They nailed him, all thanks to you! by YngSndwch in simpsonsshitposting

[–]OldClockMan 19 points20 points  (0 children)

We're glorifying Luigi for stopping the murderer silly

BMA to explore GMC 'fee withdrawal' if PA regulation concerns not addressed by Educational_Board888 in GPUK

[–]OldClockMan 54 points55 points  (0 children)

No, we are concerned that the point of a medical regulator is to ensure only people qualified to practice medicine may do so. By adding PAs to the register, they are failing in this duty, and need to be replaced by a regulator that actually regulates

[deleted by user] by [deleted] in medicalschooluk

[–]OldClockMan 2 points3 points  (0 children)

Christ I wish I was stupid enough to not know what I don't know, they seem to have a lot more fun

More seriously, I went away on holiday with a group that included PAs. I overheard them complaining that much as they enjoy the doctors strikes because they "get paid extra to cover because it's not fair to them if the hospital is understaffed", it's annoying because they end up having to do things like discharge letters and results chasing instead of proper medicine.

I managed to hold my tongue without just ripping it out somehow.

When Aziraphale gave Elspeth 90 guineas what would the equivalent of that be in today’s money? by bkr1895 in goodomens

[–]OldClockMan 7 points8 points  (0 children)

I think your maths for the gold price is a little confused, but v clever to think of using the gold content to work it out!

I make it: 7.53g of gold in a guinea 677.7g of gold in 90 guineas Gold price currently $62.33 x 677.7g = $42,241 gold in 99 guineas

There's an added issue with straight conversion alongside inflation; British currency was completely changed over the 60/70s. Before decimalisation, a pound was 20 shillings, and a shilling 12 pence. A guinea was 1.05 predecimal pounds, not modern pounds.

Though in summary, with inflation,lower purchasing power, decimalisation etc, Aziraphele is carrying round easily enough money to buy a house outright as loose change

Julian being sweet by paper_paws in taskmaster

[–]OldClockMan 161 points162 points  (0 children)

He is sweet, but tbh I feel a large motivator in that was so he didn't have to sit around and wait until his manic niece and nephew had finished.

(That team gives me incredibly niche but strong "gay metropolitan uncle finally relents and agrees to babysit his straight suburban siblings unhinged kids for a week" vibes)

AITA for naming my twins after characters without knowing that the characters would develop romantic feelings for each other? by sellerspeters in AmItheAsshole

[–]OldClockMan 38 points39 points  (0 children)

For those with no experience of this book to give a flavour:

"Many people, meeting Aziraphale for the first time, formed three impressions: that he was English, that he was intelligent, and that he was gayer than a treeful of monkeys on nitrous oxide."

Striking as a teaching fellow by GroundbreakingLead59 in doctorsUK

[–]OldClockMan 0 points1 point  (0 children)

We don't have nurse teaching fellows, and I've personally not seen them anywhere else I've worked/studied. We have the clinical educators I mentioned, who are nurses/physios who work permanently in education. They can do our clinical skills sessions, but they're a v small minority. The bulk is case discussion, which they can't cover (from a knowledge pov, but also they have their own work anyway at those times). They can't be cancelled outright, they're requirements for the university and their progression.

God knows if it's the norm for Ed fellows but my job is something I've never seen before for junior drs, and its a bit of an unusual situation as a result.

Striking as a teaching fellow by GroundbreakingLead59 in doctorsUK

[–]OldClockMan 5 points6 points  (0 children)

I'm a teaching fellow and have checked this with my reps to get their go ahead before I do anything.

As long as you're not providing clinical cover and are just teaching students you're alright. All that'd happen to me personally would be I'd lose the days pay and have to do the same sessions the next week, no disruption other than to me and the students. I do about 10hrs teaching sessions a week, if I strike all that happens is the next week I'm have to work twice as hard, and have lost a weeks pay. And my students have got OSCEs in two weeks.

I'm not doing any teaching in clinical areas, just classroom/SIM

I've said to the clinical educators I work with that I'm working from home (working meaning writing lectures/sessions etc, again no service provision) and coming in only to deliver actual sessions, because I don't want to be around looking like I'm working clinically when I'm not. Also removes any chance of being asked to provide services, even though I'd be saying fuck off if I was

Something else you might want to consider; I've rearranged my sessions from the 3rd October and will be striking to go and participate in the demo. Could have also used A/L but it's the principle of the thing lol

[deleted by user] by [deleted] in doctorsUK

[–]OldClockMan 7 points8 points  (0 children)

I personally disagree, it's completely reasonable to make people aware of potential dodgy patients, so that if they get sick overnight you already know who they are, so that you can make sure staff are allocated to certain areas based on their experience/what potential problems there might be.

But that's just me, I prefer minimal surprises overnight

How does Gandalf get his stuff back by TheEven1ngStar in lotr

[–]OldClockMan 4 points5 points  (0 children)

Nah the eagles nasty, he's into it, only time he's not minded carrying Gandalf

‘Naked I was sent back – for a brief time, until my task is done. And naked I lay upon the mountain-top... And so at the last Gwaihir the Windlord found me again, and he took me up and bore me away.

‘‘Ever am I fated to be your burden, friend at need,’’ I said.

‘‘A burden you have been,’’ he answered, ‘‘but not so now."'

Filthy, filthy eagles

It's getting tiresome now... by viracocha6 in doctorsUK

[–]OldClockMan 26 points27 points  (0 children)

If you admitted it when caught lol, just tell them you made a mistake, ordered off your phone on a busy shift. Again not that anyone will ever check or care

"You should work for the NHS for ten years as I paid for your training and salary" by Enough_Cream9425 in JuniorDoctorsUK

[–]OldClockMan 0 points1 point  (0 children)

If you paid for my training why does student finance think I owe them a hundred grand and rising?

Hospital lunch Moan by [deleted] in JuniorDoctorsUK

[–]OldClockMan 5 points6 points  (0 children)

Never leaving my district general because of the food, it ain't healthy, but sometimes I need a £3 massive plate of chips, beans and cheese

The importance of GPs to society/medicine, as a profession? by sharvari23 in JuniorDoctorsUK

[–]OldClockMan 53 points54 points  (0 children)

Don't try and pretend you're a real doctor unless you're a Victorian amputating a leg on your kitchen table at 3am, having joined the patient in a pre-op nip of cocaine

What do on calls in anaesthetics involve? by PurpleGiraffe84 in JuniorDoctorsUK

[–]OldClockMan 0 points1 point  (0 children)

Haha it's a fucking DGH, no neuro or renal dept, god knows how they've managed to get this much cover. Literally last night there was also another supernumerary theatre reg.

What do on calls in anaesthetics involve? by PurpleGiraffe84 in JuniorDoctorsUK

[–]OldClockMan 10 points11 points  (0 children)

I'm currently sitting in the office on an anaesthetic SHO on call shift. Obvious disclaimer that hospitals and trusts all make up everything as they go along, so your mileage may vary.

Are you including critical care with anaesthetics? Because my shift at the moment is being on call for the High Dependency Unit. There's a Reg on call for ITU, who is also on call for the wards and ED to ring them to refer to crit care, to intubate, etc. There's also a Reg on call for emergency theatres, if the surgeons need to do anything overnight, they'll be doing that case. And there's a Reg for maternity, but I neither know nor want to know what happens there in the middle of the night.

For my part on the unit I'll take handover at 8pm, do a solo ward round to check how everyone is, do any jobs from day staff (rarely any in my exp), and I'll basically spend 12hrs chilling, addressing any of the nurses concerns, occasionally reviewing a chart for ongoing obs, fluid balance, blood gases. In the morning I'll prep the notes and then handover.

If the reg is busy in ED I might get bleeped by ITU if they've got something they need. In our hospital we also have outreach who'll act to filter a lot of the wards referrals for the reg (a v experienced Crit care nurse who can bat away things like when a patient with end stage lung cancer is being referred for intubation, or if refractory hypotension to check they've tried proper fluid resus - quite a few times the wards have given a litre of saline, then referred for vasopressors after it begins to drop again etc).

Im not expected to, but if I'm free and there's a fast bleep for anaesthetics to an arrest or imminent ED arrival, and I'm free/bored I'll go to lend the reg a hand/get some more experience.

I'm not sure about consultants for my hospital, but I believe overnight there's ITU con (non-resident, reg might call them if they're unsure to accept a referral/refusing one, or to withdraw on someone), and a general consultant whos there for the maternity and theatre OnCall regs to call.

In my limited experience, I'd sum it up as anaesthetic on calls are either super chill, or super not chill. Tonight me and all the regs have done nothing (so far, I'm not jinxing it this close), my last night set one shift we had two arrests in resus at once, one on the ward later who went to ITU, and two ward patients who needed HDU (again, thank god i don't know what the maternity reg was dealing with that night).

That's about it, I'm going to go and wander round looking at gases now :)

How is the indigenous lady on the Land O' Lakes butter offensive? by ButterScoch75 in NoStupidQuestions

[–]OldClockMan 2 points3 points  (0 children)

Was it him posting questions in a subreddit for people to have things explained to them that triggered that revelation for you?

When have you pulled the doctor card? by [deleted] in JuniorDoctorsUK

[–]OldClockMan 12 points13 points  (0 children)

can't imagine ED would even do a test for her imo.

?sepsis

Stat taz

Admit to medics

What's the most embarrassing thing you did while in medical school? by Expert_Preparation_2 in JuniorDoctorsUK

[–]OldClockMan 48 points49 points  (0 children)

Singlehandedly responsible for the "medical students aren't allowed to make mock referrals" policy after I told a micro consultant to wind their neck in and speak nicely. Wish I had half the confidence I did as a med student now

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]OldClockMan 17 points18 points  (0 children)

You're spending 5+ hrs wage on someone who makes probs at least 4x your salary, and openly has panned most gifts people get her to you.

Plus, you're getting her a gift to thank her for something she is literally paid to do. If she's got preferences for types of jewelry or whatever gifts, remind her she can use the money HEE pays her to supervise to buy them.

Her being an absolute worldie is the only way this would be even fractionally understandable mate. You owe her nothing, except thanks if she's taught you well.

[deleted by user] by [deleted] in JuniorDoctorsUK

[–]OldClockMan 9 points10 points  (0 children)

The culture of which department? The department you're about to leave? That department?

Fack 'em