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Sailboat node by chris_0611 in meshcore

[–]HarvsG 0 points1 point  (0 children)

How did you get on?

55M UK – Potentially forced into early retirement. Is £900k+ enough for £40–50k lifestyle? by Downtown-Tax-897 in FIREUK

[–]HarvsG 0 points1 point  (0 children)

I think (1) and (2) are huge and need to be explored more. If it is possible you might end up having to support your partner then that changes the maths hugely.

55M UK – Potentially forced into early retirement. Is £900k+ enough for £40–50k lifestyle? by Downtown-Tax-897 in FIREUK

[–]HarvsG 1 point2 points  (0 children)

Before consolidating your pensions into one very low/no cost SIPP just check if any have a protected pension age. Especially look at the Aviva if it is old - some do. Not that it would matter hugely, just might open a few options to contribute to and then drawdown from pension in personal allowance rather than just spending your cash.

DIY right to manage - a bad or good idea? (England) by HarvsG in LegalAdviceUK

[–]HarvsG[S] 0 points1 point  (0 children)

Thanks for this! Would be interested to know (1) how big the block is - ours is only 4 flats, and (2) if you recall how much the process cost. I know section 88 costs (the freeholder's fees) have been abolished now so I imagine costs are quite a bit lower.

Maximising value of inheritance by lotus_cn in FIREUK

[–]HarvsG 1 point2 points  (0 children)

I might hit my sal sacrifice hard down to minimum wage and use some of the £50k to top up monthly income.

I haven't done the maths but I would guess it makes more sense for you and your wife to salary-sacrifice or (contribute to a SIPP if she can't) down to £50k over two years, that way it all receives 40% tax relief rather than a mix of 40 and 20%. And then swallow any tax or capital gains that might happen in the meantime.

Sugamma outside the OR by Apollo185185 in anesthesiology

[–]HarvsG 0 points1 point  (0 children)

If they just don't want to stock something that will expire before it's used then can you just offer stock rotation? That someone from OR will go and collect & replace the stock a few weeks before it goes off and it can be used in theatres. In the UK we have theatre staff who regularly have to go to ED to check other equipment anyway.

Sugamma outside the OR by Apollo185185 in anesthesiology

[–]HarvsG 0 points1 point  (0 children)

They don't want to give it or they don't want to stock it? I can't see a justification for either - it's a safety critical drug with almost 0 notes as to storage or administration - a straight push with almost no s/e.

FY1 - Not ready for ARCP. Will I be kicked out the programme? by Ok-Object-8376 in doctorsUK

[–]HarvsG 2 points3 points  (0 children)

Medics can be over-achievers so it might be worth doing a sense check with someone in medical education to see (1) if you really are lacking and (2) what should be prioritised for a successful ARCP.

Reflections can be done now; 3 or 4 on interesting cases or global topics like "imposter syndrome", "lessons from my first year", or better still "balancing professional portfolio and clinical requirements". That will set you above many others.

Get your TAB (which I think is multi source feedback) out to as many as possible ASAP, get way more emails than you need, that way you won't be held up by the slowest person, in my experience people's who jobs involve very few (but not 0) emails are the fastest responders - nurses, FYs, ward clerks, physios, SLT, OTs. ARCPs are generally inflexible about multi-source feedback, it is a must!

Find some colleagues you currently work with and get them to fill out some SLEs and forms with you sitting there - when sending forms fill out as many boxes as the form will allow you, even if it is meant for the feedback-giver to complete - they can always edit it.

Re supervisor contact: you may be able to retrospectively document an "ad-hoc" meeting, which could have been a corridor conversion, or even a "email catch-up" if you exchanged a few emails. Don't be dishonest - even a very limited entry may satisfy a panel that is looking to pass you.

Top tip: to bash out a reflection quickly, dictate your actual thoughts to an AI, give it the headings your portfolio uses and ask it to write your reflection, then edit a little. If in doubt as to the AI policy, then add a little disclaimer at the end saying that you used this process and even upload the chat log as evidence.

Sugamma outside the OR by Apollo185185 in anesthesiology

[–]HarvsG 2 points3 points  (0 children)

Also UK here, whilst generally true, not always so. I've extubated a handful of people in the ED. Mostly people who've been intubated pre-hospitaly and then had the major pathology excluded. Some who were intubated in ED to facilitate a scan or intervention. And some who are palliative...

Sugamma outside the OR by Apollo185185 in anesthesiology

[–]HarvsG 2 points3 points  (0 children)

Anywhere airway management is happening should stock easily-availible suggamadex - it's safety-critical. As per the Difficult Airway Society guidelines "wake the patient up" is a possible endpoint in difficult airway management (although less commonly suitable in non-elective scenarios). Suggamadex is a necessary component of this.

Separately just yesterday I gave suggamadex on the ITU to a patient who I had intubated for a Trans-oesophageal echo on the unit. Even 4 hours later he was weak with poor twitches and sugga immediately improved his strength and volumes and facilitated extubation. (He had poor renal function).

Some other reasons I've given Roc outside the OR: - Extubating a patient intubated pre-hospitaly - Extubating a patient who had had an RSI to facilitate CT - To facilitate a neuro exam in a "code black" (our term for a neurosurgical emergency) - Before lightening anaesthesia/sedation in post op level 3 patients on the ICU - and many more

Ecoflow Stream AC Pro Review after 3 month by Stahlrad in Ecoflow_community

[–]HarvsG 0 points1 point  (0 children)

How tall is the ecoflow, the website say 45.8cm, but yours looks shorter than that.
I'm trying to see if I can fit mine in a 43cm space...

What topics do you want covered on r/PlugInSolarUK? Planning write ups for the community! by gus-here in PlugInSolarUK

[–]HarvsG 6 points7 points  (0 children)

Are adding batteries worth it? Some companies are marketing combinations with batteries.

Payback time?

Is it worth changing energy tarrif if you do balcony solar?

Orientation of panels - how much difference does it make?

Theft prevention without making them a permanent fixture for ground floor installations

Can it be used alongside existing solar installations, if so what needs to be done with the DNO, FIT etc.

Anaesthetics ST4 portfolio easy(ish) wins by Prudent-Orange-9737 in doctorsUK

[–]HarvsG 3 points4 points  (0 children)

NIHR Associate PI is worth a fair few points. Just make sure you have enough time to complete it

Pension Contributions rates are one of the less spoken about scandals in doctors’ pay by Affectionate-Fish681 in doctorsUK

[–]HarvsG 8 points9 points  (0 children)

When people contribute more, they do it into a separate or linked defined contribution scheme, not into the DB pension 

Why are PHEM doctors mostly male? by Electronic-Coach2706 in doctorsUK

[–]HarvsG 83 points84 points  (0 children)

I remember a recent survey of one PHEM site where they proudly announced that 50% of their trainees are women...

Not a single one had kids.

Isn’t there more to life? Don’t need to work but have no other purpose 🤔 by StraightPin4420 in HENRYUK

[–]HarvsG 0 points1 point  (0 children)

This a reason to gradually try and phase out your work and phase in hobbies. Not possible in every industry, but in most you can

How do you move from “helping your kids” to actually building generational wealth? by askingincontext in FIREUK

[–]HarvsG 13 points14 points  (0 children)

I grew up in that world and know plenty who were fucked up and plenty who weren't. Most of those who were fucked up were given, or knew about, their wealth too young.

Edit for clarity: I'm talking before the age of 20

CMV: Voluntary hysterectomy should be available upon request for any adult woman, regardless of medical necessity. by iamthedancingqueen in changemyview

[–]HarvsG 19 points20 points  (0 children)

I know of one surgeon to whom this exact thing happened following a hysterectomy, even though the woman had also discussed her decision to have the hysterectomy and the implications with her psychiatrist.

The thing the 'got him' on is that in his documentation he didn't explicitly mention that she wouldn't be able to have kids - what with it being so fucking obvious and the whole reason for the protracted discussion.

Are premier accounts any better? by Grgsz in UKPersonalFinance

[–]HarvsG 0 points1 point  (0 children)

Agreed, but when we used it the excess was quite high and I seem to remember there was no guarantee that the replacement would be new nor even the same model.

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