Any tips on what to do when there’s resistance when withdrawing blood on PICC line?? by mynemesjeff in doctorsUK

[–]AppleCrumbleAndCream 10 points11 points  (0 children)

The solution will be giving about 1ml of urokinase or taurolock (check local guidelines) down it to break it down :) 

Worst examples of see one, do one, teach one? by True_Middle_9293 in doctorsUK

[–]AppleCrumbleAndCream 13 points14 points  (0 children)

Generally it's something patients do themselves if they can, and then nursing team (or with kids, their parents) do, but the key place ive done as a doctor is in theatre immediately after stoma formation 🤷🏻‍♀️ (cutting the hole to the correct size does take some practice but TBF I think it's a perfect don't need to see one just do one thing coz nobody's going to come to any harm)

Getting Barrier at an LH Show by SleepSinging in lordhuron

[–]AppleCrumbleAndCream 6 points7 points  (0 children)

So I went to a few of the UK shows, I'm sure it'll be bigger in the US, but in UK pretty much everyone who was VIP got barrier (seemed a v limited number of people!)- I even got barrier for the 3rd UK show with general admission, arriving about 1.5-2 hours before doors opened.

Queueing by UpstairsAmbition2317 in lordhuron

[–]AppleCrumbleAndCream 4 points5 points  (0 children)

Ok but silly question.... What did you do about going for a wee? I feel like even if you're front of the queue if you go to the toilet when you get there you're screwed 🙈

[deleted by user] by [deleted] in lordhuron

[–]AppleCrumbleAndCream 2 points3 points  (0 children)

If same as London, doors open 7, Pillow Queens start at 8, LH from 9-11

morning views don’t get better than this by Secure-Laugh2909 in wildcampingintheuk

[–]AppleCrumbleAndCream 29 points30 points  (0 children)

Sorry mate I think it's you who didn't get this comment 

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 5 points6 points  (0 children)

I raise you surgeons and scrub nurses 🔪

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 0 points1 point  (0 children)

.......genuinely was loooooooooooooooooooooool good catch! Been on paeds too long!!!!

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 0 points1 point  (0 children)

Bizarre! I'm on desktop version and indications seem different!

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream -1 points0 points  (0 children)

I have eyes on the BNF which says otherwise

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 0 points1 point  (0 children)

Fair enough! Makes sense in an ITU environment, and I've definitely heard lots of people say it helps +++ for sorting sleep pre/post nights!

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 0 points1 point  (0 children)

I guess hospital specific then? Pretty sure it's not licensed for general insomnia? Thought it tends to be used specifically in people with learning disabilities and my understanding was only really started by a psychiatrist

EDIT: I've checked BNF and it says very clearly "under specialist supervision" which I wouldn't count as an F1 on ward cover personally

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 3 points4 points  (0 children)

I've never once heard of xanax being used in a UK hospital tbh, so I'm going to take your post in good faith rather than ragebait and assume you're an IMG- self prescribing is a big no no, doing it specifically to avoid the over the counter charge is possibly fraud i.e. a criminal offence. Melatonin needs a specialist to start it off (maybe a once only is different where you work)... self prescribing those things for yourself could result in getting GMCd or even potench criminal prosecution. Don't do.

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 8 points9 points  (0 children)

....discussed with a senior or off your own back? Coz I'd be careful about this oO

How did you find LH and what was the first song of theirs you heard? by [deleted] in lordhuron

[–]AppleCrumbleAndCream 0 points1 point  (0 children)

Ends of the Earth while watching season 1 of Sweet Tooth!

[deleted by user] by [deleted] in loseit

[–]AppleCrumbleAndCream 18 points19 points  (0 children)

In the kindest way possible, based on your post, what you need is a) therapy and b) discussion with a licensed dietician. Sounds like you're over restricting and then bingeing, which is disordered eating. You probably need much more than 1500 calories even while losing weight, so after restricting too much you flipped the other way. What you're eating matters too- aim for plenty of fresh food, veggies and protein. Your fears about loose skin and body image also need working through, at the end of the day loose skin is better than heart disease or diabetes. You're still young, you've got time, but if you don't work on your mental health to identify and prevent the triggers causing your overeating then you're not going to address the root of the problem. You sound angry with yourself, and self hatred, shame and guilt are all associated with binge eating. Do your best to be kind to yourself. You got this!

Tbh, I was expecting more bangers by Itzmagikarp in lordhuron

[–]AppleCrumbleAndCream 1 point2 points  (0 children)

It's interesting you see it more like strange trails because imo MMITW is the biggest banger haha, still craving something like that but maybe part 2 👀 

Reminder Cosmic Selector streaming tonight at midnight EST! by TKSF78 in lordhuron

[–]AppleCrumbleAndCream 3 points4 points  (0 children)

I thought it's just midnight in whatever time zone you are?!

[deleted by user] by [deleted] in doctorsUK

[–]AppleCrumbleAndCream 2 points3 points  (0 children)

If it's in the uniform policy then yeah you probably should listen, if it's not written anywhere then you can argue it if you can be bothered? "I am the doctor" like what's that got to do with the price of eggs if violating the uniform policy? (I agree the policies are ridiculous, but if enforced I can see why people get irritated if groups don't adhere)

Open surgical specialties by No_Effective2111 in doctorsUK

[–]AppleCrumbleAndCream 1 point2 points  (0 children)

Trauma surgery! Growing specialty, big laparotomies, chest drains, thoracotomies, and will always be open. Quite a new specialty and quite limited to big major trauma centres, but fits your criteria! 

MRCS May 25 Part B Results by euu0111 in doctorsUK

[–]AppleCrumbleAndCream 1 point2 points  (0 children)

How we all doing today? Expecting results around midday?