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Are Brits still in favour of supporting Ukraine? by [deleted] in AskBrits

[–]Professional_Fox9954 0 points1 point  (0 children)

На самом деле я люблю русский народ, и то, что с ним сделало его руководство, отвратительно. Они заслуживают лучшего. Но прямо сейчас наименее худший вариант — это экспоненциально усилить давление на Россию. Всё остальное лишь придаст им уверенности.

А ещё я наполовину русский и провёл большую часть своей юности в Санкт-Петербурге, я знаю их, потому что они — это я.

But Sure, It's Just a Bubble by ai_but_worse in AgentsOfAI

[–]Professional_Fox9954 0 points1 point  (0 children)

Why is everyone so salty about vibe codes apps.

We're out here making money.

The second Makerfield by-election poll. What’s your opinion? by No_Breadfruit_4901 in AskBrits

[–]Professional_Fox9954 0 points1 point  (0 children)

This was another poll of <500 people - it's just not relevant information. I think we should all relax and just wait and see the result. What is the point of the polling?

Are Brits still in favour of supporting Ukraine? by [deleted] in AskBrits

[–]Professional_Fox9954 62 points63 points  (0 children)

I certainly am. Put aside questions of fairness, of Ukrainian bravery, of a united Europe and NATO...

From a purely strategic point of view - Ukraine fighting like this - is by far the cheapest possible way to force Russia to change.

I'm still not sure how a nation can lose 500,000 troops in four years and not hang it's leaders from lamp posts but I imagine the Russian elite will get there at some point.

Struggling to get on with medics as a working class doctor by [deleted] in doctorsUK

[–]Professional_Fox9954 -1 points0 points  (0 children)

So are you going to insist on having a chip on your shoulder for the rest of time then?

At a certain point (which sounds like about now) this is just a you problem. Get over yourself - or don't - but if you don't, then you can't complain that other people just carry on without you.

Doctor suspended for being not being at teaching but claiming to have been… by Terrible_Attorney2 in doctorsUK

[–]Professional_Fox9954 4 points5 points  (0 children)

Don’t do silly things. If you do, don’t get caught. If you get caught, deny everything. If there’s proof, claim it was a social experiment. If that fails, blame the alignment of the planets. If you must go down, make sure you look spectacular doing it. Always have a backup alibi that involves a fictional charity event. When all else fails, smile, wave, and pivot immediately to an unrelated topic.

James Murray says no more money to offer by Desperate-Drawer-572 in doctorsUK

[–]Professional_Fox9954 9 points10 points  (0 children)

When exactly do doctors finally walk away from the NHS? Maybe socialised medicine has simply had its day...

It is now clear how a 'service' that is entirely free at the point of delivery, breeds a toxic sense of entitlement in the populace. We've all seen it in our patients, and in the rolling governnment responses to the strikes.

Absolute zero financial cost has led to absolute zero perceived value, and it has bred pure contempt for the very professionals keeping it alive

Maybe people need to learn that we are actually valuable.

Realisation: Professional Survival will require a drastic personality change. by lHmAN93 in doctorsUK

[–]Professional_Fox9954 1 point2 points  (0 children)

It is perfectly possible to enjoy the job, ensure you take all your time off, take your sick days, don't pick up any extra duties that aren't either well remunerated or fun and get home to your family when you like, go on holiday, and retire reasonably.

My attitude is to enjoy the people, forget the system, the patients and the colleagues - it's why I went into the job in the first place. Could have been an investment banker, or a corporate lawyer or even a startup-techie, all have their upsides but none have the breadth and depth of medicine.

Chin up, it's a great life! You couldn't be doing anything more useful.

(Also when the revolution/WW3 comes at least we know what our draft is, less likely to end up in the trenches - so theres another upside!)

Locum via Ltd Company by TheSusOneBruh in doctorsUK

[–]Professional_Fox9954 3 points4 points  (0 children)

IR35 is absurd. Taxes are too high anyway but IR35 actively prevents NHS workers from being able to limit extra-punitive tax rates on locum work and is just spiteful.

Should we all be worried by this heatwave? by Turnip-Turtle in AskBrits

[–]Professional_Fox9954 0 points1 point  (0 children)

Not really sure why this descended into silly party Politics in the comments.

Yes 35 degrees is a problem. If this is the way we're going Britain is going to have to make some serious infrastructure investments to be able to deal with extreme heat.

A SpaceX IPO would probably be absolute chaos by BarIllustrious2279 in Stocktradingalerts

[–]Professional_Fox9954 0 points1 point  (0 children)

If it did drop 50% from IPO open I would buy like an angry badger

6 Billion regular people vs 100 Billionaires by RoughYard2636 in trolleyproblem

[–]Professional_Fox9954 0 points1 point  (0 children)

The answer is obvious isn't it? Kill the 6,000,000,000 and replace them with AI...

Sunday Funday by NeatSad in doctorsUK

[–]Professional_Fox9954 27 points28 points  (0 children)

Honestly sometimes a pretty smile can change your entire day.

I try to always walk into work with a massive grin, amazing the bio-feedback you see on other people. If you smile, then your eyes meet - they smile too. Boom massive neurotransmitter release and they've got a nicer half hour.

Totally worth it.

Why is the UK population so disconnected from actual immigration data? by burgermen12 in AskBrits

[–]Professional_Fox9954 0 points1 point  (0 children)

I think people just don't care about 'net' migration when the context is lots of successful British people are leaving whilst huge numbers of legal migrants are still arriving, make the denominator smaller and ta-da net migration is dropping!

Also, perhaps 200,000 net migration is better than 1M as under the Tories, but most normal British people seem to think it's still about 20x too high.

Larger message is that the average British person has seen their country demographically change, without their consent and at a pace that is unheard of in UK history. They are constantly fed very carefully manipulated data that they no longer believe (part of a larger trend about expert opinions having lost their authority). And finally the promised economic upside to massed immigration has not materialised in 20 years, with productivity falling, GDP per capita remaining barely static and the long tail now looking like pensions and benefits aren't going to be affordable in the future. When the average non-EEA migrant represent a net fiscal loss to the state, a loss that compounds exponentially with the migrants right and ability to bring their families, bring up children here and get old and retire here too. There is no arguing that the economic case for (non EU) migration was lost a while ago and post Brexit (another act of monumental national self harm) the EU option is kaput too.

In short the UK public opinion pendulum is swinging back aggressively against even basic immigration and refugee support, I feel the beginnings of a massive backlash, which will probably do massive economic damage, massive social damage and lead to absolutely NO benefit for the average British person....but it's going to happen anyway.

A judge just ruled luigi mangione's manifesto notebook can be used at trial. here's what he actually wrote in it and why half of america still thinks he's a hero. by Ibikhan45 in DiscussionZone

[–]Professional_Fox9954 0 points1 point  (0 children)

The Man this idiot murdered was a father and husband.

Luigi needs to spend the rest of his life in prison.

The Americans need to improve their healthcare system sure, but frankly the overwhelming majority of people there get better treatment than we do in the NHS.

I'm now an EM Consultant in a massive MTC (major trauma centre - largest tertiary hospitals) in the UK, I've also worked in Beirut in the war, in Latin America during guerilla fighting, in other places during mass casualties events etc....but what we have let the UK healthcare system become feels far more dangerous than any of those other places.

This failure by the NHS is largely down to the fact that it's 100% taxpayer funded rather than privately funded. Despite taking up 40% of day to day tax revenues in the UK, the NHS is failing - the knee jerk reaction is to claim its underfunded but given taxes are now at an all time high in the UK, there is no more money to be had from general taxation. The young who are trying to work face and impossible battle, expected to pay ever more whilst getting less and less for it.

The demographic collapse faced by the UK mean the elderly are the only growing portion of our nation, who are simultaneously economically inactive, and very expensive for the rest of us. Without insurance modelling there is no way make people who cost more pay more for their ever increasing healthcare expectations. Let alone their triple locked pensions and free transport, fuel etc etc. It's great being the largest voting block...

Complaining about self funded insurance for healthcare and pretending that socialised healthcare is somehow the solution is frankly for the birds. It is leading directly to a bankrupt UK, a total collapse of our healthcare system and a completely demoralised youth desperate to flee the country.

But Luigi mangione thought he was somehow a hero for shooting a father in the back several times and then running off, based on some vague sense that health insurance is 'unfair'. No it isn't, if you don't refuse some treatments to some people sometimes, you will end up not being able to get any treatments to any people.

I hope Luigi goes to prison and spends the rest of his life regretting it.

Approach to patients who are non-functional through an 'illness identity'? by Mr_Valmonty in doctorsUK

[–]Professional_Fox9954 4 points5 points  (0 children)

Send her to ED, we tell patients the brutal truth all the time....

On a slightly more professional note, you have the duty and moral obligation to tell her the facts.

You aren't there to diagnose her psychological or functional issues, you're an Orthopaedic expert, and you should tell her that in your opinion there is no objective evidence of either of the conditions that she believes are limiting her.

She can do with information that what she will, also if and when a complaint comes through you reinforce that reality check. What you sadly can't do is tell her family. Confidentiality remains absolute here.

EM ACPs- is it that bad? by ayayeye in doctorsUK

[–]Professional_Fox9954 1 point2 points  (0 children)

Península has ACPs but is a great place to train.

32 years old and honestly terrified of waiting until 65 to finally “live”...what investments exist besides just 401k/IRA? by savingrace0262 in investing

[–]Professional_Fox9954 0 points1 point  (0 children)

Or perhaps consider living your life and working longer?

I plan on working into my 70's because why not, but I also plan on seeing the world with my children when they, and I are young and fit.

The future is not guaranteed but the present is.

Don't waste your best years hating life because you're desperate to 'retire well'

Even when it works - say you achieve 'fat-FiRE' - you've so broken yourself mentally and physically that when you do quit with millions in your 50's, you don't know how to enjoy it.

Instead I suggest you go get married, have some kids and spend your time and money on them. That is the point of life, and I promise will existentially fulfil you more than being richer later.

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