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…

A woman in her early 40s is referred by her GP to the Acute Medical Unit feeling generally unwell. “What’s the main problem?” “I’m depressed.” Me too, I thought. “I’m…

4pm.  The fag end of a long day. I was tidying up the loose ends, when I noticed an old lady visiting one of the siderooms. The patient in there…

I was on the ward reviewing a complex warfarin/clexane/tinzaparin drug chart.The patient decided to have an ACS as he was being switched from tinzaparin and warfarin to just warfarin following…

It is 3:30am. A 17 year old  girl is referred to AMU for lower left rib/chest pain. The nurses have been unable to bleed her. I was asked to try…

This will probably be the most determined insulin related suicide attempt I think I will ever see: 1300 units of Lantus. That’s 4 and a half pens. The patient was…

I cannot empahsise how awesome the iRefer app is. This app that has been produced by the Royal College of Radiologists to explain exactly which radiological investigation is indicated in various…

Our belief that we are good or bad at something tends to become self-fulfilling. “I can’t cannulate” –> Avoiding cannulation wherever possible (Ever caught yourself asking yourself “I wonder if…

I visited the path lab today to find out what is the minimum amount of blood you need in each bottle, and why. 7 useful facts about blood sample processing…