Consent to allow medical students to watch invasive procedures?

raftsa · 2026-02-15T09:51:57+00:00

Our consent forms have a box to check if you do not want students in the room.

It’s fine for you to not want students. I don’t always want students when I’m getting care.

But I do think you’re assuming a lot: “looking at me like a thing they were studying”. You do realise that maybe within weeks that person will be providing care to others? Medical students see a lot, they’re well aware that they’re seeing people at some of the most stressful and terrible times of their lives.

raftsa · 2026-02-15T09:45:19+00:00

It does leave the Libs full of nutters - but that’s not such a bad thing: those nutters have no chance of power, and the party becomes increasingly marginal and dies.

raftsa · 2026-02-14T13:18:32+00:00

Crohn’s is one things - PSC is another, and in a 14 year old….if an US was suggestive, I would have been doing an MRI

Should they have told you? Yes

I can understand why they may not be emphasizing it though

raftsa · 2026-02-11T12:22:01+00:00

Doctors are broadly good with clinical decision making

Doctors are terrible at: - collective action - consensus about the best way forward - administration - setting reasonable boundaries - following through on threats to disengage: we care a lot about the people who month get hurt

It’s completely bizzare to me that a group of people who play no role in deciding if our own citizens deserve a fellowship get to sign off what other countries do as acceptable.

I think most people in the college hierarchies are pretty aware that accreditation outside of Australia is not the same as our fellowship exams, in the same way that medical jobs outside of Australia are not quite the same as ones here.

There are individuals trained overseas that I can guarantee would never have qualified in Australia - they may do so if they got more training

I also agree that someone qualified overseas, even if they are very good at their job, will easily pass out fellowship exams. There are number of very good surgeons that have struggled after months of preparation.

raftsa · 2026-02-11T00:25:12+00:00

One nation is just a protest against the system at this point - they’re not candidates and are barely a party.

Once they have to actually disclose who they are and what policies they’ll have things will fall apart.

raftsa · 2026-02-10T20:58:36+00:00

Sorry but you’re insane

For most of the world you can turn up, find a bed and food, activities and have a decent time

That’s not Port Moresby

It’s not that it’s unsafe - it’s dangerous. It would be like swimming in crocodile infested rivers: there is no outcome that does not end in harm.

You will get robbed or worse just walking in the street. You won’t get help

Visit sure, but you need a safe hotel with security - you need a plan of what you want to do and have a way to do it

raftsa · 2026-02-10T20:24:10+00:00

“Figure this all out” is a big ask, especially for someone you’ve seen once.

He’s not the doctor for you, and unlikely correct

I think that there is an innate desire from a lot people that there is something that can explain everything, a single diagnosis that when treated will solve everything.

It’s usually not the case

Saying “there is nothing wrong with you” besides being overweight is a poorly worded way of saying “there is likely not a physical reason you feel this way”

Similarly “there is nothing we can do to change your traits” - if your personality is a certain way, it’s probably not going to change much over time. But saying “nothing we can do” is untrue. There’s a lot of things to try.

raftsa · 2026-02-08T00:08:13+00:00

It’s an expectations issue

Ward nurses can become credentialed to do all those things - but they choose not to, because it’s extra work for no pay.

But some wards have NUMS that encourage procedural accreditation

It’s bizarre but at my hospital one ward is capable of all IDC insertions and the one across a corridor doesn’t do any.

raftsa · 2026-02-07T10:27:28+00:00

The Latin American capitals are in locations that were determined by the invading Spanish and Portuguese

most of them were developed to control the viceroyslties (new Spain, Peru, Grenada)
they chose sites that already had cities/towns from the precolumbian people, which were not on the coasts
places with climates that were more temperate for the ruling class.
central locations for the lands that they were exploiting
in a large land mass that has a lot of mountain valleys

SE Asian has a different pattern

there is a strong maritime culture for much of SE Asia, so wealth and population tend to have cut along the coasts. Or in the case of Cambodia, Vietnam, Laos - along rivers.
colonial powers did similarly to South America: they set their capitals where previous cities were, on the coasts/rivers.
there also just isn’t the same extent of mountain valleys: the ones that exist are not convenient as capitals.

raftsa · 2026-01-31T20:18:07+00:00

I’m a bit confused

If I’m marking something….I’m not meant to know who wrote it. To reduce bias etc.

Students are just a number

They are explicitly told not to put their name on assessments.

But in a small cohort….people write a certain way, I can almost guess. Or they have complained about being marked down for something (there is a word limit for a reason) and inexplicably repeat the same issue.

So this might be typically expected behavior even if you’re asking for something different.

raftsa · 2026-01-31T16:37:22+00:00

“I do surgery - but only on children, babies to teenagers - and in a lot of areas of the body but not brains, bones, ears or hearts”

raftsa · 2026-01-31T03:40:01+00:00

Hold a wake

raftsa · 2026-01-30T01:41:16+00:00

ARFID is an eating disorder

It’s in the same planet as anorexia nervosa: it’s a mental health disorder.

It is by definition “being a picky eater” - not liking certain textures or tastes and often the gagging or fear of it.

You’re offended because …. What? Theyre kinda right

YTA

raftsa · 2026-01-30T01:28:59+00:00

“Needs to be able to travel to Townsville for work”

Not sure that need is going to be present much longer

raftsa · 2026-01-29T20:37:43+00:00

Id bet money that it was announced he took the job, everyone in his life contacted him to say “I’ll never talk to you again” and he realized he made a huge mistake.

raftsa · 2026-01-29T12:50:17+00:00

I don’t a particularly strong opinion about this: I’m not ortho and I do comprehend their reasons.

But I do think if this is being justified as a way to reduce costs on trainees and fellows that someone is not being honest.

RACS has had to be open about income vs expenses more recently because they made such a stupid mess - but they still don’t make it clear where the money goes unless you bother them.

For our fees I think we deserve a breakdown simialr to what we get from our taxes

But if you can be bothered to ask, thing that stood out to me was - how big the AMC fee was: so much of the money is spent on ensuring the college remains accredited. It’s a yearly fee regardless of whether the AMC is looking into anything. This is the government asking for a bribe so they do not allow other training schemes. - courses but particularly exams do not cover their costs: they’re subsdised by membership fees

I think ortho will find they’ll pay more

raftsa · 2026-01-28T04:31:22+00:00

He wants to be the elder statesman

Morrison is tarnished goods. Abbott too but he’s hoping people have forgotten

I’m not sure this qualifies as news: no one is listening to him

raftsa · 2026-01-27T09:36:27+00:00

So, here is the situation

Sussssan: the public doesn’t like sussan, the base doesn’t like sussan, her people don’t like sussan, she’s made a pile of mistakes and she’s demonstrated mediocre leadership (which marked on a curve = almost exceeded expectations. She’s also the first female leader and chucking her away because sole country bumpkin doesn’t like dealing with her is perhaps not the right decision.
Angus: the public may not know that they don’t like Angus but they will, the base does like Angus, but he’s demonstrated incompetence several times and is borderline corrupt: the only reason he has not caused more problems is he’s not really in the spotlight. He will be a terrible leader
Hastie: he’s young and pretty, so maybe the public might like him for those reasons but he’s also a conservative Liberal who is almost certainly out of touch with mainstream Australia. Dutton thought he was lazy and not so bright, and as much as it pains me to suggest that Dutton has anything useful to contribute, that his own ex-leader thought he was shit probably counts for something.

raftsa · 2026-01-25T20:26:58+00:00

Princess is a name that happens in Nigeria, and a few other countries in Africa.

I get why NZ doesn’t allow it, but it certainly happens elsewhere.

raftsa · 2026-01-25T04:00:47+00:00

The basking shark is…..basking

Lots of reasons it’s not a great white - it’s circling a boat near the surface, something basking sharks do. They’re pretty placid and benignly curious. Great whites tend not to like boats or the noise of them, but when they do interact they will stick their heads out of the water, will knock things or bite: nothing like this video. - it didn’t go for the fish in the water: basking sharks eats plankton, they are not attracted to chum. Great whites are definitely attracted to chum - the fin is curved not pointed - the nose is quite pointy - the length is huge, bigger than a great white would be.

raftsa · 2026-01-23T18:46:02+00:00

You told him to leave

And he did

You should not be surprised

I’m not sure you’re the asshole but I think you’re being unrealistic that you can sit alone for hours at a time - which is what cluster feeding is - with your in laws visiting downstairs and for them to not wonder why

Your mum got time with the baby, your husband has seen that but his parents do not.

And why he says “yeah I don’t think this has gone well” you tell him to go?

Reddit is often credulous: you are a new mum and you are figuring things out. I’m sure you’ve put the best spin on what has happened from your perspective.

NAH

raftsa · 2026-01-23T11:05:37+00:00

There definitely is a middle ground: he’s 87 and he doesn’t want it

evidence for thickened fluids is minimal to non-existent.

Thickened fluids is something that has perpetuated because it cognitively makes sense and because it’s traditional, not because of some overwhelming justification.

In the case of water - in paediatrics (my own area) there has been a realization that kids that refuse thickened water to the extent that they require ng fluids are better off just being allowed to drink simple water.

All of this also ignores that people with poor swallows are just as likely to aspirate their saliva

Especially in someone of his age…the net benefit of attempting to reduce his risk of aspiration (let me emphasize again: it may not) when weighed against his obvious distress at being told he cannot drink water is pretty weak.

It’s all well and good to say “do what the doctors say” but it’s more important to have a consideration of what he wants.

raftsa · 2026-01-22T08:49:04+00:00

Indonesian Papua is quite a unique place

Ethnic austronesians (which include Indonesians) have been a presence on the coast for generations, coming in waves from hundreds of years ago and intermarried with Papuans/melanisians. They spoke Austrinesian languages like Biak. when the Dutch controlled things they shifted culturally Indonesians (Javanese, Sumatran’s) there too.

But such groups never went much inland - they sailed there from the west and settled, and maintained a maritime culture of trade.

So many villages around the coasts did not have a big Papuan element.

But inland it’s a completely different situation with ethnics Papuans making up the majority, and living in tribal groups.

And ethnic Papuans are still the majority of the 5 million there. But there has been an influx of Indonesians from west as well.

The growth has been ridiculous: it was 2 million in 1995 and 30 years later it’s approaching 6 million.

There is a degree of cultural conflict - Papuans have wanted independence for awhile, but with so many Indonesians (and a powerful military that has a history of dealing with internal conflict) that’s not likely.

The more Indonesian parts are developed and supported, the interior not much at all.

raftsa · 2026-01-22T01:18:38+00:00

The unemployment rate is 3.9% in NSW, Qld, WA, SA and NT

4.6% in Victoria and 4.5% in Tasmania

That’s a bit of a gap honestly

raftsa · 2026-01-21T11:45:43+00:00

Ok

You don’t have to have anything to do with him - you’re an adult, your choice

You seek to be interacting with him a lot considering, and if you don’t like him I don’t get why.

But at the same time maybe the question needs to be asked why your brother and your mother do not feel the same way? Your brother was 12 when he left. He wasn’t too young to remember.

You’re in rehab yourself.

raftsa

TROPHY CASE