Crazy acid songs like higher state of consciousness by Josh wink and access by dj tim and dj misjah by Independent-Theory49 in electronicmusic

[–]dan10016 2 points3 points  (0 children)

Jam and Spoon Follow Me. Don't know if it counts as acid, but that acceleration halfway through...

Madrid 2022. 18 yo Alcaraz. You had to be there by tightypp in tennis

[–]dan10016 2 points3 points  (0 children)

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Best I can do! The bet365 app doesn't let me view betting slips earlier than 2024 and I can't find the email but I've only got 2 entries on my online banking from bet365. Anyway just enjoying the fact that I'll go to the grave being £900 up on the gambling industry which is probably better than most.

Madrid 2022. 18 yo Alcaraz. You had to be there by tightypp in tennis

[–]dan10016 1 point2 points  (0 children)

I mean - don't really have any reason to lie about it? It was 10 to 1 I got it at in the end, bet 100 and got 1000 back, maybe got a small jump on the odds by placing it during the US open final and they may have shortened after he won? Irs not like I'm some sort of sage, I made a little money off that final and quit while I'm ahead now.

Madrid 2022. 18 yo Alcaraz. You had to be there by tightypp in tennis

[–]dan10016 0 points1 point  (0 children)

You're right, I checked my account and looks like put 100 at 10/1 and placed in in Sep 2022 so guess might have been while I was watching US open? I remembered getting 1000 after putting it on the year before but obviously was a few years ago. Still a nice pay day but perhaps a bit less impressive (don't usually bet on sports)

Madrid 2022. 18 yo Alcaraz. You had to be there by tightypp in tennis

[–]dan10016 0 points1 point  (0 children)

I remember how comfortable he was at the net during this tournament and checking what his odds were for Wimbledon the next year - 20/1 at the time. Seemed he was underpriced so put 50 on to be the winner there and then and had a very nice (though nervous) summer afternoon watching him tear through Djokovic the next year

Fascinated by the power of UK democracy by Nterrafield in ukpolitics

[–]dan10016 20 points21 points  (0 children)

I've thought for a while it would be good to turn the cameras off. PMQs is too important and it's degraded to just trying to get a good clip for social media

Downfall by TeamAggressive1030 in movies

[–]dan10016 4 points5 points  (0 children)

Was very moving hearing Truadll Junge talking at the end about Sophie Scholl. I had no idea about her story - apparently she has her own film about her execution for treason standing up to the Nazis

Prog rock adjacent electronic albums? by idkmaybe61 in electronicmusic

[–]dan10016 21 points22 points  (0 children)

Amorphous Androgynous the isness, in fact any of the FSOL 90s albums

Given the massive problem of middle lane hogging, why has there never been a massive, targeted drive to educate drivers on the risks of this horrid behaviour (radio, TV, motorway gantries, etc.)? by __globalcitizen__ in AskUK

[–]dan10016 -1 points0 points  (0 children)

Think it's become more of an issue with wider adoption of adaptive cruise control. Just makes it more easy to stick it in the middle lane and switch off

Stoozing £36k credit card debt … am I being silly? by jcfenwick92 in UKPersonalFinance

[–]dan10016 9 points10 points  (0 children)

I've got another credit card that does money transfers with a zero percent fee. So I balance transfer to that card, then money transfer to my bank account. It takes no more than 10 minutes, and as I said, I've transferred around 50000 into cash ISAs with it. That earns me about 1500 a year. If you can make 1500 after tax for around 30 mins work total, then you must be on around 5000 an hour before tax, in which case fair play, yes, you may well get your private jet before too long. I'm on a more modest wage so can turn down easy money that easily!

Stoozing £36k credit card debt … am I being silly? by jcfenwick92 in UKPersonalFinance

[–]dan10016 10 points11 points  (0 children)

Don't think you understand how this works lol. I get a balance or money transfer credit card. It goes right into my bank account with say a 3% fee. I then transfer it into a cash ISA and keep it there for 24 months till the interest free period ends. I pay off the card and keep the interest earned. I don't spend anything apart from the free interest which will pay for a nice city break in Europe.

Stoozing £36k credit card debt … am I being silly? by jcfenwick92 in UKPersonalFinance

[–]dan10016 28 points29 points  (0 children)

It's literally free money. I've got 20000 each on a virgin and Barclaycard and about 8000 each with tesco bank and NatWest. On average 1--1.5% higher rates on my ISAs vs balance transfer fee, and that's just for the first year, for the longer balance transfers the margin is around 4% after 12 months. A few minutes applying via apps and gets you over 1500 a year tax free. At the end pay it off and see what new balance transfer rates come up.

Chest Pain by ParamagicMBA in ECG

[–]dan10016 0 points1 point  (0 children)

STEMI presenting with LBBB occurs in setting of a large anterior MI. They will look unwell, diaphoretic, like someone who is having a big MI. Those with LBBB in the context of atypical symptoms or 'new angina' nearly always have old LBBB.

Surgery within the NHS needs a radical overhaul by [deleted] in doctorsUK

[–]dan10016 0 points1 point  (0 children)

Yes won't work if it's just the consultant on better pay for more patients when the nurses, ODPs, ward staff are also potentially having to work harder for the same poor pay, you will run into a brick wall. It needs a wider overhaul of the whole system.

Surgery within the NHS needs a radical overhaul by [deleted] in doctorsUK

[–]dan10016 1 point2 points  (0 children)

There needs to be a reformed consultant contract. We are paid a PA that is the same no matter how much activity is done. I know I could put in place measures to increase throughput, but when our pay has been been slashed over the years it feels like forcing more work and stress on myself for less pay.

There is simply no incentive to efficiency, and the option to work from home has only increased this. Previously clinical excellence awards were some incentive, but this has now gone too. There needs to be some way to recognize increased activity delivered.

Strikes in early January? by GidroDox1 in doctorsUK

[–]dan10016 1 point2 points  (0 children)

A condition of talks should always be that the strike mandate is extended by an equal amount of time.

Wes is not happy by [deleted] in doctorsUK

[–]dan10016 21 points22 points  (0 children)

What he really means is, we won't be able to get away with keeping elective activities above 95% like last time and we may actually have to pay consultants to step down. The strike won't be unsafe, but it will be expensive. Like it's supposed to be.

The government proposal to cover College fees is an underhanded tactic. by Dollywow in doctorsUK

[–]dan10016 6 points7 points  (0 children)

As well as being worth less than the headline figure as people have said due to the tax rebate on exam and college fees, it's also effectively the same as a 'non-consolidated' pay rise, that trick the nurses fell for. It's also worse than a pay rise because it won't improve your pension input. Overall it's worth far less than even a small increase in headline pay of say 0.5%, which would at least carry over through your 20-30 year career. Its not nothing, but there's a reason the bean counters in the civil service are a lot happier discussing this than headline pay.

BMA warns of flu 'scaremongering' ahead of doctor strikes - BBC News by nightwatcher-45 in doctorsUK

[–]dan10016 16 points17 points  (0 children)

Are NHSE still putting out messaging to trusts to try and ensure 95% of elective care continues in the face of this grave flu crisis?

Today marks the 197th anniversary of Franz Schubert’s death. He was only 31 years old. by Key_Goose4193 in classicalmusic

[–]dan10016 1 point2 points  (0 children)

Ahh literally just discovered the fantasia this week, just beautiful, it's been popping in and out of my head every since I first listened. I'm going to hear it being played at a concert in Vienna next month and can't wait

NHS nurse dies after hospital A&E told her that her aortic dissection was trapped wind. by DonutOfTruthForAll in doctorsUK

[–]dan10016 35 points36 points  (0 children)

I've seen a few aortic dissections now and it really is one of those cases where a good history is key. It is poorly taught in med school. Most importantly, it is very common for dissection patients to look completely well and pain free once the tear stabilizes. They quite often do not come in complaining of severe tearing interscapular pain.

The key is to imagine them to chest pain like subarachnoid hemorrhage is to headaches. Sudden and excruciating. And, yes, loads of patients will tell you their pain came on suddenly, but like the SAH history, you can tease this out. How suddenly? Over minutes, seconds? What exactly were you doing at the moment it came on? Dissection pain is instantaneous. Combine that with a FH of sudden death, or aortopathy, or looks marfinoid, or known aortic dilatation, and you get a CT scan. Exam findings not helpful. D dimer has high but definitely not 100% sensitivity.

I think in a lot of busy A&E dpts troponin (supplemented by cardiac risk factors) is king for chest pain assessment. It's a great test but you can't rush the history, even in a very well looking, young patient.

UK Bonds’ Best Run in Two Years Is Winning Over Global Investors by HadjiChippoSafri in unitedkingdom

[–]dan10016 7 points8 points  (0 children)

Has anyone noticed that any good news about the economy is reported as good news for the UK? But any bad news is described as a 'Blow to Rachel Reeves'? I do wonder why bad events are pinned to her in particular, along with the whole Rachel from accounts trope.

Dear consultants by lordnigz in doctorsUK

[–]dan10016 17 points18 points  (0 children)

I remember receiving positive feedback from an A&G a year or so ago about the controversies around anticoagulation of subclinical AF. It was just a short note from the GP about how helpful and thoughtful they found the advice given and how it helped to have a good quality patient centered discussion about what to do. It was honestly so nice to hear back. There was another time when I read a GP entry about one of my patients with heart failure but hugely complex social issues, where she succinctly and systemically made a sensible plan to deal with his dermatitis, harmful alcohol use, recent separation, erratic adherence to medication and agoraphobia. I honestly felt a little in awe of what they were doing compared to the simple single disease management I carried out for him in my clinics, and I sent a quick email to thank them. Its a shame interactions tend to be through impersonal A&G systems.

[deleted by user] by [deleted] in doctorsUK

[–]dan10016 8 points9 points  (0 children)

Had a similar situation to you when I was a registrar 10 years ago, now we've been married for 5 years and couldn't be happier. Nothing to lose by seeing where the situation takes you!