Monday, April 09, 2012
It's excellent. I've already set my goals for the day.
No doubt I'll spend a couple of hours tweaking this every week instead of going to the gym, drinking green tea, etc, but it might make me feel more productive at least. It will hopefully help my self-discipline. It's time to turn this mush into muscles.
Tuesday, April 03, 2012
I've come across this technique and am really excited about it. I'm going to try it out at home this week and then at work next week.
I remember coming across a version of it a few years ago when watching this:
Monday, April 02, 2012
Thursday, March 29, 2012
Tuesday, March 27, 2012
Wednesday, March 14, 2012
Monday, March 28, 2011
Tuesday, March 01, 2011
I came across this story whilst having a late-night snack and it nearly made me retch. I'll let it speak for itself:
Tuesday, February 01, 2011
I read it, of course, instead of starting work on my latest assignment which is well overdue. Then to put that off even further, I decided to write about it on my blog. This all comes after tidying my desk, cleaning the kitchen, cooking dinner, selecting the correct music to "work" to, organising all my belongings for tomorrow, etc. It is now midnight. I feel the need for an all-nighter coming on.
Just read my last blog post. I've come full circle. Again.
Friday, October 08, 2010
01:30 - 08:00 Write a structured essay (3000 words)
17:00 - 23:00 Get caned (drinks after work)
23:30 - 11:00 Sleep/coma
11:30 - 23:00 Start 2nd essay (6000 words)
23:30 - 10:00 Sleep
11:00 - 23:00 Continue essay
23:00 - 09:00 Sleep
10:00 - 23:00 Finish 2nd essay
23:01 Pass out
Saturday, September 18, 2010
Guardian last week:
We, the undersigned, share the view that Pope Ratzinger should not be given the honour of a state visit to this country. We believe that the pope, as a citizen of Europe and the leader of a religion with many adherents in the UK, is of course free to enter and tour our country. However, as well as a religious leader, the pope is a head of state, and the state and organisation of which he is head has been responsible for:
- Opposing the distribution of condoms and so increasing large families in poor countries and the spread of Aids.
- Promoting segregated education
- Denying abortion to even the most vulnerable women.
- Opposing equal rights for lesbians, gay, bisexual and transgender people.
- Failing to address the many cases of abuse of children within its own organisation.
"When you arrive at Heathrow you think at times that you’ve landed in a Third World country.”
The Vatican’s senior spokesman, Father Federico Lombardi, said he was simply commenting on Britain’s cultural diversity.
Monday, September 06, 2010
Clearing mines that have been laid by various governments: http://www.maginternational.org/about/
Pakistan flood victims: http://www.dec.org.uk/item/200
Stop the idiots that kill whales: http://www.campaign-whale.org/faroes-whale-killings-condemned
Monday, August 30, 2010
Sunday, August 15, 2010
Saying that, there is one flow-chart that I have recently found which could be extremely useful in an emergency:
Sunday, August 01, 2010
Tuesday, January 05, 2010
Tuesday, December 29, 2009
Monday, December 21, 2009
(caution - don't click this link unless you want to waste the next hour of your life)
Friday, December 18, 2009
Tuesday, December 15, 2009
Killing in the name of.....work.
Wednesday, December 09, 2009
Monday, November 30, 2009
That leaves 2 weeks to do the actual research and 2 weeks to write it all up (15000 words required). There is also a 5000 word essay that needs writing in the next 3 weeks. As well as a small IT project I've been asked to help with. And a 50 hour a week job.
I saw Skunk Anansie last week. They were excellent. I've waited ten years to see them play. I think one of their songs was written about the Research Ethics Committee that dealt with my project:
Saturday, August 08, 2009
What has evolved and changed, though, is my ability to work in this system. I have realised that making small (achievable) changes that have a direct impact on the care of my patients is extremely satisfying and acts as a buffer between the hopeless inadequacies of the system and my mental well-being.
When David Cameron is elected next year we will inevitably move towards a more privatised system. Whether this is right or wrong will undoubtedly provoke a healthy debate. Do I think healthcare should be a basic right for all UK citizens? Yes. Do I think people should have to pay a small fee to see their GP? Yes. Do I think people should have to pay a small fee to attend A+E? Yes. Should IVF be free on the NHS? No. Should the NHS have to pay for all new treatments for all patients with cancer, whatever the cost? Pass. It's clearly a complex issue. I can't wait for the new Secretary of State for Health to come up with a barrage of white papers and a multitude of changes just to stamp their individuality on the post. In the meantime, we'll all just get on with it.
Saturday, November 22, 2008
I'll try not to leave it 3 months until the next post...
Sunday, August 10, 2008
A new website has been set up that allows patients/stalkers/disgruntled colleagues/any old lunatic to write anything they want about individual doctors. The doctors themselves have no power to reply or edit any of the comments.
My only source of hope is that someone sues this self-appointed GMC-wannabe for libel before his website ruins someone's career. Funnily enough I couldn't find Neil Bacon on the list of doctors that have been reviewed so far. It would be a shame if people started leaving anonymous comments questioning his clinical acumen/ethical values/sexual orientation/ appearance/smell/etc. His new system is clearly open to abuse.
If you are concerned about this new development, please go and support this site.
I don't want your "great care" Dr Bacon. I just want colleagues who won't stab me in the back. The GMC and BMA do enough of that already. Oink Oink.
Tuesday, October 02, 2007
Looking through some of my previous posts reminds me of some of the darker days during my career as a junior doctor. I still think the NHS is full of flaws, and if anyone asks me whether I would recommend becoming a doctor my answer will be no. I have nothing but contempt for the BMA and the GMC and remain frustrated that doctors are not allowed to work in decent and fair conditions.
Despite all that, I have been fortunate enough to find a speciality within medicine that I enjoy immensely, and am progressing well in my career amongst colleagues whom I admire greatly. My job is hugely satisfying both spiritually and psychologically, and since it does not present any major stresses or sources of angst for me I feel that my creative drive to write a blog has been removed. It is for this reason that I am drawing a close to Nip/Fuct. There are plenty of good blogs out there that I will continue to dip in to, and should the need arise I will chip in with my opinions.
Thank you all for your help in my journey towards job and life satisfaction - mission accomplished!
Thursday, August 23, 2007
Thursday, August 09, 2007
Sunday, June 10, 2007
The NHS/prisons/schools are in crisis, desperate for more resources, so what have the government done to address this? They have spent £450,000 paying someone to design a logo for 2012 that looks like Maggie Simpson buggering a small boy....
Monday, May 07, 2007
Friday, May 04, 2007
Monday, April 23, 2007
This information is boring and useless on its own, but link it all together and you could map out a whole society on your desk.
What if Mr Facebook gets a call from the FBI ordering him to relinquish information for the 'greater good'? What if your mortgage/insurance company gets access to see who your friends are and what kind of lifestyle you lead? What if someone hacks in and steals the information? Would your boss be interested to know what you do in your spare time? At the very least expect to be bombarded with e-mails which 'may be of interest'.
The more I type the deeper this could go. Better stop now and watch the snooker on TV instead.
Sunday, April 22, 2007
Monday, March 26, 2007
Wednesday, March 21, 2007
We await the outcome of the government’s review into the whole mess. We also await the emergence of Patricia Hewitt from under her rock so we can get rid of her once and for all - click here for some ideas on how we could do it.
Nice of the BMA to put their logo on a few placards and 'support' the march. If only they had been kind enough to support us over the last 3 years whilst we have been waiting for MMC/MTAS to be thrust upon us. If they had organised a march themselves LAST YEAR instead of simply jumping on Remedy UK’s bandwagon then something might actually have been done. Still, I’m sure they enjoyed all their committee meetings and canapés. I’ve decided to calculate how much money I haven’t paid the BMA in subscriptions over the last few years and donate it all to Remedy UK.
I still think the only way to get anything done now is for junior doctors (and ideally senior ones as well) to STRIKE. CLICK HERE FOR A GUIDE. That isn’t going to happen though. I am Dr Vegas’ apathy.
Tuesday, March 13, 2007
Wednesday, March 07, 2007
(you can print this picture out and colour it in yourself)
Tuesday, February 27, 2007
- The whole administrative process is a shambles
- Talented doctors are being overlooked and not shortlisted
- The application form is a creative writing exercise rather than an accurate discriminatory tool
- Doctors are being offered interviews for jobs they haven't even applied to
- One deanery has allegedly not even bothered to look at half the applications it received as it was overwhemed by the volume
Please see this picture for an excellent summary of MMC courtesy of Dr Rant (enlarge it, print it out and pin it up in your mess at work).
Thursday, February 08, 2007
Thursday, January 25, 2007
Monday, January 08, 2007
Wednesday, December 27, 2006
It's been just over a year on this blog, and I would like to thank the Lost Doctor for showing me the blogging light. I hope his blog provides as much help to him as this one does for me.
Wednesday, November 22, 2006
In 2002, whilst a student, I went to Las Vegas on my 22nd birthday and gambled for the first time. After four days I came out $100 on top, and walked out of the casinos after 4 days a very happy boy.
In 2004, as a doctor, I returned to Vegas. This time I lost $2000 over four days but made $2500 back, a nice profit of $500.
Both trips to Vegas have involved blackjack. Then I started reading about poker. The idea of winning money from other people seems much more attractive than taking a few dollars from a casino dealer who doesn't care either way (in fact, most dealers in Vegas help you if you tip regularly).
I've been to casinos outside Vegas but have left quickly as I told myself the way to contain my potential addiction would be to only gamble in Las Vegas and nowhere else.
I have always had the idea of going back there with $5000 to gamble. Luckily no-one I know has been stupid enough to join me yet. As I get older and priorities start to change, I've been thinking about spending that money on a house/car/etc. Although given that I have gradually saved the $5000 with the aim of gambling it, knowing full well I may lose it all over 3-4 days (but have a bloody good time doing it) is it really that harmful? I don't smoke or do drugs, I don't drink much (most of the time) and have no other real vices. So maybe it's OK to save a few thousand dollars over 2-3 years and then blow it in a week if I enjoy it and don't mind losing it? It is my money and I have worked hard to get it. But then does that make me even more stupid if I gamble it?
Today I had a day off work and was very bored at home. I played on-line poker for the first time. I invested $200 and they gave me an extra $50 as a way of saying 'hello'. Three hours later I had lost the lot, but had enjoyed playing.
So what next? I am tempted to put in another $200 and try to get my money back. I will be annoyed if I lose that money as well, but it won't be the end of the world. But this is how gambling problems start. The only way to control this is to set myself rules i.e. only gamble in Las Vegas, only gamble once a year, only gamble in real casinos, etc. Otherwise it will get out of hand.
That leads me to question why I enjoy gambling. Part of it might be because I am lazy and enjoy getting money without having to work for it, but that isn't the only reason. I get a buzz from playing with money that I can only just afford to lose. That's why I only gambled $100 as a student but then $2000 as a doctor. If it was the game itself that I enjoyed (poker, blackjack, whatever) I would be happy playing for pennies.
I have 2 golden rules when gambling:
1) When you lose, have the cahunas to put more money in and stay in the game
2) When you are up and have reached your pre-determined target, walk away
It is hard to pluck up the courage to put more money into a losing situation, and it is even harder to walk away from a winning situation. If I want to win $200 back now, I'm going to have to go back in with around $500 to give myself a good chance.
I just found this on the internet and it is very worrying indeed:
Robert Custer identified the progression of gambling addiction as including three phases:
During the losing phase, gamblers often begin bragging about wins they've had, start gambling alone, think more about gambling and borrow money legally or illegally. They start lying to family and friends and become more irritable and withdrawn. Their home life becomes more unhappy, and they are unable to pay off debts. They begin to "chase" their losses, believing they must return as soon as possible to win back their losses.
During the desperation phase, there is a marked increase in the time spent gambling. This is accompanied by remorse, blaming others and alienating family and friends. Eventually, the gamblers may engage in illegal acts to finance their gambling. They may experience hopelessness, suicidal thoughts and attempts, arrests, divorce, alcohol and/or other drug abuse, or an emotional breakdown.
My gambling experiences so far have exhibited many of the features of the winning and then today the losing phase. If I sign back in to the on-line poker room will I officially be addicted? Where is the distinction between an expensive hobby and an addiction?
Tuesday, November 14, 2006
It's difficult to go into details about what I'm going to be doing given that there are certain colleagues who would love to 'out' me to the nearest Consultant. Unfortunately the NHS is not yet as open as it may hopefully be in the future. Put simply, I've found a job:
a) I will enjoy and find rewarding for most of the time
b) The other members of staff I will be working with will be normal people
c) I will have a reasonable lifestyle outside of work
d) Is not General Practice, for those who may be wondering
e) (importantly) I will be able to make a unique contribution and not be just another monkey performing the same tricks as everyone else
f) avoids the MMC rubbish next year
g) allows me to move so I can be closer to loved ones
Is this the utopia I craved in my posts previously? Has Dr Vegas found the road to job satisfaction and life satisfaction? That remains to be seen. It is a step in the right direction though. And it may allow Vegas, The Venial Sinner and The Lost Doctor to have a few pints in the same pub together and incite the riot that will signal the downfall of Mrs Hewitt.
Tuesday, October 31, 2006
On a week of nights. Going OK so far. I diagnosed a guy with Wegener's granulomatosis the other day which was cool (not for him). It's very rare and knowing what is wrong with this guy will save his life (90% die if not treated). Friedrich Wegener was a German pathologist who was working in Breslau when he described the condition. Dr Vegas is a British SHO working a week of nights in the UK when he recognised it. It is one of the rare occasions in medicine when I haven't just felt like another cog in the NHS machine. I'm looking forward to going in and seeing how he is getting on now that he has been attacked by lots of specialist doctors who are no doubt slapping each other on the back and writing their case reports based on the work I did. Good luck to them.
In a previous post I moaned about all the gigs I had missed out on whilst revising for the exam in the summer. I managed to see the Goo Goo Dolls the other week and they were one of the best live acts I have seen for years. The support (The Tender Box) were also very good and I reckon they'll do well.