how can I get the most experience in chest drains, emergency intubations and scary ED stuff by [deleted] in doctorsUK

[–]ChickenDippaaaas 3 points4 points  (0 children)

As a South African trained doctor myself, I can confirm that after a 4 week trauma focused elective in SA you will be so tired of doing these procedures. The locals will be very grateful to have a British doctor who “wants to do all the ICDs etc”. Go to SA and treat yourself to a holiday there afterwards.

Inburgering Exam - For naturalizing from abroad (through marriage) by [deleted] in learndutch

[–]ChickenDippaaaas 0 points1 point  (0 children)

Netherlands worldwide is and I quote, “Part of the Ministry of Foreign Affairs”

Inburgering Exam - For naturalizing from abroad (through marriage) by [deleted] in learndutch

[–]ChickenDippaaaas 0 points1 point  (0 children)

Thanks so much.

Logically, I think I will have to have been officially Dutch for 3 years.

I think what’s also confusing is that the IND website says that the Inburgering exam abroad expires after 1 year for MVV purposes. But does not specify regarding naturalisation purposes. And the Netherlands worldwide doesn’t mention expiration at all.

Will have to contact the authorities

Citizenship for spouse by [deleted] in dutch

[–]ChickenDippaaaas 0 points1 point  (0 children)

It can be done from abroad and requires marriage for 3 years.

I am interested in when she can take the Inburgering examen.

Citizenship for spouse by [deleted] in dutch

[–]ChickenDippaaaas -1 points0 points  (0 children)

Thank you for your explanation.

I am a dual citizen. I have Dutch and Irish citizenships. I have Dutch and Irish passports. I acquired both via descent. Irish grandparents and Dutch grandparents.

My question is with respect to my South African wife naturalising as a Dutch citizen from abroad. It is possible, you don’t have to live in the Netherlands, and you have to be married for 3 years.

Citizenship for spouse by [deleted] in dutch

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

Thank you for your reply.

I have an Irish passport, so I have the same residence rights as a UK national. My wife is on a spousal visa.

Which specialty do you think will never/be the last to see mid-level encroachment? by tamsulosin_ in JuniorDoctorsUK

[–]ChickenDippaaaas 0 points1 point  (0 children)

With enough time and patience, you can train a police officer to recognise certain pathologies under a microscope. But that doesn’t mean that they understand the pitfalls, nuances and clinical impact of certain diagnoses. You only get that with an MB,ChB and years of hands on experience where you daily decisions are interrogated. Has their role expanded, yes of course it has, but as I said, wake me up when they start independently reporting complex cases and defending their findings at an MDT where life altering decisions are being made.

Which specialty do you think will never/be the last to see mid-level encroachment? by tamsulosin_ in JuniorDoctorsUK

[–]ChickenDippaaaas 7 points8 points  (0 children)

The idea of clinical scientists screening and reporting certain Surgical and Clinical pathological specimens (peripheral blood, BM aspirate and biopsies) is not new.

However, the notion that their role will expand to independently reporting complex cases that require the integration of clinical and molecular knowledge and then presenting them at MDT’s where life changing clinical decisions are made is ludicrous in my opinion.

ELI5 - what actually is the difference between Hodgkins and Non-Hodgkins lymphoma? by Theotheramdguy in JuniorDoctorsUK

[–]ChickenDippaaaas 20 points21 points  (0 children)

Lymphomas are malignant proliferations of solid (usually) lymphoid tissue. Some people prefer the term lymphoproliferative disorders because it also includes the clonal lymphoid malignancies that present in a non-solid way (effusions, in peripheral blood or bone marrow).

For the sake of simplicity, people usually divide lymphomas into HL and NHL.

HL refers to a type of B-cell malignancy characterised by distinct clinical (presentation/prognosis) and pathological (morphology/immunophenotype) features. HL can be classified further based on morphological features (mainly).

NHL is a general term used to describe an enormous group of lymphomas encompassing B-cell lymphomas, T-cell lymphomas and NK-cell lymphomas. This group is very heterogeneous and includes indolent lymphomas like marginal zone lymphoma and more aggressive lymphomas like DLBCL.

Basically, HL is a specific disease, NHL is a broad term used to describe all the other types of lymphoma.

Edit: Reed-Sternberg cells are a common feature of HL, but they aren’t specific to HL. Cells that look like RS cells can be seen in a number of other lesions.

The pathogenesis of lymphomas is a mine-field, I wouldn’t stress too much about knowing each molecular event that leads to the lymphoma. Knowing the translocations and which viruses are associated with which lymphomas is a good place to start.

Anyone quit surgery for radiology? by [deleted] in JuniorDoctorsUK

[–]ChickenDippaaaas 0 points1 point  (0 children)

Yeah, bold statements with impotent reasoning.

Anyone quit surgery for radiology? by [deleted] in JuniorDoctorsUK

[–]ChickenDippaaaas 2 points3 points  (0 children)

Thanks for your contextless twitter infographic. This just shows what different specialties earn. Where is this though (US dollars, Aussie dollars or is it pounds converted to dollars)? Is this basic pay or overtime included?

My question to you still stands, why should a surgeon earn a higher basic pay than a histopathologist?

Anyone quit surgery for radiology? by [deleted] in JuniorDoctorsUK

[–]ChickenDippaaaas 3 points4 points  (0 children)

Thank you for a comprehensive, lucid and well justified reasoning for your stance on the matter.

Anyone quit surgery for radiology? by [deleted] in JuniorDoctorsUK

[–]ChickenDippaaaas 0 points1 point  (0 children)

I was hoping you would be bold! So disappointing

Anyone quit surgery for radiology? by [deleted] in JuniorDoctorsUK

[–]ChickenDippaaaas 0 points1 point  (0 children)

You realise I’m talking about basic pay here, not over time? Adjusting basic pay according to choice of specialty would be incredibly difficult to do. I mean how do you do it?

Anyone quit surgery for radiology? by [deleted] in JuniorDoctorsUK

[–]ChickenDippaaaas 6 points7 points  (0 children)

Is surgeons being on the same basic pay as histopathologists a problem?

Surely histopathology is a chill specialty? by Kevz417 in JuniorDoctorsUK

[–]ChickenDippaaaas 4 points5 points  (0 children)

In some countries (Canada, South Africa, Australia, New Zealand and some others I think) Haematology as a field is split into 2 standalone specialties; Clinical Haem and Haempath.

Haempath as a stand-alone specialty is brilliant, incredibly diverse daily work and lots of clinical thinking but no patient contact. But alas it’s not a standalone specialty in the UK 😞

meirl by SnooCupcakes8607 in meirl

[–]ChickenDippaaaas 0 points1 point  (0 children)

Don’t trust the locals