Current advice we are getting is;

If you haven’t been to Mexico in the last 7 days, if you haven’t been to New York in the last 7 days, if you haven’t been in contact with any of the above – it’s not swine flu.

Tis no more deadly than your common or garden flu (figures of 4-10% quoted by the Infectious Diseases bods at work) it’s just that coz it’s a variant we haven’t seen in a while then no-one is immune so more people will get it leading to a greater absolute number of deaths. But no more, percentage wise, than your average winter flu epidemic….

HTH

I know of a Malaysian urologist called Kok Thong, several Dr Payne’s, a couple of real life Dr De’ath’s and I used to go to school with a girl called Jenny Taylor.

Hic

Just come back from there a couple of weeks ago….

-Brooklyn Bridge
-Top of the Rock (the Rockafeller centre) has better views than the Empire State.
-Staten Island ferry
-Guggenheim
-MOMA
-Central Park
-Times Square

Would be my top suggestions for you. If you can fit it all into 36 hours, you’ve done well!

Yup, use them and cd wow the most, always been cheap and reliable…

Dalby??? slightly out of the way but pretty much ‘follow the arrows’ kinda stuff.

I love Chopwell, anyone fancy joining us next Tuesday??

There are some good bit if you know where to look but you need a local. The DH track is worth playing on, multiple routes down some easy some impossible. They are in the process of spending a lot of money there but the results will take a while to show. Next time you are heading up this way let one of the locals know and I’m sure we can find something more to your taste….

I hope they don’t take that long to dissolve. Just had the white part of my eye stitched up after I managed to clobber myself.

They’ll have used Vicryl Rapide stitches (probably); take 5-7 days to dissolve. They use non-disolving ones on backs.

It’s a normally a huge relief when you have stitches out because they usually pull the skin quite tight.

Only if they have been put in badly.

a+E have a knack of making you wait 4 hours for 2 brufen and the advice to go and see your GP!

Only if you turn up with some shite that is neither an accident or an emergency!

Pop into A&E, pick a quiet time (early Saturday/Sunday Morning – about now actually). Quick ECG, quick poke with a steth, maybe some bloods if you’re unlucky. Lots of painkillers and some sensible advice; job done.

Don’t bother NHS Dire, they’re shit!

I’d start with stories of the city and work back, then when you reach the begining start working forward… Sounds odd but will work out best – Trust me, I’m a Doctor!

Depends where they are strato…. Stitches on your back should stay in longer as the skin takes longer to heal, and is under more tension, 10-14 days in my experience (also the reason they tend to use bigger stitches).

and no.

You know I was only joking don’t you Tim?

Sadly Coffeeking, he wasn’t when he started talking of the 4 hour wait nazi matron.

Mayan, glass does indeed show up on x-ray.

Are you trying to say that an A&E reg couldn’t do it tinytim????

😉

No offence to your doc then but he/she’s an arse. You should always try and remove foriegn bodies if it is feasible as they act as a focus for infection / move around and do further damage.

Pick a quiet time and head off to your local A&E for x-ray and removal. Where are you based???

I’m sure the pain I got from Mrs Dr_Death for having the run of the nurses would put me back into a negative balance!

Knowing olympus, if that’s the end that fits into the camera it’ll be some proprietary thing.

My brother in law used to work for olympus Andy so give me a bit of time, I may have a spare knocking about that you can have….

It was new to me….

I love sick jokes, s’pose it comes with the territory really. Not saying that a young mum dying of cancer wasn’t a bad thing but I do think some people got a little OTT about the whole thing…

One of my favourites was a fat lass telling an anaesthetist I was in with that all she ate was salad to which his reply was (muttered under his breath)

“What do you eat, **** trees?!”

Difficult to stiffle a giggle….

Bad news Hora, I just watched the preview of next weeks show and they all seem to be fat giffers who eat far too much…

Another fantastic slice of life at the coal-face. Managed to catch the first episode on 4OD and it seemed to reflect life in A&E on a Friday night fairly accurately, lots of hammered people staggering about being abusive to the staff and other patients, whose only illness was having consumed their own bodyweight in alcopops. These people take away resources (staff, time and equipment) that could be better used helping the genuinely unwell.

It is sometimes difficult to feel compassion for people who get themselves into a state were they are unable to look after themselves and then get abusive toward the people who are trying to look after them. Just because it is difficult to find compassion doesn’t mean that you don’t treat them, it’s just something that you get on with and then move on.

Tonights episode was outside my field of expertise but we see some of the same characters turning up at A&E in a similar state to those in the first episode only this time 28 weeks pregnant as well. To be honest it’s quite sad and depressing to see, but I’m not sure what the answer is….

😉

We always wondered why all our drunkards had lost one shoe…..

As an A&E registrar it sounds like I should try and catch this on More4. I’ll let you know my thoughts when I’ve seen it, but thanks to everyone has said they appreciate our efforts in hospitals. We try…..

Helmet hero is 150 quid in the singletrack shop )cheaper if you are a subscriber) but can be had for 120 if you look around. Footage is pretty good (see the singletrack stuff on vimeo or here)

magnesium can work as an osmotic laxative???…

Spotify or last.fm for discovering new music…

Last.fm is great (I seem to recall there is even a STW group??)

Whilst I agree that contacting your dad’s GP may be a good start There is not necessarily an awful lot he will be able to do. The guidance that doctors are given is essentially ‘that we have to tell the patient that they have a legal obligation to report any medical condition that may effect their ability to drive to the DVLA’ if they don’t and continue to drive then we are to ‘try and persuade them to stop’. If this fails we can ‘discuss it with the patients next of kin, with the patients consent’ and if all else fails we can (and only then) report it to the DVLA ourselves – but agin only after telling the patient that is what we are going to do.

This is not without its own problems as it may lead to a breakdown of trust between the patient and their doctor (i.e. the patient may not attend their GP about other serious medical conditions for fear of being dobbed in to the DVLA), so a lot of GPs will be unwilling to do this unless they absolutely have to.

And ultimately the decision whether to revoke or renew a licence lies with the ‘Drivers Medical Group’ at the DVLA, not the patients own GP. Which is the way it should be to ensure a healthy doctor-patient relationship….

Having said all that I don’t think there is anything to stop you dobbing him in anonymously to the DVLA medical bods!

They’re reforming this year, allegedly.

this??

Mr Oizo????

Still intrigued as to what position your pelvis was manipulated in. Sounds like a neuropraxia but difficult to say without more info….

e-mail me if you like

don’t bother

What position were you in when she was pushing down on your back and pulling on your leg?? which way was she pulling your leg??

Cy – makes your bank managers heart warm, more like!!
😉

Complete with furry bash guard!

Ask paulosoxo on here, he’s got one….

She’s been given three years according to the Beeb website.

Could tell you an interesting story about that but my medical defence union /patient confidentiality says I’m not allowed!!!