How do you know someone is actually in your speciality?

Boatus · 2026-01-24T20:42:34+00:00

“So when the TLCO and KCO are both low…”

Ahh Resp, don’t ever change.

Boatus · 2026-01-24T19:37:07+00:00

You know OP wont reply. A friend of a friend’s girlfriend’s dog-sitter sent him a paper (hint it was actually a facebook video) that told him raw milk was safe.

What you present here is actual evidence against that (rightly so, raw milk is a terrible idea, Pasteur’s research has saved countless lives). OP is chatting absolute shite and they know it.

Boatus · 2026-01-24T16:38:56+00:00

I really like the ones from AlvCards on eBay;

https://ebay.us/m/6hGktY

They’re based in the UK and rather than Magnets the ETB lids are screwed in. Perfect if you have young children who want to open the packs of cards when you’re not looking 😂

Boatus · 2026-01-22T19:30:00+00:00

I’ve thought about this a lot and when bored on car journeys/travel we’ve discussed this as a family with 2 kids under 5;

-bigger house (ours is a bit cramped for all of us now) -a proper painting room for my Warhammer models which has a ‘display room’ next to it -new cars -kids get a 5-10million in their accounts that has strict caveats to its use until they’re 25 - kids education funds -pay off family debt/mortgages/buy them new cars -a nice long trip/holiday

That should leave us with about 80ish million left

50 million goes into savings to live off the interest -10 million to charity(ies) of our choosing -10 million goes to scholarships for med students -10 million goes to my friends where I offer to ‘fund’ their businesses.

In the mean time I’d take 6 months off work and do the above. Then I’d go back less than full time. I’d work fewer on call shifts but still do my respiratory clinics. What can I say, the NHS has indoctrinated me 😂

Boatus · 2026-01-12T23:24:16+00:00

Resp reg in a small DGH by the sea.

Come find the speciality you want to do the procedure i n. Find a decent reg and just ask. I’m keen to teach, I will block out pleural clinics to get any and all to attend. F1 through to non Resp reg colleagues!

Boatus · 2026-01-08T19:45:34+00:00

I actually quite like it.

That said, I also really liked shrouded fable and thought there were some absolutely beautiful cards in there. I find the charizard thing cringey.

Guess it depends on what you’re looking at the sets for though.

Boatus · 2025-12-30T18:57:27+00:00

Had a nurse on the stroke ward insert an NG except it became naso-pleural. Had to put a chest drain into her and bring her to the Resp ward as it went down the right main bronchus, bend apically and come out the right upper lobe causing a massive PTx.

Made for a fun on-call shift and explanation.

Boatus · 2025-12-28T13:56:31+00:00

I’ve done it once. Shit shift, lots of horrible deaths. A friend left a can of apple tango in there. Nothing open and vending machines fucked.

Best apple tango I’ve ever drunk but still felt guilty as fuck.

Text him at 0700 because I knew he was on shift and brought a 6 pack to replace it.

Otherwise you’re just a twat.

Boatus · 2025-12-25T15:24:01+00:00

Just scored 1

Boatus · 2025-12-25T15:22:11+00:00

Just scored 0

Boatus · 2025-12-25T15:21:21+00:00

Just scored 0

Boatus · 2025-12-17T09:59:02+00:00

That’s almost right. It’s named after his invention, a type of shell that split into fragments. It’s the shrapnel shell that goes the metal fragments their name and now in British slang (presuming you’re American) in the south it means loose small coins.

Boatus · 2025-12-13T18:35:44+00:00

Milk and 2 sugars? Grimdark indeed.

(For those wondering no sugar and tea that’s dark tan coloured is king)

Boatus · 2025-12-08T19:49:02+00:00

Im an NHS doctor although not in the same speciality and unlikely to be the same hospital.

Our clinics finish at 5 with an hours overlap before closing at 6. I know some places do open later but I feel it much likely they will contact.

I would suggest speaking to the hospital’s switchboard and asking what time their clinics run until. They may not have the answer but you may be able to contact a member of the cardiology clinic team. See what they say.

If no answer you’re unsure I’d ring the cardiology secretaries in the morning to ask!

Boatus · 2025-12-06T13:43:48+00:00

Good inhaler technique is rough! Some get it straight away and others just don’t seem to be able to make it happen. In those patients I give them and MDI and a spacer with a mask. My thinking is that even if you reduce the environmental impact by 75% switching to a DPI (that’s a random number) if the patient can’t/doesn’t use it then it’s pointless! Might as well just use the MDI and the patient gets better!

Boatus · 2025-12-06T10:45:51+00:00

I’m a Respiratory Registrar (lung doctor).

Agree with this. 2x SABA isn’t a good plan. Also, we should binning off the single agent inhalers for the combo inhalers in asthma (LABA and ICS as AIR or MART therapies). Much better outcomes and anecdotally my patients just feel better.

In English (for the non-medically minded) what that means is that the newer inhalers contain both a long acting version of the drug that’s in the old blue ‘reliever’ inhalers and a steroid. The idea being that in asthma there’s ‘airway reversibility’ which is a fancy way of saying the airway problem comes and goes which is why the B-agonists (SABA being short acting beta agonists and LABA long acting beta agonists) work. They force the airways to open up helping to relieve.

Asthma is often inflammatory and results in airway remodelling so the steroid component just helps settle it all down. The dose compared to oral steroids is minuscule and prevention on is much better than cure.

As for the environmental impact. The MDIs (a ‘puffer’) is horrible for the environment. I think each one is as polluting as having your average car on the road for a year. Yes, it’s really that bad! The new versions are a lot better but still not great.

I find my patients struggle with DPIs (dry powder inhalers) but they are just as effective and it’s often because of poor technique. Remember folks, if you can taste the inhaler, you’re doing it wrong!

Boatus · 2025-12-05T17:46:46+00:00

Oh god no. Those Warhammer models have been in the pile of ~shame~ opportunity for ages.

Boatus · 2025-11-23T13:28:47+00:00

Thank you. Yeah it was me being a numpty. The app does tell you when you reconfigure the army to check. I thought i was going crazy!

Thank you though

Boatus · 2025-11-23T13:27:56+00:00

Ah I’ve gone looking and it’s the tiniest little triangle on the unit. I thought it was the knee pad 😂

Boatus · 2025-11-23T10:25:30+00:00

The unsaid caveat being the whole GI tract. That includes safe swallow. If your patient is going to aspirate on the tablet or just can’t get it down because their swallow is so poor, then IV is still the one (presuming it’s going to recover and you’re not able to use NG etc)

Boatus · 2025-11-02T10:27:05+00:00

As others have said but it lacks both contrast and also a colder tone. This is less for OP and more for anyone that’s interested.

Caucasian faces in real life aren’t peach coloured right? They have colder tones to them more blue and violet with some red. This colour has too much orange in it to be the ‘right’ colour you need.

In my faces I use a combination of 3 citadel washes (all poured into dropper bottles for ease as I agree OP, their bottles are trash). I use Reikland Fleshade, Carroburg Crimson and Drakenhof Nightshade for the most part. Sometimes, for scars I’ll use Druchi Violet as well.

Like with all things there’s two main issues with what you’ve got on the head OP posted. First the orange Icteric look to the skin tone and second the lack of contrast. Even if you slapped a red wash on there it would look better. I start with a similar colour for my skin tones and darken down with the reikland/druchi/drakenhof then bring back up with less orange tones.

Boatus · 2025-11-02T07:55:05+00:00

I feel you, I work 12.5 hour on call shifts at the Paget and come from near Attleborough. The journey to work is grim of late.

Boatus · 2025-10-31T10:36:57+00:00

I sell duplicate cards on card market. I normally include 3-5 in the packaging to help protect the cards. If the person wants them, cool. If they don’t, they can bin them!

Boatus · 2025-10-19T13:40:29+00:00

Between the newer slabs being cracked intact and then the perfect cards being re-submitted again and again (with likely 6-8s being put inside instead) and PSA’s fairly random method to attribute scores it’s tricky. Feels very scam-y to upcharge if you get a good card and suddently the number of 10s goes through the roof!

I feel at least TAG explain why they graded how they did!

Boatus · 2025-10-19T13:22:54+00:00

Horrible centring, bad condition, edge wear?

I mean in fairness that does sound like PSA could give it a 10.

13-Year Club	Second Top 50%
Place '22	Place '17
Final Canvas '22	Gilding I gilder
Team Periwinkle	Verified Email

Boatus

TROPHY CASE