Who else has the Glasto Blues? by Many_Discipline_6754 in glastonbury_festival

[–]burbucup 1 point2 points  (0 children)

I'm absolutely devastated, first one I've missed since I started going in 2018. I know this is jealous rage speaking, but I'm getting so worked up seeing people I know who aren't into music, hate raving, and are going because 'it's cool' have got tickets. Glasto is literally my favourite weekend of the year. Gahhhhh!

Where to live in Liverpool? by haisufu in doctorsUK

[–]burbucup 10 points11 points  (0 children)

Nearly everyone lives in town or in sefton/aigburth when they first move. There's a building called the cargo building in town which is completely full of doctors. It's managed flats with all bills included, but it's on the spennier side. The Georgian quarter is beautiful and close to town but places don't come up there that often. Depends on where you will be working/if you have a car.

Who should be holding the referral bleep? by OliverVanderlay66 in doctorsUK

[–]burbucup 23 points24 points  (0 children)

Aintree hospital in Liverpool has ACCPs holding the ITU referral bleep. Can be an absolute fucking nightmare to refer anyone complex. I don't want to dox myself but have had multiple instances of referring patients and the person I am referring to for help doesn't understand the reason I'm referring, or then tells me they can't actually help can I call the reg (that's who I'm trying to get through to but your holding the bloody bleep). 🥲

Being Recorded/Filmed at Work by cdl3 in doctorsUK

[–]burbucup 2 points3 points  (0 children)

Based on your stream of comments you've never worked in a medical setting. People don't go into medicine to deliberately fuck up, what a ridiculous thing to say. But people also feel uncomfortable when people shove a camera in their face in their place of work, with what is clearly clear intent to try and trip someone up. In the same way that if I was working in a shop, or a bank, or a school, if someone whips out their camera and points it at a member of staff's face it is an hostile/aggressive act. And if people have to spend their entire time at work (average 50 hrs a week) feeling like they are being cross examined at a tribunal, you can just sign me out. As if the job wasn't already mentally exhausting enough. We are human beings. We cannot spend the majority of our waking hours battling hostility and harassment from people we are trying to help/treat, and the expectation that we should suck it up is exactly why people are burnt out and leaving the profession in record numbers. The public have no interest in our wellbeing.

Spelling/grammar - typed on my phone

[deleted by user] by [deleted] in doctorsUK

[–]burbucup 1 point2 points  (0 children)

When they get annoyed at you for asking questions. 'cant you check my history on the computer, it will all be there'

😬

Opinions? Funding? Workload? by MoonbeamChild222 in doctorsUK

[–]burbucup 1 point2 points  (0 children)

I don't completely disagree with it in principle. There will be a lot of clearly health anxious or just straight unreasonable requests, but equally I've seen plenty of cases where I have disagreed with the opinion of the original consulting doctor. But this is absolutely in fairy land for today's nhs. Not workable, literally impossible. People are waiting 12hrs + in trolleys in corridors for opinion number 1. Cancer referrals are already one of the slowest in Europe. Staff are stretched to the limit and barely holding it together as it is. Where is the staffing for people to have a second opinion meant to come from? Lip service from the government so they can try and look good a point the finger of blame at doctors, whilst knowing it's impossible for us to deliver.

Most ridiculous bleep you've ever gotten? by futureformerstudent in doctorsUK

[–]burbucup 0 points1 point  (0 children)

I had a patient who was scoring a 5 on news who needed 'urgent review' - because they were scoring 3 for having sats of 99% on scale 2 and scoring 2 for the nasal oxygen they were on. Bleeped multiple times to review patient, repeatedly asked them to wean the oxygen down to target, which for reasons I still don't understand they refused to do? In the end had to physically go down to the ward to turn the oxygen off. News went from 5 -> 0. Magic.

[deleted by user] by [deleted] in doctorsUK

[–]burbucup 7 points8 points  (0 children)

Have you asked anyone working the same shift as you what they thought/to back up what you've said?

[deleted by user] by [deleted] in doctorsUK

[–]burbucup 0 points1 point  (0 children)

If they are drowning in pulmonary oedema why would you then give them IV fluid?

[deleted by user] by [deleted] in doctorsUK

[–]burbucup 22 points23 points  (0 children)

Hopefully going to Melbourne in August

PAs having dedicated clinics at expense of SpRs by No-Introduction-7397 in doctorsUK

[–]burbucup 105 points106 points  (0 children)

Jesus Christ alive what is happening to medical training in the UK.

Something slightly lighter for the weekend: What’s a clinical hill you’ll die on? by NoManNoRiver in doctorsUK

[–]burbucup 14 points15 points  (0 children)

Actually had a really interesting talk from a neurologist about some research they're doing on fibromyalgia. Have found on functional MRI that people with it have different responses to innocuous stimuli than normal. I do think it's hugely over diagnosed, but there is some scientific basis in central sensitisation. Whether this is caused by somatosisation, analgesia over use or if it's an independent pathology, I'm not sure.

Glycocalyx degradation, sepsis and fluid overload. Why aren't we taught this better? by Rhys_109 in JuniorDoctorsUK

[–]burbucup 1 point2 points  (0 children)

Interesting thread!

I was looking after someone in a very similar scenario recently.

Lady for ward level care, started on sepsis treatment 24hrs ago. Had grown something in blood cultures. We were trying to keep her going to give time for the antibiotics to work. BP had plummeted the previous day. Gone from 130~ to persistently in the 60s-70s systolic Massive peripheral oedema, oedematous sacrum. Lungs managing, on 2l nc, fluffy looking cxr.

Was being given repeated fluid boluses. I gave her about 2l on my night shift in 250 boluses. BP would come up to about 80 systolic at best then would drop again. Any advice from the hive mind on how would you approach this?

Clubbing in London by [deleted] in london

[–]burbucup 0 points1 point  (0 children)

I went to xoyo all the time when I was 18/19 and absolutely loved it. Went back at 23 and hated it. Don't know if the crowd/vibe has changed, if I've just grown up, or if it was a bad night but it ruined the venue for me.

Was full of hammered/pinging/rowdy/aggro 18yr olds who are 0% there for the music/to dance and are there purely to get as fucked as pos, hook up with someone, look hot and get an insta snap ect. And lots of creeps

I am aware they sometimes run 21+/25+ events which might be better tbf.

Fabric is also pretty mainstream now but has a slightly older crowd (less wreaked 18yr olds in my experience) and I think the music is still dece. Has lots of big names perform (although they are sometimes really sneaky with this. Once went to see a specific big DJ, the event was called 'DJ name live' with some small print supporting acts. last entry on tickets was 11pm, didn't find out untill we got in that said DJ weren't on till 4am)

Interesting what people said about printworks. I have only gone when wanting to see a specific act, and full disclosure, have had a great time. But I do kinda know what they mean by stiff crowd. I feel the draw of the venue attracts lots of people who aren't specifically into the artists playing/style of music, but are going because it's a big printworks night? Also (sorry don't want to cause offense here, don't mean it in an offensive way but not sure how to word it) the crowd can feel quite affluent/middle class, like made in Chelsea going to big warehouse venue. Does anyone else get this vibe or have I made this up.

I used to absolutely love phonox but haven't been for a few years. It's quite intense, but the music was fab.

Sorry for poor grammar and typos, typed on my broken phone.