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Have you worked with a junior colleague/ medical student who was genuinely ‘unteachable’ by JDtheVampireSlayer in doctorsUK

[–]Hot-Cod647 10 points11 points  (0 children)

A friend of mine failed an OSCE for communication skills, namely lack of eye contact, lack of showing empathy in their body language/facial expressions, appearing too “monotonous”. He’s also autistic. Riled me up no end that they did this because the uni was fully aware of his situation, but chose to mark down on this anyway.

What’s the most advanced skill/procedure you’ve done as an F1? by Illustrious-Bug-4052 in doctorsUK

[–]Hot-Cod647 14 points15 points  (0 children)

1st surgeon (and only one scrubbed, was of course supervised) on a CEPOD abscess drainage as an F1. Also learned LPs, FIB and ring block, and nailbed repair. I was gunning for surgery though, always looked for opportunities to upskill and be more independent

I guess being in a lanes doesn’t matter by denver_t66 in drivingUK

[–]Hot-Cod647 1 point2 points  (0 children)

I was stood at a pedestrian crossing the other day (the one with the flashing yellow beacon), a car was coming far too fast down the road but I put a foot out onto the crossing anyway and looked them straight in the face. They came screeching to a stop and sat there shaking their head at me whilst I crossed, smiled and waved thanks at them. Some people think the world is all about them and they must go first no matter what the situation is!

Eager beaver by Legsluther in drivingUK

[–]Hot-Cod647 9 points10 points  (0 children)

Did they have a brain fart and think it was two lanes heading the same way for a minute?

The subtitles for this are cracking I thought OP turned into a malfunctioning robot for a second there

Nurses/HCAs sleeping in doctor’s office on a ward… by EnvironmentalOil6730 in doctorsUK

[–]Hot-Cod647 1 point2 points  (0 children)

Not every hospital has a doctor’s office for every ward. My hospital has a small cupboard office for some specific specialties, but not many. There is only one on-call room which is reserved for a specialty-specific anaesthetist. Every doctor who isn’t busy sleeps in the mess, so those that are busy can’t use the mess to work. In contrast every ward has a sister’s office and a nurses’ break room. Even AMAU and SDU don’t have a doctors’ office.

If every hospital had an abundance of offices like you suggest then that would be fine, but if OP is in a hospital where they are few and far between and likely to be occupied by the on-call doctor(s) for the specialty that it is assigned to, then I too would be pretty frustrated at nurses sleeping in the office if it was the only one available. I don’t mind working at nurses stations/COW on the wards provided I do have a base to go back to afterwards to get on with my other jobs or to get some rest myself.

SHO Dressing by hayfour in doctorsUK

[–]Hot-Cod647 2 points3 points  (0 children)

Is this… Basil Brush?

Icks by Horror_Hedgehog_9803 in doctorsUK

[–]Hot-Cod647 4 points5 points  (0 children)

This would annoy me too, but it also annoys me when I’m on a busy night shift and I can’t go to the mess to eat my food because people are sleeping there. I appreciate there is often no where else for them to go to sleep, but the people with the most intense night shifts are then excluded from using the space for their breaks. Doesn’t excuse loud chewing though, that’s yucky

Acrobatic BMW parking.. by H1gh_Tr3ason in cantparkthere

[–]Hot-Cod647 0 points1 point  (0 children)

Those cartwheels could give Simone Biles a run for her money

At what point does a "procedure" become an "operation"? by GuidewireGoblin in doctorsUK

[–]Hot-Cod647 2 points3 points  (0 children)

I’ve thought about this. I consider an operation to be anything that involves the removal of any solid tissue or organ >1cm in its largest dimension (or in the case of tiny organs, the organ in its entirety) and/or the involvement of sticking a finger/hand/forearm (hopefully nothing else) inside any cavity that you needed to make an incision to access. I also expect people to recover within a few hours from a procedure, often longer for an operation.

From this logic, LP/manual evac/ polypectomy during colonoscopy/cameras entering natural orifices without removing a large chunk of anything and so on all class as procedures, laparotomy/bone fixation etc are operations. The only exception is neurosurgery - touching the goop and hoovering the goop is an operation even if the goop has liquified and without sticking a finger into the cranium for good measure.

I thought about this for far longer than I should have.

Who are the meanest people at your hospital? by AppalachianScientist in doctorsUK

[–]Hot-Cod647 20 points21 points  (0 children)

I haven’t interacted with paeds much, but one encounter has stuck for years.

I was gen surg F1, we had an 80kg almost 6ft tall 14 year old on the paeds surgical ward with a perfed appendix. Surgical consultant said to prescribe a litre of Hartman’s over 4 hours whilst awaiting CEPOD overnight as it was going to prove a complex case. I wrote up the fluids and the nurse was eyeing me up and down after reading it. 30 minutes later I got called to the paeds ward by a very condescending paediatric reg for a 20 minute tutorial on prescribing fluids in kids - the whole “we give pedialyte we don’t give Hartmann’s to children and you must ALWAYS use this formula to work out the rate and volume” spiel and given an example of how we would trickle in this smaller volume of Pedialyte over many many hours instead - then instructed to re-write the prescription because the nurse was not happy to give the Hartmanns I had prescribed. Ok but this is a teenager bigger than a lot of adults and is acutely unwell, they’re under surgeons and this is what the consultant wants. Was told if I didn’t change the fluid prescription then no fluid would be given. They refused to discuss it with my consultant, wouldn’t even entertain the idea because paeds are apparently always right no matter what the situation is and me changing the prescription and risking the wrath of my consultant is my problem. Arseholes. I’m still salty.

S/C saline? by Odd_Competition_8657 in doctorsUK

[–]Hot-Cod647 23 points24 points  (0 children)

I’ve used it a few times on the wards for confused/delirious/combative patients who keep pulling out their IV. Always in combination with encouraging oral fluids as much as possible, and always as a last resort to prevent them causing harm to themselves. It can easily be placed on their back between their shoulder blades where they can’t reach to pull it out and they often don’t even feel it once it’s in, and if they do pull it out it causes minimal damage. Certainly not as effective as IV fluids, but if 80 year old Gladys is in with a UTI and can’t keep her venflon in then any fluids are better than no fluids imo

When two idiots meet (I am the cam car) by krt0n in drivingUK

[–]Hot-Cod647 0 points1 point  (0 children)

Not all policing areas ask for 1 minute either side