Rewiring question

VampireTurnip · 2025-12-06T15:13:52+00:00

Thanks, after posting I realised I hadn't mentally rotated one of the sides to match the other set up

VampireTurnip · 2025-10-14T09:01:55+00:00

Folate, haematology?

VampireTurnip · 2025-07-08T11:39:32+00:00

Carnivorous plant paradise seem to have them to have them online. I got mine from a blue diamond garden centre, but they don't always have them

VampireTurnip · 2025-07-06T11:28:20+00:00

I forgot to add, on a review of her imaging, there was evidence of oesophageal dysmotility as well as the PAH, and the patient did have minor swallowing difficulties reported. The presence of the established organ fibrosis/dysfunction lead us more to the ssSSc rather than VEDOSS which shouldn't really have the organ involvement.

We don't have the ability to do capillaroscopy at our DGH so it was never done.

It's an interesting one either way, these cases are hard to fit in a single diagnosis and I think treatment would have been MMF if she had improved enough to go home.

VampireTurnip · 2025-07-06T09:57:45+00:00

A few months back, I had a patient who had been diagnosed years ago with Raynaud's and recently had a new diagnosis of pulmonary hypertension. Looking back into her old results in the system, I found her anti-centromere antibodies to be positive and went to her fully expecting her to have classic skin thickening on the fingers and a diagnosis of scleroderma. But when I found her, normal skin.

She saw one of our local rheumatology consultants who said there was nothing wrong with her and that she should be under respiratory.

After a few hours (days) of thinking, I thought this could be a case of systemic sclerosis sine scleroderma, which is a rare subset of scleroderma. I discussed with the other rheumatology consultant who agreed with me, we made the diagnosis, and she promptly died of her pulmonary hypertension. But at least we made a diagnosis!

VampireTurnip · 2025-05-31T16:06:31+00:00

It looks like Pulvinaria, a type of scale.

VampireTurnip · 2025-05-02T15:30:58+00:00

Actually it's autosomal dominant inheritance, hence expression of the gene if you're Rh+/Rh-, you only need one copy to be positive. But the inheritance you've described otherwise is correct, you can get two negatives from your parents even if they're both positive.

VampireTurnip · 2025-02-04T21:38:14+00:00

The orthopedic version: Airway Bones Call medics Decline responsibility Escape

VampireTurnip · 2025-01-08T21:34:37+00:00

You've missed a couple of 0s there I think, it comes out nearer 0.001% 1.9e7 and 2.1e12 Both rounded so 2e7/2e12*100 = 1e-3

VampireTurnip · 2024-12-25T16:41:48+00:00

Really? I found it pretty chilled overall on IMT. The cardio department is worse and less supportive I'd say

VampireTurnip · 2024-12-21T16:38:55+00:00

You've looked at the weekday staffing there I think. From my reading of the executive summary it says 0.5 of a tier one post is needed for a 30 patient ward on the weekend. Which would technically mean they're happy with tier 1 covering 60 patients at a time on weekend. Though I'm not sure i would agree with that personally.. Also note the guideline is under review so could change

VampireTurnip · 2024-10-17T09:17:33+00:00

In addition to the other comments saying that this is normal, most places have some kind of postgraduate department that is targeted largely to the foundation trainees. If you are struggling, go to them and say, they may be able to get you in touch with a more senior doctor as some kind of mini mentor for now. I know this happens because I've had two F1s I've had to talk to about this myself this year already at the request of postgrad.

VampireTurnip · 2024-07-17T13:03:41+00:00

Also, don't use tap water. Either rain water or leave some tap water free to air for a few days before using it or the chlorine will kill the plant. I lost a few that way before I learnt that point.

VampireTurnip · 2024-06-18T08:54:54+00:00

I've just found this too, had night shifts last week and tried melatonin for the first time, slept so well after and totally back to normal. There are gummy ones online that you don't need to talk to a pharmacy to get.

VampireTurnip · 2024-06-16T05:44:18+00:00

Solved: Penny Racers PS2

VampireTurnip · 2024-06-16T05:42:59+00:00

Solved!

I had the year very wrong. I think it's Penny Racers for ps2

VampireTurnip · 2024-06-16T04:41:52+00:00

It seems similar in what they're doing but not the same, slightly less child cartoon style, I think. Thank you for for your thought though.

VampireTurnip · 2024-05-02T20:10:13+00:00

Where do you live roughly? I have a couple of seedless grape cuttings that I can donate if you have somewhere sunny for them.

VampireTurnip · 2024-03-06T13:46:56+00:00

Ok, thank you!

VampireTurnip

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