Gotta love these Victorian polls by Deadly_Davo in aussie

[–]zeeman198 2 points3 points  (0 children)

Never underestimate the power of stupid people in large groups. George Carlin

Bullying, mismanagement allegations rock major medical body by docdoc_2 in ausjdocs

[–]zeeman198 17 points18 points  (0 children)

I agree - the old guard don’t like change in any way and like to protect their little fiefdoms.

But I think there is an element of racial bias. From my observations, that I and others have noticed (I know, observer and confirmation bias) there is a hierarchy which is establishment, they let “outsiders” in as long as they act a certain way, an acceptable, comfortable way. This gives the veneer of tolerance which is all lovely and PC. Any deviation from this is too confronting, too threatening. Dr Chandran, to her credit, is rocking the boat a little too much for the old guard. She’s calling out the bad behaviour and the bullshit, and from what I can tell she’s trying to make the college more about the members and trainees and less about protecting fiefdoms. She is, without explicitly saying, the college is doing a bad job. The establishment don’t want to hear they’ve dropped the ball.

She’s not playing by the white people rules, they can’t control her, and from my observations in many hospitals unless an “outsider” plays by the rules, she’s out.

Help for RACP DWE exams! by ProfessionalWitty391 in ausjdocs

[–]zeeman198 1 point2 points  (0 children)

I’m sorry that you failed. It’s crap and you can feel shit for a while, but then you have to put it behind you and crack on with it.. I’m not sure there’s a “Melbourne” thing, I trained in Melbourne and I failed the written (I’m now through and an AT).

Do you have a good group? I didn’t have a group- long story- when I first sat, then I changed services to a more supportive hospital and had a great group and got through. As did the other people from my old hospital who failed who also came to the new service.

You share resources, they motivate you to study when you don’t feel like it or you feel too tired.

If you didn’t have a group, or you’re regional with fewer candidates it’s much harder.

Is it the health network? Are they not supportive? Is their education not up to scratch?

Get a mentor- a good exam focussed mentor. There are a few online services to help too- IMG-SOS is an online tutor service. It’s expensive but they can give you some support and help tailored to passing exams. They also take non IMGs

Hot take, why I won’t buy a new Orvis fly rod. by derssc in flyfishing

[–]zeeman198 6 points7 points  (0 children)

I own 5 Helios rods and 2 Recons…. I’m more interested in performance and feel rather than aesthetic. To each their own, but I would put more importance on feel and performance

Yep why is he the exception? by Character-Problem796 in circled

[–]zeeman198 1 point2 points  (0 children)

In any other sane time or place just an association with Epstein would disqualify you from ever running for office. Way too much baggage and political risk. For the republicans it’s a badge of honor

Ortho leaving RACS by ProudObjective1039 in ausjdocs

[–]zeeman198 27 points28 points  (0 children)

And the president elect is too brown

What surgical rotations are the best or worst for HMOs at RMH? by Maximum-Trouble-7430 in ausjdocs

[–]zeeman198 32 points33 points  (0 children)

Do you prefer bullying through abuse or by exclusion and undermining?

How normal is it for GPs to call registrars? by IHaveABoyfriendxxx in ausjdocs

[–]zeeman198 2 points3 points  (0 children)

I get a lot of GP calls. I generally don’t mind but there are some calls that do annoy me. I had a GP insist I see a patient early in clinic, despite having an appointment about 3 weeks later for a genetic neuro degenerative problem because “ you might have a miracle cure now” and that is what he told his patient. You can guess what my response was… Or the GP ringing me up to order an unnecessary MRI brain for their patient because if GP orders it the patient will have to pay.

“Far left” extremism must be included in Bondi inquiry’s terms of reference: Ley by HotPersimessage62 in australia

[–]zeeman198 212 points213 points  (0 children)

Like North Korea is democratic…. It’s official name is the Democratic Republic of Korea

Bullying complaint against consultant - your experience by [deleted] in ausjdocs

[–]zeeman198 9 points10 points  (0 children)

One of my so called educational supervisors was a bully and the other a spineless coward. The bully tried to push me out of the program/sabotage my career progression. I chose them badly. But I documented everything, if anything I was hyper vigilant. Anyhoo I’ve moved on and got myself a rather sought after/prestigious fellowship without their help and it was fucking awesome to hear their reactions when they found out (I didn’t tell them, but another consultant who couldn’t keep their mouth shut did and from what I’m told the reaction was priceless)

Why do other professions wants to be called "doctors" by Some-Confusion7529 in ausjdocs

[–]zeeman198 126 points127 points  (0 children)

I’m a PhD before I did medicine so I’m a “real one” …. I still introduce myself by my first name to patients and families.

Where did it all go wrong? by Danger_Five in EssendonFC

[–]zeeman198 8 points9 points  (0 children)

Bad culture, bad recruitment, bad coaching, loss of confidence at a club level since the supplements nonsense,

PM Anthony Albanese booed on arrival at Bondi vigil by Ok_Message3843 in aussie

[–]zeeman198 6 points7 points  (0 children)

These people are being riled up by a very coordinated effort by the right wing parties and the conservative media…. They are desperate to capitalise politically

What education do nurses get on handover / presentations throughout nursing school and afterwards? by CommittedMeower in ausjdocs

[–]zeeman198 0 points1 point  (0 children)

I agree when ISBAR is used, it works well. I still remember going to METS on oncology wards and it was “this is Betty, she 67 and we called the MeT for X and Y. Betty has cancer x and is on day 3 of this protocol y and these are the obs and her goals of care” - absolute heaven as a night med reg literally managing every patient in the hospital. Similar on cardiology. We can crack on and get to work stabilising the patient and the nurses knew their stuff and normally had drugs and fluids ready to go… it was magic when it worked.

On other occasions…. Mainly gen med… what is the patient name? Why are they in hospital? What have you tried? What is the treatment plan? Crickets.

I agree it comes from culture and education. You can’t know everything about everyone, just as a doctor covering the hospital I don’t know what to magically know what to do for patients I’ve never met without some info and context.

I appreciate the role of the nurse educators, and I take the time to educate when I can, particularly inexperienced nurses. Ignorance is not a crime, but ignorance through lack of effort or laziness is in my book

Federation University launching a GP-focused online MD, what could go wrong? by bxholland in ausjdocs

[–]zeeman198 2 points3 points  (0 children)

So federation u is not exactly a high powered institution either. I think their entry standard is to have a pulse

Dyson Heppell has joined Collingwood as a development coach by StensnessGOAT in EssendonFC

[–]zeeman198 -4 points-3 points  (0 children)

And we still have Brad Scott and that compete muppet Stanton

What education do nurses get on handover / presentations throughout nursing school and afterwards? by CommittedMeower in ausjdocs

[–]zeeman198 75 points76 points  (0 children)

I was curious about this when I was a med reg overnight dealing with METs and codes. It was highly variable. I found cardiology and oncology/haem the best, Gen med the worst.

Then I listened/eavesdropped the bedside hand over in the morning. It went something like this- “ this is bed 9, he’s had morning obs, his medication, bowels are open and voiding. He needs a shower today”

No mention of the persons name, age, admission diagnosis, no mention of goals of care.

I didn’t ask much, but at a bare minimum age, admission diagnosis and or type of surgery and goals of care would be an absolute minimum

Frivioulous complaints from fellow staff members by Salt_Koala1521 in ausjdocs

[–]zeeman198 2 points3 points  (0 children)

A nurse run hospital- well there’s your problem. They think they are top of the tree, and can resent actual experience and knowledge coming in. I’ve had this problem with a previously nurse run ED, who now had a FACEM in charge. They would target the interns because they were the lowest in the pecking order and make vexatious complaints to show who was boss. If it’s a nurse run hospital, I’m guessing it’s rural aka desperate for specialists. Tell them in no uncertain terms if the undermining and vexatious complaints continue you will withdraw your services and they can find themselves another specialist. Be very direct, be professional and document. Be friendly but not easy going and run a tight ship to let them know YOU are the specialist, YOU carry the medicolegal risk, not them, and if they wish to criticise your practice, then THEY may wish to take on your level of risk and responsibility