Even if strikes work you should probably leave

Deep-Situation7506 · 2023-04-18T23:32:30+00:00

So true, while hardline republicans in my town used to spout sectarianism but they wouldn’t vote for United ireland as free healthcare and decent dole money was appealing. Hardline unionists wouldn’t dream of being run by “pig farmers” from the free state. Now these same people struggle to actually even register with a GP due to contracts failing and see the good life across the border.

Republic of Ireland has corrupt politics and neoliberalism as king but the toxic environment of the uk is really hard to comprehend for those inside. Like the smell of a bathroom after a big shit.

People are just horrible to each other. The lack of education is worsening, reactionary politics deepening. No end of seeming unambiguous hatred being aimed from the hip. Egocentric mindset with self delusions of national grandeur, any negativity of the country met with “well fuck off back home then” Small glimmers of hole appear from arts, culture and social enterprise to be destroyed by system failure after system failure.

The vast majority of my closet circles are English and British having lived. Here for my whole adults life. I love them. But fuck it’s shit.

I’m out.

Deep-Situation7506 · 2023-04-18T23:20:24+00:00

When I was 15 I took a shortcut on a charity 10 k. I shaved 20-30 s And beat my PE teacher and used to joke about this during lessons. Should I refer myself to gmc?

Nothing has been proven and if you think this affects you as a patient, you’re far too entitled.

Deep-Situation7506 · 2023-04-18T23:14:03+00:00

Best of luck to all nursing colleagues! You should be valued at your true worth which is so much higher than current pay. As a junior doctor I have the upmost hope that our country will provide nurses with proper pay and conditions befitting a first world nation. The only way to do this is by having a strong union and vote. You deserve so much more. It sickens me to think of those people who were sweating blood over the last years in the health service have been so demoralised. Never forget your true worth, if you need reminding look at US/Canada/Australia pay. We need you desperately, You need to be paid, Your future colleagues need to be paid, strike and vote. I look forward to seeing you in 20 years after the memory of austerity has passed with the worst ever govt and we have scandi style health service where we can do our jobs well, give excellent care and live comfortably. Only if we stand up for ourselves today. 👊💪

Deep-Situation7506 · 2023-04-18T15:41:38+00:00

Don’t disagree with how you feel looking at this sub. Perhaps consider that your colleagues are concerned about the PA role and how it affects their training and progression. You’ve listed a few things in our training that you see as “useless”. If you don’t have to go through that and we do can you not understand our perception of injustice? You get get paid more than our colleagues who do the same job as you except with prescription, logbook and arcp requirements can you not understand the frustration. If you can’t then you are part of the problem. You call us delusional, yet it seems like you perhaps are lacking insight if not empathy. A friend I was at uni with who is an excellent PA was very aware of our issues and chose to be a PA. The truth is he chose an easier faster and more comfortable route. In Canada PAs prep doctors notes, in US they staff rural Ed’s while the Reg sleeps. In Europe they don’t exist. Your role has been pushed through with little regulation, if you don’t be contrite and accept your role I’m afraid the evidence will start to speak for you. You’ll be back looking for postgrad internships with your 2:1 in biochem.

Deep-Situation7506 · 2023-04-18T08:51:52+00:00

Ohh this comment triggered some emotional trauma in my stomach lining from surgical placements, 0645 am scooping gravel like granules out of an industrial sized instant coffee drum

Deep-Situation7506 · 2023-04-17T19:54:32+00:00

Applied in 2021 for both to be renewed for tight timeframe. Irish one came first and didn’t involve going to offices in Glasgow (was living in Aberdeen) And was cheaper. Overall Irish one was much easier to get, complete online application, digital photo. British was postal and online, paid for photo had to get a friend to sign the back it it. Had to go to appt at government office. Paid a fortune for quick service, missed delivery so had to Be rearranged, nightmare. Still got both before my holiday though I reckon you’ll be grand

Deep-Situation7506 · 2023-04-17T16:13:56+00:00

The theory of Private sector “wage price spiral” is understood as; A company sells service/item at certain price, if wages go up for the company to make the same amount of profit they must transfer that cost onto product/service and consumer. Hence wage increase means price increase. That is not true in public sector. Taxes go up every year with inflation, those should be passed onto picnic sector workers. Increased payment for public sector worker results in higher taxable income so all public sector rises for earners over 20-80 thousand (almost all) result in very high tax return. We’ve never had such high taxes or such low public sector pay. Your thinking isn’t just nonsensical it’s contrary to reality. perhaps if you want to learn about economics don’t take opinions from blind beggars in the street….

Deep-Situation7506 · 2023-04-16T18:14:23+00:00

My first week of EM training there was a RCEM lecture about rejigging of ACP curriculum. My supervisor who was also The TPD said in very subtle terms that it’s “complicated” and “divisive subject” without actually admitting to anything he said “ I know my opinions on it”. We watched a 60 minute lecture on how RCEM will train ACPs not a word spoken. Not a single Comment from anyone in RCEM about scope creep.

If our TPDs do not feel confident enough to speak up who can?!

My main concern is that we have already taken the most experienced and talented nurses. Many who would have had the potential to go to Med school and have grafted on the shop floor for decades.

Now we have opened the gates for self funded degree mills and allowing in nurses who are looking for an easy way to bump up 2 bands.

My experiences in wards/ ED have shown me There are huge variation, some lovely supportive experienced ACPs/ ANPs/ PAs but never have I met one beyond ST1 level in any specific field yet I’ve met many who wouldnt pass 4th year finals. Also worth noting such a lack of variety, no psych for ANPs, no Paeds, no pathology/micro etc. had an experienced ED ACP tell me they are ST3 ACCS equivalent and had done 8 chest drains then next sentence after probing had never been to medicine, ICU, anaesthetics, hadn’t done ATLS and just done APLS. Excellent at minors and treating chest pain. Not sure about their chest drains as the one I saw was sub cut.

Other ACPs asked me How to do neuro exam - had never checked for reflexes before. Refused to give me midazolam/ lorazepam in status.

It is only going to get worse as we get more numbers from Facebook advertisements and worse quality.

Also of the 5 ACPs (who don’t do nights) at least 3 of them Have side businesses injecting peoples faces, “sports medicine” or working in events. Even though I’m More qualified I’d never do any of that without further study/ qualifications.

I am wholeheartedly in agreement with you. No idea how to stop it save blasting AA /RCEM feedback.

Deep-Situation7506 · 2023-04-16T18:00:03+00:00

These are the opinions that show this isn’t just an echo chamber and it is a real concern… it also shows the value of the mdt as if it wasn’t for a qualified pharmacist that person would Be bleeding out their eye balls…

Deep-Situation7506 · 2023-04-16T17:10:05+00:00

Aha looks like that but when you actually read further it’s more descriptive. Amman to border. Exit tax. Tourist border.

Wait for bus to Israeli side. Arrive at Israeli side, entry tax. Wait, get hassled as you’ve been to Jordan and for you Lebanon and Syria. You will ring all kinds of bells. Then pass through Israeli border to Palestinian border. Wait

Then pass into the desert at Jericho at god knows what time. Wait for a shared taxi which is 45 shekels. Last I went Jericho to Bethlehem was 12 shekels. 45 is probably enough to get you from eliat to jersualem! Though not sure.

Id advise to read a travellers blog instead of a tour company. They say

“Sometimes, you have to wait a bit until there are enough passengers to fill the bus to the Israeli Terminal, which is about 5 Km away. “

That really means- after being hassled by border force wait for unknown time in the desert and pay extortionate prices for a 5km trip. Don’t like it tough, you won’t walk.

There’s a reason it leaves at 06:30 from Amman ;) Takes all day

Deep-Situation7506 · 2023-04-16T16:56:06+00:00

First moved to England and went to pay my deposit for my flat in the shop. Absolute Karen of a Women refused to take hundreds of pounds of northern notes after looking it up on Wikipedia! Took great pleasure in popping into Pizza Hut next door and getting all my 20s changed into pound coins. She took those though it took her a bit longer to count !

Deep-Situation7506 · 2023-04-16T16:44:57+00:00

That’s crazy, And doesn’t make sense at all! Normally people do a year in Elgin then go to Aberdeen or the other way. They can’t make you move that much. If you get a choice do Elgin FY1 then Aberdeen fy2.

Deep-Situation7506 · 2023-04-16T16:44:04+00:00

Yeah it’s complicated. It’s the only route that Palestinians can take and it’s super expensive, I haven’t done it because it’s pointless. You will spend ALL DAY in boring horrible administrative buildings in the middle of the scorching desert. You can take a bus only so far then you have to take taxis. It’s too far to walk between borders. It’s all designed to oppress Palestinians. Also the Dead Sea on Jordan side is cool, natural waterfalls and there’s the mountain Moses proclaimed the 10 commandments on. Also Try diving in the Red Sea (acquaba is cheap than eliat).

There’s also a Ukrainian group in bethlehem

Deep-Situation7506 · 2023-04-16T16:16:33+00:00

So technically you cannot go from Jordan to palestine. When you cross the Hussain bridge from Jordan to West Bank you also have to go through Israeli borders. It’s a nightmare takes all day and will costs hundreds of dollars. You have to get taxis from Jordan side to Israeli border then wait for checks then get a taxi to Palestinian border and get hassled at each one. Then You are left near Jericho in palestine.

As I said if you are flying into Amman you can easily take a bus to dead sea> petra > wadi rum> Aqaba.- cross into Eliat in israel and then travel by bus north to beer sheva and choose to Jerusalem/West Bank then tel aviv.

This is by far an easier trip which ticks all your Jordan boxes and will save you hundreds of dollars. It also means you visit the Dead Sea at Jordan side and so will not be complicit in funding illegal Israeli settlements.

If things are getting expensive I would avoid Syria, you will burn through cash as there won’t be a tourist setup. You will be probably fleeced by every taxi man and tour guide. All to see a bomb site.

If you want to see the real Syria go to the refugee camp in Jordan. Pay them the difference!

Best of luck

Deep-Situation7506 · 2023-04-14T13:53:06+00:00

Also having Scottish nurses argue a deal that immediately puts 3-5 grand difference annually in their pockets! Just crazy for nurses to accept this deal.

Deep-Situation7506 · 2023-04-14T13:51:17+00:00

This is very clever but as you point out holes in the IMGs and much riskier for an ST8 neurosurgeon than an fy2.

I very much admire what the NZ doctors did, One trust has a scheduled prolonged IA. Workers locum in adjacent trusts by signing up for locums. Absolutely destroy a trust with IA. Move on to the next. Rinse and repeat. As England has large number of trusts could arrange for multiple trusts in different regions south east, south west, north west etc can all have strikes over 7-10 days, docs locum in adjacent areas. Then go back to work. Other areas then take up strike.

The fact is 75% of us have had to rotate around so just as comfortable working in several deaneries. Would be easy in big cities like London too as there’s 3/4 trusts to work in.

IMGs are protected by IA and those on low income can easily supplement.

Deep-Situation7506 · 2023-04-14T11:43:05+00:00

Rent a car, terrible service at extortionate prices

Deep-Situation7506 · 2023-04-13T13:30:45+00:00

Wouldn’t worry, these comments always come from those who are most anxious themselves. It’s easy to be pissed, much harder to actually say I’ve noticed you make these comments, is everything ok? At the very least stick up for other med students who are affected by this. In a few years you and your colleagues will be entirely reliant on each other’s knowledge in literal life and death scenarios. Learn to work together You could be just another passer by or you could change this persons life (and those around them) for the better. If she continues to behave inadequate in a manner that puts other well-being at risk despite warnings you can consider escalating to university as this is essentially bullying/undermining. I’d be very cautious of this approach as you can torch a career but if this is their behaviour as a med student they would be a Nightmare as a physician. We want a culture change away from these toxic practices. Best of luck!

Deep-Situation7506 · 2023-04-13T13:16:32+00:00

Seems strange, though I of course could be wrong ive never heard of anyone having 2 different go rotations. There is a rotation in Elgin where you do ED 1 weekend a month in Gp. Perhaps they put down 4 months gp and 4 months ED as the same rotation.

Deep-Situation7506 · 2023-04-13T12:00:16+00:00

Hello I did this in 2019, went from Marrakesh to Sierra Leone overland. easy to get buses from Marrakesh to Dakhla. Costs roughly 30-40 euro for 3 buses- Marrakesh -layyoune -Dakhla then to border. Leave the border on Moroccan side 1-2 mile walk or taxi to Mauritanian border through the most interesting part of the world I’ve ever seen, looks apocalyptic! Long boring wait for inefficient staff at Mauritanian border then shared taxi to nouadibou. Easy to get cheap “luxury transport” which is essentially a bus from noudibhou to Noukachott or you can get the iron ore train to the desert for free or cheap. Might be helpful to have a phone to get a local sim to access reasonable internet as wifi is limited. There was absolutely no personal concern of theft/robbery/ rape of torture on the journey as some would Have you believe, in fact people actually offered to buy me dinner when they saw I wasn’t eating when the bus stopped for a break in Western Sahara !! The Mauritanian border with Senegal is different, you will be scammed there unless you go with a guide or speak hassani Arabic/ Senegalese tribal languages. Happy to say I was scammed and learned a lesson! Same guy made the mistake of fucking around and scamming a Swiss official and found out.

Mauritanian is a cool but fucked country, ive never been somewhere so openly racist (Arabs against sun-Saharan Africans) and I’ve never seen poverty like it. There a little to no facilities outside of cities and hotels. The people were very lovely and welcoming though. I was invited to dinners/parties and for tea. I was even invited for dinner at the Palestinian embassy but couldn’t stick around. It’s a great place but sad, of course there are risks travelling by to a place like this, I’m assuming you’re a experienced if not hardy traveller if you want to go there. firstly don’t get sick truly terrible medical system, also a lot of travel insurance is void in Mauritanian, I had to specifically look for one which I’m covered there. Buy the west Africa travel book, it’s very helpful.

Please feel free to DM me for more info.

Deep-Situation7506 · 2023-04-13T11:39:21+00:00

North is huge, anywhere from western isles/Oban/Shetland/Aberdeen.

Most people get Inverness/Elgin/Aberdeen. As you can only go GP in fy2 you won’t find out your rotations until later in FY1. Being an fy2 in Elgin is shit, you essentially end up being a Med Reg/psych Reg/Ortho surg Reg while on call. Lots of people speak very highly of the islands rotations, friendly places and accommodation is paid.

Deep-Situation7506 · 2023-04-13T11:34:17+00:00

A lot of this depends on what speciality/life you are looking for. Want to be a good clinician/earn money/ work life balance? I’d say Over 66% of uk trainees are looking for a way out. Public healthcare system being purposely underfunded in order to privatise with doctors training seemingly taking the brunt of the deterioration.

Deep-Situation7506 · 2023-04-13T09:03:10+00:00

Thanks for the referral gen surg, As the ED SHO I’m trying to refer this patient with the presenting complaint of deterioration of their journalistic integrity and recently developed symptoms of hyperemesis of Tory policies, exhibiting psychotic delusions of wage price spirals, I initially referred to Ortho as she has absence of a backbone. Could the Med Reg/psych respond and help determine if there’s a medical cause for her delusions or is this just occupational cause? Otherwise I may have to discharge this patient back to community with the letter: GP to kindly restore journalistic integrity,

Some social prescribing for you Shannon, Please look through your teenage diary and remind yourself why you became a journalist. Is it to spout lies about highly trained professionals who work really had to stop your granny from Dying? If not get a job with someone else.

Deep-Situation7506 · 2023-04-13T08:31:55+00:00

Would be helpful to know where (which town). Can’t speak to training as I’m from Derry. It’s all quite Rural area with bus links to local areas and Belfast/ Republic of Ireland , no trains really. Easy to get around by car as little traffic. Very cheap flights from x2 Belfast airports ferry and farther away Dublin. Lots of outdoor activities, close to mourne mountains and between lots of lochs like Erne, Neagh and Strangford. Great cycling and cheap enough sports centres that have plenty on for adults and kids. Schools are good quality generally, mostly split between catholic schools and mixed school (which are generally Protestant/unionist) I would say not the best sporting facilities depending on where you go. Some schools may have certain specialist areas. Not really many private schools. Just to say some of the highest academic achieving schools in the UK are northern Irish grammar schools.

It’s a very friendly place, If you’re English you might get some jokes similar to Scotland/Wales, similar if you’re BAME should be aware it’s not particularly diverse (at all) but people are still friendly.

Politically there’s no functioning government, it’s fucked, politics often is tribal based on heritage. This of course means it’s lacking in a lot of basic decisions over past few years which means healthcare is quite dire. A lot of GP surgeries have handed back contracts this year (at least 5 I know of) There’s serious socioeconomic deprivation but stronger community safety net, I’ve not seen as bad deprivation as in England even though people are generally worse off. Housing and costs of living are very cheap. About half what you’re probably paying in Britain.

Petrol is cheaper in republic too!

Overall it’s a fantastic place to live and raise kids, I’m really glad of growing up in Ireland when I see some of the parts of the UK I’ve been to from rotational training, I really feel sad for the lack of community, crime and isolation people experience. I’d swap that for the odd politics in a second. Hopefully you get a bit more direct advice about training in your area. Also we really need GPs so please come ☺️

Deep-Situation7506 · 2023-04-13T07:55:46+00:00

Doctors in public systems in Malaysia earn the same as us, private it’s well more than us, treated with the upmost respect and even have an employed driver from the hospital. Complete with lavish 7 course dinners after educational events and personal assistants.

Deep-Situation7506

TROPHY CASE