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Viewing 40 posts - 81 through 120 (of 813 total)
  • 502 Club Raffle no.5 Vallon, Specialized Fjällräven Bundle Worth over £750
  • doctornickriviera
    Free Member

    2nd vote for atera giros too.

    Remember many tall frames or odd full sus designs with a busy downtube are hard to get on roof carriers

    doctornickriviera
    Free Member

    Thanks but done all that and drive 70 miles a day! See what the dealer says! Who was your independent mazda dealer btw ?

    doctornickriviera
    Free Member

    Had no end of probs since about 60k. Replaced mass air filter 12k ago + dpf clean, had diagnostics run 3/7 ago by an independent guy and reckons its dead, leaking and probably fallen to bits internally going into mazda tomorrow and if needs replacement may look at removal as an option.

    doctornickriviera
    Free Member

    Dpfs on diesels are a right royal pain the arse!! Mazda 6’s especially.

    doctornickriviera
    Free Member

    Endura stealth jacket

    doctornickriviera
    Free Member

    Dont induce vomiting….. Straight to a/e do not pass go do not collect£200

    doctornickriviera
    Free Member

    Norton

    doctornickriviera
    Free Member

    Last year i bought a giant defy advanced with ultegra in the sales for just over £2k . Its flipping lovely!

    doctornickriviera
    Free Member

    Whitesands near st davids…

    Penbryn cardiganshire

    Mwnt

    Sennen cove

    Newport pembs.

    doctornickriviera
    Free Member

    Waterfalls walk from ystradfellte is great.

    The horseshoe walk around penyfan also lovely. Stroll along the canal from talybont also lovely.

    doctornickriviera
    Free Member

    Well hes an plastics hand specialist so hes the right man for the job! Sarah doesnt know him but his online cv seems to add up! He wouldnt reccomend a procedure if he didnt think it would help you.

    Shame your not in south wales as i could reccommend 2very good hand surgeons

    Good luck

    doctornickriviera
    Free Member

    Posterior interosseus nerve is a terminal branch of the radial nerve

    http://emedicine.medscape.com/article/1286712-overview#a0103

    doctornickriviera
    Free Member

    Sar says that they give good outcomes but needs alot of physio and hand retraining to get full function back and alot of patient motivation also.

    Where are you and who is your surgeon?

    doctornickriviera
    Free Member

    Im not an expert but my wife is… Consultant plastic surgeon so i’ll ask her!

    Do you have a radial nerve palsy?

    doctornickriviera
    Free Member

    If jenson could nail qualifying hed be the best current driver by a country mile!

    doctornickriviera
    Free Member

    Austin allegro brown !

    doctornickriviera
    Free Member

    Aussie v8 racing where he came from! Go holden!

    doctornickriviera
    Free Member

    Not challenging but perfectly long enough for a child seat ride

    http://www.pedalabikeaway.co.uk/sitefiles/18/8/8/188870/cycletrailmap.pdf

    Its not flat either!

    doctornickriviera
    Free Member

    Pushing the limit too hard as hes not in the best car at the moment…. Therefore making mistakes… Even vettel makes mistakes when pushed…see canada last lap.

    Button however has outclassed him this season. Call it maturity!

    doctornickriviera
    Free Member

    I truely love my defy advanced!

    doctornickriviera
    Free Member

    Hook couldnt make 10 at the ospreys last year. Probably shouldnt have played there in the last 2games.

    doctornickriviera
    Free Member

    Any band with an & in……

    Belle & sebastian

    Mumford & sons

    Mel & kim

    Hue & cry

    doctornickriviera
    Free Member

    Do the family route you fool!!

    doctornickriviera
    Free Member

    All i can say is good luck to you and yours over the coming weeks.

    doctornickriviera
    Free Member

    I think people with a positive attitude are far more likely to get diagnosed early and to actively seek treatments early which hence makes their survival rates higher. Negative thinkers are more likely to ignore the signs eg a breast lump for ages and therefore get diagnosed late and hence present when disease has spread with poorer outcomes.

    doctornickriviera
    Free Member

    Get a road bike and stop moaning!

    If this fails take up golf!

    doctornickriviera
    Free Member

    Calm down boyos all is saved cos tangerine gav has signed for the cardiff blues. Surely 6 grand slams in a row and victory in 2015 is now assured. All hail king gav! ;0)

    doctornickriviera
    Free Member

    Mwahhahahahahahahaha!

    doctornickriviera
    Free Member

    If your having your family over why not spit roast your birds!

    doctornickriviera
    Free Member

    V8ninety ….

    Im not sure what you do but you talk drivel about “social” admissions. Have you ever spent any time in primary care?

    I remember working for a really good care of the elderly consultant as an sho who told me there is no such thing as a social admission. You know what she was and still is right.

    doctornickriviera
    Free Member

    Id do one well done and one medium rare to cater for all tastes

    doctornickriviera
    Free Member

    Eeeeeeeeoooooooowwwwwwwwwwfffffffffffffftttttttzzzzzzzzz!!!!! Said scarface claw

    doctornickriviera
    Free Member

    Anything by julia donaldson

    Hairy maclary from donaldson dairy series!

    The mog books are good too.

    Tiger who came to tea

    Rumble in the jungles

    Shark in the dark

    doctornickriviera
    Free Member

    Jet 26 you are spot on! Not enough staff end of! Nurses in aus were less stressed and narky because they werent so hard pushed as the ratios werent so high.

    Things are going to get worse cos the cuts havent hit yet!

    doctornickriviera
    Free Member

    Being more helpful you want 2.25’s , it gets we but never muddy so i wouldnt take mud tyres. Nothing too skinny either. I ride with maxis ardents and advantages 2.25s there and im a local!

    Mafu 26 crossbike .?. Are you insane? possible yes but you will be sore!

    doctornickriviera
    Free Member

    Northwind.

    As a gp i would happily work weekends and evenings if the rota was sustainable and i wasnt working 90-100 hrs a week depressed / burnt out /and therefore providing poor care.

    To access all services 24 / 7 7 days a week you would need a huge increae in the number of doctors / nurses/ x ray staff … The list goes on and on to cover a tesco healthcare culture

    The country cannot afford/ taxpayers arent willing to pay for this. Therefore most non emergency services are 8-6.

    doctornickriviera
    Free Member

    Doctors are silly expensive because they are so highly trained, on a par with lawyers etc and compared to them we are cheap

    Lots of old dr roles have been changed down over the last 10-15 years. Whilst it might be efficient to have more and more specialist nurses, we are getting more and more poorly trained drs because someone els clerks and examines the patient , takes the blood, puts the catheter in etc etc. We have noticed that the newer breed of gp trainees suffer with decision making in practice because theyve never had to make any. When its one patient per 10 min slot it really is sink or swim oclock.

    There is no doubt this is also having a knock on effect on surgeon and physician training also.

    doctornickriviera
    Free Member

    In my above posts i am not blaming any carer or nurse fot not feeding – i am merely pointing out that people arent being fed. I can imagine it would take a good half hour to assist an elderly patient to eat a meal . In a 40 bedded geries ward that would take upt 20 staff hours per mealtime wihout other interruptions. My point is that community and hospital staff arent given this time.

    As for funding gp practice funding has been decreasing since 2006 and i imagine this is being replicated accross he caring sector.

    It’s often the families you never see on the wards that kick off big time when grandma isnt being fed. If your local and there are a few of you go in and help out!

    doctornickriviera
    Free Member

    Rubbish no ones forcing patients to eat!! I aggree that you cant force someone to eat but people are not being assisted with feeding on the whole. Food is placed in front of person who cant feed self and food goes cold and patient isnt fed! This happens widely at home in social care packages then the patient gets admitted with illnesses related to malnutrition.

    Families could do alot more in hospital and at home too to help with feeding.

    Lots of patients give up and lose the will to live. It would be wrong to force feed these patients against their wishes.

    The ratio of nursing staff to patients in this country is a disgrace. I was amazed by how much time aussie nurses had for their patients then realised there were 5 or 6 qualified nurses per ward rather than the 2-3 in the uk.

    doctornickriviera
    Free Member

    Too many nurses in hospital are doing roles at used to be performed by docs and not enough nurses/ auxillaries/ hcsw are around to feed the patients. Tbh you dont need a highly qualified nurse to feed the patients bu you need carers to feed them. Or a relative even.

    I often do housecalls at homes where elderly frail patients have been fed by their carers. What you find is that the carers have left a plate of food in front of the patient which has gone Cold because they cant feed themselves. Bonkers! carer visits puts meal in front of vulnerable old person but doesnt stay to feed them! Then they get admitted to hospital with weight loss/ dehydration. Great isnt it!

Viewing 40 posts - 81 through 120 (of 813 total)