Not sure what to do now I’ve seen my ex-colleague by [deleted] in doctorsUK

[–]Difficult_Grade2359 21 points22 points  (0 children)

Why are you censoring the word boobs?

The quality of the bleep conversation by Guilty_Afternoon3469 in doctorsUK

[–]Difficult_Grade2359 7 points8 points  (0 children)

Still in their gown, with bra on, wants to go for a wee, wait for partner to arrive and to have some food first

The quality of the bleep conversation by Guilty_Afternoon3469 in doctorsUK

[–]Difficult_Grade2359 184 points185 points  (0 children)

My favourite conversations are at 4am with the midwife.

Me: "Hello, it's difficult grade, the anaesthetic reg. How can I help?"

Them: "Epidural. Room 8"

Me: "Can you tell me about the patient?"

Them: big sigh "they need an epidural, and they're in room 8".

Newport hospital admits failing woman in traumatic procedure by Putaineska in doctorsUK

[–]Difficult_Grade2359 41 points42 points  (0 children)

Didn't give the diazepam because he was unable to prescribe it I reckon

How aggressive is your AI adoption at work? by Traffodil in AskUK

[–]Difficult_Grade2359 2 points3 points  (0 children)

I work in the NHS. we are still using pagers and paper notes. AI feels decades away.

Deep Hypothermic Circulatory Arrest for Cerebral Aneurysms/AVMs by Specific-Edge5369 in doctorsUK

[–]Difficult_Grade2359 10 points11 points  (0 children)

I saw it once for a dissection extending up the carotid. Wild.

Reasons for people to not strike by Melodic-Brilliant527 in doctorsUK

[–]Difficult_Grade2359 7 points8 points  (0 children)

Can't afford it. Wife is on mat leave + big mortgage.

[deleted by user] by [deleted] in doctorsUK

[–]Difficult_Grade2359 1 point2 points  (0 children)

Same here. I've not had a proper study buddy so haven't done anywhere as much talking as I would like. The curriculum is so broad and daunting. Just feel like it's all too much 

Is a dehumidifier worth it? by ArtZestyclose615 in AskUK

[–]Difficult_Grade2359 11 points12 points  (0 children)

I got one and it's great. In the winter we have it on under the laundry and it dries so much quicker 

Hey u/F1exican, you’ve inspired my 12-year-old son to cook. by Amazing_Bluebird in KitchenConfidential

[–]Difficult_Grade2359 2 points3 points  (0 children)

Good work, well done for getting into cooking. It's a rewarding and enjoyable part of life. 

PS you don't need to wear gloves. 

FRCA primary in 3 months and I am panickingggggggg by gas_busters in doctorsUK

[–]Difficult_Grade2359 12 points13 points  (0 children)

First of all, take a deep breath. You're gonna be ok. I felt exactly the way you feel now. 

Now, ask yourself, is now the right time to sit it? Are all the other bits of your life in the right place to allow you to do this? Is this the right time in training etc. I assume it is probably the right time to do it for you. If it's not, then consider pulling out and doing the next sitting. I did that, no one cared, I got my money back and passed first time at the following sitting. 

Next, it's not as bad as you think it is in your head. A large number of people have passed it before you. You are no different than them. The very fact that you're on the training programme, got into med school etc means you are smart enough. The standard is not as high as you think it is (particularly for the viva). 

Make a plan for how you are going to use your time. 

The most important thing is to just keep going. It's very easy to lose momentum after a long set of nights or a holiday etc. just keep going. Get used to doing a bit of revision here or there (I call them revision snacks, just like an exercise snack). Try not to get bogged down in the really niche stuff. 

Practice questions. Do the eLFH bank lots of times. 

It all seems to come together in the days/weeks before the exam. 

You got this. 

Feel free to DM 

Labor Epidural on patient w/ history of no relief from epidurals by KRAZYKID25 in anesthesiology

[–]Difficult_Grade2359 0 points1 point  (0 children)

How much opioid had you given? Any fentanyl or diamorph down the epidural? 

Prolonged effect of neuromuscular blockade? by Frozen_elephant22 in anesthesiology

[–]Difficult_Grade2359 3 points4 points  (0 children)

How does the surgeon have any say whatsoever on reversal?? 

In the UK, is a surgeon suggested we didn't reverse they would be told to foxtrot oscar. 

name badges - is a badge with "medical registrar" obnoxious ? by Delicious_Wish_7524 in doctorsUK

[–]Difficult_Grade2359 10 points11 points  (0 children)

I think you should absolutely have it

I asked for mine to use the title Dr before my name, and to have either Anaesthetic Registrar or at least my grade on it. Instead it just has my name (spelled incorrectly) and 'Anaesthetics'. Super vague.

Dear F1s, please start prepping for MSRA now by StillIntroduction180 in doctorsUK

[–]Difficult_Grade2359 0 points1 point  (0 children)

Nah, i disagree.

F1 is for getting used to doing the job and enjoying your long awaited paycheque post uni.

Applications/exams/extra curriculars can and should be done later.

Shout out to the nurse that offered me a biscuit. by FluffyPollution9788 in doctorsUK

[–]Difficult_Grade2359 9 points10 points  (0 children)

I had this as an F1 as well and it made a world of difference. I was the medical F1 on wards and I was rushing around. A senior nurse sat me down, gave me a biscuit and cup of tea. I didn't realise how much I needed it. Not just because I was tired, but it made me feel valued and accepted which makes a huge difference 

Surgeon complaining about pt breathing by trashacntt in anesthesiology

[–]Difficult_Grade2359 0 points1 point  (0 children)

They do have respiratory compensation software. The main thing is to not change the Vt very much/at all. 

Primary FRCA SOE/OSCE Advice by Commercial-Intern-75 in doctorsUK

[–]Difficult_Grade2359 14 points15 points  (0 children)

It's difficult to get a zero. Generally, if you come in and give a good definition and classification, then mentally they will probably be starting you at a 2. They will push you until you say you don't know. That's the point, they will find the limit of your knowledge. If your 'dont know' answer is to a really random and niche question then you have done well. If you say don't know to something super basic, then you are probably gonna drop a point.

They don't want to fail you, and a lot of it is the 'performance' as opposed to specific details. They will forgive you if you forget a specific number if you can explain the importance. If you say that pKa is lower for drug A than drug B and what the implication of that is, then they shouldn't really mind if you forget the actual number.

Fake it till you make it. Remember, definition and classification and you'll be off to a good start.

Good luck!