u/Flibbetty

fy1-imt2 doctors. How often do you run a solo ward round? Ie seeing 10+ patients yourself

A recent post got me thinking. How often are sub hst doctors doing their own WR these days. I know it will vary on rotation but thinking of your last medical job how often would you be running your WR.

Ie seeing decent chunk/ half of the ward ie 10+ patients as part of the daily review. (Accepting pnt may be discussed with a senior after you're done) how often are you doing your own WR?

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u/Flibbetty — 5 days ago

ECG1. this 78yo farmer attends c/o being fed up with his severe indigestion that's been annoying him all week. He was busy lambing this morning and just couldn't take the discomfort anymore. He wants some gaviscon. He won't describe the pain or answer any more questions until you give him the gaviscon. He allows an exam. He has tar staining to his right hand, he is grey and clammy, chest clear, hr 100bpm, crt 3s, BP 94/67, psm to the apex. You give him some gaviscon and he says the pain has gone and he wants to go home.

Describe the ecg. What tests would you like to do. Any initial treatment. Do you think the big ivory tower hospital down the road will be interested in him rn? why/ why not? Can he drive.

ECG 2 just for funsies. It's from ~2011 when fy2 flibby did her first ever thrombolysis for acs dawwww. No further comments will be provided until I get sufficient flattery about my youth, intelligence, beauty, etc etc.

u/Flibbetty — 10 days ago