Junior doctor AMA. Other medfags feel free to countryboot
whats the most messed up thing you've seen?
>>16963626
Gore doesn't particularly bother me, but I get mad feels from random things that haunt me.
I remember going to see a patient and as I pulled the curtains round I overhead a conversation from the bed next door. It was an elderly couple and the husband must have been unwell. I heard her pleading with her husband not to die and begging him to "come home from here".
My dad had only recently passed away and it made me think of my mother. That memory comes to me at really random times and fucks up my day.
Do you know anything about chronic fatigue? I wish I had a more specific answer to what illness I have. I've been sick for 7 years, but no doctor could ever find anything measurably wrong with me. I've already tried an infectious disease doctor, cardiologist, gastroinetrologist, neurologist, and endocrinologist.
What's the ideal accellerant for setting self on fire.
I'm looking for something that will ensure full thickness while avoiding death, so hopefully something that evaporates/burns fast enough only to deal the intended damage.
>>16963666
It's a diagnosis of exclusion. If you've seen all of those specialists then it's presumably a reasonable diagnosis.
Best way to tackle it would be via a graded exercise routine and cognitive behavioural therapy to break the habits that reinforce tiredness.
>>16963669
Im not a fuckin fireman.
>>16963672
I've been exercising and doing CBT those 7 years, but thanks for confirming about the diagnosis and treatment.
If it's not too much trouble, could you please take a look at >>16963207 's thread? I'm worried for them. Tysm
>>16963615
What are the complications from colonoscopies and upper endoscopy. They are looking for hernias esp stomach. Is there not a better scan available?
>>16963911
The risks of an OGD (upper endoscopy) are pretty minimal. The most common one being the test being non-success, usually due to poor patient compliance.
There are small risks of bleeding and perforation but they're rare with a wide range of severity.
They wouldn't do a colonoscopy to rule out a hiatus hernia. They can be sometimes seen on a chest x-ray if they're large, but if you're having upper GI symptoms, the OGD can give you much more information.
>>16963615
Does your job consist of 8 hours (like other jobs) with a lot of research ?
Do you get patients with different medical problems everyday ?
>>16963935
>Does your job consist of 8 hours (like other jobs) with a lot of research ?
I don't really understand this question. My job is clinical rather than research currently. I do small quality assurance research projects on the side as a general expectation.
>Do you get patients with different medical problems everyday ?
My day job is cardiology, so limited mostly to heart attacks, heart failure, arrhythmias, endocarditis, pericarditis etc with a bit of general medicine thrown in (lots of pneumonia, urosepsis, electrolyte disturbance, renal failure).
When I'm on call it's a bit more varied.
>>16963935
Oh do you mean the hours I work?
Normal day is 9am - 5pm (longer if someone gets unwell at the end of the day). This can sometimes be 9am to 9pm if it's a cover shift where by I look after all the wards after 5pm.
On-calls are 9am to 9.30pm.
Nights are 9pm to ~11am.
I occasionally have to work 12 days in a row. Work lots of weekends. Blocks of on-call/nights for me are 4 day stretches.
>>16963928
Thank you.
>>16963615
Do you care more about helping people or earning money? Would you ever refuse to treat a patient for political reason?
>>16964012
I earn fuck all money for the hours I work and it's due to get worse with the new contract that our britbong government is imposing upon us.
Personally, I do it genuinely enjoy helping people. I also like the practical side of it, interpreting results, talking to patients etc.
>Would you ever refuse to treat a patient for political reason?
Nah. I've treated lots of scumbags, prisoners etc. Doesn't particularly change my behaviour.
>>16963911
Not a medfag, but I've had around 20 endoscopies and probably half a dozen colonoscopies. Whilst they're not the most fun thing you could do with an afternoon off work, they're honestly not anything like as bad as they sound.
For an endoscopy, you lay on the trolley while they get the gear ready, If your luck's in they let you have a pillow while you're waiting, but they take it away once they start. The doctor gives you an injection of a combined sedative/painkiller, you get maybe 10 seconds of "OMG I'M AS HIGH AS A GIRAFFE'S EARLOBES THIS IS FUCKING GREAT", and then they tell you they're done, and you sit there smiling like an idiot because you're still drugged up. I'm not sure if you pass out or if you just don't remember the procedure but the net result is the same either way. You'll sometimes have a vague memory of them telling you you're doing well or that they're nearley done but that's about it. Afterwards you might have a bit of a sore throat, but they give you tea and some biscuits in recovery (you're nill by mouth before the procedure) and that usually fixes it. They keep you there for 45 minuites to make sure you're ok and that's it. Because of the sedative you're not allowed to leave on your own, someone has to pick you up, and you're not allowed to drive for the rest of that day. The last few I've had I opted to forgo the sedative and just have an anasthetic throat spray that suppresses your gag reflex so that I could go back to work afterwards, but I'm sort of used to it by now. The only time I had a problem with an endoscopy is the first one, where they didn't give me enough sedative. I "woke up" halfway through, and in my strung out state tried to yank the tube out of my mouth so they had to stop. Apparently that's really rare though.
<cont>
>>16963615
Are you a registrar? MRCP?
>>16964033
The worst part of a colonoscopy is the prep. For a couple of days beforehand you have to take bucketfulls of senna, then the day before you drink this powdered stuff called "fleet" that makes the entire world fall out of your asshole.
Protip - buy a big tub of vaseline, a couple of packs of baby wipes and some sudocream (nappy rash treatment). Smother you hole in the vaseline and poke some up inside, clean it with wipes every time, then after the procedure get busy with the nappy cream. Put some books, magazines and bottles of water in the bathroom beforehand, as you'll be spending a lot of time in there.
For the procedure, you lay on your left side with you knees pulled up to your chest. The probe is only as thick as a finger, but when it goes in it feels a lot bigger. While you can feel it moving around inside you it doesn't really hurt, it's just uncomfortable. Probably the worst part of the whole thing is having three strangers stood around talking about their plans for the weekend while you're laying there with a garden hose sticking out of your ass. Once it's out everthing is fain, no afterpain or anything like that. I usually bring some immodium with me and take it right after as you come out really hungry and thirsty but your digestive system is still on "straight in straight out" mode.
Pic related, it's me after a laperotomy to remove the duodenal obstruction that made me drop from 12st 5lbs (173lbs) to 5st 11lbs (81lbs) in under a year.
>>16964049
Nah, SHO with part one.
>>16964033
>>16964058
Wow thanks for the detailed information. They already sent the powder. I suspected it would have that effect lol. Are you ok now.
I have a 3cm hepatic adenoma in my liver. If it stayed the same size for a couple years, do I ever need to get it scanned again, or am I good to go? Could it have been caused by birth control?
How would a doctor feel/what would they do if I told them the reason I smoke is because I want cancer?
>>16964506
Do a mental state examination and a mental health risk assessment. If those were fine - then at the end of the day its your body you can do whatever the fuck you want to it
>>16964470
Take advice from your hepatologist. I think you'd almost certainly need it scanned again though - the question is how frequently. Did they biopsy it?
Unlikely to have been triggered by birth control
>>16964627
It was never biopsied. Shoot, really? I don't have a doctor currently, but I'll get one. I have autoimmune problems and am paranoid about scans making me worse. What could cause that kind of growth?
>>16964651
Radiation won't make autoimmune problems worse. Yes, radiation can cause cancer - you could consider MRI.
Get a hepatologist to advise you. I can't advise you because I'm not a specialist and I have no idea about the rest of your medical history (and I'd have to ask a shit ton of questions).
>>16964733
Okay thanks man!
