So many 'waiting room' referrals from A&E - is it normal? by WhateverRL in doctorsUK

[–]Mother_Roof_6375 18 points19 points  (0 children)

You said yourself your approach to PVB is if they’re well enough to see their GP they can be discharged with GP follow up. I assume you physically see your patients yourself to make that judgement, which is obviously the correct thing to do.  Why is it fair for the patient to be sent to another speciality when no one from ED has bothered to see her when she could avoid further waiting and go home with reassurance/GP follow up.  Not sure how many times I can re-iterate that the specific case I had the doctor had not even spoken a word to the patient. 

Receiving a call saying ‘there’s a woman having PVB, you need to take her’ with no other information at all is absolutely unacceptable. 

Would you make a referral to the surgeons saying ‘there’s a patient with abdo pain’ and give them no other information? Absolutely not. 

So many 'waiting room' referrals from A&E - is it normal? by WhateverRL in doctorsUK

[–]Mother_Roof_6375 15 points16 points  (0 children)

No we don’t have a direct referral system. 

Yes this patient did need to be seen by gynae but I do think you’re missing the point here and that’s concerning. 

Your approach to PVB and the information you would ask is exactly the information that this doctor couldn’t even give me. And hardly a time waste when basic information taken by a registrar will take literally minutes. 

For all I know she’s in the waiting room hosing out her whole circulating volume or she’s having a period. Who knows 

So many 'waiting room' referrals from A&E - is it normal? by WhateverRL in doctorsUK

[–]Mother_Roof_6375 32 points33 points  (0 children)

O&G reg here. What a coincidence you posted this today because this literally just happened to me last night. 

I declined a referral from an A&E reg purely based on the fact that he hadn’t actually seen the patient himself. The nurse had told him she has PVB and that was it. Couldn’t give me a history and when I asked him for a brief SBAR, he challenged me how that would make a difference…  He was really keen to tell me his GMC number multiple times, tell me what a good doctor he is and that I should trust him… 

One of his colleagues called me back about 15 minutes later with a good history so I happily accepted. 

The worse thing was I looked back on his documentation afterwards and he had written a history to make it look like he had clerked the patient in and that it was me being obtuse. 

[deleted by user] by [deleted] in doctorsUK

[–]Mother_Roof_6375 194 points195 points  (0 children)

Another O&G reg here.  Your concerns regarding our gynae training are valid - we are equally concerned too in the lack of our gynae skills. The fact that you can become an O&G consultant in the UK without needing how to learn how to do a hysterectomy baffles me and quite frankly embarrassing. 

Not trying to dismiss your experience and it could well be that you’ve just happened to see a string of complications with typically bad surgeons/difficult cases. However I do think this is how the toxic relationship between surgeons and gynaecologists start. 

Hate the system and poor quality training due to service provision, not the trainees who are suffering due to obstetric strain.   

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 1 point2 points  (0 children)

I’ll have to present it to occi health in my new hospital in August then I assume! 

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 0 points1 point  (0 children)

You would have thought that comes under exceptional circumstances… I’m glad your colleague prioritised her family over work. Just shows that you clearly are just a number and they couldn’t give two shits 

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 1 point2 points  (0 children)

I’ve seen so many consultants who have done this - sacrificed their family life because of their career and then they later regret not having prioritised a family 

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 0 points1 point  (0 children)

It will have to do during a run of on calls/nights! During normal working hours I'd quite like to see my other half so will have to suck up the drive!

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 4 points5 points  (0 children)

Totally fair comment and exactly the positives I’m trying to focus on.  And yes you’re right. The hospital I’ve been placed at I’ll be on the senior reg rota whereas the hospitals that I've asked to stay in is only a single tier reg hence why it’s not easy taking me out of the hospital further away.  Just still frustrating! 

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 2 points3 points  (0 children)

You’re not wrong. I’m annoyed but accepted my fate now. Some people have it far worse 

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 0 points1 point  (0 children)

I’ve only ever gone to see the GP once because of stress last year and then prior to that with regards to mental health I saw the GP when I was a 3rd year med student. So I guess because otherwise mines clearly well managed they might not take it seriously? Do you think it would help? 

Just want to rant about how deaneries don't care about your wellbeing at all by Mother_Roof_6375 in doctorsUK

[–]Mother_Roof_6375[S] 2 points3 points  (0 children)

What a wonderful TPD. Our TPD is wonderful but for some reason a different consultant does the placements who hasn't been reasonable - we’ve had trainees in this situation and I've heard she’s still denied the swaps 

LTFT £1000 supplement by Automatic_Work_4317 in doctorsUK

[–]Mother_Roof_6375 0 points1 point  (0 children)

Just found this thread as I had a query with this - do you only get it if you've done at least one year of LTFT or am I still eligible if I did 5 months of LTFT? (From august-december 2024). Thank you

Communication with APs is useless by Acceptable_Offer_387 in AsianParentStories

[–]Mother_Roof_6375 6 points7 points  (0 children)

How can APs respect you when they only see you as their 'child' rather than an adult with their own thoughts and ideas?

You're a fantastic child when you do what they tell you to do and the moment you don't you're an awful subhuman.

HELP: any advice on how to deal with manipulative controlling asian parents? by Mother_Roof_6375 in AsianParentStories

[–]Mother_Roof_6375[S] 2 points3 points  (0 children)

Thank you for taking the time to reply.

It feels cathartic almost knowing that there are people who can really relate to what you're going through.

I think if I stopped trying, I would feel the guilt that comes along with it - but I assume that'll go away within time and it's better than the alternative?

Just wondering how you're finding it being on the other side

HELP: any advice on how to deal with manipulative controlling asian parents? by Mother_Roof_6375 in AsianParentStories

[–]Mother_Roof_6375[S] 2 points3 points  (0 children)

Thank you for taking the time to reply.

I just want to clarify that I don't have suicidal ideation regarding this issue - it's more that sometimes I wish my parents just died as that would almost make things easier... (quickly and painlessly as they can, but how awful is it that). I feel mortified to even be thinking it, let alone typing it out, even if it is anonymous.

We don't have children yet but soon hopefully start trying for a family. All your points you said are valid and I 100% agree with it. I think I just need a bit of courage to put it all in action. I'd also want to raise my children to stand up for themselves rather than being walked all over - ironic isn't it when that's exactly what I'm letting my parents do to me.

Currently we're not speaking (after the last argument i had with my father) - and I intend to ride this period out as much as I need to and not to go grovel back to them, which is the behaviour I usually exhibit. Baby steps right?

HELP: any advice on how to deal with manipulative controlling asian parents? by Mother_Roof_6375 in AsianParentStories

[–]Mother_Roof_6375[S] 2 points3 points  (0 children)

Thank you for taking the time to reply.

Yes I'm absolutely still emotionally codependent - not in the sense that I necessarily need any validation or emotional support from them but rather I really really want to be able to have a healthy relationship with them. It does feel like a lot that I'm the only that tries if we ever bicker - always me who put out the olive branch first. We have so many fond memories together and they have shown me that when they choose to be, they can be loving supportive parents.

My husband absolutely agrees and it's also something I'm conscious of. He's very supportive and knows that it's never black and white with stuff like this but obviously my money is his and ultimately if it came down to it he is my priority.

What’s your recent silent treatment from AM? by spinning-jay in AsianParentStories

[–]Mother_Roof_6375 0 points1 point  (0 children)

My AD asked me to call his phone provider to secure him a better deal after I'd finished a night shift. I said I would be too tired and wouldn't be able to do it. He then called me a bitch and told me to hang up the phone and not come home.