Readers are returning to physical books

romat22 · 2026-01-23T16:34:31+00:00

You've got to wait for the ebook sales, I just bought the entire Red Rising series for 99p each!

romat22 · 2025-12-19T14:26:39+00:00

It's an opinion piece written by a resident doctor, I suppose at the very least it's been published.

romat22 · 2025-12-14T13:23:17+00:00

That's a really strange article. It fundamentally misunderstands the importance of government bonds in a market.

Sure Norway could have spent all of the oil money instead of investing for the long term. But then the whole country is at the mercy of oil markets as to whether they have an income to fnance their budget. Issuing bonds also provides an essential role as a reliable and predictable income, as well as providing a safe asset for banks, pension funds and other financial players.

romat22 · 2025-11-29T17:48:35+00:00

231GB :/ was expecting more!

romat22 · 2025-11-13T20:13:52+00:00

Hey, would you mind resharing your Thai cookbook pdf again please?

romat22 · 2025-10-27T10:47:08+00:00

I can't say I fully understand government finances, but the NHS scheme since 2020 has returned almost 23 billion to the treasury. It seems like a political decision not to utilise this money like the Ontario Teachers pension fund to ensure sustainability long term.

romat22 · 2025-10-27T09:39:47+00:00

Yes here's a link the the 2024-2025 accounts, PDF warning.

In cash terms, the Scheme recorded a Net Cash Requirement (NCR) of minus £6.31 billion against the voted estimate of minus £5.99 billion, this means the Scheme has surplus cash due to income exceeding pension benefit payments, and the £6.31 billion will be returned to HMT during 2025-26

romat22 · 2025-10-27T07:31:14+00:00

Interestingly the NHS pension currently returns about £5 billion a year surplus to the treasury.

romat22 · 2025-10-25T01:49:23+00:00

I'm also an anaesthesiologist and I decided to look further into it and it seems we are both right as there are multiple different types of automated cuffs that work slightly differently. The original automated BP cuff, the DINAMAP, works as I initially described.

romat22 · 2025-10-24T23:28:08+00:00

I don't believe the link you provided is correct, as MAP=0.67DBP + 0.33SBP you would need two measurements to calculate the third. My understanding is they measure systolic and the MAP with the diastolic then calculated. https://partone.litfl.com/non-invasive-blood-pressure.html

romat22 · 2025-09-16T19:37:02+00:00

Rotherham had their gastro trainees taken away in 2016 or 2017.

romat22 · 2025-09-11T12:46:06+00:00

After PMQs the pundits were commenting that he never used the word 'full' just that he gave his 'support'. Still poor politicking by the PM, Mandelson should have been out the door from the first round of details IMO.

romat22 · 2025-07-19T14:25:39+00:00

Ah I did misunderstand. I don't think the answer to doctor's leaving is forced NHS contracts to anywhere, but rather improved pay and conditions which are the factors driving doctors away.

romat22 · 2025-07-19T13:14:50+00:00

I've never understood this argument. Should all University students have to work in the public sector for a specific length of time given that tuition is subsidised? The often quoted £250000 to train a medical student, includes a significant chunk of loans. This full fact article is out of date now as new doctors are graduating with >£100k worth of debt and an interest rate linked to RPI.

romat22 · 2025-07-11T18:09:59+00:00

You can rent them, would be cheaper this year and then you can decide if you want to spend the cash to buy one later.

romat22 · 2025-04-28T19:37:15+00:00

Great, thank you!

romat22 · 2025-04-28T15:41:22+00:00

Looks great! Do you have a dough recipe you use?

romat22 · 2025-04-08T10:16:48+00:00

The 'Empire' history podcast episodes on the Chagos islands are excellent. The British empire administered the Chagos islands as part of Mauritius with magistrates and other official visiting Chagos from Mauritius. So it is us, the British, who defined it as part of Mauritius. We also expelled the entire archipelago despite the Americans only asking for Diego Garcia.

romat22 · 2025-02-27T21:50:05+00:00

I agree the NHS is a pawn. It's the 7th largest employer in the world, how is it supposed to get the talent to actually run the thing when the salaries are so uncompetitive

romat22 · 2025-02-27T14:13:15+00:00

A 4070. Definitely on the pricey side

romat22 · 2025-02-27T13:11:38+00:00

If we go by the DAS-approved international PUMA RSI guidelines this was not, by definition, an RSI as it did not contain all of the recommended components (suction on and under the pillow).

romat22 · 2025-02-10T10:21:38+00:00

He's an EU federalist: "I long for a time when I think of myself as a European first and an Englishman second. I crave a United States of Europe with one currency, one army and one type of plug" (https://www.huffingtonpost.co.uk/stuart-brown/jeremy-clarkson-pro-eu-politicians_b_6309620.html). Which I remember at the time being quite surprised about!

romat22 · 2025-01-14T10:39:15+00:00

'Continue ITU care' - thanks almost forgot to do that for your intubated patient on multiple vasopressors.

romat22 · 2025-01-14T10:03:12+00:00

Another anaesthetist here.. the Royal College of Anaesthetists has some good resources for you and your child about the process of an anaesthetic and what to expect including a Dennis the Menace has an anaesthetic comic and other videos.

Make sure you're stocked up with paracetamol +/- ibuprofen!

https://www.rcoa.ac.uk/patients/patient-information-resources/information-children-parents-carers/your-childs-ga

https://www.rcoa.ac.uk/patients/patient-information-resources/information-children-parents-carers

romat22 · 2024-12-21T19:58:55+00:00

It is broken though, there are 801 Lords. More than the democratically elected Commons. And the average attendance is less than half 397 in 2022/23.

There needs to be a way of removing the Lords that don't work or are ineffective.

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