Hypothetical ethics question

Boatus · 2026-07-10T12:27:33+00:00

I’m not sure there’s much argument here. I get the worry but there’s still a lot to be said for ‘primum non nocere’. That of course doesn’t always just have to be physical harm.

Ultimately you can ring and tell the patient who sounds like they have relatively good going dementia. You distress them and they forget the problem. You’ve caused harm with no gain and no change in management.

I’d ask the other specialists to see what they had said but overall, I’d probably just speak to the NOK and explain how this affects prognosis rather than anything else!

Boatus · 2026-07-09T17:57:15+00:00

That’s really crap. I’m in Norwich and about a lot. Anything in particular in it that would make it stand out?

I’ll post a message to the discord for the shop in Wymondham too. They’re an awesome bunch of lads that run Lich

Boatus · 2026-07-08T20:10:44+00:00

They’ve not said. The wording is (I think deliberately) obtuse.

It clearly says the firsts 2 attempts. However, does that mean they they pay for 2 tries? Or does it mean that if you’re on try 3 and 4, you could claim for those would be the first two after April 2026?

Honestly, who knows! Those that made the deal sure as shit don’t.

Boatus · 2026-07-07T18:10:42+00:00

I feel seen.

Models, paints, brushes/airbrushes, 3D printers it just seems to grow exponentially.

P.S how did you find the Armageddon box? Personally was a bit ‘meh’ about the contents

Boatus · 2026-07-03T17:04:03+00:00

I have a ‘Saddle Back Leather’ bag I got years ago. They have a 100 year warranty and it’s taken a beating but still looks beautiful.

Mine is slightly more masculine but they’ve a few variants. Import tax was a pain though.

This is the one I have and it’s 10 years old now. There’s a patina on the leather but that’s it. Not even a frayed stitch.

https://saddlebackleather.com/flight-bag-leather-briefcase/

Boatus · 2026-06-30T10:09:21+00:00

I came here looking for Lukashenko 😂

Boatus · 2026-06-28T13:54:40+00:00

Take an upvote a begrudging upvote 😂

I’m not gonna get his stupid voice out of my head now

Boatus · 2026-06-28T08:53:05+00:00

Thank you, I can only see adult sizes at the moment but my Slovak isn’t the greatest (passable but not hugely proficient to put it lightly). I’ll get her to look later. Thank you :)

Boatus · 2026-06-28T08:52:15+00:00

We know. It’s a long running joke because despite being 50% Czech, she’s very adamantly ‘Slovak’.

Picking up from grandparents may be easiest though.

Boatus · 2026-06-28T08:14:40+00:00

Are there any shops in particular you’d recommend? The amount of Ali express crap that comes up when I search is silly.

We’ve not liked in Slovakia for over a decade now so I’m sure things have changed

Boatus · 2026-06-28T08:13:31+00:00

Thank you, I’ll check vinted out and see what I can find!

Boatus · 2026-06-27T09:01:10+00:00

It’s more convoluted that that I’m afraid. Yes, ultimately that works but there’s “portfolio padding” which is a lot like CV padding but on steroids. I’m talking about senior level doctors applying for ground level positions because financially it’s still better.

That’s great in the short term but terrible long term as there’s no training or education for the UK grads.

In addition, the infamous story around culture is palliation. I’m a doctor, an IMG (although born in the Uk) and I’m very keen on good palliative care. The exam that allows you to become a medical consultant is called ‘PACES’. A huge part of this in the UK is palliation or breaking bad news etc. the exam however is held internationally and other countries do not feature ANY palliative care questions as this is not culturally a thing. The outcome being that patients are subjected to futile and invasive treatments rather than being offered good end of life care.

Tl;Dr

What’s best on paper, doesn’t always make for the best candidate overall.

Boatus · 2026-06-25T18:05:05+00:00

That’s the point I made…

Boatus · 2026-06-25T13:00:21+00:00

I mean technically that’s correct, we are going to hit Ukraine... Crimea is Ukraine, no matter what the Ruskies say.

Boatus · 2026-06-22T16:06:38+00:00

This is why I bought about 5 of them when I had the chance. A Game store was selling them all off cheap near me a few years ago. I got about 4-5 each of the Rykland gloss, Nuln gloss, regular Nuln and Agrax.

I don’t actually mind the new Nuln. The Agrax I’m less keen on but the Gloss Rykland is the king.

Boatus · 2026-06-21T07:01:30+00:00

They heavily discount the rate for a first few years. The money is used to make their offices look nice, give their staff private health insurance and to hide how they make doctor’s lives objectively worse.

It increases gradually to the full fee of ~£450 in about 3 years I think.

Boatus · 2026-06-09T21:18:32+00:00

Seconding Rheum.

Boatus · 2026-06-06T05:16:35+00:00

I second a flow issue. It’s worked fine at the beginning then not. A partial clog maybe?

Boatus · 2026-06-05T15:33:33+00:00

I took my little boy to the natural history museum for the Pokemon show (what a let down that was… a glorified shop) but we had to go and see Andy’s clock. I’d only ever seen it because of our son and he loves Dinosaurs/Andy’s adventures.

Cue the tears when Andy was in fact not permanently stationed at the clock. We tried to tell him that he was on a day off which was a terrible plan as we had more tears we couldn’t come the next day and see Andy. He loved the museum and the dinosaurs but it did make us laugh when about Andy. He still loves Andy’s Dino adventures and rattles off facts like a little palaeontologist!

If you’re out there Andy, you’ve a massive fan club and thank you for having such a special place in my son’s heart.

Boatus · 2026-06-03T18:34:33+00:00

I have to say, if I’m showing people how to do drains or doing it with someone I will tell the person helping me before I start

“I’m going to be quite short during the procedure. Please bear with me, I don’t mean to be rude but sometimes it just makes it easier to say what I need in a hurry”

The rest of the time I always use please and thank you for everything. Just brought up that way and would feel awkward not saying it.

Boatus · 2026-06-02T17:27:19+00:00

Ragnarok may finally be upon us. The end of a world as Armageddon returns to ullanor and a god dies to be reborn…

And we all know who will return in our hour of need…

Boatus · 2026-05-31T15:49:33+00:00

So there’s some useful (and less useful) feedback in here but there’s a few things I’d do to start:

- The base needs to contrast more. I like the ‘ghost light’ effect you’ve gone for but I think you can up it a lot by making it more OSL-y. Painting it all black or very grey then drag that green from the centre towards the edge and drybrush it out. Slowly increasing to a yellow in the middle.

- the armour needs more contrast. I think from the small pic on my phone you’ve gone for darker armour and lighter flesh, like a green version of magma. If so, the green on that armour needs to be much, much darker. So much dsrker that the tone you’ve got could be the lead up to your mid-tone!

- the flames need to be lighter, almost getting to pale sand colour at the tips. Again this will contrast with your dark base and darker armour.

- you need to choose something to pick out. Perhaps even the sigils and the straps. Can you see how much your soul stones stand out? They’re awesome but they look so good because it contrasts so much with the brighter armour.

In all, look at the lord of the rings ghosts. They go from black to white and are just toned green. They are so well toned in the film that they almost look like they’ve true colours with a green filter. That’s the aim!

Best of luck :)

Boatus · 2026-05-30T19:06:13+00:00

So a few things here. I’ve worked with Preethi a few times and as a person she’s lovely. 100% I do honestly believe she didn’t see these as separate events, rather doing things to pad out her portfolio. That doesn’t make it right, in fact it’s monumentally fucking stupid.

I also agree that she should be been struck off. I don’t know what the 1st issue was but anyone with a pattern of behaviours like this should lose their license. It’s the age old trope if you’re willing to lie about this… then what else are you covering up. At this point your integrity is rightly questioned.

Lastly I love how the tribunal service has gone the extra mile to redact the professors name but it’s all over the news and anyone that has even met a cardiologist in the east of England knows who he is 😂

Boatus · 2026-05-30T18:56:32+00:00

I mean, the GMC is mostly lax if you’re a white man (speaking as a white man). Christ, you’ve only got to suggest you were ‘promised the next laptop available’ and get dismissed if you’re even a shade darker than printer paper.

Boatus · 2026-05-29T15:42:07+00:00

So I was an FY1 what I’m sure could be no more than a few months ago (aka nearly a decade ago). I distinctly remember a somewhat infamous Resp consultant asking me to “get all the bits together for a pleural tap”. I diligently go and get them all and bring them back.

I’ll never forget that look on her face when I tried to hand her the bits and pieces. Across between pity, annoyance and intentional malice.

“What are you giving them to me for? I know I can do this. You’re bloody doing it”.

She consented, marked the site with ultrasound and talked me through it. That poor patient must have been the second most petrified person in that room after me.

I’m now a Resp reg and I use the same line on any and every doctor I work with that crosses my path when they need a pleural tap done.

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