Your contributions and successful hijacking of cinnamon_girl's thread

To be fair Ernie, I did bite!

although I suspect he is really an admin assistant who has read an ethics manual

No mileage whatsoever in slagging Ro off. From his comments on here I have no reason to doubt he is not a doctor and even if I used it to point something out to him in a somewhat stw-geeky way, I honestly did think his advice on the running thread was helpful and worthwhile.

CG, I'm sorry I blew your thread way out of proportion with my rambling enormo-posts. I think it was a good thing to challenge something so sweeping and i feared quite undermining to you as the OP: if it had been me in your shoes I would have read it as "Julian, whoever has popped up and atempted to help you is a fraud and should not be listened to".

BUT in retrospect I really should have done all this rambling/arguing on my own thread! 😳 My apologies again.

I'll shut up for good on this thread now.

J.

i bought a chain device from us ebay once cos it was waaaayyyy (about 45%) cheaper including postage than the same one even from crc/woolyhatshop.

Then a card turned up, inviting me to 'cough up and pick it up' -import tax payable on the postage as well as the product (I can understand the tax dodge you could have done by undercharging for the product and overcharging for the postage) plus customs/RM handling fee made it cost me about 40 pence more than if i had bought it over here. And with all that my 45% saving disappeared and it took 2 weeks longer to get to me. You live and learn!

( I have often wondered if this very calculation is used to set the price for fancy US made stuff in the uk, ie make it cost around the same as it does bought direct from the usa with all the postage/tax/handling on top and then provide a local warranty service. Whether that bears any relation to the 'trade' cost of the product to the importer could be completely incidental!)

Under the labour governments, I liquidated my enormous and increasing-in-value vinyl collection collection and then spent the proceeds on swiftly depreciating pieces of expensive bicycle. So in that sense I have too.

its just an advert for the front page of the forum. I you look in there every so often you don't need reminding to do so by email once every so often. But its not like they inundate you with stuff: I get waaaay more from Dirt/Mpora.

I remember my first time. Jim Marshall (lab) Leicester south in the landslide of 1997. I also laughed my ass off when Portillo lost his 'safe' seat. Cabinet minister to, errr, rich bloke in 16 hours. 😆

Gosh, 'New Labour' was just seemed like some sort of election slogan back then didn't it?

See you at some of the races? Quite a few this summer including the mightily funny south west xc champs and the Bontrager 24/12

Sweet login name btw. In my head, you are some sort of west coast type in a ragged vest top checking out your own 'guns'. 😆 Please don't let me down!

meh.

Trolling? Now that is honestly the first time i have ever been accused of that!

Ro, if you don't know how simple/complex the OP's issue was, how would you know whether it was a straightforward answer/signpost or worse? Perhaps there is a safe zone between 'Nothing at all' and 'high risk of advice causing imminent harm to self or others', much like the heel pain runner. That was what I was trying to point out.

Like it or not, not everyone agrees that Mental Health is a field which demands complete acess and scrutiny of casenotes before you dare open your mouth.

You mentioned the Samaritans as an alternative to off-forum chat earlier too, I suppose they still do the job we did in OOH years ago before any form of electronic records, and all without even finding the caller's real name sometimes.

Surely if you'd spent much time in mental health you would be much more aware of the huge range of uncertainties everyone works in. Much like those travelling salesmen with two families and two houses, we would get 'hospital hoppers' who would have a different name, patient number and crucially a different psychiatric history in 2 or more different trusts. You never ever ever rule out what the client has not or has yet to tell you, or in a very few cases what they have fabricated. Even at the very luxuriously funded and time-rich ends of psychiatry, doctors get suprised by their patients, just like we do when someone is admitted at 3am with a brief assessment from the SHO (well, F2) in A&E. Or when they get sent home again after an overdose. Happily we often get pleasantly suprised at what someone is capable of achieveing too. 🙂 Accepting this is not a million miles away from accepting that there may be something to offer (like 'ask to see a counsellor') or indeed 'un-offer' (like 'cut down drinking') that is likely to help given the limited information, and most unlikely to make things worse.

So I won't be offering any advice on knee pain, baking or plumbing any time soon, but neither will I ignore or slope a shoulder to someone who wants a brief word about something that is within my field and level of competency. I would like to think that I have a bit more wisdom and experience in this field than the average baker or mechanic, thankyou for the excellent Daily Mail analogy. I'm not a pushover or a bleeding heart, and I first joined the service as a nursing auxiliary because it paid better than the Esso garage, not to cure my own demons (blissfully uneventful childhood here) and despite my comment above I have a 'no hug' rule at work 😆 . I know where to end something, and I can see something that is out of my depth or another health worker's 'territory' well in advance.

In the times on this forum when I did announce my professional credentials as it were, I have cooled a couple of peoples' boots, posted a couple of links (to the Royal College of course: their website is ace!) and pointed a few people towards helpful things and away from unhelpful ones. None of what I said was risky, controversial or undermining of treatment and all of it was relevant to what the poster reported as opposed to having my own axe to grind. I hope it was at least listened to via poster being aware of what my day job is. How bad is that really?

I am repeating myself a bit but I do think that often this is better done off the forum because of how unhelpful some comments can get, but neither am I bothered if someone ignores what I said or seeks the opinions of someone else.

Nighty night Ro.

wow, was that £130 new? My lbs is still asking £300 for theirs.

I thought the bb was on its way out on my soloist, and I happened to change the chain (and subsequently reset the EBB) whereupon the noise stopped. Though I would describe it as a click rather than creak. But what a nice frame to ride it is, and the yummy wels and slightly pimpy headbadge are nice too. Looks better with sliver parts and rims IMO but these days you can't always find the right bits in silver. Took me aaages to find wide-but-not-DH silver risers in 25.4 for example.

Blimey Talky, not sure if that makes perfect sense but it sounds grrrrrreeeat! Like a Robin Williams film, but better! 😀

Group hug?

But enough about me doing something useful for some decent people, while you cater to the wasters, the DNA's and the skivvers in the UK…

I'm sure if you stay in business long enough you'll find one or two at your end.

don't know of any patient who has '18" of medical notes'.

I've only been in the NHS 11 years but I can think of a dozen patients straight off the top of my head that were well into their 6th+ volume of notes. One was 17 years old. All very memorable they were too, for various reasons! 😆

And have you ever heard of professional accountability, yunno that thing whereby you do make damn sure your medical advice is reasonable and defensible, even if it does mean ploughing through a patients chaotic notes?

You seemed quite happy advising on someone the other side of the world from you on that running thread though. (rummages in stw…)

I believe the Edinburgh course was fairly hilly? Referred issues from your Achilles could be a factor. Do you stretch that area? It's unlikely to be PF, but I'd start incorporating PF-specific stretches into my warmup were I you, just in case.

New shoes, a three-to-five day course of your favourite anti-inflammatory, and a nice set of stretching exercises for a week should see you back on the road. Good luck.

I think you even nearly suggested him some medication there. Don't remember you referring him on to a local GP or specialist either. Perhaps its your own speciality, in which case well done for some sensible advice. I am sure if he had some really worrying symptoms you'd have told him to seek proper help before starting running again. Point is, you only know what he chose to share in his posts and you offered some simple advice possibly withing your field of expertise, rather than suggesting the GP. Which was fine! Honestly!

You and I have NO IDEA what advice was offered to the OP, so don't assume the advice was ether relevant or harmless.

I think where i objected with your wisdom up there was that the only advice you can give is to ask exactly the same question of someone else. Did I mention you not managing to do that up there^? It's mostly fine to ask about simple physical health problems on an open forum if you are willing to accept a rather huge range of advice and experiences from lots of people.

Sometimes you don't want things aired in public even if the question and answer may be very simple. So sometimes there may be some middle ground between 'Dunno' and 'probaly do know but too big or risky to comment on out of the umbrella of vicarious liablity so go and ask someone else.' Sometimes the question might just be 'I have no idea who to ask, suggest me somewhere sensible to look.' Sometimes just explaining to someone that the advice on the Royal College website is more sound than the slightly scary forum or just validating someone's problems and sending them off with ideas of who best to speak to is all it takes. Boiling it down to either saying nothing or referring to GP/out of hours/samaritans is just a bit too reductive.

Steaming into the thread with your size 9's on about disciplinary bodies in this case just seemed a bit 'hot'.

Out-of-hours services are a poor excuse for access to your own doctor when you need them, and participating in such services lends legitimacy to a flawed concept.

You were the one that reccommended it ^^.

And no, electronic records were in their infancy when I did OOH work. I do still sit on the electronic records steering group for our PCT (crikey its a dry old topic though!) and one the issue remains that you have to allow for the unknown even if it looks like you have a nice helpful and complete set of assessments, GP letters and managment plans in front of you. One of the most helpful pieces of advice I ever heard was 'Always hold in mind the possibility that you might be completely and utterly wrong.' I'd have thought the trouble with being a doctor is that there is just too much to know and not enough time to apply it to your list that day. Does the issue of the existence out of hours services (as opposed to free access to your own doctor) upset you more, or that they are not always staffed by doctors?

one of my friends can eat 'cold' cheese in small to sensible quanitities, but if you take even a very small amount of the same cheese and melt it (ie on pasta, toast, pizza etc) it goes stright through him like nobody's business. Must be something 'enzymey' I'd have thought?

Sorry Nick. Hug?

Tangent here but then I did start the thread: recently I went on a course about cyber-bullying amongst tweenagers, and the wisdom would seem to be that smilies are Indeed A Good Thing and should be encouraged amongst our less literate offspring as there is less getting the wrong end of the stick.

No idea where to stay on the way, but Quillan area is just looooovely! Are you taking bikes?

Yesterday, car in front of me at some recently-changed-to-green lights slowed right down almost to a stop before turning left, as if expecting me to undertake them. I guess that must have happened to them before? I didn't undertake, and even had to give them a little wave to say I was keeping my place between them and the car behind me.

Sounds like you've got some good kids there, able to decide for themselves whether someone is a demon or not, rather than succome to your attempts to indoctrinate them

read the post: it's my wife who is the militant indoctrinating lefty. I quite like my local conservative MP. Expenses finger-burning and party whip-ness aside, he actually seems to give a monkey's about his constituents, lives here, and talks to people in the street even when there isn't an election in sight. (Doesn't actually mean I voted for him, mind!)

Ro, I have worked in an out-of hours service just like the one you reccommend, where you do have to consider advice based on what the person ringing you tells you. That's your job and you do it with what you know and what your hear on the phone. This is not the complete patient history, it is what they tell you. Just because you have your work hat on does not make you have all the information at your fingertips.

Commenting upon possible drug side effects in an individual when you lack the complete patient history would just be plain stupid. And unethical. You already know this, so why do you choose to use doing so as an example?

Sorry but you are just plain wrong there. Like I said, you operate within your area of knowledge and expertise, and no professional can ever be completely certain they have the full picture, even when they are at work with 18 inches of medical notes stacked in front of them. If you have ever worked in health or social care you must have tied yourself in knots wondering about the 'right' or 'wrong'. All too often its a 'likely' or 'less likely'.

And you and I still have no idea what the OP wanted to know! I trust that those who answered her aren't embarking on a voyage of analytic discovery over the computer with her.

I'm not even going to bother with the smug café comment. How are your free-at-point-of use mental health services over there, Ro?

Blimey, that was a long post. 😳
Edited version would be
'Ro seems to have a chip on his/her shoulder about something.'

Lordy again, what's with the all the speechmarks?!

You either are a professional or not. Membership of a professional body makes it a very simple yes or no. No condescending "speechmarks" needed.

Ro, putting speechmarks round the word just infers a disillusionment with or lack of faith in the professional bodies themselves, and their own conferring of professional status on their members. Which profesional body/group is it you have a problem with?

Ro your answer is bobbins. Or you are very bored and enjoy baiting everyone on here! You've no idea what she might have wanted to know. (Are you disappointed you couldn't offer your own advice?)

For example, if someone tells me they can't leave the house without checking the plugs twenty four times and washing their hands between each go, I am not going to start working on helping them over the internet much as some of us here might be quite able and qualified to do so at work. Niether would I if it was someone I met in the pub, a friend or familiy member.

However a very few well chosen questions and suggestions of who to ask locally about this (somewhat embarrrasingly, this is often referred to as the slightly cheesy 'signposting') off the forum is in my professional opinion far more helpful to the OP than posting it in public and getting some of the sarcastic nonsense that pops up on here.

If someone asked me a simple one like 'I've just started taking olanzapine: will I always feel this tired?' I could give them a strightforward answer without a load of people on the forum wading in and saying 'oooohhh, I've just googled that drug and you must be mental' (fwiw its prescribed for all sorts apart from what you will find in the first five hits if you google it).

If someone asks me abouit Aricept however (used in dementia/alzheimers, not my corner of work at all), I will pass on it because I don't know enough about it.

Often people just don't want to cause unnecessary fuss and need some validation of their issue to make them feel entitled to go to the GP or back to the psychiatrist/CPN and 'bother' them again.

If any 'mental health professional' on here has offered advice by email which says anything other than 'Please, consult your GP out-of-hours service / Samaritans NOW' they deserve to be reported to their professional association and dragged before their relevant disciplinary body.

You missed out MIND and Rethink by the way.

A professional knows where the limit of their professional expertise is and operates within it. They do not give advice on stuff they don't know enough about and they do not embark on a conversation they cannot safely end. They do not undermine the advice given by another professional who more than likely gave advice on the basis a lot more informtion. All the same, if someone is determined their advice is wrong they will continue to ask different people until they hear a more satisfactory answer. That happens a lot here in all forms of problems, not just mental health ones. You get used to that and take it into consideration.

I suppose you could say all that about solicitors, physiotherapists, podiatrists and teachers on here to reading over that.

By the way I didn't reply to CG as a few other folk seem to have done so already. I am proper intruiged by the replies on this thread though!

Eldridge, what's with the inverted commas all over the place?

Looks like CG asked for some advice off the forum, briefly bantered with talkyfred (who i suppose is lending his moral support even if he admits not being best placed to supply the advice she seeks) and then thanked everyone for their input (i suppose so she didn't get a load more emails from people who subsequently see the thread). Except you popped in and got the thread all silly.

FFS what is the "situation" which started this this thread?

I think the rest is none of our business.

Eldridge, lose the inverted commas round the word and some of the professionals on here might just come out of the woodwork.

Not so sure about Bodmin Moor itself but plenty within half hour's drive. Minions apparently is nice. Crispybacon from this forum lives near you (near Kit Hill where he rides a bit) and will doubtless be along soon to offer advice/rides. My mrs rides with couple of lasses from callington/liskeard and they seem to be quite busy. If you are at all gnar, i strongly suggest you join Woodland Riders and ride at Tavistock Woodlands estate and Gawton: it has done my rad skillz no end of good.

[EDIT] Crispybacon is like the candyman; say his name and a couple of riding spots on the forum and out he pops! *waves* 😀

Tiger6791 – Member

Tiger, don't be thick.

Sorry I'll wander back to the retard clinic

I think you'll find they mostly closed under the Conservatives in the 80's. They were probably called something like that in those days too! Nowadays if you consider yourself a 'retard' you'll be wanting expensive, understaffed, relatively unskilled, poorly regulated private care at great expense to to your local authority via council tax.

You won't get away with bleeding your elixirs without a bleed kit to securely fit in the bleed ports (never tried any of the cheaper ebay versions). The other day I went from my 203mm m800 saint to do a downhill run on my mate's bike with elixir cr's on 203mm and lordy, the difference was 'arresting' !! 😆

I think pike springs are too long to fit in toras 'properly' though the internal diameters and fittings/threads etc are pretty much the same.

and yes rs spares are silly expensive compated to the cost of the whole fork. I reckon you could easily double the pice of a rockshox fork's rrp by building it from replacement spares (which are almost never discounted by anyone). Still, at least you can get spares for them!

Is it true that fox forks require more servicing than rockshox?

yes.

I love my reba maxle team so much i think i might consider a different frame rather than a different fork!

I think the revelation team has the same damper (black box) which is apparently what makes them so much nicer than the normal motion control ones. Might be worth looking for folks' experience of them if you want a longer slihgtly heavier fork with similar performance.

as sweepy said, some sets of juicys (of all numbers) end up biting quite close to the bars as it is. But a well bled set of juicys (get a bleed kit where you can de-gas the fluid helps a lot) is nice and bitey. I had a set of 5's from merlin which were like that straight out of the packet, and mrs julian's as came fitted on her specialized myka fsr are also great.

Failing that I have found the older style shimano's (565, 765, lx, m800) are both inexpensive, easy to bleed (you don't even need a bleed kit, just a tube and do them like you would a car) and easy to get a nice 'quick' bite and short lever throw on. Only downside being that you can't get seals to service a duff set, you just spend £30 on a new capplier or lever and replace the whole unit. Not that they go wrong much.

we really are spoilt with bikes these days aren't we? Amazing what forks, tyres and brakes they rode it on, and at such speed. I was imagining sailling down that on my modern-ish nrs with nice big tyres, maxle fork and hyrdraulic discs, and then saw the flat rocky bit where one bloke falls off just in front of the other. 😯 😯 !

Reba teams only go up to 120mm, and less if you put spacers in the air spring. If it is the maxle one, someone'll bite your hand off on the classifieds (they are soooooo good but still rather expensive) and you could buy some revelation u-turn maxles instead. In face i think newer revelations were also made at qr. Or sell the fork and get a fox float 140 (also qr) for silly cheap new from on-one.

Our mp (v likely to be re-elected) has lived in our constituency for years and was a city councillor before he stood for parliament. Interestingly he did a 'reverse Gladstone' and switched from liberal as a councillor to conservative as an MP so he could 'better do God's work'. Honestly! (He is by local accounts a proper proper God-Botherer) By that logic he ought to have also switched to NuLab a couple of elections ago but hey ho… He will have a lot of support just 'cos of who he is and how he's always lived here irrespective of people's opinions of Saint Dave. I think actually talking to and being genuinely interested in his constituents outside of election campaigns also helps!

Still, to borrow a phrase I read on here, a nurse voting Tory is like a Turkey voting for Christmas so despite the grudging respect I have for him for actually giving a toss about our constituency, there's no way I'll vote for him until God tells him to switch to a party that in some way actually holds the values of equality, compassion and humility that he must hold so closely as a Christian. 😆

you have't really been a parent until you've tried to explain to your four-year-old what the 2 mating giant tortoises is all about. (Woodlands adventure park in Devon, in case there are any reptile fetishists reading.)

the wheels are otherwise ideal for the buyer

…depends what the rear dropouts of his frame look like i'd have thought! Unlikely that a 10mm qr hub will go in any frame that wants a 12mm bolt through. From buyer's POV, wehere is he likely to find a matching rear bulb/pro2 hub and get it rebuilt back into the rim without spending some serious money doing so?

juan, yhm.

if she carries a 5mm allen key round with her, a bolt-up skewer would be good. I've got one lying around somewhere if you want.

bisous, J.

pretty safe tory seat in a peninsula of red and orange ones. Labour and Lib Dem equally unpopular here, (and the local UKIP candidate is just hilaroius!) so it means i will vote with my principles rather than just voting tactically to keep CallMeDave out.

As a shopfloor worker (Nurse) what worries me is that our managers will be told to make savings.

errrr, have already been told actually. Google 'CRES savings'. Since our department's biggest spending by a loooooong stretch is frontline staff salaries ie Dr's nurses, therapists, you can imagine where our savings will be coming from…. 🙁

I got an nc17 imperator for just that reason. I forget what the lower stack height is but i bought it on CRC so it may say on there.

Do they do karate strippograms? Just doens't sound like karate-master-like peaceful resolution of conflict, and I am wondering why else he might have been so upset…

tiger-roach, i see your whelk and raise you a periwinkle.

I like yiddish words that have made their way into Enlish:
Schlep
Schmuck
Schlong
Goyish

And I like both the sound and meaning of 'Loquacious'

Do blackbelts drive around in their kit all the time or just on their way to/from karate happenings?