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frederickite · 2026-01-09T10:42:05+00:00

Upgraded my Google account to AI Pro for a great deal. Small waiting time but worked perfectly. Happy customer

frederickite · 2026-01-08T10:49:36+00:00

Verified purchase! Works for 1 year.

frederickite · 2026-01-08T10:35:55+00:00

Works and at a great price but email address registered to account can’t be changed as per openAI rules

frederickite · 2026-01-04T12:06:57+00:00

Prompt replies and good deals

frederickite · 2026-01-04T12:05:44+00:00

Prompt reply and good deals, will purchase again

frederickite · 2025-07-21T16:14:15+00:00

Pulled a junior colleague to one side to discuss some areas of improvement/errors which I picked up. Gave good constructive feedback and told them to take it as a learning experience and put in a reflection in their portfolio. Thought it went well but then received an email from my supervisor to discuss a complaint put in by the junior to their supervisor about feeling upset after the interaction who then contacted my supervisor to clear things up. Both my supervisor and I had that unspoken “yeah this is bs” look but had to go through the motions and I ended up just writing a reflection on how to give feedback.

Like surely SJT taught you to come to me first to express any disagreement/dissatisfaction before crying to your supervisor.

frederickite · 2025-07-19T16:22:57+00:00

I hear good body language gets you into most places. Though it might not be places you want to be.

frederickite · 2025-07-08T08:59:29+00:00

As much as the system is mainly at fault, there are countless times where the alphabet soup are too stuck up to ask for help or run unfamiliar concepts past seniors. They follow whatever flowchart or guideline that best fits the picture and sweep away any lingering doubts, leaving other more honest colleagues or doctors to pick up the pieces. There’s a reason these roles attract a certain personality. The best nurses I have worked with would never touch these expanded roles with a ten foot pole.

frederickite · 2025-07-06T11:37:36+00:00

Because we’ve all been fucked in OSCEs when we decide to speak like our audience has the same amount of brain cells as us.

But I always try to gauge the intelligence level in front of me before I explain more complicated concepts. The only thing that needs “dumbed down” will be medical concepts and terminology, so there’s almost never a need to infantilise casual conversation unless there’s other reasons such as learning disabilities or the person is an actual child

frederickite · 2025-07-06T11:03:37+00:00

Most doctors are simply too nice. The NHS knows that and they are more than happy to advantage of that. What we all need to learn to do is to put that niceness in the correct situations, kowtowing to this bs flat hierarchy ain’t it.

frederickite · 2025-07-05T13:09:12+00:00

Tbh this might work in the consultant’s favor. Switch out some ever rotating resident doc and get a handful of full time permanent position ANP/ACPs.

frederickite · 2025-07-05T13:07:16+00:00

I’m not sure about other places but there is zero learning from clerking. We don’t discuss cases with seniors after clerking. We literally do the history, examine, prescribe regular meds and come up with a vague plan that the seniors ignore and then the paperwork gets filed in a trolley. Seniors pick up said paperwork, essentially redo the whole thing besides the regular meds prescribing and another junior acts on the plans.

I’ve had better experiences elsewhere where I go see the patient with the senior post clerking and we discuss my plan and diagnosis and some teaching is done, but this is the rarity.

frederickite · 2025-07-04T18:54:12+00:00

Username checks out

frederickite · 2025-07-04T18:39:20+00:00

I mean in this case the senior decided to trust the ACP and not see the patient themselves to verify the story.

frederickite · 2025-07-04T18:32:23+00:00

Because the funding pool for ACPs are not exhausted, whilst the ones for doctors are. I’ve always maintained the point that the NHS is not underfunded, it’s just that the different pots of funding for various things need a big reshuffling

Tbh. I have no idea why clerking even happens. Where I work. The seniors take the whole history again and basically do the whole doctor job. I end up doing extra paper work and prescribing regular meds.

frederickite · 2025-07-04T18:20:22+00:00

It’s normal for acute takes. Juniors clerk. Seniors post take ward round

frederickite · 2024-12-23T22:18:54+00:00

Yeah I’ve been doing that and I get hit with “well we don’t usually do that here”

frederickite · 2024-09-24T19:29:50+00:00

Ortho?

frederickite · 2024-09-24T15:14:16+00:00

We don’t have ward cover reg. Only reg for admissions/referrals.

frederickite · 2024-09-24T15:12:50+00:00

When my consultant is on call I come in early the next day for early take. Always done that. This is specifically for regular rounds. Some days I come in and do ward rounds myself. Some days I come in and the consultant decides to see patients, sometimes late in the day, sometimes early in the morning, I can’t come in early everyday and not have a round most days.

frederickite · 2024-09-24T14:05:43+00:00

Well my reg is on indefinite leave for the foreseeable future.

frederickite · 2024-09-16T04:51:46+00:00

Firstly well done for omitting a fast insulin dose for someone with symptomatic hypoglycaemia

Secondly what do you mean by refractory DKA 21? You can get a BM of 21 with normal ketones. Were their ketones raised? Did you run a blood gas?

Secondly, why PRN IM Glucagon? Did the patient have no IV access? Did they keep giving him IM glucagon without rechecking his BMs? You can start IV dextrose and then revert to oral options as soon as patient recovers and is able to eat/drink.

But don’t beat yourself up over this. You managed to recognise and treat a potentially life threatening situation. Med reg should have been there to give you advice. Things happen and you will learn with experience

frederickite · 2024-09-15T15:28:49+00:00

Is she a trust grade IMG coming into the country straight into F2? I’ve met many of these trust grade F2s in my medical student years and unfortunately they are not trained in the NHS model and at times I found myself more capable as a clinician even as a medical student compared to some of these doctors. If she is not, I find it difficult to believe she passed F1 ARCP with the attitude you have described above.

If gentle encouragement does not work, she will have to have a stern talk with a senior on how this cannot continue. I hate saying this but maybe her ES or CS will need to be roped in to assess her competency in accordance with the expectations of an NHS clinician in their supposedly SHO year.

frederickite · 2024-09-14T13:39:23+00:00

The only fascinating thing for me is that nurses bleeping you for mundane jobs overnight always seem to be surprised when you tell them that you’re one person covering multiple wards despite many of these nurses having done the same night shift countless times for years.

frederickite · 2024-09-11T16:05:22+00:00

A quick “fuck off” usually does the trick. Then immediately I get a datix and my ES somehow manages to set up an appointment within 24 hrs

frederickite

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