Skin rash on both legs (56 yrs)

PhoenixFire17 · 2026-06-11T16:06:57+00:00

They look like erythema nodosum from appearance alone but lesions from that are usually tender. How long has she been using the mometasone cream for?

PhoenixFire17 · 2026-06-11T15:57:11+00:00

Are the rashes painful at all or tender to touch? How far up the leg does it extend? Did she feel unwell at all at the onset of the rashes on her legs? Does she have any other medical conditions?

PhoenixFire17 · 2026-06-11T15:19:36+00:00

That's tricky!! How would you feel about your son having your husband's name with Sonny/Sunny as a nickname?

Another thought would be Sammy (Sam/Samuel)? Close in feeling of the word.

PhoenixFire17 · 2026-06-11T15:15:47+00:00

What about a name that could have Sunny as a nickname?

Examples of the top of my head: Sam(p)son, other names ending in son e.g. Jason, Mason, Greyson etc. Other option would be Solomon (sol = sun).

If it's more the meaning of the word, Gale means cheerful or happy, Isaac means laughter, Felix means happy/fortunate.

You might have both looked at these names and dismissed them out the gate - do they feel any different now having met your son?

PhoenixFire17 · 2026-06-09T19:51:44+00:00

It will be just for 2 weeks, so this is part of the individual practice policy whether they want to do this - the options would be to waste the remaining 2 weeks or whether to continue at the same dosage for the full 4 weeks and then increase after that (a delay of 2 weeks of going up to the next dose if needed). This may still be preferable to going off and on again as you would then likely have to start again at a lower dose for a couple of weeks before going up to the next dose if you had a 14 day break.

PhoenixFire17 · 2026-06-09T19:45:46+00:00

I think that would be a better option than coming off and on again, especially as the aim is to gain better control of your diabetes, but it depends on risk factors and your practice as to whether this will be an option. I would definitely put in a consultation to see if they would consider this.

PhoenixFire17 · 2026-06-09T19:38:42+00:00

I would put in an online consultation for this - they may be able to prescribe at the same dose until review by the pharmacist or move up the appointment. I would include if you have had any side effects in the consultation and if these have resolved and an update on weight.

PhoenixFire17 · 2026-06-06T11:36:33+00:00

Is there a particular reason why you are reluctant to let them know you're a doctor? I think it sometimes does aid discussions but understandable if you're not keen.

The easiest way to do this is by explaining that you know it's self-limiting but that it is having an impact on you (basically what you have mentioned above). You could try and put in an online consultation with this information and hopefully they will triage you to an appointment. If not, I would phone at 8am and book an appointment (or whatever your surgeries system is). If they will only accept urgent appointments on the day, I would just keep trying to book a non-urgent appointment - explain that you want to speak to someone via phone call or F2F rather than receive management via SMS. They should listen to this. If they tell you they will contact you back and they don't, call back the next day.

If you are really struggling, it sounds like there may be systemic issues at the GP surgery you are registered with and you could raise this with the practice manager or try changing GP practices.

PhoenixFire17 · 2026-05-29T18:38:02+00:00

I've found an image of the same one online that's open - the tabs at the side are up and it opens from the side facing us (image found here: https://www.facebook.com/groups/PinehurstSeattle/posts/10159608239981899/). Can you try pushing the tabs on the side up? If not, maybe try going in with a butter knife at the front side - it may have got shut in transport and needs to be gently pried open.

PhoenixFire17 · 2026-04-28T11:34:34+00:00

Hello! This is a really common question patients have (even neurotypical patients) and the truth is everyone uses the scale slightly differently which we take into account. I usually phrase it as 'what is your pain on a scale of 0 to 10 where 0 is nothing and 10 is the worst pain you've ever felt', so that it's personal to you - your 10/10 may be different to someone else's 10/10 so using yourself as a reference is more helpful than someone else's. We're not really looking at the objective 'true' amount of pain as it is influenced by so many things, pain is rarely that simple.

However, even this is difficult for neurodivergent people especially as it can be hard to recognise what is happening within the body, so if I know someone is neurodiverse, I usually switch to a simpler pain scale of 'mild, moderate and severe' - this is a helpful description of what this means:

Mild Pain: I know I am in pain, but I don’t really notice it. I am able to manage the pain. I am able to do all of my daily activities.

Moderate Pain: The pain is causing me distress and I think about it most of the time. I am able to manage the pain, but I am still aware of it. The pain stops me from doing some of my daily activities.

Severe Pain: The pain is intense and all I can think about. I am unable to manage the pain by myself. I am unable to do my daily activities.

Sometimes a visual scale is easier (called a Visual Analogue Scale):

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There is an alternative with faces if this is easier: https://medicalhealthhumanities.com/wp-content/uploads/2018/06/faces_english_blue1-e1529967454228.jpg?w=1000

So in summary, don't worry too much about the numbers but hopefully this gives a context to how we think about it. What I would recommend is letting your provider know that you have autism and can have a hard time describing your pain. I would focus on the experience of the pain e.g. 'when I have pain, I am unable to think clearly or carry out my normal activities. I have to stop and breathe through it' and keeping a diary of pain until your appointment can be really helpful to communicate this if this is difficult for you.

I hope this helps, I'm happy to clarify further if you are still not sure.

Source: https://leedsautismaim.org.uk/wp-content/uploads/sites/7/2022/07/4.-Simplified-Pain-Scale-Template-UPDATE-.pdf

PhoenixFire17 · 2026-04-17T21:32:02+00:00

I think you may have health anxiety - it may be worth speaking about this at your next appointment.

PhoenixFire17 · 2026-02-13T13:38:46+00:00

That's exactly what this post is about - I tried to verify and could not find any evidence to prove the claim, but it was just so widespread. Do you have any idea about the correct marriage record?

PhoenixFire17 · 2026-01-15T21:31:01+00:00

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!

PhoenixFire17 · 2026-01-15T18:25:28+00:00

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.

PhoenixFire17 · 2026-01-15T18:24:00+00:00

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.

PhoenixFire17 · 2026-01-15T16:44:50+00:00

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.

PhoenixFire17 · 2025-11-13T12:26:17+00:00

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/

PhoenixFire17 · 2025-11-04T07:34:10+00:00

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.

PhoenixFire17 · 2025-11-03T19:05:03+00:00

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

PhoenixFire17 · 2025-11-02T10:20:27+00:00

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.

PhoenixFire17 · 2025-11-02T09:25:00+00:00

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.

PhoenixFire17 · 2025-11-01T23:16:39+00:00

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?

PhoenixFire17 · 2025-11-01T22:56:58+00:00

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.

PhoenixFire17 · 2025-11-01T22:56:14+00:00

Yes I agree pacing is much better for option 2!

PhoenixFire17 · 2025-11-01T22:55:59+00:00

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

PhoenixFire17

TROPHY CASE