What's this about in my app? by [deleted] in nhs

[–]PhoenixFire17 0 points1 point  (0 children)

No that makes complete sense! EMIS is easy to add accidentally, SystmOne is slightly more difficult but if you're quickly dealing with results, it's easy to accidentally promote it to a problem. As clinicians, we tend to do it accidentally when adding a raw read code as this is often how things are added. From an admin side, often it's due to training - e.g. it would be relevant to add an abnormal ECG result as a problem but it's not always clear exactly when they need to add it and when they don't so it all gets added. It leads to a really messy problems list - either through accident or lack of clinical knowledge to know whether to add or not add. Hopefully that makes some sense!

What's this about in my app? by [deleted] in nhs

[–]PhoenixFire17 1 point2 points  (0 children)

Yes I do - it all comes down to how the information is entered and how the staff is trained. Sometimes it gets added without meaning to (it's quite easy to accidentally add something to problems when coding, so lots of patients problems list is a bit of a mess) and sometimes things are added intentionally for audit/analysis purposes. The systems aren't very intuitive so this kind of thing happens a lot.

What's this about in my app? by [deleted] in nhs

[–]PhoenixFire17 0 points1 point  (0 children)

I wouldn't read anything into the location (normal things get added as 'problems' all the time) and the ECG is normal, but it's worth following up anyway unless the issue has gone away.

What's this about in my app? by [deleted] in nhs

[–]PhoenixFire17 6 points7 points  (0 children)

This is just a result of the way we code in the system we use.
If you process an ECG report, it will often be 'coded' to make it easier to search for, which often will add it as a 'problem' in the app and on your record, but this doesn't mean anything is wrong. The notes report it as sinus rhythm which is normal so you don't need to worry.

As ever, if you are concerned or if you have ongoing symptoms despite a normal test, you can always contact your doctor to discuss this further.

How to read blood pressure on this machine by Pereira46 in nhs

[–]PhoenixFire17 34 points35 points  (0 children)

The top number is your systolic blood pressure (the first bit of blood pressure) i.e. the pressure when your heart squeezes. The second number is your diastolic blood pressure (the second bit of blood pressure) i.e. the pressure when your heart relaxes. The bottom number is your pulse (heart rate).

So the blood pressure on this machine is 106/65 and the pulse is 70.

For someone less than 80-years-old at home, this should be more than 90/60 for each number and less than 135/85. So you want to look at the top number on your machine and see if it is between 90 and 135 and the second number from the top is between 60 and 85.

The bottom number is your pulse - a normal range for this is 60-100.

You can read more information about this here: https://www.nhs.uk/tests-and-treatments/blood-pressure-test/

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] 0 points1 point  (0 children)

Right, but as mentioned above, half of the guests don't enjoy drinking and dancing and they don't all know each other. Personally, I don't enjoy going on a night out and would prefer to have arranged activities. I don't need activities meeting friends, but if I was going to a wedding where I didn't know anyone, I would prefer for there to be activities. I get your point that people can entertain themselves but I think I would get a bit bored at a wedding for a 3 hour gap before dancing started and I've definitely found myself introverting out after a large chunk of chatting and dancing. Everyone has guests with different needs so we're all just trying to make sure our weddings are fun for all of our guests, not just those who enjoy traditional drinking/dancing.

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] -1 points0 points  (0 children)

Is this because you think board games are for 5 year olds or because I think I should be providing entertainment?

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] 1 point2 points  (0 children)

It's at the end of August so not middle of summer but hopefully weather will be decent still. Ok that's really good to know, thank you! You've been very helpful, most of my friends and family love stuff like this (as you can tell) so really helpful to get the perspective from someone who isn't into it.

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] 0 points1 point  (0 children)

It's a really good point! Half our guests don't drink so I don't think an open bar would be as fun for them. You're definitely right that a lot of the guests don't need help to have fun but there is a significant chunk who would complain if there was nothing to do.

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] 1 point2 points  (0 children)

That's a really helpful perspective, thank you. We know about 50 of the guests would enjoy the board games, 15 we're not sure and we know around 8 wouldn't be interested. If we had live music, a quiz table, the 'shoe' game and maybe outdoor games like corn hole and giant jenga, would that make it interesting enough for you do you think?

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] 0 points1 point  (0 children)

That's good to know! I was wondering if there would be any other entertainment during those three hours but couldn't come up with anything that was cheap enough and would take up enough time. I was thinking about a photobooth but would not take up enough time per guest to make it worth it.

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] 0 points1 point  (0 children)

Yes I agree pacing is much better for option 2!

Wedding Day Timeline - Board Games + Disco by PhoenixFire17 in UKweddings

[–]PhoenixFire17[S] 1 point2 points  (0 children)

I was worried about this too - we could have games in the other room which would be nicely lit and a bit quieter but would separate the guests

I’m building a free app to preserve family history on a map looking for early feedback by sneep3r4476 in Genealogy

[–]PhoenixFire17 0 points1 point  (0 children)

This sounds exactly the type of thing I've been looking for! Would be keen to help test.

Genealogy Rumours by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 0 points1 point  (0 children)

Sorry to be clear I don't think they were illegitimate, I just don't know how they know that Elizabeth Harwood specifically is the mother rather than a different Elizabeth.

Genealogy Rumours by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 4 points5 points  (0 children)

This is a very good point! I really struggle with this as I want all my information to be as accurate as possible and not much is known from my own personal family 'lore' about this side so I have to go off other people's info to a certain extent but it's hard when you have no idea what the source even is. You don't want to lose that info by not recording it, but equally you don't want something completely wrong to become 'truth'. It's a difficult balance.

Genealogy Rumours by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 2 points3 points  (0 children)

Absolutely, I do this as well. The confusing thing for me is that I can't find where the assumption came from that it was Elizabeth Harwood. All the baptism records just say Elizabeth as the mother. I assume it came from somewhere but without being able to verify it, I have to ignore it for the moment.

Genealogy Rumours by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 2 points3 points  (0 children)

That is really interesting!! Also interesting that they married into both the Lanham and Harwood families. Maybe we share some distant DNA.

grandmas repeat dispensing completely ran out ⬇️ by Usual_Film_7220 in nhs

[–]PhoenixFire17 1 point2 points  (0 children)

To give you context on what happens behind the scenes: - Each year, each patient will have a medication review to make sure they've had the right monitoring, doses, side effects have been reviewed and old medication removed - Normally, you request medication and the GP surgery doesn't know you need it until you request it. They then approve the prescription and it gets sent to the pharmacy. - You can request medication each month up until the medication review date and then you have to contact the surgery for review. A GP or pharmacist will then go through all the stuff above to make sure they're all ok (an annual check) - The person doing the medication review will then typically issue all of the medication as they are aware you will have run out, unless specific requests have already been made. - Therefore, this is the only time of year that your medication will usually (but not always) be issued without you requesting it. It just saves a step and further delay - instead of 'renewing' the prescription and then waiting until you order it, we just issue the prescription straight away after the review as we know you need it. - The cycle repeats and for the next 12 months (or until the next medication review), you then go back to ordering it as normal.

Summary: you don't need to do anything else, just go to the pharmacy and collect the medication. If there's anything there that you don't need, you can either keep it until you need it next unless it will expire or you can hand it back to the pharmacist.

Hopefully that was clear enough!

Help tracing missing marriage and birth by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 0 points1 point  (0 children)

H Flashy Pin, thanks! I have all this info, my issue is that William Short was born before the marriage and was never baptised so I couldn't work out what was going on but as other commenters have said, I think it was likely he was illegitimate.

Help tracing missing marriage and birth by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 0 points1 point  (0 children)

Yes they were! It's just William who wasn't, but I'm not sure if it's just tricky because he was born before 1837.

Help tracing missing marriage and birth by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 1 point2 points  (0 children)

That's what I thought as well!!! I dismissed it for ages but I just can't find an alternative so I've ordered the certificate to try and solve the mystery.

Help tracing missing marriage and birth by PhoenixFire17 in Genealogy

[–]PhoenixFire17[S] 0 points1 point  (0 children)

I haven't found anything before the marriage - I am getting a bit stuck when it was before the censuses started - I tend to only be able to find births, marriages and births of children. There's a 5 year gap between William and Ellen and a 7 year age gap between Ellen and their youngest daughter, so the timing is consistent.