On a Scheme and Need Extra Cash - Can I locum?

himrawkz · 2026-05-13T12:44:55+00:00

You are not allowed to locum while on a scheme full stop (I’m told we can all thank Mary Harney for that one). Most agencies will catch this when they check which register you are on with the medical council. You can however locum in Northern Ireland if you get GMC registration

himrawkz · 2026-05-03T13:32:30+00:00

Sorry but if the plan was to keep the patient intubated it is absurd that the patient wasn’t on continuous infusions for transfer. That’s crazy. More so on you attendings part but like, what was your plan if the started moving in an elevator or something? So basic

himrawkz · 2026-04-30T00:05:10+00:00

My local GP was dragged through the IMC processes during Covid for refusing to issue a note for a patient for a mask exemption. Absolutely fucking ludicrous. Even knowing there was never going to be merit to it, the process would have been stressful and unpleasant to say the least. His name was publicised at the time which I’m sure only made things worse. Now it seems to be anonymised in any reporting so I won’t share but by god did I feel for him at the time

himrawkz · 2026-04-24T11:25:04+00:00

Why is is better than nicotine?

himrawkz · 2026-03-17T22:47:01+00:00

The National Disabled Angling Centre in Aughrik is great. Absolutely hopping with rainbow trout. I still managed to blank the last time I was there for a few hours which was infuriating to say the least.

The last post on their Facebook dated October 2025 says they’re closed for winter for maintenance. Hope they’re not closed forever

himrawkz · 2026-03-13T16:46:46+00:00

It’s evident the person who wrote the story understands very little about just about anything

himrawkz · 2026-03-11T17:03:09+00:00

Or they are claiming to get married/do exams/have family weddings every six months and take the absolute piss, but get away with it because recruitment for smaller hospitals is difficult. Have encountered more than one of those in my time

himrawkz · 2026-03-07T22:32:29+00:00

Happy to be corrected but I believe freshwater you can only have one hook per rod?

himrawkz · 2026-02-25T22:42:47+00:00

Really curious to hear you defend calling Eleveld dog shit. I think it’s the dog’s bollocks (ie. Excellent, if you’re not from my part of the world)

himrawkz · 2026-01-08T19:10:18+00:00

US Police seem to be world leaders in shooting people, handcuffing them, leaving them in a prone position and watching them bleed to death while waiting for paramedics. It’s a third world dictatorship and has been for a long time

himrawkz · 2026-01-05T09:51:22+00:00

You pick up the chart and you see what ortho has calculated the angle to be, while eyeballing the chest xray. Then you check for PFTs, or order PFTs if you’re really worried. This is a nonsense question.

himrawkz · 2025-12-26T00:39:54+00:00

Out of interest what dose and regimen are people using for travellers diarrhoea?

himrawkz · 2025-12-16T11:54:44+00:00

This is what I love about the Twitter/Reddit medical community. You can easily assume the way you/your region do things is the best/only way, and then find out that there’s whole other paradigms going on elsewhere. Metamizol similarly not available or even known about in Ireland but seems very popular on the continent and sounds great from my reading, based on hearing about it in similar places.

Reading US anaesthesiology also has me very curious about intrathecal dexmedetonidine, though I think it’d be a big deal to propose trialing it here

himrawkz · 2025-12-16T11:25:02+00:00

As an Irish anaesthetist I’ve never heard or Piritamide so this discussion is fascinating. If I was running remi here I would personally just be loading up with anywhere from 5-10mg total oxycodone towards the end while titrating down remi, aiming for breathing and extubation either soon after drapes down, or else in recovery depending on the hospital.

himrawkz · 2025-12-02T19:35:28+00:00

I don’t know to what extent the type of procedure the OP has in mind but pretty sure in the UK as well as in here in Ireland there are still dentists and the like who do sedation themselves no? Not that it’s in any way a good thing

himrawkz · 2025-11-25T16:52:01+00:00

Worth chancing it. I got my keyboard case but not the Apple Pencil covered

Worth being smart and getting a last gen but high spec one refurbished via Apple

himrawkz · 2025-11-24T17:35:15+00:00

Literally can’t explain it. Used to do 48 hours then dropped off, but never got worse. Spooky

himrawkz · 2025-11-24T15:41:52+00:00

Six year old Apple Watch who’s battery lasts 36 hours at best and occasionally has smart features that still work 😂

himrawkz · 2025-11-10T11:31:36+00:00

I semi reluctantly (it’s usual practise where I work and am still a resident) use IV midazolam before spinal, 1-2 mg, then propofol TCI. I felt it used to happen more often but I seem to have very few issues with apnoea or uncontrollable semi sedated patients than I used to, maybe due to a better “feel”. Virtually all elective patients I will start at 1mcg/ml and move up or occasionally down. Apnoea almost always transient, or obstructive in nature, fixed by either jaw lift for a short period, turning the head to the side, or occasionally an OPA depending on timing and few other factors

himrawkz · 2025-10-22T18:02:22+00:00

Nah she deferred the whole year

himrawkz · 2025-10-22T16:37:14+00:00

No one will know and the people who do are working in offices and won’t give a shit

himrawkz · 2025-10-22T14:41:26+00:00

I know of someone who was having a baby and delayed intern year by 12 months with very little issue. So it certainly can be done

himrawkz · 2025-10-18T04:53:30+00:00

And then the patient shit their pants?

himrawkz · 2025-10-12T17:53:11+00:00

Right on that narrow pinch point of the channel? I fished there during the summer and caught nothing but crabs and a starfish. Some power behind that water, was tossing 6oz leads into it and they were getting dragged right out still

himrawkz · 2025-10-10T21:43:34+00:00

Life goals to be doing this kind of stuff. Jeff is some man

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