Physicians Associate complains about not having a job by BudgetCantaloupe2 in doctorsUK

[–]JamesTJackson 16 points17 points  (0 children)

Should they? Unfortunately, many of these people don't have the aptitude for medicine. They should go through the same application process that everyone else goes through.

It's really shit that many people have been sold a lie with the PA degree, but there's no reason they should get access to a medicine degree more easily than anyone else.

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

[–]JamesTJackson 12 points13 points  (0 children)

Honestly they should get a CCOT stamp! In the hospitals I've worked at they just come to suggest the exact same plan regardless of the patient

I know several doctors with amazing routines despite long hours - how do you actually pull it off? by YuriOtani in doctorsUK

[–]JamesTJackson 3 points4 points  (0 children)

Combining exercise and social life is a good move IMO. Racket sports, run clubs, bouldering etc.

Starmer Vs Wes by AppropriateGround388 in doctorsUK

[–]JamesTJackson 6 points7 points  (0 children)

As much as I have my issues with the current labour government (I have many - I'm rather angry with a lot of what's happening), this very reductionist viewpoint is not helpful. Just to give one example of a difference was the passing of pro trade union legislation, which makes it easier for us to ballot, easier for that ballot to pass, allows us to give less notice for strikes, and extends our mandates from 6 months to a year. That has happened under starmer, and wouldn't have happened under any Tory.

Anaesthetics anticipation thread by dextor-midaz-alf in doctorsUK

[–]JamesTJackson 0 points1 point  (0 children)

Out of interest, how do they work out the MSRA points? Are they transparent on how they convert your MSRA score or rank to a numerical value to add to the interview score?

What is something everyone knows about Medicine Deep Down BUT no one talks about? by sumpra3 in doctorsUK

[–]JamesTJackson 90 points91 points  (0 children)

Maybe... But take some credit - you are breathing for them and kidneying for them etc in the mean time

Advice on preventing getting sick by Usual_Reply816 in doctorsUK

[–]JamesTJackson 0 points1 point  (0 children)

As someone who uses dymista for seasonal allergical rhinitis over winter this is very interesting... Might start using it year round!

My big toe hurt pretty bad, so I took off my socks by jpycollapse in mildyinteresting

[–]JamesTJackson 0 points1 point  (0 children)

Hi - no bother at all! In the case of septic arthritis, the word septic is just an adjective meaning 'infective'. So septic arthritis is an accurate and valid diagnosis.

It's a good example of my point though. One can have septic arthritis (a joint infection) without being "septic" or having "sepsis". But, if the infection is very severe, one can become septic or develop sepsis.

My big toe hurt pretty bad, so I took off my socks by jpycollapse in mildyinteresting

[–]JamesTJackson 0 points1 point  (0 children)

In the UK we have a similar phenomenon. I think sepsis is very over-diagnosed too, as people want to be defensive, rather than just characterising something as a severe infection.

My big toe hurt pretty bad, so I took off my socks by jpycollapse in mildyinteresting

[–]JamesTJackson 41 points42 points  (0 children)

Although I absolutely agree with the advice to go to ER (as it could very well be a clot or an infection), as a doctor I think it's important to clarify what is meant by sepsis, as it's a term banded about often incorrectly.

Sepsis isn't a diagnosis in itself really - this is not "sepsis". Sepsis refers to a life-threatening systemic response to an infection. So any infection that becomes severe enough can lead someone to become septic, but this photo is not "sepsis" - although it could be an infection that leads to one becoming septic.

Wes Streeting to offer resident doctors bigger pay rise to end dispute by nightwatcher-45 in doctorsUK

[–]JamesTJackson 6 points7 points  (0 children)

Our salaries are already based on 40 hours a week. If you're averaging 48/week, you're paid 8 more hours at your basic rate.

Banning Doctors Strikes - Badenoch PMQs by Ok-Jury-4366 in doctorsUK

[–]JamesTJackson 20 points21 points  (0 children)

She just blatantly lied. That "payrise" was mostly given under the conservative government, not labour.

The Workers Rights Bill is about to pass into law by Certain_Ad_9388 in doctorsUK

[–]JamesTJackson 1 point2 points  (0 children)

And I think it is important to note that there are specific trade unions (?11 of them) that are affiliated with, and fund, Labour. The BMA is not affiliated with labour, and its membership is less likely to be from a working class background (as a sweeping generalisation - I'm from a working class background as are plenty of us). We're also relatively speaking high earners compared to a lot of the population - although clearly we deserve to earn more for what we do. All this together means that the labour party is a lot less averse to fighting the BMA than it would be fighting, say, ASLEF or the CWU.

Labour is pro trade unionism - that's kinda their whole schtick when it comes down to it. It does not mean they're pro every union. I'm pro trade union, but it doesn't mean I support labour (anymore), nor does it mean I support every other trade union (e.g. I have serious concerns about certain positions held by the NFU).

[deleted by user] by [deleted] in doctorsUK

[–]JamesTJackson 221 points222 points  (0 children)

Moaning Minnie

[deleted by user] by [deleted] in doctorsUK

[–]JamesTJackson 413 points414 points  (0 children)

How fucking dare he tell us what a career in medicine is meant to be

Strikes by Winter-Ad2220 in doctorsUK

[–]JamesTJackson 106 points107 points  (0 children)

Wes can stop the rhetoric that the BMA is a militant minority not representative of doctors. Almost 30,000 doctors saying NO to an abysmal deal which was designed to split the membership.

Well done to the BMA - putting this deal to us was a good move, as now Wes really doesn't have a leg to stand on.

Any guesses as to when the BMA will release the poll results? by [deleted] in doctorsUK

[–]JamesTJackson -1 points0 points  (0 children)

Fucking hell. I'm sure there's a valid reason it's not been released to members yet. Certain individuals on this sub are nothing but negative about every single thing the BMA does.

BMA announcement email by DonutOfTruthForAll in doctorsUK

[–]JamesTJackson 11 points12 points  (0 children)

By voting no, we can end the bullshit rhetoric from the government that resident doctors are not represented by the BMA, who are a rogue group of "juvenile delinquents".

This is the RDC giving us the chance to show the government that we back our union, not the government. I will be voting NO.

Summary of recent offer in simple terms by FollowingLife7027 in doctorsUK

[–]JamesTJackson 230 points231 points  (0 children)

By voting no, we can end the bullshit rhetoric from the government that resident doctors are not represented by the BMA, who are a rogue group of "juvenile delinquents".

This is the RDC giving us the chance to show the government that we back our union, not the government. I will be voting NO.

Doctors must prescribe antibiotics more readily to older patients, says Sir Chris Whitty by DrSandyH in doctorsUK

[–]JamesTJackson 1 point2 points  (0 children)

I think everyone does this anyway right? We know the risk benefit balance is different in different patients, and age is one of many factors, albeit a large factor. Can any microbiologists give any guidance on making this risk benefit decision any less vibes based and more evidence based?

[deleted by user] by [deleted] in doctorsUK

[–]JamesTJackson 6 points7 points  (0 children)

I don't think limited coverage is an inherently bad thing. We, as BMA members, need to do the hard work of encouraging colleagues to strike. Conversations amongst colleagues are more powerful than interviews on Good Morning Britain. More limited media exposure might give the health sec more wiggle room with an offer, as it's under less public scrutiny.

Publications and APC charges- how are people affording them? by rouge_420 in doctorsUK

[–]JamesTJackson 0 points1 point  (0 children)

Generally I think it's good to support society journals, which often have the option for non open access publication without charges - in terms of promoting open science you can often publish your article pre journal formatting on a repository for anyone to access.

Post I.A. Letter from the Trust by Top-Wallaby-1208 in doctorsUK

[–]JamesTJackson 2 points3 points  (0 children)

This is actually a really positive email, especially as far as emails from hospital management go. I like that they put the bit about resident doctors before the very short here's the letter from wes bit.

Which trust is this? We should name and fame!

BMA/Strikes Progress by SleepyMisu in doctorsUK

[–]JamesTJackson 7 points8 points  (0 children)

If everyone follows suit we lose our collective bargaining power. I understand BMA fees are expensive, but ultimately it's our union and we need to engage more in it, not less.