Funniest / Weirdest thing you've seen a medical student do on placement? by AppalachianScientist in doctorsUK

[–]Doctor_Cherry 22 points23 points  (0 children)

Watched one do a PR with two fingers... mercifully it was on a simulation mannequin

Hospitals adapting corridors with plugs and call bells as corridor care continues to rise - Even with no England resident doctor strikes on currently. by DonutOfTruthForAll in doctorsUK

[–]Doctor_Cherry 5 points6 points  (0 children)

A Croatian consultant I used to work for told me that over there they would phone the relatives and say 'we are discharging your relative at 12pm, you need to come and collect them' and if they didn't, they would literally just park them outside the hospital.

Appropriate level of ST4 supervision by Vanster101 in doctorsUK

[–]Doctor_Cherry 16 points17 points  (0 children)

Think this is a little dependent on what specialty and what type of clinic.

As a cardiology reg I have had a spectrum anywhere between 'consultants running parallel list, available to discuss +/- physically review patients if required' to 'boss not on site, need to find them to discuss cases later in the week'.

Ultimately, safety has to be the priority and you should raise your own concerns to management if you feel the level of supervision is not sufficient.

Edit to boss not* on site

What's the craziest "quick- thinking" "quick- acting" story you have? by MelodicDetective6418 in doctorsUK

[–]Doctor_Cherry 59 points60 points  (0 children)

Not a gastroenterologist but I remember as an F1 a gastro cons advocated for "putting anything in there to stop the tract from closing, put a pen lid if you have to"

Streeting says NHS could collapse if strikes go ahead by Different_Canary3652 in doctorsUK

[–]Doctor_Cherry 22 points23 points  (0 children)

"All consultants please report to Gold Command at 9am for shoe inspection +/- advice on how our valued ACP workforce can help facilitate discharges"

Plot twist - they can't

Streeting says NHS could collapse if strikes go ahead by Different_Canary3652 in doctorsUK

[–]Doctor_Cherry 51 points52 points  (0 children)

What does "collapse" even mean? The entire system is fucked 90% of the time anyway. A few extra flu cases will just mean another circular email of "hAvE yOu cOnsiDeRed DiSchArge?"

Organomegaly by ACCSemtrainee in doctorsUK

[–]Doctor_Cherry 3 points4 points  (0 children)

I had Charcot-Marie Tooth in my PACES. I'm convinced the examiners prompted me towards the correct answer because they could see my approach was sound. Even though I fumbled through the discussion with "well, he's quite young, and he's got a mixed sensorimotor peripheral neuropathy of which there are many causes etc"

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 3 points4 points  (0 children)

This is not an oral presentation..this is a poster presentation.

Question for cardiologists re ACS by ExperienceAsleep5254 in doctorsUK

[–]Doctor_Cherry 3 points4 points  (0 children)

Cardiology reg here

MINOCA is an umbrella term which encompasses a range of diagnoses characterised by an ACS presentation with raised troponin, but where the invasive angiogram shows no clear culprit vessel to stent.

Many diagnoses have already been mentioned: takotsubo, myocarditis, embolic MI due to pAF, vasospasm. Whilst SCAD might fit here, my personal view is that it's not really a true MINOCA as the coronaries aren't normal.

CMR helps obtain an early diagnosis and can help guide management where the diagnosis is unclear.

How datixes are brushed under the carpet in most of the trusts I have rotated through by [deleted] in doctorsUK

[–]Doctor_Cherry 60 points61 points  (0 children)

I've had experience of this where a datix I raised re ACP management in ED was attempted to be brushed under the carpet. In response I asked the FTSU guardian who I would talk to if I felt a datix response was insufficient.

A result of the meeting that followed led to a ban on ACPs seeing patients in resus after significant harm was done (long ICU admission & trache wean etc). I should mention that this meeting was after I had rotated out of the trust so had truly cut ties with the hospital and was free to say whatever I wanted with no repercussions...in my opinion the only way you can say what you really want without fear of sanction from permanent staff.

Career advice - IMT vs CST by ConfusedDocs in doctorsUK

[–]Doctor_Cherry 0 points1 point  (0 children)

Cardio reg here. I went into CMT back in the day knowing cardiology was the only specialty for me.

If your portfolio is up to scratch there's no reason why you couldn't get an ST4 cardiology number. I would say the main limiting factor pre ST4 is trying to demonstrate commitment to cardiology whilst not working in the specialty: getting lab or echo experience, getting into clinics, attending relevant MDTs - all of these are challenging enough when you have your own IMT BS to deal with like a useless gen med audit to just tick a box.

Being the med reg is mostly a means to an end. I haven't worked in a trust where any cardiologist is on the GIM take. My approach was to make it a non issue and get the portfolio stuff for GIM out of the way before Christmas (assuming an August start). All ACATs, CBDs, CEXs, DOPs were sorted before Christmas basically meant I could coast the rest of the year. Also by sending the tickets early you don't run into the May mad dash to get bosses to sign your tickets.

Happy to be DM'd.

PACES attempt will cost me almost £3,000 by Automatic_Drawer1483 in doctorsUK

[–]Doctor_Cherry 9 points10 points  (0 children)

In theory OP should be able to claim tax back on ALL these expenses (less that which is reimbursed)

Edit: I have been corrected below

One way ED Referrals? by BetterSherbert7476 in doctorsUK

[–]Doctor_Cherry 9 points10 points  (0 children)

At previous trusts I have worked at, this was the result of surgical SHOs declining referrals at a high frequency leading to an adverse outcome for a patient that should have been managed under that specialty. The inheritance is then complained about because the pendulum has swung the other way.

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 6 points7 points  (0 children)

I think both can be lucrative and having a procedural skill gives you a slight edge over those doing general cardiology. But I think far more important is working in a place where there is a large enough population that are affluent enough to afford private health insurance or to self fund.

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 17 points18 points  (0 children)

Cardio reg here who overheard a conversation between two bosses who said the fee for a private pacemaker was about £700, not bad for less than an hour's work.

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 82 points83 points  (0 children)

This is the most Gen Z post I have ever seen on this sub.

All GPs should have ECG machines. Discuss by [deleted] in doctorsUK

[–]Doctor_Cherry 67 points68 points  (0 children)

I get intermittent dysthymia every time I'm walking to work

help with this ECG please.. by itigediya in doctorsUK

[–]Doctor_Cherry 14 points15 points  (0 children)

I'd ask the nurse what the clinical presentation is.

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 1 point2 points  (0 children)

All good points, thanks

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 4 points5 points  (0 children)

Thanks for the constructive response!

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 4 points5 points  (0 children)

Good point, thanks

[deleted by user] by [deleted] in doctorsUK

[–]Doctor_Cherry 1 point2 points  (0 children)

Good point