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The Lowly Worm

A worm's-eye view from the UK's most junior doctor. Saturday, 27 October 2007. I am a vein hunter. A tracker of blood, a tribesman of the tributaries of the heart, a pursuer of the pleasures of deoxygenated blood. Every day, I'm asked to find small veins in elderly people. They tend to be invisible, barely palpable, and wriggly. Holding them down to get a small needle in is like pinning down Harry Houdini on how he did his tricks, or Gordon Brown on when the next election is. This constant focus on findi...

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The Lowly Worm | lowly-worm.blogspot.com Reviews

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A worm's-eye view from the UK's most junior doctor. Saturday, 27 October 2007. I am a vein hunter. A tracker of blood, a tribesman of the tributaries of the heart, a pursuer of the pleasures of deoxygenated blood. Every day, I'm asked to find small veins in elderly people. They tend to be invisible, barely palpable, and wriggly. Holding them down to get a small needle in is like pinning down Harry Houdini on how he did his tricks, or Gordon Brown on when the next election is. This constant focus on findi...

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1 the lowly worm

2 the vein hunter

3 15 comments

4 labels cannula

5 medical students

6 taking blood

7 the clinical incident

8 supposed

9 10 comments

10 department of health

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The Lowly Worm | lowly-worm.blogspot.com Reviews

https://lowly-worm.blogspot.com

A worm's-eye view from the UK's most junior doctor. Saturday, 27 October 2007. I am a vein hunter. A tracker of blood, a tribesman of the tributaries of the heart, a pursuer of the pleasures of deoxygenated blood. Every day, I'm asked to find small veins in elderly people. They tend to be invisible, barely palpable, and wriggly. Holding them down to get a small needle in is like pinning down Harry Houdini on how he did his tricks, or Gordon Brown on when the next election is. This constant focus on findi...

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lowly-worm.blogspot.com

1

The Lowly Worm: For bleep afficionados

http://lowly-worm.blogspot.com/2007/10/for-bleep-afficionados.html

A worm's-eye view from the UK's most junior doctor. Monday, 8 October 2007. Http:/ cambridge.facebook.com/group.php? Posted by The Lowly Worm. Hey, you know this has been made into a website? Http:/ www.bleepetiquette.com. 20 January 2009 at 13:13. Lowly Worm on Facebook. View blog top tags. Find out when there's a new Worm. Subscribe in a reader. Subscribe to The Lowly Worm by Email. Two Weeks on a Trolley. Patient details have been changed to maintain their confidentiality.

2

The Lowly Worm: The Royal We

http://lowly-worm.blogspot.com/2007/09/royal-we.html

A worm's-eye view from the UK's most junior doctor. Monday, 24 September 2007. I've started talking in the plural. We've decided to do this test", I hear myself explaining loudly. "We should try this drug". "We need to get you to pass wind". I'm not entirely sure how this started. Nor am I clear who's included in this fictional group, or why I need their support. Ipso facto, X-factor, all my decisions need to be group ones. Safety in consensus. Ultimately, you stand alone with your medical decisions....

3

The Lowly Worm: Name and Shame

http://lowly-worm.blogspot.com/2007/09/name-and-shame.html

A worm's-eye view from the UK's most junior doctor. Sunday, 30 September 2007. Introducing myself never used to be difficult. I had a name, I used it, the conversation moved on. Pretending to be a responsible professional makes things much more difficult. I don't know whether to introduce as Dr {Worm}, or rely on a more user-friendly first name. Not the look I've been striving for. But family doctors have a responsibility to send their patients to the most competent specialist, not one who introduces him...

4

The Lowly Worm: The (under)Graduate

http://lowly-worm.blogspot.com/2007/10/undergraduate.html

A worm's-eye view from the UK's most junior doctor. Monday, 8 October 2007. My partnership with the Mountain Goat has been put on hiatus: I've joined a different firm. I now accompany The Big Cheese for his ward rounds. In management circles, this is known as "being headhunted". Or "constructive dismissal". Aks, which take up approximately 65% of their working day. I've seen a nurse arrive at work, take off her coat, and be told by her supervisor that it's time for her break. Istered nurses only - but I'...

5

The Lowly Worm: August 2007

http://lowly-worm.blogspot.com/2007_08_01_archive.html

A worm's-eye view from the UK's most junior doctor. Wednesday, 29 August 2007. Hazing the new guy. No-one's spanked my buttocks. I haven't been forced to eat anything more unsavoury than the usual can. Teen fare, and my eyebrows remain unshaved. As far as initiation rituals go, this institution has been surprisingly gentle with me. But there's no doubt I'm still the. She's already had run-ins with the Giant, who's been unfailingly polite to her. It was my turn today. I re-assessed whether he needed them,...

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drraysfocalspot.blogspot.com

Dr Rays focal spot: September 2007

http://drraysfocalspot.blogspot.com/2007_09_01_archive.html

Dr Rays focal spot. Friday, 28 September 2007. Hospital Scandal: "MP did not consent to digital insertion". Nulabour MP, James Purnell, has accused Tameside General Hospital of subjecting him to a digital insertion without his consent. The NHS Trust has admitted that a digital insertion took place but claims that Mr Purnell asked for it. Mr Purnell, 37, is Gordon Brown's new Secretary of State for Culture, Media and Sport, a post previously held by Chris Smith, the first openly gay MP. Dr Ray at Work.

drraysfocalspot.blogspot.com

Dr Rays focal spot: DoH pulls plug on MercuryHealth mobile scanners

http://drraysfocalspot.blogspot.com/2007/11/doh-pulls-plug-on-mercuryhealth-mobile.html

Dr Rays focal spot. Wednesday, 21 November 2007. DoH pulls plug on MercuryHealth mobile scanners. Tuesday was a truly horrible day in the West Midlands. I took a day out to attend a radiologists' meeting at Heartlands Hospital in Birmingham, only 70 odd miles away, and spent a total of 5 hours on the road driving (or sitting in stationary traffic) in heavy rain and half an hour queuing for lunch for the sake of around 4 hours of lectures. The news was also briefly covered in the Guardian. I would guess t...

drraysfocalspot.blogspot.com

Dr Rays focal spot: November 2007

http://drraysfocalspot.blogspot.com/2007_11_01_archive.html

Dr Rays focal spot. Sunday, 25 November 2007. Mercury Health's second failed venture. To a man (or woman) they chose to make it a personal attack on me while seeking public sympathy for their individual plight, now that the grunts at the front line have lost their jobs. I will even go as far as giving additional prominence to some of the comments:. Dr Ray's face in this focal spot is a true representaion of yourself! Does anyone else have trouble understanding this? Labels: second rate diagnostics. I too...

drraysfocalspot.blogspot.com

Dr Rays focal spot: December 2007

http://drraysfocalspot.blogspot.com/2007_12_01_archive.html

Dr Rays focal spot. Sunday, 30 December 2007. MRI scan price war. Private imaging cowboys shoot it out. A couple of years ago it was quite common-place for patients to be charged £600 for a single area MRI scan. The atmosphere surrounding private medicine was very much like I imagine it is when buying a Saville Row suit: "if Sir. Needs to ask the price then Sir. They had the lucrative London market to themselves for about a year but just before this Christmas, Med-Tel, another private scanning centre in ...

drraysfocalspot.blogspot.com

Dr Rays focal spot: June 2007

http://drraysfocalspot.blogspot.com/2007_06_01_archive.html

Dr Rays focal spot. Friday, 22 June 2007. Hasta la vista baby. He did make one change: he replaced "accurate" with "assured". I suppose he can't really vouch for the accuracy of the radiologists' reports, even if they are super special, so this is a wise move, although it betrays a lack of confidence. Anyway, "assured" sounds good even though it's meaningless. I find he is getting links to his site by posting thinly veiled adverts on various article sites like amazines. In an effort to reduce staff costs...

drraysfocalspot.blogspot.com

Dr Rays focal spot: February 2008

http://drraysfocalspot.blogspot.com/2008_02_01_archive.html

Dr Rays focal spot. Sunday, 17 February 2008. It's been a while since I wrote anything on this blog and I owe an apology to the small circle of readers who visit regularly. I do have other excuses. I originally set up this blog to help publicise UK-radiology. Finally, one of our number is on maternity leave and we decided to do her work between us rather than employ a locum. Radiologists suffer a credibility problem in hospitals and a bad locum can undo, in a few weeks, what has taken years to build ...

drraysfocalspot.blogspot.com

Dr Rays focal spot: July 2007

http://drraysfocalspot.blogspot.com/2007_07_01_archive.html

Dr Rays focal spot. Monday, 30 July 2007. Of mice and Milburn. 2nd wave diagnostics was a scheme originally promoted by former Health Secretary Alan Milburn as a way of transferring diagnostics from the NHS to the private sector where it could be done more "efficiently" by lower skilled and lower paid folk from Eastern Europe. He was a paid advisor to Alliance Medical, a company that expected to benefit from such work. Friday, 27 July 2007. Written by American doctors. As I mentioned before, this was...

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The Lowly Worm

A worm's-eye view from the UK's most junior doctor. Saturday, 27 October 2007. I am a vein hunter. A tracker of blood, a tribesman of the tributaries of the heart, a pursuer of the pleasures of deoxygenated blood. Every day, I'm asked to find small veins in elderly people. They tend to be invisible, barely palpable, and wriggly. Holding them down to get a small needle in is like pinning down Harry Houdini on how he did his tricks, or Gordon Brown on when the next election is. This constant focus on findi...

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