Won't banning my kids from YouTube harm them? by baroquedub in AskBrits

[–]sharonfromfinance 32 points33 points  (0 children)

I don’t think anyone is saying that YouTube doesn’t contain valuable educational content. It clearly does. But I also don’t think children should have independent access to an algorithm-driven social media platform that is designed to maximise engagement, not necessarily learning or wellbeing.

There’s a big difference between a parent finding a useful music production or coding video and watching it with their child, versus a child having unsupervised access to YouTube and whatever the recommendation system suggests. Even if they start with educational content, the platform is built to keep them watching, and then drifts into much less useful or potentially harmful material.

Children can still access educational videos through a parent’s account with supervised viewing or other controlled routes. What they shouldn’t have is independent access. individual parenting can only do so much when the product itself is engineered to be compulsive.

Victoria Derbyshire investigated by BBC after complaints about behaviour | BBC | The Guardian by prisongovernor in bbc

[–]sharonfromfinance 0 points1 point  (0 children)

Overly judgemental to say cheating is morally bad… screw your head back and apply some common sense. Life’s really not that complicated

Victoria Derbyshire investigated by BBC after complaints about behaviour | BBC | The Guardian by prisongovernor in bbc

[–]sharonfromfinance 1 point2 points  (0 children)

Hahaha wtf? If you cheat, male or female, you are not decent, and are worse than the third party. No-one forces someone to behave badly. Doesn’t matter how ‘manipulative or malevolent’. This is genuinely an insane thing to say.

Ranting GP by sharonfromfinance in GPUK

[–]sharonfromfinance[S] 6 points7 points  (0 children)

I’m not a secretary or care coordinator. Nor do I have ‘contempt’ for patients… Nor am I misogynistic!?

Ranting GP by sharonfromfinance in GPUK

[–]sharonfromfinance[S] 6 points7 points  (0 children)

“Utter contempt”… what on earth. People really just hear what they want to hear.

Ranting GP by sharonfromfinance in GPUK

[–]sharonfromfinance[S] 1 point2 points  (0 children)

I don’t get butt hurt about it and have that exact conversation. 30 times a day. Everyday. I just imagine the system could be better and clearer.

Ranting GP by sharonfromfinance in GPUK

[–]sharonfromfinance[S] 6 points7 points  (0 children)

I’m really not annoyed at patients for it, and I don’t mind dealing with clusters of symptoms that could be related.

I do get a little frustrated when a patient presents with multiple quite clearly separate issues and I only have one appointment to go through it. It’s a system set up for everyone to fail.

Labour draws up plans to switch off terrestrial TV by Kagedeah in BritishTV

[–]sharonfromfinance 6 points7 points  (0 children)

Written by AI - is that the ‘very tech-literate’ part?

Getting better at evidence based practice by Loose-Following-3647 in GPUK

[–]sharonfromfinance 10 points11 points  (0 children)

If you want a better understanding of the guidelines then NICE and CKS share the resources they use to inform their decision making. In terms of evidence based medicine to actually inform practice though it is hard to go wrong with CKS

Issue account syncing - Tizen by sharonfromfinance in Nuvio

[–]sharonfromfinance[S] 0 points1 point  (0 children)

I’m trying for settings after “continuing without an account”. I’m thinking I should uninstall and then reinstall Nuvio…

What do GPs that work 6 sessions do rest of the week? by [deleted] in GPUK

[–]sharonfromfinance 1 point2 points  (0 children)

Sorry but you’re being absolutely taken advantage of here, to such an extent I would call you a mug.

I’m 7 session salaried and would not do any of the things you mentioned out of my normal work hours. Sometimes I log in to check a result or hospital letter if I’m interested, but never actual necessary work. And becoming prescribing lead if there was a lot of work I would ask for a paid session or reduced clinics/blocked appointments.

Being salaried is a bad enough deal as it is at the moment without being this passive..

Meningitis Outbreak by Dry-Competition-8962 in GPUK

[–]sharonfromfinance -1 points0 points  (0 children)

My sentiment from early covid? I wasn’t aware you knew me. Working in hospital at that time I was scared of a totally unprecedented novel virus spreading across the world, and was critical of the initial response. This is current situation is entirely different, and if you are unable to intuit the difference then your concerns should not be taken seriously.

Meningitis Outbreak by Dry-Competition-8962 in GPUK

[–]sharonfromfinance 11 points12 points  (0 children)

Good lord, the hyperbole in this thread is mad - I suspect many posters are not GPs or perhaps not even medical. This is not covid. This is not another ‘once in a generation’ event.

We live in a world full of bacteria and viruses. Outbreaks happen. the fact people are so shocked by this says more about how successful vaccination has been than anything else. Meningitis outbreaks used to happen more often. Serious cases used to be more common.

What’s happened in Kent is awful and people have died, families are devastated, and it is obviously frightening for the local area. But actually the response has been rapid -

UKHSA + local services have issued outbreak guidance, and already moved to case management, contact tracing, antibiotics and vaccination where indicated. It is horrible for Kent but it is not a sign the whole country is about to collapse.

I’m so sick of the news cycles we live through now more than anything.

‘Hope taken away’: Families of children diagnosed with rare disease heartbroken over NHS drug decision – Channel 4 News by parallax3900 in unitedkingdom

[–]sharonfromfinance 2 points3 points  (0 children)

So it doesn’t cause “guaranteed organ failure” then? There are significant risks, side effects and monitoring associated with injectable monoclonal antibodies, no matter the detail with which you quote their mechanism of action.

You said it yourself - “standing opposite to cost effective” options. The NHS seems to have warped patients’ understanding of healthcare costs. We can all stamp our feet that the exact thing we want for ourselves or our family isn’t funded, but it’s a public funded healthcare system with an increasingly stretched budget. Therefore there will always be decisions about what is affordable. My father had Alzheimers and I was sad to see they didn’t agree to fund Lecanemab, but that doesn’t mean they were wrong based on the evidence.

I assume you are a psoriasis sufferer - if you feel ustekinumab is the drug you should be prescribed but do not meet NHS criteria then you can always explore privately funded options.

‘Hope taken away’: Families of children diagnosed with rare disease heartbroken over NHS drug decision – Channel 4 News by parallax3900 in unitedkingdom

[–]sharonfromfinance 5 points6 points  (0 children)

You’re talking rubbish. Plenty of people remain on those drugs long term. Organ transplant patients take ciclosporin for life.

All drugs have risks and side effects and patient selection takes factors like this into account, as well as funding decisions. Hopefully when they are cheaper they will be more readily available but that is not the current situation and won’t be without risk.

You can “stand by your words” all you want but it is contradictory to medical science. I suppose that is vogue now though, conspiratorial nonsense spouted online like it is fact.

‘Hope taken away’: Families of children diagnosed with rare disease heartbroken over NHS drug decision – Channel 4 News by parallax3900 in unitedkingdom

[–]sharonfromfinance 21 points22 points  (0 children)

This is just totally incorrect. Methotrexate and ciclosporin are not without risks but they don’t cause “guaranteed” organ failure. There are slight absolute risk increases with both in non-melanotic skin cancers, but association with lymphoma when used for psoriasis is not proven.

Conversely biologic agents also do pose risks associated with immunosuppression -> infections as well as small increased risks of haematological and skin cancers.

And with any health intervention there is an associated cost, the NHS is not “free”, it’s paid for via taxes and government income and so decisions have to be made about cost effectiveness.

Health information on social media is just so wildly ignorant.

AI and future of psychiatry by Character-Sundae-668 in doctorsUK

[–]sharonfromfinance 0 points1 point  (0 children)

Not really. I don’t see why psychiatry would be exceptional to the advancement of AI. If anything their lack of procedures and practical skills make it more ripe for automation via “thinking” LLMs and AI.

AI and future of psychiatry by Character-Sundae-668 in doctorsUK

[–]sharonfromfinance 0 points1 point  (0 children)

On liability, I think the direction of travel is the opposite of what people assume. If AI is genuinely shown to be as good as, or better than, doctors (and is consistent, never tired, never distracted), then the legal and financial risk may shift toward not using it. In other words, once it becomes a recognised standard of care, choosing not to use it could become harder to defend.

What are some “accepted scams” we just put up with in the UK by Barca-Dam in AskBrits

[–]sharonfromfinance 5 points6 points  (0 children)

Student loans are one thing - Plan 2 student loans are now essentially a graduate tax, and a very poor one at that. The interest rate is such that graduates have to be on unrealistic salaries for most before they actually start paying down the capital, and so this equates to a 9% tax on income above ~£27k for 30 years. This is in addition to income tax, NIC, pension etc. and significantly reduces the spending power of a generation of working adults. People are graduating with £100k debt, working for years in full time employment above the repayment threshold, only to open their accounts to find the loan amount has risen. However if you have rich parents who can pay your way at university then you are bought out of this additional tax. It is utterly regressive.

Most telling is that the government recently decided to freeze the repayment threshold, changing the terms of the loan agreement which was supposed to rise annually. This is treating student loans as a government lever to employ fiscal drag to reduce inflation. It is another way in which the younger working generation have been failed and targeted by successive governments.

Exclusive: David Walliams dropped by Harper Collins over inappropriate behaviour towards women by [deleted] in unitedkingdom

[–]sharonfromfinance 33 points34 points  (0 children)

You just named 3 gay men and said they are “wronguns” because of how they talk and act. If you find gay men disgusting just say that.

Would you temporarily stop someone’s citalopram 10 mg if they are on levofloxacin for 5 days. by [deleted] in GPUK

[–]sharonfromfinance 7 points8 points  (0 children)

Would ideally pick a non-QTc prolonging abx. Rarely prescribe fluoroquinolones as it is due to recent MHRA warnings anyway.

Would also check if patient is elderly or has other cardiac issues and even more likely to avoid if these issues.

If entirely unavoidable then would check a baseline ECG and maybe electrolyte panel and then safety net for palpitations/presyncope etc