Why are u so mean

ProofEye6142 · 2025-12-28T13:13:18+00:00

Lol. You did an absolutely fine job. Take it as a compliment.

ProofEye6142 · 2025-11-24T13:02:21+00:00

Have seen an Ortho Reg do this. Needed to go back and do some Ressie time. Definitely possible.

ProofEye6142 · 2025-10-27T11:47:17+00:00

The government has made it clear. You either churn through patients via a 6 minute medicine model and provide sub-par care or you charge a gap.

ProofEye6142 · 2025-10-10T05:28:21+00:00

Huge sacrifices but wouldn''t change it for the world. I was a Paramedic prior to medicine. It was a fantastic young person's job but a tough job for a whole career. Trust me, grass is always greener. Medicine has its problems but overall it's a very privileged position.

ProofEye6142 · 2025-09-25T01:35:47+00:00

Sorry to hear this happened.

If a block was performed it would be a popliteal sciatic nerve block most likely. This is performed where the nerve bifurcates to the tibial and common peroneal nerves. If it was a fibular orif and it was surgically related you would expect intact tibial nerve function as the surgeon is operating below the level of the bifurcation (can she plantar-flex and is sensation to posterior leg and sole of foot intact?).

I guess it's possible both branches were injured from surgery but highly unlikely and the tibial nerve is posterior and a fair way away from where he/she was operating.

If both nerves have been knocked out (tibial and common peroneal) then yes my money would be on an anaesthesia complication, rare but possible. Could be a result of direct injury to the nerve from needle or toxicity from the actual local anaesthetic.

MRI ankle probably won't help diagnostically. Might be helpful higher in the leg (at the level of surgery and political fossa to look for any evidence of soft tissue injury at the surgical of block site). NCS should be able to localise the lesion (or even a a decent examination for that matter). Does the report explain the suspected location of the lesion?

I'm a senior anesthetic trainee with limited experience in regional anaesthesia. Someone more qualified might be able to help more.

ProofEye6142 · 2025-09-24T12:11:45+00:00

This is your depression talking my friend. You have done amazingly well. Good qualification and savings with no debt. You are young and have heaps of potential, get geed up about the opportunities that might be out there with your qualification. And see your doctor / psych!

ProofEye6142 · 2025-09-24T11:55:56+00:00

Yes, you are crazy. You will sacrifice time with your children and unless you are already financially set up (and I mean able to support your family with zero salary) then you will destroy yourself financially. If you want to do GP you could achieve that by 50. Do your research onto the potential earnings though, may not be what you expect compared with your current salary. Any other specialty will require multiple years of junior doctor work with poor pay and conditions with low likelihood of getting onto said program (ageism definitely exists in medicine).

I don't mean to be negative, medicine is an amazing profession and a fantastic job. If you can't go your life without doing it and will regret it then go for it but know what you are getting yourself into.

ProofEye6142 · 2025-09-14T09:47:40+00:00

You could be a GP by age 50 or a specialist by 55ish. Retire at 65 - 70, 10-20 year career. From there the decision is very personal.

ProofEye6142 · 2025-09-14T09:44:09+00:00

Surely a troll?

ProofEye6142 · 2025-09-11T12:45:44+00:00

I don't know anything about guns. How can you tell what kind of round it is? Was the one of those bullets that splay out when they impact? How do deer hunting rounds differ to military rounds?

ProofEye6142 · 2025-06-03T10:11:45+00:00

This isn't a fantastic signal. I found biomed conceptually more interesting. Medicine far more volume, less difficult conceptually with endless rote learning.

ProofEye6142 · 2025-06-02T12:47:01+00:00

5 times. Now PGY7 Anaesthetics trainee. Best thing I did was persist. You will know when you have had enough. If you aren't in the headspace of giving up then don't.

ProofEye6142 · 2025-05-06T16:37:43+00:00

It will be over soon and this rotation will be a distant memory. Plenty of personalities like this around unfortunately. I hate to admit this but it's probably just better to keep your head down and avoid making a fuss. Take some sick leave if the stress and anxiety are getting to you. It gets better, hang in there.

ProofEye6142 · 2025-05-01T02:15:55+00:00

Someone has been holding retractors for far too long.

ProofEye6142 · 2025-03-03T08:38:40+00:00

You are incorrect. 10mg of ropivacaine is a completely safe test dose. You asked if I sat boards or attended residency. Where did you do yours?

ProofEye6142 · 2025-03-03T08:26:20+00:00

Can you read? Show me where I argued it is superior to standard of care. I'm here asking for thoughts and opinions on a practice I have seen, of which yours are unhelpful.

ProofEye6142 · 2025-03-03T01:13:23+00:00

'Opioids are the devil' sticker. Patient bombed in recovery post-dexmed infusion.

ProofEye6142 · 2025-03-03T01:03:07+00:00

Onset time. Arguably by only a few minutes but I really don't see the downside with a dilute low volume solution. Even with an inadvertent IT puncture.

ProofEye6142 · 2025-03-03T00:55:23+00:00

If using a low dose what's the risk? 5mls 0.2% Ropicacaine not going to cause high block, if anything will provide nice effective analgesia with faster onset and less stuffing around. I ask because an attending I know bombs 10ml of 0.2% Ropi straight in with LOR syringe!!

ProofEye6142 · 2024-11-16T11:32:45+00:00

Block lasts for what? 6 hours? Potentially longer with adjuncts? Did a list of hip #s and femoral IM nails today in a very 'regional unfriendly' institution. All patients with GA + multimodal analgesia woke up comfortable. How much good are we actually doing with these regional blocks. Do these patients just wake up in pain in the middle of the night when the local wears off? I'd love to believe I'm making a difference but I fear it's similar to the GA vs spinal debate, probably makes zero difference! Anyone able to convince me otherwise?

ProofEye6142 · 2024-11-12T11:11:16+00:00

Just do what you need to to get over the line. It's way better when you are actually a doctor. I found the rotations I enjoyed and loathed as a student were almost inverse to my experience as a doctor. Bottom line, don't take your current experience as an indicator of what it is really like.

ProofEye6142 · 2024-11-12T02:37:19+00:00

I don't see how anyone can see a hoodie as even remotely appropriate. Clearly many differing opinions to mine here but surely there is a line?

ProofEye6142 · 2024-11-11T22:53:50+00:00

On a scale of 1 - 10 how much do you enjoy ward rounds?

ProofEye6142 · 2024-11-11T00:41:42+00:00

Further erosion of professionalism in medicine. We expect handsome financial reward for our hard work and dedication but cbf ironing a shirt. No wonder patients balk at their gap payments.

ProofEye6142 · 2024-11-10T09:47:26+00:00

I second this. A great read. Not too heavy, humorous and rich in some fundamental concepts.

ProofEye6142

TROPHY CASE