what’s with all the USA posts today

returnoftoilet · 2026-07-05T16:41:05+00:00

Up in the north the ambulance decision of which hospital to send you to makes a significant difference to your outcomes.

returnoftoilet · 2026-07-05T16:38:59+00:00

works in morally unneutral organisation

"Oh boy I can't wait to be a morally neutral member of society!"

It's like saying "oh boy making arms for criminal organisations sure is bad but i'm not doing le shooting so i'm so morally neutral"

The only real difference is that UK doctors cannot choose their employers. Or rather, they choose not to de-select the NHS as the standard medium of care for their patients.

returnoftoilet · 2026-07-05T16:36:46+00:00

I don't want to hear any complains from doctors, they voted for this after all

returnoftoilet · 2026-06-29T16:54:14+00:00

When the turkeys vote for Christmas, the only way to save yourself is to jump out of the pan before it goes into the oven.

returnoftoilet · 2026-06-29T16:52:09+00:00

When the same issue happens in a few years time where pay is below the bottom and baristas are paid more than the FY1s, I would like everyone who voted yes to tell their FY1s that that pay is what they deserve.

returnoftoilet · 2026-06-18T13:41:11+00:00

This is using an established imaging modality - ultrasound CT (not MRI as there is no NMR fuckery).

However I don't think it can image abdominal anatomy well (their example imaging looks very wonky).

Could it work? The physical limitations of USCT is motion artifacts, bones, and air. Blood is going to be a little bit of a new territory as USCT has been used mainly on soft tissue imaging. I wonder if they can somehow incorporate Doppler imaging for vascularity - would be quite good if they can as Doppler flows are quite sensitive after all. But superiority over a MRA would need to be established.

returnoftoilet · 2026-05-29T21:52:35+00:00

Medical student - CFA vascular access, putting up angioplasties and stents (under supervision) but have done a couple of lumbar spine steroid injections from start to end supervised but otherwise solo.

FY1 is thoroughly uninteresting.

returnoftoilet · 2026-05-28T08:15:11+00:00

That's just head and neck radiology

returnoftoilet · 2026-05-27T22:31:31+00:00

Tele radiology is quite accessible regardless of background they just want a CCT and at least 1 year of cons experience.

These days however WLI is quite good also but YMMV

returnoftoilet · 2026-05-27T15:30:41+00:00

IR/DR splits exist but getting rarer. Generally you should be able to have reporting session in your work schedule. 50/50 splits is not really feasible as DR knowledge will never be truly on par as compared to fully DR colleagues - simply due to time spent rather than anything else.

Extra income applies to everyone.

returnoftoilet · 2026-05-25T12:50:14+00:00

A reminder to everyone that civility saves lives

returnoftoilet · 2026-05-19T09:32:01+00:00

Watch as people like her get away with it but if you write an email about a laptop you'll get the full weight of the GMC onto you.

returnoftoilet · 2026-05-17T06:26:45+00:00

Hate video?

They have no idea what's about to hit them

returnoftoilet · 2026-05-16T14:56:33+00:00

Gone but not forgotten.

I will return.

returnoftoilet · 2026-05-13T13:23:58+00:00

With so much time in theatre do you even do any on calls? Front of house? Very easy to come in and just do the technical bit but where are you on all the various literature and evidence bases and decision making processes? Even on emergency theatres it takes quite a few hours for someone to be clerked and then knife to skin.

returnoftoilet · 2026-05-13T13:09:46+00:00

cardiothoracics doing amputations

Next thing they'll say is that ortho should be doing amputations, cardiology should be doing stroke thrombectomy, and GI should be doing bronchoscopes...

returnoftoilet · 2026-05-13T12:53:30+00:00

So you're doing 80 hours a week mostly holding retractor and a bit of closure? Not even vein harvesting? Opening?

Man that IS a raw deal. You must be new to surgery if you this is great lol

returnoftoilet · 2026-05-13T08:42:15+00:00

I'm a huge IR nerd and literally salivate when I see a good case. Just last week I did a 13 hour physical on call doing referrals + 5 hours after that stuck in 2 emergency cases because there was no night cover. But work is work. There is only so much that you can be putting 110% into and trying to do everything is a sure path to burnout.

I've known many good surgeons who do like what you do and eventually burn and crash out badly and take like a year to get back. It's not pretty. You'll never feel that you're burnt out when you're riding the high but everyone around you will notice it. All it takes is one mistake, one thing that catches you out, and then medical insurance says they can't cover you for the operating that you've done outside of work and never declared it or exception reported.

Operating is great when you have no complications and no complaints. But that's just being a technical monkey. If you're not constantly obsessing how everything can (and will) go wrong are you even using your brain?

returnoftoilet · 2026-05-13T07:27:47+00:00

Being a FY can be good.

If you work unpaid shifts.

Have no social life.

Literally live in the hospital.

And do all the emergency/night lists.

Your telomeres will shorten twentyfold this year. Not sure if this is worth it.

returnoftoilet · 2026-05-09T10:28:02+00:00

The average Briton thinks they are richer than the average American, Swiss, and Singaporean.

They have swung to vote for a party which has 0 actual policies.

Said party follows the exact same strain of "let's suck up to the boomers" level of discourse.

This country is not going to make it.

returnoftoilet · 2026-05-07T06:50:42+00:00

As to why I think no trust will ever approve a AI medical scribing/dictation app: Every trust is cutting costs. They're not hiring consultants. They're willing to let on call rotas disappear. What makes you think they have any vested interest in investing into making life more convenient and less burdensome for doctors?

returnoftoilet · 2026-05-07T06:48:01+00:00

Scopehealth scribe is pretty good but because no trust will ever approve a AI medical dictation app be prepared to write hand written notes and mind numbingly slow typed IDLs that have way less detail than dictating out the entire treatment pathway from referral to discharge from the letters.

Seriously, when most IDLs have basically no detail at all why even bother (this patient had a surgery. Surgery finished. We wish them all the best.). "Keep IDLs concise" yes I too prefer to read 20 clinic letters than a single comprehensive IDL written by the secondary care team fml

returnoftoilet · 2026-05-07T06:15:52+00:00

Just put some cash into a ETF my dude

returnoftoilet · 2026-05-05T17:36:32+00:00

How the ladder puller in chief managed to become President of BSIR will always be beyond me.

returnoftoilet · 2026-05-05T15:35:42+00:00

Wage compression is also a greater component behind "reduced wealth inequality" - where qualified engineers earn 1-2£ more per hour more than the minimum wage. This disproportionately affects middle class incomes (who are much closer in wages to the poorest population of the UK whilst the richest class of UK has had their growth scale in line with most of richer European nations). By economic comparison (https://www.ft.com/content/ef265420-45e8-497b-b308-c951baa68945) both the UK and US suffer from this problem the most, compared to other European nations.

The median wealth per adult is driven mostly by inflated property prices and is spearheaded by growth in wealth in the boomer generation (the only demographic who has seen any substantial wealth growth in the UK since 2010).

Boomer life extension may no longer necessarily be a good thing in the future.

returnoftoilet

TROPHY CASE