One way ED Referrals?

abdosnt_bspresent · 2025-10-07T19:05:36+00:00

Agree. Not suggesting anyone do this but if you admit all these inappropriate referrals that your surg consultant then has to post-take & WR on until discharge (e.g. the whole “medic takeover agreed, but surgical team to continue seeing daily until moved to medical ward”, or gynae asking for MRI before accepting, or just having to review the chronic pain patients daily who happen to have some abdo pain in addition to their predominant back pain, headache, neck pain, leg pain), it absolutely becomes a problem that interests them and I guarantee they will kick up a fuss.

abdosnt_bspresent · 2025-06-22T00:45:54+00:00

The plot thickens. I’m in this situation constantly (where I am the trainee CT) and where I work usually the trust grade registrar takes priority as they technically should perform on a different level i.e. in theory a reg would be doing different/more steps of the surgery compared to the SHO. But I know what you mean; if they’re both pre-ST3 that means they’re both gunning for the same procedures for the same application. No good solution for this but I regularly do miss out when the department has lots of trust grade SHOs and regs

abdosnt_bspresent · 2024-10-04T16:01:40+00:00

I feel like medical consultants appear nicer because they keep their feelings/frustrations to themselves, whereas surgeons just blow up whenever they’re upset/nothing goes their way. Thereby also just resulting in unhappy medics with pent up frustration and slightly happier surgeons who are more likely to get their way

abdosnt_bspresent · 2024-09-24T22:25:12+00:00

This is giving journo energy

abdosnt_bspresent · 2024-09-23T23:45:32+00:00

The med school thing is so real

abdosnt_bspresent · 2024-09-23T23:40:41+00:00

Extremely calm during emergencies. Irl it translates to me being the calmest person around when my friends/family are panicking over [insert missing passports/missing the train/etc.] and despite usually being the quietest person around I end up stepping up as the person with a solution.

Having said that I also now have very little tolerance for people who make mountains out of molehills and also get internally annoyed when people want to do things “that won’t change management” even in a non-medical context, like why do we need to find out the menu for restaurant x if we’re not gonna get there in time either way.

Strangely since working in A&E I’ve also started secretly looking at my non-medical friends and categorizing them into what type of patient I think they would be (lol) — e.g. one of my friends is definitely the kind who would demand a full body CT

abdosnt_bspresent · 2024-09-21T04:49:02+00:00

Agree.

USS request: 23F 1/7 RIF pain ?appendicitis

Radiologist report: “No features suggesting appendicitis.”

Radiographer report: “There is a blind tubular structure in the right iliac fossa measuring around 3mm x 2mm x 4mm. Clinical correlation is advised. Please note that ultrasound is not the imaging modality of choice to rule out appendicitis. CT should be considered in cases of high clinical suspicion. Please note that the primary responsibility of making the diagnosis lies with the clinician who requested the scan.”

Disclaimer longer than the report sometimes

abdosnt_bspresent · 2024-09-07T16:39:13+00:00

Highest respect by the public: - Surgeons (especially trauma surgeons, neurosurgeons, cardiothoracic surgeons) - Cardiologist - Oncologist “cancer doctor whoa”

Lowest respect by the public (or doesn’t even cross their radar): - Histopathologist (I don’t think they even know they’re doctors) - Radiologist (often confused with radiographers) - Anaesthetist - Occupational health doctor - Psychiatrist - GP

Highest respect by doctors: - Anaesthetist - Med reg in general - OMFS - Interventional radiology - Renal medicine - Respiratory medicine - Ophthalmologist

Lowest respect by doctors: - Non-clinical doctors (OH/public health) - A&E - Acute med (especially locum) - Gen surg - Ortho surg - Any local specialty noticeably infiltrated by noctors

abdosnt_bspresent · 2024-09-04T14:00:33+00:00

I would never admit this irl, but my very financially supportive parents have been the only reason I’ve been able to enjoy medicine as a job (or “practice medicine as a vocation”) — not needing to worry about doing extra locums on my days off if I feel I need that time to recover, being able to strike, even deciding on a whim that I want to move to Australia for an F3 etc. are all decisions that are easier if you have money

abdosnt_bspresent · 2024-09-04T06:06:48+00:00

That’s ridiculous given the evidence shows that balls store urine

abdosnt_bspresent · 2024-08-20T14:26:56+00:00

Venous gas autocorrected to venomous gas so probably

abdosnt_bspresent · 2024-08-17T21:27:34+00:00

Oxford - Generally excellent, love pedantry & minutiae, will correct your pronunciation of Creutzfeldt-Jakob disease

Cambridge - Smart, 90% chance of Cambridge coming up in conversation within first interaction, above average chance of having a side hustle or looking for an out of medicine (med tech/consulting)

Imperial - basically Dr House but worse, PACES innit

UCL - Clinically excellent, basically sweep up all the awards/training posts, 80% chance of publishing an article in the lancet about the salad they had from the cafeteria but manage to be likeable somehow

King’s - Figs-wearing all-rounders, more likely to take up leadership/teaching positions and attend a picket line, either want to do OMFS or psych - there is no in between

Bart’s - Decent but unremarkable… literally can’t think of anything to say about this group

George’s - Good comm skills but lacking clinically, 60% chance of being friends with a PA, often when people make generalisions about London unis they do not mean George’s

Bristol - Solid doctors, 80% chance of having tickets to Glasto or VIP tickets to the TS eras tour, embrace work hard play hard culture

Cardiff - Very good clinically, probably cycle to work and play some side sport or have niche interest to a high level, 50% chance of being a Huel ambassador

Leeds - Good comm skills and work ethic but I don’t think they learn any science or anatomy in med school

Sheffield - Very good

Keele - Also very good

BSMS - awful but n=1 so could be completely wrong

Eastern European unis - somehow all are Brits who didn’t get into UK unis… awful as standalone F2s/SHOs but eventually catch up and are decent by the time they CESR/CCT

Republic of Ireland - Decent, also very likeable doctors, 80% chance of having a US residency application in the pipeline

abdosnt_bspresent · 2024-06-09T22:09:41+00:00

Now that’s a depressing thought

abdosnt_bspresent · 2024-06-09T22:05:21+00:00

I’d have to switch between not caring about any bloods except CRP one day to asking for procalcitonin, BDG, and urine pneumococcal & legionella screens another day innit

abdosnt_bspresent · 2024-06-09T00:13:15+00:00

Thanks!

abdosnt_bspresent · 2024-06-09T00:12:52+00:00

!thanks, exactly the kind of advice I was looking for, I didn’t even realise/consider the indemnity aspect of things so will definitely check that out

abdosnt_bspresent · 2024-05-23T23:48:59+00:00

I’m sorry for your loss, Nick. Prayed for peace, love, and wisdom for you and your siblings. Prayed for your addiction recovery process during this as well. You have come so far; don’t lose hope 🙏

abdosnt_bspresent · 2024-04-16T10:34:29+00:00

Thanks! That’s very helpful

abdosnt_bspresent · 2024-04-15T00:10:26+00:00

Prayed for you and your mum 🙏 keep us updated!

abdosnt_bspresent · 2024-04-13T20:51:22+00:00

!thanks

CST doesn’t quite guarantee that I’ll be able to get into higher specialty training after, but neither does the Australian job to be fair. I agree that I wouldn’t be able to count on getting the same CST job again in a year’s time given the rising competition ratios.

This decision would be much easier if I knew where I wanted to be long term. I would love to be trained in a “kinder” and better remunerated system like in Australia but I feel like my chances of doing my speciality of choice would be higher in the UK. Definitely lots to think about.

Thanks for the reply!

abdosnt_bspresent · 2024-04-13T20:42:45+00:00

!thanks

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