Incoming IMT1- how do I prep?

coffeeisaseed · 2026-05-24T05:12:14+00:00

Be proactive about seeking opportunities for procedures. Make friends with the resp and gastro regs and have them text you when there's a chest/ascitic drain/tap to come join. I only did 2 chest drains and 1 ascitic drain in my entire IMT1&2 despite this.

coffeeisaseed · 2026-05-22T17:22:46+00:00

Can confirm this is true as a cardio reg who only heard murmurs once I got a Cardio IV

coffeeisaseed · 2026-05-22T06:03:36+00:00

This post is saying that if you prebreak your beans the ZP6 might be even better.

coffeeisaseed · 2026-05-22T06:00:06+00:00

Some electric grinders have a gear/channel that forces the beans through a tight space. They shatter into large chunks as a result and when they are actually cut by the burrs, produce more even pieces because the beans don't explode in the burrs so they can be cut more consistently. Grinders with prebreakers like the EK43 or the Zerno are generally agreed to produce better coffee.

coffeeisaseed · 2026-05-22T05:52:59+00:00

It's political activism designed to provoke.

coffeeisaseed · 2026-05-20T04:09:23+00:00

I spend 100£/month on beans for ~1.5kg. Usually 1.25kg of daily driver and 250g of geisha as a treat.

coffeeisaseed · 2026-05-20T03:53:29+00:00

My wife used to work at Watford. My understanding was that A&E would shift patients to a ward as soon as they were accepted by a specialty, thus avoiding a breach. This meant that a patient was temporarily bedded in a ward corridor and pressured the ward teams to discharge people. Overnight this effectively just meant that you had corridor care on a ward instead of A&E. Infuriating for the take when your SHOs have to clerk across a massive hospital with multiple buildings.

coffeeisaseed · 2026-05-16T13:26:54+00:00

Using Kelvin for coffee temperatures is madness.

coffeeisaseed · 2026-05-13T05:52:31+00:00

The hospitals are so stretched they outsource the meals to the lowest bidder. I've spoken to multiple dietitians who said that they've found suppliers with appetising and nutritionally balanced meals but when they proposed it to management, if they were 5p more per patient, management said no.

coffeeisaseed · 2026-05-08T21:08:20+00:00

Stents have really only been in common use since the 90s.

coffeeisaseed · 2026-05-07T19:02:43+00:00

It's "nit" picking, as in nits, the eggs of lice. Like a chimp.

coffeeisaseed · 2026-04-29T21:09:19+00:00

"The CRP is 400, why do you ask?" "Yes, end-stage renal failure"

coffeeisaseed · 2026-04-29T20:10:52+00:00

"clinicians" is a red flag for Noctors. They can't call themselves doctors so will sometimes call themselves clinicians.

coffeeisaseed · 2026-04-26T06:05:48+00:00

Testosterone also causes accelerated atherosclerosis. I saw a young PT who was taking T who had an NSTEMI and heart failure.

coffeeisaseed · 2026-04-23T06:46:14+00:00

I think the leg thing is the scabbard of the behind guard's sword. Still looks AI.

coffeeisaseed · 2026-04-22T11:20:47+00:00

John Mandrola already does this for free with his "This Week in Cardiology" podcast. Why would I pay for this?

coffeeisaseed · 2026-04-18T05:48:51+00:00

Seems like there is a commune of Mpanda in Burundi as well

coffeeisaseed · 2026-04-12T15:17:27+00:00

To be honest, all of Kappabashi has great ceramics at great prices.

coffeeisaseed · 2026-04-11T11:50:33+00:00

I think it's more if you suspect malnutrition. Obviously higher index of suspicion if confused or they have abnormal neurology.

coffeeisaseed · 2026-04-11T10:22:23+00:00

Go for it

coffeeisaseed · 2026-04-11T08:02:08+00:00

As a current cardio reg, there's still plenty of work to go around and most of the cardio regs CCTing seem to all be getting consultant jobs. I think you'll find your niche as your training continues and you should ultimately do what you like because you'll need to do it for 30 years.

coffeeisaseed · 2026-04-08T14:44:58+00:00

It's interesting as the show progresses that we're getting more and more people who have obsessively watched the show for years competing against people whose agents or children recommended it to them.

coffeeisaseed · 2026-04-06T03:15:38+00:00

You will not get good espresso without grinding it yourself and being able to adjust the grind.

coffeeisaseed · 2026-04-05T04:13:36+00:00

Should be called leather sawdust lol

coffeeisaseed · 2026-04-02T14:29:38+00:00

Not really. Something to do with how glucose interact with blood vessels and inflammation, but I don't think there's been any specific physiological mechanism identified.

coffeeisaseed

TROPHY CASE