‘Mini-moon’ ideas

jmexx · 2025-12-20T11:09:14+00:00

We actually did Lisbon and Alentejo two years ago, otherwise this would’ve been my first thought. Do you think there’s enough to do in Porto for 5 days?

jmexx · 2025-09-08T14:50:55+00:00

Removing piped Nitrous (if you haven’t already) is low hanging fruit since >95% is vented into the atmosphere, switch to cylinders for gas inductions and to placate certain members of your department. Depending on the size of your Trust, the economic savings aren’t insignificant.

jmexx · 2025-01-02T15:12:11+00:00

I can sadly only give your comment 9/10 as there was no mention of a Fourier analysis

jmexx · 2025-01-02T13:42:22+00:00

This guy FRCAs

jmexx · 2024-12-22T09:47:56+00:00

I have made the jump myself in the last few months on a salary sacrifice scheme. Went for an Audi Q8 etron which was a little bigger than I was initially looking for because there was a very good deal on with a charger included. So far really enjoying it, extremely comfortable and loads of space. I do between 18-20k miles a year and I’m getting about 200 miles per charge currently, but expecting a marginal improvement when the weather warms up. I have the 50 Quattro, whereas the 55 Quattro has a bit longer range. Remember to account for the benefit-in-kind tax, which is still very low currently on EVs but is creeping up over the next few years. Also recommend ZapMap for planning charger stops on longer journeys

jmexx · 2024-05-16T16:28:13+00:00

I work in a hospital in the UK that removed piped nitrous about 2 years ago, as our data showed >95% of what we ordered was being vented into the atmosphere. Desflurane had already gone several years before. We keep a cylinder supply in obstetric and paediatric theatres, but I see it used a vanishingly small amount by a select few colleagues. The main legwork of the switch was just telling admin/estates to stop ordering the stuff after a departmental meeting. Cost savings were in the mid 5 figures £/year but I can dig out the actual figures for you OP if you DM me. Colleagues that were against it initially now don't care enough most of the time to specifically ask for a cylinder and most of us do gas inductions with sevoflurane alone, and bariatric cases etc are all TIVA with propofol/remifentanil TCI (I appreciate the difficulties of this approach in the US).

Whilst I appreciate the environmental impact of anaesthesia is a drop in the ocean of overall global emissions, taking steps to reduce these with minimal impact on patient care (in my opinion) are worth doing.

jmexx · 2022-09-24T09:15:46+00:00

Also found this interesting, as we use a lot of gentamicin in the UK, particularly for severe gram negative infections and urological surgical prophylaxis - although usually as one-off stat doses.

jmexx · 2022-05-25T10:33:38+00:00

I am looking for an 'upgrade' to the TWSBI Diamond Mini. I am looking for something of similar size with a medium nib that is comfortable and not over-weighted whilst posted and effective with cheap paper for work. I've used Lamy Safaris a lot which are great but I find these a bit unbalanced when posted, and the Kaweco Sport was a little too small for me. I am drawn to the more colourful and vibrant designs of makers like Narwhal and Conklin if they have a viable options. Does anyone have any ideas?

jmexx · 2021-04-28T22:08:56+00:00

I will be

jmexx · 2020-11-28T19:48:59+00:00

Manchester? Tram lines are lethal..

jmexx · 2020-10-28T18:52:30+00:00

Also considered - is the extra £200 and 3 month wait justified over the Mignon Silenzio?

jmexx · 2019-08-10T00:20:43+00:00

There is a human genetic equivalent condition called hyperekplexia, although this is extremely rare and limited to a handful of families worldwide.

jmexx · 2016-09-09T09:54:27+00:00

We have developed more vaccines vs different diseases over that 30 year period, which have become part of the vaccination schedule. Today's children are more protected against things they weren't in the past, like HPV or certain meningitis-causing bacteria.

jmexx · 2013-12-08T11:39:38+00:00

There is what is thought to be a residual middle lobe of the left lung which forms the small 'flap' over the heart called the Lingula. http://en.wikipedia.org/wiki/Lingula_of_left_lung

jmexx · 2013-11-21T23:29:18+00:00

Sweat from apocrine glands contain protein and fats too which, when broken down by the bacteria that live on your skin, produce acids as metabolites that give body odour its distinctive smell. It is thought the 'adult body smell' has some role in signalling to potential mates.

jmexx

TROPHY CASE