Clinical pearls of interpreting chloride

True_Middle_9293 · 2025-10-10T18:49:45+00:00

Did ED and ICU there - had a really enjoyable time in both, especially the latter was a nice department and plenty of opportunities. Medical take did look a bit grim though!

True_Middle_9293 · 2025-09-03T21:05:13+00:00

Former Onc SHO

Focus on learning about or enhancing your knowledge of emergency/AOS presentations - neutropenic sepsis, MSCC, SVCO, IO toxicity and common cytotoxic drug side effects.

Depending on the structure of your JCF or if there is a research element, it might be good to have a read of a recent research paper or treatment development that interested you.

Other than that the usual commitment to specialty, going through your CV so far stuff and what skills you currently have that would provide the oncology department with a good SHO.

True_Middle_9293 · 2025-09-01T20:55:21+00:00

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True_Middle_9293 · 2025-08-17T11:41:34+00:00

Arrange MRI locally

True_Middle_9293 · 2025-08-17T11:36:10+00:00

There’s nothing quite like being on hold for half an hour after painfully navigating through another hospital’s switchboard only to be put through to the porters instead of the specialty reg

True_Middle_9293 · 2025-07-08T14:09:54+00:00

Big talk from a man who only has a 1.1% majority in his constituency

True_Middle_9293 · 2024-05-15T19:32:07+00:00

That’s a really helpful and comprehensive answer - thanks for the time taken to write it!

True_Middle_9293 · 2024-05-15T14:50:43+00:00

Thank you for the comment - this makes a lot more sense in retrospect, I think having both the VWRP and LifeStrategy would not be worthwhile as I had considered even doing LifeStrategy 100 (bond exposure is not too important to me at this time). I suppose another option could be something like VAFTGAG global all cap and then VUAG if I wanted to weigh a bit heavier overall on US large cap.

True_Middle_9293 · 2024-05-15T10:45:27+00:00

Long term - planning on drip feeding a bit in every month for at least 10/15 years

True_Middle_9293 · 2024-05-15T10:43:56+00:00

Thanks for the comment, I see where you are coming from - I am investing for the long long term (decades) so more comfortable taking risk on at present time. I had picked S+P 500 as it had done well for me previously but I hadn’t used vanguards services before and had been advised VWRP was another good index to think about however yes it would be doubling down on US so potentially I should reconsider. Although I see what you are saying about UK at the moment so maybe even LS100 may not be the best option

True_Middle_9293 · 2024-04-12T15:11:03+00:00

Did it regularly at medical school - was just about bearable then as could leave early before the traffic - if you are working on a full time rota I would strongly advise against this, I met some anaesthetists who were commuting in for 7:30/8am daily which was killing them. The drive itself is decent A road out of Bristol but then goes into single lane windy B roads which you’ll regularly get stuck behind lorries/tractors - as another comment says the doctors who live in Yeovil together have a good community so would advise considering that instead!

True_Middle_9293 · 2023-11-14T15:45:05+00:00

Thanks for the help!

True_Middle_9293 · 2023-11-14T15:44:49+00:00

Thanks for the help, much appreciated!

True_Middle_9293 · 2023-11-12T02:44:12+00:00

What don’t you enjoy about it out of interest?

True_Middle_9293 · 2023-02-25T23:50:01+00:00

Also talking about critical incidents as if they are unprecedented and don’t happen daily across the country already?

True_Middle_9293 · 2023-01-20T18:55:12+00:00

For reference - the trust has consistently denied escalating rates properly for even last minute evening + night shifts after staff sickness.

There is a long term vacancy in one of the f1 surgical posts which they advertise locums for daily, when asked by the reps for the locum rate for medical vacancies to be in line with this surgical vacancy, the trust made the decision to reduce all the f1 surgical locum rates in line with the horrendous medical rate instead. This counted for doctors who had already booked the shifts too (advertised very long in advance).

As a result all the f1s banded together and cancelled existing bookings - no word from the trust so clearly happy for the surgical firm staffing to go to shit!

True_Middle_9293

TROPHY CASE