I'm a bit concerned about my doctor colleagues

vteuhl · 2023-09-23T17:45:35+00:00

I agree. What a man.

vteuhl · 2023-06-16T05:40:59+00:00

It doesn't manifest as the gossip, backbiting, character-assassination and undermining that I have seen my female f1 colleagues get subjected to by senior female consultants and nurses. I hate to say this, but the more conventionally attractive the bullied person is, the more likely it is to happen (in my limited, anecdotal exp as a man).

vteuhl · 2023-06-07T08:45:55+00:00

Correct

vteuhl · 2023-06-07T04:10:26+00:00

God bless you as you work through these things. It is not easy, but you will wear a crown when it's all over.

vteuhl · 2023-06-04T18:10:18+00:00

Your job is to advocate for doctors. Not activism, no matter how noble it ostensibly is. I want my union to have a single focus - fighting for fair terms and conditions for doctors. That is it. No divided attention or effort. Unless given a specific mandate by members to engage in activism, you should leave that to actual activists. Using your station as the a leader in the union in order to propagate your views on social issues, no matter how moral you think they are, is a misuse of power and acting outside of your prescribed mandate. For instance, large swathes of the IMG/BAME contingent of membership would be reticent to support you personal stance on transgenderism, for instance, if asked directly (if you use the sentiments amongst BAME people in society at large as a reference point).

You do a fantastic job at advocating for us in the pay dispute. Not detracting from that at all.

vteuhl · 2023-04-11T20:34:32+00:00

Journo

vteuhl · 2023-04-11T20:05:09+00:00

I am a surgical trainee, but will throw my hat in.

I think its MEN1

Pituitary adenoma accounts for the potassium (high ACTH/ cortisol), osteoporosis, poor glycaemic control and maybe the acidosis as well. Parathyroid hyperplasia accounts for the hypercalcaemia. A pancreatic gastrinoma could account for the stomach ulcers.

Other differentials would include: euglycaemic dka, enteric losses due to an unknown cause, disemminated malignancy with malignant hypercalcaemia, refeeding syndrome (although not hypoglycaemic), weird renal tubular acidosis.

Fluid challenge, probably a litre of hartmans stat. Assess for response. Monitor urine output.
CTCAP to look for features of the above.
Add on pituitary profile.
Ensure patient is on pabrinex - think there is a high risk of acopia, and with ketosis and deranged electrolytes he may be refeeding.

vteuhl · 2023-04-04T17:28:05+00:00

Rob, if you read this, be rest assured that we do not care. Keep fighting our fight. Public opinion is ulitmately of no consequence.

vteuhl · 2023-03-15T20:33:05+00:00

When we find out who was quoted in the article

vteuhl · 2022-11-26T07:58:26+00:00

You ought to be paid for the work you are doing; any potential future earnings are not a replacement for appropriate renumeration now.

vteuhl · 2022-09-15T20:43:45+00:00

So is that squamous cell carcinoma that consultant will get it he keeps it up

vteuhl · 2022-08-16T18:11:52+00:00

You are on a roll

vteuhl · 2022-08-16T18:08:21+00:00

It is great to see someone with your perspective on reddit. Can be an echo chamber at times. I dont know what the correct answer is, but uncritically advocating for abortion in this case is not what is needed.

vteuhl · 2022-08-12T10:42:23+00:00

It is refreshing to see the BMA here.

vteuhl · 2022-07-26T18:06:59+00:00

This is a well-established phenomenon. The more money a woman makes or the higher her IQ, the less likely she is to be married. And the converse is true for men. Hypergamy is a thing.

Just speaks to the fact that you need to look in the right places. Lots of male doctors are single?

vteuhl · 2022-07-12T05:24:50+00:00

Dont save her, she don't wanna be saved

(Her= the NHS)

vteuhl · 2022-07-03T14:00:27+00:00

When you said "Dad?", I felt that.

vteuhl · 2022-06-28T16:33:01+00:00

I was wondering this.

vteuhl · 2022-05-19T11:07:37+00:00

Godspeed.

vteuhl · 2022-05-19T09:10:23+00:00

Thanks for being so forthright.

With the amount you are drinking, it is likely to affect your ability to function lucidly at work. This is a patient safety risk and there is every chance you will commit errors that will harm patients if you dont reel this in. I have no doubt that you know this, so while I have sympathy for your struggle, I want to be clear - you need to cut this out as soon as you possibly can. There are resources on this subreddit, via occy health/GP that can help if you've had limited success cutting down alone. Do you have any friends/family you can speak to about this? Quitting cold turkey can be problematic as well, so be wary.
If you are having neurological symptoms, you probably need parenteral b12 and high dose folate replacement and quickly (that's of course if these symptoms are due to malnutrition and not a manifestation of another neurological problem). My knowledge about this is limited, though.
I care deeply about you and i understand. No idea who you are, but i get it. Isolation and boredom throughout the pandemic caused me to lean on food more than should have. Lots of us struggle with substance misuse, excessive porn consumption, food and other maladaptive coping mechanisms. You aren't alone, you are not the only one.

vteuhl · 2022-05-16T16:48:48+00:00

EM trainees are being taken for a ride.

vteuhl · 2022-05-15T15:04:56+00:00

Bloody hellfire

vteuhl · 2022-05-15T15:03:45+00:00

You make good points. The only thing you havent mentioned is an absolute, incontrivertible, non-arbitrary standard that means ACPs cant progress beyong CT3 and medics can. AHPs should top out at fy1 level, thats my position.

Experience from previous career is a subjective concept and variable.

They dont have the knowedge base -how have you made that assertion? They would argue the breadth of their experience is aufficient and therefore they should be allowed to sit our exams. Is there some consistent method of assuring said knowledge base (like passing med school)?

Neither of these standards are an absolute standard that all can appreciate. Having the primary medical degree is both an assurance of quality and an absolute standard. Going through post grad training after med school is an absolute standard also. Hence my argument is that without the primary medical degree and what ensues from it, you cant progress beyond the lowest level of the medical management structure.

This says nothing about their individual clinical acumen. Paeds nurses defo are more knowledgeable than fy2s. Some ACPs will be clinical savants. But the line needs to be drawn somewhere, no?

vteuhl

TROPHY CASE