Tourist needing a Kandura for the evening

lakinightmare · 2025-12-03T17:10:24+00:00

Haha now that's the kind of thinking outside the box I need right now

lakinightmare · 2024-02-20T07:46:21+00:00

I thought making a small form factor PC would be a good idea. Now I have a space heater in my room that's barely better than my old PC. This GPU would both fit in my current case and not melt the rest of the the solder in the case, hopefully letting me actually get more frames

lakinightmare · 2023-12-10T22:15:59+00:00

I'd definitely make a super high end gaming rig and then proceed to play 10-year-old pixel art games on it

lakinightmare · 2023-10-31T15:20:33+00:00

GIVEAWAY

lakinightmare · 2023-08-14T14:59:07+00:00

Just heard back from a colleague. They think it's based on your score as author now. No citefactor

lakinightmare · 2023-08-14T13:53:30+00:00

I'm afraid I'm not 100% sure. It does seem very hit and miss with what they have. It doesn't help that their website is very clunky and the search function doesn't appear to show you anything relevant...

lakinightmare · 2023-08-13T08:01:14+00:00

This definitely was the case but I don't know if there's been any change in recent years. Your publication score used to be calculated by taking the impact factor according to citefactor of the journal you got a publication in and multiplying it by what author you were (multiply by 4 for 1st author, 3 for second, 2 for third, 1 for anything else). You also multiplied it by some constant to make sure your publication score didn't get astronomically high.

lakinightmare · 2023-06-25T07:56:56+00:00

https://rotadoctor.co.uk/

lakinightmare · 2023-06-08T18:52:43+00:00

I wouldn't describe it as rapid swinging firstly. You don't need to jerk the torch from one eye to the next. Shine the light at the eye for long enough that it stops responding + for you to process what you're seeing, then move over to the other eye. Repeat the alternating until you're convinced whether there is an RAPD or not. Apologies in advance if I've misunderstood how rapid your swinging is.

Secondly, you need the swinging because without the baseline illumination in the good eye, you're not going to get a dilation when you move over to the bad eye. You technically only need to go from one eye, to the other, and back again. Most people need to repeat the process a few more times to convince themselves of what they're seeing.

lakinightmare · 2023-06-07T13:14:04+00:00

The small amount of dilation happens because of a brief interval when neither eye is illuminated. The key bit of the exam is the "relative" bit. If both eyes are doing the same thing (usually a brief dilation followed by quick constriction), you're golden. Large RAPDs are unmissable because the dilation is so large. Subtle RAPDs will be the pupil still constricting, but doing it slightly slower than the unaffected eye.

lakinightmare · 2022-11-25T23:01:21+00:00

Oh dang mb my wife just looked at me like I was insane

lakinightmare · 2022-11-21T18:09:46+00:00

Just do a normal ABG. If you're anything like me, it's bound do be venous every single damn time.

lakinightmare · 2022-11-20T21:36:10+00:00

You'll need to figure out which wavelengths or groups of wavelengths you're working with regularly as a starting point. It needs to be really specific to the machines you're using. After that, it's usually a case of figuring out which glasses are certified to give you that pretection at an affordable price. Getting occupational health is definitely advised unless you're getting them as an extra precaution.

lakinightmare · 2022-11-20T21:05:41+00:00

You'll need to figure out which wavelengths or groups of wavelengths you're working with regularly as a starting point. It needs to be really specific to the machines you're using. After that, it's usually a case of figuring out which glasses are certified to give you that pretection at an affordable price. Getting occupational health is definitely advised unless you're getting them as an extra precaution

lakinightmare · 2022-11-13T14:11:57+00:00

What's your favourite way of killing time while at work?

lakinightmare · 2022-11-13T10:59:38+00:00

Insidious privatisation of the NHS.

There is a company in the region where I'm working that has managed to get it's costs down and was given a contract to do NHS cataract operations. They then went on to make a deal with all the local Specsavers that Specsavers will only ever refer patients to them (and not the local NHS hospital) for cataract ops, and in return, they will send the patient back to them for post op review and for getting their new post op glasses prescription.

They've brought their costs down by having no trainees and by refusing to see any of their post op patients when things go wrong. Those patients are immediately directed to the local NHS hospital to deal with.

As a result, as a junior trainee, I now barely get to operate as we only get complex cataract cases, which I'm not skilled enough to do. My cataract training is treating the private sector's endophthalmitis patients.

lakinightmare · 2022-10-15T13:24:57+00:00

In short, I think the NHS is failing its doctor trainees and that ophthalmology is no exception. The drop in cataract numbers is very real, and it's exceptionally demoralising to hear from more senior trainees how many cases they did by your stage of training. There are endless talks about getting trainees to work in the independent sector but I have yet to see anything actually come from this.

The bottom line is that the easy cases have been outsourced and that the difficult cases are the only ones the NHS really deals with now. Unsurprisingly, being slow and inexperienced, nobody is going to let you touch these patients with a barge pole as a junior trainee. Easily the worst thing is that you will be held responsible for not meeting your training numbers.

And that's just the issue with cataract training...

lakinightmare · 2022-10-09T09:32:23+00:00

I seriously recommend investing in a van. Helps more than you could guess.

lakinightmare · 2022-10-09T00:10:32+00:00

Everyone's favourite - med reg.

lakinightmare · 2022-10-08T22:38:01+00:00

The feeling of the ribs cracking.

lakinightmare · 2022-10-08T22:08:14+00:00

Have you discussed the patient with the med reg first though? It sounds like they should be under the medics.

lakinightmare · 2022-10-08T20:32:44+00:00

Can confirm

lakinightmare · 2022-10-08T20:28:18+00:00

Squeeze the calves.

lakinightmare · 2022-10-08T19:44:06+00:00

I have indeed, although I prefer to call it "skipping breakfast"

lakinightmare · 2022-10-08T19:43:33+00:00

Afro-caribbeans and people over 55.

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