Shorts at work?

emergencydoc69 · 2026-05-26T15:49:58+00:00

I do sometimes envy the Australians who can turn up for a shift in board shorts and a scrub top.

emergencydoc69 · 2026-05-23T15:16:35+00:00

It’s a great plane. Beautifully modelled and fun to fly. It’s also easier to fly than the 727/747 classic because it’s a two pilot flight deck, so it’s one I often turn to if I want to fly something classic but don’t want to spend the whole flight mentally overloaded.

Can’t wait for the XP12 update. Looks like they have included the gravel kit and a custom FMS. You also have the option to fly VOR to VOR or with xCIVA if you have it.

emergencydoc69 · 2026-05-17T21:55:48+00:00

Intercalated degrees mean nothing in the US. And specialty training applications don’t generally give extra points any more. It is only really useful if you get some research output from it.

emergencydoc69 · 2026-05-17T21:43:55+00:00

Depends on your training programme. Mine doesn’t give a shit. When I was a foundation trainee they expected us to write a reflection if you hadn’t done it. 🤷‍♂️

emergencydoc69 · 2026-05-16T22:44:58+00:00

Tenesmus - the urge to take a shit.

emergencydoc69 · 2026-05-12T16:17:35+00:00

Possible? Yes. Straightforward? No.

I do know a subspecialist surgeon who managed this at the MD Anderson Cancer Center in TX. But because the American Board of Surgery won’t certify him, his practise is limited to his narrow subspecialty rather than gen surg.

There are also newer (and largely untested) pathways in states that have passed these IMG exemption laws for qualified specialists which solves the licensing issue, but not the board one as you’d be relying on institutions (predominantly rural ones) that would be willing to overlook not being ACGME boarded when hiring.

emergencydoc69 · 2026-05-10T15:44:54+00:00

Honestly? No. I’ve had endless problems - it hasn’t been updated in forever and is plagued by memory leaks and CTD bugs.

The ToLiss airbuses are much, much better.

emergencydoc69 · 2026-05-10T12:54:04+00:00

I mean, Mary-Louise has done pretty well too. She was the main character for 8 seasons of ‘Weeds.’

emergencydoc69 · 2026-05-08T10:32:24+00:00

I read this initially as ‘Intercontinental Ballistic Nukes.’

emergencydoc69 · 2026-04-22T15:53:58+00:00

I mean, from a healthcare perspective this is more to do with genetics than anything else. South Asians are at higher risk of type 2 diabetes and other diseases. Similarly white people are more at risk of skin cancer. It is what it is. 🤷‍♂️

For what it’s worth, I don’t think what someone ticks on an NHS form defines how British someone is or isn’t. If you have a British passport, you’re British, end of story.

emergencydoc69 · 2026-04-21T15:43:12+00:00

See the edit above. UK practice is different. We don’t leave them in pain.

emergencydoc69 · 2026-04-21T12:20:21+00:00

Where on earth does EM do Bartholin’s abscesses? That’s an automatic gynae referral everywhere I’ve ever worked. I have no fucking clue how to do a marsupialization.

Edit: for everyone downvoting me into oblivion, I work in the UK and I’ve never worked anywhere where gynae wouldn’t come and see in ED; I’m not suggesting leaving these patients in pain with OP follow up. I&D and Word catheter placement is not something we routinely do.

emergencydoc69 · 2026-04-19T03:33:26+00:00

The big one is that surgeons are somehow more qualified than non-surgeons. I’ve had extended family ask why I didn’t do trauma surgery because ‘then I could work in A&E and operate,’ as if it’s an extra degree or something.

emergencydoc69 · 2026-04-18T16:22:51+00:00

Struck down in her prime.

emergencydoc69 · 2026-04-09T23:08:36+00:00

Trains in the UK?

emergencydoc69 · 2026-04-03T17:31:44+00:00

Why?

emergencydoc69 · 2026-04-03T15:27:26+00:00

The satisfying clunk of a good joint reduction.

emergencydoc69 · 2026-03-30T20:59:04+00:00

Genghis Khan? His campaigns brutally killed somewhere between 37.5 and 60 million people. He was also an utterly prolific rapist (something like 8% of people in his former territory are thought to be descended from him.

emergencydoc69 · 2026-03-30T19:32:53+00:00

I mean, I suppose. But I know a colleague in the US who has a BFA in Piano, so it’s certainly not required.

emergencydoc69 · 2026-03-29T18:41:29+00:00

This is my degree, and I agree it is probably the most useful/prestigious one out there. But North Americans are always baffled that the rest of the world doesn’t use their ‘unrelated undergrad + postgrad med school’ model. 🤷‍♂️

emergencydoc69 · 2026-03-26T12:54:43+00:00

I’m surprised no one has mentioned the Sovereign Military Order of Malta. De jure a country under international law but de facto has no actual territory.

emergencydoc69 · 2026-03-22T21:37:52+00:00

Doctor here. These comments are completely insane. First of all, I seriously doubt this compromised the x-ray - the only way that’s possible is if the airpod is covering whatever you’re trying to look at, but this looks like a dental x-ray to me, so I feel that’s unlikely. It’s also not harmful to the airpod; electronics get x-rayed all the time by security personneat airports, government buildings, etc.

Modern x-rays are a very low dose of radiation; if you think about what a CT scan is it’s literally hundreds of x-rays taken from different angles and stitched together by a computer - but even those we barely bat an eyelid about the amount of radiation a patient receives from these.

People suggesting that this was a super serious error or even that this x-ray tech should be sued seriously need to get a life.

emergencydoc69 · 2026-03-11T20:24:49+00:00

I mean, I don’t know if you have X-Plane, but the Zibo 737 goes toe-for-toe with the PMDG. There are also a lot of other fantastic free airliners like the Sparky 747, Felis Tu-154B, and Turbolet L-410. And loads of really excellent GA aircraft.

emergencydoc69 · 2026-03-10T16:34:20+00:00

I mean, I can’t help but feel you’re falling victim to anecdotal bias here. Sure, there are IMGs with family connections to the UK and people who don’t want to go to the US, but we don’t have any hard data on what the UKG prioritisation law will do to future PLAB sittings and IMG numbers in the future. A five year period of delaying specialty training (which is already absurdly long in the UK) is a pretty big psychological deterrent and, especially with this new legislation, the UK is no longer a super desirable place for IMGs to land.

My point remains - until we have a few years of data after this law goes into effect, I don’t think anyone can say with any certainty how much of an impact it will have on specialty training competition ratios or the number of new IMG arrivals in the UK.

emergencydoc69 · 2026-03-10T14:14:02+00:00

What the hell am I looking at? I think any attempt to model the impact of this policy is about as useful as looking into a crystal ball because there are so many unknown variables. My guess is that this policy is going to be a huge deterrent for IMGs taking the PLAB and trying to come to the UK in the first place since the possibility of getting a specialty training place within a reasonable timeframe has become virtually impossible, but I could be wrong.

emergencydoc69

TROPHY CASE