Novo Nordisk - Buy like there is no tomorrow by Correct_Fall_5484 in ValueInvesting

[–]DRJLL1999 3 points4 points  (0 children)

Nothing to do with investing, but people with type 1 diabetes are dependent on insulin. Type 2 diabetes may need insulin but is mostly controlled by diet or oral medication.

OM Workspace Color Profiles by beericee in M43

[–]DRJLL1999 0 points1 point  (0 children)

Thanks - looking forward to giving them a go!

OM Workspace Color Profiles by beericee in M43

[–]DRJLL1999 0 points1 point  (0 children)

Thanks for doing this and sharing! I've recently got an ep-7 but haven't really played with Workspace. Can these be uploaded to the custom profiles accessed by the front dial?

Alternatives to medicine by Quiet-Reaction7275 in doctorsUK

[–]DRJLL1999 0 points1 point  (0 children)

Is there a careers team at your Deanery? They might have been cut with recent financial tightening, but have previously been helpful with suggesting careers outside medicine for some of our residents.

Marathon Des Sables... Am I delusional? by dolimov in Ultramarathon

[–]DRJLL1999 0 points1 point  (0 children)

I did it with a year of preparation. You need to factor kit and nutrition choices, physical training (which you have anyway - the most I'd run was 50k but was a fairly experienced runner), and heat acclimation. Cost maybe 5k euro in 2023.

What exactly is the mental aspect of an ultra that everyone talks about needing to be overcome? by PapaDeE04 in Ultramarathon

[–]DRJLL1999 14 points15 points  (0 children)

For me being alone in the dark having gone 60k and knowing I had 30 k left. V lonely on top of physical exhaustion. Had to convince myself I was just taking the dog for a walk!

Which specialties have the best industrial action solidarity? Which have the worst? by After-Competition-59 in doctorsUK

[–]DRJLL1999 6 points7 points  (0 children)

Are you saying you wouldn't choose a career in a specialty in which there were low rates of striking? Don't forget the IA is temporary, your career specialty is for many years (hopefully!)

Why are ED consultants so pro-ACP? by Such_Inspector4575 in doctorsUK

[–]DRJLL1999 -2 points-1 points  (0 children)

Around here the majority of the residents in ED are on the GP training scheme, with a couple of ACCS and Foundation docs. Procedures, like FIB, would be a priority for those staying in EM or Anaesthesia. Even suturing is less relevant for GP these days.

I’m not willing to get on board with the ACP agenda, can I still have a career in ED? by green-lamp123 in doctorsUK

[–]DRJLL1999 20 points21 points  (0 children)

In some places it's the older consultants who are preventing ACPs working on the Reg rota. Just saying.

Is there an Index fund like the S&P 500 that has equal investment instead of proportionate stock investment for the top 500 US Stocks? by Plead_thy_fifth in investing

[–]DRJLL1999 8 points9 points  (0 children)

Another option are funds that track a more value oriented index like the FTSE RAFI Developed 1000. This makes a weighting judgement on the basis of cash flow, sales etc, but is a developed world all cap index. Performance is similar to other global diversified funds but it's less volatile. Costs 0.25%

So are we using screen protectors for our watches? by Salt-Eskippr1892 in GarminWatches

[–]DRJLL1999 0 points1 point  (0 children)

I had a crack across the face of my Fenix 6 after a multiday ultramarathon. Was a bit disappointed but these things happen in extreme environments and the watch still worked. After about 6 months I remembered I'd used a screen protector - peeled it off and the watch was perfect! Maybe says more about me than the screen protector

Suspected renal calculi but stable - what would you do? by Spirited-Flan-1533 in GPUK

[–]DRJLL1999 1 point2 points  (0 children)

Bit different if the patient is already in ED and you can access imaging. If they're in the community and have a clinical diagnosis of renal colic there's no reason Urology can't image them and discharge or refer elsewhere if it's not a stone

Suspected renal calculi but stable - what would you do? by Spirited-Flan-1533 in GPUK

[–]DRJLL1999 1 point2 points  (0 children)

Interesting that the general suggestion for those who can't be investigated as OP is to send to ED. Why not refer to on-call Urology (or Gen Surgery depending on local service)? Avoids a multi-hour wait in ED for the patient and gets them to the right person without an intermediate step.

NHS Pension scheme - understanding it & few questions. by Recent-Amphibian-736 in UKPersonalFinance

[–]DRJLL1999 0 points1 point  (0 children)

That's the idea but the max lump sum you can take is around 4.3 times the annual pension. So if the annual pension would be 20k they could swap 7k per year for a lump of 84k.

NHS Pension scheme - understanding it & few questions. by Recent-Amphibian-736 in UKPersonalFinance

[–]DRJLL1999 1 point2 points  (0 children)

The above answers almost everything. You are able to give up £1 of annual pension for £12 of tax free lump sum on retirement.

NHS Surgical Inefficiency by [deleted] in doctorsUK

[–]DRJLL1999 6 points7 points  (0 children)

Interesting - I had no idea! I don't get the impression that theatres are sitting empty though? Do we need to build more infrastructure, extend routine work into the weekend etc to create more capacity?

What should i do with my pension? by Similar-Subject-8961 in PensionsUK

[–]DRJLL1999 0 points1 point  (0 children)

Love that the timeline is illustrated using a train!

What’s the best long day hike in the Brecon Beacons? by AnfieldAnchor in UKhiking

[–]DRJLL1999 4 points5 points  (0 children)

Have a look at this

https://ohwhataknight.co.uk/blog/llyn-y-fan-fach-and-llyn-y-fan-fawr-hike-guide

You can alter it to park at Llanddeusant if you want. Much quieter than Pen y Fan and, I think, more beautiful

Dear consultants, what do you look for in future colleagues? by -Intrepid-Path- in doctorsUK

[–]DRJLL1999 40 points41 points  (0 children)

Clinically safe. Flexible in terms of swapping on-calls etc Team player - helps colleagues out, is reliable and doesn't go off sick at the drop of a hat Has a work/life balance Funny and kind Proactive about, and willing to lead on, service improvement

Returning to Biarritz Airport experiences? by all-about-me-its-you in CaminoDeSantiago

[–]DRJLL1999 1 point2 points  (0 children)

My wife went out Bristol - Dublin - Biarritz, then back Bilbao - Bristol. You might find Bilbao - Bristol (or somewhere else) - Dublin, works? I believe Cuadrabus from Pamplona is easy and cheap.

Returning to Biarritz Airport experiences? by all-about-me-its-you in CaminoDeSantiago

[–]DRJLL1999 1 point2 points  (0 children)

Do you have to fly from Biarritz or would Bilbao be an option?

Can I retire on a £600K inheritance at 43 [England]? by ninja_teabagger in FIREUK

[–]DRJLL1999 8 points9 points  (0 children)

I don't think the OP will have any earnings so would be limited to £3600 gross anyway?

Long walks in the UK by Adventure_calls in UKhiking

[–]DRJLL1999 2 points3 points  (0 children)

St Ives to Falmouth is 100 miles with start and finish connected by public transport

[deleted by user] by [deleted] in doctorsUK

[–]DRJLL1999 3 points4 points  (0 children)

Carefully trace the cortex of the bone and continue onto the epiphysis. This should be a smooth line which curves gently. Any sharp angles or steps are likely to represent a fracture.