Listen to the patient: He is teaching the students
“Sure thing. Teaching at 2:45pm, I’ll find an interesting case.” It was 2:10pm by the time I finished clerking a new arrival and I still needed to have lunch. How…
“Sure thing. Teaching at 2:45pm, I’ll find an interesting case.” It was 2:10pm by the time I finished clerking a new arrival and I still needed to have lunch. How…
Shifted around The twilight shift agrees with my circadian rhythm like no other. The hours are 1600-0000, which is 8 hours just like your regular 9-5. But OMG, it just…
The prize for the most extreme hypokalemia ever is not awarded solely for the magnitude of the hypokalemia. It is much more impressive when the potassium refuses to rise above…
You know that feeling on your first day of A-Level chemistry when you find out everything they told you in GCSE was a lie? I felt something similar when I…
One of the banes of modern NHS hospital life is filling in VTE assessments. These have become ever more intrusive since June 2010 as a result of the Department of…
A lady in her late 50s with a background of metastatic colon cancer was referred by her GP with a Hb of 6.1 (MCV 89.8, WCC 20.9, Plt 117). This…
Things were livened around 11am up by a call from the ultrasonographer. A man in his late 60s year had undergone an abdominal ultrasound at the request of the consultant…
Our teaching on ABGs is based on 1940s lab technology, when we could not measure things like albumin or lactate. This led to a high number of unmeasured anions that…
“Once you see LBBB on an ECG, you cannot comment further on the ST segments.” Actually, if you see LBBB on an ECG, you should look very carefully at the…
We did what most of you recommended: Reduce the calorie intake, maintain the infusions (they were already going at the maximum rate recommended by the BNF) and discuss the platelet…