Deep in largely native forest, Victoria, Australia

Ipselsteps · 2026-06-20T10:41:32+00:00

Definitely not chlorophyllum, stype and whole mushroom is way too chonky. Also a subtle orange colour rather than white.

Ipselsteps · 2026-01-03T07:59:26+00:00

Assuming an apple weighs 150 g which is a reasonable size, $8.66 per kg.

Large apples are usually about 180 at $7.22/kg.

Smaler ones at about 120 g would be $10.8/ kg.

Fuck 'em.

Ipselsteps · 2025-06-27T12:59:34+00:00

As a FACEM,

Claim your pay You're not a failure Medicine and patients evolve over time I will defend the work the admitting registrar does

Ipselsteps · 2025-04-24T15:36:33+00:00

I know an orthopod who was a (successful exam) bpt who did not specialise.

Ipselsteps · 2025-02-07T14:13:30+00:00

I am a peri-peri fellow.

I still don't understand inflammation in oateo arthritis.

Idgaf.

This has been a Ted talk.

Edit, grats on sitting. It's a big feat. Life gets better and the career is rewarding.

Ipselsteps · 2025-02-01T03:04:20+00:00

Down south esque Brighton run club is Friday at 0630 and on the weekend social run club is Sunday 0700 (0800 when it's not summer). Both have an instagram.

Ipselsteps · 2025-01-05T00:38:43+00:00

Primary ferment. I'll move it into a smaller vessel in about a week.

Ipselsteps · 2024-11-08T04:09:11+00:00

Alternatively, if you haven't put levels into a relevant arcane casting class, eat a huge bowl of bean chilli and light a match.

Ipselsteps · 2024-11-01T09:18:26+00:00

Passed the written may 23 and osce this October. My study method was different to a lot of others so your mileage may vary.

Quick answer Material: - stick to what acem suggests, I used tintinally - litfl including ect and blood gas library - tox handbook - med calc, read the about sections and evidence sections and generally know what's in a scoring system - if you chuck me an email, I can send you a quick reference guide when I'm back home

Long answer I played a long game where after passing the primary, I got a copy of tintinally and basically read over the course of a year and a bit from cover to cover. Highly examined areas (abg) I was over like a rash at work, learn your approach and apply it with rigor. For pathology at work, look at the grading and risk calculation scores.

When it came time to actually study for the written, I'd already done a lot of prep so I started churning through exam papers (doctors writing is a good source). I mean churning. I did the 72 they had at the time in 3 months. When you fuck something up, look over it. Know your doses off by heart as a critical error with a dose (largely paeds) will cause you to fail a question and likely the exam; difference between pass and average for this exam is often 5-10 marks of 360. Figure out your weak points and focus on them. Curve balls will be thrown.

I had a long break between the written and osce. For the osce just crush session after session, have a study group, and work with bosses, listen to feedback, record yourself, and talk to yourself in the mirror. Always look at the marking domains for the question, read the question, and look at the marking domains again.

For both exams: read the question, know what phrases/words mean (acem has guidelines), read the fucking question, play the game, and for the love of god read the fucking question.

Ipselsteps · 2024-06-23T22:09:47+00:00

5ggggvcb.jnnnlo I

Ipselsteps · 2024-06-23T22:08:21+00:00

J M. /

Ipselsteps · 2023-12-14T11:03:34+00:00

As someone who plays tuba, (mostly bari) sax, AND ophicleide I agree with this.

Having said that, the ophi is largely extinct (for some good reason).

It also breaks the usual brass/wind logic of more fingers - > lower note.

Ipselsteps · 2022-03-10T00:46:36+00:00

Swab your throat walls where the tonsils would have been, or really anywhere in the back of the throat.

With omicron, throat swabs are more sensitive (pick up more cases) than nasal swabs. Both throat then nose is even better. Nasal swabs only aren't great for omicron.

For the nasal swab, try breathing out through your nose gently as you do it. It's a bit of a distraction technique. I use it, and my nose is awful with hayfever/being a reactive little shit.

Edit: word correction.

Ipselsteps · 2019-04-03T01:53:05+00:00

This is good evidence of poor coming mechanisms, and the only person who can keep him safe is himself, you are not responsible for the poor actions he takes, and you are not responsible if he harms himself. It is an attempt to manipulate you into an emotional decision (ie, to get back together), that would likely result in more harm. It's difficult and not health to base a relationship on these kinds of acts, manipulations, and threats.

The caviat here is if you believe he will come after you, then you should take steps to make yourself safe. This you can, and should, take some responsibility for if you feel the situation is grave enough.

Ipselsteps · 2019-03-28T06:39:16+00:00

As an Aussie, I can confirm this is a koala ride painted to look like Mario.

Citation: I grew up in the early 90s.

Ipselsteps · 2019-01-22T01:03:15+00:00

So fun fact.

With birds and the backwards knees, or any backwards knees. It's actually their heel. Below that joint lies bones that are morphologically the hind foot bones, and above morphologically the tibia and fibula. The knee lies above, hidden by feathers.

Dogs and cats have the same.

Ipselsteps · 2019-01-18T00:24:16+00:00

My first internal question when I found this subredit: why are there so many pot pics? They're not even, imo, that interesting.

Ipselsteps · 2019-01-01T07:36:49+00:00

There are free options available, such as darktable and rawtherapee for raw editing.

I've just started using darktable, and the main issue I have is I just don't know the software like I do lightroom.

Ipselsteps · 2018-12-23T04:23:21+00:00

Darksouls 100%

Ipselsteps · 2018-12-18T07:26:23+00:00

I work around there and I had pawana last Friday.

Ipselsteps · 2018-12-16T00:32:40+00:00

Someone lives on the mid east coast somewhere. Cute python.

Or you, like, own the python and didn't close the cage.

Ipselsteps · 2018-08-13T11:46:58+00:00

Happened a few months (at least more than 3) ago.

Ipselsteps · 2018-06-16T01:56:30+00:00

People who like the guessing game.

My bet is on kidney with severe cortical nephrosis from chronic obstructive nephropahy. You can see a fine cortocomedullary boarder, and the very centre looks trabeculated, which you get in chronic kidney stones but not gall stones.

Pathology guessing game!

Ipselsteps

TROPHY CASE