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Showing posts from October, 2018

Managing renal patients

Please note that the advice mentioned here varies from trust to trust therefore always ask your seniors if in doubt and follow you local guidelines. You should seek advice from your seniors before sending any fancy (an expensive) tests.  I am just sharing my experience. This is only for educational purposes  Renal patients are well looked after by the renal consultants - as they know them for years. From the day they developed an AKI, to getting a renal biopsy, to progressing CKD, end stage renal disease and then requiring dialysis- the relatively young ones get a transplant and are seen in clinic regularly.. They are followed up in all sorts of clinics (depending on what stage of their kidney disease they are at): 1. Low clearance clinic 2. Dialysis clinic 3. Transplant clinic We, as junior doctors are expected to look after their patients and ensure that the relevant tests and investigations are requested when they are admitted to hospital. This blog will very brie...

Good things I have experienced in NHS trusts

I have had the pleasure of working in a few NHS trusts since I came to the UK. Each trust has its own way of doing things. Some are good, some are annoying. Some can be changed easily, some can be adopted easily by other trusts. I have mentioned a few nice things I have learnt over the last few years which I wish are adopted by every trust. These are easy to do and I will mention how junior doctors can implement these in their trusts if they like these ideas. THE HR Ensuring all non trainee doctors who have not worked in the NHS before are put in touch with a IMG doctor working in their trust. Solution: This is very easy to sort out. An IMG working in the trust should go to the HR and let the team know that they are happy for their contact details to be shared with any IMG doctor who has accepted the post. This would enable the new doctor to ask any burning questions rather than getting anxious as at times HR does not respond to the dozens of questions every new doctor has. Such I...