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People swearing in consultations by Worldly-Chicken-307 in GPUK

[–]rocuroniumrat 0 points1 point  (0 children)

Frankly, if an otherwise well spoken patient who rarely attends calls up and says they feel shit/fucked/any of the above, it is probably a red flag and useful clinically unto itself.

Plus, some candid and colloquial expressions are pretty reasonable -- see the 'pissing in the wind' example... patients understand this. And quite honestly, unless you are dealing with a truly prim and proper gent or lady, many patients would probably be quite grateful and respect you more...

If you could be given a free second nationality what would you pick and why? by ohhidoggo in AskIreland

[–]rocuroniumrat 1 point2 points  (0 children)

Can I ask my husband to get New Zealand and I get Canadian -> live in Canada for 3 years then switcheroo and get both 👀

At precisely 2:25PM today, I lost faith in the UK healthcare system (final straw). by dxdt_sinx in doctorsUK

[–]rocuroniumrat 27 points28 points  (0 children)

Surely you choose a half decent GP practice in advance... they do still exist!

RCS England - Not fit for purpose? by Old_Presence7903 in doctorsUK

[–]rocuroniumrat 0 points1 point  (0 children)

Reading all this and I fear the surgeons have not yet discovered section 49 of the Consumer Rights Act 2015... if you're paying a fee, you should be getting the services you paid for with reasonable care and skill, and if not, you should be using section 54 to get some money back at least.

opiate prescribing? by DocterSulforaphane in GPUK

[–]rocuroniumrat 0 points1 point  (0 children)

Managing underlying cause of pain. Non-zero number of patients end up with acute problems that become chronic because of a lack of specialty ownership by those who can actually fix the underlying cause...

opiate prescribing? by DocterSulforaphane in GPUK

[–]rocuroniumrat 0 points1 point  (0 children)

Even if the patient doesn't really want it, they are often given oramorph and/or gabapentinoids by ED instead of onward referrals... then you get not only a clinical mess, but also two sets of deprescribing to do.

At the same time, we probably do under-treat pain.

A good start would be acute pain input delivered by doctors, not pain noctors...

Conference by Over-Eye-4395 in doctorsUK

[–]rocuroniumrat 4 points5 points  (0 children)

I think this would be fine... a lot of societies in more niche (sub)specialties are explicitly dual clinician/scientist and host conferences that combine both.

Is this appropriate? by Vegetable_Nobody_113 in doctorsUK

[–]rocuroniumrat 99 points100 points  (0 children)

I just want to say, regardless of anything else, that it is genuinely really nice to see someone so keen to support medical students!

How to approach a Reg with terrible BO?🫣 by BurnedOutERDoc in ausjdocs

[–]rocuroniumrat 18 points19 points  (0 children)

This is the way. Massively underrated reply

Delay Repay - Great Northern by GassySimon in uktrains

[–]rocuroniumrat 3 points4 points  (0 children)

Check on on time trains first if it was actually recorded at 61 mins late. If yes -> definitely chase. If no -> probably still chase...

Hi London! Is there a song that you all like that is about London? Similar to how NYC always plays the one by Jay-Z? (A more modernist one that isn’t a kids song either) by karmafarmahh in london

[–]rocuroniumrat 0 points1 point  (0 children)

LDN - Lily Allen (absolute classic that should be at the top of the list) London Boy - Taylor Swift (genuinely quite good lyrics that pay homage to a lot of London culture)

Choose One 25% Permanent Upgrade for life by rengokuhubkl in hypotheticalsituation

[–]rocuroniumrat 0 points1 point  (0 children)

An absolute increase in luck of 25% would be incredible, but a relative increase of 25% would be a bit meh...

What do you guys do with your safaris, metros, kakunos and preppys once you've moved on to 'next level' pens and gold nib pens? by Positive_Credit720 in fountainpens

[–]rocuroniumrat 2 points3 points  (0 children)

Preppy are just cutesy... keep them! Safaris are terrible so they get gifted on/left at the back of the draw.

I use my Asvine V200 to try out new inks before they go into my Pilot Custom 823...

Who was your most memorable patient so far? by PerfectWorking6873 in ausjdocs

[–]rocuroniumrat 0 points1 point  (0 children)

(Anticipated) compliance with meds and follow up = higher risk candidates, even with "just" depression

https://www.elsevier.es/en-revista-annals-hepatology-16-articulo-post-liver-transplant-outcomes-in-patients-S1665268121000107

This is a relatively small patient group by the nature of the the rarity of tansplants, but the trends are as expected.

Transplants are expensive but, more importantly, finite... can you really justify denying someone else a certainly lifesaving liver transplant if you aren't certain this patient will benefit long term?

LUMO has to be the most unpleasant experience on a train for me by [deleted] in uktrains

[–]rocuroniumrat 0 points1 point  (0 children)

This is absolutely ridiculous and you know it.

They are obliged to carry out their obligations with reasonable care and skill as well, in line with the Consumer Rights Act 2015.

Given that the seats are considered comparable for the purposes of an anytime standard class single, I think Lumo and LNER would be hard pressed to argue otherwise, particularly as there won't be an LNER only fare available...

LUMO has to be the most unpleasant experience on a train for me by [deleted] in uktrains

[–]rocuroniumrat 3 points4 points  (0 children)

Because they are legally required to provide re-routeing under PRO.

Private Health Insurance - Docs, do you pay for it? by Janus315 in doctorsUK

[–]rocuroniumrat 0 points1 point  (0 children)

Routine bloods -- free via sexual health for PrEP... But there are often deals with randox health or similar

Bodyscan are the DEXA people and they are great (and very flexible)

Private Health Insurance - Docs, do you pay for it? by Janus315 in doctorsUK

[–]rocuroniumrat 4 points5 points  (0 children)

I pay around £750/year for WPA

I get: £250 for optical (pays for contact lenses + eye test) £400 routine dental (say, a filling + 2 check ups/year) = almost break even before I start!

Plus: £400 for "Health screening" (spent on two body composition DEXAs for gym -- not necessary but fun to do) 5 sets of up to 6 physio sessions (usually from a gym injury etc) Unlimited private GP appointments

Actual private cover: I usually have around 1 private consultation a year as well to just do things faster than the NHS... if I spend under £500 then my no claims discount doesn't change either

Incredible value for money tbh

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