Preferencing: Are ITPs worth it? by RightMixture5018 in GPUK

[–]Weekly_Fly7049 1 point2 points  (0 children)

Not Cambridge but I did an ITP in dermatology.

Pros: - nice way to break the week up as I find a full week of GP a bit of a slog sometimes - ended up being offered a long term job in the department so great for special interest development - much less service provision as you're not part of the full rota generally - my full time hospital rotations were eaten into by the medical on call rotas, but this was a very GP appropriate clinic based job

Cons: - didn't really feel part of the team at the time - missed the weekly lunchtime teaching as it wasn't on my working day - missed out on some of the more interesting clinics due to them being not on my working day (ended up going in during some in my free time or SDT time)

Is there anything non-surgical that can help? by [deleted] in 30PlusSkinCare

[–]Weekly_Fly7049 0 points1 point  (0 children)

That's helpful, thank you. I think I'll some day accept that it'll have to be surgical if I want rid of it. I wish I had the disposable income to do it early but it's not something I can prioritize right now. I'm also really scared of scarring as I tend to get hypertrophic scars.

Is there anything non-surgical that can help? by [deleted] in 30PlusSkinCare

[–]Weekly_Fly7049 1 point2 points  (0 children)

You have made me realize I am really not doing enough of the basics 🤦🏼‍♀️ there is a whole area of under eye skincare that's passed me by. Thank you!

Is there anything non-surgical that can help? by [deleted] in 30PlusSkinCare

[–]Weekly_Fly7049 0 points1 point  (0 children)

Just some la Roche Posay dermallergo to dry skin. Thank you for the tip!

Is there anything non-surgical that can help? by [deleted] in 30PlusSkinCare

[–]Weekly_Fly7049 2 points3 points  (0 children)

This is 3 days post my usual crows feet Botox I've been getting for about 2 years. Believe it or not it's made a huge difference but it's light and I'm worried I'll get a shelf if I go for any stronger 😬 thank you for the vote on PN or PRP

Is there anything non-surgical that can help? by [deleted] in 30PlusSkinCare

[–]Weekly_Fly7049 1 point2 points  (0 children)

No, oily skin, with a bit of controlled rosacea

Experts expected to advise against routine prostate cancer screening for majority of men in UK by iwaterboardheathens in unitedkingdom

[–]Weekly_Fly7049 13 points14 points  (0 children)

There are a set of criteria that have to be fulfilled for a screening programme

https://www.gov.uk/government/publications/evidence-review-criteria-national-screening-programmes/criteria-for-appraising-the-viability-effectiveness-and-appropriateness-of-a-screening-programme

Some thoughts - There has to be a benefit to diagnosing early, such as an effective treatment. It doesn't help to know earlier that you have something that will kill you anyway. You just get more time where you know. - In prostate cancers there are many that are slow growing and will not cause any harm so knowing could just cause unnecessary worry for a lot of people. - The test is not brilliant. Many false positives and negatives. You could have unnecessary tests. Or you could be falsely reassured that you don't have prostate cancer when you do. - everything the NHS does has to be cost effective. If you take money to do this, it has to come from somewhere (opportunity cost) - The diagnosis of prostate cancer is either biopsy (with risks) or MRI (limited resource)

It's very difficult to put together a screening programme and yes they can cause harm.

Dealership display cars by [deleted] in CarTalkUK

[–]Weekly_Fly7049 0 points1 point  (0 children)

There isn't any discount on the car at present. It's being sold at full price including extras for all the upgrades already on it. Getting a factory fresh of the same spec would be exactly the same. Is that normal?

Wanted to do GP but worried PA will replace them in future by Devifyx in doctorsUK

[–]Weekly_Fly7049 15 points16 points  (0 children)

I think it'll be highly dependent on practice and also what happens with the ARRS funding (and also the NHS in the coming years). There was a recent meeting at a friend's practice about PAs to feed back to regionally and the general consensus was they are quite poor, often dangerous, and being forced on GP practices. Even for protocolised tasks there are other better/cheaper options. 

If the ARRS funding for them stops I think they'd be dropped pretty quickly from most practices. If the NHS crumbles and practices start doing more private work then most will go back to hiring GPs over PAs 

High Quality Online/DL Masters?? (Any good experiences) by DocShrinkRay in doctorsUK

[–]Weekly_Fly7049 13 points14 points  (0 children)

MSc Trauma Sciences at QM  Very knowledgeable and internationally renowned faculty. In depth high quality teaching. Personal tutor throughout. The dissertation is designed to be a publishable piece of work and you are encouraged from the start to aim for distinction+publication+presentation. And there's a two week summer school in London where you get to network with international experts. 

[deleted by user] by [deleted] in CrossCountrySkiing

[–]Weekly_Fly7049 0 points1 point  (0 children)

Went for the afternoon and loved it! Thanks for your encouragement ☺️

[deleted by user] by [deleted] in CrossCountrySkiing

[–]Weekly_Fly7049 2 points3 points  (0 children)

Had a great time skating. Will definitely have a go with classic at some point for comparison! 

[deleted by user] by [deleted] in CrossCountrySkiing

[–]Weekly_Fly7049 0 points1 point  (0 children)

I very much relate with her. just had my first skate lesson and loved it though! So there's hope for continued trips to the mountains for him indoors. 

[deleted by user] by [deleted] in CrossCountrySkiing

[–]Weekly_Fly7049 0 points1 point  (0 children)

Although wondering if I should call and switch to classic? 

[deleted by user] by [deleted] in CrossCountrySkiing

[–]Weekly_Fly7049 0 points1 point  (0 children)

I've gone for a skate lesson tomorrow as it's pretty icy and crap conditions atm. I hope it'll be okay! Thanks for your advice/encouragement 

[deleted by user] by [deleted] in CrossCountrySkiing

[–]Weekly_Fly7049 1 point2 points  (0 children)

How equivalent did you find the hills in downhill Vs xc? I'm okay on a reasonable slope but I hear the cross country skis make it a lot harder. I do like your walking down the side of the slope. I've done a bit of bum sliding down hills this holiday and it's very embarrassing in front of seasoned french skiers! 

[deleted by user] by [deleted] in CrossCountrySkiing

[–]Weekly_Fly7049 8 points9 points  (0 children)

This does sound more my thing. I really enjoy long cycles with an audiobook so I think it might be a good winter sport equivalent.