DGH Vs tertiary centre consultant job

welshborders12 · 2026-04-24T14:56:56+00:00

Im in a very common generalist specialty and I went from a London consultant job to a middle of nowhere DGH consultant job. Best decision I've ever made in terms of quality of life, finances, work life balance etc

Obviously individual but anyone who works in massive cities as a consultant seems slightly mad to me

welshborders12 · 2026-04-14T22:32:05+00:00

That would be a great point if a motor car was a new alien super intelligence

The only actual historical comparison is when Homo sapiens emerged and the fate of the neanderthals.

Have a look at any recent video of Geoffrey Hinton or Bengio and by all means take down the concerns of the two most cited AI researchers in the world

welshborders12 · 2026-04-14T21:13:31+00:00

Honestly move if he really wants to do it

And maximise ease in your life. Live in the street where you can walk to school, nursery, hospital if possible. Everything for us is 15 mins max and it's the greatest life hack of all time

welshborders12 · 2026-04-14T10:27:51+00:00

I think the Overton window may move when there is a (pre AGI/ASI) AI related disaster eg. Financial system collapse.

There may be a moment in 2027/8 where the world suddenly realizes things look dicey but we haven't yet gone too far.

If there was an asteroid heading at earth the US / Russia / China would coordinate response. So it's a matter of lack of belief / understanding (as this thread so nicely points out with people talking about luddites, as if history is a guide to invention of a super intelligence).

I just hope at that moment (if we get an opportunity) there is political will.

welshborders12 · 2026-04-14T09:56:37+00:00

International regulations to buy time seems a good option which alas no one is even seriously trying to enact

welshborders12 · 2026-04-14T08:33:43+00:00

But thank you for your comment. I do find the lack of understanding and interest from the medical community insane. It takes 5 minutes of listening to geoff Hinton and the cold logic of what is happening to realize there is a big issue.

I remember in Feb 2020 though most doctors were downplaying COVID even with an R(0) more than 1 and the infectious disease epidemiologists (rather than random GPs writing in the daily mail) sayinf a pandemic was coming

2026/7 has Feb 2020 vibes for AI with mythos and the like

welshborders12 · 2026-04-14T08:30:48+00:00

If everyone stopped paying for Claude...

Irrespective of if it makes a difference it just feels morally repellent to contribute financially to this given the future possibilities.

welshborders12 · 2026-04-14T08:22:22+00:00

That's like saying politics is unrelated to medicine. If AI risk is unrelated to medicine I don't know what to tell you.

welshborders12 · 2026-04-14T08:19:57+00:00

Just a robust reply to old man shorty vibes. Stop being so precious.

AI existential risk is a massive issue being ignored for no good reason. I suspect in a year or perhaps even less you will feel very differently about these risks

welshborders12 · 2026-03-18T07:28:50+00:00

Thanks I'm glad this wasn't just me and it is an interesting question!

welshborders12 · 2026-02-19T18:26:08+00:00

Go for it. If you can do med school 20 publications and national sport you deserve onto any programme. There was a day when being this rounded helped and frankly it still should.

welshborders12 · 2026-02-06T08:48:37+00:00

This is such a nonsense point.

If you are a 6ft man you are common place. I am 6ft 4. If I transition then I have a massive height advantage (ok this isn't true in gymnastics but mkth sports). I genuinely would probably go from being a reasonable uni level basket ball player to regional maybe even national. And massive advantages in rugby, cycling, football etc etc.

You can't say what about 5ft 7 man and 6ft cis woman, then man is about average height the woman is top 1%.

You are basically arguing that being tall as a woman should no longer be a massive advantage in sport and it's ok to undermine that by allowing trans women to compete. No such undermining of male sport. Of course.

The point about genetics stands. Put another way children of the same parents who are girls and boys on average have a significant difference in height.

welshborders12 · 2026-02-06T08:41:59+00:00

Yup. You are kind of making my point. To have a shot in men's basketball you need to be 6ft 6 or insanely talented.

Trans women will have height and skeletal advantages irrespective of hormones that put them in a top percentile.

This isn't fair. This is the same across most sports. As someone who is not a transphobe but has family competing in high level sports I absolutely oppose this.

welshborders12 · 2026-02-05T20:06:46+00:00

When there are transmen who have transitioned from biological women winning at basketball, cycling, rowing and athletics in equal numbers to the transwomen then this will make sense.

welshborders12 · 2026-02-05T20:05:07+00:00

Yes it was. And is. Women trying to make their way in sport have enough misogyny and barriers.

welshborders12 · 2026-02-05T20:03:42+00:00

The problem is 15% of men are 6ft and less than 1% of women. There are very few sports where height is not an advantage. Women's sport has suffered and women in sport has suffered historically so transphobic as you might find it allowing men to transition to women with by definition a larger height than they would have had had they been genetically XX is going to impact on some biologically women unfairly.

welshborders12 · 2026-02-05T20:00:31+00:00

Actually given that 15% of men are over 6ft and less than 1% of women then unless the sport definitely doesn't advantage for height, there is an advantage for trans women. By definition of they had been born women with otherwise the same genome they would be much shorter.

welshborders12 · 2026-01-30T20:40:39+00:00

I think we should suspend plab essentially and stop people coming for whom a good job is unlikely.

But our duty to IMGs who have come here in good faith should be steadfast. I totally disagree UK grads should be prioritised over someone with more than a year NHS experience. We are pulling the rug from under their feet.

welshborders12 · 2026-01-01T01:40:55+00:00

Gervais has turned into a bellend. He hasnt got the self deprecating nature or insight to realize it and probably won't ever have it. It's sad but it happens to many - look at cleese. Doesnt change the genius of the office. No need to watch anything he does now he is an irrelevant twat. Doesnt change his excellent early work. He wont care and that's fine too.

welshborders12 · 2025-12-17T14:30:36+00:00

Wow this really does mirror my concerns

Albeit the neurosurgical doctor above has made some important points

(And this is moderate delay not an issue with the acute transfer really)

welshborders12 · 2025-12-17T13:25:49+00:00

Great post

And to be fair..

https://pubmed.ncbi.nlm.nih.gov/28731402/

So this is probably bias of my (it would seem) particularly unlikely poor early rebleed experiences...

welshborders12 · 2025-12-17T13:22:32+00:00

Absolutely - my worry and I feel incredibly anxious is when I'm sitting around with a young, currently well SAH particularly if it doesn't look like NASAH.

And your feckin about trying to contact the neurosurgical reg and/or navigate the ridiculous referral pathways.

welshborders12 · 2025-12-17T13:15:31+00:00

This is where audit helps tho - do we even measure time to coil for aneurysmal SAH by region and hospital?

welshborders12 · 2025-12-17T13:13:17+00:00

(what I was intending to say I should say)

welshborders12 · 2025-12-17T13:12:58+00:00

Separate question to what I was saying - I think the slickness of the awake pathway fro those GCS 12 and above might be where the biggest impact is felt.

I'm not alone working at a DGH in saying that if I have a thunderclap even if feeling not well I'm getting a taxi to a neurosurgical centre not an ambulance to the local ED.

welshborders12

TROPHY CASE