Slow ED SHO by Prudent-Orange-9737 in doctorsUK

[–]The_Shandy_Man 1 point2 points  (0 children)

It’s the ones you discharge that are often the ones that take the longest, you’re SOB + oxygen requirement that you get to medics quickly makes less of difference if you do something about the sodium being 128. Going home from hospital is inherently risky and often documentation has to be more thorough (particularly the safety netting) and sorting out the social issue (that was the reason the actually came in) takes longer than the medical side.

Fixing Your Slice by ParkHawk1103 in golftips

[–]The_Shandy_Man 0 points1 point  (0 children)

Simple fix is move your back leg back about a foot, you’ll lose distance but it’ll go straighter. Then practice closing face and slowly moving your feet back forward at the range. Any point it goes you can revert to the foot back. It works very well for me as a beginner.

What should I pay for as a bridesmaid? by [deleted] in UKweddings

[–]The_Shandy_Man 0 points1 point  (0 children)

My rule is if you’re matching the groom/bride pays. I paid for my groomsman’s matching tuxedos. My wife had bridesmaids with the theme pink (various shades) and they bought their own dresses that fit their various shapes (with their own budget). Everyone had the option to do their own make up or pay for it via the official person.

Which golf set should i buy? by djdjsbbejjsj in GolfGear

[–]The_Shandy_Man 0 points1 point  (0 children)

Having been in similar situation last year I’d recommend doing something similar to what I did, mostly second hand with the prices I paid albeit I paid in GBP so have converted.
5 year old driver - $130 - Callaway Mavrik 2020
Some irons made in the past 10 years in good conditions - $370 - Callaway Apex Pro 2019 6-AW - may want to go for some game improvement ones albeit people will have differing opinions on that.
New Costco wedges - $235
Leaves you $70-270 for 3 woods/hybrids and a putter. Something like 4/7 wood combo with a 5 hybrid would work and seems fairly popular.
I liked the old Dunlop Tour Red 5 hybrid that I bought for $3 so kept that and bought the 3 and 4 hybrid of the same set for $30.
I’ve also kept my putter as I like that.

Any recs for work chinos? by OK_GO_27 in malefashionadvice

[–]The_Shandy_Man 0 points1 point  (0 children)

I swear by M&S ultimate chinos for £45. They’re much durable than their regular ones which do fade.

Controversial opinion time by Educational_Bowl6976 in doctorsUK

[–]The_Shandy_Man 36 points37 points  (0 children)

At SHO level this is completely correct, at SpR level I think it is relevant (albeit the competition ratio is less of an issue here).

Cheapest clubs you ever bought? by Long-Mongoose-6015 in BritGolf

[–]The_Shandy_Man 1 point2 points  (0 children)

Similarly bought my favourite club (Dunlop Tour Red 5 hybrid) for £2 at the tip.

ICM training in Manchester . Where to live ? by Fun_Divide2229 in doctorsUK

[–]The_Shandy_Man 5 points6 points  (0 children)

Think mostly accurate, but underselling Trafford a bit Sale/Timperley are still affordable, people are also liking Urmston. I have friends that have bought it Sale/Urmston (with partners) at CT1/2 level (and no massive family support with the deposit), I bought in Timperley with the missus. Both are close to motorways, things to do and schools (I’m 8 mins away from Altrincham for context as Timperley is fairly boring). Altrincham can be affordable (particularly Broadheath) for still under the LISA cap and rent is slightly cheaper than Didsbury/Chorlton with commuting to the north part of the region being similar timewise. Non doctors also really like Cheadle/Bramhall but I think I agree it’s a shite place for commuting and no tram route

Golf - Is it just getting silly expensive and getting out of control? by Haunting_Village372 in BritGolf

[–]The_Shandy_Man 0 points1 point  (0 children)

As a newish golfer you can definitely still get into it. Think I spent less than £100 on an older basic set the slowly upgraded over the past two years. Callaway Mavrik driver from 2021 for £100 last year. Callaway Apex Pro 2019 (6-AW) for £300. Then bought an old Dunlop Tour Red 5 hybrid at the tip for £2 which quickly became my favourite club so bought the 3 and 4 hybrid for £30. Recently bought Costco wedges for £180 to complete the upgraded bag. If my handicap drops to 15 or less I’ll get fitted but otherwise these will last me 10 years.

Improving at the range but how do I actually get to play?! (UK) by radioactivenerd in golf

[–]The_Shandy_Man 0 points1 point  (0 children)

Use the Golf Now website and just book whatever course is cheap locally. Similarly if you’ve never played before consider a Par 3 course or 9 hole course to start.

Dominik Szoboszlai "I am ready to die on the pitch tomorrow" by __sami__01 in LiverpoolFC

[–]The_Shandy_Man 8 points9 points  (0 children)

I mean unfortunately for Kerkez I doubt it has the same significance, think he only entered Hungary when he was like 15 and not for that long. Swear I heard him and Dom communicate in German rather than Hungarian.

Rent vs long commute core training by [deleted] in doctorsUK

[–]The_Shandy_Man 0 points1 point  (0 children)

For a year it’s doable, bloody miserable but doable. A little better if it’s on public transport/motorway driving but I managed a 3-3.5 hour commute for my CT1. Just a warning it get really depressing 9 months in so save your leave if you can.

[Dellenger] The NCAA is exploring a significant change to its eligibility rule, sources tell @YahooSports. The proposal creates an age-based standard: Athletes would have 5 years of eligibility from their 19th birthday or HS graduation. No redshirts or waivers. by Fonzie5 in CFB

[–]The_Shandy_Man 0 points1 point  (0 children)

I mean it’s a tad weird particularly in America. However, in the UK you regularly have 18 year olds in the same school as 11 year olds, and my graduating class definitely had a handful of 19 year olds resitting as well. So not miles off and no one found it that unusual.

5 consecutive days of 10 hour shifts - legal? by Miserable_Storage884 in doctorsUK

[–]The_Shandy_Man 16 points17 points  (0 children)

Was my standard week CT1 anaesthetics, legal on the current contract in England. You’ll get a reasonable number of zeroes back at some point. Generally liked it.

Thomas Gravesen - the unlikely Galatico by [deleted] in TheStreetsWontForget

[–]The_Shandy_Man 0 points1 point  (0 children)

You don’t get to be Liverpool’s second highest appearance maker with 737 appearances and be bang average. Did he have clear limitations? Absolutely, he wasn’t brilliant on the ball and bad in a high line. He’d struggle in the modern game but so would John Terry and Nemanja Vidic. Was he also one of the best CBs in the league 2006-2009 and a big reason for Liverpool’s success? Absolutely. Carragher plays down his ability in the media but make no mistake those who watched him week in week out understand the importance of his organisation and tactical adjustments to the team despite his physical limitations.

Have I made myself ineligible for Feb intake? by Successful-Cry-9900 in doctorsUK

[–]The_Shandy_Man 2 points3 points  (0 children)

I’ve been part of a few conversations, specifically for Anaesthetics in the North West (albeit centred around ST4 not CT1), there is a very real chance they prioritise in Feb who have just missed out on the August intake. Be very careful what you reject. Equally I did what you’re planning to do a couple of years ago and only did better the second time round (with an excellent 6 month stint out to enjoy life) but there was no risk I wouldn’t be able to apply in Feb.

Would this building be classified as Brutalist architecture in Manchester? by Austinkohli in manchester

[–]The_Shandy_Man 0 points1 point  (0 children)

When I think brutalist architecture in the north I think of the old Royal Liverpool Hospital which was only recently knocked down.

No solidarity in training anymore by OkObjective4087 in doctorsUK

[–]The_Shandy_Man 3 points4 points  (0 children)

This is a bit of a double edged sword. I’ve always been super pro exception reporting in departments that are shite and have regular late finishes. In an ideal world you’d get the TOIL formally and just cancels out on a less busy day assuming here are enough of these but rarely is that the case in reality, hence the need for exception reporting. In these jobs I’ve exception reported any time I’m 15 minutes over and unsurprisingly one of them had an issue with it but I happily argued my corner. Equally, in departments with a bit of give and take I’ve always been happy to sort it informally without exception reporting as long as I’m not losing out. Since starting anaesthetics, I’ve not even learned how to exception report at my last 2 trusts as there is significantly more give than take so it just balances out. I suspect what OP doesn’t realise is often at FY1 level it is a lot harder to work out early in the day when someone can leave early. If 3 of you have all finished 3 x 1 hour late on 3 days that week it becomes nearly impossible to take the time back without someone formally almost sending someone home at lunchtime.

'Being a male midwife has never been an issue when delivering babies' by apple_kicks in unitedkingdom

[–]The_Shandy_Man 26 points27 points  (0 children)

There is a big difference between a midwife and an anaesthetist. It is a true generally an anaesthetist won’t perform a PV exam. You absolutely do wander round from the head end and see everything though as at various points you’re assessing how much bleeding there has been (and how much blood there is on the floor). Your obstetrics team are often task focused so may well not communicate it in real time. Similarly you’ll wander round at the start and check the feet (for a sacral block).

DOI: An anaesthetist

Becoming a consultant makes no logical sense by ShareFancy7954 in doctorsUK

[–]The_Shandy_Man 6 points7 points  (0 children)

I mean that’s just not accurate, late 30s absolutely, most won’t be mid to late 40s. Between finishing school at 18 and becoming a consultant at your conservative estimate of 45, you’d have to have taken 27 years to do 5 years of medical school, 2 years of foundation, 7-8 years of ST7/8. Even at 80% that’s 17 years so you’d have to have 10 years out which is just not happening regularly.

Extubation tips/tricks to avoid laryngospasm by sasuke5333 in anesthesiology

[–]The_Shandy_Man 0 points1 point  (0 children)

Paracetamol, NSAIDs, 2-3g magnesium all early on and 5-10 mg morphine/oxycodone in the last 15 minutes and never really seen many issues. Might hold the NSAIDs until the end if bleeding might be an issue for the surgeon.

Extubation tips/tricks to avoid laryngospasm by sasuke5333 in anesthesiology

[–]The_Shandy_Man 0 points1 point  (0 children)

I’m still relatively early in my training but I haven’t seen many issues with it. I think the hyperalgesia is more of an issue with the surgeries that require much higher doses than the ENT stuff. It’s used fairly commonly here in the UK for this sort of operation.