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    Inveramsay

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    [–] TIFU by not washing under my foreskin for the first 15 years of my life Inveramsay 1 points ago in tifu

    I'm very impressed you managed to get the foreskin back after it had popped over the glans. I was a dick doctor for a bit during my internship. One of the calls during the day was some old man that couldn't get their foreskin back after pulling it down for a catheter. I got pretty good at getting them back with wet gauze and pressing hard on the glans. If that didn't work the next stage would be to stick needles in to it to stuck out some of the blood so it would shrink. If that didn't work you'd need to do an emergency circumcision with local anaesthetic. That means more needles around the base before getting the scalpel out.

    [–] What is the outlook for this tattoo? Inveramsay 1 points ago in medizzy

    Unless he's sliced off a piece of skin it'd be better to just close it primarily. It needs a bit of a wash and some antibiotics but skin grafting just seems excessive

    [–] What is the outlook for this tattoo? Inveramsay 0 points ago in medizzy

    Nothing a week of oral antibiotics can fix

    [–] What is the outlook for this tattoo? Inveramsay 2 points ago in medizzy

    Why do you think it is an infection, it looks like a fresh injury

    [–] Help a junior doctor becoming more organized! Inveramsay 3 points ago in doctors

    You can't function without a proper ward list. It needs to include columns with

    • name, dob, hospital number ward and bed
    • annoying complaint, diagnosis and preferably dates for these things. If you have a long stay patient they might not have that pneumonia until day 14 and so on
    • relevant scans (just copy the relevant bit of the conclusion in the report)
    • bloods in a table for the last week or so
    • plan
    • jobs that need doing

    Just update the list in pen as you go during the day. Update the list at the end of the day

    [–] Surgeons -- do you sit during surgery? Inveramsay 1 points ago in medicine

    Honestly it is, we have so many orthopaedic surgeons wanting to come to us. We have a four month long rotation for them and I'd estimate that half want to come back afterwards to be accredited as double specialists. That would mean another 2.5 years of residency. Here it is a specialty in its own right separate from both plastics and ortho.

    We don't take unwell patients either on the whole. The number ASA 3 patients we operate on is small and ASA 4 doesn't happen on the whole.

    [–] So, for anyone working on Valentines, what did you do? Inveramsay 2 points ago in medicine

    I worked the day then had on call over night. I did some operating during the day, left 20 minutes early and got one phone call so night, sadly after its fallen asleep. I can't say it was a terrible shift

    [–] What was your scariest "A second later and I would've died" moment? Inveramsay 2 points ago in AskReddit

    I was climbing up a glacier on a mountain in a pretty remote region of Central Asia. We'd been going for about three hours so the sun had just come up. Our friends were about 100m above us when they kicked off a block of stone about the size of an original xbox 360. It made the most extraordinary sound as it whizzed past us. Had we been a couple metres higher up it would have hit us. That is the closest I've been to dying

    [–] What's better than New Ski Day?! Nothing, the answer is nothing. Inveramsay 1 points ago in skiing

    I doubt you'd find anyone to mount it like that for you in the US as you are just too litigious as a country. I also couldn't find anything bigger than mondo 34 which would be around a US 16 for boots. You might be SOL when it comes to skiing

    [–] What's better than New Ski Day?! Nothing, the answer is nothing. Inveramsay 3 points ago in skiing

    You can mount bindings further apart than they are meant to, you just need someone who knows what they are doing. That won't help when you try to find boots in that size but still

    [–] Any climber with similar condition ? Would like to get tips and advices on training/stretching. Climbing ~v5/5.12a outdoor. Inveramsay 1 points ago in climbharder

    Difficult to say really without seeing the hand and feeling it. It might be worth seeing a hand surgeon given that you keep hurting yourself and see what they think. There might not be an awful lot to do at this point in time as splinting is generally done in children

    [–] Nearly 1,000 Madagascar children dead of measles since October: WHO Inveramsay 19 points ago in worldnews

    But then also 1/1000 develops brain damage and 1/10 an associated illness like pneumonia which can wreck your lungs for life

    [–] Your local handyman walks into your home with this. What do you do? Inveramsay 60 points ago in DiWHY

    Three money wrenches would be enough for someone in an apartment though

    [–] Any climber with similar condition ? Would like to get tips and advices on training/stretching. Climbing ~v5/5.12a outdoor. Inveramsay 1 points ago in climbharder

    Forever as I'm since you were a child? If that is the case it is probably something called campodactyly. It is usually only in the little finger but can be more fingers as well and often doesn't cause a problem. It can be caused by a number of different things but usually is a result of a tendon not being the correct length. If you bend at the first knuckle (MCP joint), can you straighten the rest of the finger then?

    It can be stretched but at your age I'm not sure it is going to do much to be honest. If you came to see me I'd probably try a splint at night and see where that got us. You could have day time splints that are spring loaded but these are really cumbersome and uncomfortable. Surgery isn't an option. A dedicated occupational therapist will be essential to making any progress but even then I'm not sure how much can realistically be improved. You might be able to get some tailored training though

    [–] Surgeons -- do you sit during surgery? Inveramsay 13 points ago in medicine

    Everyone gets sore when standing for hours on end but you do get used to it. Much of the time when starting out you're terrified of screwing something up so you don't move at all which makes it worse. You need to adjust position constantly to not tire but even then your back will hurt after a 10h ortho or gen surg list. You also learn how to hold retractors properly to ensure proper ergonomics.

    Most specialties you can't sit down and operate. Anything laparoscopic is impossible seated as is much of the ortho stuff. Otherwise you need to become a hand surgeon or ophthalmologist. I have to sit down to be able to operate. If I'm trying to put a digital nerve back the size of a linguine together with 9/0 suture I need maximum stability.

    I gave sitting down as one of my top reasons for hand surgery in my interview with the other being that patients are almost exclusively day cases. I sounded ironic and got a good laugh out of it but I was at least 30% sincere.

    [–] Taken my BF to see Sweden, need a little advice about Marstrand Inveramsay 2 points ago in Gothenburg

    There's a nice sandy beach on Vrångö. It's a bit of a walk from the ferry but there isn't much and around out there

    [–] Opinion- “I Remember the First Time I Saw a Teenager Die” Inveramsay 2 points ago in medicine

    That's what we thought at the time. I don't know what the post mortem showed unfortunately

    [–] Taken my BF to see Sweden, need a little advice about Marstrand Inveramsay 19 points ago in Gothenburg

    Take the ferry out to the islands on a sunny day. There's lots of nice beaches within a short walk and the trip out is lovely

    [–] First season on ice, rocking tools from the last millennium Inveramsay 1 points ago in iceclimbing

    The angle between the blade inclination and the bottom of the handle hasn't changed in 30 years. My Nomics laid out on top of a pair of Charlet-Mosers fit exactly. There is however a big difference in swing technique. These straight tools you don't swing as much as hook with force.

    Upgrading these axes to a pair Nomics paired with modern lightweight boots and crampons will knock two half grades off the difficulty

    [–] Opinion- “I Remember the First Time I Saw a Teenager Die” Inveramsay 23 points ago in medicine

    Mine was in the cardiac cath lab. The cardiologist had caused an arrhythmia during an angio. I did 15 minutes of chest compressions wearing lead while they were trying to keep going with the angio in case it was an MI

    [–] Girl accuses boyfriend of leaving her after he and his family discover she's been faking her pregnancy for 8 months Inveramsay 1 points ago in trashy

    This is pretty common but many got it from transfusions in the west. In the olden days there wasn't a test for it and you got paid for blood donations. Lots of drug users would donate blood to fund their drug use.

    [–] Girl accuses boyfriend of leaving her after he and his family discover she's been faking her pregnancy for 8 months Inveramsay 9 points ago in trashy

    Not really, the old Hep C treatment wasn't great and lasted for six months. You wouldn't give it to someone still injecting.

    AFAIK there are more people with undiagnosed Hep C than there are people with a diagnosis.

    Many would go without treatment until an issue occurs years down the line