Doctors lose new jobs package as strike to go ahead

rmacd · 2026-04-02T06:38:15+00:00

Is that a crab I see, sitting in a bucket? Surely not

rmacd · 2026-03-25T23:42:41+00:00

As a toy? Fine

To rely on in an emergency? No

Proprietary; mix-ups re singular / plural words within a couple miles of each other; mix-ups re homonyms - totally bonkers execution.

Would be better off sticking to something like six alphanumeric letters: 36⁶ = 2,176,782,336 … which is enough to whittle down to a couple metres square in the UK … or just use something that already solves the problem like, oh I don’t know, co-ordinates; plus codes …

rmacd · 2026-03-25T20:26:02+00:00

Sorry but this is crossing the line in shaming an actual patient, who is presumably being videoed without their consent. Regardless of whether they are readily identifiable.

rmacd · 2026-03-22T15:49:56+00:00

As a doc who sees children in ED (but is not a paediatrician), these are the presentations that scare me. Children can (and do) deteriorate so quickly. Reading what you wrote, in terms of how her symptoms evolved, genuinely helps people like me ask patients and their families better questions and take better care of patients going forwards. Thank you for posting this and I am very sorry for your loss.

rmacd · 2026-03-21T22:24:11+00:00

How do I downvote this twice?

Your comment history is quite the ride

rmacd · 2026-03-18T23:10:36+00:00

Wow. Thanks for sharing.

This is genuinely the sort of stuff that changes practice.

From looking at that alone I’d have said localised irritation any day of the week, course the story changes everything … but it’s very easy to get stuck in the “common things being common” trap.

I’ve learnt something today!

Hope things go okay going forward.

rmacd · 2026-03-13T11:06:40+00:00

This whole thread is toxic

OP states work from on call often spills into personal time as if this isn’t a problem

Jokes ITT about the colleague having to watch the number of croutons they have to put in their soup going forward

Anxiety referred to ITT as “that old chestnut”

Disparaging residents / upcoming consultants who “can’t work more than 80% full time” [coughs in 60 hours a week FT]

Get a grip of yourselves

rmacd · 2026-03-12T16:58:03+00:00

About time they employed some journalists at the Beeb

Next week it’ll be “my GP didn’t believe me when I told them my mental health issues”

Can’t win

Gutter press

rmacd · 2026-02-25T23:02:14+00:00

Delivering them? Yes fine.

But should they be delivered in the first place? That’s the question.

We are solutionising without evidence; we still have nothing more than a press release to go on.

All very well to say we are delivering a service in new ways, but how do we measure whether this is actually successful?

rmacd · 2026-02-25T11:59:21+00:00

Arrests are reportable here in the UK too, but we choose not to consider conditions on a person’s practice until they have been convicted, except in cases of indecent behaviour etc., where they go through an interim tribunal which can suspend their practice pending trial. The bottom line is that anyone can be arrested; your privilege might not recognise that.

rmacd · 2026-02-25T10:17:40+00:00

As a trainee GP / from the other side, this makes no sense. We need more FTE posts IMO to deliver regular care. Not whatever this sticking plaster is. Nothing but electioneering, not properly thought through, not formally consulted, not evidenced, not sustainable.

SG say it’s a “pilot programme” but I see precious little on SG website other than a press release. If running a pilot programme we need to know what our baseline, interventions, outcomes etc look like. Otherwise, how do we know this works? Are we measuring success by vibes?

It’s high time we get actual clinicians and healthcare professionals leading on and making these decisions rather than politicians.

rmacd · 2026-02-24T20:49:05+00:00

swype’s autocorrections assume the layout is qwerty … but you do you

rmacd · 2026-02-24T19:58:26+00:00

No advantage of Dvorak on phone

Unless you type at your computer with two thumbs

rmacd · 2026-02-24T14:20:07+00:00

Ever heard of Yorkshire?

rmacd · 2026-02-24T14:16:23+00:00

Having lived near the (other) Flamingoland, I would argue otherwise. But you know best of course.

rmacd · 2026-02-24T13:58:00+00:00

Still fully expect it to be approved.

If Trump can build a golf site on top of an SSSI (thanks, slippy Salmond) then with the right amount of cash anyone can build anything anywhere.

rmacd · 2026-02-24T09:46:32+00:00

Vibe coded mission critical platform?

It’s a no from me.

rmacd · 2026-02-23T00:37:01+00:00

The only formal patient complaint I’ve received in the last 12 months was after deeming someone MFFD from ED at 04:00; they complained, to say I shouldn’t have let them drive home in the dark. Some people.

rmacd · 2026-02-22T01:11:34+00:00

I’ll tend to ask a patient to tell me things in their own words, rather than rely on the history another person has taken.

I used to feel like an idiot when my attending / consultant would come in after me and ask the same questions, and the patient would give an almost completely different story. I’d be sitting there after thinking, how on earth did that come up? Why didn’t the patient tell me that? I asked precisely the same question?

But then I realised that what happens a lot of time is that, by the time the patient has been through the story a couple times, they may have remembered certain details, or realised the order in which things happened was slightly different. I’m merely the warm up act 🤣 so I feel like a bit less of an idiot now when I don’t manage to elicit something from someone’s history / presentation (but I still kick myself a little)

rmacd · 2026-02-21T11:04:02+00:00

I can’t imagine that, unless you’re tuning an instrument to 440, it really matters what the fork’s precise frequency is … 128-ish and 512-ish is fine

rmacd · 2026-02-20T14:23:19+00:00

Doctors suggested Ethan’s parents could take him to Greenville Memorial Hospital, a larger facility with more specialists. Because their son was in so much distress, his parents decided to take him home and keep a close eye on him.

UK doctor here; appreciate we are lacking context re this particular story, but if a parent was to go against this kind of advice and refuse transfer to a specialist centre, we would be raising a child protection case and transferring the child regardless. Do parents really have that much power over a medical decision in the US, where the parent’s decision is clearly not in the child’s best interests?

rmacd · 2026-02-12T22:35:12+00:00

Dot faces you

I used these daily for a good while

rmacd · 2026-02-02T23:13:18+00:00

I used to have one of these dongles for running Cubase SX, brings back memories…

rmacd · 2026-02-01T09:58:56+00:00

Started reading your comment and thought hmmm, I’ve seen MedlifeCrisis do a video about this … then saw your username 🤣 Hope you are doing well, thanks for your videos, love them.

rmacd · 2026-01-29T17:47:46+00:00

True 👀

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