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Ash Crimson posted:Delusional comment, go in peace Go away.
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Jun 7, 2022 22:35
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As an NHS (exclusively) doctor it really loving sucks when friends and family say “I’ve been given this long to wait, should I just go private?” and the answer is…yeah if you can afford it. My partner broke her knee terribly recently and had a locked knee as a result, which is something that needs to be operated on within 2-3 weeks to avoid permanent disability, I begged every colleague I knew and got all her scans and the op done fast, while feeling sick that that was what it took. A friend has a complex migraine disorder and has finally been referred to a tertiary neurology centre to see a neurologist specialising in the field. Her first appointment is in September. September 2023.
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Jun 7, 2022 22:36
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Z the IVth posted:These days it's usually a block contract where the hospital/department gets paid a set amount (based on an estimated number of cases) by the commissioners. As I recall this is renegotiated every few years (five?) so if there's a sudden jump in demand you could be seeing 2x the number of referrals incoming for the same amount of money. It really incentivises dealing with patients as quickly and "efficiently" as possible (ideally by never letting them darken your door in the first place). As you might imagine, this leads to a whole new set of equally troublesome issues. Referrals to our service have gone up by 40% compared to pre-Covid. We were more or less on top of things before Covid, but the impact on the quantity of work we could do during Covid, combined with the increase in demand for our service post-Covid, combined with a national staffing shortage partially caused by the Tories being loving incompetent... means that we are very much not on top of things now. /\ /\ /\ I work in Community Paediatrics and if a parent asks me whether they should go private to get their child assessed for autism or ADHD, my answer is almost exactly "Yeah, if you can afford it". You could wait 2-3 years for your child to get a diagnosis of autism (or not), or you can pay £1200-£1800 and almost always get a diagnosis. Or you could try to slog your way through the CAMHS triage process and hope the referral for ADHD assessment gets accepted (nationally, I've read that 30% of referrals are accepted, but it's way loving lower than that in my area). It's loving criminal, because it utterly discriminates against the poorest in society who can't afford it. And yet, if the child is on my caseload, I have a duty to the parents to tell them to make use of their (relatively) privileged lot in life.
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Jun 7, 2022 22:53
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I tried to look into private healthcare a while ago, but on top of them all excluding pre-existing conditions (which makes it loving useless for all the accumulated issues I can't see an NHS doctor for), none of the plans I found said anything about private GPs. They're all talk about their fancy hospitals and expensive surgery cover, but please can I just see a GP?
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Jun 7, 2022 22:54
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BUPA definitely has private GPs. They're not as easily accessible and will probably require some travelling.
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Jun 7, 2022 23:45
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https://twitter.com/regionalusfood/status/1527326900229529602?s=21&t=Mb_919x8RpQJdkvD_2GoHg Sir Keith Steamer
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Jun 7, 2022 23:45
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Public: A- policy!? At this time of year, at this time of day, in this part of the country, localized entirely within your party!? Steamer: Yes. Public: ...May I see it? Steamer: ...No.
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Jun 8, 2022 00:34
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kingturnip posted:Referrals to our service have gone up by 40% compared to pre-Covid. We were more or less on top of things before Covid, but the impact on the quantity of work we could do during Covid, combined with the increase in demand for our service post-Covid, combined with a national staffing shortage partially caused by the Tories being loving incompetent... means that we are very much not on top of things now. I long ago gave up on actually getting help for my myriad mental health problems beyond meds (which at least for me have made life liveable) because the waiting list to see anyone but someone who talks you through guided self-CBT or what ever it was called which is absolutely no help for me is so long and by the time i get referred to someone I have lost the self-motavation or am otherwise not mentally in a position where I can talk about this poo poo (it's the old catch 22. To actually go to the doctor requires the effort that I just can't make when I'm at my lowest. Like, if it's an appointment anywhere but my local GP surgery which is only open 3 days a week it involves a 40 minute bus journey followed by a wait of 20-30 minutes, then another 30 minute bus ride & a 20 minute walk.) I guess it's mildly reassuring to know it's not just the mental health services that are woefully underfunded. I wonder if the NHS can even be saved at this point. Starve the best has clearly been working well from the free market psycho's point of view. To reverse at this point 12 years of Tory misrule (without touching upon Labour's love of PFI, saddling the health service with pointless debts for years to come) will take years, massive spending increases, finding a way to encourage more people to train as medical professionals. I'm not saying it shouldn't be saved, I'm just wondering if any politician actually has the willingness to "waste political capital" on a project that won't provide immediate results. Seems we're loving incapable of doing anything that won't pay off for a decade
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Jun 8, 2022 00:45
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policies are bad anyway Like when was the last time you were like wanting to do something and someone came running up to you saying yesss yes do it, we've got explicit policies about allowing people to do this and were really excited about this? Nah, its always like sorry no there's a don't do that policy, its bullshit but its the policy, shrugs shoulders sorry. yeah, nah policies are rubbish. Best not to have any.
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Jun 8, 2022 00:48
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That is broadly true of almost every problem, though. Nobody in government gives a poo poo about solving any of the problems because they would all require changing the long term course of the country. There was that one guy but obviously we needed more brexit so we couldn't have that.
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Jun 8, 2022 00:50
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The kicker is privately there's no way to get pre existing conditions cover, but with corporate private healthcare there is. The more people who sign up at your company, the better coverage everyone gets. At bupa for example a few hundred gets you and ask your colleagues that. But if you want gender reaffirming surgery to be covered you need 400+ sign ups. It's... Quite something.
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Jun 8, 2022 01:18
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I gave up on even getting meds for my mental problems right around the time I spilled my guts to my GP about my constant grinding anxiety and she gave me a leaflet about meditation. I know it's not her fault and by doing that, it's another case that doesn't need to go on the pile, but I'd still quite like to try anti-anxiety meds sometime cuz I have a feeling they're pretty good at...getting rid of anxiety.
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Jun 8, 2022 02:33
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Doctor_Fruitbat posted:Yeah, potatoes are best cooked in stages, with a chance to cool a bit between each one. You simmer them until they start to soften, fluff up the edges with a fork or very gentle tossing, then cook them properly. For the absolute best wedges you deep fry them at 130C after the first stage to get a light crispy coating, then deep fry at 170C after they've cooled down to finish them off. Otherwise just oil them up and oven cook them. I do have a fryer but I made these in the oven. The last ones I tried to make didn't turn out as good as my first run though, I overcrowded the pan because you don't get a lot of them by my standards, it was this guy who I got it from, he's anti-fryer at home, but frankly we love ours. https://www.youtube.com/watch?v=m6kcANnAJSo That later led me to this, which lead me to ordering beef tallow last night as well from the butcher. I can only get raw stuff here so I gotta render it myself. But I'm gonna do some food experimenting, adding beef tallow to frying oil and some other stuff, to try and replicate old style mcdonalds fries: https://www.youtube.com/watch?v=Fo7vZm9a2To
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Jun 8, 2022 05:59
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You'll be able to get cheap refined beef tallow soon by exchanging your money for pound sterling polymer notes at any bank.
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Jun 8, 2022 06:44
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Tesseraction posted:https://twitter.com/regionalusfood/status/1527326900229529602?s=21&t=Mb_919x8RpQJdkvD_2GoHg Sir Keith Steamed Hams. Old family recipe.
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Jun 8, 2022 07:41
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Gyro Zeppeli posted:I gave up on even getting meds for my mental problems right around the time I spilled my guts to my GP about my constant grinding anxiety and she gave me a leaflet about meditation. I know it's not her fault and by doing that, it's another case that doesn't need to go on the pile, but I'd still quite like to try anti-anxiety meds sometime cuz I have a feeling they're pretty good at...getting rid of anxiety. Oh yeah this is like the one time I went to see a doctor about some issues while at uni, and she just did a websearch in front of me and advised me to do that (obviously I'd tried them all already). She was far more concerned that I'd moved out of their catchment area so she could remove me from their books. And here I am ten years later with the same problem, plodding along though.
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Jun 8, 2022 08:16
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I once saw a GP go on Wikipedia to look up contraindications for something he was about to prescribe. I know information's information and part of the qualification should be able to filter obvious lies and it might be more up to date than some 2kg textbook if you also read the citations but there's something off-putting about going to the Free Encyclopedia That Horse Paste Eaters Can Edit for that specifically. At least do an internal NHS branded one (I'll set up the wiki).
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Jun 8, 2022 08:29
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or angle their screen away from the patients
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Jun 8, 2022 08:34
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Guavanaut posted:I once saw a GP go on Wikipedia to look up contraindications for something he was about to prescribe. I know information's information and part of the qualification should be able to filter obvious lies and it might be more up to date than some 2kg textbook if you also read the citations but there's something off-putting about going to the Free Encyclopedia That Horse Paste Eaters Can Edit for that specifically. At least do an internal NHS branded one (I'll set up the wiki). That's weird because those resources already exist
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Jun 8, 2022 08:41
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I once went for a colonoscopy and the consultant looked up whether I could have gas&air due to my CF while I was lying on the bed with my arse out. Maybe do that first?
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Jun 8, 2022 08:49
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Lungboy posted:I once went for a colonoscopy and the consultant looked up whether I could have gas&air due to my CF while I was lying on the bed with my arse out. Maybe do that first? Maybe you were still a bit farty and he was waiting for you to clear out.
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Jun 8, 2022 09:15
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Failed Imagineer posted:That's weird because those resources already exist  It's of course possible that nobody had told him that they had that, which is even more worrying.
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Jun 8, 2022 09:16
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I'm assuming there's an element of the general defunding of the NHS that overseas data might not get into their database as quickly as someone can add it to Wikipedia. I'd also hope that articles on medicines are stringently monitored to prevent the Ivermectin brigade from doing that poo poo.
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Jun 8, 2022 09:23
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Lungboy posted:I once went for a colonoscopy and the consultant looked up whether I could have gas&air due to my CF while I was lying on the bed with my arse out. Maybe do that first? CF = chronic flatulence or cystic fibrosis?
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Jun 8, 2022 09:38
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Guavanaut posted:I once saw a GP go on Wikipedia to look up contraindications for something he was about to prescribe. I know information's information and part of the qualification should be able to filter obvious lies and it might be more up to date than some 2kg textbook if you also read the citations but there's something off-putting about going to the Free Encyclopedia That Horse Paste Eaters Can Edit for that specifically. At least do an internal NHS branded one (I'll set up the wiki). I went in & asked if the warning about sertraline not being mixed with grapefruit juice applied to other citrus fruits. Because I was curious after reading a bit about the interaction of grapefruit & discovered that the thing that causes the problems is also in Seville oranges & in bergamot. Which, Seville oranges is no biggie, I don't eat marmalade. But my tea of choice is Earl Grey which has bergamot in it. I hadn't had any particularly notable side effects but like I say, I was curious if I should drop the Earl Grey & find a different drink. So the GP looks blankly before spinning around to her PC & going on Google & ended up on WebMD or whatever. Obviously I was asking a slightly niche question and by nature General Practioners can't know everything but boy was it a little shocking to see her just do what I could have done at home. I assumed there was an NHS website or at least journal access that I didn't have. (The conclusion was it's probably fine)
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Jun 8, 2022 09:40
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I reckon CBT will age very poorly, maybe there's some real research there and the tories are just loving it up, but being "treated" by what seems to be a 20 year old who went on some seminars, and that treatment essentially coming down to her making me write a list of my bad thoughts and then promise not to think them, is some kafkaesque poo poo.
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Jun 8, 2022 09:45
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Brendan Rodgers posted:I reckon CBT will age very poorly, maybe there's some real research there and the tories are just loving it up, but being "treated" by what seems to be a 20 year old who went on some seminars, and that treatment essentially coming down to her making me write a list of my bad thoughts and then promise not to think them, is some kafkaesque poo poo. CBT or CBT?
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Jun 8, 2022 09:59
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sebzilla posted:CBT or CBT? Committee on Bible Translation
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Jun 8, 2022 10:01
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Petition to translate John 11:33 as "ow, my balls" rejected. Please also remove all references to motor scooters.
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Jun 8, 2022 10:05
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forkboy84 posted:Obviously I was asking a slightly niche question and by nature General Practioners can't know everything but boy was it a little shocking to see her just do what I could have done at home. I assumed there was an NHS website or at least journal access that I didn't have. Brendan Rodgers posted:I reckon CBT will age very poorly, maybe there's some real research there and the tories are just loving it up, but being "treated" by what seems to be a 20 year old who went on some seminars, and that treatment essentially coming down to her making me write a list of my bad thoughts and then promise not to think them, is some kafkaesque poo poo.
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Jun 8, 2022 10:13
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Quickly editing wikipedia just before my appointment to recommend 20kg/day marijuana for my sprined ankle, the perfect crime
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Jun 8, 2022 10:16
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Rust Martialis posted:CF = chronic flatulence or cystic fibrosis? Sadly the latter.
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Jun 8, 2022 10:25
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Angepain posted:Quickly editing wikipedia just before my appointment to recommend 20kg/day marijuana for my sprined ankle, the perfect crime Sorry, I changed it to amputation after you.
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Jun 8, 2022 10:25
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Guavanaut posted:Petition to translate John 11:33 as "ow, my balls" rejected. "When Jesus saw her weeping, and the Jews who had come along with her also weeping, he was deeply moved and troubled"?
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Jun 8, 2022 10:27
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the GP i had in my teens when i first experienced really black depression and was feeling suicidal for the first time told me i just needed to mix more with other boys and should take up rugby to let out some aggression lol
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Jun 8, 2022 10:30
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wonder how many people died because of that stupid oval office's words of wisdom
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Jun 8, 2022 10:30
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crispix posted:wonder how many people died because of that stupid oval office's words of wisdom
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Jun 8, 2022 10:32
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Jedit posted:"When Jesus saw her weeping, and the Jews who had come along with her also weeping, he was deeply moved and troubled"?
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Jun 8, 2022 10:35
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TACD posted:just how much aggression were you letting out in the rugby? i'd probably enjoy rugby now, it seems very sexy, but anyone who has experienced depression will know that you don't have any aggression to get rid of: you don't have any feelings of anything and that's what made the comment so ridiculous I've heard from others - even those who thought she was a good doctor - that she just "didn't do MH problems"
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Jun 8, 2022 10:41
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thought I had been waiting since december to hear about getting on the books for pain clinic and the neurological specialists but it's actually been since august last year lol
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Jun 8, 2022 11:00
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