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This is a question My job: Expectation vs Reality

When I worked as a window cleaner, everybody - and I mean everybody - I knew asked me the "how's yer father" question. The truth was that I was always knackered and freezing, and the only nudity I saw was some fat bloke's arse. Tell us how your work differs from the expectation.

Thanks to Rotating Wobbly Hat for the idea

(, Thu 8 May 2014, 22:21)
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Expectation : Lots of people going "oooh" and "ahhhh" and getting some "lovely" doctor telling them that all is well and they will live another x years even though their lifestyle is shit. "Pretty" nurses and doctors jumping on people who have just had a cardiac arrest and bringing them back to the world of the living and the patient having a miracle recovery!

Reality : Lots of people using A&E as an excuse to bypass the system. GP's in the field not giving a shit anymore and dumping ***anything*** that looks anything more than a cough or a scratch into A&E. Liars, cheats and vagabonds using the NHS as a way of cheating their way through life so they don't have to contribute towards their own life.
Some drunken tosspot with a sprained ankle shouting and screaming at you in some indecipherable language because they demand to be seen by a doctor now, holding you up from seeing a polite old gentleman who has paid his NI for 50 years has broken his hip (full on rotation and shortening) after falling over, because his so called "community carers" have not been to visit him this evening.
Working for 12 hours, 5 nights in a row, with no more than perhaps a 10 minute break each night to get a quick cup of tea.

Most of us have the reality check and make sure the old lad with the broken hip gets a pillow and blankets. The drunken wanker gets their expectation fulfilled. No prizes for guessing what their reality will be.
(, Sun 11 May 2014, 1:46, 14 replies)

(, Sun 11 May 2014, 12:15, closed)
Silly, that is obviously a photograph from Carry on Revolting.

(, Sun 11 May 2014, 14:18, closed)
Please fact-check your pictures before posting.

(, Mon 12 May 2014, 13:48, closed)
hear hear - bravo

(, Mon 12 May 2014, 17:14, closed)
How do GP's dump patients to A&E?

(, Sun 11 May 2014, 14:19, closed)
By selfishly referring to hospital those which they think will need hospital treatment. Often based upon a very short period in which they have to...
…assess their punter without access to an awful lot of diagnostic equipment and make a decision on referral.

Now, A&E shitcunts who drop and run and panic bleep the intensive care registrar at the first drop of the hat rather than do their jobs on the other hand….
(, Sun 11 May 2014, 14:45, closed)
You mean the GP refers them to the relevant department as outpatients. Seems reasonable.

(, Sun 11 May 2014, 17:33, closed)
Basically, yes.

(, Sun 11 May 2014, 17:41, closed)
Of course, my GP's surgery handles lots of A&E type cases as they don't want to burden the hospitals.

(, Sun 11 May 2014, 18:55, closed)
Your GP surgery must be 1 in a 100 - fair play to them. We only had someone a couple of days ago whom attended our A&E with a tiny paper cut. Elf n safety stated they must attend A&E for treatment. Which involved a plaster.
One thing that REALLY REALLY winds me up though is the proliferation of so called dementia specialist care homes who dump patients into A&E / hospital because said patient is having a slight dip in behavioral issues (common as day and night with dementia) and they cannot (?WTF - see "dementia specialist care home) cope with them.
Patient gets admitted for say a week or two, but still charge top full whack for so called "care" even though the patient is not with them.
(, Wed 14 May 2014, 11:18, closed)
Most common reason I've encountered for "dip in behavioural issues" referrals for the demented...
...is suprisingly enough UTIs.

Puts the poor buggers right off their feed and when they become dehydrated a spell on the ward on a drip plus antibiotics is a real lifesaver.

It's negative outcomes from private elective cosmetic procedures (face, tits & lipo) being dumped on the NHS to clear up gives me the shits.
(, Wed 14 May 2014, 21:13, closed)
Locum GPs will refer everybody on, because they've got no incentive not to,
newly qualified GPs will refer everybody on "just in case". Once they get the " these are your budgets now and you've run out" message, that'll all stop, and we can all get on with the job of dying young so that the government can save a few bob.
(, Sun 11 May 2014, 19:58, closed)
Better to live a long and healthy life and cut down on breeding if cost is the issue.
More telomerase research - YAY.
(, Mon 12 May 2014, 11:01, closed)
Don't worry
It gets much better when you're a consultant.
Plus the money's much better.

Except if you're working in the NHS in England, in which case you're fucked.

PS: Scratches count as minor injuries, for which most GPs don't get paid, so you'll be seeing them too.
(, Mon 12 May 2014, 13:48, closed)

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