No, asthma is an airways problem, these train respiratory muscles, and as stated above ventilation is never the rate limiting step during exercise…

Seriously people, don’t bother. The studies are all rubbish (aside from the ones looking at people with seriously gumped lungs, and even they’re a bit dubious), they are designed to ‘train your respiratory muscles, when was the last time you stopped being able to breath before your legs gave out…

Jon1973 – usually they do, but import them into calibre and it strips the DRM and the self destruct function…..

There is a way of doing this, but it’s a bit longwinded and involved; involves using another piece of software to import the borrowed e-book and strip the DRM from it and convert it to the correct format for the kindle…

The piece of software itself is very useful for anyone with an e-book reader and is called calibre. It is essentially like iTunes for your e-book reader, store all your books within it and then just drag and drop them onto your kindle as required. Will also convert between e-book formats and strip any DRM from them (with a couple of plugins)

There are a couple of studies showing that it does lead to some improvement in lung function in those with chronically **** lungs. But we are talking reasonably seriously knackered.

plus all the research I could find last time I checked this subject out had been carried out by guys employed by or sponsored by powerbreathe….. Read into that what you will.

Ventilation is never the rate limiting step in exercise….

To be fair Graham, you did used to be able to go down there… I used to use it as a shortcut on my way home from work all the time and was very miffed when they closed that particular little ratrun.

(No excuse for driving around with your eyes shut though)

I too get really cold hands even in mild temperatures. Don’t actually have Reynaud’s just **** cold hands. Best ones I have found so far are specialized sub-zero’s with DHB merino liner gloves underneath, or pearl izumi lobsters from eons ago (I think someone else does similar ones again now). These are like mittens but with two finger spaces so you can still use the brakes and gears (great for giving a great looking two fingered salute to idiot drivers as well)

A&E doctor…. Putting you lot back together ‘when you run out of talent’.

@uphillcursing – Any chance you can fix the CT at my hospital, it seems to spend a lot of time broke (something to do with my punters vomiting into it I think).

Borrow a copy of snow leopard disk from “the internet” install it then pay for the upgrade to 10.8.whatevertheyareon Mountain lion from the newly installed app store.

Means you only pay for one upgrade, failing that I have a snow leopard disk knocking about somewhere – where are you based?

+1 for whoever it was up there who suggested the Quakers…. Dunno how I cam to buy their album. Someone/somewhere must have recommended it, but it’s really really good.

Need pictures….

Migration Assistant. It’s built in software innit:

http://support.apple.com/kb/HT4889

Whoever requested the tests is responsible for acting upon (or not in this case) the results. If the private liver specialist requested the tests he should be the one to tell you they are all OK (him seeing you privately and then getting the tests done by your GP so they are sent into the NHS labs and paid for by the rest of us is an entirely different matter and one that the private health companies pull all the **** time the tight arsed bastards).

As GreggParker says . . . and shuffling by album.

Why do none of apples other music players/apps do this. Drives me **** insane. In my OCD state I have rated all my tracks and then created a playlist with all my fave songs on it. In shuffle by album you can essentially then listen to the best songs off every album at random. It’s genius but apple have removed this function from the music app on all their other players. Bastards

What you want is a one of these….. Quite a clever use of technology I thought:

http://theawesomer.com/icedot-crash-sensor/189338/

I assume you’ve all noticed that the volume on BBCs iPlayer goes up to 11 as well…..

Poly –

Depends on the minor injuries centre…. Some are better than others. I know a couple of the nurse practitioners at our WIC would striaghten it, I know some that wouldn’t. Depends on their comfort/competence level – like everything else I suppose.

If it’s just broken we do nowt (well, strap it up and tell you to man up). If it’s broken and bent we straighten it.

Difficult to know without someone sensible assessing it.

Minor injuries/Walk in centre for you.

Also the PS3 is a bluray player and upscales DVDs fairly well and does 3d if you have the software update, so no blu-ray player required.

So it should just go:

PS3–>AMP–>TV

Speakers connected to amp

They are probably announcing the NEX 5R tomorrow, and a couple of lenses…
Including a 16-50 pancake lense that should address some of your issues

Depends on the grade and what they plan on doing about it TBH.

(Grade 1 and off the bike for about 5 mins)

If you did do it you would be wise to keep up your RCN subs. That way if you can’t find a physio job at the end of it you can always do some nursing until you do. Essentially if you can afford it it’s kind of a no lose situation.

Put your missus to work and crack on.

Has your GP organised for an x-ray/MRI at any stage??

The stuff coming out of there looks remarkably blood stained; you don’t tend to get blood in joint spaces without fractures or damage to the big ligaments holding it all together (in this case I’d worry about your cruciates)….

Just a thought, with all the usual about not knowing how you did it, or having seen/examined it, or had a good look at the stuff coming out of it….

Damn, beaten to the punch. I was going to go for cellulitis and a course of fluclox. Although to be honest if it was me I’d have gone for Augmentin as it’s probably from a bite.
Draw round it with a biro. If it is bigger than it is now on Friday, go back and see your GP again.

‘nother vote for the PS3. They reckon the blueray player in the PS3 is the same as the one in some of the top end stand alone Sony Blueray players, only it’s cheaper and has more functions….
Built in Wireless, netflix etc

http://www.whathifi.com/review/ps3-slim

I tried to come home through that underpass last night Jon… It was 9 foot deep in water….. I went the long way.

As above but you could use Logitech’s Squeezbox system for the wireless bit. They do various wireless recievers that you can hook up to your existing hifi. Controllable using an iphone/ipad/ipod touch/dedicated remote.

This gets you a box to hook up to your hifi and a dedicated controller, you can just buy the box on its own. It’s what I have conected to my hifi.
I have one of these in the kitchen and bedroom:

And one of these hooked up to the sound system in the lounge:

All controllable through my iphone or ipad (there is an official app from logitech but the version by iPeng is better)

Pay for doctors

This page outlines the pay for doctors from 1 April 2012.

Doctors in training

Doctors in training earn a basic salary and will be paid a supplement if they work more than 40 hours and/or work outside the hours of 7am-7pm Monday to Friday.

In the most junior hospital trainee post (Foundation Year 1) the basic starting salary is £22,412. This increases in Foundation Year 2 to £27,798. For a doctor in specialist training the basic starting salary is £29,705. If the doctor is contracted to work more than 40 hours and/or to work outside 7am-7pm Monday to Friday, they will receive an additional supplement which will normally be between 20% and 50% of basic salary. This supplement is based on the extra hours worked above a 40 hour standard working week and the intensity of the work.

Specialty doctor and associate specialist (2008) (SAS doctors)

Doctors in the new specialty doctor grade earn between £36,807 and £70,126.

Consultants

Consultants can earn a basic salary of between £74,504 and £100,446 per year, dependent on length of service. Local and national clinical excellence awards may be awarded subject to meeting the necessary criteria.

General practitioners

Many general practitioners (GPs) are self employed and hold contracts, either on their own or as part of a partnership, with their local primary care trust (PCT). The profit of GPs varies according to the services they provide for their patients and the way they choose to provide these services.

Salaried GPs employed directly by PCTs earn between £53,781 to £81,158, dependent on, among other factors, length of service and experience.

From: http://www.nhscareers.nhs.uk/details/Default.aspx?Id=553

I’m looking forward to my opportunity to strike tomorrow…..

I’ll be at work from 10-8 if anyone wants me!

Seen a few of these….. Never been very pretty I’m afraid. Nasty injury. Massive amount of force usually required to fracture-dislocate the midfoot.

Recovery time is long but do exactly as the physio / orthos tell you.

Just out of interest, how did you do it??

Any news?? Was I right?

(Hope she’s ok)

I’m going for spinal TB….. Very unlikely but I’ll look ferkin clever if I’m right!

How do I clean it?

Soap and water and an old toothbrush should do it

DO NOT MAKE PEOPLE WHO HAVE TAKEN OVERDOSES VOMIT!

Don’t see the point in idling about…. You’re paid to do a job, do it.

Incidentally I work for the full time that i’m at work and very rarely get away on time. And then get moaned at by Johnny public for having the temerity to take a break in the middle of my shift. In the public sector.

DrP – Ours used to have alcohol related as a code, but our new shiney electronic system doesn’t.

And as for those that refuse the breathalyser, it is to be decided by the senior nurse and doc on shift whether they have been drinking or not.

To be honest, no-one actually knows what the level of alcohol related admissions to A&E is. It is all based on the coding of the notes that we make. After seeing every patient the docs have to do some sort of coding to say what was wrong with the patient and what treatment they received (it’s how the department gets paid). If the doc puts that the attendance was related to alcohol then this goes down as an alcohol related attendance.

However, doctors are notoriously bad at coding (they either can’t be arsed or forget or are too busy) and thus the number of alcohol related attendances is probably underestimated.

However, we are a bout to start another alcohol related study at my department (bit of a theme here). We are planning to breathalise every patient that comes through the door at random times of the day and night. We should therefore be able to get a true reflection of the number of alcohol related attendances. (Although what you class as related to the alcohol consumed and what is people who would have turned up anyway but just happen to have had a couple of rinks is an entire other argument.)

http://www.thedailymash.co.uk/news/environment/people-who-know-how-to-****-park-on-brink-of-extinction-20070912397

I’m organising a trial looking into the effects of intravenous fluid on the acutely intoxicated….

You have to sit in a room and get drunk while we give you i.v. fluid and measure your alcohol levels. £50 M&S vouchers (and two free days of being drunk).