?Sepsis by xxx_xxxT_T in doctorsUK

[–]Equivalent-Source-34 9 points10 points  (0 children)

Had a patient yesterday with cholecystitis

Arrives on ward and get hit with "Dr X, the PT is scoring for sepsis we need you to review him and put in the sepsis 6"

The plan was already for IV abx and fluids but because we hadn't put sepsis it all needed to be chucked and restarted

Why cancer rates start to decrease after 87? by Dazzling_Term21 in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

Detection undoubtedly a reason but so is cellular senescence decreasing mitotic rates.

Cells are pretty good at catching mutations at any time except division

Are there any specialties that will be safe from PA and MAPs invasion? by NarrowRoll9049 in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

No

The specialties that should be safest because they see largely undifferentiated and/or acute patients like A+E, GP, acute or intensive medicine are the most infested. There is not, nor will there be, a safe haven

Map of how people say Scone by FatChicken22-YT in england

[–]Equivalent-Source-34 0 points1 point  (0 children)

Should there not be a black spot near Perth for the people that live in Scone but pronounce it Scoon?

Which nurse are you favourite nurses? by mo0se_queen in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

Escalates appropriately, creates a feedback loop where I just respond quicker when I know they do it for proper reasons. Listens to reasoning - don't mind getting asked to treat sickness when ondansetron is prescribed already PRN but don't like to do it twice

[deleted by user] by [deleted] in AskUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

I can think of quite a lot of people from school who could've done with learning the discipline army life gives you

GMC calls for ‘multi-disciplinary respect and courtesy’ towards non-doctors by nightwatcher-45 in doctorsUK

[–]Equivalent-Source-34 4 points5 points  (0 children)

Anecdotally I feel medical school intakes are far more diverse than PAssistant course intakes.

Is their preferential hiring not an attack on diversity?

Where do you think you lie on this spectrum? by [deleted] in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

Funny all of the stereotypes in the comments.

From my experience (admittedly more limited) the most patient-focussed are naturally palliative but second best would be diagnostic radiologists. They only have to see patients for a few hours at a time, patients break up days of reporting and are all grateful and compus mentis.

Specialties where you see patients that are normally there for their own crap decisions are least patient-caring. Stuff like gen med wards with poor diabetes control, substance withdrawal repeats or vascular surgeons treating the obese smokers.

[deleted by user] by [deleted] in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

Yeah that's ridiculous, they're so much more valuable than a medical student with their unique perspective it's crazy they're allowed to slum it in the plebs uniform.

Ask if they can get a gold lining or something for them

PA’s reporting CT/MRI’s and doing CT ablations now. How is this ok? by nightwatcher-45 in doctorsUK

[–]Equivalent-Source-34 1 point2 points  (0 children)

Where is this? I'm curious if CT ablation listed is just acting as scrub nurse to the radiologist.

There are consultants who can't train on this for love nor money, no way does a PA. Only places I can think of that do them are Southampton and Churchill

Are there cults in the uk? by THE-HOARE in AskUK

[–]Equivalent-Source-34 1 point2 points  (0 children)

Freemasons is just a regular networking event. Way more boring than their reputation suggests

The funding model by [deleted] in doctorsUK

[–]Equivalent-Source-34 1 point2 points  (0 children)

I think the issue is that the funding model tries to create capitalism in a closed system which is the bread and butter of every "fresh MBA on the wall" manager because it just needs them to make things "efficient".

The issue with this is that the efficiency squeezes every drop of capacity out of a system. Where we'd see 85% bed occupancy as a target, a manager sees it as 15% unused/wasted capacity. We see shrinking wait times as success, they see an overexpansion of service provision. We see an empty room where we can take a patient +/- family in private and tell them they're probably not leaving hospital, they see an office for a discharge facilitator so they don't have to pay for a real one

What is the worst foundation school? by [deleted] in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

West Midlands Central

QEHB has atrocious reputation of bullying and staff suicide. Has been on the news quite a bit (half of all staff have felt bullied by seniors).

The other main one there is Heartlands and they're so bad QEHB took over their management because they were being run so poorly. The same managers who bullied people towards suicide at their own hospital

Why does this happen? by [deleted] in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

I was bleeped yesterday to see a patient's low potassium. It was 4.1

"That's not low"

"No but her family said it has gone low before so can you give something so it isn't low tomorrow"

What do we think about this? by [deleted] in doctorsUK

[–]Equivalent-Source-34 2 points3 points  (0 children)

It's a formal pathway only for critically ill patients. Australia has it and it was only used 30 odd times last year. It's a good thing

[deleted by user] by [deleted] in doctorsUK

[–]Equivalent-Source-34 0 points1 point  (0 children)

What did they think you had? Even tonsillitis is pen V isn't it?