Whoever decided that axial images are viewed from below fumbled bigtime.

Don't we all think of anatomy in terms of it on ourselves, looking down from above? My liver is on the right side of my mental image of a cross section at that level; my spleen is on the left.

I don't have the same issue with coronal images or plain films - the right/left swap is intuitive and on autopilot, because we have spent all our lives seeing people from the front.

Nothing else in life gets rendered from below. Nobody draws a map of a building from below. Nobody draws a map of a mountain from below. Every other cross section in daily life is viewed from above.

"It's because you examine the patient from the end of the bed", they say. Maybe if you're a podiatrist. But all the important organs are in the upper half of the body and that's where you're standing when you examine.

Whoever came up with the inferior view convention was having a laugh; scheming to prank future doctors like myself into wasting 3 seconds on every single CT abdomen looking for an appendix in the left side, before my brain remembers they screwed up.

A prank to catch the eye of passing-by-colleagues, amazed that I have a situs inversus patient, when it was really just a frustrated click of the PACS mirror button.

This would be my priority if I had a time machine.

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u/Crocodoom — 2 days ago

Dusk Caller not working?

I'm pretty new to the game, but I found a 100% worker up at the Dunley Farmlands werewolf village. I have prison cells available, and I had it dominated - but my dusk caller stones can't be selected; the game saying "requires dominated target"?

Anyone have any ideas to fix? I don't like my chances of making it back with psychopathic militia archers ready to burn their entire homeland down.

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u/Crocodoom — 4 days ago
▲ 126 r/ausjdocs

When can I be honest?

I have a medical patient with evident personality problems who, while genuinely unwell, refuses any definitive treatment that could ultimately lead to their discharge. It's not quite malingering, but they refuse to actually let us treat them basically so that they can stay in hospital indefinitely.

Secretly, I think this patient needs to have a harsh talking to. At this point, their high care needs, and the high demands they place on our staff and system, are jeopardising other patient's care in my view.

Is there any stage of my career to look forward to, where I would be able to tell this patient off, without being immediately fired, sent to the media, and reported to Ahpra?

edit to add: The patient is transparent about why they feel they need to remain admitted. This is not a DV or safety situation. This is a reason in a similar vein to "there's no wifi at home" in terms of its inappropriateness as a barrier to discharge. Concerns and anxieties have been explored at length with this patient for weeks before I felt demoralised enough to make this post.

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u/Crocodoom — 16 days ago

Picking up shifts while on leave?

RMO in QLD. I have 5 weeks of annual leave coming up, where I am not planning to go anywhere.

If an "URGENT WEEKEND OVERTIME WARD CALL!!!!" email shows up in my inbox while I'm on leave, can I take it? Will I be paid both for my leave, AND the overtime shift on top of that? (it's obviously not worth doing if I only get paid for one or the other)

I did some background reading, where I've found a similar thread but it was locum shifts specifically. I understand that it isn't possible in the same health district if you do it through a locum process.

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u/Crocodoom — 18 days ago

Equipment / ideas for in-person BOTC?

I'm really excited for an upcoming BOTC game I'll be hosting for a group of friends, most of which have ever played BOTC before.

I'm wondering if anyone has things (other than the game itself) that can help to set the scene and make a memorable experience? Ideas I've had so far are candles to represent who is dead or alive; coloured lights to show when its day or night; and stands with spotlights during accusation phase (obviously inspired by NRB's BOTC games). Does anyone else have other fun ideas or setups they use? Cheers :)

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u/Crocodoom — 20 days ago

Weirdly specific June 30 Question

I bought some shares on 30 June 2025 which have done well in the almost-year since. I would now prefer to liquidate these. However, I know that I am not eligible for the CGT discount if I have held them for under a year. On the other hand, I want to sell them in the 25-26 FY because of an expected higher marginal rate next financial year.

Does anyone know, under current rules, if I sell them on exactly 30 June 2026: A) Will I be eligible for the 50% CGT discount? B) Would I be able to claim the gain in the 25-26 FY, even though they won't settle to my account for 2 further business days (i.e. July 2)?

Thanks for any help or insight :)

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u/Crocodoom — 1 month ago

QLD Notice to Contribute to Fencing Work

Hi,

Just bought my first PPOR after years of saving. Within the mailbox on settlement day, I found a notice to contribute to fencing work where my contribution would be expected to be multiple thousands of dollars. It is addressed to "the owner" and signed/dated 2 days before settlement.

The backyards already have an adequate fence. This neighbour wants to fence the front all the way to the road.

All I want to do right now is dump into the offset, not buy a pointless sheet of planks that doesn't even enclose anything. Do I have any recourse? Can I at least argue the technicality that I was not "the owner" on that date?

REA told me it was the rudest thing she's ever seen....

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u/Crocodoom — 1 month ago

Silly situation - who is liable?

Setting: Person A's house.

Person B brings an item and places it on a table.

Person C accidentally knocks Person B's item off the table onto the floor. Everyone is aware this has happened.

Person D carelessly trips on Person B's item on the floor; destroying the item and sustaining an injury.

This situation just happened - and luckily, nobody is actually injured, and nobody is suing anyone, we're all friends. Hypothetically though - who would be liable for person D's injury, and who is liable for the destruction of person B's property?

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u/Crocodoom — 2 months ago

Doing some forward budget planning.

In QLD, a PHO (unaccredited) is paid at L4 pay grade. A first year registrar on a program is also paid at L4 pay grade. PHO can max out at the L7 grade, while an accredited registrar maxes out at L9.

Let's say I do a PHO year in a specialty, at L4 for that year. The next year, I get on the program, and do my first accredited registrar year - but second year as a registrar overall.

Would I be paid at the L4 grade ("first year registrar"), or the L5 grade ("second year of being some form of registrar").

Thanks in advance!

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u/Crocodoom — 2 months ago