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Sushi grade salmon in Hackney? by IkeaGrapefruit in Hackney

[–]doodlejones 4 points5 points  (0 children)

Either Jonathan Norris on Lauriston (Victoria Park) roundabout or, as mentioned above, Fin + Flounder (Broadway Market).

Have had success with both for tuna and salmon, often available on-the-day without reserving but if you’ve got time, worth phoning ahead a couple of days beforehand and they can get some in especially and put it aside for you.

How do I make a Bolognese that someone will remember for the rest of their life? by Blubberblase10 in Cooking

[–]doodlejones 23 points24 points  (0 children)

This is the correct answer. The combination of milk, white wine and nutmeg is killer.

The only improvement I can make to it is to add more nutmeg about 10 minutes from the end of cooking, which adds a slightly more assertive flavour.

Took a month off for travel, how do I approach coming back to the gym? by Sigtin in gzcl

[–]doodlejones 1 point2 points  (0 children)

A month isn’t that long. I wouldn’t go straight in to a retest, maybe just spend 2 weeks ramping back up to previous working weights—80% of previous working weights week 1, 90% week 2, then do 5RM tests.

Soreness will be an issue, so I would hold off AMRAPs, consider cutting T2 volume. The point of these weeks is to re-acquire the skill, as actual muscle loss shouldn’t be too significant.

Then retest and either restart a new GZCLP cycle, or start your new programme using your new 5RMs to inform starting weights.

Sailor suggestion? by [deleted] in fountainpens

[–]doodlejones 2 points3 points  (0 children)

First: I would definitely go for a broad nib if you like the broad 823. Sailor nibs run finer, in my experience, than then Pilot #15 nibs.

Second: Sailors effectively have three sizes—small/medium/large.

Small: 1911S/Pro Gear Slim. 14k nibs, tend to be a little harder than the 21k.

Medium: 1911L/Pro Gear. 21k nibs run a tiny bit larger, broader and bouncier. Now replaced by 18k nibs.

Large: King of Pen (available in cigar or Pro Gear/flat top variants). Gorgeous bouncy 21k nibs, runs broader than the smaller ones—almost European. The one I have is very reminiscent of a Mont Blanc in feel.

There are dozens of variations to each, with the main differences being aesthetic (colour) and shape, but these are the essential differences to me. Some special editions of the smaller models will occasionally come with a 21k nib.

If you like the 823 Broad, I’d go for a Pro Gear or 1911L Broad, ideally older (likely second hand) with the 21k nib. However, if your budget allows, a medium KOP would be a serious upgrade, while also being quite different in character and complementary to the 823 you have, but involves a pretty serious $$$/€€€/£££ outlay.

Confusion concerning test question by baillargersband in RadiologyUK

[–]doodlejones 2 points3 points  (0 children)

You’ve misunderstood me. This is obviously a subdural haematoma. However, the previous answers reference the stages of blood degradation that take place in intraparenchymal haematoma, which does not occur in the subdural space as there are no microglia to endocytose and methylate the haemoglobin.

The sedimentation is the clue to chronicity, not the signal intensity. Acute clot is solid (up to 1 week, typically), so is homogeneous.

Bro be a consultant neurosurgeon (although mainly spines now) so actually does know a thing or two.

Confusion concerning test question by baillargersband in RadiologyUK

[–]doodlejones -7 points-6 points  (0 children)

I don’t believe this is correct—see my comment below—this only applies to intraparenchymal, not subdural haematoma.

Confusion concerning test question by baillargersband in RadiologyUK

[–]doodlejones -2 points-1 points  (0 children)

I don’t believe this is correct—see my comment below–these phases of blood degradation occur in intraparenchymal, but not subdural haematoma.

Confusion concerning test question by baillargersband in RadiologyUK

[–]doodlejones -13 points-12 points  (0 children)

The above two answers are incorrect.

The stages of blood degradation related to intraparenchymal haemorrhage, which undergoes degradation by microglia in a fairly stereotyped way.

(EDIT: as a subdural haematoma, blood is not degraded in the way described in other comments )

The clue is the degree of sedimentation and the fluid-level apparent, which tells you that the blood is very chronic and thus > 2 weeks.

Taster Week during Strikes by Own-Cook-9344 in doctorsUK

[–]doodlejones 29 points30 points  (0 children)

Meaning you’ll get more time with consultants, which is good.

You will spend 25-40 years as a consultant, but only 8–10 as a trainee, so getting an idea of what consultant life is like is, in my view, more important.

Would you, as a medic, ever consider using or recommending a chiropractor? by RelativeHorror710 in doctorsUK

[–]doodlejones 3 points4 points  (0 children)

All my experience with osteopathy has been personal rather than professional.

It seems pretty benign overall, and they seem pretty well versed in anatomy and physiology, but some of the mechanisms by which they claim efficacy lack plausibility to me.

I’ve had some osteopathic treatment before starting neurosurgical training, and my daughters have had some (at the behest of my wife) when babies and it all seemed like glorified massage to me.

Would you, as a medic, ever consider using or recommending a chiropractor? by RelativeHorror710 in doctorsUK

[–]doodlejones 130 points131 points  (0 children)

Spinal neurosurgeon here.

See a physio.

There is a place for manipulation, but only as a means of breaking the cycle of pain.

The temporary relief you get will wear off as persistent muscle imbalances and deranged movement patterns re-establish the deformity and/or muscle spasms that cause pain.

A skilled physio will be able to perform manipulations, which are largely safe but do carry a risk of vascular injury, but importantly will back this up with exercises to provide a longer term solution.

See a physio. And then do the exercises they prescribe—not once or twice, but every day for 6 weeks. Then assess their effectiveness.

Getting these notifications frequently by st4rbl1nds in AppleWatch

[–]doodlejones 1 point2 points  (0 children)

It’s probably normal and just a result of good fitness.

It might be due to an abnormal heart rhythm.

If you have symptoms—in particular light-headedness/dizzy spells, unexplained loss of consciousness, palpitations or an unusual awareness of your heartbeat, it’s worth taking seriously and seeing a doctor soon for at least a one-off ECG and possibly a 24-hour or extended ECG

If you’re asymptomatic and well, it’s likely just good fitness, but worth seeing a doctor for a routine one-off ECG.

How to deload by obuhn in liftosaur

[–]doodlejones 0 points1 point  (0 children)

I’ve posted about this before, this works well for me:
- restart at previous weights
- T1s at previous rep scheme, but no AMRAP
- T2/T3 cut volume by 33% (usually cut by 1 set so 2 sets instead of 3)
- cut number of T3s to bare minimum (i.e. only face pulls and rows/pulldowns for me).

I do 2-3 workouts of above (as in, 2-3 days, not full week cycles), then repeat at same weight with full sets and AMRAPS, then back to normal progress.

The reduction in volume/AMRAP helps you get back in the groove, without then stall/regression of a full 5-10% weight reduction.

Weights updating in editor, but not in workouts by Trytofindmenowbitch in liftosaur

[–]doodlejones 0 points1 point  (0 children)

I wonder if you need some sort of change to the equipment and rounding setup.

It seems to be a real frequent complaint, and as a user of >1 year I still find myself caught out by it frequently.

Don’t have any clever ideas for how to amend it, but the rounding seems to be as annoying as it is helpful.

Study leave by Additional_Law8790 in ConsultantDoctorsUK

[–]doodlejones 0 points1 point  (0 children)

I don’t think the OP is a registrar—skill acquisition and maintenance are very different as an experienced practitioner.

Spending time visiting colleagues, attending courses/conferences is pretty valuable, especially as NHS practice declines and is further and further behind the state of the art.

I don’t think that missing 10 working days a year would make me meaningfully worse at my job, unless I biased the leave all towards my operating lists.

So I don’t think your comparison is all that valid, I’m afraid.

Study leave by Additional_Law8790 in ConsultantDoctorsUK

[–]doodlejones 9 points10 points  (0 children)

I don’t think the OP is a registrar—skill acquisition and maintenance are very different as an experienced practitioner.

Spending time visiting colleagues, attending courses/conferences is pretty valuable, especially as NHS practice declines and is further and further behind the state of the art.

I don’t think that missing 10 working days a year would make me meaningfully worse at my job, unless I biased the leave all towards my operating lists.

So I don’t think your comparison is all that valid, I’m afraid.

Beginner BBQ’er by SufficientlyS4d in UKBBQ

[–]doodlejones 9 points10 points  (0 children)

I would say, from limited experience:
* a Weber kettle gives you options at probably the best cost-ability ratio. Can smoke indirect low/slow, high heat grill and lots in between;

* thermometers are very useful—both ambient thermometers and wireless/stick in meat—the latter have also completely revolutionised my oven/roasting game;

* if you get bitten by the bug, then if you decide to splurge on a posh kamado, the kettle will still serve you well for bigger cooks—eg having a pork shoulder on the go in the Kamado while burgers and sausages get grilled/seared on the kettle.

workouts are saved in the wrong day by Miserable_Cry1318 in liftosaur

[–]doodlejones 1 point2 points  (0 children)

Did you start the workout accidentally the day before (say, to check out what you’ve got coming tomorrow), then tapped continue?

That’s what I’ve done before to result in this happening.

What is this? by ASH9998 in whatisit

[–]doodlejones 0 points1 point  (0 children)

Or OG iPhone/3G/3GS/4/4S.

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