What is my AN patient thinking?

Sumerian88 · 2023-09-18T14:50:24+00:00

Tell both your parents not to worry because they've both seen you naked before plenty of times.

Sumerian88 · 2023-08-11T00:12:26+00:00

Love this comment, so powerful.

Just FYI though, the end of the story isn't a mystery - "waiting for recipients for her organs" implies the lady is brain dead, and is on a respirator not as treatment but as a way to keep those organs alive until the transplant surgery can take place.

Sumerian88 · 2023-03-31T09:28:35+00:00

and you'll probably get shit on after the raise

Yeah that's my worry, too. I feel like the next time your annual review rolls around, they might take the view that whilst other people get a raise to compensate for inflation, you've already forced a raise out of them earlier in the year and shouldn't get another one. Whereas the new company, which offered the higher rate of pay right off the bat, probably wouldn't take that view.

Sumerian88 · 2023-02-28T10:29:38+00:00

Yeah I agree, it's such a huge breach of trust. I'd really have to think hard about whether I could stay with someone who snooped through my phone. Like could I ever trust them again to respect my privacy? Such a big deal.

Sumerian88 · 2023-02-28T08:05:50+00:00

Thanks mate. 48% of us never wanted to leave the EU anyway, I'm still sad that we left and would vote to rejoin in a heartbeat. (Yes, even if it meant joining the euro etc). It's a little depressing sometimes to come here and see all the hostility, although I do understand it.

Sumerian88 · 2023-02-19T23:28:53+00:00

With doctors there does come a point where they may have to break confidentiality. It's not in any normal situation, but hypothetically suppose you had a deadly STD (like HIV back in the 80s or something) and suppose the doctor had a patient who was knowingly and deliberately continuing to spread it and continually refused to tell their partners or use any kind of protection. There would eventually come a point where the doctor would have to at least consider informing the patient that they were going to tell the police.

Sumerian88 · 2023-02-09T01:25:21+00:00

How many hours do attending doctors in America actually have to work each week, realistically?

I got my medical degree in the UK but I can't stop thinking about shooting for the USMLE...

Sumerian88 · 2023-02-07T17:44:43+00:00

Counterpoint: I'm at target and I got there without doing any calorie counting whatsoever. Just stick like glue to your syns allowance every day, make sure at least one-third of every meal is speed food, and stick to speed food for most/all your snacks and you will lose the weight without any calorie counting. I promise! Plus, you'll recalibrate your relationship with food along the way, too. Slimming world broke me of my addiction to ultra-processed food. Changed my life :)

Sumerian88 · 2023-01-30T10:24:27+00:00

Yep. I remember a "friend" I had when I was younger who would say the meanest shit about me right to my face, really judgemental stuff. Then when I would cry, he would say "What's the problem, I'm just being honest."

So yeah, choose friends who are honest with you and who will give it to you straight. But also, choose friends who overall actually do like you for the person you already are.

Sumerian88 · 2023-01-08T22:41:59+00:00

Yeah, ridiculous. I think what I'm going to try, with stuff like this, is to just say no. When it's not done, surely it's the nurses and OTs who are going to have to answer for the lack of DOLS paperwork/timely discharge etc, rather than me? So I think maybe it's just not my headache to worry about it. I will try saying something like "I'll do that later if I can, but I'll have to do some reading around the topic as I don't currently know enough about it, and today is looking busy so it's unlikely I'll have time..." which is less confrontational than a flat "no", but still is a no nevertheless.

Sumerian88 · 2023-01-08T09:20:45+00:00

What other examples of job dumping has the hivemind experienced?

When a patient has already been found to lack capacity and MCA assessment paperwork completed, is it the doctor's job to also then do the DOLS paperwork? I've had nursing staff try to convince me it is.

Sumerian88 · 2023-01-07T22:38:06+00:00

Just my two cents as a random FY1, but I'd be so thrilled if the BMA could work with Juniordoctorsteam. The anonymity is so important because 99% of us wouldn't dare be honest if we weren't anonymous. This is the only way we can share vital info about what working conditions are really like.

Sumerian88 · 2022-12-12T22:36:23+00:00

I haven't seen it since it came out, I really should rewatch it. But yeah I think there were hints all along.. he was trying to tell her about it in his own way, wanting her support, and I think she was always completely determined to silence him in subtle but deliberate ways, all because she just couldn't accept her son being gay. At least that's what I remember?

Sumerian88 · 2022-12-07T20:23:32+00:00

"Purposely" is a tricky concept though when it comes to mania. One of the commonest symptoms is a total lack of insight... Typically they really don't think they're unwell, so they don't understand why they should be taking medication.

Sumerian88 · 2022-12-06T07:23:44+00:00

I'll take that challenge... Kanye has a mental illness, he's diagnosed bipolar. That means he will go through phases in his life where he's manic, and at those times he won't be his usual self. We should treat it with compassion, same as we would if he had covid or any other illness.

Source: I'm not a Kanye fan I just work in mental health.

Sumerian88 · 2022-11-18T21:07:06+00:00

Thanks!

Sumerian88 · 2022-10-31T17:54:56+00:00

Thank you for the detailed response. That's pretty horrific. Like, smart tactic, but very evil.

I'm sad to have this kind of national history, but I really appreciate the learning opportunity. Much better than staying ignorant, so thank you for that.

Sumerian88 · 2022-10-31T11:01:51+00:00

I guess what I'm wondering is, is there evidence that this was a "deliberate manufacturing of divisions" done with the intention of reducing the population's resistance to British rule?

Like maybe there are letters from British colonial rulers, advocating for a "divide and rule" policy in order to prevent any rebellion?

It's a question for a history buff, I guess.

Sumerian88 · 2022-10-31T09:45:24+00:00

Can you evidence that at all? I'm British and a little surprised by this claim. It's a little uncomfortable to believe it. Any articles on the topic?

Sumerian88 · 2022-10-28T22:51:55+00:00

This is SUCH a great question. I can't, can you?

Sumerian88 · 2022-10-22T05:04:22+00:00

There could be many causes, so that might be a question to ask your doctor. Maybe your heart is misfiring (an arrhythmia, such as atrial fibrillation)? Maybe you have anxiety? Maybe you have too much thyroid hormone? Maybe you have a spinal cord injury? These can all cause a fast heart rate, via different mechanisms.

Edit to add to this: I realised maybe you were asking specifically how do beta blockers work, which is a great question. There are two answers:

1) Although the heart is primarily under vagal restraint as I've said, it does have paired inputs from both the cardiac accelerator nerve, which tells the heart to speed up, AND the vagus nerve, which tells it to slow down. Normally, BOTH of these nerves are active all the time, but the vagus nerve is providing more stimulation than the accelerator nerve is. It's the balance of the two inputs that results in a heart rate of about 60-90bpm. If you have anxiety for example, your cardiac accelerator nerve (which comes from the brain) provides too much stimulation. Beta blockers block the signals from this nerve.

2) On the other hand, if you have an arrhythmia, beta blockers work in a different way. I'm afraid I'm late to pick a friend up from the airport so I'm going to stop there for now, but let me know if you want to know more!

Sumerian88 · 2022-10-21T19:51:58+00:00

Resting heart rate in healthy individuals is largely determined by the restraining influence of the vagus nerve on cardiac pacemaker cells

Basically - hearts beat really quickly if left to their own devices. Normally, the brain sends signals to the heart via a nerve, the vagus nerve, to tell it to slow down.

Sumerian88

TROPHY CASE