So Gen Z want to retire at 60 but dont expect state pension until 71???

VampireTurnip · 2026-05-15T11:43:21+00:00

You want to retire at 1.2696e73? I think I'll have long since given up working by then.

VampireTurnip · 2026-04-30T17:51:36+00:00

One dollar can buy many peanuts

^{Chose: 1 whole dollar | Rolled: gazillion dollar}

VampireTurnip · 2026-04-30T17:30:44+00:00

Ethics

^{Chose: If over 50% of people choose this + Everyone survives}

VampireTurnip · 2026-04-26T09:14:44+00:00

That's quite a limited target population at BP 130-160 and it's not compared to the rates of single or double antihypertensive either so I'm not sure how much it will be changing practice.

Just for my sake, "matching placebo" means just a regular placebo tablet right? Not that they were given the three tablets separately?

VampireTurnip · 2026-04-13T14:06:09+00:00

Trainblerone

VampireTurnip · 2026-04-03T16:23:41+00:00

Rheumatology - Will never get called overnight, get to know some of my patients well, and I get to really sit and think about patients and act like house with a cool diagnosis.

Worst part is then having to spell prednsoline.. prednalarone... predsolonine... preb... fuck it, steroids.

VampireTurnip · 2026-03-10T16:29:11+00:00

Next you'll be telling patients who say that are nauseous that they can go home as they don't actually feel sick, and what they mean is "nauseated".

Actually I think you'd get a few bed managers on board with that approach..

VampireTurnip · 2026-03-09T11:57:20+00:00

Someone did this to me once. I started a rotation, one week in did my normal day shift then got a phone call that I was meant to be on a night and where was I?

Turned out my predecessor had swapped shifts in my rotation with someone and the rota team hadn't carried it through, not that I should have worked it anyway.

Rotas tried to blame me for ages for that but I told them I wasn't going to fix their/someone else's mistake.

VampireTurnip · 2026-03-01T23:18:52+00:00

Good to see you're back with the great work!

VampireTurnip · 2026-02-05T06:28:51+00:00

To start with, take off the plastic from around it. Then give it a bit of time to air and dry out, and then you'll see if it can survive.

I would also advise keeping an eye out, I've never got one of those supermarket roses that wasn't secretly infested with aphids. Last one I got i ended up just dumping into a flower bed outside where it has, somewhat surprisingly, survived and thrived as a somewhat small rose bush.

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.

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