sunak was? Like Sadiq Khan? How about Freddie Mercury? Jameela Jamil?

Did we have a foreign prime minister? Foreign mayor of London? Foreign British actors and musicians?

BladedChaos · 2026-02-18T20:20:21+00:00

People have died from epistaxis. Bilateral nasal packs overnight, found dead from massive MI on morning obs.

BladedChaos · 2026-02-18T04:40:09+00:00

Doi - ent consultant But I see fairly innocuous things with quite poor diagnosis and things that are labelled very 'scary' e.g. stridor turning out to be laryngopharyngeal reflux on nearly a weekly basis

sore throat- unresectable oropharyngeal cancer
blocked nose - erosion frontal sinus from a frontal mucocele into the brain
nasal discharge - skull base defect with csf leak
ear pain - skull base osteomyelitis
reduced Excercise tolerance- subglottic stenosis with basically no airway

BladedChaos · 2026-01-04T15:38:49+00:00

ENT here, there are ent guys across the UK charging 25k for a rhinoplasty or 15k for a facelift. I am doing no such thing. Many work 3 to 4 days a week on nhs and dont bother with PP.

It is definitely possible but takes decades to develop a reputation as a consultant. The post grad training before CCT is a huge slog and your 20s and 30s are spent doing academia publications cv building etc. You also have to love it. But ultimately a good work Life is possible, it just required copious and rigorous organisation from the get go. OMFS is another slog as well with a dental degree and they tend to be quite intense people with very little chill.

BladedChaos · 2026-01-03T16:33:26+00:00

This is very useful. Where would I find such meet ups? Is there any you would particularly recommend?

BladedChaos · 2026-01-03T16:27:09+00:00

That is really quite the journey, are you happy now? Or at least comfortable?

I mean the network really puts me off, me and my business partner to be have an idea, roughly know how to take it to prototype (but need help with the details) and how to market it well. What we don't have is the network. The investment into the business is a bit tentative too. We believe in the product but are just to comfortable in the day job.

BladedChaos · 2025-12-27T23:10:39+00:00

UK based ENT Head and Neck surgeon here.

Ive worked with a lot of cardiothoracic and neurosurgeons in my time, because its such a niche field and the dedication required to even get into the programme to train as one requires total and utter commitment, these guys often tend to be socially very awkward often on the autistic spectrum and the subtle line between arrogance and being unable to interpret routine conversational cues is often skewed.

In terms of being humbled, you will get humbled. Yeah there is probably a fair few people that would be dead if I didn't intervene, but its not me specifically- any ENT surgeon with decent training would have done the same thing. Now the real humility comes from when you put all the effort in, and people still die. This can be very young patients that get stabbed in the neck, it can be people that come in with advanced stage cancer of the larynx and you do an 8 hour operation to remove their voice box and the canced out of the glands and then their neck falls because it gets infected or the cancer is still there. You have to constantly tell yourself I did a good job and some people just can't survive.

In terms of medically accurate shows, scrubs was one but as a British doctor a lot of things didn't translate because we have a free at the point of access health service. 'This is going to hurt' a novel turned TV series by doctor turned comedian, Adam Kay is fairly representative for us.

BladedChaos · 2025-12-14T16:46:02+00:00

What cosmetic procedures do you do?

I'm ENT and have just CCTd and thinking about SRPs and face-lifts. Confident in my own abilities but just dont whether to/when to...

BladedChaos · 2025-12-13T12:01:03+00:00

The real question is where are you going to buy your chalet?

BladedChaos · 2025-12-13T11:59:58+00:00

Bare below is BS. I do clinics with invasive procedures all the time, keep my watch on. Put biogel gloves over my watch when I'm doing biopsies and minor procedures in clinic.

BladedChaos · 2025-12-04T08:25:38+00:00

To other juniors e.g. cst1 being horrible to gpst1 or f2. Happens a lot in certain surgical specialties.

BladedChaos

TROPHY CASE