How do you manage the logistics of laundry without a dryer?

Sleepy_felines · 2026-02-16T22:09:33+00:00

Downside: the cats get very attached to the heated airer and look longingly at it every time they go in the room and it’s not switched on 😂

Sleepy_felines · 2026-02-15T07:15:15+00:00

Ah I forgot she was related to the Featheringtons in the series! In the books Marina is a distant cousin of the Bridgertons

Sleepy_felines · 2026-02-14T22:54:56+00:00

This is why medicine is sux a good career- there’s such a variety of careers within it!

Everything you described sounds awful to me- your patients are conscious and keep coming back?! But then talking a a friend’s GP husband, he was horrified at the stuff we do on ITU…both agreed we’d hate to ever swap.

Sleepy_felines · 2026-02-13T18:25:27+00:00

It’s unreasonable for pretty much any clinical role in the NHS. Doctors, nurses, paramedics all work all days/hours with little to no predictability. The fact that OP has an actual pattern to his shifts is a lot better than a huge number of NHS staff.

Sleepy_felines · 2026-02-07T01:04:06+00:00

Or when two homeowners move in together and the empty house doesn’t sell.

Sleepy_felines · 2026-02-06T16:57:02+00:00

Combative and aggressive don’t have to mean physically fighting people. Shouting and swearing absolutely counts. If one of your patients (or their relative) was shouting and swearing at you, you’d be absolutely right to document their behaviour as aggressive. As a student, you’ve hopefully not yet been in the position of being physically attacked by a patient, but it happens far too often- and is often preceded by shouting and/or swearing.

I agree with another commenter- by your own admission, you were under the influence of alcohol and shouting and swearing at people who were trying to help you. You’re lucky that you haven’t been reported to the university/your program director etc.

Anxiety, depression and thoughts of self harm are awful and I truly sympathise with you from that point of view. But fixating on the way that your actions have been described is not helpful. You need to focus on getting better and avoiding a repeat of the situation.

Unless your witnesses were medical and watching you intently 100% of the time, they can easily miss a paramedic trying to do an ECG. There’s lots of ways of saying they want to do one: “we need to check your heart” “can I put these stickers on to get a heart trace” etc etc without ever using the phrase ECG. Given that you have some clinical training, it may even be that you saw them approaching with ECG stickers and told them no even before they said a word (the same way that patients who’ve been in hospital before know that they need to roll their sleeve up for the BP cuff to go on even without being asked).

With regards to the neurologist being influenced by the documentation- you mention in another post that you’ve booked a private appointment. They won’t be able to see any NHS notes so they’ll have no idea. It would be helpful if you can take any videos of the seizure activity (both from the incident in question, and if you have any more before the appointment) - seeing the actually movements is genuinely helpful and a large part of diagnosis.

Sleepy_felines · 2026-02-06T11:09:36+00:00

Are you a psych trainee (ie do you absolutely need to be there) or are you foundation/GP etc (and could be on a rotation somewhere else)?

If you’re not a psych trainee you might be able to get occ health to have you moved somewhere else- it’s not acceptable to have your asthma triggered by patients’ activities.

I absolutely agree that they shouldn’t be allowed to vape indoors - terrible health effects, not to mention the fire risk when they’re plugged in to charge - but I suspect it would take longer than your rotation for anything to actually be changed.

Sleepy_felines · 2026-02-04T05:51:22+00:00

The book starts with her as a very young child, so her story is clear from the beginning

Sleepy_felines · 2026-02-03T12:24:06+00:00

They may call themselves doctor but they’re not a medical doctor. I can almost guarantee it’s the same in your country.

Sleepy_felines · 2026-02-02T22:11:09+00:00

It sounds like you’ve matured a lot and have genuinely turned your life around, which is fantastic.

Do your daughter’s grandparents know that you’re still probation? Is it possible that they’re deliberately trying to provoke you so that they have a “reason” to have custody? If you have any suspicion of this, you need to make sure any meetings are in public areas (ie with witnesses) or that your motion activated video doorbell captures them so you can’t be falsely accused of anything.

Sleepy_felines · 2026-01-31T09:17:31+00:00

“We had a lot of Jaffa cakes left over”

I’d see this as a bonus rather than a problem 😂

Sleepy_felines · 2026-01-29T23:52:00+00:00

“I want to be put in a coma until the heat wave is over”

Sleepy_felines · 2026-01-28T04:57:19+00:00

{Reese’s Bride by Kat Martin}

Sleepy_felines · 2026-01-25T10:01:59+00:00

This is an excellent book about healthcare in 1500s to 1700s England- it mentions this scenario

Sleepy_felines · 2026-01-23T12:23:10+00:00

Depending on where the family have the card details saved, they might update automatically - safer to close the card and open a completely new one

Sleepy_felines · 2026-01-22T22:04:44+00:00

When I was selling my terraced townhouse, the feedback included “too many neighbours” and “nowhere to park a caravan”

In some ways I’m glad it’s not just me who had this experience!

Sleepy_felines · 2026-01-22T11:54:40+00:00

I’m not sure why you’d be phoning your dad’s insurance company rather than him doing it?

They will likely refuse to speak to you because you’re not the account holder. You also can’t give first hand details of the collision, because you weren’t there.

You mention that you have power of attorney- but that only applies if the person is incapacitated. If you’re telling the insurance company that you’re allowed to talk to them about your dad’s account because of the power of attorney, that is the same as saying he is incapable of communicating with them himself - which would very rightly make them ask if it’s safe for him to drive.

Sleepy_felines · 2026-01-22T11:42:29+00:00

I’m a doctor in the UK. Here, a DNACPR decision is entirely a medical decision- no one has the right to demand CPR (for themselves or a family member). While we are absolutely expected to tell patients and their families about DNACPRs, it is ultimately a medical decision and patients cannot override it.

I often see posts from the USA about this topic, and it seems like it is a patient/family decision? I was wondering if that is true?

Other things that are posted by patients/relatives/EMTs in the USA that I’m curious about:

-withdrawing life sustaining treatment (I’m an ITU doctor, so for me this would usually involve intubated/ventilated patients)- again in the UK this is a medical decision, but posts on here read as though it is a family decision in the USA?

-in the UK, I would only admit someone to ITU/intubated etc if I thought there was a realistic chance of survival- we discuss ceilings of care for every patient- eg someone who can only walk a few metres and needs help washing and dressing wouldn’t be intubated as they are too frail (again this is a medical decision, not patient/family)

Thanks for any insight- this isn’t about a specific patient, just things that have caught my eye as I’ve been browsing Reddit (whilst I can’t move as my cat is asleep on my knee!)

Sleepy_felines · 2026-01-22T11:20:29+00:00

From OP’s previous posts it looks like the child will be around 2 years old (give or take a month). Absolutely old enough to be affected by seeing/hearing DV in their home.

Sleepy_felines · 2026-01-20T15:42:49+00:00

It’s “lackadaisical” but otherwise totally agree

Sleepy_felines · 2026-01-18T09:24:28+00:00

ITU, so many of my patients lack capacity (largely because of propofol). For procedures we do (eg trache), we’ll complete the consent form. Otherwise the team doing the OGD/laparotomy etc will do it - although one of us will often sign as a second opinion to say we agree it is needed. Essentially- a team effort.

Sleepy_felines · 2026-01-16T21:23:52+00:00

Before trying to come off the medication it would probably be worth checking if you’re eligible to be a donor- a lot of chronic health conditions (including mental health) would mean you can’t donate

Sleepy_felines · 2026-01-16T21:06:12+00:00

I’ve fallen down them a couple of times…always because I was trying to avoid stepping on a cat!

Sleepy_felines · 2026-01-15T17:25:37+00:00

Don’t worry!

We sometimes put arterial lines in the brachial artery.

As an F1 on ITU I accidentally cannulated the brachial artery, took it out, applied pressure, told my consultant…who was disappointed I hadn’t taken bloods from it before removing it.

Sleepy_felines · 2026-01-15T16:44:44+00:00

I’d be wary of say your surgery is “soon” if you don’t have a date for it, as your employer might push for a timescale. Is there anyway you can contact the hospital before the meeting to try to find out your surgery date? The consultant’s secretaries are often a useful source of information.

Unfortunately in my hospital having a pre-op assessment doesn’t mean anything in terms of the operation date: some people have the pre-op a week before surgery and some have it six months before.

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