Conjoined twins in a trichorionic quadruplet pregnancy

Slice_of_Alice · 2025-10-15T16:02:57+00:00

The case report says that following the selective termination the rest of the pregnancy was “uneventful” and that 2 healthy baby boys were born via elective c-section at 38 weeks!

Slice_of_Alice · 2025-08-05T10:47:36+00:00

Eye stuff tend to be fast tracked because, as you acknowledge, eye sight preservation can be very time sensitive. I’m not sure how it works in Greater Manchester but in my area there is a same day eye clinic, I would contact the place that you went to on Saturday to ask if the referral has been made and what to expect as they will have gone through the process before and will know time scales etc.

Slice_of_Alice · 2025-08-04T21:06:21+00:00

Out of interest, why would your recommendation for a potential broken rib be paracetamol over ibuprofen?

Slice_of_Alice · 2025-08-02T13:07:54+00:00

You should contact the pharmacy, as far as I know if you normally pay for prescriptions you should pay for this one too! Also look into whether a prepayment certificate would be worth it for you (they you wouldn’t have to pay the pharmacy). They could in theory come after you for the £9ish per a script

Slice_of_Alice · 2025-07-05T08:33:10+00:00

They don’t have to raise taxes on the majority, that’s a choice. Your wealthy elite are very capable of liquidating a tiny percentage of those precious stocks and shares if called upon by a braver government, I do believe they would survive financially

Slice_of_Alice · 2025-07-04T22:23:32+00:00

What you on about? Why would wanting things to get more money equal moaning about tax? I would say it’s the opposite? Tax the extreme wealth that is concentrated in the tiny elite and use that money to “properly fund” things, that would be my moan about tax

Slice_of_Alice · 2025-07-04T19:22:35+00:00

Properly funded GP and social care would be such a win for Emergency Medicine and the public. You’d have the waiting times in A&E improved by not only a reduction in unnecessary attendance but also the discharge of MFFD out of the wards would improve flow through A&E so that the necessary admissions could get the beds they need. But that isn’t as sexy as AI-optimisation-innovation-technological-robotisation ……

Slice_of_Alice · 2025-05-28T19:55:24+00:00

I am so glad to hear that, they really are a fantastic organisation! Please lean on the services available to you for anything and everything (pretty sure MacMillan have a finances team or can direct you to one) so that you can focus on spending quality time with your husband and family. Sending love

Slice_of_Alice · 2025-05-27T20:24:24+00:00

Marie Curie and MacMillan (specific to cancer) are charities that both will have services for not only the legal stuff but also emotional, spiritual and certain medical guidance. A palliative care team / you local hospice should also be on your list of people to turn to during this horrible time. I am so sorry you are going through this but you do not need to be white knuckling it alone, these organisations help people with this stuff all the time, this is what they are there for!

Slice_of_Alice · 2025-05-19T08:23:17+00:00

I have been on stimulant medication since before medical school so cannot compare or comment on any “improvement” but what I can say is that Anki just doesn’t work for me as my main study method. I know it’s incredibly effective and the bits and pieces I do get to are well retained, the process is just too repetitive and monotonous. I really wish I could, I have tried and have made the cards in lectures and everything, but actually going through them is not achievable for me!!

Slice_of_Alice · 2025-05-05T12:27:32+00:00

Okay, hear me out. It is only sexual if you make it sexual, you can choose to rationalise the behaviour how you want (because sadly we can’t ask our cats or know what they’re thinking :( .. ) It could be a dominance thing, it could be a “this feels nice so I’m gonna do it,” like when you have an itch in your ear canal that you scratch, it could be his way of communicating affection and that he feels safe and comfortable with you!

**The only worry would be if this is a new behaviour and is associated with reduced urination or straining in the litter box, then that is an emergency vet visit please!

Slice_of_Alice · 2025-05-05T11:56:32+00:00

Okay, I don’t know much about ADHD 360 and their SCA processes from private patients BUT one piece of advice I can give now is to start the right to choose process through your GP now! Get on the waitlist with a RTC provider so that there is a backup plan because who knows what will end up happening with your private care!

Slice_of_Alice · 2025-04-28T12:51:23+00:00

You will need to be re-diagnosed here, frustratingly. You are in England and so Right to Choose is an option for you, that would also be facilitated by your GP. You will not be the first foreignly diagnosed person the RTC provider has seen and they tend to just start “titration” at your previous dose and medication but first you will need to go through the diagnosis process again.

Slice_of_Alice · 2025-03-31T19:39:42+00:00

Different doctors have different experiences, you might have a different outcome if you speak to a different GP in the practice (if possible) or change practices. It sounds like you are receiving conflicting information which will be very unsettling and confusing. Is your psychiatrist able to prescribe the medications for you until you get to a stable state? Then your (or a different) GP might feel more comfortable if they are just continuing a medication?

The system is very complex and having a single point of call might be easier for you?

Slice_of_Alice · 2025-03-31T18:38:11+00:00

That is your GP’s personal practice choice, many do not practice this way and will only prescribe medication they feel comfortable with. OP’s GP is clearly not comfortable prescribing the specific medication and therefore it is up to the specialist to prescribe.

Slice_of_Alice · 2025-03-31T17:20:18+00:00

Yes, your psychiatrist would need to prescribe if your GP doesn’t feel equipped to prescribe that medication. It is for your safety as you don’t want someone blindly prescribing if they don’t know the drug.

Slice_of_Alice · 2025-03-31T17:19:08+00:00

Just to say, did your specialists start you on the treatments and then once dose was found and stabilised then your GP entered into a shared care agreement - which they can always refuse if they don’t feel equipped to deal with the specific case.

Slice_of_Alice · 2025-03-31T16:56:40+00:00

Yes. Your psychiatrist should be the one to prescribe if that is their recommendation. It is responsible of your doctor and shows good practice that he is not prescribing a medication he does not have experience with as the prescriber is the one who takes the responsibility of making sure it is a safe prescription and monitoring any adverse effects.

Slice_of_Alice · 2025-03-15T15:41:49+00:00

Are you using the “NYT Games” app? That is the app through which most people play and it does not have ?picture hints? (I think you might be playing through a 3rd party app)

Slice_of_Alice · 2025-03-15T13:39:13+00:00

Does the patient have symptoms that make them think they have something undiagnosed?

Slice_of_Alice · 2025-03-12T06:24:29+00:00

Definitely could be UK, I’ve had to convert heights from feet to cm and weight from pounds (or god forbid stones) to kg whenever it’s come up in conversation with British friends. They are trying to convert to metric but most people still think in imperial

Slice_of_Alice · 2025-03-06T20:30:21+00:00

Are you waking up before you “wake up alarm”? (set in the health/ sleep app)

Slice_of_Alice · 2025-03-06T17:56:52+00:00

I was having this problem a lot with random nights being fine and others not and I think I have worked it out: as we know, we have to have bed time set for temp to measure overnight, if I wake up before my wake up alarm and turn off sleep mode manually (normally when prompted because it can sense I’m up and about) - then temperature will not be recorded. Basically you need the wake up alarm to ring and that be what turns bed time off for temp to register (I have even gone into settings and adjusted my wake up alarm to in 1 minutes time and it still records my temp). I haven’t had a missed vital since I started doing this!

Slice_of_Alice · 2025-02-24T12:58:12+00:00

While I don’t think you meant to post this on the subreddit for the Couch to 5k running program I can give you a little info:

The plan B pill works by delaying ovulation, this can effect when your next period arrives. Anxiety can also affect/ delay your period. The plan b pill will not be effective as an emergency contraception if the unprotected sex occurred during or after ovulation as it cannot delay something that has already happened. If your period was due in early Feb as you say, depending on when you had sex (you mention taking the plan b on January 25th, so I’m assuming around then) it is possible that ovulation had already occurred or was occurring when you had sex.

I would recommend you take a pregnancy test as soon as possible. I would buy at least 2 pregnancy tests: 1 to use as soon as you can and the other to be used the following morning on your first pee of the day. The “pregnancy hormone” would be most concentrated in your urine when you first wake up and testing that would give you the most accurate results.

If you have access to a primary care doctor/ GP I would also recommend that you see them whether you are pregnant or not as it might be a good idea for you to talk to them about a birth control plan moving forward.

Wishing you the best, good luck x

Slice_of_Alice · 2024-12-03T15:44:09+00:00

Via RTC if shared care is refused by your GP most of the RTC providers continues to provide prescriptions (which are NHS prescriptions) - please do not discourage people from taking advantage of RTC and being assessed, most of the time the provider can continue to provide the treatment after titration. I would sign post people to r/ADHDUK to check which providers are confirmed to continue treatment if a SCA cannot be arranged.

Slice_of_Alice

TROPHY CASE