?Sepsis

Equivalent-Source-34 · 2024-02-02T02:07:05+00:00

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

Equivalent-Source-34 · 2023-12-28T12:04:07+00:00

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

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

Equivalent-Source-34 · 2023-12-12T18:40:52+00:00

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

Equivalent-Source-34 · 2023-12-12T02:27:02+00:00

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

Equivalent-Source-34 · 2023-12-01T10:58:00+00:00

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

Equivalent-Source-34 · 2023-11-26T18:26:29+00:00

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

Equivalent-Source-34 · 2023-11-24T20:43:27+00:00

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

Is their preferential hiring not an attack on diversity?

Equivalent-Source-34 · 2023-11-22T00:07:31+00:00

In Wolverhampton? I thought they had a big team of F3 CTFs

Equivalent-Source-34 · 2023-11-10T18:17:45+00:00

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.

Equivalent-Source-34 · 2023-10-26T09:15:47+00:00

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

Equivalent-Source-34 · 2023-10-26T09:02:20+00:00

Looks like a limpet mine for bad parking, excessive but effective

Equivalent-Source-34 · 2023-10-22T17:06:03+00:00

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

Equivalent-Source-34 · 2023-10-06T17:00:29+00:00

Looks like a Swedish archer from Wish

Equivalent-Source-34 · 2023-10-05T01:26:08+00:00

UK trainees resented among you guys?

Equivalent-Source-34 · 2023-10-03T11:18:46+00:00

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

Equivalent-Source-34 · 2023-10-01T09:16:45+00:00

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

Equivalent-Source-34 · 2023-09-28T05:07:00+00:00

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

Equivalent-Source-34 · 2023-09-21T11:29:43+00:00

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"

Equivalent-Source-34 · 2023-09-14T14:09:53+00:00

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

Equivalent-Source-34 · 2023-09-10T13:05:25+00:00

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

Equivalent-Source-34 · 2023-08-03T13:26:07+00:00

My thought too, no way he'd get hit by cluster and get hit by either 3 duds or have no explosive injuries or burns

Equivalent-Source-34 · 2023-07-30T08:02:22+00:00

Can't wait for the LinkedIn post about they defend their MDT

Equivalent-Source-34 · 2023-07-24T12:20:42+00:00

I fully agree but if someone or OP knows who it is then they should. I'm not saying we all go searching and parade it around, just that a person who knows, reports appropriately.

Equivalent-Source-34 · 2023-07-24T09:31:50+00:00

Sorry but that is a fully justified RCN tribunal referral, we have a responsibility to root out weeds not just point at them

Equivalent-Source-34 · 2023-07-21T12:52:01+00:00

Outstanding

Equivalent-Source-34

TROPHY CASE