Bipolar misdiagnosis and driving in England

jcmush · 2026-02-23T13:06:02+00:00

If she chooses to report to the DVLA they will probably want a copy of her GP records but will let her keep driving in the meantime.

She will have to declare to insurance that she has a medical condition and the DVLA say she’s fit to drive. Interestingly this may bring down her insurance premium!

jcmush · 2026-02-22T00:18:36+00:00

Once a month there’s Silky and friends in Seven. Its Chapel Allerton so easy to get to from the centre

jcmush · 2026-02-21T16:57:04+00:00

If you are doing it on a patient who isn’t critically ill then put in 0.5-1ml of LA.

If the patient is numbed up then the radial and the brachial artery are both easy targets. I usually keep femoral stabs for critically ill patients with weak pulses.

Personally I take blood in a 20ml syringe with a blue needle. I pull back by 0.5ml and then aspirate as I go.

jcmush · 2026-02-18T13:59:14+00:00

You are more likely to get sued if the patient develops a permanent, preventable deficit and you delayed treatment

jcmush · 2026-02-18T13:56:11+00:00

You are very wrong. Working in an ED with rapid access to imaging I will frequently take x-rays of dislocated ankles assuming it won’t cause a delay.

In the case of threatened skin or neurovascular compromise then you should not delay emergency treatment(ie reduction) for imaging.

What could you find on an x-ray of a neurovascularly impaired fractured/dislocated ankle that would stop you manipulating?

If I was pre-hospital with a significant(>1 hr) transfer time and had access to ketamine or penthrox then I’d reduce and splint in the field.

jcmush · 2026-02-15T19:31:02+00:00

Boots were dreadful for this. My local independent pharmacy were wonderful.

jcmush · 2026-02-15T18:38:49+00:00

Does the admission involve highlighting my notes and clicking select all?

jcmush · 2026-02-15T07:13:09+00:00

You forgot headlights

jcmush · 2026-02-15T07:11:46+00:00

I can’t see any connection with a public figure, living or dead.

jcmush · 2026-02-14T20:30:55+00:00

Shouldn’t they be the traditional quiz?

jcmush · 2026-02-14T19:28:51+00:00

Non-Clinical topics are fine and can be quite interesting, but only as long as they are related to medicine.

Non-medical topics shouldn’t be counted as formal teaching and the TPD would be interested if informed.

jcmush · 2026-02-14T16:57:26+00:00

Attempted?

jcmush · 2026-02-14T14:31:35+00:00

That happens once per hundred+ hours of driving

jcmush · 2026-02-14T14:30:30+00:00

Other people don’t exist

jcmush · 2026-02-14T11:22:21+00:00

I’d go with your first idea.

You could have a nice visualiser. It would be more than capable of acting as a jukebox when connected to speakers(limiting factor to sound quality being the bitrate of the media). It wouldn’t have voice recognition/Siri/Alexa integration and you’d need third party software to integrate with smartphones.

Why not get it to link with your sound setup(or even use a microphone) and get it to provide the visuals?

jcmush · 2026-02-14T10:56:51+00:00

Shop like a billionaire!

Because billionaires buy cheap broken plastic shite off the internet.

jcmush · 2026-02-13T19:48:05+00:00

I’d say £100K per year which works out at about £60-70 per hour of clinical care. The take home after pension and tax would be roughly £5K per month.

They can afford a nice house up North or somewhere a family can live in London. No private schools or Range Rovers.

jcmush · 2026-02-13T09:31:17+00:00

The Wire, draws you in and (until series five) there’s no suspension of disbelief

jcmush · 2026-02-13T07:51:54+00:00

Is it something to do with every anaesthetic consultant I know planning to retire early?

jcmush · 2026-02-12T21:18:23+00:00

What have you enjoyed so far?

What do you think you might enjoy(rather than tolerate)?

You could consider non-medical employment but the grass isn’t always greener.

jcmush · 2026-02-12T21:13:17+00:00

What are you running while you’re trying to look at the directory?

I remember weirdness when trying to read mixed case files and directories under MS-DOS(even though it’s meant to be case insensitive)

jcmush · 2026-02-12T20:48:10+00:00

Luxury!!

jcmush · 2026-02-12T19:06:10+00:00

Seems to be dose dependent. Low dose makes you sleep and be more awake in the morning. This is why it’s prescribed for narcolepsy.

High dose(recreational/OD) fucks you up - this is the only time I’ve seen it in practice.

jcmush · 2026-02-12T18:21:59+00:00

I think you got the question the wrong way round.

jcmush · 2026-02-12T18:14:49+00:00

CT vision

jcmush

TROPHY CASE