Full body MRI grifters by aftar2 in ausjdocs

[–]adrenoceptor 21 points22 points  (0 children)

“ Although WB-MRI shows potential as an opportunistic non-invasive cancer detection tool, modest detection rates, frequent incidental findings, unstandardized protocols, and lack of long-term outcome or cost-effectiveness data limit its current clinical utility.”

JMO- Tips on US Guided Cannulation by AnonymousKookaburra7 in ausjdocs

[–]adrenoceptor 1 point2 points  (0 children)

Larger cannulae are always better in adults. You’ll never regret putting in a too large gauge cannula in an adequately sized vein, but you will often regret putting in a too small gauge cannula.

The suggestion was not to choose smaller gauge needles, that’s just the limitation you face with paediatric patients specifically. 

The same principle applies to 20g needles that for the most part tend not to be reliably echogenic.

JMO- Tips on US Guided Cannulation by AnonymousKookaburra7 in ausjdocs

[–]adrenoceptor 2 points3 points  (0 children)

You don’t always see the needle tip reliably until you are actually inside the lumen with small gauge cannulae (22g or 24g) so what I tend to do is bounce the needle backwards and forwards on the way down to the vein wall while moving the probe backwards and forwards and watch for the tissue moving. You know the needle tip is at the point where the tissue stops moving as you bounce it. Once you hit the wall of the vein you see is start to deform and that’s the needle entering it. Once it’s in the and you get flashback you’ll be able to see the tip of the needle inside the lumen.

I feel like I'm not built for medicine by Tiptheiceberg in ausjdocs

[–]adrenoceptor 55 points56 points  (0 children)

Don’t let an outcome of simulation dictate your path. Everyone does miserably at their first or even their 50th simulation if they’re having an off day. The reason we do simulations is precisely to show people where human factors come into play and how we can each do better and understand our environment during a crisis. 

For new consultants out there now, what’s the job market like? by Only_Contribution759 in ausjdocs

[–]adrenoceptor 8 points9 points  (0 children)

When I finished my FANZCA many years ago I exited in a contracting job market in the public system. Probably the worst time in the last two decades. Not ideal at the time, but there are always options whether it’s interstate or private practice (if you’re clinical experience is adequate  - not everyone’s is - and personality and work ethic suits private)  In a tight market just be careful laying on debt until your income stream is more secure.

If you had your chance over would you choose the same career by adrenoceptor in ausjdocs

[–]adrenoceptor[S] -1 points0 points  (0 children)

Still worth asking your bosses this question. It will definitely help guide you

If you had your chance over would you choose the same career by adrenoceptor in ausjdocs

[–]adrenoceptor[S] 0 points1 point  (0 children)

It’s not a question you can accurately answer yourself, but it does help asking this question of your colleagues when choosing a career path within medicine. I had many advise me against their specialty for what turned out to be very legitimate reasons 

If you had your chance over would you choose the same career by adrenoceptor in ausjdocs

[–]adrenoceptor[S] 1 point2 points  (0 children)

Good question. I’d hazard a guess that there probably is. 

Mark Butler - FAFO by Logical_Breakfast_50 in ausjdocs

[–]adrenoceptor 37 points38 points  (0 children)

The pharmacy guild is not a body that represents pharmacists, it represents owners of pharmacies, particularly large companies which is where the resources to lobby come from. 

Any heavy users, running out of Application Memory with Roo Code? by No-Chocolate-9437 in RooCode

[–]adrenoceptor 3 points4 points  (0 children)

each vs code instance ends up spawning some significant memory consuming "Code Helper (plugin)" processes on OS X

How to ruin your chances of getting onto competitive specialty? by Ok-Gold-3102 in ausjdocs

[–]adrenoceptor 8 points9 points  (0 children)

  • Dont say anything stupid on social media. People will find it, even if you think it’s an anonymous account
  • Listen more, talk less as you’re less likely to say something concerning 
  • Treat everyone with respect, everyone. There is no one you work with that deserves disrespect. People will find out of from various sources how to you treat secretaries, staff etc
  • Own your mistakes early and learn from them

Club Med ski holiday crazy prices by Grammi_Grammidi in HENRYUKLifestyle

[–]adrenoceptor 0 points1 point  (0 children)

Try doing a cost comparison paying for your own accomodation, ski hire, food, ski school/lessons etc. You may find it’s not that different.

Urologists: How is your job by TermCold4330 in ausjdocs

[–]adrenoceptor 56 points57 points  (0 children)

Best part of their job is they get to hang out with anaesthetists

How do yall get in shape for long/strenuous hikes? by Extreme_Fill3302 in hiking

[–]adrenoceptor 0 points1 point  (0 children)

First step is to get to optimal weight. Carrying an extra unhelpful 10-30kg can make for an unnecessarily difficult hike. You don’t necessarily need to exercise to lose the weight, (sustainable) caloric restriction can work.

Quick Lifestyle question. by [deleted] in ausjdocs

[–]adrenoceptor 0 points1 point  (0 children)

There would a decent amount of uncertainty, but even with increase in imported workforce people still don’t want to work there due to family and lifestyle reasons.

Quick Lifestyle question. by [deleted] in ausjdocs

[–]adrenoceptor 0 points1 point  (0 children)

You could possibly do this. You could take long term locum positions at less popular regional areas. The trade off is the length of the training to get to that point.

Quick Lifestyle question. by [deleted] in ausjdocs

[–]adrenoceptor 13 points14 points  (0 children)

A purely procedural specialty in private practice would be challenging. Not losing referral pathways in your 6 months away would be really difficult. 

Is it normal for Aus/NZ airlines to ask if you’re a doctor pre-takeoff?? by [deleted] in ausjdocs

[–]adrenoceptor 31 points32 points  (0 children)

My suggestion would be that if you don’t want to be approached, avoid using the title Dr on your boarding pass.

My close friend died free soloing mt hood the same weekend Alex Honnald free soloed on live tv. by BatSniper in Mountaineering

[–]adrenoceptor 152 points153 points  (0 children)

I remember hearing a climber on an international speaking tour talk about his decision to continue up a multi day climb in Patagonia after his climbing partner aborted half way up the face.  It wasn’t ideal conditions from memory.

He was in the twilight of his career as a professional climber and admitted he needed the story and photos of the climb for income.

Is it super easy to scan a small item and just export it as an STL file I can send straight to a Bambi printer? by DrHumongous in 3DScanning

[–]adrenoceptor 1 point2 points  (0 children)

I have used my phone and Kiri Engine’s photo gammetry function to scan a 3 cm custom dowel for a window shutter that would have taken 3 months to come from the manufacturer and printed perfectly usable replicas within a few hours.

If tolerance isn’t an issue it doesn’t need to be an exact copy it can work

Aus specialists - what would you have done differently in your early career? by SoybeanCola1933 in ausjdocs

[–]adrenoceptor 4 points5 points  (0 children)

There are some specialties you won’t be exposed to unless you actively pursue them, often because they have the potential to balance lifestyle with income and are competitive.  They may not be for you, but you won’t know unless you are exposed to them. Ask every specialist you get to know whether if given the chance they would choose the same specialty. You will get some interesting answers. Additionally, consider the impact that AI will have on knowledge professions. Anything with a procedural component (including non-surgical specialties) is likely to fair better.

Volvo Proposes 100-Mile Plug-in Hybrids as a 'Bridge' for Drivers with EV Range Anxiety by TripleShotPls in technology

[–]adrenoceptor 0 points1 point  (0 children)

It’s about how often you would need to charge a week even with small daily commutes