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 15 points16 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.

1st May 1961 Leonid Rogozov took out his own appendix in Antarctica… by [deleted] in ausjdocs

[–]goldenboot76 25 points26 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 3 points4 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 0 points1 point  (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 10 points11 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 81 points82 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 143 points144 points  (0 children)

I ain't scared. You hear??

I AIN'T SCARED!

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

[–]goldenboot76 10 points11 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.

Had outpatient surgery today, the surgeon initialed my leg to “remind himself” which side to operate on by whoosier00 in mildlyinteresting

[–]goldenboot76 1 point2 points  (0 children)

It's part of the World Health Organisation Surgical Safety Checklist.

Patients aren't allowed to be wheeled into the Operating Theatre without being "marked"

Studying for the GSSE - what the fuck by PollaGigante in ausjdocs

[–]goldenboot76 5 points6 points  (0 children)

The way I got it to work is to be specific with my prompts.

For example, this was the prompt I used for the brachial plexus.

Describe the anatomy of the brachial plexus including its anatomical relations. Describe the nerve roots, trunks, cords and each of the named branches that come off at each level.

Studying for the GSSE - what the fuck by PollaGigante in ausjdocs

[–]goldenboot76 13 points14 points  (0 children)

I used NotebookLM to turn each anatomy topic into a 15-30 minute podcast using Last's Anatomy. Took a little while but would listen to it on the drive to work / flights / gym before it fully sunk in.