This is my attempt to stay engaged with my vocation while I’m on my “clinical hiatus” as I call it.
Seeing as I have the time and I’m doing the study anyhow I may as well put it out there. Though I suspect it’ll largely be derivative re-posting from LifeInTheFastLane, it’ll keep the medical rants and journal articles on one site and keep those of you who come here for the pictures of the garden and stories about my brother’s dog happy.
I’d be interested if any of the non-medics could suggest a diagnosis for the x-ray on the banner of the new site.
Nelly And I 
Is there something in the left as im looking at it? Was he/she shot?
yeah that’s a needle that someone used to try and fix the problem. and didn’t
Dude, could you write some stuff about Acute Oncology? The development of a proper AO Service for NI one of our big issues at the mo….
I’ve been waiting for this. Love it!
FF – there’s definitely some acute oncology coming through the ED and we get it wrong a fair bit – especially on the symptom control stuff. cancer patients get a lot of different problems and it seems increasingly they end up with us and we don’t quite know what to do with them. what do you think an AO service would look like?
Pete – glad to hear you’re excited!
http://www.cancerni.net/networkservices/regionalprojects/chemotherapyreview
Check out the Acute Oncology workshop notes… we’re at the beginning of a journey (taking place without investment). There’s going to be a regional audit on the care of patients with Neutropenic sepsis in June which will take place in CAH too… so if you’re working, you’ll be part of it!
Neutropenic sepsis we’re actually not bad at (in the ED at least i think. maybe the audit will say otherwise) the thing we’re not so good at is the “potential neutropenic sepsis”, these tend to be chemo patients who have symptoms but aren’t actually neutropenic sepsis. I think that’s a much more common presentation to us.
We’re good at the sickies needing resuscitation, we’re not so good at symptom management and other complications of chemo
I’m so thankful your weiner medical stuff now has its own dedicated website. It will save me time reading it and not undertanding it. I was going to guess that that patient had a scrotectomy that went wrong but apparently it was a gunshot needle thing,
Sparks