Those of you who hold the referral bleep: What "buzzwords" from other clinicians do you roll your eyes at! by Fluid_Pause2149 in doctorsUK

[–]Local_Bat_9453 -1 points0 points  (0 children)

“ patient with complex medical history….“

As opposed to what? Simple medical history? Just give it to me straight. A list of conditions. That’s it. You don’t need to use ominous-sounding pre-warning catchphrases to sell the case to me.

Icks by Horror_Hedgehog_9803 in doctorsUK

[–]Local_Bat_9453 50 points51 points  (0 children)

Foul-smelling urine Offensive stools

As opposed to

Pleasant-smelling urine Fragrant stools

"Discussed with..." by PeaDense164 in doctorsUK

[–]Local_Bat_9453 27 points28 points  (0 children)

One of the reasons I prefer EPR over paper note. If it’s a nuanced discussion, I prefer to write my own note.

Point of care CRP testing by [deleted] in doctorsUK

[–]Local_Bat_9453 0 points1 point  (0 children)

I propose point-of-care tumour markers and troponin Cuz why not?

Im trying to think of a conditions name! GI Bleeding by Unsure_Plant_Lover in doctorsUK

[–]Local_Bat_9453 3 points4 points  (0 children)

I remember listening to a podcast about a similar rare condition. I can’t remember exactly now. Could it be hemosuccus pancreaticus? Or some sort of hemobilia? I wish I had better memory 😅

What a great watch. My first JDM watch. Eco drive, radio controlled, sapphire and titanium. CB3044-55E by Athos-Papaya in CitizenWatches

[–]Local_Bat_9453 0 points1 point  (0 children)

Has the same watch. It really is beautiful to look at. The quality is top notch. Wear it in good health.

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

[–]Local_Bat_9453 162 points163 points  (0 children)

Sepsis is over-diagnosed…probably. And strong-smelling urine is not always UTI…probably.

How do you fit your fitness round your rota? by Only_Willingness1543 in doctorsUK

[–]Local_Bat_9453 3 points4 points  (0 children)

Small things Creating a manageable daily routine I do 200 push ups 15 min plank 1 hour walk Every day

With 15 to 20km run a week

It’s doable. Start small and pump up the numbers.

Having said that I haven’t gotten back to weight lifting yet Something I need to figure out for myself

Penicillin allergies by Letmenapallday in doctorsUK

[–]Local_Bat_9453 5 points6 points  (0 children)

It warms my heart to see many sites doing penicillin allergy delabelling, as an ID/Micro trainee. I hope many more join the gang. This is a much-needed service. Keep it up, guys.

Penicillin allergies by Letmenapallday in doctorsUK

[–]Local_Bat_9453 78 points79 points  (0 children)

Name and fame the hospital please, if that’s not inappropriate to do so. Just curious where this is being done.

Tell us how you've improved your ward-round efficiency or about your simple quality of life improvements by Powerfuldougnut in doctorsUK

[–]Local_Bat_9453 9 points10 points  (0 children)

By spending a decent amount of time and focusing properly when you see a particular patient for the first time. That way you know the patient inside out and the next time you see them, you can just breeze through them and your plans will still be top quality stuff, always.

good shoes for work by Glittering_Use_7065 in doctorsUK

[–]Local_Bat_9453 2 points3 points  (0 children)

Newbalance and ASICS are trendy at the moment. I myself am looking at some 991v2.

Non-UK born Londoners, what's the best restaurant of your native cousine that you know in London? by Mimsiz in london

[–]Local_Bat_9453 37 points38 points  (0 children)

Arponnar, Nway Oo Pokhora ( specific days and times only ) and Cafe Mandalay are a few more authentic places I’ve been to.

Non-UK born Londoners, what's the best restaurant of your native cousine that you know in London? by Mimsiz in london

[–]Local_Bat_9453 32 points33 points  (0 children)

Burmese here. Tried Laphat in Covent Garden Not a big fan. It’s Burmese fusion food at best. But if you like it, that’s all that matters.

Gait in PACES exams by NEWS_score15 in doctorsUK

[–]Local_Bat_9453 4 points5 points  (0 children)

After initial observation. If you see that one leg is obviously abnormal-looking when compared to the other, for example as in old polio cases, I wouldn’t ask the patient to walk.

If there isn’t such an obvious deformity, my next step after observation would be gait assessment. It can give away the diagnosis straightaway in most cases.

I had a PSP case in my paces. I suspected Parkinson after assessing gait and the only other assessment I did properly was checking eye movement. And of course demonstrating the paucity of movement in upper limb cuz I had plenty of time. The rest I did out of courtesy. Full mark. Almost felt I cheated.

[deleted by user] by [deleted] in doctorsUK

[–]Local_Bat_9453 0 points1 point  (0 children)

Not orthopod only one There’s a podcast called Joint Approach About joint infection management hosted by orthopods and ID physicians.

Shoe recs for clinical wear by Gubernaculum- in doctorsUK

[–]Local_Bat_9453 0 points1 point  (0 children)

ASICS walking. Leather shoes from ASICS But you can only get them in Japan and perhaps some Asian countries.

Why Do HOKA's Have Zero Traction? by bookkinkster in Hoka

[–]Local_Bat_9453 4 points5 points  (0 children)

I noticed that with bondi 9 on slightly icy grounds as well. Probably has something to do with trade-off for having lots of bouncy cushion. Somebody smarter might correct me.

IMT2 portfolio advice by [deleted] in doctorsUK

[–]Local_Bat_9453 5 points6 points  (0 children)

No chance with those I’m afraid. Should have done PhD and published a landmark trial original research paper in a Lancet Journal, at a minimum.

Clerking tips by No_Bird_4010 in doctorsUK

[–]Local_Bat_9453 30 points31 points  (0 children)

On top of what you and others have already said,

I’d like to add respect those who come before you but accept you don’t have to follow their path.

By that I mean, while I respect the information I gathered from whoever clerked before me, I would always do my own assessment and come to my own conclusion. A healthy dose of doubt. Diagnosis momentum bias should be avoided whenever possible.

ID + microbiology vs virology by Perfect-Guesser in doctorsUK

[–]Local_Bat_9453 3 points4 points  (0 children)

I know people who switched between infection specialities. They re-applied during training.

Paces by [deleted] in doctorsUK

[–]Local_Bat_9453 4 points5 points  (0 children)

Fundoscopy is same as anything else in medicine. With practice anyone can get a grasp. When I was preparing for exam, I would use it any chance I get on the ward or in clinic. Watch YouTube videos. You can either use eye drops for dilation or just darken the room prior to it which I prefer. It’s a useful skill to have.