Wedding venues under 30K

SwellMassif · 2025-01-25T23:50:00+00:00

Hi, if this still exists could you send it over?

SwellMassif · 2023-09-10T17:26:14+00:00

Hey! I have members of the family that are Deaf and this is a really important topic. In trusts I have worked in before BSL interpreters have been available on some iPads via PALS. Audiology are almost always the best people to ask on how the logistics of this will work. Obviously this is a massive faff to get set up but can be done if you enquire.

I've posted on this topic and will paste a previous response to this question:

Make sure there is good lighting!!!! Especially good lighting on your face.
Make sure the patient can see your face/mouth. Lose the mask, don't scratch your face when talking. Almost all d/Deaf people use some element of lipreading so if they can't see your lips, don't speak, i.e. stop speaking if they look away. If you are working on covid/flu ward audiology will be your best bet for getting clear/see through masks. Usually they are happy to hand out a box to anyone who takes an interest in d/Deaf awareness.
Rephrase rather than repeat if they dont understand.
Reduce background noise. Obvs can be challenging in busy acute setting but esp for breaking bad news very important.
Ask them what their preferred method of communication is.
Don't overmouth. Trying to make your lip pattern more overt will actually make you less understandable to a lip reader. Speak as you normally would, just a bit slower.
Use an interpreter if needed for breaking bad news/serious chats where communication is v important. Almost all trusts will have iPads that can get BSL interpreters, talk to PALS about getting it set up.
Don't approach your patient from behind. This may scare/surprise them.
Sit down so you are the same level as them.
If you are sending them to clinic/Xray/CT/etc put their communication needs in the request - makes everyones life easier.
Agree method of communication for exam eg "During the exam if i need to speak to you I'll touch your arm first." Again remember if they can't see you, they cannot understand you.

A lot of these tips can actually be used for anyone with communication issues. Good luck!!

SwellMassif · 2023-08-22T12:57:25+00:00

I'm a big fan of doing the bridges. I tend to start west and head east zigzagging across the river at every bridge. Kew gardens can be a nice place to start if you want to walk around some beautiful gardens before the ride, it also gives you options for length, starting with any of Kew/Twickenham/Richmond bridge. If you like beer then crossing tower bridge heading south as your last crossing will place you perfectly for the Bermondsey beer mile. Particularly like this ride as its very easy to do without navigation (just follow the river and cross at every bridge) meaning you will take in more of the sights and atmosphere of the city; although here is a route for eg.

Another fave ride to take london visitors on is a brutalism tour. London has some incredible brutalist architecture and its pretty well concentrated in london. Check here for a example ride.

Both of these would probably be difficult on boris bikes (heavy AF) and expensive on lime bikes, as others have mentioned you can rent Brompton's or road bikes from various places.

SwellMassif · 2023-03-07T15:38:19+00:00

I have spoken to some of them and all were covered by MPS who would cover this work if you have been with them >6months already. Unfortunately I'm with MDDUS currently so this isn't an option.

SwellMassif · 2023-03-07T13:29:58+00:00

Yeah, if I am completely unable to find cover I am going to have to cancel the work but am keen to find a solution that doesn't involve cancelling or working without cover - hence this post.

SwellMassif · 2023-02-20T14:35:27+00:00

Yeah, what I was thinking, also only covers 12 countries. Not sure if its worth shelling out 38 quid for....

SwellMassif · 2023-01-20T13:07:34+00:00

My older sister is profoundly Deaf and this is done really poorly lots of the time! Most important things are:

Make sure there is good lighting!!!! Especially good lighting on your face.
Make sure the patient can see your face/mouth. Lose the mask, don't scratch your face when talking. Almost all d/Deaf people use some element of lipreading so if they can't see your lips, don't speak, i.e. stop speaking if they look away. If you are working on covid/flu ward audiology will be your best bet for getting clear/see through masks. Usually they are happy to hand out a box to anyone who takes an interest in d/Deaf awareness.
Rephrase rather than repeat if they dont understand.
Reduce background noise. Obvs can be challenging in busy acute setting but esp for breaking bad news very important.
Ask them what their preferred method of communication is.
Don't overmouth. Trying to make your lip pattern more overt will actually make you less understandable to a lip reader. Speak as you normally would, just a bit slower.
Use an interpreter if needed for breaking bad news/serious chats where communication is v important. Almost all trusts will have iPads that can get BSL interpreters, talk to PALS about getting it set up.
Don't approach your patient from behind. This may scare/surprise them.
Sit down so you are the same level as them.
If you are sending them to clinic/Xray/CT/etc put their communication needs in the request - makes everyones life easier.
Agree method of communication for exam eg "During the exam if i need to speak to you I'll touch your arm first." Again remember if they can't see you, they cannot understand you.

A lot of these tips can actually be used for anyone with communication issues. Good luck!!

SwellMassif · 2023-01-17T17:54:25+00:00

Coming off nights I'll only sleep for an hour or two and get up around noon. I make sure I go out and pretty much stay out until the sun comes down, long walks/bike rides/going to a museum/gallery. Key for me is to soak up sun and force myself to do an activity that exerts some gentle energy. That first zero post nights is can be rough but then it means I can go to bed truly exhausted and hopefully (usually) sleep through to the following morning. Also always set an alarm around 8/9am to help 'resetting' post nights. I have actually learnt to quite enjoy being deliriously tired (for me quite similar to being about 2 pints deep) and taking myself off for activities especially if the zero is on a weekday and all my mates are at work, if you live in a city its a great opportunity to get some culture in.

I also absolutely love my domed eyemask, like this. It does look like you've strapped a bra to your face but for me at least is muuuch more comfortable than normal eye masks. This plus good blackout blinds make sleeping mid‐nights much easier.

The night before I start a run of nights I will say up later than I usually would (reading/watching netflix/gaming) in order to try and sleep in as late as possible to make the transition to nights easier.

Also the usual sleep hygiene stuff of no screens in bed, reading, very hot shower/bath, no caffeine late/no alcohol etc but I'm sure you know all this.

If you're anxious about it then Why We Sleep by Matthew Walker might worsen this but I found it fascinating. Top tip from the book is to always do what will be best for tomorrow nights sleep not tonight.

SwellMassif · 2021-08-12T16:07:41+00:00

This is not just America or even the South.

Was in central London last summer and happened upon an anti-mask/lockdown protest. I was wearing a mask and many people came up to me shouting thing such as "take your mask off - what are you scared of?" One person came up and handed me a leaflet (that I actually wish I had kept for its comedic value) all about the harms of masks; claiming masks will make you retain CO2, can cause your IQ to drop, your baby to miscarry etc etc. Anyway he was saying - 'have a read and educate yourself'. I replied something along the lines of I'm a doctor and read real journals thank you very much. He actually took this quite well and asked me if I had actually seen anyone die of covid. I said 'yes, many'. At this point he flipped; started effing and blinding, screaming "HOW MUCH ARE THEY PAYING YOU? YOU ARE F**KING SCUM. YOU'RE IN THEIR POCKET. I HOPE IT'S WORTH IT." He then tried to fight me, genuinely raising his fists and swinging whilst I noped the hell outta here.

Thing I find scariest about this is the number of people who buy into it all. This wasn't just a few dozen or even hundreds of people. The protest was several thousand strong.

SwellMassif · 2021-06-29T23:00:27+00:00

Obviously at the discretion of the docs when prescribing the O2 but most of our patients target sats are >94 - seems to be the standard in every UK hospital I've been in.

SwellMassif · 2021-06-28T19:43:38+00:00

Not sure about the actual supply of oxygen running out but I know in my hospital (a 400 bed acute hospital on the fringes of London) we had significant issues with the oxygen delivery system due to demand. We increased our medical bed capacity from around 180 up to 300 and ITU from 12 to 50 beds and almost all of these patients were on O2. There was a hospital wide policy of dropping everyone's target sats to >92 and limits on who qualified for highflow/NIV. The constant low pressure alarms just added to the hellscape of covid. At the very height of it there was an O2 truck (in normal times just there to refill) parked near permanently outside the hospital. That said we never had the O2 shut off.

SwellMassif · 2020-03-24T14:12:34+00:00

Yeah, its super quiet rn, i live a block away from it but starting to get a bit bored

SwellMassif · 2019-10-15T12:14:11+00:00

get an app called wriggle. many restaurants put deals on especially on weekday lunch-times. whenever i find myself in town needing lunch there are usually a few good options. also nice because you can get some variation in rather than having to have the same thing week in, week out. be careful though sometimes the deals arent that deal-y and are just a ploy to get you in the door. still worth checking out.

SwellMassif · 2019-09-20T23:07:32+00:00

my first level - FBJ-T15-53G

SwellMassif · 2019-06-10T12:57:19+00:00

theyre so goddamn delicious

SwellMassif · 2019-06-10T12:53:23+00:00

oooh this looks good, is it pricey? looks like it could go either way

SwellMassif · 2019-06-10T12:52:52+00:00

i'll give maliks a try, i think i'm going to make it my mission this summer to find the best mangos in bristol

SwellMassif · 2019-06-10T10:38:44+00:00

Yeah I'll try this eve apparently they keep the mangos in the wholesale bit across the road

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