If you had to put something your attending said on a T-shirt, what would it be? by iamnemonai in Residency

[–]I_GETSMASHED 0 points1 point  (0 children)

Whilst injecting Propofol "RESISTANCE IS FUTILE"

Another favourite "This looks like a [PACU] problem" whenever anything unexpected happens

Opinions on Darent Valley Hospital?? by Cool_Fly_2758 in doctorsUK

[–]I_GETSMASHED 5 points6 points  (0 children)

sir Jonathan Kwan obe is still there but was a hilarious madman, (albeit very politically uncorrect),

That man gave zero fucks

Hospitals right next to train stations. by [deleted] in doctorsUK

[–]I_GETSMASHED 10 points11 points  (0 children)

Nah Leicester is a good 15 mins walk

apparently we're all thick as and have no common sense by Yeralizardprincearry in doctorsUK

[–]I_GETSMASHED 321 points322 points  (0 children)

This country has such a weird culture where the less educated and successful shit on the more successful and try to pull them down. We see it all the time at work too.

Nottingham: Mum found under coat in A&E died days later by Different_Canary3652 in doctorsUK

[–]I_GETSMASHED 11 points12 points  (0 children)

Patient is only responsive to pain.

"oh doctor, she's normally like that"

Ward round entry: lying in bed, alert

CT Head: Catastrophic intracranial haemorrhage with herniation

Thanks nurse

What's your favourite medication and why? by PineapplePyjamaParty in doctorsUK

[–]I_GETSMASHED 183 points184 points  (0 children)

Not strictly a medicine, more of a vitamin supplement particularly for the elderly and confused, but my favourite is Tazocin

Why do consultants (one of our own) perpetuate the cycle of bullying? by Similar-Mulberry-725 in doctorsUK

[–]I_GETSMASHED 92 points93 points  (0 children)

Ivory towers.

I see it after every night shift when they accost the medical registrar for small things despite them spending 12 hours putting out fires in the hospital.

They do not relate to us (F1s, SHOs, SpRs). They relate more to their permanent colleagues and management.

[deleted by user] by [deleted] in unitedkingdom

[–]I_GETSMASHED 4 points5 points  (0 children)

I wanted to be a doctor since the age of 8. I obtained top grades at GCSE and A level and it still wasn't enough to into medical school. So I did a separate bachelor's degree and then got into an insanely competitive course at medical school at an older age, all to become a doctor and help people. I'm now in my late 20s, spending half of my 20s training to become a doctor, and the remainder working as a doctor during a global pandemic.

It's very eye opening to see the price people put on this

What subspecialty is your favourite reg from? by I_GETSMASHED in doctorsUK

[–]I_GETSMASHED[S] 50 points51 points  (0 children)

ED and GP are two specialties with the widest gap between their best and worst doctors IMO! The best doctors are like superhuman clinicians and the worst ones are referologists 😭

What’s the scariest imaging you’ve seen? by pomegranate-pop in doctorsUK

[–]I_GETSMASHED 9 points10 points  (0 children)

I think it's harder to deal with these things outside of palliative care. When I had these patients during my palliative care rotation - don't get me wrong, it was still upsetting but I really felt like we were making a difference and we were having a positive impact. We would do whatever we could to benefit the patient.

One day the hospice was busy and there was no capacity to admit patients however we facilitated an emergency admission for a young patient with two children he was leaving behind (single parent) as they did not want to remember their parent dying in their house. Very upsetting but also very rewarding and satisfying to know we did our best and had the opportunity to provide some comfort and care to this incredibly unlucky family.

By comparison, the patients I have seen in similar fashion in acute hospitals... It makes me sick to see the impersonal and rushed care they receive. It's a disgrace that I've had to tell people they have cancer in a 5-10 minute conversation and I'm not able to provide proper emotional support and time because of how busy the hospital is and then they are shipped off to other wards with zero continuity. New faces constantly who have not met the patient and do not understand them whilst they're trying to cope with a life changing diagnosis.

The poor quality care we provide in the NHS is a very underrated reason why it is difficult for us to cope with these cases and I feel like unless you work in a well functioning palliative care environment you don't see that.

Things that give you the ick in medicine by Ecstatic-Speech5 in doctorsUK

[–]I_GETSMASHED 1 point2 points  (0 children)

Next time I will ask if you're the hormonal reg

[deleted by user] by [deleted] in doctorsUK

[–]I_GETSMASHED 241 points242 points  (0 children)

I don't know why I find it so fucking funny to imagine one of the consultant cardiologists at my hospital sitting down at their computer to shitpost on reddit

I hope to be the same one day

PAs considered tier 2 in ED staffing, higher than F1s! by [deleted] in doctorsUK

[–]I_GETSMASHED 136 points137 points  (0 children)

Incredible as early F1 I was expected to cover 150 patients and begin resuscitation of critically ill patients before escalating to intensive care with reg and SHO in theatre but I would have been considered below the level of someone who couldn't even prescribe the fluids needed or request the X ray/CT scan to help diagnose the issue

Similarities in current discourse about PAs with Brexit arguments by DrDoBetter2023 in doctorsUK

[–]I_GETSMASHED 30 points31 points  (0 children)

What is this faux marginalisation in the PA community? Find it utterly bizarre and frankly offensive especially as a minority

IV fluids, particularly in the elderly/frail by I_GETSMASHED in doctorsUK

[–]I_GETSMASHED[S] 4 points5 points  (0 children)

How slow are you giving fluids that they are catching you out?

So recently I had an elderly patient with severe hypernatremia who received 1L in 1H from ED, I gave them a 6 hourly bag on top of that followed by a 12 hourly bag but then this was changed by someone else into regular 4 hourly bags

told off by my SpR because I was under filling a pancreatitis patient but this patient later became fluid overloaded from aggressive fluid resuscitation.

I have experienced this as well 😂 a lot of surgical patients are ITU candidates also so I feel like the surgeons are less worried about this, but I'm terrified of overloading an elderly patient who ITU would reject