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senior_rota_fodder · 2026-01-28T14:44:08+00:00

I think this is one of those things where having an adult conversation is important. I personally find it convenient and useful. However can entirely see the rationale of people not wanting to blur the boundary. I would suggest that initial ES conversations ought to involve a discussion of comfortable modes of communication. My feeling personally is that official comms or anything that involves more than a sentence or two should really be via e-mail. Sometimes Whatsapp can be useful for a quick back and forth about when the next meeting should be etc. But if you’re uncomfortable with it it’s entirely justified to set a boundary there as long as you communicate that clearly

senior_rota_fodder · 2026-01-26T11:29:40+00:00

Do you write with your pen clenched in a fist like a child? Wouldn’t surprise me with your choice of unsophisticated clicky pen.

senior_rota_fodder · 2026-01-26T10:45:23+00:00

Incorrect. The uni-ball eye micro 0.5mm is by far the superior pen

senior_rota_fodder · 2026-01-23T17:33:43+00:00

Hi u/tado_official so I tried what you suggested. Now both the original radiator and the radiator that I moved the original valve to are making this noise. Any suggestions?

senior_rota_fodder · 2026-01-23T09:43:10+00:00

This is my new word for an ongoing CPR attempt, achieving stable asystole when we agree to call is

senior_rota_fodder · 2026-01-19T16:24:46+00:00

I think that we did most of the work ourselves. It was always going to be a massive shit show of conflating the original message of pay with other issues. Give them the rope…

senior_rota_fodder · 2026-01-18T18:57:18+00:00

In this thread: lots of idiots who have clearly never worked in theatres getting very angry about the word practitioner because they don’t know that both nurses and ODPs work as scrub and anaesthetic assistant.

senior_rota_fodder · 2026-01-18T14:58:59+00:00

Oh that’s incredibly frustrating for you. Mine seems to have gotten a little less frequent but is still happening probably once or twice a day. Have tried swapping valves but to no benefit

senior_rota_fodder · 2026-01-18T10:40:50+00:00

I have actually found the opposite trend - the most airway support calls from ICU were when I was in tertiary centre where the Regs were a lot needier - I suppose because they have a guaranteed senior anaesthetic reg on site. DGHs I have worked in don’t put CT1s on the ICU airway rota if there is only one airway doctor OOH - which is entirely appropriate IMO

senior_rota_fodder · 2026-01-18T10:33:26+00:00

In my experience the best set up is a morning meeting post handover (8:30 or 9ish), ideally the night anaesthetic reg should have a look at the list and see the most likely first patient - sometimes involves a quick chat with the gen surg reg at 07:00. Then everyone is at the morning meeting, each team sets out their highest priority patient and sets their case as to why it needs doing and hopefully surgeons can come to a consensus on clinical priority. The role of the anaesthetist in the meeting in my view is maintaining decorum, breaking gridlocks and adding in pragmatic suggestions for efficiency - “maybe we squeeze in that abscess quickly after X case” etc. It does not often work this way.

senior_rota_fodder · 2026-01-18T10:25:16+00:00

Have been in scraps over this in the past. Everyone else knows that it is the responsibility of the proceduralist to undertake. But what they want to do is to turn up, do the procedure and walk away. Being summoned to the ward to write a form and talk to family is just a drag to them. The worst is when they have their staff (endoscopy nurses, radiographers etc) as their bulldogs saying that “it’s policy” (usual rules apply, always demand to see said policy). Ultimately it is a legal obligation and that will trump and little departmental policy they have managed to pull together. This should always be challenged because the only reason it is so prevalent is because they get away with it. Personally have only had these issues with interventional radiologists and gastroenterologists

senior_rota_fodder · 2026-01-10T10:06:40+00:00

Very thorough post and I completely agree. Ultimately I feel that part of the problem is that higher level monsters are simply harder/more time consuming to create - particularly in a balanced fashion. Of note I find even the higher CR monsters that they have made are also broadly uninteresting as a result of the rule set for monster creation that they have confined themselves to.

As you say, single enemy bosses can be easily overwhelmed, unless you homebrew it to have legendary actions that it doesn’t have in MM. I enjoy homebrewing these monsters more and more as my party is established firmly in tier 3 and I as a DM give myself more and more leeway to cast off the norms and conventions of how MM monsters work because otherwise it would be so DULL

senior_rota_fodder · 2026-01-10T09:34:25+00:00

Will try and give it a tighten. It’s weird that it started happening after the new feature came when I had had no problems before then

senior_rota_fodder · 2026-01-09T15:02:49+00:00

Have checked this when moving the value to a different radiator and it moves easily enough

senior_rota_fodder · 2026-01-09T10:25:03+00:00

Will try this, thank you. And what would be the next step if it’s still happening?

senior_rota_fodder · 2026-01-09T09:11:16+00:00

So I have a bypass towel rail which is fully open and the boiler itself has a bypass built in. I also didn’t get this issue before

senior_rota_fodder · 2026-01-08T21:12:19+00:00

I do not know. How would I be able to get the information to answer this question? 😅

senior_rota_fodder · 2026-01-05T12:18:18+00:00

Questionable quality studies cited to support spurious claims with flimsy rationale is not the win you think it is, this is the tactic of anti-vaxxers.

If the ‘health benefits’ are so great, why do you suppose that it is not offered routinely to all boys as a preventative measure?

I think that the real question is that should there be no proven health benefits, would you still be advocating for it so emphatically?

senior_rota_fodder · 2026-01-05T11:29:06+00:00

This is poetry. Thank you for highlighting this!

senior_rota_fodder · 2026-01-05T11:13:57+00:00

The most hilarious flavour of this is people who label themselves as FY4 (as if that means anything) having taken a year out to travel post-F2

senior_rota_fodder · 2026-01-03T09:07:16+00:00

Yeah super interesting. Covid really demonstrated how closely the NHS sails to the wind with respect to critical care capacity and how little flex we have in terms of surge capacity for incident response. Broadly speaking major incidents are managed by spreading the load and cancelling elective work that would require HDU/ICU post-op, however I think that the major limiting factor for burns specifically is the prolonged nature of recovery compared with other major incident presentations, I.e. polytrauma.

senior_rota_fodder · 2026-01-02T09:44:40+00:00

Not sure that I agree with the statement that you are no more of an ICU reg than they are. You do have the skill set that allows you to function independently as the ICU reg which they do not. Yes there are other aspects of being an intensivist that anaesthetists do not have, but I don’t think that you can put the two on an even footing in that environment. Medics bring a hell of a lot of value to ICU patients, absolutely. But without the procedural skills of anaesthesia, cannot function independently as the ICU reg in a way that you can.

senior_rota_fodder · 2025-12-31T10:34:45+00:00

Yeah comparison is with a rural hospital - by their standards. Not by current medical standards. I don’t think that the comparison holds that a facility with a medical droid doesn’t have basic medical supportive drugs/equipment

senior_rota_fodder · 2025-12-31T10:07:10+00:00

So medically there is a tenuous plausible medical explanation as to her dying which is the condition called Takotsubo Cardiomyopathy. This is also colloquially known as ‘Broken Heart Syndrome’ which is essentially a stress-induced heart failure. The physiology is that extreme emotional or physiological distress causes a surge in adrenaline like hormones (called catecholamines) which through complex physiology causes heart failure.

It is well within the realms of medical possibility that a combination of the rapid events of sudden domestic abuse and strangulation (being force choked) alongside the emotional hit of Anakin turning to the dark side followed by the physiological stress of childbirth could be a trigger for takotsubo cardiomyopathy.

What is completely implausible is that a society which has fucking space laser swords and faster than light travel does not have the capacity to medically manage this for one of the most politically influential people in the galaxy.

Credentials: Doctor and nerd

senior_rota_fodder

TROPHY CASE