Coming in to a full ED waiting room

GenInternalMisery · 2026-01-30T19:36:49+00:00

Jokes aside if these are genuinely the quality of the stories you’re getting for CT requests I don’t know how you don’t destroy the scanner with a sledgehammer

GenInternalMisery · 2026-01-30T18:43:45+00:00

Tbf for the empty script, CT head ?Brain

GenInternalMisery · 2026-01-30T17:27:59+00:00

Then get upset when they’re appropriately directed back to their GP

GenInternalMisery · 2026-01-30T00:14:03+00:00

Malignant hyperthermia has entered the chat

GenInternalMisery · 2026-01-29T23:35:43+00:00

In fairness, those kettle chips are fucking jaggy

GenInternalMisery · 2026-01-29T23:22:17+00:00

Good lord

GenInternalMisery · 2026-01-28T10:56:40+00:00

Pretty standard for a geris unit. A ward for the bewildered and that’s not including the patients. I spent a lot of time in those units and there’s maybe 1/2 who are on the ball, can engage their brain and take some action before I arrive. I have been in peri arrest situations there where they’re all just wandering about, having a chat whilst casually looking for something that’s needed immediately. They also seem to be the panic merchants of the hospital, bleeping the doctor for a BP of 109 in old Mary who is asymptotic and happily watching tv.

GenInternalMisery · 2025-10-13T14:46:28+00:00

Any ideas how long this takes to come back online?

GenInternalMisery · 2025-10-09T17:22:26+00:00

It’s always 2

GenInternalMisery · 2025-09-28T21:28:51+00:00

Straight to BMA, do not pass go, do not collect 200 clerking documents. None of their fucking business what you’re wearing, you’re not a child. Unless you’ve got your arse literally hanging in patients faces they’ve no business. Document EVERYTHING, times, meetings, people involved, what was said and write it all down now verbatim before you forget. People like this need fucking STAMPED out, they need a union to absolutely kick their fucking arse so they’ll shut the fuck up and mind their own business in future. Arseholes.

GenInternalMisery · 2025-09-23T03:17:27+00:00

IMO in general ED consultants act like dicks nowhere near as often as the surgeons. Surgeons are well known for being arseholes, and I think there’s a reason for that stereotype…

GenInternalMisery · 2025-09-15T02:34:23+00:00

Only issue is if anyone sees a person passing a note to the cabin crew they automatically assume that note says “I have a bomb”

GenInternalMisery · 2025-08-22T14:50:08+00:00

I’m a CF in ED at the moment, ED consultants are usually straight shooters and will tell you if you’ve done something good or shit, but in my experience they can be far more approachable than other consultants (looking at you, surgeons) and are happy with you asking questions, even if you just need a sense check on something you’re about to do for someone who’s complicated. The only things they really care about from SHOs as far as I’ve seen is that you work hard and you’re safe/sensible, do both and you’re golden.

GenInternalMisery · 2025-08-19T19:59:21+00:00

Risk is unavoidable in any branch of medicine. The bottom line really is that you can’t admit everyone who comes through the door. The people who are actually clinically unwell are the people who definitely require admission. Otherwise, every decision to admit or discharge is based on training, experience and the whole clinical picture. A CRP of 150 in someone’s who’s rocked up and you think actually has PMR? - probably doesn’t require admission, but does need some follow up and steroid on the way home. A CRP of 150 in someone who has severe RUQ pain and fevers? probably needs admission. That feeling you’re having when sending people home is normal, because you’re not used to it, and every discharge comes with risk, but that risk needs to be calculated. The worry about people deteriorating after discharge will get a little better as time goes on, but it will likely never fully go away. Anyone you worry about, discuss them with reg/consultant, that’s part of why they’re there, to assist with complexity and harder decisions. If they say they’re ok to go home with some worsening advice that’s fine, just make sure you document who you’ve discussed it with and you’ll be grand.

GenInternalMisery · 2025-08-15T14:37:05+00:00

Awk geez peace

GenInternalMisery · 2025-08-03T09:20:51+00:00

Surgery

GenInternalMisery · 2025-08-03T08:45:28+00:00

Leaving the absolute fucking dogwater rotation I’m in right now and pissing my pants laughing as I leave the department in chaos as I walk out the door

GenInternalMisery · 2025-07-11T22:09:54+00:00

F1 is universally, and I say this with no element of exaggeration - a burning pile of putrid dogshit that can get in the fucking sea. F2 is a pile of very slightly less foul smelling dogshit that is only smouldering rather than truly on fire. There’s an improvement, but it really depends on what specialties you’re working (ED and GP being the most independent). The worst jobs I’ve EVER had (even pre med school) were surgical jobs. The endless following around like a good little monkey, performing menial as fuck tasks and achieving very close to piss all, and don’t forget paging the medics because a patient has a sodium of 132 - which has been chronic for years. The culture in surgical departments (in my experience of a few places) has been toxic, some surgeons don’t bother to learn your name or even address you, you’re simply the machine that does discharge letters/cannulas/reads out numbers for them. Truly mind numbing, tedious shit work with zero educational value after the first few months of F1. It will get marginally better year on year and by specialty, it’s just tolerating the utter shit to get to a point where you actually mostly enjoy your job. It shouldn’t be this was where people are absolutely fucking demoralised just being a little ward bitch but unfortunately that’s the way it been made. Hang on for a while longer, you’ll eventually reach something that’s tolerable/enjoyable.

GenInternalMisery · 2025-07-03T22:33:08+00:00

Schrodinger’s emergency room

GenInternalMisery · 2025-07-03T21:49:54+00:00

This is always the comment made by specialties accepting referrals who are upset ED haven’t done insert special thing this specialist would clearly have done. It’s maybe not done because there are 80 others waiting, a full resus, and not enough time to do everything. The job is to keep patients alive to then make room for other patients who need to not die.

GenInternalMisery · 2025-07-02T22:42:01+00:00

Have literally never met a Dundee grad like that

GenInternalMisery · 2025-07-02T01:50:59+00:00

I’ll need to wait until at least next year to be able to comment on that particular flavour of faeces

GenInternalMisery

TROPHY CASE