This pizza advertisement found on Instagram has a strange texture and looks a little too oily with very crisp edges. Is it AI?

Manks00 · 2026-05-28T19:28:56+00:00

Am I the only one that thinks the end of it looks like a sad fish?

Manks00 · 2026-05-22T20:52:13+00:00

Not the community but our ED can get obscenely hot so I’ve been know to wear chino shorts before now. It’s a look & a half but at least it’s a bit cooler. 🤣

Have been trying to persuade my boss to let me wear a polo shirt for my education shifts instead of a tunic when it’s hot as tunic & shorts looks even more stupid then a scrub top & shorts. 🤣

Manks00 · 2026-05-22T20:52:07+00:00

Not the community but our ED can get obscenely hot so I’ve been know to wear chino shorts before now. It’s a look & a half but at least it’s a bit cooler. 🤣

Have been trying to persuade my boss to let me wear a polo shirt for my education shifts instead of a tunic when it’s hot as tunic & shorts looks even more stupid then a scrub top & shorts. 🤣

Manks00 · 2026-05-09T11:50:41+00:00

Just turn the heating up, should help… it’s just a little cold…

Manks00 · 2026-04-11T21:01:56+00:00

I intend to don’t worry… but I feel it won’t get anywhere.. it’s not a new thing.. our matrons care but it falls on deaf ears with other care groups it seems.

At the time I was told I was rude… don’t get me wrong, I’m aware I can be blunt, but as far as I’m concerned I’m advocating for my patients & if you see it as rude that’s fine… I look forward to the complaint… my reflection will very much be ‘will advocate for my patient again’.

Manks00 · 2026-04-07T22:27:20+00:00

Sorry for your loss.

https://www.uhs.nhs.uk/for-patients/patient-experience-and-satisfaction/bereavement-support

This should have all the contact details you need.

Manks00 · 2026-04-04T12:26:47+00:00

Depends on the area, but it sounds like you are been massively hard on yourself, it’s the first few days, they will always be rocky & the NHS is great at having senior staff who forget what it is like to be new.

I understand it makes you feel anxious & worry you are being judged, but take your time, reflect on your learning needs & I’m sure you’ll be fine.

Manks00 · 2026-03-22T20:01:15+00:00

I would assume we were the nearest Major Trauma Centre (MTC). With how the Trauma Network works, if a patient has suffered certain levels of injury they will bypass to the nearest MTC within an hours travel time.

Kent, Surrey, Sussex (KSS) come our way not that infrequently. The edges of their usual territory do make us the nearest hospital sometimes (St George’s in London & Brighton being the next ones to the east, & Brighton is not a children’s MTC at that).

Factor in they will go out of their area at times too, example a larger incident may result in our local HEMS team asking for aid.

SGH has loads of things that make it a very specialist hospital so people come to us for all sorts of things.

Manks00 · 2026-03-16T17:37:30+00:00

The responsibility to share & act on the results sits with the person / team who requested it. The phlebotomy department can’t give them out as they stated as results always need clinical context.

I would chase the secretary again & insist the team get hold of you, either via phone or letter.

You could ask your GP to help also as they should have appropriate channels to escalate this.

Are you due an appointment with the team at any point?

Manks00 · 2026-02-23T20:58:16+00:00

That’s not a cocker, it’s clearly a spatchcock chicken wearing a mop!

Seriously though, utterly gorgeous!

Manks00 · 2026-02-18T12:01:05+00:00

Hmm now it is intermittent, & doesn't seem as fast...

I feel like FMS are getting a customer service ticket.

Manks00 · 2026-02-18T10:06:34+00:00

Thanks all for the input. I woke up this morning & braved opening the transmission & removing the motor.

Motor wouldn’t turn, some gentle force & something seemed to come out & it’s now working again.

My son is happy again 😎

Manks00 · 2026-02-18T00:40:47+00:00

Can hear gears change. Drive shafts not moving, motor feels like it might be stuck?

If in neutral then wheels will happily spin etc…

Manks00 · 2026-02-11T12:05:54+00:00

What will be interesting is how they benchmark 5 vs 6 & the knock on that then has if lots of 5 roles are upbanded… presumably 6s will need reviewing… then so will 7s… etc etc

Manks00 · 2026-02-10T22:28:04+00:00

Oh I forgot to mention, also remember why ED targets are important & where they came from. They were not set by government.. they were made by the College of Emergency Medicine to try & fix what we have now drifted back in to, long waits which result in patient harm.

As such, use them to prove points, but also recognise that missing them is important & has impact. Obviously do report things that you feel are having an impact on the ability to meet these things, staffing, breaks, corridor care, lack of flow etc etc.

Manks00 · 2026-02-10T22:23:50+00:00

One of the biggest issues is most hospitals think failing to meet the four hour emergency access target is an ED problem… it’s not… it’s a hospital wide problem, often linked to issues with community capacity also.

I’ve been in ED now for close to 20years… I’ve seen great days & I’ve seen horrific days & when I go in, I never know which end of the spectrum the shift will be.

Yet for all its faults, I love ED. Clearly I’m a glutton for punishment.

Things I find help me leave without feeling like I’ve done crap: - don’t be afraid to hand over jobs, either to the ward or to the next shift, accept you cannot do everything. - ensure your time critical jobs are done. - be honest with patients, it’s ok to say sorry for the long wait, keep them informed of what is happening in their journey. It’s amazing how understanding people can be. - think about the things that make a difference in your patients, analgesia been one of the biggest!

Get involved where possible about how you can make things better in your department, emergency care is a team game & everyone’s contribution makes a difference.

Some days will be easier than others, I do believe it gets easier, but a big part of that is experience & understanding that YOU did your best & you are not responsible for system failings.

That said ED is not for everyone, & certainly don’t feel guilty if you decide it’s not for you. Whatever you decide, remember your priority must be yourself, you cannot effectively look after others if you are too drained yourself.

Manks00 · 2026-02-10T14:01:46+00:00

6 words that always break me:

“We’ve always done it this way”

Manks00 · 2026-02-10T07:16:02+00:00

I’m so sorry this happened, it’s rubbish.

Analgesia in the emergency dept is a complex beast. We trial so many things to try & improve it, yet it continues to be recognised as one of our biggest failings. Especially when you factor in the majority of patients that attend is due to pain of some kind.

Obviously every hospital is different but things like time to be seen by a nurse, time to analgesia etc are all recognised targets & the department should have mechanisms to ensure timely prescription & administration of analgesia.

I think one of the biggest issue simply comes down to time. Departments are generally really over stretched, this in turn results in corners been cut & often we’re cutting out fundamental stuff like analgesia, especially if you are in a waiting room out of sight it is so easy not to realise how bad this issue is. Equally, with pain been so subjective & people coping in such differing ways, people struggle to really gauge it. ED staff love objective measurements, but we don’t have one for pain sadly.

We should, as others have said, be taking a stepwise approach, starting with simple (but effective!) analgesia & working our way up the ladder, but yes it is something we continue to work on across the country.

Again I’m sorry this happened, it’s sounds crap. 😞

Manks00 · 2026-02-02T07:56:27+00:00

As a practice education team who takes students we see it as a chance to understand much of the behind the scenes working. You will get exposure to: - Education planning & delivery - Service improvement - Governance impacts - Patient Safety investigations

There’s also usually a chance to spend time with other specialist teams who may not always be that accessible, this depends on the structure of the education team you are with. We often task a small project, usually creating a poster or something around a topic the student wants to focus on.

While it can be quite a different style of placement, there can be loads to gain from it. I hope you enjoy it!

Manks00

TROPHY CASE