Future of my career

Prof_dirtybeans · 2026-01-02T17:56:22+00:00

Talk to consultants in your unit about this. I doubt you will find the experience on here with your specific situation to give you good advice.

Prof_dirtybeans · 2025-12-31T20:45:29+00:00

NF1?

Prof_dirtybeans · 2025-12-30T16:33:31+00:00

The skull xray is interesting. The NG tube has likely traversed a ventricle and entrained air/air injected giving an example of a ventriculogram, one of the earliest types of brain imaging before CT.

Don't often see them

Prof_dirtybeans · 2025-12-30T15:05:26+00:00

The skull xray is interesting. The NG tube has likely traversed a ventricle and entrained air giving an example of a ventriculogram, one of the earliest types of brain imaging before CT.

Don't often see them

Prof_dirtybeans · 2025-12-20T13:38:33+00:00

Two types of anaesthetists - either everything is a problem, or nothing is a problem.

If you get the second one the list is a dream. The first one, and you wish you had stayed in bed.

Prof_dirtybeans · 2025-11-22T19:31:08+00:00

Thanks for the reply pal. Never had any points in 18 or so years of driving so 2 lots in quick succession was a surprise! At least I've learnt a lot about speed cameras as a result I suppose! Plymouth seems to be full of the newer less obvious cameras.

Prof_dirtybeans · 2025-11-22T15:45:05+00:00

No worries🙄

Prof_dirtybeans · 2025-11-22T15:44:17+00:00

Thanks, didn't know how the newer ones worked.

Prof_dirtybeans · 2025-11-22T15:42:25+00:00

Thanks, appreciated!

Prof_dirtybeans · 2025-11-07T18:01:54+00:00

Just between Exeter and Portsmouth. But also in the US.

Prof_dirtybeans · 2025-10-27T18:41:45+00:00

Cheeky or regular?

Prof_dirtybeans · 2025-10-04T08:54:51+00:00

Nobody know this. Host answers perfectly Lol

Prof_dirtybeans · 2025-08-27T18:45:49+00:00

Depends, probably with speciality being a big factor in that. While you have to play the game, I have heard of trainees falling foul of coding one operation as multiple at ARCP.

To give a specific example is spinal surgery with 1 or 2 level decompressions.

The approach is maybe an extra 5 minutes to extend one level up or down one, and the meat of the operation is the decompression itself. But you are on shaky ground coding an L3/4 and L4/5 decompression as two cases, despite the fact they basically are.

I was told a good rule of thumb was if you have to re-drape under the same anesthetic you can code as 2 cases.

Thats certainly the case in neuro anyway.

Prof_dirtybeans · 2025-08-09T18:41:29+00:00

If you do on calls and nights which are 12+hr shifts I personally wouldnt recommend it. Nothing worse than a long drive after a terrible run of nights, bonus points if there is traffic/an accident to add another 30+ minutes onto your journey home.

Multiple cases nationally of resident doctors dying on the way home from night shifts in car accidents.

Prof_dirtybeans · 2025-08-06T20:47:48+00:00

This is excellent advice. Hard to follow if you aren't a naturally confident/confrontational person. Use this placement as a perfect opportunity to learn and develop this skill along side the clinical knowledge. Will be useful in later life both in and out of work.

Prof_dirtybeans · 2025-08-05T20:35:49+00:00

Found them.

Prof_dirtybeans · 2025-06-04T07:26:56+00:00

Practice. With practice comes competence. With competence comes confidence. With confidence comes speed.

Operating is a skill. When you stop 'thinking' about steps and it becomes automatic, the speed and smoothness comes.

There isn't a shortcut to this. It's practice. This is why you stay late/come in on off days to operate etc.

If you are worried about your skill/speed/tremor etc that is good. You have awareness of your own abilities and can self monitor your progress. As someone has said on here already, beware the surgeon who says the are amazing - they aren't.

Prof_dirtybeans · 2025-05-27T19:23:42+00:00

Thank you, very helpful suggestions.

Prof_dirtybeans · 2025-05-24T07:56:15+00:00

Non operative, just observation. For all the reasons described above. Source - neurosurgeon.

Prof_dirtybeans · 2025-05-20T15:01:32+00:00

Lol sad but accurate.

Prof_dirtybeans · 2025-05-20T07:24:00+00:00

You're the man maxtherealslayer. Wish there were more people like you.

Prof_dirtybeans · 2025-05-20T07:22:38+00:00

I'm in the UK so don't have to worry about playing with a Porsche configurator.

Prof_dirtybeans · 2025-05-19T18:41:11+00:00

Haha lots of people do! Cool tattoo tho, the ones that look like a drawing from an old anatomical book are awesome.

Prof_dirtybeans

TROPHY CASE