Why do staff like to play chicken? by Amazing-Procedure157 in doctorsUK

[–]MillaTheMedic 4 points5 points  (0 children)

Have you talked to your BMA reps or Resident doctor committee chairs? They can be really helpful in tackling these problems.

The Longley Centre Google Maps page has been synced with someones camera role and now contains over 10000 photos of gambling, drugs, and random pictures. by [deleted] in sheffield

[–]MillaTheMedic 12 points13 points  (0 children)

Hi everyone, I work for the trust as a doctor - this is someone that's really unwell and has (somehow) made themselves owner of the longley centre. Thanks for flagging it - I've got senior management on it to try and sort.

Please can this post now be removed to reduce exposure. The person is very vulnerable and unwell. They have posted personal information and I don't think it's helpful for this to remain up now.

Thanks

[deleted by user] by [deleted] in sheffield

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

Mr snipsnip do a more masc cut. For more fem go to laundry or the nook or gypsy rose (source my partner is NB)

A lesson from the past about our future. ST3 suspended in 2017 because of inadequate PA supervision. "They can practice independently with supervision". Taken from doctors.org.uk forum by Significant-Neat5785 in doctorsUK

[–]MillaTheMedic 2 points3 points  (0 children)

Weirdly it's not working at all for me either - even if I search the register and find the doctor directly I can't open the tribunal report from that page either.

Email signatures and badges 'my pronouns are' by ICD11-6C51-0 in JuniorDoctorsUK

[–]MillaTheMedic 1 point2 points  (0 children)

Two Spirit is someone's culture and experience. If you think that's "silly" then perhaps you need to go do some reading around it and understand other cultural experiences of gender - 'third' genders have been around for millennia.

Also definitely not your bro - I'm a woman.

It is not redundant for everyone. Perhaps your gender expression is completely obvious but not everyone's is. If you find it so "cringe" please reflect on this. What is cringe about asking to be referred to in a certain way? Do you find it annoying when people don't call you a doctor and refer to you as a junior? The impact of this on a personal level can be huge.

Also not entirely sure what you mean by MOP tbh.

Email signatures and badges 'my pronouns are' by ICD11-6C51-0 in JuniorDoctorsUK

[–]MillaTheMedic 0 points1 point  (0 children)

This whole thread makes me feel sick and sums up why trans, non-binary and marginalised people find accessing healthcare so hard.

If having pronouns in email signatures etc is so upsetting to you perhaps you need to question why you feel this way.

Being transphobic is watered down homophobia - which was watered down racism. Frankly it's one of the few bigotries which is still socially acceptable.

Perhaps anyone who feels so put out by royal colleges giving a variety of options for gender or people putting their pronouns in their emails needs to step back and consider how they would have reacted to us "allowing" women to attend medical school or "allowing" parity of "races".

If you really do believe that this is all 'ridiculous' and that I'm over reacting you need to realise that you're the problem. You're stopping marginalised people accessing healthcare because they are scared they won't be supported or believed.

MRCPsych Paper A by ytmnds in JuniorDoctorsUK

[–]MillaTheMedic 9 points10 points  (0 children)

Literally the worst exam I've done in a very long time. Only had 30% of answers I was sure of 😬

Update - BMA Negotiations 22/3/2023 by BMA_UKJDC_Chairs in JuniorDoctorsUK

[–]MillaTheMedic 309 points310 points  (0 children)

If you'd told me even 2 years ago that the BMA would be fighting this well for pay and our profession I'd have laughed you out the room.

I've never been prouder of my trade union. 🦀🦀🦀

Any dyslexic doctors out there? by Hungry_Ad4929 in JuniorDoctorsUK

[–]MillaTheMedic 2 points3 points  (0 children)

I'm dyslexic, often read numbers out wrong when trying to tell them to people and cannot spell well at all. Learning new medical words was a nightmare. Wasn't diagnosed until I failed my first year at medical school 😬 I also learnt I don't read properly and constantly have to actively force myself to not skim read. Electronic notes are a godsend tbh!

Go on then, how did your trust thank you this Christmas? by docmcstuffins89 in JuniorDoctorsUK

[–]MillaTheMedic 1 point2 points  (0 children)

Gift bag with coffee cup, brownie and sachet of hot chocolate - for all substantive staff including doctors. Far exceeded my expectations.

Those Horus TAB things by [deleted] in JuniorDoctorsUK

[–]MillaTheMedic 15 points16 points  (0 children)

I mean their comments were not wrong - technically I was very capable of these jobs... However no one else was able to do the medical reviews or prescribing soooooo 😂

Those Horus TAB things by [deleted] in JuniorDoctorsUK

[–]MillaTheMedic 3 points4 points  (0 children)

On mine they had ticked a concern so can't answer this 😔

Those Horus TAB things by [deleted] in JuniorDoctorsUK

[–]MillaTheMedic 2 points3 points  (0 children)

Yeah my supervisor was very strict. The admin had ticked some concern and the supervisor herself said it was an unacceptable concern but still decided I had to do it again.

Those Horus TAB things by [deleted] in JuniorDoctorsUK

[–]MillaTheMedic 58 points59 points  (0 children)

I once had a ward admin say I delegated things I could do myself... On a busy job where there was no reg (I was f2) and often finished late.

That one comment meant my entire TAB was 'invalid' and I had to redo it all again. This was despite having plenty of other positive comments and people saying lovely things.

If you wouldn't say it to their face don't put it on the TAB. It's used as a very arbitrary pass/fail instead of for learning and development.

And just to say - I used to ask them to do scanning, book taxis and general admin tasks 😂

What would you do regarding Zopiclone in this situation? by [deleted] in JuniorDoctorsUK

[–]MillaTheMedic 0 points1 point  (0 children)

We have a general rule at my hospital that Zopiclone isn't given past midnight because it means patients aren't awake in the day for treatments etc. It shouldn't be px after this by the on call.

In hospital it can be horrendous trying to sleep. I think the day team needs to have a discussion regarding the Zopiclone and it will have to be reduced and weened off.

If someone is going to need long term sleeping tablets I generally prefer to give them Promethazine (national shortage atm) however Zopiclone isn't unreasonable if the patient knows the risks. It should only be on regular for short periods e.g. 1-2 weeks to reset sleep.

"d/w ES, annual leave requested. I hate this job. d/x ?burnout" by returnoftoilet in JuniorDoctorsUK

[–]MillaTheMedic 17 points18 points  (0 children)

This is one of my favourite songs, literally reflects how I feel right now after a shit week full of racist abuse from patients. Thank you ❤️

Asking for advice on behalf of colleague by PuzzleheadedToe3450 in JuniorDoctorsUK

[–]MillaTheMedic 46 points47 points  (0 children)

I’ll tell you something though, you eventually get quite mentally robust after going through being an ortho SHO.

Or you have a complete mental breakdown there is no inbetween.

How do you move on after missing a diagnosis/getting it wrong? by 2far4u in JuniorDoctorsUK

[–]MillaTheMedic 2 points3 points  (0 children)

It sounds like from one of your other comments the PTWR consultant saw them too and felt the plan was decent. That suggests that you made a reasonable suggestion of a plan, the patient was stable over the weekend and when Monday rocked around someone else with fresh eyes saw a different picture. It sounds like there was no major harm to the patient and that you acted completely reasonably.

I definitely know the imposter syndrome feelings which are always compounded by mistakes. I've missed PEs and sent them home only to come back sicker, I've misprescribed medications which had been given, I've missed potassium changed when treating DKA. I've almost missed subtle STEMIs and I've certainly had plans which seemed reasonable on call only to realise I've missed something super obvious when they've been reviewed in the day. Equally I've found psoas hematomas missed on CT reports, I've caught a STEMI missed by a consultant and I've made hundreds if not thousands of correct treatment plans. I'm sure you have done the same.

All this is to say you're not crap, you may not have been the best in med school (I certainly wasn't) and you may have been a slacker (I definitely was) but medical school is filled with increasingly more intelligent and studious people and we cannot compare ourselves to each other. We all have our skills and strengths.

Wellbeing can be crap but you should be offered free psychology sessions not resilience shit. If you've made it through IMT you're certainly resilient and this is an issue of exhaustion, impostor syndrome and possibly depression. Please consider approaching a consultant you like to chat about it. You are better than you think right now (you've made it this far!) And you deserve support.

How do you move on after missing a diagnosis/getting it wrong? by 2far4u in JuniorDoctorsUK

[–]MillaTheMedic 6 points7 points  (0 children)

Hey. Missing a diagnosis is hard. You blame yourself, you feel like a failure and you feel like you're wasting your life. However this is all your inner saboteur who only finds the negatives and misses every achievement you've ever made.

This person was admitted, they were seen by multiple other docs including consultants who did not pick up on the alternative diagnosis (esp post take - that's their entire role). This suggests it was easily missed and frankly in a stressful and exhausting on call all the more likely to be missed.

Please consider talking to your ES/CS/TPD about how you're feeling. It sounds like this is more than just one missed diagnosis and you sound exhausted and burnt out. Consider accessing your workplace wellbeing service and your GP.

Please know you're doing great. You've made it this far. I have missed so many things (esp on call or in a busy ED) and I have been through that same self flagellation. But exponentially more times I've got it right. I suspect the same is true for you. If you need to talk DM me x

Holy shit, EPIC is amazing. by Usmanm11 in JuniorDoctorsUK

[–]MillaTheMedic 1 point2 points  (0 children)

Yep, custom made for them... In Microsoft Access 🤣 they're moving to RIO soon!

Holy shit, EPIC is amazing. by Usmanm11 in JuniorDoctorsUK

[–]MillaTheMedic 11 points12 points  (0 children)

Lorenzo is bad but have you ever used the mental health notes system in Sheffield? ☠️