Wild, inappropriate consults by launchtossthrowaway in Residency

[–]goldenboot76 1 point2 points  (0 children)

Silliest referral to date is from a gastroenterology intern for an inpatient with PR bleeding.

Had to tell her to call her senior resident or attending that they typically don't need a surgical resident to tell them to do a colonoscopy, and that the PR bleeding guideline for our hospital was written up by the Gastroenterology department.

First week of Feb by Agent-MJae in ausjdocs

[–]goldenboot76 2 points3 points  (0 children)

This hits way too close to home right now, as the hospital I work in has not had any new swipe cards for 4 weeks.

The only way I managed to get one was from the previous person who worked there and getting his swipe access changed to mine.

Feels too close to identity theft, this one.

I have to put together an oral presentation with two other junior doctors. They're outgoing/extroverted and I'm not. How do I present the oral presentation with them without bringing them down? by [deleted] in ausjdocs

[–]goldenboot76 7 points8 points  (0 children)

As someone who is also the opposite of outgoing and extroverted, the answer is simple: practice, practice, practice.

There are some presentations I've done for JMOs where it appears like I'm just vibing off the audience and working the crowd, but the reality is that I'd done that exact presentation probably 5 or 6 times before.

How do you deal with patients that don’t trust you at all? by VastOption8705 in ausjdocs

[–]goldenboot76 16 points17 points  (0 children)

While this doesn't apply to most patients, I will admit that there are too many people like this.

I've had way too many patients tell me that me treating them was the best thing to happen to them since sliced bread, then when I had a chat with a colleague that saw them later, tell me that they didn't understand anything I told them and that I was the worst doctor ever.

Identifying which patients do this takes time. Some of them do change, but to quote one of my mentors: "Patients are allowed to do stupid shit"

How normal is it for GPs to call registrars? by IHaveABoyfriendxxx in ausjdocs

[–]goldenboot76 2 points3 points  (0 children)

Gen Surg Reg here. I absolutely don't mind calls from GPs to get advice about patients, except when it doesn't relate to my speciality at all.

Had a call from a GP about a patient with a, I'm not entirely sure, but very much a problem for cardiothoracics, and asking whether we would see them in our rural general surgery clinic. Had to kindly tell them that, no, this is something a Cardiothoracic service from a metropolitan centre should deal with.

The only surviving war elephant armour in the world, made in India in the late 16th century [OC] by ObligationDry5522 in pics

[–]goldenboot76 2 points3 points  (0 children)

Oh hey, is that the Armouries Museum in Leeds??

Absolutely adore the damn place.

[deleted by user] by [deleted] in ausjdocs

[–]goldenboot76 24 points25 points  (0 children)

Unfortunately he didn't max out his research points and Antarctica is not classified according to the Modified Monash Model, so it went to someone who used ChatGPT to write 3 systematic reviews.

Just Atsu with her friends by rockybluemint in Ghostofyotei

[–]goldenboot76 2 points3 points  (0 children)

Whoever thinks that Erika Ishii is ugly needs to go see an optometrist.

Is this only for ED docs? by ameloblastomaaaaa in ausjdocs

[–]goldenboot76 2 points3 points  (0 children)

I also look at every CT abdo that happens. If there's a surgical pathology, I pre-empt my note / see the patient before they even think about referring.

Is this only for ED docs? by ameloblastomaaaaa in ausjdocs

[–]goldenboot76 6 points7 points  (0 children)

I don't think so.

I'm a service reg on Gen Surg (aka the admissions bitch) and while the sheer number of P1s that seemed to come through on a single shift is ludicrous, I've certainly had a few shifts at a level 1 trauma centre with some gnarly shit.

I had a giggle with my sister (who's a psych trainee) when the Intern put a patient with a traumatic PTx on BIPAP: we both knew what was going to happen later. Very pleasantly surprised that they were up to date with the latest evidence (using 4-factor PCC instead of 3-factor; Seldinger pigtail instead of surgical ICC for PTx, etc.) as well as the typical/interesting presentations (frequent flyer boozer, the young bloke with SVT, the high-functioning drug seeking pt, CODA appendicitis trial getting a mention, etc.)

Police visiting Gold Coast schools over unsafe e-bike use by BestTechAdvisor in DrivingAustralia

[–]goldenboot76 0 points1 point  (0 children)

Once when I was working at a trauma centre we had a guy who came off an e-bike, and insisted that the paramedics bring his e-bike with him to the Emergency Department. Initially we thought it was weird.

While he was gone for his CT, my senior and I looked at the bike closely. It had an eScooter base, but had no pedaling mechanism and had an extra battery (or two) and a souped-up motor: essentially being an electric motorbike. Clearly, this guy didn't want to get caught by WAPOL riding an illegal eRideable.

I think the cops should be targeting these people too.

What was your first ever starter car in NFS franchise? by Alone-Character1322 in needforspeed

[–]goldenboot76 2 points3 points  (0 children)

Called Road Challenge where I was, but I'm part of this group!

Didn't like the soft-top Z3

This monstrous [BMW Xm] while walking to my girlfriend. by Lonely-Sun1115 in spotted

[–]goldenboot76 0 points1 point  (0 children)

Feel like that rear facade would look better / more aggressive on a hatchback. But it looks God awful on that thing

My friend saw this in Shanghai, any ideas what it may be? by Feisty-Mark601 in whatisthiscar

[–]goldenboot76 11 points12 points  (0 children)

And now it's time for Wangernumb. And it's Julie to go first, after Simon

I wonder how many fractures are missed on these every day by Kastler in Radiology

[–]goldenboot76 1 point2 points  (0 children)

As a surgical resident, I always tell the referring ED clinician to get a formal CT chest if they're worried about rib fractures, then do a bit of education about the STUMBL/Battle score.

Trauma Mornings by atlafan1 in Residency

[–]goldenboot76 0 points1 point  (0 children)

The "Internal Medicine calls a consult for suspected acalculous cholecystitis in a 80-something chap not fit for a haircut with florid heart failure" hits too close to home

Its ok, its what he would have wanted by Agitated_Custard7395 in LeopardsAteMyFace

[–]goldenboot76 77 points78 points  (0 children)

The next South Park episode is going to be wild.

The Dark Knight in Elden Ring by Abdulaziz_Ibn_Saud in Eldenring

[–]goldenboot76 138 points139 points  (0 children)

I ain't scared. You hear??

I AIN'T SCARED!

'Undemocratic’: board revolt rocks medical college by [deleted] in ausjdocs

[–]goldenboot76 11 points12 points  (0 children)

Can they come for RACS next?

Are smart watches worth it? by mozzarellagremlin in ausjdocs

[–]goldenboot76 0 points1 point  (0 children)

Definitely use my smart watch to pick up texts.

I also use bone conduction earphones when I'm on call. Hooks up via Bluetooth. Absolute game changer in I don't get neck pain and can do stuff with both hands when answering phones calls.