As you may be able to tell from the title, a lot has happened. One thing about having a startup is that things just move at a thousand miles per hour. It's easy to see why you should "never doubt that a small group of thoughtful, committed citizens can change the world" as Margaret Mead… Continue reading NHS Startup Part XIII – First Sale, Partnerships, Company Formation, Speaking Gig
Tag: medicine
Hating Groups of People
Because of the state of the NHS, doctors are often written about in the news. It's no secret that working conditions for doctors in the NHS (whether junior or senior) are really bad and seem to be deteriorating rapidly with time. Shifts where you have to cover hundreds of sick patients by yourself is not… Continue reading Hating Groups of People
Memory Box
What are memories? They seem fuzzy and subjective. Sometimes they're vivid, but rarely are they true. A year or so ago a patient came to see me in my clinic. He was a middle-aged, white, working class man. He looked so normal in his jeans and t-shirt. I thought it was going to be just like any other… Continue reading Memory Box
Being A Doctor, What It Means, What It Doesn’t Mean, What It Will Mean
I. I'd say that one of the main things that made me choose to become a doctor was that I felt like I had a kind of natural ability and affinity for the subject. It's likely that this was a completely false assumption however. It stemmed from growing up in a highly medical background, where… Continue reading Being A Doctor, What It Means, What It Doesn’t Mean, What It Will Mean
Incidental Finding
I've always thought the term "incidental finding" was strange. "Incidental finding" is something doctors say when they look for one thing but then find something completely unrelated to what they were originally looking for. For example if you have a chest x-ray looking for an infection, but instead we find a large shadow which may be… Continue reading Incidental Finding
Consultation Skills – Three Golden Rules
My consultation skills are gradually improving. I'm currently seeing a patient every 10-12.5 minutes. By the time I finish my training next August I need to be consistently at 10 minutes per consultation. A couple of years ago when I started my GP training I really had no clue how GPs could see patients so quickly. In the hospital… Continue reading Consultation Skills – Three Golden Rules
Burning Behind Your Eye
The triptans are a funny group of drugs. Usually when a patient needs a drug we give them a drug that they have to take regularly every day. With migraines we give "triptans" where we ask the patient to take the drug once they can feel a migraine coming on. The triptan then stops that… Continue reading Burning Behind Your Eye
Overtime
My girlfriend is also a junior doctor. She still works shifts at the hospital and whenever I can, I pick her up from work. We noticed that if her shift finishes at 5pm then I should aim to pick her up at 5.15pm otherwise I'd just be waiting around as she never finishes on… Continue reading Overtime
What’s It All For?
One of the reasons so many people hate school and education is because of the lies that they were told when they were younger. They were told that keeping their head down and not speaking up was a good thing. They were told that they would be given a good job for the rest of their… Continue reading What’s It All For?
Exams
Amiodarone - check LFTs, U&Es, TFTs, CXR before starting, then LFTs and TFTs every 6 months... 2nd month of life - DTaP/IPV/Hib, Men B, PCV, Rotavirus vaccination... T2DM diagnosis- symptomatic and fasting glucose >7.0, random >11.1 or HbA1c 48 (6.5%)... I don't think any doctor has ever looked back at exams and thought that it… Continue reading Exams
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