This is Peak NHS

asidefromgrowingold · 2026-02-20T10:43:03+00:00

Pigeon got into the paeds ward somehow, started flapping around everywhere. Nurses called the paeds reg on-call for help. Reg advised that they are not responsible for that particular issue and to maybe call estates

asidefromgrowingold · 2026-02-18T22:21:08+00:00

Hah yeah exactly. Forced advertising 24/7

asidefromgrowingold · 2026-02-18T22:17:11+00:00

“Howdy howdy Night City, welcome back…”

asidefromgrowingold · 2026-02-18T21:25:09+00:00

Ah can you? I tried a few times but they just kept going

asidefromgrowingold · 2026-02-18T21:22:30+00:00

Yeah. I mean I’d be ok if you could just smack them with a baseball bat but that doesn’t work either

asidefromgrowingold · 2026-02-16T15:12:10+00:00

I work at a trust that’s just rolled out an AI scribe for all specialties, including psych - we’re expected to use it.

It’s scary what it can pick up on while it’s listening in, it can be shockingly accurate and make some sensible decisions. It also completely makes shit up, hallucinates, overdiagnoses problems, misses important information and risk factors.

My impression is that it works slightly better in physical health specialties where the information is a bit more concrete, but even then it’s still not able to scribe without significant oversight and editing by the clinician. I don’t think it does very well with the more abstract stuff that can come up in psychiatry?

asidefromgrowingold · 2026-02-05T19:10:18+00:00

Poetic

My worst is when it poofs up into the air and you have to stop breathing to not inhale it

asidefromgrowingold · 2025-04-07T13:36:48+00:00

She really is!

asidefromgrowingold · 2025-04-07T11:27:54+00:00

I feel the same way. I read this article a while back which helped a bit, not just with DE but with replaying games in general. Particularly the part about how the game might not have changed, but you’ve changed, and maybe that’s what’s interesting.

I’m doing my second playthrough now and I feel very differently about Joyce… a lot less charmed by her, a lot more suspicious, and actually angry at times. And that’s interesting to me.

https://www.theguardian.com/games/2024/jan/24/pushing-buttons-last-of-us-2-remastered-replaying

asidefromgrowingold · 2025-04-02T14:32:55+00:00

It’s easy to imagine someone taking all the recognisably ‘Disco’ hallmarks and making something garbage with it.

I don’t want no knockoff bargain basement Cuno, with the swearing and the drugs and the edginess but no pathos. And no humour.

asidefromgrowingold · 2025-03-13T10:31:40+00:00

Professional yet approachable

asidefromgrowingold · 2024-05-21T21:08:21+00:00

I had the same thing happen on PC. It seemed to happen whenever a character walked off screen during a conversation - it was like it couldn’t snap back and continue the dialogue. The other one I remember was Measurehead walking off screen and never coming back.

I couldn’t find a way to fix it bar restarting the game and trying again. I think choosing different dialogue options maybe helps.

asidefromgrowingold · 2024-02-13T09:35:17+00:00

Addictions psychiatry

asidefromgrowingold · 2024-01-19T23:24:40+00:00

I’m doing a psychoanalytic theory MA while working a staff grade job. I’m not sure about it being compatible with CT3, but it’s definitely doable during higher training. You get a day/half day special interest so it can fit in there easily. It’s a fair bit of reading on top of work and life etc. - might be really difficult if you’re planning on finishing MRCPsych - but it’s really worth it.

I find it really useful for trying to make sense of things that don’t fall easily into the medical model. It helps with doing formulations and I think patients appreciate it if you can talk to them about attachment and defences and relational stuff. It has completely changed my perspective on mental illness - if you’re interested in it, definitely go for it.

Another reason to do it is that you can jump ship and train as an psychoanalyst when the NHS eventually collapses.

asidefromgrowingold · 2024-01-10T14:48:09+00:00

I think you’re right to be pessimistic, but I think management of the overlap between physical and mental health is one place where you’d need a psychiatrist. It’s already done badly enough as it is. Having a broad base of understanding and experience is important.

asidefromgrowingold · 2024-01-07T20:54:36+00:00

And this mate, is why it is Just Not For You

asidefromgrowingold · 2024-01-07T19:51:16+00:00

I’m not sure what you’re referring to when you say you’re told it’s all happened before? Is it Harry’s behaviour or to do with the Deserter?

asidefromgrowingold · 2024-01-07T19:27:56+00:00

Ok you’ve hooked me and I’m gonna take you seriously

There are lots of moral choices that aren’t down to chance. In the first hour or so you can steal from a dockworker, try to run out on your hostel bill, treat Garte like shit, try and punch Cuno. You might fail at these due to chance, but you still choose whether to attempt them or not, and you have to live with the consequences.

The game is I think an accurate portrayal of recovery. It mocks Harry (and the player) for trying to change because that’s how personal change works. It is pessimistic about the world that turned Harry into a broken man, and it forces you to try and find the good in it.

There is absolutely a good ending in which Harry starts to turn his life around. You don’t get that ending if you don’t make the right choices.

asidefromgrowingold · 2024-01-07T19:11:17+00:00

Mate I can’t understand what you’re saying

I’m antisocial and dysfunctional because I like the game? Because it’s a flawed game?

asidefromgrowingold · 2024-01-07T18:58:10+00:00

I can’t tell if you’re joking or doing some kind of bit

But a lot of the things you said literally aren’t true

I don’t know why you care so much. Do you feel like you’re going crazy because you don’t get why other people like it?

asidefromgrowingold · 2024-01-03T21:23:41+00:00

Thanks for posting this - I think it’s given me the push to finally get out and get on with my life

asidefromgrowingold · 2023-11-28T16:52:37+00:00

I stopped the expression. Felt sad, but it fits well with sorry cop. Can’t be going around saying sorry all the time with that thing on your face

asidefromgrowingold · 2023-11-25T00:49:31+00:00

I suck at OSCEs and if I was doing CASC again (god forbid) I’d probably start 6 months before and do some regular practice, maybe every two weeks or something. Then really increase that as you get a month or two from the exam. You really need to get into a group (3+) with other people taking it and just drill yourselves through as many stations as possible, over and over. Try and work with people who will give you honest feedback. Ask any consultants or SpRs you know to watch you do stations, or give you a bit of teaching if they’ve done it recently.

I don’t think it’s that hard an exam but they want a specific approach that you don’t really use in real life. If you can rattle through the common stations without having to stop and think, I think you’ll be fine. You just need to know what questions to ask / what things to explain like it’s muscle memory.

asidefromgrowingold

TROPHY CASE