🎓MSc Neuro, BA Psych, MBChB, DTMH. Into Paeds, Infectious Disease, PoCUS ED. QLD. Future Rural Generalist.
Joined February 2012
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No means No. Even if you're a doctor. Even if it's safer. Even if you're right.
AUTONOMY. Always.
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SO EXCITED to be moving to Townsville to serve the community as a Pain Management doctor. :D You and your pain are valid and important and I will do all in my power to learn, listen, and help you.
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I've got an interview for ACCRM!!! It's... 2 hours long :o ! Any insights? Prep? I can't possibly express how badly I want this!
I'm hopeless and awkward and desperate for #ACCRM
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Folks always be queuing to board the plane like there's no assigned seating.
This is Doha- Brisbane ... Not easyJet to Magaluf.
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I truly wouldn't have made it through the past 5 years without strangers on Twitter and their support. Thankyou
I'm in Australia now, healing slowly. 6 months into a 1 year ED job.
And... I got BOTH jobs I applied for next year :) NT and Sunny Coast Crit Care
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Got my bloods done today...then called into work for overtime as understaffed. It's no fun being on both sides.
HR 100-130 at rest with palpitations & pressure often for a few hrs at a time . Going on for months. FINALLY got my ass to phleb for baseline bloods. Wtf, body?
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If you think UK docs are asking too much... I qualified in 2020. Now in Aus, I still occasionally have nightmares about walking past old people screaming for help ... Why? I was responsible for 120 single rooms- someone else needed an ECG. < £15ph.
What's trauma worth?
I still jump when someone asks to speak to me, thinking I'm in trouble for something I know nothing about .
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#palliativecare #bonymets
Patient presents due to pain. Extensive known bony mets. No recent chemo. Only on a steroid and co-codamol for pain and PRN metoclopramide.
I rx 10mg Metoclopramide + 10mg Morphine +8mg Dex
Senior corrects to 8 Ondans + 5 Morphine +8Dex
Thoughts?
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Help me out.
Went to juniors ECG teaching and my poor dyslexic brain melted. It's been...so long...
But why, dear God why:
Is the PR interval ending where the QRS internal begins? Surely that makes it the...PQ interval?
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Holy shit. There's a typist at my cultural capability training... Turns out the INTERNS dictate and have their letters typed?! No wonder they actually learn some medicine. Honestly, NHS.
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So I have been in Australia for 5 months, working in ED for 4 months. Happily being swapped from PHO to SHO now. And I have ....ONE DAY to apply to next year's Feb jobs?! "What term do you wanna start" I don't even know what that means...??!!
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Tonight involved a lot of add-on CRP.
When do you do a CRP in ED?
I was always taught 1. It's late to the party. 2. It's usefulness is largely over time not as a singular number.
So I rarely order a CRP in ED. I look at story+obs+wcc .
Fill me with your opinions!
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What did I learn tonight? Man..I dunno. That EVERYONE has a different idea of when to do a d dimer and when to do a CTPA. And I find this EXTREMELY AGGRAVATING.
Wells? Geneva? Another flowchart I've never seen before?
How do your EDs manage D-dimers & CTPAs?
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Oh for ****s sake..... Nothing on xray 7 weeks ago. Jesus Christ, dog.
(Yes he will be PTS very soon )
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Reason 125627 why I'm glad I left. Just wish I'd done it sooner. 2020 grad LTFT so finished FY 2023... even locum jobs were impossible. Why? Well every Dr who didn't get into training....still needed a job! Would love to see application to post # graph for FY3 jobs...
UK is facing a critical failure in medical workforce planning
Thousands of doctors are trapped in a bottleneck, blocked from progressing due to a shortage of training posts
A crisis that was foreseeable and entirely preventable
@wesstreeting @NHSE_WTE
ft.com/content/ddb51e41-8b24…
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Dr.B (She/Her) 🇪🇺🇱🇧🇸🇪🏳️🌈 retweeted
I've tonight tabled a Parliamentary Motion on Israel’s seizure of the Gaza flotilla
The world should not stand by while Israel rips-up international law & denies Palestinians humanitarian aid.
Around 40 MPs have already signed. More will in the coming days. Ask your MP to sign.
