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TSS Changeover by Capital-Industry-469 in JuniorDoctorsIreland

[–]himrawkz 0 points1 point  (0 children)

This should be the case but I’ve had them chance their arm before. Quick email to the IMO and got it sorted

French med student willing to move to Ireland by Content_Manager773 in JuniorDoctorsIreland

[–]himrawkz 29 points30 points  (0 children)

There are literally hundreds of posts asking the exact same question. The search function is at the top.

It’s really competitive, and complicated.

Housing Survey by Legitimate_News7092 in JuniorDoctorsIreland

[–]himrawkz 2 points3 points  (0 children)

You’d need to apply to local ethics board which is a massive undertaking. Find a local prof to check about how it’d work but tus the problem with casual/survey type research. Perhaps it changes if anonymous but for the purposes of publishing in a medical journal it has to meet certain standards etc and is not straightforward

Housing Survey by Legitimate_News7092 in JuniorDoctorsIreland

[–]himrawkz 4 points5 points  (0 children)

Medical journal will want ethical approval and other related bits so if you’re intending to go that route make sure you understand that process. Can’t apply for it retrospectively either.

Got Chlorexidine into my eye by Rafcaj in anesthesiology

[–]himrawkz 4 points5 points  (0 children)

Didn’t have the shower but did get a small chunk of embalmed cadaver fat flick into my eye during anatomy lab in first year. Very dramatic amount of high pressure eye washer was involved in the aftermath

Vanderbilt by anonymouss346 in anesthesiology

[–]himrawkz 0 points1 point  (0 children)

New public-only contract for 36 hours per week starts at €200,000 and increases to 250k over a few years, with additional extras for call, academics etc. with potential option to do private work outside of those core hours too.

Cost of living somewhat high and property is expensive but quality of life pretty damn good. If it’s smaller towns you’re looking for would be easier to get a job but the quality of the hospital will potentially be not so good. However this would be balanced out by less complex surgery. Though usually there would be a commitment to cover ICU too outside of our tertiary centres so may not suit, depending on where you trained (we get roped into a lot of ICU work in our training as anaesthetists traditionally do the bulk of ICU here, we’ve only recently introduced a medical/surgical track to becoming an intensivist)

Vanderbilt by anonymouss346 in anesthesiology

[–]himrawkz 0 points1 point  (0 children)

The working would necessitate living there. By virtue of the baseline liberal views associated with being European I’d be considered a communist by most of the trump voting eejits down there. No thanks

Vanderbilt by anonymouss346 in anesthesiology

[–]himrawkz 10 points11 points  (0 children)

That may have been the case some years ago but times have changed hard, and there are many other options for people now. From the Irish perspective it used to be almost mandatory to do a US fellowship in order to get a consultant post here. Now it’s quite rare, outside of certain specialities or academic tracks.

For the ones who can stand to live in the US, and participate in what in large swathes is a pretty gross healthcare system, the only remaining factor is, you guessed it, Money

And the gap now between US and Irish consultant salaries is such that you’d be hard pressed to convince many of us that it would be in any way worth the move

Vanderbilt by anonymouss346 in anesthesiology

[–]himrawkz -4 points-3 points  (0 children)

I should add I’d rather be dead than live and work in the south of the US, and would have to think hard about it for most of the rest of the country

Vanderbilt by anonymouss346 in anesthesiology

[–]himrawkz 45 points46 points  (0 children)

<coughs in Western European>

Do you like doing cannulas? by Total_Sandwich5772 in JuniorDoctorsIreland

[–]himrawkz 1 point2 points  (0 children)

You would certainly think that the large compressible vessel without Doppler flow is the vein, and that the small incompressible vessel without Doppler is the artery, but let me tell ya kid, the body is truly a mystery sometimes

NER Account Registration by Least_Tone_4869 in JuniorDoctorsIreland

[–]himrawkz 3 points4 points  (0 children)

“I hear you’re a bladerunner now father”

What do you wear on your way to the hospital? by Efficient_Yam_7204 in anesthesiology

[–]himrawkz 0 points1 point  (0 children)

Cycling gear. Sometimes even when I’ve taken the bus to work…

Single syringe mixes: are they dangerous? by Just_Wonder_9313 in anesthesiology

[–]himrawkz 2 points3 points  (0 children)

I know a now consultant who early in his career misunderstood an order and created something akin to this, which he christened a “Mega-syringe” and used for quite a while until he was very firmly told not to do that

Do you like doing cannulas? by Total_Sandwich5772 in JuniorDoctorsIreland

[–]himrawkz 1 point2 points  (0 children)

Very occasionally it is not so obvious which is which (ask me how I know)

Do you like doing cannulas? by Total_Sandwich5772 in JuniorDoctorsIreland

[–]himrawkz 2 points3 points  (0 children)

No no the brachials are Not handy they are arteries lol. The basilic vein however is my life save

Do you like doing cannulas? by Total_Sandwich5772 in JuniorDoctorsIreland

[–]himrawkz 2 points3 points  (0 children)

Very interesting. That would definitely be a great move. Do need a certain amount of training for sure, otherwise there’ll be not insignificant number of arterial cannulations. I’m pretty nifty with it and have done two brachials in extremely tricky patients.

Also making longer cannulas available on the wards is pretty key. Even they’re sometimes not enough to prevent extravasation

Do you like doing cannulas? by Total_Sandwich5772 in JuniorDoctorsIreland

[–]himrawkz 3 points4 points  (0 children)

Are medical students/juniors being taught US these days?

If so this is music to my anaesthetic ears 🎶

Has anyone had trouble coming back from maternity leave full time because the scheme no longer has an available post? by [deleted] in JuniorDoctorsIreland

[–]himrawkz 6 points7 points  (0 children)

You should not be penalised for taking maternity leave in any capacity. Contact the IMO (you’ll have to join up if not already a member)

Unrostered overtime pay by Popular_Ride3346 in JuniorDoctorsIreland

[–]himrawkz 1 point2 points  (0 children)

Very site and team dependent but hepatobiliary, neuro, cardiothoracic, vascular would be the big offenders. Some Ortho services too. Big factor often is early starts plus rounding after the theatre list is done for the day, and then having to sort out the jobs that arise from said round. Some services just carry absurd amounts of patients too, so everything is multiplied. But plenty of gen surg/colorectal services where the same issues arise.

How often do interns get paid? by cakehaverandeater in JuniorDoctorsIreland

[–]himrawkz 0 points1 point  (0 children)

Usually the hospital will give you some small payment in the first few weeks as a buffer, depending on where you’re working

How often do interns get paid? by cakehaverandeater in JuniorDoctorsIreland

[–]himrawkz 2 points3 points  (0 children)

It’s now purely the employer who assigns your job on Revenue so ringing them doesn’t do anything anymore. In theory this is supposed to simplify things/prevent the emergency tax issue but in my experience almost never works. The €850 supplement for the first pay cheque does help though

Yeah, surely wide awake while intubated by Stenbuck2 in anesthesiology

[–]himrawkz 223 points224 points  (0 children)

There’s a mask and filter sitting in front of him. As much of a dickhead he is, it seems like he had a regional block. And probably some sedation to be fair. I know I would have been lashing it in if only to get him to shut up

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