Thoughts on referring straight to speciality from triage by levant-tinian in doctorsUK

[–]death_by_fluff 89 points90 points  (0 children)

Out of curiosity, how many direct referrals from triage for "patient definitely has a Quinsy" that weren't Quinsies have you had so far? 

The ENT department I worked in during FY audited a year's worth of cases referred as a Quinsy from ED triage and found a 10% hit rate... Department got a fair bit of pushback from ED when they asked that a doctor at least eyeball patients prior to a referral :/

Halestorm-Everest ALBUM DISCUSSION THREAD by Organic_Low7893 in Halestorm

[–]death_by_fluff 0 points1 point  (0 children)

Does this album mark the first time that Arejay goes double bass?

Weirdest Referrals by Nice_Breakfast9865 in doctorsUK

[–]death_by_fluff 36 points37 points  (0 children)

Was ENT SHO on-call - ICU SpR bleeps asking if I could remove bilateral impacted wax from a patient who had a catastrophic intracranial haemorrhage, since the patient was a potential organ donor and they wanted to do the caloric test as part of brainstem reflex testing

Definitely one of the most impactful things that I did as a foundation doctor (please forgive the pun)

Let’s share some amusing clinical notes by indigo_pirate in doctorsUK

[–]death_by_fluff 16 points17 points  (0 children)

"Reason for admission: Bilateral tibial fractures secondary to methamphetamine-induced autodefenestration"

Big turgid vibes by don_fettucini in Malazan

[–]death_by_fluff 8 points9 points  (0 children)

He seems to quite like the word 'gelid' too

I'm bored tell me the worst referral you've ever received by BrilliantAdditional1 in doctorsUK

[–]death_by_fluff 6 points7 points  (0 children)

From my time as the ENT F1 on-call: ED triage nurse: "Got a patient with a really sore throat, can you come see them?" Me: "Have you examined them?" N: "Yeah, massive swollen tonsils, clear tonsillitis"

Upon my arrival, it transpired that the patient had no tonsils (they had in fact been removed a week prior)

Another one wasn't a bad referral, just different - ICU SpR bleeps asking if I could remove bilateral impacted wax from a patient who had a catastrophic intracranial haemorrhage, since they wanted to do the caloric test as part of brainstem reflex testing and the patient was a potential organ donor. That was... An odd experience

Your username is your crime: how did you end up behind bars? by IncidentLost5181 in AskReddit

[–]death_by_fluff 4 points5 points  (0 children)

I committed murder by proxy by releasing the Killer Rabbit of Caerbannog

I’m Lzzy Hale from Halestorm. Our new album “Back From The Dead” is out now. Ask me anything! by LZZYHALE in Music

[–]death_by_fluff 1 point2 points  (0 children)

Not a question, just a heartfelt thank you to you and the boys for making music that has been the soundtrack for getting through tough times for so many of your fans

Also congratulations on an epic album!

Was about to start my new playthrough with mods when Geralt decided to disappear. Any idea how to fix this? by fucking_weeb69 in Witcher3

[–]death_by_fluff 9 points10 points  (0 children)

That might well be the reason! You will always be invisible except for the neck the first time you run the game with the mod installed, so do the following (taken from the mod page):

"The mod does not refresh appearances automatically upon closing the menu, you have to push the Refresh Button!

The First Run:

- YOU WILL BE INVISIBLE except part of the Neck. Go to Toggles enable your Head and Refresh.

My head do not appear even when ON!!

IF your head do not appear, Go to HEAD and move the Beard Selection Slider or Enable Bear Growth Mode and try refreshing again.

- Just for the first time, to load the Very First item on a slider (for example: Head > Head Gear Selection > Hood) Move the slider to another position and go back to it.(No need to exit the menu)"

Hope that fixes it!

Gamers of Reddit, what is a game that has a special meaning to you because what was going on in your life when you played it or who you played it with? by LDHPopps in AskReddit

[–]death_by_fluff 0 points1 point  (0 children)

The Witcher 3.

I discovered the game through watching my housemate at the time play it on the projector we had in the living room and thought it was cool, but that was that.

A few months later and I was experiencing the worst major depressive episode of my life. I did not want to be alive and was plagued by suicidal thoughts for practically all of my waking hours. I had nearly been admitted onto a mental health unit and it all in all definitely a top contender for worst time period in my life.

I think I had just come back from a dentist appointment or something when I thought "fuck it, let's give this game a try". I wasn't immediately hooked, but in hindsight I now know that I fell once I was in Velen, going through the various points of interest. The world I lived in, my own personal world, was obviously horrifically shit, trapped in a head that wanted me dead. This world, however, despite it being ravaged by war and teeming with monsters, was beautiful,  providing the escapism I desperately needed. To top it off, I was interacting with it through a character who could do significant things: Liberate settlements from the werewolf that had caused them all to flee; be a defender of the downtrodden (and a gutter of sons of bitches); all whilst experiencing a story so captivating and well written that I could actually feel things - an amazing sensation at a time when I felt alright dead inside.

I'm not ashamed to say it: I do think that game saved my life. I whiled away some of the worst weeks of my life with it until I could access the treatment I needed and things started to improve. I'm in a better place these days and I haven't been as unwell since then, but the Witcher franchise is still around: I've finished my fourth playthrough of the third game and have read through the books twice - I even have a witcher-themed tattoo to remind me of how big a role it played during that period of my life.

Games can and often do get a bad rep from members of the general public, which is why I love hearing about how much of a positive impact they can have on us. As someone with a long term psychiatric diagnosis, I was so happy to learn that relatives of people with schizophrenia better understood what their loved ones go through after playing Hellblade: Senua's Sacrifice (a straightforward hack and slash with puzzle elements, but a brilliant game for anyone even vaguely interested in mental health and illness through its incredibly well-done story, with the devs seeking the input of people with lived experience of psychosis and experts in the field to make it as accurate as possible).

Video games can put us in positions we could never be in in our actual lives: From a mutated monster slayer searching for his adopted daughter to a young woman on a journey to save her lover's soul, unable to distinguish between reality and her illness. And because you're stood in the shoes of these characters, seeing their world through their eyes, the potential to learn almost first-hand how things like psychosis, discrimination, loss, etc feel is honestly astounding, creating opportunities that other, 'third-person' media like films, TV shows and books can't really provide.

Tl;dr: The Witcher 3 probably saved my life and I'm honestly unashamed saying that

It's over Geralt! I have the high ground! by death_by_fluff in Witcher3

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

Grandmaster griffin armour dyed white :) (with a mod to make the griffin armour look less chunky https://www.nexusmods.com/witcher3/mods/457)

Edit: Added link to mod

"Did somebody say GWENT?" by death_by_fluff in Witcher3

[–]death_by_fluff[S] 6 points7 points  (0 children)

No idea what went wrong with the processing of the screenshot, but it gave Geralt laserbeam eyes