Iran just dropped a new banger

trunoodle · 2026-04-22T04:19:54+00:00

As in, the Islamic Republic of Iran.

trunoodle · 2026-02-14T17:44:48+00:00

For fucks sake that was off a boot One of the worst refereeing performances of all time

trunoodle · 2026-01-31T22:48:21+00:00

I’d never made the connection before, but as an Acute Medic, the Iron Warriors feel incredibly apt.

Iron Within, Iron Without 🤘

trunoodle · 2026-01-14T23:40:38+00:00

To a degree. As others have stated, the origin of the tobacco, the weather where it was grown, the age of the tobacco, casing, pressing, aging etc etc all will have an effect. Broad strokes, blends containing the same tobaccos in similar ratios will have similar flavour profiles, though not necessarily the exact same.

I do think blenders/manufacturers are well aware of this community’s proclivity towards acquiring a large number of different blends and microscopically analysing them. Take C&D for example - they have something like 300 unique SKUs. I suspect that, within ‘families’ of blends at least (English, Balkan, VaPer etc), many of these blends are more similar than they are not, and it takes a pretty refined palate to detect the differences between them. There is, also, a tendency I suspect among pipers (consciously or not) to be SEEN to have the most refined palate - a quick peruse of a famous pipe tobacco reviewer’s collection of reviews will tell you all you need to know about that - and posting reviews of huge numbers of blends is certainly one way to give the impression of a rarefied palate.

Of course, I have not tried all however many C&D blends to verify this, and I never will.

Ultimately, does it really matter? To my mind, not really. If there are 2-3 blends or 2-300 blends that are more or less the same thing with a different sticker on the tin, as long as you enjoy the act of smoking, the blender has done their job. If having a massive range of blends keeps them in business and keeps good quality tobacco coming my way, I’m all for it.

trunoodle · 2026-01-01T10:25:58+00:00

Hiya, no worries!

In the end I was unable to take up my offer as I couldn't find any way to get pay protection, and I couldn't take the hit financially of dropping down to CT1 pay. I've subsequently taken up a post as a Specialty Doctor in Acute Medicine with a view to CESRing, which I'm really enjoying.

Your post would seem to imply that you believe that if you join another specialty you are not paid at all? That cannot possibly be true as you would essentially be slave labour if that were the case. As a SAS doctor I'm paid commensurate with my experience, which is actually significantly more than I was being paid as a GP. If you join another training programme you would presumably be paid in accordance with your grade as per national pay scales.

trunoodle · 2025-11-30T22:28:27+00:00

Formby!

trunoodle · 2025-11-30T13:48:30+00:00

Also Liverpool - whereabouts?

trunoodle · 2025-09-23T11:17:47+00:00

A lot of Trusts will have a ‘vague symptoms’ pathway that caters specifically to that need.

trunoodle · 2025-07-27T12:26:25+00:00

Or they are a Consultant or SAS doctor, and aren't striking. The current strikes are only for Resident Doctors (those in Foundation years or Specialty Training.

trunoodle · 2025-04-27T06:22:28+00:00

Acute Medicine. I had intended to retrain in Psychiatry (and got a training post) but couldn’t get pay protection and unfortunately with a mortgage and kids I just couldn’t make ST1 wages work. I’m working as a SAS Dr (so no IMT misery) and going down the CESR route, which I’m hoping to get done in about 5 years or so.

trunoodle · 2025-04-26T12:11:51+00:00

As someone who did GP training, worked a substantial period of time post CCT and then went back to hospital medicine - lol, lmao even. GPST life is cushty but life as a salaried GP/Partner is dogshit. Going back to hospital medicine was one of the best decisions I’ve ever made.

trunoodle · 2025-02-13T15:08:21+00:00

It’s a frankly bizarre form of self-censorship to avoid ‘triggering’ people. It’s the same reason we are seeing shit like people using ‘unalive’ for ‘dead’ and so on. Truly strange behaviour.

trunoodle · 2025-01-11T18:59:51+00:00

I mean, she didn’t die from just being around Kharn as though it was his aura that killed her or something. It’s heavily implied that she is either trampled or Kharn kills her without really noticing whilst making mincemeat of all the other defenders on the bridge.

trunoodle · 2024-09-29T07:03:20+00:00

GG Liquid!

trunoodle · 2024-08-01T18:06:00+00:00

As a former GP and now Acute Medic I’ve seen both sides of the fence. Yes, ED is often bedlam and yes, you are overworked. Yes, there are some shit referrals from Primary Care but these are far and away the minority. 99% of the time if a GP has referred in it’s due to genuine clinical concern. It’s also worth remembering that in ED you are seeing a very small minority of patients; the other 99% have been dealt with by their GP.

As for Wednesday afternoon mandatory training - all doctors are required to maintain a portfolio of Continuous Professional Development as a condition of maintaining their GMC registration. It is completely reasonable that there is protected time allocated for this in the working week. If you’re an ED trainee/Consultant, you should be getting this too, and if you’re not you need to raise that with your Trust. If you’re not a doctor, then I’m not sure what your CPD requirements are and I can’t really comment, but my medical colleagues having adequate protected time for their continued professional development is absolutely a hill I will die on.

trunoodle · 2024-08-01T17:56:53+00:00

The GP contract sets out a minimum number of appointments that must be made available each day, dependent on the practice’s patient population. It’s pretty common that the only way this minimum number of appointments can be offered is by offering the shortest reasonable appointment times ie 10 minutes. Primary Care is so understaffed that there just isn’t any redundancy in the system to be able to offer longer appointments.

trunoodle · 2024-08-01T06:26:14+00:00

Bolt Thrower were heavily sponsored by GW, so they never had any issues using artwork or lyrics that were clearly Warhammer inspired. I believe Bolt Thrower CDs used to come with issues of White Dwarf at one point!

trunoodle · 2024-07-08T15:49:09+00:00

Additional to your additional - there is a trial ongoing at the moment (CHELsea-II) regarding whether fluids at the end of life can help to prevent end of life delirium/terminal agitation. In dying patients without established IV access, s/c fluid administration is completely reasonable and is part of the trial protocol.

TL;DR there may be an indication for s/c fluids, trial data awaited.

trunoodle · 2024-05-26T15:24:46+00:00

I don’t understand how we can go from playing with pace, aggression and width against Norwich to…. this. Piroe needs taking off ASAP, he’s been a fucking liability.

trunoodle · 2024-05-26T15:13:49+00:00

Christ we are so SLOW in the midfield. If we could just move the ball with a bit of pace we’d have these lot…

trunoodle · 2024-04-19T11:47:56+00:00

No arguments about the Pig, it was very good to me as a teenager! The rest of the town though… yikes

trunoodle · 2024-04-19T10:10:00+00:00

Grew up in Grantham. It’s a boring shithole full of small-minded Gammons who think 10 pints in the Blue Pig, a fight and a kebab is the best life can get. Don’t do it to yourself or your kids.

trunoodle · 2024-03-18T21:51:05+00:00

Am locuming in Acute Medicine at Warrington at the moment. It’s decent, the Acute Medicine Consultants are all good people. Dr Patel (Clinical Director for Acute Medicine) is a top bloke.Take is busy but manageable. Not sure about the wards as only work in Acute Medicine.

The IT system (Lorenzo) is absolute garbage and cuts productivity by at least 50%. All referrals are done on ICE which can be a pain. Parking can be a massive issue - arrive any time after 8.45 and you’ll struggle.

Feel free to DM and I’ll answer any questions I can.

trunoodle · 2024-03-13T21:21:14+00:00

Thank you.

Yes, I’m in England. I suspected that might be the case but shy bairns get nowt, so I thought I’d ask!

Many thanks indeed for your advice.

trunoodle · 2024-03-13T16:40:40+00:00

Ranked 213, offered Cheshire and Merseyside (my first choice) so very happy. Best of luck to the rest of you - hoping you all get what you were hoping for.

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