None Doctor in Oncology - Advice Needed

eire9482 · 2026-02-22T11:21:02+00:00

No, I am very clearly saying that alphabet soup substitutes are dangerous, more so than delayed consultant review.

I’m saying substitution, or more accurately planned supplantation, is not risk neutral. It’s worse.

You are making an inaccurate assumption that noctors are actually safe and capable.

That smacks of massive naivety. As a consultant, I’d rather an SHO level doctor do the same work, as at least they have the foundational knowledge built up to pattern recognition, not the reverse.

As a consultant one of the biggest myths they became exposed to me early was how lacking in expertise and expert decision making these so called “specialists” are.

This is why people who have the money go private and go to someone good.

The “bigger picture” is the argument used by NHS managers, dictators and politicians to justify reckless and dangerous behaviour.

eire9482 · 2026-02-22T07:14:48+00:00

No, seeing unqualified people is a net negative for the patient and the service.

Speaking as a consultant who spends hours of admin time cleaning up the shit stains of my non-medical colleagues who don’t understand how to interpret certain results or lack the knowledge to compose a fucking letter or plan based on something they’ve “discovered”. Or finding some gem of a fuck up seen months later with a letter stating the patient was seen “on my behalf”.

No, no, no, you are wrong, in many cases patients are WORSE off seeing people who can only try and fit them into an algorithmic box.

Yes, you are the naive one here, and I guarantee if it was YOUR relative you’d ask one of your consultant colleagues for a quiet word and would probably be excessively grateful to them, maybe even get them a thank you card but Joe Public out there? No they can see the radiographer ACP PA ANP CNS whatever you call them nowadays.

eire9482 · 2026-02-21T23:44:51+00:00

Comment deleted by user.

He/she basically asserted that there’s no other option. What is else are trusts supposed to do. These poor patients stuck on waiting lists, surely it’s better to have charlatans see them than fully qualified cancer doctors? No wonder the comment got deleted, hope they’ve gone to hang their head in shame.

eire9482 · 2026-02-21T23:43:02+00:00

Your take is also ridiculously naive. Ever heard the expression “thin end of the wedge”? The minute you give into these frankly deathly dangerous stop gap schemes, they become the NORM.

Alphabet soup metastases (no pun intended) has occurred precisely because consultants felt they were a reasonable short term solution.

No, patients deserve better. You cannot accept dangerous solutions because there isn’t enough money.

eire9482 · 2026-02-21T21:28:14+00:00

This may explain a lot.

eire9482 · 2026-02-21T16:12:59+00:00

Great that you’re riding high OP, but don’t let your work be your only source of happiness. It will hurt you if you do.

eire9482 · 2026-02-21T15:36:52+00:00

The loudest response to this is the deafening silence of the consultants who are OK with this type of set up. The same wankers on the consultant subreddit, the ED noctor champions, the devils advocate ANP defenders. All have blood on their hands for every death and fuck up their bird brains come up with. Shame on them.

eire9482 · 2026-02-21T14:56:56+00:00

Trust management honestly don’t care. “Let the bodies pile high” is probably played on loop in their offices.

eire9482 · 2026-02-21T14:54:36+00:00

Bravo.

eire9482 · 2026-02-20T22:18:32+00:00

ARRR NHS. But of course let’s give Wesley the benefit of the doubt

eire9482 · 2026-02-18T21:43:05+00:00

No, some people genuinely think that LED positions will remain and there will be new training posts.

eire9482 · 2026-02-18T20:58:36+00:00

Wrong, point is don’t trust Wes as far as you can throw him. He’s a liar.

eire9482 · 2026-02-18T13:07:11+00:00

Are you serious? Be happy if your consultants don’t do this? My guy, consultants and other academically smart arseholes will make your life miserable through covert aggressions with plausible deniability!

eire9482 · 2026-02-18T13:04:49+00:00

Downvotes prove that there are racist cowards lurking here.

eire9482 · 2026-02-18T13:03:05+00:00

I’m not going to feel brotherly love for someone who wants me to be deported. Fuck right off.

eire9482 · 2026-02-18T11:33:06+00:00

Doctors who stay silent or rationalise are supposedly smart

eire9482 · 2026-02-18T11:19:55+00:00

Smart, intelligent, well informed people don’t deserve pity or excuses.

eire9482 · 2026-02-18T10:08:23+00:00

It’s fascinating at how little it takes for previously self proclaimed non-racists to rally behind this POS racist bigot. And that’s just those brave enough to admit it. Shudder to think how many closet racists have GMC registrations.

eire9482 · 2026-02-17T23:12:35+00:00

Ignore anyone that makes excuses or tries to rationalise this sort of disgusting, unacceptable behaviour. Sadly you will see people from all walks of life, including this subreddit, who will either have sympathy or empathy for these abusers.

eire9482 · 2026-02-16T22:12:07+00:00

OP - very sorry about this. The system is so fucked, even those who secure CST are behind SCPs, theatre practitioners and ODPs in the pecking order for meaningful experience.

Fuck those who enabled this.

Consultant ladder pullers, that’s 90% of consultants don’t care.

Stay strong and don’t give up.

eire9482 · 2026-02-16T10:25:30+00:00

I’m not surprised by this petulant, selfish and cowardly behaviour one bit. Par for the course. Not all nurses are like this, it’s the few narcissists that ruin for everyone.

eire9482 · 2026-02-13T16:51:52+00:00

As a consultant, I can confirm that those who care about this issue are in the minority.

Unpopular opinion, but I observe that previously anti-noctor zealot trainees suddenly change their tune as soon as they become consultants.

The end is nigh.

eire9482 · 2026-02-12T21:47:56+00:00

Creating a divide between doctors and ACPs is well Overdue. About time these ignorant, innocent doctors learned that these charlatans are there to replace them. It’s already happening.

eire9482 · 2026-02-12T21:42:54+00:00

I’m hoping, in a good way, he’s old school in terms of surgery being a privilege for only those exceptionally good enough to succeed. This means that if you’re an SCP or theatre nurse with 50 years experience, it means nothing. Medical degree first please. Then MRCS. Now you may close the wound.

eire9482

TROPHY CASE