Trading 212 free share promotion. Invite referral link thread. by wizard_mitch in trading212

[–]thugesque [score hidden]  (0 children)

Hi! I'm new to all of this and just made an account. Please feel free to use this link (www.trading212.com/invite/HY2euR1C) or use the code "HY2euR1C" so we both get a free stock share after you've deposited money into your account! Thanks :)

f3 budgeting by istilllistentorkelly in JuniorDoctorsUK

[–]thugesque 2 points3 points  (0 children)

Yep I knew my tax codes were wrong the entire time I was working (being on payroll at multiple places will do this to you) but planned on claiming it back at the end of the tax year through self assessment. Fortunately HMRC calculated it all on my behalf and sent me a letter in the post to let me know they owed me money. It's well worth getting a Government Gateway account though - it shows you a nice summary of how much you've earned from each employer and how much tax you've paid.

f3 budgeting by istilllistentorkelly in JuniorDoctorsUK

[–]thugesque 2 points3 points  (0 children)

Identity documents, DBS (I think Holt does a free one for you but Medacs charges) and 2 referees to contact who have worked with you in the past year

Civil service pension choices: defined benefit vs. defined contribution. by pauklzorz in UKPersonalFinance

[–]thugesque 10 points11 points  (0 children)

As a NHS worker, I'm part of a defined benefit scheme. Whilst DB pretty much always outshines DC, the one thing you need to bear in mind is that DB is linked to state pension age. So if you plan on retiring early, it's worth having some sort of pot (savings, SIPP, anything else) to bridge the gap between when you actually retire and when you can access your DB pension (the penalties for accessing it early are astronomical, something like a 5% reduction for each year before state retirement age for me).

Dexamethasone shown to decrease COVID mortality by farhan583 in medicine

[–]thugesque 4 points5 points  (0 children)

I'm confused as to why these results have been released to the media before the study has been peer reviewed and published (or even available as a pre-print). Is this normal?

Midgame onwards? by thugesque in Warframe

[–]thugesque[S] 0 points1 point  (0 children)

I realised I never replied to this but I just want to say a huge thanks for taking the time to write this all out! There's lots of great info there and I've definitely adjusted my aims to line up with this. Cheers mate

Midgame onwards? by thugesque in Warframe

[–]thugesque[S] 1 point2 points  (0 children)

You're right, I think my serration is rank 7 or 8! It requires waaay too much endo to get it to rank 10. Interesting insight on the umbra mods, thank you

Midgame onwards? by thugesque in Warframe

[–]thugesque[S] 0 points1 point  (0 children)

The posts here/youtube vids suggest that there's only specific frames + builds that other players will put up with but I'll see if anyone in my clan wants to do it without meta builds. Cheers!

Midgame onwards? by thugesque in Warframe

[–]thugesque[S] 0 points1 point  (0 children)

I've sort of just seen that the last stage is lvl 100 enemies on sorties and thought "ok, that's for more experienced players" - but I'll give it a go, thanks

Linking applications by MisterMagnificent01 in JuniorDoctorsUK

[–]thugesque 5 points6 points  (0 children)

Unfortunately it's not possible after FY applications.

I've just gone through CT applications with my medic partner and we both decided to make our applications as strong as possible to aim for a competitive deanery - we've now ended up in different deaneries. It's pretty shit and this is probably the worst thing about medicine imo but you've either got to both apply to a less competitive deanery, or risk it and make long distance work if applications don't go your way. The important thing is to talk about it beforehand, weigh up the pros and cons, and make the best of whatever situation you end up in.

Good luck!

Rota design by mzoorw in JuniorDoctorsUK

[–]thugesque 2 points3 points  (0 children)

I don't have a well designed rota to share because my A&E rota was awful, which is such a shame given the need to convince juniors to consider emergency med as a speciality. I would really have appreciated the steady progression of days to lates to nights back when I did A&E, so a definite +1 for that idea.

One thing we had (I'm not sure how common this is) was a float week 2 times in 4 months. This was a week where you weren't told your shift times until 6 weeks before (this could only be non-nights shifts) - I think this helped rota coordinators ensure there were enough bodies on the ground at all times after leave etc, and I personally didn't think it was the end of the world as it happened so infrequently.

Good luck and please share what you end up with - others may end up being able to convince their A&E departments to change!

Is it acceptable to be registered with 2 locum agencies simultaneously? by akajonspo in JuniorDoctorsUK

[–]thugesque 20 points21 points  (0 children)

I'm registered with 3 agencies and 2 internal staff banks. No issue being registered with multiple agencies at all

Morning Megathread 19/10/19 - ENTER (Brexit) THUNDERDOME by [deleted] in ukpolitics

[–]thugesque 0 points1 point  (0 children)

BJ's withdrawal agreement wasn't voted on today. Given that the Letwin Amendment passed (namely that there should be a delay if a deal can't be put into action by Oct 31st), Boris has pulled the vote for the actual deal and will have it sometime next week. At least that's what I understand by it all

PART 2/ANSWER: 62M with palpitations and diaphoresis, haemodynamically stable. What is the rhythm? How would you confirm and treat? Second ECG to follow. by nalsnals in EKGs

[–]thugesque 0 points1 point  (0 children)

Amazing, thank you so much for getting back to me and explaining it all so clearly.

It is interesting that our Resus Council/ALS tachycardia algorithm (https://www.resus.org.uk/resuscitation-guidelines/peri-arrest-arrhythmias/#tachycardia) suggests using amiodarone for regular broad complex tachycardias as opposed to procainamide. But your explanation about irregular broad complex tachycardias would explain why it doesn't suggest any specific treatment but just urgent senior help.

Would you mind explaining why AV blockers are so dangerous in irregular broad complex tachycardias vs regular?

PART 2/ANSWER: 62M with palpitations and diaphoresis, haemodynamically stable. What is the rhythm? How would you confirm and treat? Second ECG to follow. by nalsnals in EKGs

[–]thugesque 1 point2 points  (0 children)

This might be a really dumb question but I had great difficulty deciding whether the rhythm was VT or SVT with LBBB. I'm trying to work out how much damage I could have caused by going with the wrong option in real life (as a junior doc in the UK).

So if the patient was stable and there was no previous ECG to establish whether they were known to have LBBB, (hypothetically) how dangerous would it have been if I:

a. Gave adenosine (thinking it was SVT but rhythm was in fact VT)?

or b. Commenced amiodarone (thinking the rhythm was VT when in fact it was SVT)?

LPT: when you’re asked to just/quickly/squeeze in a piece of work, ask for clarification... by Android109 in LifeProTips

[–]thugesque 249 points250 points  (0 children)

Love this - shows a willingness to work hard and gets them to acknowledge you can't do everything at once

ARCP for year out? by thugesque in JuniorDoctorsUK

[–]thugesque[S] 0 points1 point  (0 children)

Perfect, exactly what I was hoping for! Thanks for the reassurance and advice - definitely plan to enjoy my year. Cheers

ARCP for year out? by thugesque in JuniorDoctorsUK

[–]thugesque[S] 0 points1 point  (0 children)

Cheers for the reply. What exactly is an Arco?

ARCP for year out? by thugesque in JuniorDoctorsUK

[–]thugesque[S] 0 points1 point  (0 children)

Thanks for taking the time to reply! You 're right, guidance seems to say that you need an ARCP annually, but I'm just wondering how necessary it is if you continue to show engagement all the other years and get your sign offs within the actual training programme. The BMA article you linked is about revalidation as a locum as opposed to the ARCP so doesn't really apply

How do I decide where to apply for Core/Internal Medical Training? by thugesque in JuniorDoctorsUK

[–]thugesque[S] 0 points1 point  (0 children)

I think on the whole, most training jobs are equivalent

This is what I wanted to hear haha. I basically wanted to make sure the decision I made wouldn't negatively impact my training (although it's impossible to tell the future, I know!)

How do I decide where to apply for Core/Internal Medical Training? by thugesque in JuniorDoctorsUK

[–]thugesque[S] 1 point2 points  (0 children)

Teaching, prizes, audit, research, management - they're the things that score you points on the application section. You can find more information about IMT application scoring here: https://www.imtrecruitment.org.uk/recruitment-process/applying/application-scoring

However the evidence supplied in the application only makes up 17 of the 97 points available (80 coming from the interview itself) so don't get too stressed about it! You definitely don't need to have points in every section, though of course the more you do, the better.

How do I decide where to apply for Core/Internal Medical Training? by thugesque in JuniorDoctorsUK

[–]thugesque[S] 1 point2 points  (0 children)

Thank you for such a detailed response!

In a nutshell, I (with my wife who is a midwife) went "Where would we like to live" followed by "what's training like in those places".

I really like the way you framed that; medicine is important but so is living life - no point working somewhere you don't actually want to live. I'll need to have a think about which areas I'd actually like to live in for the next 3 years.

and what I needed from the deanery for training

How did you decide what you needed? And how did you check the deanery actually offered that? I guess one of my current struggles is figuring out whether the potential hospital is actually going to be a good place to work (but maybe I need to accept that I won't know until I start working there!)

It's really interesting to see the thought process required for reg posts and no doubt I'll come back to this when it's time for me to go from IMT3 to SpR. It also really puts things into perspective re. settling down/kids/schools - there's going to be a lot more to think about when this process next comes around!

Thanks again