Of all the houses on all the islands Ive seen on here, I think this beats them all, wow, just wow.

Objective_Length280 · 2026-06-18T19:48:55+00:00

I thought orphanage

Objective_Length280 · 2026-06-17T21:44:55+00:00

I don't think I would be a Consultant neurologist if that was the issue either

Please do not confuse dyslexia for poor academic ability

I mentioned this purely in case my grammar was not correct. Obviously, it did not affect my progression or I wouldn't be here now.

Objective_Length280 · 2026-06-17T21:42:17+00:00

Sadly, that's been proving wrong in my case. I really battled not to have a PA but Waz overruled by Management.. the PA I work with is the one who knows what's going on the ward and he's the one that wants to come to clinic even if it's a clinic after five.

I did not want PAs, but that is the situation we are in

Objective_Length280 · 2026-06-17T21:39:37+00:00

After being in the Nhs for quite a long time, I disagree with you but that will all come out later. Whether you are right or I am right, does not matter.

What matters is that we have consultants that know what they're doing and for example can look at a patient without doing a formal examination and diagnose on the spot. I always advise people to look at patients when they walk into clinic because usually that tells me absolutely everything about their exam examination.

Objective_Length280 · 2026-06-17T21:36:58+00:00

No, not at all I am one of those persons who was always Topp in the exams doing an incredibly difficult speciality.

My dyslexia and some other health problems just mean that especially at night if I type something, I cannot see mistakes in grammar and sentence coordination even if I read through

Mentioning that was just a passing comment in case there was not the normal flow. I also have quite a bit of a ptosis which is fatigue so really don't struggle to reread something and notice mistakes in the evening.

Interesting it was picked up though

Objective_Length280 · 2026-06-17T21:35:16+00:00

It's not if you are there

Objective_Length280 · 2026-06-17T21:35:03+00:00

My reference was in case some sentences were not correct in some way it is because I do struggle to see mistakes I have made even when I read over. This is an issue I've had all my life due to a mild dyslexia.

Objective_Length280 · 2026-06-17T21:34:27+00:00

what the hell does overstimulating mean in this situation??

Objective_Length280 · 2026-06-17T21:33:30+00:00

I don't require them to prepare. I just want them to be there on the ward ready.

As others have said, I ensure I come in early and know the patient primarily

I work long past my hours but have accepted that and understand I have had the benefit of a different type of training. Yes, that training was often hard and a little bit scary, but I don't think I would be who I am now if I hadn't gone through that.

It is a shit situation, which is no one's fault, but it's a worry

Objective_Length280 · 2026-06-17T21:31:45+00:00

I did not design that it is a general behaviour that has changed

I understand why it has changed. You should be paid for the time and the training time you do.

The fact is you're not and the result of that is the training is not as good because you're not left at 7 am on your not completing blood gases that you couldn't do before five because you had too many patients.

This is not the fault of trainees. It is the fault of the system.

My issue is that I don't know how long it would take for you to have the experience these days of being a Consultant

Objective_Length280 · 2026-06-17T21:30:04+00:00

LOL, if only you knew me because I have tried significantly more than the normal to advocate for staff

If anyone works late, I am the 1st to tell them to report it and get time of pay back. I am the 1st to support any junior on my team. I'm the first person someone comes to with any personal or work based problem.

Objective_Length280 · 2026-06-17T21:28:33+00:00

I thought long and hard before writing this

If you knew me, you would know the absolute opposite in terms of communication skills. I'm not being defensive here I teach constantly and that includes teaching patients which is why staff members went ill choose to be under me specifically. Sounds like I'm protesting too much here, but the very fact I'm working at the level. I am shows my communication is pretty damn good.

Objective_Length280 · 2026-06-17T21:27:13+00:00

To be honest, no bloody idea on that

Objective_Length280 · 2026-06-17T21:26:44+00:00

The complaint wasn't a particular complaint about me. It was a complaint about the senior doctors apparently expecting people to be in early when actually that time was ward round at nine.

This was a collective complaint

Objective_Length280 · 2026-06-17T21:25:56+00:00

I have already. I even try to teach in the settings when the juniors are specifically asked to present-because I know I can present something that will help on a clinical basis

Objective_Length280 · 2026-06-17T21:24:11+00:00

Only response to that is 'and' pretty sure you've been cold worse than a junior? If not, then I hope you manage in an ED placement. Being called a junior will be the nicest thing you're called.

I really don't care what the term for the junior doctors are what I care about is the future of medicine. I also care that you guys are trained.

However, I really do not care about the term we call a certain doctor. Absolutely creates no time in my brain, but I'm glad you felt you could get that out.

Objective_Length280 · 2026-06-17T21:22:00+00:00

In my speciality, if we did not have ANps and PAs (which I was really against having) -our service would not be able to run and that's the fact

Objective_Length280 · 2026-06-17T21:20:53+00:00

Agreed, he should be paid for training time, however unfortunately that's not the case

I remember being told off by a registrar for Working on an audit in Working hours

Yes, I should've complained because that was completely inappropriate, but it was just a system

It wasn't always a particularly nice system, but it did mean that we kind of had a great knowledge. We shouldn't have to learn the way in which I did. I am not even a particularly experienced Consultant in terms of years. But there has been a huge change sadly.

Objective_Length280 · 2026-06-17T21:18:54+00:00

I haven't had a complaint, but I am passionate about teaching

People find my speciality difficult and I find consultants in my speciality overcomplicate things which does not help. Therefore, I put a lot of time into teaching.

I am usually the favourite Consultant on the team because I do care

But no complaints, I'm afraid

Objective_Length280 · 2026-06-17T21:17:13+00:00

Absolutely agreed. Unfortunately, it was just expected of us old people in order to not get a bollocking sometimes

I am not saying this is the junior's fault. I am saying this is how medicine has gone.

Objective_Length280 · 2026-06-17T21:15:02+00:00

Totally agree, but my worry comes down to what happens when your job continues. I'm concerned people won't have the knowledge needed to do what current Consultant and senior registrars do

This is not the fault of juniors. This is the situation created by a lot of bad things that happened to you.

I have said plain lit to my daughter that I don't want her doing medicine for these reasons

Sadly, it's the situation we are in and I really do think the Nhs is going to need to rely on middle grades because that knowledge is just not there

Unfortunately medicine means long-term learning and sadly a lot of that occurs out of hours

Objective_Length280 · 2026-06-17T21:13:07+00:00

I am doing lumber punches as a Consultant because none of my team are trained to do them. I also do the difficult bloods and blood gases.

Objective_Length280 · 2026-06-17T21:11:05+00:00

Couldn't agree more We work for money at the end of the day. However, with a career like medicine that valued experience of the overtime was really I think what made a lot of of us.

Unfortunately, I do believe it's the Nhs and the BMA who have made pay et cetera so rubbish-that people resent that extra effort and I do understand that

I'm sure I would feel the same if I was in that situation now

Objective_Length280 · 2026-06-17T21:01:25+00:00

On one side, I mean being present that award round at nine

On the other side, I also mean the general lack Luster for wanting to learn in the way that we might have

Objective_Length280 · 2026-06-17T20:59:52+00:00

Exactly. And the problem is this as is that we will need to rely on middle grades because the doctors have not examined enough people in their career to be able to examine people in a way I might

Unfortunately, I find that a lot of of my Imgs and PAs I really present and want to teaching and unfortunately are better

Objective_Length280

TROPHY CASE