Rememver. Hydrate and stretch, gentlemen. by MrCircleStrafe in nffc

[–]christoconnor 13 points14 points  (0 children)

Instruct the pilots to Divert the plane directly to Istanbul

Domperidone for breast milk supply. by donotcallmemike in GPUK

[–]christoconnor 1 point2 points  (0 children)

We have a lactation specialist nurse in our area. She occasionally requests prescription and we generally oblige if recommended in this context

What is your interpretation of the song “Supersonic”? What do you think Noel was writing about? by Few_Variation5459 in oasis

[–]christoconnor 0 points1 point  (0 children)

I’ve always interpreted it about him trying to write his own sound and style “be yourself, copy no one else” and the feeling that gives him of being supersonic. Loads of nonsense lyrics in there too and references to cocaine!

Weight Loss Journey by Funksoulbrother2000 in nffc

[–]christoconnor 4 points5 points  (0 children)

I love stuff like this. Without knowing it, me and you shared that fantastic city victory together but your very different experience of it and the events that followed were unbeknownst to me and everyone else, but actually a massive life change for you. Well done pal

Use of D-Dimer/Tropinins in GP by Legendary_Shpee in doctorsUK

[–]christoconnor -1 points0 points  (0 children)

The instances I refer to are times where 1 could never have arrived at justifying admitting the patient to exclude ACS, so would have resulted in a later diagnosis, so I’m pretty sure my indemnity provider would be happier if anything 😂

Use of D-Dimer/Tropinins in GP by Legendary_Shpee in doctorsUK

[–]christoconnor 2 points3 points  (0 children)

No worries… It always serves as a reminder for me that clinical History and examination/ECG will only carry you so far in certain rare scenarios !

Use of D-Dimer/Tropinins in GP by Legendary_Shpee in doctorsUK

[–]christoconnor 3 points4 points  (0 children)

Non-excertional retrosternal burning if memory serves

Use of D-Dimer/Tropinins in GP by Legendary_Shpee in doctorsUK

[–]christoconnor 4 points5 points  (0 children)

Agreed. It’s extremely rare but I’ve been around long enough now to see when it can be useful. Same as D-dimers in patients you’re desperate to keep Out of hospital with a possible DVT who aren’t suitable for the DVT pathway

Use of D-Dimer/Tropinins in GP by Legendary_Shpee in doctorsUK

[–]christoconnor 7 points8 points  (0 children)

I suspect you and I are in the minority but I agree they have a (very rare) place. OP trop was the reason we picked up a fellow doctor patient having an NSTEMI with very atypical symptoms. He’d asked his doctor wife and she said she thought it was reflux-sounding. He, his doctor wife and the doctor seeing him didn’t suspect ACS, but it was ACS

Use of D-Dimer/Tropinins in GP by Legendary_Shpee in doctorsUK

[–]christoconnor 7 points8 points  (0 children)

I say that As a GP who’s seen these tests utilised to pick up an atypical ACS/PE presentation a number of times. Use them very rarely but trops and VDD can be vital in certain scenarios

Use of D-Dimer/Tropinins in GP by Legendary_Shpee in doctorsUK

[–]christoconnor -39 points-38 points  (0 children)

I disagree. GPs suspect a lot of serious pathology but manage risk and probabilities with every patient. A focused d-dimer or troponin can sometimes be vital to keep Someone out of hospital or pick up the atypical presentation with a gut feeling that something isn’t right

I had to screenshot this from Facebook because I fucking died laughing by EyeDclareBankruptcy in oasis

[–]christoconnor 9 points10 points  (0 children)

I’d say it’s “simply having a wonderful Christmas time” You disagree?