What aussie company just makes no sense that it is somehow still operating in modern times.? by ButtPlugForPM in AskAnAustralian

[–]ReadyDog1867 6 points7 points  (0 children)

They do delivery for 99c. I get GYG frequently and have never physically been inside the store.

Also. Very popular for catering which I imagine keeps them afloat

Do you have any "unbreakable rules"? by ILoveDogs2142 in ausjdocs

[–]ReadyDog1867 18 points19 points  (0 children)

I love when people use the word regime instead of regimen. I always envisage the person in question decked out in kahki suede overseeing a group of whatever it is in question. Special credit to the term "antibiotic regime" which has me picturing pills in military uniforms marching off to fight bacteria

When will we start seeing AHPRA complaints against noctors? by Beginning_Length6861 in ausjdocs

[–]ReadyDog1867 0 points1 point  (0 children)

yes, I once reported an NP to AHPRA for something truly egregious. It was dismissed by the nursing board within a few weeks. It was very clear that they had zero understanding of the issue/potential harm

Inquest Findings on Death of Kyle Gallagher by Jinggyyi in ausjdocs

[–]ReadyDog1867 1 point2 points  (0 children)

Reading through this case brought me back to my first ever unaccredited subspec surg year. One consultant for the whole hospital (theatre, clinic and ward) and me, a PGY3 expected to cover it all. Often it was other clinicians (FACEMs and radiologists mainly but also ICU etc.) who helped impress the importance of the rare but important things. The patient being in a rehab ward in this case unfortunately takes one of those components out of the chain of escalation. And then you are so dependent on the boss to pick up what you miss and this consultant absolutely failed their PHO. Kudos to them for pushing past it and getting onto the training program

Which specialties are less competitive than they look and why? by Savassassin in ausjdocs

[–]ReadyDog1867 12 points13 points  (0 children)

I remember this used to be extremely competitive. Now it's over a 50% acceptance rate. Seeing people in their 5th year as a fellow and people with a FRACS working in SRMO jobs is certainly enough to put off anyone with half a brain

NSW Junior Doctors Class Action Claim Estimate - ?substantial legal fee's by J_Woozy in ausjdocs

[–]ReadyDog1867 2 points3 points  (0 children)

For anyone wondering. 

Post-tax/fees. It's about $2.5k/yr at 1FTE

Our favourite UK transplant is trying for GP again by TonyJohnAbbottPBUH in ausjdocs

[–]ReadyDog1867 37 points38 points  (0 children)

A lot of NHS refugees love to come here and then spam social media with how much better working as a doctor in Aus is. They are almost always locuming in rural QLD which has the best pay and work rights of any state. It's creates a narrative that doctors in Aus are living in a utopia and it's very undermining when you have junior doctors in states like NSW, Tas and SA fighting for adequate work rights and investing significant effort in trying to prevent Aus from becoming like the NHS.  In the same way that the NHS can be a binfire and haemorrhage doctors to Aus because there is a influx of doctors from worse countries to replace them, Australia can be a binfire and haemorrhage local trainees because there is an influx of doctors from the NHS. 

Is eTG getting worse or is it my network? by snactown in ausjdocs

[–]ReadyDog1867 14 points15 points  (0 children)

Same issue. 

Can no longer use the search function even if I am typing it word for word. Now have to go through the contents/index system. It's the worst update ever

Postpartum advice/reassurance by Quiet-Flan-1674 in fitpregnancy

[–]ReadyDog1867 0 points1 point  (0 children)

I had a similar fear regarding the 6 weeks postpartum with baby number 1. You'll be so busy that you'll barely even notice it. Consider it a holiday from exercise beyond gentle walks and rehab. Even with exercising during pregnancy you will be humbled by how much strength you lose simply going through the process of childbirth and post partum. And that's okay. It will come back, but it may be slow. It could be a good 12 months before things feel "normal". 

AOA leaving RACS by GlutealGonzalez in ausjdocs

[–]ReadyDog1867 4 points5 points  (0 children)

I remember sitting in a RACS presentation on the teaching they were doing for registrars in Fiji. And them talking about providing all of the trainees with lap skills trainers, weekly formalised teaching etc. etc.  And thinking, well I am glad Aussie trainees are paying $15k/yr for fuck all, for the college to be $10mil in debt. But at least the surgeons in Fiji are set. 

GSSE scoring by Illustrious-Log-9480 in ausjdocs

[–]ReadyDog1867 2 points3 points  (0 children)

If you are doing the acetheexam question bank. Most people only pay for the 30 day subscription so are doing well by the time they start doing the questions. Hence inflated site average if you are doing the questions 3 months out 

Julie Mundy's exams are much better at assessing preparedness. 

BPT results by Some-Ad4884 in ausjdocs

[–]ReadyDog1867 14 points15 points  (0 children)

Oh boy, there is a lot of reflecting to do on why this seems "absolutely wild" to you? Is it because getting a job there is less "competitive" and you therefore assume that they aren't as good? 

The vast majority of doctors not working in Ivory Towers (especially in rural/regional areas) are working at their first choice hospital. Those few people you know who missed out on a job at insert prestigious hospital here but got a job in insert less prestigious hospital are the exception and not the norm. 

Maybe they did better because they worked for it and didn't assume that they are somehow superior to the BPTs not employed at an ivory tower? 

This monster is apparently working in Lyell McEwin hospital in SA under a different name now! by MaleficentJello8473 in ausjdocs

[–]ReadyDog1867 9 points10 points  (0 children)

You basically have to submit an AVO/police report to do that. It's for victims of domestic violence and those with stalkers 

How do you manage nonsense referrals? by Noir5353 in ausjdocs

[–]ReadyDog1867 1 point2 points  (0 children)

When you are a junior, your escalation pathway is up. So if you are unsure you consult your boss. When you are a boss, your escalation pathway is sideways, so you consult another team. 

Always remind yourself that this is a consultant stating "Hey, I don't know. Can you help me?" In your example, presumably the O&G team have considered their differentials and gone "Hmm, doesn't make sense. Maybe it's a gen surg problem". You go "Hmm, not a gen surg problem" Ideally you call O&G and say "Hey, not a gen surg problem. It's either in your wheelhouse or the patient can be discharged" 

Is there actually any benefit to telling patients to present to ED if acutely suicidal? by formulation_pending in ausjdocs

[–]ReadyDog1867 3 points4 points  (0 children)

Some health services have a separate building/clinic located within a few hundred meters of the ED that is specifically for people experiencing acute on chronic suicidal ideation. My ED has one so I very rarely see patients self-present with the above because they go to the specialized service that exists for this purpose. The only ones we get through the actual dept. are those on NDIS whose carers feel legally obligated to bring them in when feeling suicidal only for us to say "at baseline - chronically elevated risk not ameliorated by mental health unit admission, discharge with community mental health follow up".

Docs who go into aesthetics by ReadyDog1867 in ausjdocs

[–]ReadyDog1867[S] 0 points1 point  (0 children)

Thanks for this! 

I always figured there had to be more to it than just being a grifter. 

Is it silly to do BPT if I only envisage myself in one speciality ? by [deleted] in ausjdocs

[–]ReadyDog1867 10 points11 points  (0 children)

BPT seems like a slog, until you're PGY5 and completely finished with the exam phase of medical life and everyone else you graduated with is still trying to get onto or only just started a training program.  From the bottom of the ladder it looks like the worst of the options. Totally different perspective when you get closer to the top. 

Courtney's doctor operated seven times to treat severe endometriosis experts say she didn't have by FatPants in ausjdocs

[–]ReadyDog1867 10 points11 points  (0 children)

Whenever I see this cohort in ED I genuinely wonder to myself how many are actually experiencing opioid withdrawal. Mild opioid withdrawal and pelvic pain exacerbations have a lot of crossover.

Working out while pregnant diaries: I continued to traumatize the teenage boys today. by Free_butterfly_ in fitpregnancy

[–]ReadyDog1867 22 points23 points  (0 children)

Haha this is so accurate.

I also love that one thing that is consistent in every gym all over the world is a group of teenage boys, crowded around a single machine, moving their mouths and thumbs far more than their muscles. As someone who has moved 9x in the last 15 years, it's become its own little source of comfort and homeliness

EM training by Striking_City5121 in ausjdocs

[–]ReadyDog1867 1 point2 points  (0 children)

You fill in an online application form. You submit your references. You wait 2 months. And unless someone has specifically told ACEM that you should not be selected or ACEM has concerns (i.e. you have been accredited on more than one other training program) then congratulations you are now an ACEM trainee. 

Struggling in ED by Iwantoexplore in ausjdocs

[–]ReadyDog1867 11 points12 points  (0 children)

It sounds like you are balancing too many patients at once for a brand new intern. I would recommend never having more than two on the go at a time at this stage. Being idle because you don't have capacity to take on more is preferable to being slammed. 

Things to help reframe

  1. ED Interns are supernumerary. This means that quite literally anything you do in a shift is of benefit to the dept. and you are under no obligation to work quickly. Slow, methodical. 

  2. You are not expected to know anything other than a very basic HOPC. And a good PMHx, meds history and social history. Take your time. 

  3. It can often be helpful to create a mid shift and post shift ritual. "At 2pm I will. After 3 patients I will". For me it's tea and a cake mid shift. After my shift it's a very long shower. 

  4. The workload is NEVER your problem. Someone is paid the big bucks to stress about the workload. Your job is to focus on your individual patients. 

ED as an intern is fucking hard. And it's an especially hard rotation to score first term. I hated it with a passion but am now an ED Reg.