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today.... dude was due for discharge... reviewed his blood work ... his CRP was creeping up from 94 to 113... I put a stop to that discharge... examined him knee was ok ( he had been admitted for knee arthroscopy and lavage ) his catheter bag ( he had prostate Cancer so had a long term in dwelling cathter in situ) look gunky... he looked as white as a sheet... quickly cannulated him re did his bloods... CRP came back at 220! WCC 14.5! put it down to UTI secondary to catheter so started him on IV ertopenam with a stat Dose of Gentamycin... plus all this other crap going on the wards...
today.... dude was due for discharge... reviewed his blood work ... his CRP was creeping up from 94 to 113... I put a stop to that discharge... examined him knee was ok ( he had been admitted for knee arthroscopy and lavage ) his catheter bag ( he had prostate Cancer so had a long term in dwelling cathter in situ) look gunky... he looked as white as a sheet... quickly cannulated him re did his bloods... CRP came back at 220! WCC 14.5! put it down to UTI secondary to catheter so started him on IV ertopenam with a stat Dose of Gentamycin... plus all this other crap going on the wards...
Sounds adventurous.
"If a nation expects to be ignorant and free, in a state of civilization, it expects what never was and never will be".
"Knowledge will forever govern ignorance; and a people who mean to be their own governors must arm themselves with the power which knowledge gives".
today.... dude was due for discharge... reviewed his blood work ... his CRP was creeping up from 94 to 113... I put a stop to that discharge... examined him knee was ok ( he had been admitted for knee arthroscopy and lavage ) his catheter bag ( he had prostate Cancer so had a long term in dwelling cathter in situ) look gunky... he looked as white as a sheet... quickly cannulated him re did his bloods... CRP came back at 220! WCC 14.5! put it down to UTI secondary to catheter so started him on IV ertopenam with a stat Dose of Gentamycin... plus all this other crap going on the wards...
even our postgraduate system is different ... take medicine for example
here in the UK on graduating your a Dr at the age of 23...you then go to do your "housejob" or FY1 this comprises 4 months attached to a medical rotation 2 expose you 2 medical specialities, 4 months in a surgical speciality and 4 months optional ( I did obstetrics and Gynaecology) but you can do more of medicine etc
you then get fully registsred with the GMC
You then move up 1 rung of the medical hiarachy and become an SHO Dr. Your 1st yr as an SHO dr is again made up of 3 4 month attachments but this time you can do all three in whatever takes your fancy ( this is prepareing you for specialisation) I did Geriatric medicine, Public Health and Trauma and Orthopedics. You then choose what you want to specialise in .... most specialities take 7 years to reach the top ( 2 further years as an SHO Dr in said field, followed by 5 years as a registra Dr ) before you become a consultant
as you move up the resposnibilities increase and so does the pay.... you must also pass the exams of the royal college of your chosen speciality... Exception is family medicine which only takes 3 years to complete... thats 2 years as an SHO Dr and 1 year as a Registra Dr
So you guys get the title without having completed housejob =O omg!
^ You do see patients by yourself and do prescribe when you do housejob... none of these can be done without that title! Besides as soon as you pass finals thats it your done
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