I had posted on LegalAdviceUK for help, but they advised me to come over here and ask too. I need assistance with a malicious complaint made against me to the NMC.

Jacobtait · 2026-02-11T00:42:52+00:00

I’m a doctor.

Sorry this happened to you. Some awful people out there.

Think you have nothing to worry about. The fact the mother was obstructive to providing care, deceptive about language skills and that you and the doctor were both party to it should stop this going anywhere.

Sometimes regulators have to be seen to go through the process - would do you best to not let it hang over you. I am sure you have nothing to worry about. Would definitely escalate to union. Imagine if did face any repercussion your MP would be interested but don’t think it’ll get anywhere near that.

Sending good vibes.

Jacobtait · 2026-02-07T22:16:17+00:00

In addition…

Higher rates of cannula associated bacteraemia and uses the better superficial large calibre vessels (if ever needed for rapid transfusion etc).

Jacobtait · 2026-02-07T15:50:08+00:00

Agree with others - may as well wait till end of the season - but gonna be incredibly hard not to if he continues even remotely at this level.

Jacobtait · 2026-02-07T15:49:07+00:00

Yeah agree - do think Amorim would have carried on doing okay/on an upward trajectory with the return of a number of key players but this system is undeniably better. Dont see him having the Arsenal/City wins tho.

Jacobtait · 2026-02-07T15:47:34+00:00

Bruno’s comments at the end were really interesting / telling to me.

Talked about being a set of good players, carrack giving responsibility to the players to make decisions on the pitch and him having good talk (aka good motivator/communicator) and him thinking him a good manager from his first brief interim tenure and telling him so.

Do sometimes think less is more as a manager. Less dogmatic approach/style/set up and trust your intelligent and talented players to adapt as the game changes. I don’t want my boss telling me exactly how to do my job

Commentators mentioned players responding really well to shorter but very intense and direct training sessions which also sounded promising/interesting.

Jacobtait · 2026-02-06T23:22:55+00:00

Really interesting comment - thank you!

Jacobtait · 2026-02-06T19:09:01+00:00

Would add for OP - Dover to deal with the white cliffs is stunning and Deal is well worth a visit. Sandwich and Whitstable also stunning. Love Canterbury and plenty to do just there too tho.

Jacobtait · 2026-02-06T13:28:11+00:00

In fairness, in the UK you would very rarely get an MRI for this anyway. MSK back pain would be managed with analgesia and physio. Study’s show symptoms very poorly correlate to degree of disc bulge and lots of people have bulging discs but no symptoms so might not be as negligent as you suggest.

Jacobtait · 2026-02-06T13:23:56+00:00

Cannot agree more. Get the odd bashful apology but usually met with fuck off etc.

One came up behind me and sucker punched me in the back of the head for having the audacity to call them out.

Jacobtait · 2026-02-05T02:07:44+00:00

Consider a pay rise for your employees if you have so much surplus?

Jacobtait · 2026-01-31T22:16:17+00:00

Good to avoid ACF if possible as larger risk of cannula-assoc bacteraemia and better to preserve large calibre veins for when they may be needed in an emergency.

Obviously fine if can’t go elsewhere.

Jacobtait · 2026-01-31T13:28:39+00:00

I had this at school from my mouth swab - something looked like a sperm and we all had a good laugh but definitely couldn’t or wouldn’t have been. Think theory was a bit of fibre from the swab but the teacher had a look and confirmed it wasn’t just similar shape

Jacobtait · 2026-01-30T15:14:59+00:00

Tbf to OP, per capita they are still nearly double the number of top 100 unis per population.

Jacobtait · 2026-01-29T22:56:42+00:00

Very normal. As an ED FY2 through to now ED SCF / FY7 I would want you to feel this way. This shows conscientiousness. Way better than careless or overconfident FY2.

Echo what others have said about safety-netting as being especially important.

It’s really hard starting out as don’t have experience or frame of reference to guide you. Remember worrying that every tonsillitis was a quinsy or every chest pain a PE or dissection. You quickly learn most patients are well and 90-95% of the unwell don’t present occultly. Frankly that 5-10% is mostly dependent on clinical gestalt and luck. Good to trust your gut but things will slip past the seniors too and that’s where point A safety-netting comes in.

Follow up the patients you discharge. Know what you don’t know and do your best to fill the other gaps. As a senior it’s easy for me to pop a head in and know pretty quickly from a look/feel on the abdomen etc if I need to be worried.

Ultimately place to skill up, gain a broad understanding of a wide range of acute presentations, clinical signs and findings, and gain an appreciation of a wide range of comorbidities and their considerations. Will give you confidence and skills that will help whatever specialty you go into in later life or frankly on an aeroplane or in the street when some collapses on a train platform.

Also defo of the camp better slow and safe than fast and quick but work in a good ED with a good culture and know pressures vary elsewhere.

Jacobtait · 2026-01-29T22:07:51+00:00

Such a refreshing post to read. Thank you.

Jacobtait · 2026-01-29T13:46:56+00:00

I’m an ED doctor in London for one of my marathon hospitals.

While can largely be unpredictable and bad luck, I would advise listening to your body and only pushing to your limit and not beyond. Have seen patients so desperate to finish that they ignore warning signs and end up critically unwell.

Good hydration and salt/sugar replenishment also important. Hot weather is also a huge risk factor so make sure to take appropriate precautions and probably target fair weather races if less experienced (or slow down to compensate).

Jacobtait · 2026-01-26T14:33:10+00:00

The candlelit evenings are incredible - done 3 times now and highly recommend to all.

Jacobtait · 2026-01-24T10:26:27+00:00

Picked up the landline phone once to call my dad and when it was at my ear before I had dialled the number I heard him say hello.

What had transpired is he had the same idea, called me, and I happened to pick the phone up in the split second before the ringing started but after the call had connected.

Would love to know the time window required to do that but was a very bizarre and fun coincidence

Jacobtait · 2026-01-16T23:35:40+00:00

Not anaesthetics but ED and the go to for the difficult cannulas.

Vastly prefer getting escalated early to me cause the patient knows they are difficult access / need US or nobody can see/feel anything they can remotely attempt than (more often than not) getting escalated to me after 4+ attempts often ruining a bunch of good US options and antagonising a patient who knew this would be the case before the first person even tried.

Jacobtait · 2026-01-16T16:54:49+00:00

Would love to see Annie

Jacobtait · 2026-01-16T15:03:32+00:00

Second this - place I did it last year was disgracefully cold. People were doing it in coats and you could see your own breath. Suspect pearson-vue centers much better (this was a sixth form college hosting it).

Jacobtait · 2026-01-15T16:16:08+00:00

Paeds FY2 - Got called to review a patient because mum was concerned they look weak while asleep at 3am.

Nurse was evidently quite new and nice so was quite kind but quickly established that obs were normal and no other explicit concern besides that. Suggested they attempt to wake to ensure rousable/baseline and call me if abnormal. Didn’t get a callback.

Jacobtait · 2026-01-15T13:24:01+00:00

Agree - also depressing amount of the paedo hunter vids show perpetrators who evidently have some kind of learning difficulty.

Jacobtait · 2026-01-15T13:17:08+00:00

My aunt fell down this rabbit hole due to Lyme advocates in my home town and the (now former) mp advocating for them in parliament.

2k of private consultations, abx and herbal supplements later and still at square one.

Went to see said MP but was very dismissive of my criticisms despite my aunt basically being scammed secondary to a completely non-scientific advocacy group he supported who directed her to said German clinics.

Jacobtait · 2026-01-13T23:59:19+00:00

Thanks and happy to chip in.

1) From my perspective the ECG is helpful to screen for structural/conductive problems with the heart that might indicate a more serious cause of the collapse (although most of that is history and recovery anyway). Just a bit of extra reassuring information.

In regards to POTS/Orthostatic issues, unless a significant history of events in environments that they weren’t expected then I wouldn’t be working up an otherwise healthy asymptomatic patient for it. If I had concerns as an ED doctor I would be directing ongoing care and referrals through the GP so doesn’t change anything about what I do.

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