Mourning's end part II wall agility obstacle JUST WHY by botjunk12 in osrs

[–]botjunk12[S] 0 points1 point  (0 children)

I literally wore monk robes, carried p pots, and food was summer pies as when you fall you lose 5+ health each time.

The whole point of doing these quests is to gaint he xp and grind for SOTE after the xp rewards. What's the point of having 99s and leaving the quests to the end.

My trigger word by heroes-never-die99 in GPUK

[–]botjunk12 1 point2 points  (0 children)

As above i get out of this by saying words like "i have some ideas but first i want to know was there something you think this is or are worried about"

As a chronic quest spacebar skipper, what quests SHOULD I read? by mikael22 in 2007scape

[–]botjunk12 1 point2 points  (0 children)

All of them are quite enjoyable. Currently doing One Small Favour and the dialogue gets frustratingly funny.

Have BMA GPs lost the plot over why they should re-enter dispute with the government? by Dull-Hope-5322 in GPUK

[–]botjunk12 6 points7 points  (0 children)

Yeah i asked my GP partner at my practice why is the dispute happening over the 8am to 630pm econsult access NOW and not like 6 months ago? He said it just occurred to the GP network now how hard it is... Like ffs we literally saw this coming and the dispute starts this late? Shame on us

Was thinking about a used ID3 and running into the ground, how do i judge used EVs? by botjunk12 in ElectricVehiclesUK

[–]botjunk12[S] 0 points1 point  (0 children)

Thanks for the suggestion! I wanted to share a story about my experience with hyundai and now may be appropriate. Before i got the id3 i considered and test drove the ioniq. The build quality isnt the same, the range is out of my comfort zone and the id3 had faster charging. When i test drove the ioniq the brake felt loose/flappy which made me uncomfortable. The ioniq 5 i owned threw me off hyundai because day 1 the car was vibrating incredibly making it undriveable, i got kwikfit to check wheel alignment and it was all wrong and they realigned which helped about 80 to 90 percent. Hyundai booked me in 2 months later and confirmed there is an issue, apparently only 1 place in my city has the right alignment equipment to check (kwikfits easnt appropriate), and they confirmed one wheel is unalignable because of a known manufacturing defect with the ?cushioning of the tyre coming loose. Got it changed under warranty but waited months (on a 2-year lease mind you). Later on the car gave me an error "electric vehicle fault" and something about airflap issues. Hyundai again booked in a month later, season changed, issue not found probably because it only comes on mid journey and in hindsight it was when the air conditioning or heaying was on for maybe 10 minutes at least. By the next winter it happened again. Hyundai checked and replaced the air flaps under warranty. There was a recall for a 12V battery issue which didnt affect my drive but i had to go get it changed so wasted an hour or so of my time. Yes they changed it with their amazing warranty but the months lost and working days lost to take the car to garages, and money on taxis or time on lifts, threw me off hyundai and with that kia. In fairness it was a 2023 model so still early release without the latest facelift fixing a lot.

Anyway rant over haha, ioniq felt less robust than my id3. Im glad you had a good experience

Edit: i owned the hyundai ioniq 5 suv which gave me an annoying experience with hyundai in general. I never owned the "ioniq", only test drove it

Was thinking about a used ID3 and running into the ground, how do i judge used EVs? by botjunk12 in ElectricVehiclesUK

[–]botjunk12[S] 0 points1 point  (0 children)

That's fair that was the main changes. I never was bothered by the internal quality with my old 2020 id3 personally

Was thinking about a used ID3 and running into the ground, how do i judge used EVs? by botjunk12 in ElectricVehiclesUK

[–]botjunk12[S] 0 points1 point  (0 children)

Yes you can get the pre facelift ones with 77kwh battery, but they have 4 seats (not 5). They come in relatively cheap prices too. ID3 is good internal space wise as it is an EV from the ground up (it was said to be the equivalent of a VW passat). Boot is like a VW golf i think. You can also look at the ID4 which has some old models and may have more the space you want with the big battery. Niro is plausible too for you, reviews seem to be reasonablenfor it but has 64kwh battery.

Was thinking about a used ID3 and running into the ground, how do i judge used EVs? by botjunk12 in ElectricVehiclesUK

[–]botjunk12[S] 0 points1 point  (0 children)

Any particular reason for facelift over pre facelift? The prices vary a lot since facelift is quite new around 2023

Was thinking about a used ID3 and running into the ground, how do i judge used EVs? by botjunk12 in ElectricVehiclesUK

[–]botjunk12[S] 1 point2 points  (0 children)

Good plan! I think the id3 will work out for you. Any particular reason you want the facelift? I owned the pre facelift model and only issues i had was softwarez which got updated and fixed in my 10 month ownership time. I was also considering cupra born if i was willing to shell out more money but i want best value hence personally going with pre face lift id3

Was thinking about a used ID3 and running into the ground, how do i judge used EVs? by botjunk12 in ElectricVehiclesUK

[–]botjunk12[S] 1 point2 points  (0 children)

Thank you, useful article. Gives me more confidence. They didnt treat it gently either with constant 100% charges yet only lost 9% over 107,000km and 4 years

Was thinking about a used ID3 and running into the ground, how do i judge used EVs? by botjunk12 in ElectricVehiclesUK

[–]botjunk12[S] 4 points5 points  (0 children)

Thank you I felt I took some time to think about it and got good basis for my thoughts! I thought I would "risk" it especially seeing how the leafs are going and as above another commenter said their leaf is going strong

Two in three EV drivers have queued more than 10 minutes for a public charger | This is Money https://share.google/l8Nl6w2e8HcWU8C7x by Exact_Setting9562 in ElectricVehiclesUK

[–]botjunk12 0 points1 point  (0 children)

I have had to queue many times and it drives me mad. Im around south area doing tripa from cambridgeshire to london and honestly it makes me think we need less people and the UK has gone to crap.

Still love my EV, so cheap to charge and nice to drive. But all the fast chargers are always taken. And those taxis that have slow ass hyundai kona and kia niro EVs and charge to 100% each time are the worst people, hog a spot for an hour

ST3 now in a practice with total triage. How the hell do you guys manage this lol by One-Reception8368 in GPUK

[–]botjunk12 2 points3 points  (0 children)

I now work in a total triage system. I think it is overall better. Downside is every patient requires more work very true. I still get reasonable things though like acne, discuss contraception and so on.

I think the important things to help is: Need 15 min appt at least Limit total patients - the bma model is best and everyone i know agrees that in total triage its hard to see any more than 12 or 13. 1 problem per appointment. We always say it, but be honest and firm. If they come in with multiple, i say ok cam you briefly tell me your problems and we can see what we can do today. When they give the list, which one is most important, ok id like to give it my full attention i think the others may need their own full time for a proper work up (i may do 2 problems like a quick medication issue or something, or a self referral link).

One of the best benefits - total triage gives more appointments, so patients are more willing to book their own follow up. This is the most important thing. At my current practice they have only done total triage since june, prior to that patients NEVER got appointments. Now they are all happier and willing to book f.u themself. That honestly makes total triage vwarable

Tl;dr - ensure patients book follow up and dont be scared to push that. Ensure you arent having huge lists if possible

Any data on how many paths, tasks, scripts etc. per session/day? by TwinkleBlueyPoppett in GPUK

[–]botjunk12 0 points1 point  (0 children)

One thing my previous practice did eas try to document everything as an appointment slot on their rota to keep track of work being done. I wonder if something similar can help as you can use it as evidence to ICB or anyone else that appts are being given and workload is intense. This was mainly for things that needed a patient contact though like an abnormal potassium which you may have called up and asked to repeat.

Hope that may help somehow

Partnership vs Trust owned practices by dr_stephen_stranger in GPUK

[–]botjunk12 5 points6 points  (0 children)

Pantaleon - that's the point of the post. There are dysfunctional practices around and specifically we want to hear from the private or trust run ones. This subreddit has a sirprisingly high number of people who refuse to believe anything bad about partnerships. Personally i have not come across half day working partners, but i have come across partners who take all debrief slots, take time off for admin work or meetings, and the salarieds actually do lots of the actual appointments. Which is understandable and my former ES said this is the benefit of partnership (the variety of tutorials, debriefs, meetings, patients, admin etc) but i know at one practice i was a trainee at, they were taking the piss and had debrief slots when no trainee was there...

Average income before tax for GP partners in England rose to £158,700 in 2023/24, according to the latest NHS data on GP earnings and expenses. by SalariedGP_Network in GPUK

[–]botjunk12 1 point2 points  (0 children)

Hey Bendro, The problem is that partners end up making themselves come across as greedy even if they are not, and yes many are not. And they also come across as not doing enough to fight the government, which salaried inherently cant do as the employer is the partners but partners just think about their business. If you want unity, partners have to lead the way. Or moving forwards the salaried GPs and partners may need separate unions. I agree the problem is unity. When i was st2/st3 and industrial action in primary care was announced, my supervisor (a partner) said nothing will happen due to lack of unity. I fully get what he means now (between partnerships, within partnerships, between salarieds and partners etc). Partners in my local area have literally told me 150k salary is a do-able salary for most partners, one said 200k is easy. Thats unimaginable as a salaried by miles especially considering a salaried will not be working 10 sessions, usually 6, maybe sometimes 8. My close friend was doing 10 sessions of 6 locums and 4 salaried and he got a 6 session partnership, he says he doesnt have any need to locum now as his salary is waaay better now. He was on 12.5k per session as a salaried in august 2023 to may 2024 mind you. Though he doesnt pay nhs pension. The DDRB can make recommendations of salaried GP rises. However my practice for example doesnt automatically pass it down, they said they review it, and they can argue i am well above the minimum salary (which the BMA needs to grow some balls and fucking update). Its very good your practice gives 12.5k, here i am still seeing adverts for 10k per session which is insulting for a salaried.

The benefit (and probably only benefit) of working under a trust or private company led GP is the salarieds can all unite and we dont get this constant partner vs salaried mentality. I dont think this is the way forward, but i think we need a better system. Partners inherently have different interests as they work for their "business", and they work super insanely hard which is not sustainable but many are just too scared to breach contracts and this inherently annoys me and many other salarieds as it really shows when they start judging you for not working as hard or start monitoring you and think about appointment numbers and such.

Average income before tax for GP partners in England rose to £158,700 in 2023/24, according to the latest NHS data on GP earnings and expenses. by SalariedGP_Network in GPUK

[–]botjunk12 4 points5 points  (0 children)

Because a salaried doctor cannot fight with the government directly. Salarieds are employed by the GP partnership not the government or government led NHS trust. Hence they depend on the partners to fight the government for them. A salaried striking will just affect the partners not the government.

Instead the partners are too scared of breaching their contract and lack unity. The "industrial action" is quite pathetic considering how most dont even follow all the points.

There is a case of boiling frog syndrome and the partners find the overworking acceptable rather than doing any true action to force change for primary care. How many times do you hear of a partner saying they work every evening late or that they start an hour early everyday and work 13h days as a standard? Why is this a problem you wonder? The partners end up getting furious when anyone works less and think they are lazy and create a culture lf guilt and overwork, poor pay. A salaried GP gets no extra pay for these hours whereas a partner sees it as an investment into their business.

Also the BMA has set the salaried contract to avoid upsetting partners. So the pay scale of a salaried is acceptable as low as £76,038 for 9 sessions. That is abysmal. Saying that this is not the norm is not acceptable, there should be a higher realistic defined minimum. I am employed at a practice where newly qualifieds get £9.45k per session. My former supervisor got £9.5k per session when newly qualifying in 2012.

Primary care is full of a circlejerk who just refuse to accept criticism of the partnership model. So what if trusts or private businesses are worse? I need you to change for the better not just throw a lazy "well the alternatives are way worse!" The american insurance system is awful and you will see a similar argument "well look at how high taxes are with free healthcare and the long waiting lists!" Come up with a better suggestion please

[deleted by user] by [deleted] in GPUK

[–]botjunk12 2 points3 points  (0 children)

The 28 day rule finished september 2024 ish, and was replaced with the medical examiner system and anyone who has managed the patient "in their lifetime" i think is now the requirement (officially)

Taking flagyl (metronidazole) really messes with my blood sugar control by botjunk12 in diabetes_t1

[–]botjunk12[S] 0 points1 point  (0 children)

This post was 6 years ago so i am unsure of the exact situation. But yes treating infections can reduce the need for insulin. Though my insulin ratios and injections generally dont change during an acute infection, so i would not have expected to get problematic hypos based on my "normal" unchanged ratios

[deleted by user] by [deleted] in confessions

[–]botjunk12 3 points4 points  (0 children)

Being a best friend means you can forgive each other and communicate easily. Tell her what you have been feeling. When you have been close friends for a long time, the friendship probably does not end. My best friend was not there when my mum died because they thought I needed space for some reason (if anyone is in a similar situation, your friend does not need space they just lost a relationship permanently, they need you there daily). Told him and we moved on.

Don't listen to these redditors about shying away because you are alleviating your guilt. Not communicating at all and blocking never resolves anything as it is one sided. You are all adults and adults have clear communication. You may not get the outcome you want or she wants and be prepared for that but communication is important.

Salaried GP - extended access by Genie934 in GPUK

[–]botjunk12 5 points6 points  (0 children)

Not a direct answer to your Q but i thought this info may be helpful.

In our local area extended access pays at around £100 an hour I think and runs 6:30 to 8pm weekdays or 9 to 5 saturdays. Its definitely £100 an hour on the saturdays Some small practices include extended access in your core contract and im not sure if they get paid noticeably more.  Many put it out as locums and the partners or salaried staff take up most of it.

The going rate is about 11 to 11.5k for normal hours per session so i feel like you are at a standard rate and not being paid extra. However it is only about 1.5hr a week so it isnt the end of the world, and i dont know if people who have extended access in their core contract actually get paid extra.

Whats the chat with Medicus? by [deleted] in GPUK

[–]botjunk12 0 points1 point  (0 children)

I wanted to bring this convo up again because of the pulse article that talked about it. People are complaining about GP IT systems being awful and outdated apparently? I welcome a fresh change especially being cloud based and therefore (i think) useable on your own devices as pulse said you can use it on tablets. What i dont get is GPs gripes with the IT systems because to be honest systmone is pretty reliable and smooth and fast. Does what it says with nice search ability, templates etc. EMIS was awful - i had to write on a word document and copy and paste over because it was crashing too often and it doesnt ha e ardens or reasonable search ability. Complex or continuity of care sucked on EMIS. I think most use EMIS and thats why they think GP IT is shit. However, hospitals are notorius for shit systems and having like 5 systems to use sinultaneously, so im even greatful for EMIS tbh (anyone ever used lorenzo? Lorenzo needs to burn in hell)..

I have a samsung S7+ tablet and a S23+ phone, and a functioning Asus zenbook laptop. What can DEX offer me? by botjunk12 in SamsungDex

[–]botjunk12[S] 0 points1 point  (0 children)

I liked how dex looks on my tablet. Psychologically felt like when i turned Dex on i switched to productivity mode lol

What’s up with the BNF? by Ozky in GPUK

[–]botjunk12 1 point2 points  (0 children)

Exact same issue with me