#Operations Consultants

[persidemm]

Kinda offtopic but.some arteeess

[imagionary]

Some doodles I did on our plane rides recently,,, keeping my mind off of sad stuff and my horrid illnesses x~x

[is-the-battlemech-cool-or-not]

Posted 14-04-3148 to Melissa's social medias

(ooc: based on this image:)

[spice-ghouls]

Said this in the tags of another post a while back, but my #1 piece of advice for people trying to start HRT is that you should seriously consider lying to your doctor about the nature of your identity in any way necessary to adhere to the DSM-5's criteria for gender dysphoria, especially if your insurance requires a formal dysphoria diagnosis to cover hormones. Gender dysphoria evaluations are a means of selectively restricting access to care based on your capability to say the right things to check the right boxes to convince a doctor to write you a prescription. Fortunately, the trans community has developed a time-honored tradition to help you elide this barrier, and it's called Fucking Lying <3

[consult-sherlockholmes]

John, what do you think?

@consultjohnwatson

[glompcat]

Made a consult appointment with the top surgeon I met with in 2022 and did not like.

I'm seeing him on Jan 2nd (such a short turn around! I made the appointment today!), here's hoping last time he was just having an off day and he comes across better this time

[eirianerisdar]

I think I’m done.

I’ve written many posts about my experience as a doctor. Some of them are funny, some of them sad. Some of them poignant.

But I think I’m done being a doctor in the current public healthcare system where I live.

I’m a Family Medicine resident. I rotated through two and a half years of hosptial residencies, and I’m in my first year of clinic-only practice. It should sound good; no more 26-38 hour shifts on top of 12 hour workdays.

But I’m currently seeing 33-37 patients from 9-1 pm daily and 24 patients from 2-5 pm daily. I also sometimes work 6-10 pm. Each of these clinic sessions also includes a solid 1.5 inches of seperate lab results I’m expected to screen during consultation time. I work Monday through to half of Saturday. Im expected to also complete a dermatology university diploma on top of this. I have exams in family medicine this year, the year after that, and two years after. Three and a half years more at least until I’m a specialist.

I can’t do it. I can’t keep giving each patient only 5 minutes of time as I’m doing now. I didn’t become a doctor to have to balance whether I should see my patient’s third complaint or ask them to book another session so I can have time to pee and eat.

Peeing and eating is like…the lowest level of Maslow’s hierarchy of needs. I’ve spent all of my adult working years, from 23 years of age til now, chasing that. The right to pee and eat and drink.

The department head has his head so far up his ass with bootlicking the government that last quarter he pulled workforce away from chronic cases for half-full covid clinics and made us each therefore have to review 56 cases per four hour session. When we raised the issue of patient safety one of his associate consultants said, “I know it’s hard! Let’s get through this together!”

He is famed for picking on whether residents punctuate the numbering of their past medical history lists with brackets or periods.

Nope. Nope. Nope.

This afternoon between patients, I suddenly realised I had lost my voice. I’d been speaking too much. Moreover, I think my autistic brain had finally clicked over into the “dude you better go non verbal or you’ll die” function. Of course, I couldn’t actually afford to be non verbal. I plowed through the remaining cases so dissociated I nearly blacked out.

If I pass these next two years’ exams, I become senior resident. I will have the privilege of not being entrusted with 33 cases every four hours, but 40.

40 cases; all of them episodic patients, not chronic. This means all of them come in with new complaints, as in multiple. Time per patient gets knocked down to four minutes.

Respectfully, Fuck That.

I’m waiting until I get contract gratuity this summer, do the damn exam that everyone agrees is insane, and then I’ll apply to a plethora of private clinics in September and kiss this bloody department goodbye.

I want to be able to spend more than two minutes comforting a crying patient, dammit.

If I don’t leave soon I’ll break, and that’ll compromise patient safety over anything else.

[cave-monkey]

It dawns on me that the journey to the west took 5,040 days exactly, right, and while the book goes from tribulation to tribulation, there were still only 81 of those. And they were missing one when they got there. And some of the tribulations Tripitaka went through happened before the journey even started.

So, even being generous and saying that most of the tribulations that occurred during the actual journey could be said to have taken a few days to handle each, that's still only about 10% of the journey. A tribulation was anything that happened that put Tripitaka in danger or presented any sort of obstacle to him. Anything even remotely exciting would have fallen into that ~10%, and nothing else could have happened, because otherwise they wouldn't have gotten west one moderate inconvenience and/or major trauma short of the prize. (I mean, unless the thing that happened managed to not involve Tripitaka at all in any way, but that's very hard to do when you are all attached at the hip.)

Holy cow they really were just walking. ALL THAT TIME. No wonder Zhu Bajie was stirring the pot at any given opportunity. It was literally the only thing to do.

[artisticdivasworld]

Regulations: A New Trucker's Guide to Staying Compliant and Safe

This is the third in our series of blog posts for new truckers. This information is very basic, but even if you have been a trucker for most of your life, this information is still valid. Today, let’s talk about something crucial: regulations. These are the rules of the road that go beyond just stopping at red lights and obeying speed limits. In the trucking world, there’s a whole layer of…

[spyral-out-keep-going]

Higgins has a network (he knows people who know people) but today we find out that a few of his little birdies are actually the players (Isaac & Colin) and Will Kitman?! I love it

I feel like he helped orchestrate the possibility of Nate coming back up to the team. Will probably said something about Nate’s apology to Higgins. Then Higgins gets to thinking and perhaps spoke a few well placed words in Isaac’s ear suggesting Nate could come back? Then Isaac the team captain brings it up for discussion. I love those himbos, but this has DFO* Higgins all over it. I just feel in my soul he sent them to the restaurant to Nate.

[byberbunk2069]

Somebody was early to the compulsory "drinks with the bosses" do. :)

[thebraxiatelcollection]

I have a dentist appointment with a consultant tomorrow about the removal of my wisdom tooth, and I hate going to the dentist. Gnggggnk.

[tvntheatre]

Hello, 0% of my followers who like Fallen London as much as I, I'd like to say, HOLY FUCKING SHIT!? THIS DAMNED CARD JUMPSCARED ME WHEN I WASN'T EXPECTING TO SEE IT SO EARLY — or at all at that!? WHAT?

[bdmfranchise]

Franchise International UAE | BDM FRANCHISE

BDM FRANCHISE is one of the top-class Franchise International service provider companies in Dubai UAE which Values retail, hotels, and franchises, and purchasing supermarket products remains one of the strongest performing sectors in the UAE, with many people shopping and eating out. Visit our site today for Franchise Consulting Firms.

[hismourningflower]

wait your https-furina ?! /gen omg

i am !! yes !! HAHA