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    Our Hammersmith campus has unisex loos. Freaked out a few people.

    I want to die. I have spent the entire day collating data the is shoddy, incomplete and made up for a paper that will be impossible to write and have found someone has just put all the data in a better table online. I want to curl up and die.
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    (Original post by crazylemon)
    Our Hammersmith campus has unisex loos. Freaked out a few people.

    I want to die. I have spent the entire day collating data the is shoddy, incomplete and made up for a paper that will be impossible to write and have found someone has just put all the data in a better table online. I want to curl up and die.
    The mark of any successful paper.
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    Ugh, genetics, infections and haematology can all go die together. Can't wait til tomorrow afternoon for the freedom.

    Also looking forward to my first time in theatre next week for some vascular stuff, should be interesting.
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    First ever assessed OSCE tomorrow. Should be jokes. Cannot wait till Friday night, then I'll be free!
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    Just had to remove a sink off the wall at 1am 'cause my flatmate tore it off >.>

    Nothing quite like a casual nights plumbing to send you to sleep before an exam.
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    (Original post by Mushi_master)
    Yesterday's paper was ming! All 25 extended matching questions were just a fail. Here's hoping the other two are a little better (neuro and genetics/infections so I doubt it!). Feeling good now it's all done with?
    Aw That's exactly what our Paper 2 was like! Bad times. Yep it's been so good now that it's all over. SSCs seem pretty chilled as well so I've hardly done anything all week How did your other two exams go?
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    Another report by the BBC - radio 4 this morning about a patient who had bad care, relative doing the distraught line. The thing is, it isn't balanced reporting because medics and nurses can't defend themselves on air. The NHS does fantastic work day in, day out, and its reports like that that do not help. Another biased, tunnel visioned view of the work that goes on everyday.
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    I'm back.


    Exams could have gone better, but I don't feel like I made a total hash of anything (apart from maybe anatomy...)
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    (Original post by billet-doux)
    Aw That's exactly what our Paper 2 was like! Bad times. Yep it's been so good now that it's all over. SSCs seem pretty chilled as well so I've hardly done anything all week How did your other two exams go?
    They were actually alright (although I don't wanna jinx it!), neuro was probably the best althogh no one agrees with me.

    Anyway Guy's bar tonight! Wish it wasn't raining though.
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    (Original post by Becca-Sarah)
    x
    Was in a seminar the other day where half the room - me included mistook a knee XR for a elbow...Consultant was a rabbit of negative euphoria. Though in our defense it was at a really wierd angle and completly buggered (Sabre Tib)..badtimes.
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    (Original post by Wangers)
    Was in a seminar the other day where half the room - me included mistook a knee XR for a elbow...Consultant was a rabbit of negative euphoria. Though in our defense it was at a really wierd angle and completly buggered (Sabre Tib)..badtimes.
    :rofl:

    I have to start on Urology in two weeks. Any tips? I know absolutely nothing...
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    (Original post by Wangers)
    Another report by the BBC - radio 4 this morning about a patient who had bad care, relative doing the distraught line. The thing is, it isn't balanced reporting because medics and nurses can't defend themselves on air. The NHS does fantastic work day in, day out, and its reports like that that do not help. Another biased, tunnel visioned view of the work that goes on everyday.
    Five million 'episodes' a day, someone's going to **** up.
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    (Original post by Becca-Sarah)
    :rofl:

    I have to start on Urology in two weeks. Any tips? I know absolutely nothing...
    Big catheters will fit.
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    (Original post by Becca-Sarah)
    :rofl:

    I have to start on Urology in two weeks. Any tips? I know absolutely nothing...
    Take the piss, dip it, worth knowing about Nephritic and Nephrotic. Always test for diabetes. (the hbA1c can now be used as a diagnostic). Remember that diabetes insipidis is a differential - lok for the plasma sodium. Oh and left testicular swelling, think of renal cell ca.
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    (Original post by Wangers)
    Take the piss, dip it, worth knowing about Nephritic and Nephrotic. Always test for diabetes. (the hbA1c can now be used as a diagnostic). Remember that diabetes insipidis is a differential - lok for the plasma sodium. Oh and left testicular swelling, think of renal cell ca.
    Explain that last one to me, please?! The downside of systematic teaching is definitely that if you present me with a testicle, my mind is somewhat limited to disease that originates there...
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    (Original post by Renal)
    Five million 'episodes' a day, someone's going to **** up.
    Yes, but when you're in court for it at least you get to defend yourself. That radio 4 broadcast was a classic sop story, anyone who said anything against it, regardless of how true it might have been never would have stood a chance, the tears would peobably have flooded the studio. Poor care is poor care, but without all the information, we don't know if it is poor care or not. One of the examples thats constantly held up is patients not eating - an inspector might go in and just say - pt not eating, crap standards, end of story. Reported like that, it sounds terrible. But actually, there might be many multitudes of reasons why patients arn't eating - stroke ward for instance, where that might be a referral to pathology outpatients, or in AAU ?surgery, or when people feel ill, they don't want to eat - this as we both know is a well recognised phenomenon in advanced malignancy. The bloke that was put up, the chief exec of the hospital where that lady's mother died, poor sod never had a chance.

    Yes, it is true that some care is crap - I work as a HCA, I can see that yes, some people do suffer because we can't get there quick enough - often in CoE wards where patients need badpans, if you're doing something else and you don't get there quick enough, problem. Now that is a dignity issue. Its not because the staff don't care, its because the staff do what they can, but there isn't enough to go around, particularly if you also have to keep an eye out for sicker or demented patients. Quite often the clean up operation takes two or three members of staff (because you need to turn pts), and getting that together is not easy on normal staffing levels. It is not entirely down to staffing levels, there are some inefficiencies in the system - for eample, everyone gets their sheets changed in the morning, everyday. How many of us do that at home? Does it really need to be done for unsoiled sheets?? The staffing issues aside - if the patient cannot cooperate you need minimum 2 staff for this, there is also the cost of laundry and associated costs.

    There is very brilliant care going on day in, day out, but that isn't reportable - 'incidents avoided' are both difficult to calculate and frankly, do not sell papers or attract audiances. Then because the public do not work in hospitals, and so don't know of the many difficulties, and the many unsung triumphes everyday, they get a skewed image of the NHS. It makes it seem the NHS isn't working - that is profoundly not true. In the vast vast majority of cases, the NHS does brilliantly - but people do not appreciate how amazing that is. Our NHS is the envy of peoples around the world, hell we have health tourists coming here for treatment because it genuinely is second to none. Those reports taken out of context do more harm than good.
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    (Original post by Wangers)
    Take the piss, dip it, worth knowing about Nephritic and Nephrotic. Always test for diabetes. (the hbA1c can now be used as a diagnostic). Remember that diabetes insipidis is a differential - lok for the plasma sodium. Oh and left testicular swelling, think of renal cell ca.
    (Original post by Becca-Sarah)
    Explain that last one to me, please?! The downside of systematic teaching is definitely that if you present me with a testicle, my mind is somewhat limited to disease that originates there...

    The right testicle venous drainage does to the IVC, on the left, it joins the renal vein. Therefore problems with the kidney can be reflected in the downstream anatomy, classically renal cell carcinoma - nasty ******* of a malignancy. Also watch for VHL, although it is very rare, gives itself away with high Hbs due to epo.
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    I'm probably being a bit thick here but with deep brain stimulation, do you stimulate or depress the subthalamic nucleus? It involves using a depolarising block which stimulates the STN, but surely stimulating the STN as the name of the procedure suggests means you're infact stimulating the GPi and thus inhibiting the ventral thalamus and subsequently the motor cortex from executing movements, which isn't what you want? Or have I completely got the wrong end of the stick? :p:

    Can anyone explain it to me please?
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    Box and whisker plots in excel is HARD.

    I hate stats.
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    Rep for some local UCLH knowledge....

    Spoiler:
    Show

    Where are the hospital entrances? Can't find a decent site map online.

    Euston Square then Warren Street look like the closest tubes - are they actually?
    & if you Piccadillyed it to Russell Square - would you have to walk round or is there a back way in?
 
 
 
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