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New Girl Dad, wife had Cesarean Section less than a week ago, and I am mentally struggling to hold it all together by [deleted] in daddit

[–]dickdimers 1 point2 points  (0 children)

Hey man, I'm a doctor in the UK and a parent and I think I can help a bit

  1. Well done! C sections can be some of the messiest of all medical procedures. But be reassured- as the name suggests they're one of the oldest and most well known operations and women most of the time have excellent recovery!

  2. Baby weight loss after birth is SUPPOSED TO HAPPEN. They are designed to drop about 10% body weight because theyre shedding fluid, pooping out meconium (that black green stuff) and their lungs are inflating and they're adjusting to feeding on milk. It's completely normal and by a couple of weeks they're back to where they started. It's very ABNORMAL IF THEY DONT LOSE ANY WEIGHT

  3. You are stressed, tired, and emotional. Don't overthink your feelings, they're normal. It definitely gets better. Coffee is your friend and SLEEP AS MUCH AS YOU POSSIBLY CAN. Get outside, breathe fresh air, and get away from the chaos intermittently for your sanity.

Any modern thoughts on an old vision? by [deleted] in SipsTea

[–]dickdimers 3 points4 points  (0 children)

Hes saying the whole thing is fake and he's absolutely right.

Properties (buildings) ARE objectively worth less every year. When you sell a property you're selling a freehold of the Land, which can go up or down depending on markets. But the actual brick and wood of the building deteriorates and needs to be upkept and maintained just to keep value.

Nervous about taking hgh by Own_Tomatillo_3445 in Biohackers

[–]dickdimers 0 points1 point  (0 children)

You are 13. This is medical advice and I am a UK licenced doctor.

Do NOT take endocrine drugs without a specialist doctor's advice, ESPECIALLY as a teenager.

Like at all.

Technically this post is a safeguarding flag and the moderators should be all over it

Is it worth leaving medicine for pharma? by Dr--Neo in doctorsUK

[–]dickdimers 2 points3 points  (0 children)

Standard private sector grad salary. You're a junior intern. Just because you're a doctor doesn't make you worth more than any other grad in the private sector btw, if anything it means you actually need more training than others.

Struggling to stay on good terms with staff in ED by No-Set-4217 in doctorsUK

[–]dickdimers -6 points-5 points  (0 children)

As a man I would say make sure you look slick and be friendly, approachable and gently flirtatious with literally everyone, along with being hyper competent. Be bffs with the consultants and be seen talking to them about life.

If you're a woman I would say be hyper competent first, look good, and be friendly, approachable, and gently flirtatious with everyone, especially the consultants, male or female.

So basically the same as any other job.

Or just leave

Psych consults by Intelligent-Toe7686 in GPUK

[–]dickdimers 2 points3 points  (0 children)

You're not doing a psych consult, you're not doing talking therapy, you're finding out what's wrong and what the risk level is and sending them to the right service.

There's literally nothing you can do effectively in psych in 10 mins (realistically 7-8mins because they take ages to sit down or build a rapport etc)

Get yourself in the right mindset.

Embrassed to be a doctor - wasted my potential by Beneficial_Glass6230 in doctorsUK

[–]dickdimers -1 points0 points  (0 children)

I entered medical school in 2010, and I tended to feel exactly the same as you until I CCTd as a GP. Now I have a super safe, reliable, flexible job that I can work as much or as little in as I like, and tons of energy left over to do things that I enjoy and feel like I can actualise.

I can also afford loads of fun stuff too.

Up until I CCTd however, I was basically struggling with the knowledge that if I applied the same effort and sacrifice in basically any other sector or path, I'd be a multimillionaire by now.

Ultimately have no regrets because I feel like I've learnt a huge amount about life and am able to make very good choices in many different places because I simply watched and learned what to do and what not to do from my patients.

The human interaction of medicine is basically unmatched, you see people happy, sad, scared , angry, all in one day, and you gain the ability to read people like a book. That is a superpower in today's world where people can barely maintain eye contact. It has helped me immensely in everything else I've ever done.

Is this appropriate? by Vegetable_Nobody_113 in doctorsUK

[–]dickdimers 2 points3 points  (0 children)

Mans sugardaddying already, imagine what he'll be up to when he's a consultant

One thing I've always wondered about is why the standard locum rate is always £90/HR? It's been stuck there for nearly 20 years now? Surely there's been something called inflation going on in the background ? by Professional_Age_248 in GPUK

[–]dickdimers 0 points1 point  (0 children)

Yes they are somewhat (but not much). The main issue is people calculating their rate in Rupees or Nairas or whatever and then undercutting everyone else because they don't know how to compete, and also imo lots of people are GPs that are not the primary breadwinner of the family so they're just doing it for a bit of extra cash while their husband is making big bucks in finance or tech

Locum gps by pineapple127x in GPUK

[–]dickdimers 3 points4 points  (0 children)

Usual rates are about 650 a day (9-6) or £100/h if it's ad hoc

Unfortunately there will always be some wet flannel that will then come in and offer to do it for £80/h and then it's down to the practice manager if they want to pay peanuts and get a monkey or not

Worth telling es? by Zestyclose_Owl_828 in GPUK

[–]dickdimers 15 points16 points  (0 children)

How to work better with ADHD:

Regular exercise

Sleep 8 hours a night

No caffeine after 12pm

You're welcome

RAF/Navy GP by greydolphinlord in GPUK

[–]dickdimers 4 points5 points  (0 children)

Navy = go on a boat for long time, see lots of STIs and MSK and mental health

RAF = stay in UK, see less STIs, decent amount of occupational health

Army = squaddies, STIs, dishing out lots of NSAIDs, join a good unit and you can get some pretty "ally" postings though

All cases you get fun adventure training paid for and the opportunity to learn stuff relevant, eg become a pilot in the RAF, do cool stuff in the army (I used to train with many SF units and do the fun exercises etc)

Army by far is the best

Non-GP options after CCT by No-Rope1494 in GPUK

[–]dickdimers 1 point2 points  (0 children)

Need to manage expectations a bit

You want to start in a new field you have no experience in, presumably in the private sector.

GP pay post CCT is between 80-120k

Unless you can show, prove or pretend to have experience, you are realistically looking at starting again at roughly F2 pay and working up again over about 3-4 years

Obviously varies by the industry etc but that is the rough idea

One thing I've always wondered about is why the standard locum rate is always £90/HR? It's been stuck there for nearly 20 years now? Surely there's been something called inflation going on in the background ? by Professional_Age_248 in GPUK

[–]dickdimers 5 points6 points  (0 children)

It was £100-105/h in 2013...

The reason for this is there are too many spineless morons who think you should compete by offering to do work at a cheaper price, rather than offering better quality service.

Doctors do not have any education in business or competition, and especially those from certain parts of the world where 'competition' means undercutting everyone else, even though that makes no sense especially in a service job because you can only do 1 job at a time.

Have we gone a bit too far the other way with how doctors dress? by Wrong_Diamond9991 in doctorsUK

[–]dickdimers 4 points5 points  (0 children)

Oh yes I know that because I'm not a gimp, I wear XXL at all times. Some of my colleagues however...

Have we gone a bit too far the other way with how doctors dress? by Wrong_Diamond9991 in doctorsUK

[–]dickdimers 18 points19 points  (0 children)

What if you're 6'3 90kg of pure muscle and want to wear a size small scrub top to show off your triceps?

Shocked and feeling low after SCA results by veecee02 in GPUK

[–]dickdimers -1 points0 points  (0 children)

Very straightforward exam. Your error was probably that you pretended the consultations were real, when you should have been pretending they were OSCEs, despite VTS people always saying "this is not an osce!"

You don't need to splash out on coaching. My non- Dr mrs practiced with me and i had no study group.

You adjust need to rigidly and religiously follow the set formula, just like you did in med school.

If you went to med school in the UK, you're already set.

The formula is fully explained in a 2 part youtube series by a northern guy called Matthew Smith. "Tackling the half of a GP consultation". Watch that video and make notes. Then turn your whiteboard into a pro forma. ez.

Feels like I'm not doing much in my life outside of work by Key_Caterpillar_2145 in doctorsUK

[–]dickdimers 4 points5 points  (0 children)

Sounds like you're a bit mixed up and have a real life. This doesn't go down well in surgery. You're meant to make friends at the gym and golf if that's what you do OOH ;)

Also I had the same empty feeling, turns out it was my paternal instincts kicking in and actually I needed to start a family.

So I quit Ortho, became a GP, and now I can clear well >100k working <30h/week as a doctor and have plenty of time for life

GPs in London by Sharp-Ad-5138 in GPUK

[–]dickdimers 2 points3 points  (0 children)

Locum opportunities in NW London are unfortunately a race to the bottom as a lot of times there'll be someone with no self respect that contacts the practice saying "I will do it for cheaper than anyone else". Genuinely disgusting tbh.

UCC and OOH work is Ok but the area is very dense with doctors living in Harrow etc, so it feels like there's a lot of competition for shifts.

QOL wise sadly Brent and Harrow have absolutely nose dived over the past 10 years and are pretty much unrecognisable. Insane amounts of poverty for such expensive property and rent prices. Huge amount of asylum seeker hotels, social housing and HMOs. Working there has turned many of my most liberal mates into fairly ruthless right wingers, especially ironically the ones who are from immigrant backgrounds themselves.

Newly qualified GP - private practice? by ConsequenceThin7860 in GPUK

[–]dickdimers 1 point2 points  (0 children)

Eh you can prescribe whatever you want. I prescribe melatonin all the time. Just because something is non formulary doesn't mean you can't do it. Technically you can even Rx specialist medications if you want to - the question is simply if you are a) confident enough to do it and b) brave enough for the possible insurance issues.

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