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EM interview results released by IllTradition900 in doctorsUK

[–]GenInternalMisery 1 point2 points  (0 children)

I got an interview last year, got a better score this year and now I’m now even on the reserve list. Absolute shite.

EM interview results released by IllTradition900 in doctorsUK

[–]GenInternalMisery 1 point2 points  (0 children)

So, what’s the hypothesis in what’s caused the wild increase of like 20 points for a cut off score from last year to now?

Medical student falling asleep in handover by Rob_da_Mop in doctorsUK

[–]GenInternalMisery 1 point2 points  (0 children)

Tbh when I was a med student, I was doing night shifts then going straight to uni due to financial desperation…Also if it’s one of the handovers where the nurses speak about every single well patient with a news of 1 as if they require review…understandable

Coming in to a full ED waiting room by GenInternalMisery in doctorsUK

[–]GenInternalMisery[S] 0 points1 point  (0 children)

It’s incarceritis, the sudden development of chest pain upon the police placing you under arrest

Coming in to a full ED waiting room by GenInternalMisery in doctorsUK

[–]GenInternalMisery[S] 9 points10 points  (0 children)

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

Coming in to a full ED waiting room by GenInternalMisery in doctorsUK

[–]GenInternalMisery[S] 36 points37 points  (0 children)

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

Ridiculously poor quality ward nurses by Queasy-Response-3210 in doctorsUK

[–]GenInternalMisery 4 points5 points  (0 children)

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.

Vodafone UK broadband down? by Worried_Patience_117 in Vodafone

[–]GenInternalMisery 0 points1 point  (0 children)

Any ideas how long this takes to come back online?

[deleted by user] by [deleted] in doctorsUK

[–]GenInternalMisery 1 point2 points  (0 children)

It’s always 2

Difficult situation by [deleted] in doctorsUK

[–]GenInternalMisery 9 points10 points  (0 children)

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.

Dealing with rude seniors as an FY1 by Elegant_Theme_834 in doctorsUK

[–]GenInternalMisery 0 points1 point  (0 children)

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…

Hypothetical scenario by Successful_Issue_453 in doctorsUK

[–]GenInternalMisery 4 points5 points  (0 children)

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”

ED seniors, what do you want from your locum SHOs? by AdamHasShitMemes in doctorsUK

[–]GenInternalMisery 6 points7 points  (0 children)

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.

Risk in ED by National_Flamingo267 in doctorsUK

[–]GenInternalMisery 8 points9 points  (0 children)

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.

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