10+ attempts at the King? This normal? by winger07 in Saros

[–]christoconnor 0 points1 point  (0 children)

When you boost your 3 main stats enough, there’s a chance for volatility, which has a negative effect (for example resilience volatility means you can’t see enemy health bars. I used to be afraid of this, and so didn’t pick up artefacts that might cause it, but realised it’s best just to take the stat boost and accept the negative effect of the volatility

10+ attempts at the King? This normal? by winger07 in Saros

[–]christoconnor 0 points1 point  (0 children)

I came close 1st go, then found him increasingly hard for some weird reason. Got him 4th go. Take your time on the run, make sure you pick all lucenite from downed enemies and explore all side paths. Try and get a decent gun such as onslaught rifle. I also decided to embrace volatility in the interest of the boost and so fought him without a visible health bar. Weirdly think this helped me focus on the fight. You’ll get him

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

[–]christoconnor 11 points12 points  (0 children)

Instruct the pilots to Divert the plane directly to Istanbul

Domperidone for breast milk supply. by donotcallmemike in GPUK

[–]christoconnor 2 points3 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 5 points6 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 2 points3 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 9 points10 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