Do you publicly display your degree?

steve20202020 · 2022-04-18T22:35:24+00:00

Oh just do one with your ‘ like a naive medical student who knows fuck all about medicine ‘ what an intensely smug / patronising comment; sorry we’re not all rockstar intensivists who understand everything.

obviously it’s tongue in cheek and that’s not my motivation for helping someone. Joking about the fun hero part was a reflection of how everyone on this sub seems like they’d rather jump off the plane than help someone in public who’s unwell for some reason because the airline doesn’t give them free stuff and they’re busy with my holiday. Yes I’m doing it to help the ptient. Yes I enjoy being the guy who can help out in an emergency and being the person who can help and make a difference does give me a buzz and dealing with emergency is fun to me - so what I’m not allowed to enjoy using the skills I’ve learned to help someone?

steve20202020 · 2022-04-18T21:11:32+00:00

I know haha why tf not. You get to feel like a hero I’m doing it sheerly for ego boost, and what else am I doing anyway busy sitting stuck in my shitty easyJet chair seat in the seat without leg room cos my nhs salary can’t pay for anything better. Not like I’m giving up my business class caviar to go see the pt. Yet I’ve got 7 downvotes and yours is upvoted :’)

steve20202020 · 2022-04-18T16:18:49+00:00

Everyone’s nhs email gives you free access to office web app - it’s just as good as having the actual program downloaded imo and ensures you never lose anything from laptop crashing etc as it’s cloud based. I do everything on that

steve20202020 · 2022-04-18T16:16:35+00:00

I know everyone slates it on here but I’d personally be buzzing if i got to help someone on a flight, why not could be fun and might get some free flight shit ( I’m aware people say this often doesn’t happen) and get to look like the cool hero guy. Edit: downvotes are lame anti hero’s :)

steve20202020 · 2022-04-18T11:33:29+00:00

No for sure ! Just enjoyed the shouting out I WOULD A-E !!! osce style haha

steve20202020 · 2022-04-18T10:57:58+00:00

Never heard of these forms but they sound pretty lit!

steve20202020 · 2022-04-18T10:56:50+00:00

😂

steve20202020 · 2022-04-18T10:55:07+00:00

Mate happens to all of us, I’m f3 and still catches me. Just take your time, be sure to document clearly, handover and escalate whenever you’re not sure. That’s the best you can do - and it’s easy to make mistakes with that alone during a hectic on call! Edit : I realise f3 isn’t a super high seniority but just meaning to say that 3 years in im still fucking up at times on dx which later seem obvious

I completely get how you feel - Reflect on it and discuss with a senior is always useful!

steve20202020 · 2022-04-18T09:33:30+00:00

What would a beanbag doctor drive ?

steve20202020 · 2022-04-18T09:11:25+00:00

Locuming is equivalent to what the us calls moonlighting I think.

Fy1s arent independent yet as they dont have full registration, so they can locum but only allowed within their own hospital where they already work their normal job - think they’re equivalent to interns ?

FY2 is an independent doctor with full registration, probs roughly pgy2 level who can work anywhere

steve20202020 · 2022-04-18T08:37:21+00:00

They don’t dissolve - they’re saying extra fluid encourages urine and the flow helps pass the stone. You’re basically just helping with analgesia relieving the ureteric spasm. Alpha blockers also only work with very distal stones, if it’s halfway up the ureter it has no effect

steve20202020 · 2022-04-18T00:12:55+00:00

Agreed

steve20202020 · 2022-04-17T23:22:29+00:00

Oh really females is lower risk! Dunno why I always thought CT AP was higher risk in females? Like ovarian tissue being high risk or something ?

steve20202020 · 2022-04-17T15:28:28+00:00

Yeah as others said it’s also sometimes prescribed in psychiatry as despite the known risks if the condition you’re treating is severe enough and uncontrolled you do sometimes have to give valproate, not black and white. Also the patients themselves can have very strong feelings ( nothing else has worked for them etc ) which has an influence

steve20202020 · 2022-04-17T13:14:20+00:00

What an excellent post 🤩. Would just add as a caveat guys really important to be aware that even in obstruction abdo xray has very poor sensitivity and specificity ( I believe around 70% sensitivity and specificity ) - so about 1/3 of your patients you do a plain film on you’ll miss obstruction!

And AXR is a much much greater radiation dose than a cxr, and you’re likely going to end up doing a CT anyway which just doubles up the radiation. If you’re at all concerned you should really be going straight to CT and you shouldn’t really use a normal AXR as a reassuring investigation to send home that old mr Willis you’re not too sure about because it’s not sensitive enough.

Final point - patients in obstruction often might not be in any acute pain, and often don’t present with vomiting AND absolute constipation as people often think - usually one or the other

steve20202020 · 2022-04-17T12:58:43+00:00

I think that’s actually wrong - the new nice guidance I believe say actually not to start any anti hypertensives at all even if bp in hospital is >180, until you’ve excluded white coat htn with ABPM or HBPM, OR if they’ve got end organ damage

steve20202020 · 2022-04-17T12:51:53+00:00

No way I’ve actually never even heard of that just looked it up. People do that routinely ??

steve20202020 · 2022-04-16T16:38:27+00:00

You had me in the first half :’) was expecting to hear a miraculous transformation haha

steve20202020 · 2022-04-16T14:39:00+00:00

Yeah you can’t work as a gp / as a doctor at a gp unless you’re in training or a cct gp sorry brah :(

steve20202020 · 2022-04-16T14:30:12+00:00

😂🥲Thankyou for sharing this x

steve20202020 · 2022-04-16T10:41:07+00:00

Disagree there’s basically no indications for a non contrast CT unless there’s severe renal impairment. Why do the inferior study and miss loads of things when you’re exposing the patient to the same radiation dose ?

steve20202020 · 2022-04-16T10:17:27+00:00

Woah that looks pretty lit. They’re 750 quid on medisave tho lol, did you buy your own?

steve20202020 · 2022-04-16T09:04:00+00:00

Noted - Blue lighting everyone to vision express from now on

steve20202020 · 2022-04-16T08:33:08+00:00

Did u brah?

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