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The Grinder: Wolf Tooth pedals, DMR cranks, Ceramic Speed SLT bearings, USE bar, Madison bib-trouser, Leatt knee pads
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doctornickrivieraFree Member
where it all went wrong.
Publicly court Gareth Barry and whilst you are at it Piss off your best midfielder Alonso by making him feel unwanted. i believe the club were trying to flog him to raise cash for Barry. fail to land Barry and your miffed best midfielder leaves for his homeland. Overreliance on Torrard. And wtf was the whole Robbie Keane shambles about. benitez has only kept the job on the back of the champions league win. Last year I thought they were on the verge and now they are just ordinary
doctornickrivieraFree MemberMr dethumps. I don't think Diabetic care is shocking here i just thinks it's a postcode lottery. I was mortified to hear that one of my young type 1's who would be an ideal candidate for a pump couldnt have one provided due to lack of dieticians for calorie counting advice whereas 20 miles down the road they would.
On the whole care is getting better
doctornickrivieraFree MemberLook on the bright side , your weight loss was caused by diabetes not cancer. There is no reason that if you look after yourself you shoudnt go on to lead a full active and long life.
Also remember if you were born 50 years earlier you would just wither and die- so thank **** you are of this generation.
make sure your local hospital ? Bodelwyddan or bangor can treat you with pumps and DAFNE. My local trust cant due to lack of dieticians. That's a disgrace IMO. Remember only GP's with an interest in diabetes tend to know much about diabetes. Find out who yours are in your practice.
doctornickrivieraFree MemberI have a 2009 mount vision 5.8
you won't be disappointed!
doctornickrivieraFree Memberi did the same and got me cash back a few weeks ago
doctornickrivieraFree Memberhmmm i lost the plot when you said "nice venue near woking" – that's impossible!!
Weddings are expensive however you do it. Rent a hotel- expensive, marquee and caterers- expensive, buy your own booze- that's ok but the hotels will charge you 5-10£ bottle corkage. The only way to keep cost down is keep things small. If you want a hundred guests it will be expensive however you do it, and lets face it surrey is never cheap!
Another way people keep costs down is by getting married overseas and therefore " we're only having a small do!".
Making your future wife not realise at heart youre a stingy ***tard- Priceless!
doctornickrivieraFree MemberMaybe where your living you'd be better off with the mount vision platform.
doctornickrivieraFree MemberGreat for a honeymoon. spent 5 days in NY and 10 in bermuda. was expensive mind and went all inclusive
doctornickrivieraFree MemberAs you have a dog bit of a trip out but margam park is ace, or you could head out to newton beach porthcawl for a long walk accross the dunes and get lunch at the pelican pub in ogmore by sea on the way back to cardiff.
Cosmeston lakes penarth.
castell coch are woodland, lunch at the black cock pub on caerphilly mountian
the garth is nice for a walk too near pentyrch with food at the caesars arms in creigiau or the Gwaelod y garth inn
Or if you really want to impress the missus go for a walk on caerphilly mountain and spoil her with tea at the mountain snack bar( home of the mountain monster burger!)
But if you want to stay central you cant beat walking through bute park and pontcanna fields
doctornickrivieraFree Memberwalk accross from cardiff bay accross the barrage and eat at penarth marina- el puerto's is good. or vice versa- lots of nice eateries in cardiff bay, wouldnt reccomend the maenllwyd in rudry – recently has been awful- avoid.
A walk through bute park to cibo's – a great little italian on pontcanna street also good.
a walk round roath park lake with curry at the lake juboraj?
doctornickrivieraFree MemberCroft farm just outside cardigan is great too!
Pool on site etc.doctornickrivieraFree MemberI grew up in cardigan and it's great for kids. Great beaches for the kids if weather good. Newport , poppit sands aberporth , tresaith, penbryn llangrannog etc etc. Unless you are further north there is little biking around cardigan itself ( unless you roadie it!) If we have adry summer and only if the preseli hills are worth a spin, further north near aberystwyth and machynlleth you are in shooting distance of CYB, cliachx, NYA and the mach trails.
Cenarth falls as said before are nice, Folly farm is about 20 miles from cardigan and ace for kids, don't bother with cardigan island farm park- truly dire and the owner has a chip on his shoulder about almost everything, The preselis are nice for a walk, as are carn ingli ( i should know i got engaged up there!) as is newport pembs. Aberaeron is very pretty. I could go on and on.
If the weather is good you'll have an ace time, however if it rains like anywhere in britain it can be a bit bleak!
doctornickrivieraFree MemberHmmmm reversal eh
Success rates low 50% successful- vasectomy should be considered irreversible. You probably won't get it done on the NHS, you'll have to pay for it yourself in most areas- you certainly do in wales.
doctornickrivieraFree MemberIt's not the lack of gritters that pisses me off, it's the lack of grit . a few years ago there used to be containers full of grit left at the side of hills one even minor roads so that the public could grit the road themselves if needs be. These have not been replaced or filled. i don't expect the council to grit every road, but if grit was made available like it used to be then we could deal with the problem ourselves!
Nowt nanny state about that just common sense
anyhow heres a video working hard in the welsh village made famous by little britain yesterday!
http://news.bbc.co.uk/1/hi/wales/mid/8443628.stm
D'oh!
doctornickrivieraFree MemberI remember whilst working in outback australia having to stitch up a huge gash on the leg of a drunken aussie ferrel in the middle of the night. Throughout the procedure the cretine was repeatedly alling me a F***ing pommie C*** and the like. Glad to get shot of the fecker! However I was delighted the next day when the local plod turned up asking if I had stitched up any big cuts the night before as some idiot had left half his circulating blood volume on a window pane after a break in. I was delighted to shop the fecker! Result
i heard a rumour from a collegue that the weirdest thing he had seen at work was a teacher in a snow flurry. But that just has to be too far fetched to be true!!
doctornickrivieraFree Memberno but amitryptiline would be a reasonable course of action until seen by a neurosurgeon!
doctornickrivieraFree MemberGo to a+e with them and claim you just threw them up and collapse. Should get you a bed for the night ( and a PR to boot!!)
doctornickrivieraFree Member"Helps people deal with it though."
….maybe but it won't cure a disc prolapse. Neurosurgery is better than psychobabble for that. Whilst CBT has it pluses I think it is being pushed by the NHS as it is a cheap and self taught option. Can be done online – eg moodgym , and does not require expensive psychotherapists. I would love to refer all my chronic pain and depressed patients quickly to a counsellor/therapist. however locally the waits for theses services are 18 months ( no good if your depressed now) so i have no alternative but to prescribe nasty antidepressant drugs with all their hazards and side effects. Frankly our local psychiatric services are appalling and a pity any poor sould who really need their support as they won't get it. Don't get me wrong CBT has it's place but it's not a panaceadoctornickrivieraFree MemberYeah it can be crap and i tend to only use it for neuralgic pain or when a really orrible scrote demands "sleeping Pills". I rarely prescribe it for depression. Not nice in overdose either!
doctornickrivieraFree MemberPossibly sacral dermatome nerve compression. trip to the docs or physios methinks.
doctornickrivieraFree Membereasy 2 + 3 . Amitryptiline will cure your neuralgic back pain and depression in one
withdraws wand!
1 is easy – 2 second diagnosis.
2 and 3 deserve appointments in their own rights and prolonged discussion and follow up/treatment. If your GP was extremely lucky amitryptiline could cure both!
doctornickrivieraFree Memberhaving ridden most of the dragon route on a road bike you don't need a granny for the climbs but the option might be nice if you hit a wall
doctornickrivieraFree MemberI live in south wales and bought a road bike with a triple on it 3 years ago for fitness. I virtually never use the granny and feeel my mtb pedalling has got alot stronger from using the roadbike.
if you are not a racer i suppose it's nice to have the option of a granny!
Nice area for riding btw , my inlaws live near newent and i love road riding there around the forest / malverns and herefordshire.
doctornickrivieraFree MemberAs you nmight get a bit swollen and you know sore down below later on in pregnancy you might be better off with something like a cross trainer so there is no pressure applied to your lady bits
there is no reason why you shouldnt stay active during an uncomplicated pregnancy- just don't overdo it , remember your heart and lungs are already working flat out supplying your developing baby!. As a rule fit mums do better during and post delivery than fat mums.
All the best!
doctornickrivieraFree MemberI don't know alot about it- don't know if there are any opticians/opthalmologist on here. I did refer a middle aged lady as an emergency to the local eye clinic last year with rapidly deteriorating vision who turned out to have CRS and i seem to remember she recovered spontaneously
little on it bar what's on wiki but prognosis is excellent
doctornickrivieraFree Member"Enjoying it so far. Ideally it will be followed by a very long dry summer eh?"
Now let's not get ahead of ourselves Mr Lightyear!
doctornickrivieraFree MemberYes but they are not numpty UK drivers who still expect to tear along the motorway at 90 despite 6 inches of snow!!
doctornickrivieraFree MemberTypical cardiff any thurs/fri sat night. valleys empty on the lash and get pissed. The drunken w@nkers who plagued A+E every thurs fri sat sunday night made the job hell.
same as any other british city mind, for some reason we cant just have a few and have a laugh we have to get w@nkered it's a british disease!
doctornickrivieraFree MemberGood. hope you get sorted soon and all turns out well.
Please don't read the nice guidance in full unless you really are an incurable hyposomniac. zzzzzzz!
doctornickrivieraFree MemberHints
Get diagnosed by a rheumatologist not the interweb. transient polyarthralgias are common after a viral illness and it may settle spontaneously if you are lucky ( 2 week history so far right)However if your inflammatory markers are raised significantly and clinically you have a new onset RA then you should be referred urgently by your GP for specialist investigation and treatment. If you hear nothing over the next month or so make a nuisance of yourself with your Gp and hospital 1st appts office. Don't take my word for it it's in the latest NICE guidance on referral guidance.
http://guidance.nice.org.uk/CG79/NiceGuidance/doc/English
basically if you have RA early treatment with disease modifying anti rheumatoid drugs and immune modulating drugs is giving better and better outcomes. However early diagnosis and treatment is the key. Good luck.
In the meantime take high dose antiinflammatories!doctornickrivieraFree Memberignore the mockers. the chamaleon is great. Lasted our little girl until she was 3. Light easy to fold good warranty. survived multiple trips into cargo holds unscaved and best of all we recouped over half the cost back after 3 years when we sold it. friends who bought mothercares own system regretted it- heavy and awkward. the quinny's also look good and the micralite is good if on a budget
doctornickrivieraFree MemberDunno mate! With my parents hen's the only think which kept em safe was locking them up at night!
Don't worry justice will be delivered boxing day!