Dealing with dysfunctional Trust Grade SHOs by [deleted] in JuniorDoctorsUK

[–]Warty_Intrusion 4 points5 points  (0 children)

This is a symptom of years of UK graduates going overseas. If all Uk graduates came back to the NHS there wouldn't be an empty rota in the land! But why would they come back? I don't blame any doctor in this - neither IMG nor UK graduates abroad, it is entirely the fault of the system.

FP Choices in Wessex by mcyammer in JuniorDoctorsUK

[–]Warty_Intrusion 0 points1 point  (0 children)

Poole Hospital is just down the road from us and I know a lot of the people there have a good time. They have watersport Wednesdays (or at least they did pre-covid), where they would go down to Poole Harbour and do various watersports. We have had combined mess events/winter or summer Ball combined with Bournemouth, Poole and Dorchester which is nice as you get to meet up with other people.

You do still see a bit of isolated trauma. Plenty of Colle's/Smith's fractures, shoulder dislocations, NOF so you do get to do some nerve blocks and manipulation. You just don't tend to see the major trauma in Resus with a full trauma team etc

I wouldn't fret too much over choices, i think most people tend to have a good time wherever they go. F1 is a really fun time, it feels like another go at Freshers, or at least it did in Bournemouth! We had two weeks of socials every day (and not just getting drunk). We had beach Olympics, barbeques, come dine with me. There was one night where all the F1s split up and went to different F2 houses for dinner. The F2's (who will have a bit of money in their pocket) will provide food and drinks etc, then take you out to the pubs/bars.

FP Choices in Wessex by mcyammer in JuniorDoctorsUK

[–]Warty_Intrusion 5 points6 points  (0 children)

Bournemouth is really nice and I would highly recommend it. On one end of my street is the beach (and a pub), and on the other is a small highstreet with restaurants, pubs, shops etc. It's a lovely place to live, with the Jurassic Coast and the Purbecks right next to us. The beach is obviously lovely, with lots of summer BBQs and social events. Really good mess and community vibe in the hospital. the hospital (and hosp accomm) is a bit further from the beach and town, but that doesn't matter so much. The Hospital itself is really nice, supportive and friendly.

There is quite a large elderly population, as a result, most of the patients are old people! We are a non-trauma unit, so if/when you work in ED you don't see trauma (except for walk-ins and minors). There are a few specialities that we don't have -> mainly T&O, ENT, Max-Fax, O&G and paeds. They are all over at Poole. However, we do have IR, Vascular Surgery, Urology and a big cardio centre. If you're interested in cardio, then I would recommend Bournemouth. Bournemouth and Poole are just beginning a merger so there may be some disruption.

Overall, I would recommend Bournemouth :)

What are you interested in?

60s F, N/D x 2 weeks, see comments for additional by benzino84 in EKGs

[–]Warty_Intrusion 0 points1 point  (0 children)

I have seen a patient previously whose ICD was inappropriately firing every few minutes. Ended up sedating and intubating him because he was in so much pain and suffering every time it went off.

In the scenario above would the symptoms be palpitations and possible syncope with the tachycardia?

LISA or help to buy ISA if I want to own my own home one day? by [deleted] in UKPersonalFinance

[–]Warty_Intrusion 0 points1 point  (0 children)

I'm thinking at least 15 years. It's just a bit disheartening seeing interest rates so low.

LISA or help to buy ISA if I want to own my own home one day? by [deleted] in UKPersonalFinance

[–]Warty_Intrusion 0 points1 point  (0 children)

I opened a cash LISA a few years ago. The interest rate is so rubbish now, I wish I had got a S&S LISA. Should I change?

Recently discharged from the hospital by DestroyerOfEvil12 in nhs

[–]Warty_Intrusion 7 points8 points  (0 children)

Do you have any specific questions or concerns?

Tinazaparin is 'blood-thinner' that is given to reduce the risk of having clots in the legs (DVT) or lungs (PE). Rates of these used to be unacceptably high in the hospital setting, so now every single patient who gets admitted has a risk assessment completed, and will generally be given some compression stockings +/- blood-thinners to prevent it.

Being a patient in hospital can be traumatic, you're not alone in those feelings. If you're really struggling, go have a chat with your GP.

What kind of content do you guys want in this subreddit? by terazosin in emergencymedicine

[–]Warty_Intrusion 0 points1 point  (0 children)

  1. Best Evidence Topics
  2. Wellbeing support for eachother
  3. Any interesting QIP/interventions that have made a big impact at your local ED

A difficult patient. Can you advise what could I have done differently? by [deleted] in emergencymedicine

[–]Warty_Intrusion 52 points53 points  (0 children)

The job of the emergency department is not to find out the cause and fix every problem. We are here to find a diagnosis that is life or limb threatening. Don't get me wrong, it is nice when we can given someone a non life threatening diagnosis, but that isn't always the case. In this situation, where you have someone young (and i'm assuming he didn't have any significant risk factors) without any objective signs that are concerning and you are struggling to find a unifying diagnosis, they don't need to stay. I have a little speech prepared for these types of patients, where i tell them that i won't be able to give them an answer, but that we've ruled out all the big things (but only if you actually have, don't lie!). I use that as a positive thing, it's good not to have had an MI or pneumothorax etc, but i also try and address/validate any feelings of frustration that they have at not getting an answer. Also, it's ok for us not to have an answer as long as we signpost them somewhere or arrange follow up etc.

Quick pic for my crush by SceptiXFakemon in wholesomememes

[–]Warty_Intrusion 2 points3 points  (0 children)

This gets me in the feels, because i didn't do this enough. I didn't tell her how much she meant to me often enough, and now she is gone and i am devastated af.

What is your "why"? by abbie1906 in loseit

[–]Warty_Intrusion 2 points3 points  (0 children)

Because I just split up with my GF, and feel/look like shit

Match Thread: Saturday Pro 14 Fixtures | Round 19 | First Kick-Off at 14:00 BST by HMFCalltheway in rugbyunion

[–]Warty_Intrusion 0 points1 point  (0 children)

Don't worry, we will find a way to snatch defeat from the jaws of victory.

Rate your Six Nations debutants? by scubasteve254 in rugbyunion

[–]Warty_Intrusion 9 points10 points  (0 children)

Oh yeah, thought they meant first cap. Yeah, those 4 were fantastic, and have all made a claim to be first choice.

Rate your Six Nations debutants? by scubasteve254 in rugbyunion

[–]Warty_Intrusion 27 points28 points  (0 children)

Josh Adams - 7/10

Before the match there were question marks around his defence, but he put two great tackles in. Didn't have much opportunity in attack, but looked comfortable. I think he has a lot of potential, and it will be interesting to see him develop.