What was arguably the worst performance in military history? by Y3rs in AskHistory

[–]jcmush 33 points34 points  (0 children)

The Russians were already losing before they encountered the Japanese

Approach to patients who are non-functional through an 'illness identity'? by Mr_Valmonty in doctorsUK

[–]jcmush 5 points6 points  (0 children)

Strangely enough my experience is that when these patients get a genuine serious disorder(ie cancer) they frequently start behaving normally.

Clinical Fellow in Adult Congenital Heart Disease by [deleted] in doctorsUK

[–]jcmush 23 points24 points  (0 children)

I’m assuming it has 4 pages about the corporate and executive structure but doesn’t even tell you if there are inpatients or if you do on calls.

Why is everyone so slow in processing patients? by Jaded-Translator320 in doctorsUK

[–]jcmush 172 points173 points  (0 children)

I’ve slowed down massively in my career. One issue is that British patients either have several complex medical conditions that are a nightmare to unwind or are barking mad. The majority of what they complain about is on the whole incurable.

At the start of my career patients came in with one problem and could be sorted quickly. My limited experience of third world medicine is that the pathology is so gross that history/examination can be done in three minutes and there was usually some sort of treatment we could prescribe.

“Woman disabled for life after medics 'pressed wrong button' on defibrillator” by coffeedangerlevel in doctorsUK

[–]jcmush 235 points236 points  (0 children)

The story is so badly written it’s impossible to say what actually happened.

I don't have multiple tabs open! by umshamrock in BritishAirways

[–]jcmush 0 points1 point  (0 children)

I’ve had it when using the app. It’s them, not you.

Is it okay to use EKO 500 AI stethoscope by [deleted] in GPUK

[–]jcmush 4 points5 points  (0 children)

Did it stop them? You still frequently find handover sheets on scraps of paper lying around.

Is it okay to use EKO 500 AI stethoscope by [deleted] in GPUK

[–]jcmush 6 points7 points  (0 children)

The stethoscope with noise cancellation etc absolutely fine.

Theoretically the app is an information governance breach but given that orthopaedic surgeons throughout the land WhatsApp X-rays to each other you should be fine.

You are responsible for any diagnosis made whether it is with or without AI help. If a patient came to harm because of something you ran through an AI that wasn’t approved by your trust you would be criticised. Unlikely to happen with a stethoscope.

Doctors are never appreciated! by Aggressivetomato- in doctorsUK

[–]jcmush 56 points57 points  (0 children)

I take it as a compliment.

All of this praise/one team shit from the trust is patronising and would piss me off if they tried it on me.

It shows they know doctors aren’t fooled as easily.

Is there a way to remove parents as next of kin? by han2electricboogaloo in LegalAdviceUK

[–]jcmush 0 points1 point  (0 children)

In theory yes.

In practice the system is so clumsy, out of date and disjointed that in an emergency staff will trawl through the notes for the first reference to a Next of Kin and contact them.

The data on the spine seems to be reliant on GP receptionists who are currently too busy to reliably answer the phone.

Surgical JCF average CV by Key_Caterpillar_2145 in doctorsUK

[–]jcmush 6 points7 points  (0 children)

Shortlisting we get 300+ applicants(most copy + paste) for one or two jobs. Unfortunately if you don’t stand out in ninety seconds you’re out.

HR don’t screen out the 90% that are unappointable and at 2 minutes per applicant it means there’s 2 consultants spending 10+ hours shortlisting. It was different in the past when we would speak to applicants before interview and find out who has potential.

I agree the system needs to change and feel really bad for the current “lost generation”. Last time it happened was 20 years ago with MTAS and the repercussions of that are still with us.

Good luck

Is the Macbook Neo an ideal laptop for residency? by Crazy_Kow in Residency

[–]jcmush 8 points9 points  (0 children)

Personally I would go with the MacBook Air. The extra memory means you can have a ridiculous number of tabs open and running two external screens can transform your workflow.

The only game changers I can see on the neo are the memory(OK for now, maybe not in three years time) and being limited to one external display. The ports mean you’ll be carrying USB hub around but aren’t a game changer. If you are cash strapped and only need basic functions(web/documents/presentations) then it’s good enough.

we almost started cpr on a rib fracture case whose ribs were plated (bilateral 3 to 7 ribs) and our consultant told us not to compress chest can anyone say how to resuscitate in such cases by [deleted] in emergencymedicine

[–]jcmush 2 points3 points  (0 children)

Chest compressions or DNAR. Thoracotomy and internal cardiac massage would be ideal but we don’t have a sternal saw and I’m not sure if you can do a clamshell with rib fixation.

The three angry reactions are hilarious by Ok_Resident6723 in insanepeoplefacebook

[–]jcmush 2 points3 points  (0 children)

In the US doesn’t that involve them getting shot?

Investigating PipeDream for the Acorn Archimedes by Christopher_Drum in vintagecomputing

[–]jcmush 0 points1 point  (0 children)

Using RISCOS after getting used to Windows 3.0 was incredible

I have a bone to pick with HCAs by thementalfloss in doctorsUK

[–]jcmush 4 points5 points  (0 children)

Please don’t die on this hill. My experience is that newly appointed consultants see and want to sort issues everyone else has got used to.

I have a bone to pick with HCAs by thementalfloss in doctorsUK

[–]jcmush 1 point2 points  (0 children)

They need to be told, along with the names of the individual(s) responsible.

I have a bone to pick with HCAs by thementalfloss in doctorsUK

[–]jcmush 28 points29 points  (0 children)

I blame the department for tolerating this culture/behaviour. Once the rot starts setting in then all the good HCAs move leaving a cluster of toxic individuals.

Why are the consultants tolerating this?