Ahmed

I am currently based in respiratory medicine ( as part of my 6 months placement for acute internal medicine ST3 training).  The ward I am based on also has diabetes and endocrinology patients. It is a 32 bedded ward with a hyperacute bay ( where we do NIV and nasal high flow O2) and 3 side rooms (where we can also provide NIV, nasal high flow to patients who need to be barrier nursed).  We have 2 respiratory consultants ( who come twice a week) and 3 diabetes and endocrinology consultants ( one comes everyday and 2 come once or twice a week). We have a junior doctor allocated to each consultant. The minimum number of junior doctors on the ward is 4.  THE MEDICAL TEAM:   One respiratory trainee registrar One non trainee registrar One acute internal medicine registrar  3 FY1 doctors 1 FY2 WAST trainee  3 IMT year 1 trainee SHOs And there are non trainee SHOs in the trust who can cross cover if we do not have the minimum numbers The members of this team...

I am going to start off with a case which we all seen on a regular basis and explain how we should handover in different situations: CASE 1 A 80 year old gentleman has been admitted to ED with shortness of breath, cough productive of yellow sputum. He has low oxygen saturations, ABG shows Type 2 respiratory failure with normal pH and lactate.His WCC, CRP are raised and his chest x ray is hyper-inflated.  Background: COPD ( known type 2 respiratory failure) , osteoarthritis ( mainly affecting his knees), Type 2 diabetes, ischemic heart disease. Social : Lives with wife, struggling with activities of daily living.  On examination: Bilateral wheeze , heart sounds normal, abdomen soft non tender, legs and calves: soft, non tender, no clinical evidence of DVT, no oedema. Neurology: Grossly normal, AMTS: 8/10 ECG: normal Management in ED: Salbutamol nebs Ipratropium nebs Prednisolone Doxycycline EWS in ED: 0 BP: 120/10 SO2: 90% on A - target saturation: 88 to 92% HR: 84/min Te...

Scarborough is a small coastal town located in North Yorkshire. I am going to discuss a few things here: THE WEATHER  This is the UK. The weather is wet and windy! However you will be surprised what a pleasant ( and quite warm) summer we had in 2019 in Scarborough. There are 2 words which scare people when they thing of this region: Yorkshire ( they picture floods) and North ( They picture blizzards). This is certainly not the case. With global warming , which is quite unfortunate, the weather is quite pleasant in summer.  Winter is harsh, like everywhere else. However being a coastal town, it is more windy but not intolerable. As long as you wear warm clothes, you will be fine.  THE TOWN  Scarborough town has everything you would expect in a city. SHOPPING Marks and Spencer Debenhams Boots Sainsbury's extra ( 5 minutes walk from town center) Tesco Extra ( 10 min walk from town center) Next Superdrug  RESTAURANTS McDonalds KFC Pizza Hut Subway Loads of...

I am a ST3 trainee registrar in Acute Internal Medicine (AIM), Scarborough Hospital.  I am going to clear some misconceptions people have about working as a trainee medical registrar.  They never have time for their families because they are always on call!  Look at my rota here: https://omarsguidelines.blogspot.com/2019/07/my-st3-post-in-acute-medicine.html Let's look at November, for example: I was on annual leave from the 1st to 6th of November I have every weekend off. I have a total of 7 long shifts ( ie from 0900 to 2100) in November. Total number of days off: 16 Study days: 2 Regular days on the ward: 5 I come home at around 1730 ( I leave the hospital at 1700 almost everyday) and have a good 3 hours on working days. My weekends are mostly free and I spend that time with my family as well. I have driven 3000 miles in 2 months already! ( which shows how much time I have now). The pay is not enough!  The pay of a trainee registrar varies from 3300 to ...

I recently went on a three day trip to my home country, Pakistan from the UK to attend a wedding. I am going to share my experience and some tips in this blog. MY TIMINGS DEPARTURE 1. Slept at 2000 and woke up at 0400 on Thursday. 2. Left the house at 0600 3. Took the 0630 train to York - transferred to another train to get to Manchester airport at 1035. 4. Checked in at around 1100 5. The plane took off at 1400 6. Landed in Doha at 0010 7. Took the plane from Doha at 0205. 8. Reached Lahore at 0735 PK time 9. Got out of the airport at around 0900 PK time on Friday. ARRIVAL 1. Left for the airport from our house at 2300 on Sunday night 2. Arrived at the airport at around 0000 3. Checked in at 0030. 4. Our flight took off for Doha at 0410 5. Arrived at Doha 0615 6. Took off for Manchester at 0800. 7. Arrived in Manchester at 1225 PM on Monday. 8. Cleared immigration and got our luggage by 1330. 9. Took the 1445 train to York 10. Missed the 1647 train from York ...