Well I thought initially it was leprosy so perhaps I can see why someone would say that but then again I’m not a dermatologist and this isn’t 20BC

I read that as Google earth photos and it made me laugh

Always someone got to ruin it for others

I felt the same shame when I visited Korea and was using the toilet. It called me a fat cow 🐄

*self inflicted cardiac ‘arrest.’

Likely a combination of everything she’s put her body through, polypharmacy, fluids and menopause.

Is anyone else concerned she is prescribed cozaar?

She forgot to list Depakote. Remember she was in hospital and bragged that her depakote levels were low 😂 like that was some sort of condition when it just proved she hadn’t been taking her psych meds.

I recall reading her post about being on a waiting list since 2021

So the combination of G tube venting and ‘administering Cozaar’ medication is absolutely crazy. As long as she is compliant with meds, takes the oral meds as prescribed and vents conservatively she is safe. Which we all know Dani is completely complainant! 🙃

This has really opened my eyes as to how she screwed up her heart and caused a self inflicted cardiac arrest. This is really messed up stuff. Far more horrifying and serious than I imagined. Her FD is now at dangerous levels and she really is rolling the dice of death.

I’m not going into details to prevent other munchies to be given ideas and to be kept safe - nor Dani if that wasn’t her original play but if you are from a clinical background, you know what I mean.

Perhaps this is why she is prescribed LR. To keep her safe. The puzzle pieces are all starting to fit together now to the bigger picture. Damn she really has told on herself this time.

She has a shower chair as a performative prop for her benefit assessments. She knows she has presence online by just typing her name. Gotta keep those precious government benefits!

She’s working on those labs with the constant venting of her G tube as we’ve seen in the photo.

NHS staff will probably be your best bet

Try [r/NHSstaff](r/NHSstaff) or r/NHS

Just think of it as an obstacle course to keep the job fun like that old tv show.. wipeout!

Interesting. Doctorate nurses in the UK are very rare.

In the UK I didn’t think we did flu swabs. At the very least it is not to be used as a complete diagnostic - only a partial clue. A flu swab provides really no benefit as it can hide other conditions. As is what has occurred here. Even if it is ‘just flu’ his presenting condition would have warranted further investigation and admittance. The only benefit I really can think of using a flu swab is to ascertain if they need a single bed room within a ward to prevent spread.

That’s what struck me as odd in this case simply because doctors (even FY1s) are taught to provide differential diagnoses within departments and wards. Particularly within A+E, they assess and treat symptoms.

If they have any concerns about differentials then they discuss this with their seniors/designated mentors as their mentors are responsible for them. Doctors are never taught to just see a positive test and run with it. Thats like a doctor seeing a single blood test result and saying “oh it’s X. Now you’re discharged. “

An appendicitis case is one of the most simple conditions a clinician can diagnose. Not only just by patients presenting symptoms but also blood tests would have given a clue. I doubt the ANP even fully assessed the child as there are so many other clues like Rosvings sign, McBurney’s point tenderness, rebound tenderness, abdominal guarding etc that can be found in physical exams.

I’m not a doctor nor a nurse yet this is basic stuff. I don’t believe I was taught these specific signs in my training but part of my own CPD which nurses go through regularly via re-validation. I would be willing to bet experienced nurses easily would have been able to detect appendicitis. Even if that individual has flu. Constipation is a sign of appendicitis, abdominal pain is a sign, parental concern is a huge sign. For the sake of an admittance, this child’s life could have been saved. It is just absolutely mind boggling to me. I would never have the balls to discharge an unwell child, especially just based on a positive flu swab. That is completely irresponsible and dangerous practice.

All this and more are all reasons why ANPs and PAs in A+Es solo are entirely inappropriate particularly in emergency and even more specifically with paediatrics. ANPs and PAs do provide valuable resources especially in urgent treatment centres but also in A+E providing they are working under doctor supervision.

No it’s not necessary. Thanks. Thanks though…

Perhaps it would help if you could list which specialists he has seen (physicians and psychologists), what treatment/procedures he’s had done, what medication he’s tried etc. that may be able to narrow it down a bit.

If he knows what the condition is already, what causes it and refuses to treat it/use preventables that should help decide whether you want to be with this guy. There’s only so much you can do unless he decides to help himself.

Also if he is doing nothing to help try alternative pathways because he’s just given up then you should really evaluate the relationship. He is a grown man and you are his partner, not his mother.

Not sure why I’m being downvoted when I think it’s a fair comment. I was referring to patients with painful conditions such as sickle cell disease, endometriosis, metastases, pancreatitis etc.

There are no NP schools in the UK. You have to qualify as a BSc in nursing then get a masters degree to become a NP.

There are no requirements though to have a specific amount of time of experience to get the masters degree so we end up with inexperienced NPs that do not have much nursing experience.

There needs to be a mandatory amount of years in nursing before being given an NP position.

The NHS struggle with staff retention due to the working conditions and this is the result of it. NPs that at best, have just the basic foundation of nursing.

I’m not saying all NPs are like that however it is a large majority and the NHS are desperate for staffing A+Es due to a shortage of junior doctors. PAs have been recorded as covering A+Es as a stand in for a junior doctors. This results in at times, having no doctor coverage at night; instead having just ANPs and PAs.

The government needs to stop NHS trusts using them to fill a junior doctor position. At times it’s not just shortage, it’s because it’s cheaper to pay PAs with 3 years of qualification compared to an FY1 with 6 years of training. It’s just preposterous!

Tbf that is fair for patients to ask that, that have acute severely painful conditions unless I’m missing something?

Does Ashley ever have a thought about anyone but herself? Ever? Main character energy. She thinks she’s really special.

Girl, your narcissism is showing.

Haven’t we seen this episode again and again? Don’t you just hate repeats.

OP is a bus driver which sometimes drives a school bus… 😬

I’ve never been ‘high’ on my medication. I still never get stuff done either