u/Western_Cod8208

I’m going to try and give context whilst remaining as vague as possible so not to be identifiable. I am an FY1 who has received a complaint about care I gave to a patient in a specific department on a specific day. patient is a regular attender to said department due to functional condition and regular need for analgesia. concerns have been raised about a certain class of medication that is requested by pt and has been prescribed on multiple times against an agreed prior consultant level care plan for when patient presents to hospital. Patient arrives and requests this medication and on call team who don’t know pt prescribe it, and day team are left to try and fix this with much resistance from patient who doesn’t feel able to come off it, apparently this has happened for a number of months and years.

I was given a job on said day of liasing with specialist team and was instructed to take away prescription for drug X and prescribe oral TTO. It was anticipated that patient would not be happy and I was strongly encouraged to remain firm in my decision and document clearly. This was under instruction of admitting consultant and specialist team who made the previously mentioned care plan (team has documented in notes their instructions). Patient was very angry about drug X being taken away despite me explaining I can only do what my seniors instructed. There was much shouting from patient. In the end I had to call my consultant again and the consultant gave instructions to allow patient to remain on drug X a further 12 hours - I documented this and I went home. Pt came off it 12 hours later and walked out the hospital as soon as it came down- we had to post out DC paperwork and I didn’t see them again.

Patient has sent a multi page complaint about me that day specifically and how I attempted to take away drug X on that day and made various complaints about my manner, said that I obviously personally wanted to remove the drug, that I’m cruel and was basically I am a massive arse that shouldn’t be a doctor. They have used the fact that the consultant allowed a further 12 hours as evidence that I was overly harsh and that more senior doctors clearly feel that drug X was necessary and I was attempting to deprive them of appropriate analgesia.
This complaint has been forwarded to me by consultant who has told the complaints team the clinician involved (me) will answer to it and make a statement. Seniors involved have reassured me saying my documentation is completely sound, I was quite literally doing what I was told, and nurses involved are able to recall the day and my bedside manner. Similarly the specialist teams have documented the plan they asked me to enact. I have also never had anything but positive feedback.

Friends however have raised concerns that I am being asked to answer to this complaint as an FY1 doctor and normally the consultant should answer to complaints. More so that this is a very well known patient to the team and the issue of requests for drug X is one that the department/trust as a whole are trying to address at a very senior level, well above my pay grade. I do feel a little as though I’ve been thrown under the bus. The patient is extremely complex and I was literally acting out my orders from higher ups and am a very small piece of an incredibly long timeline. I have a statement ready, I’m able to answer to the entirety of the complaint backed up by documentation I and others made that day, put friends have urged me not to respond and that seniors should be dealing with this on my behalf

What makes me a little uneasy additionally is senior nurses that know this patient well have advised I speak to BMA/ MDU early. They have also told me to check all my social media’s are not findable.
Should I answer to this complaint or should it be my consultant? Should I be having more support from my seniors?

I’ve had a really bad week at work, felt unsupported by colleagues, high acuity, and just bog standard nhs stuff which we all sort of accept has gotten to me more this week. I’ve been a bit tearful this evening about everything which seems dramatic and probably is, but the thought of working this weekend is something I’m dreading and I now have a banging headache as I’ve been crying. I know how I’m feeling now is dramatic- I’ve had a good year, a good arcp and received awards and generally had a good time at work but this week has taken its toll.
I’ll probably go to work tomorrow feeling unsupported, feel like I’m never quite on top of things and come away more stressed than I was before and thinking I hate being a doctor when I actually don’t.

I’ve never called in sick this rotation and I’ve only had 1 day sick across the entirety of FY1 where I physically could not be in work I was so unwell. My friends are urging me to just call in sick but I genuinely think I’d feel so guilty about it that going sick would have the same effect on my stress levels as me going to work. Our rota coordinator names people in the juniors group chat as they call in sick or the reason why they aren’t in work such as “X has rang to say can broken down so won’t be in” or “X has rang to say she’s sick today so won’t be in” . This goes out to all doctors on the rotation up to consultant level so I feel like everyone will be annoyed that I’ve left a weekend rota gap. I know in perspective I’ve worked countless shifts where I’m also covering a rota gap for a sick FY1 but it’s something I really struggle to do for myself especially as I know in myself I’m not physically extremely sick. I think I’m just burnt out and coming to the end of a busy year and probably isn’t a reason to call in sick but I wish I could bring myself to just do it and take the time.
I don’t really know what I’m asking- I know I won’t call in sick but I wish I would!

To clarify I am NOT asking for personal advice or therapy over the internet, I simply can’t afford a therapist, I know I would benefit from therepeutic work and want some guidance on the the things I can do best to help myself and the type of therapy I’m looking at if I was to get a workbook or something similar. I want to give just enough information so you can advise but don’t want to delve too much so it seems I’m asking you to advise on my circumstances if that makes sense

I’m mid 20s, working professional, lost a parent to illness age 12. Grew up and remaining parent was absent and left me for new wife and family. I went through trauma in my late teens (had EMDR for this very successfully) but I find myself holding on resentment to my father for not being a better parent to me. I constantly compare myself to his step children who he spends all his time with and provides them with lots of niceties in life and money. I need to learn to let go of this resentment towards him and desire for him to make things right with me - it simply won’t happen. What techniques will help me? CBT? Further trauma work?

EDIT TO ADD: I do not “struggle” day to day- no self harm, I work a demanding job, I have a nice home for myself and a stable life. I’m not in dire need of therapy but it’d probably help

Feel like this is really identifiable but oh well!
My mother died when I was 11. Her entire estate went to my father. In the years that followed my father (a high earner-300k PA+ salary) met a new woman with 2 children of her own (similar age to me) and got married. I have an older brother who was an adult at this point and was gifted a £150,000 loan from my father to train in the field my father is in.
I did not get on with his new wife at all (will not go into that) and subsequently went to boarding school and lived with my grandparents. Immediately at 18 I went to medical school (my dream since losing my mother) and this was funded via government student loans and my father gave me assistance in rent. I went through medical school with very little emotional support from my father given my difficult relationship with his wife. His wife’s 2 children remained living at home - one went to do a regular degree and again my father paid for accommodation at the university however they regularly chose to remain living at home as they did not get on with their housemates and didn’t enjoy university. I never returned to my father’s house to live for any period of time.
Both my fathers step children are now adults working in basic minimum wage jobs living rent free at my father and step mothers massive house. My brother is qualified in the field my father is in, my father helped him get a job that pays very well (80-100k per year currently) and is also living at home either rent free or on very little rent. The “debt” he had to my father has been wiped after he repaid about 10k.

I on the other hand am sort of the outcast from the family- I have recently qualified as a doctor and due to the random allocation of junior doctors it would be impossible for me to live at my fathers house rent free even if I wanted to as I’m working the other side of the country. I currently take home about £2000 per month and the majority of that goes on my rent and bills, and paying off my £80k student loan to the government.
My father initially agreed to help me out each month with a couple of hundred towards bills but quickly went back on this (I assume heavily influenced by his wife). I am mid 20s my savings are 0 and I am not seeing how I am going to increase these in the near future and the prospects of me being able to buy my own home any time look impossible.

Probably wrong of me but I complete resent the fact that my brother and to a greater extent my step siblings are in a much better financial position in life due to the fact they were less independent / aspirational and have remained more reliant on my father. They are all living at his house rent free, are earning a similar amount to me (in my brothers case a huge amount more), and are probably having the ability to save thousands towards their future. When I challenge it I’m told “they aren’t lucky enough to be a doctor like you” however there wasn’t really luck involved- I worked hard non stop from about the age of 14 to secure my dream. How I see it is had I not gone to medical school and stayed at home with little aspiration or idea what I want to do in life as one of my step siblings had done, I’d currently be supported fully financially by my father while I go from job to job and anything I earn would be mine entirely due to having no rent or bills. With the current state of the UK for doctors my earning potential is unlikely to increase for quite some time and I genuinely can’t see how I’ll be able to save for a home / my future anytime soon.
I know I’m by no means “poor” or hard done by and I’m grateful to have a somewhat stable job for the next year at least, but I absolutely resent how my inability to get on with my new step mother as a child and my current career path means my father is completely against helping me financially as he does his step children when he’s absolutely in a financial position to do so. I blame my step mother for a lot of this as often my dad has offered to get me things/ pay for things and then after a conversation with her he goes back on his word, but I’m also coming to the conclusion that my father is a grown man and if he wanted to enable me to secure my future he would.

Wondering if this is worth my money. I had a check up, no cavities but on x ray 2 areas of shadow that could develop into cavities that would need filling. I’ve been given high fluoride toothpaste and advised to floss, however was told about a gel that can be applied to the area one time and could repair the enamel/reverse damage. I was thinking of paying for this but it’s pretty pricey. Anyone here able to tell me if they think it’s worth it? wondering if the cost now will save me money and pain in future.
I’m mid 20s, non smoker and occasional drinker.

F1 working in a department with a handful of ACPs. One in particular makes multiple snarky comments, such as when he asks me to request imaging for him he goes “crazy I’ve done this for years and you’ve done this for what, 5 days? And you can request imaging and I can’t”
Also if I am having a general chat with a more senior colleague / a joke he will make comments like “wow I wouldn’t accept that from an F1” etc trying to imply the registrar/ consultant is being too nice to me etc. He always refers to me as “the F1”. he is also in charge of our rota so I feel like I cannot answer back.

Does anyone have the points scoring system used for shortlisting ACCS EM? I know after interview it’s done on interview score and MSRA score alone, but I believe there is a point scoring system for shortlisting (things like additional achievements etc)

I can find the person spec etc but not the actual points system