SouthernCrossAI/Reddit-posts · Datasets at Hugging Face

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No not at all it just came up when I googled island caretaker.
I totally get it. I ran away from civilisation 9 years ago after many years in corporate. Now I live in the bush. Could never go back to Sydney
Ah, yeah that’ll get ya…
What’s it like? Do you regret anything or miss anything?
I’d love to hear more. DM me if you want to chat.
Hi All, :-)
Has the New South Wales Parliament opened since the recent state election? I'm wondering whether I've missed the opening ceremony or not.
https://www.parliament.nsw.gov.au/Pages/home.aspx#:~:text=The%20Parliament%20will%20not%20sit,be%20in%20early%20May%202023.
Thanks for that!
Thank you. :-) I tried to look it up before, but clicked on the wrong page.
Thank you OP
No problem! :-)
While they're at it they could reopen the railway to Lismore??? Oh right, I forgot no NSW government cares about anything north of Stockton
Or west of parramatta
It makes sense that the areas where people actually live and produce most of the tax base would get more attention.
Hi, so I was wondering if anyone knows what I do with my p plates when I go from my green ps to my unrestricted license while waiting for my new physical license to come in the mail. Can I take the plates off my car after I apply and pay online because I'll be technically on my full license even though I'll have a p2 physical one? Or will I need to keep the plates on until I've got my physical unrestricted license? Thank you in advance!
[deleted]
I had covid when I went from Red to Green and paid online as well so I didn't have any proof I had upgraded my license until it came in the mail. I ended up using my digital license on the ServiceNSW App to get around this as it updated within the minute. If the digital license isn't your vibe maybe see if your receipt or order confirmation has any details around it being able to be used as an interim license?
Between the digital and paper interim licence, you'd be covered.
Plus, regardless of what physical card is in your possession, the real time licence data police can access will state you are an open licence holder, recently issued.
You can remove the P plates immediately.
I just drove around with the digital card on my phone, that updated minutes after I upgraded from P to full. Would still be smart to carry the older physical card with you just in case.
Thank you so much for the reply!
You probably missed something on the confirmation screen that was a printable version of the same interim licence you would get if you did it in person. I renewed my licence online in 2021 while in mandatory self-isolation because someone at my work tested positive, and printed my interim licence at home. I'm pretty sure I've done that when renewing online even before covid.
Thank you for the reply! I do have the digital license but I'm not fully comfortable with it yet but I'll definitely keep the confirmation
Thank you for the response!
If you're doing it online, there's a printable interim licence on the confirmation screen. That's your licence until the card comes in the mail. If you do it in person, they'll give you an interim licence. Even if you weren't changing from one licence type to another, the existing card stops being a valid licence immediately, although it's still valid as photo ID.
Ok cool, thank you so much for the info!
The frequency of the most recent advertisements on my feed suggests NSW is going through a crisis of botched cosmetic surgeries. Is this true? And also, am I so ugly that this is the calibre of advertising being targeted at me? 10/10 emotional damage
I get them too and I'm really really hot
I get them a lot too - I’ve heard that there is a big rise in dangerous cosmetic surgery (like making your buttocks larger) because of social media so I wonder if there is some campaign to get people to be more informed?
I think they've either just passed or are about to pass or trying to pass legislation so you have to get a psych eval to get plastic surgery. I've been seeing it too and have assumed they're trying to raise awareness and/or support for it.
I'm more worried about the one with the 30 yo dude who looks like he's about to get a boob job.
My mate got surgery done from a super high profile (instagram) NSW surgeon maybe ~3 years ago. I won’t go into it but it was super dodgy regarding the amount of anaesthesia she received for the size of the surgery. She looks great though. Cut to 3 months ago and I’m trying to find the name of the surgeon (just in conversation). He’s gone from insta and there are news articles about his dodgy practice. He’s now barred from practicing.
I’m wondering if he’s not the only one. I think about that every time i see these ads.
I upvote them every time
Hope so
I’m ugly but I’m also broke so I don’t think I’m the right target audience for the ads
It's about making awareness for the public regarding what they call themselves. New rules are restricting what these doctors can describe themselves as too.
Plastic surgeon - top shelf. Trained thoroughly as a plastic surgeon under guidance. Would expect to have been a doctor for minimum 8 years, realistically longer, with supervised training and exams before having such title.
Cosmetic surgeon - will no longer exist. These are not specially trained doctors. They will rename themself something flashy like cosmetic sculpting doctor.
Basically, the term surgeon is becoming protected, so not just any doctor can use it. Previously, any doctor who had finished medical school and 1 year internship could go off to the wide world, open a shop and call themselves cosmetic surgeons. They weren't specifically trained in the operations they were doing, they weren't trained in the anaesthetic they were using.its all allowed under their registration. Now their indemnity insurance may not cover them and Medicare may not rebate their patients, but it wasn't against the rules.
Now they've said only doctors trained with specific surgical colleges can use the term surgeon, to prevent the general public believing the 'cosmetic surgeons' on insta (because they often look the flashiest) are as qualified as a proper surgeon.
Tl;dr cosmetic surgeons = fake. Plastic surgeon= good.
As an aside, if ever you want cosmetic surgery on your eyelids, you want an oculoplastic surgeon.
Can confirm.
Psych eval seems very reasonable before cosmetic surg
wait wait I have to know, too much or TOO LITTLE was she given?! Nightmares either way, stoked for her it turned out good!
Very enlightening, thank you
I have absolutely no problem with them tightening up the registration requirements and qualifications in order to have surgeon on your brass plate. If anything, it's a decade overdue.
Plenty of cowboys out there paying less than lip service to, first do no harm.
Too little. Pretty traumatic. She was in so much pain. It was lipo.
She looks friggin amazing though. Like wow. Im happy for her in that regard lmao. She was never overweight but just carried weight in places that she wasn’t happy with. Her body shape now is to die for. Lol
Ahh righto, so maybe the anaesthesiologist lost their license but the surgeon is fine
Cockatoos really test my commitment to fauna protection and conservation.
These are nice cockies. Not the sulphur crested rascals.
The sulphur of the crest marks them as the agents of hell from whence they came
Jesus, this is a terrible idea. People who believe it isn’t, including OP from what I can see in their comments, just highlight the poor health literacy we need to work on in NSW. There’s a reason every person with medical training believe this is a bad idea, whether it’s doctors, pharmacists or other professionals.
A UTI is a clinical diagnosis - you make it based on the presence of typical symptoms and a supportive examination (let’s say for instance, no worrying abdominal pain in areas that would suggest another diagnosis). Are community pharmacists, who are already busy, going to be expected to take this detailed history? Where are they going to do the exam? And after you get the diagnosis, best practice is to get a urine sample for testing - hundreds of bacteria can cause a UTI, and you need the right antibiotic for the right job, especially in recurrent UTIs. You can’t just give an OTC antibiotic empirically for “symptoms of a UTI”.
For one, you’re going to breed horrible resistance in the population and the patient. I’ve already personally seen many people come into hospital with UTI from bacteria that are resistant to everything other than IV antibiotics - so they need to stay in hospital for days. The people most affected by this ironically include OP, who have indicated they have recurrent UTIs, and get multiple courses of antibiotics. Now imagine you’re getting multiple courses that don’t even work.
The second issue is that doctors have the training to recognise oddities, such as when to screen for pathologies other than UTIs, so-called “mimics”. Diseases like STIs, kidney stones and appendicitis can all sound like UTIs but require vastly different treatments. Inappropriate treatment leads to horrible complications and you can miss life-threatening problems. Doctors have sufficient training that they have a good chance of picking up on these subtleties and investigating appropriately. We aren’t wizards and medicine is still not an exact science - but we have a good shot of it. How do you expect pharmacists, who haven’t been trained in those conditions, to be able to pick that up? And moreover, if they miss a serious mimic, it’s horrifically unfair to place that medicolegal liability on them.
You won’t find pharmacists disagreeing with this opinion, because they know what I’ve mentioned above. If the government passed a law saying I was able to dispense medicines in the community, I would be similarly strongly against it - because doctors simply don’t have the expert level training in what pharmacists do, and many many errors would be made.
tl;dr: terrible idea, a band-aid solution to the government being obstinate and not funding outpatient GPs. Happy to answer any questions in the comments.
I’m a pharmacist and I can tel you, this is a garbage policy. It’s bad for patients and it’s bad for pharmacy
Edit, reasons:
• The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking. Why would a pharmacist be better at prescribing and less requiring of oversight than a doctor? This completely undermines the need for a pharmacist.
• Antibiotic resistance goes up when antibiotics are available over the counter. All this will do will mean that a 3 day course of trimethoprim becomes useless
• The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.
They should allow doctors/GP practices to run a pharmacy on site. It would save patient time, and allow the GP practice to claim the dispensing fee/embed a pharmacist in the practice.
That is your opinion but not the reality for many patients. Just give people what they need in a timely fashion. Waiting to try and get into a doctor in this current health care crisis to get a script for a recurrent UTI is painful and unnecessary.
Can I ask why?
No offence, but I know when I have a UTI. I don’t need to pay a doctor $90 just to confirm it.
Thanks
????
Why is it bad?
[deleted]
This is a horrendous idea too. Walking across the street or into a separate business located in the same practice is not difficult. The issue is not access to a pharmacist. The issue is access to the GP in the first place. Just because you and the public don’t understand the purpose and role of a pharmacist, doesn’t mean you should remove them from the process. There’s a reason the government pays pharmacists a lot of money. We provide a critical service. I’m against this policy but that doesn’t mean I think pharmacists aren’t good at what they do. The problem is that this isn’t what they do
If you have a recurrent UTI, you need further investigation not simple access to antibiotics
Countries that have OTC antibiotics have horrendous rates of resistance. Seeing a doctor in any metropolitan city is annoying but not hard. We shouldn’t dismantle the way the system works because it’s “hard” the government is just trying to get out of revamping the way GPs are paid. Something that is long overdue
My guess would be something along the lines of there is a big jump between giving out medicine prescribed by someone who knows your history, symptoms, risk factors etc. and a the local pharmacist who hands out the prescribed medication. I would see it essentially as doctors job is to study the human, the pharmacists job is the drug. Whilst the pharmacist will know everything about the drug, they won’t know enough about the specific human.
Even if they were perfect complications will arise, which leads to thing like liability etc.
I’m sure there are numerous other reasons but this would be my best guess.
Edit: just read the article in full
“Doctors are concerned the move lacks respect for general practice "and the years of training, experience and knowledge required to properly diagnose and treat a medical condition".”
Yep. Here are the reasons:
- The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking
- Antibiotic resistance goes up when antibiotics are available over the counter.
- The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.
- We’re not trained enough and even if we were see point 1
Same here.
No offense taken. You may very well know and you may be completely correct. If that’s true (actually quite a big if), public policy shouldn’t be based around your excellence as a diagnostician. A barrier to access is important to prevent overuse. While you might be able to excellently and accurately diagnose a UTI, not everyone can and those people shouldn’t be able to walk into a pharmacy and access antibiotics at the drop of a hat.
I posted these reasons to another comment:
• The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking
• Antibiotic resistance goes up when antibiotics are available over the counter.
• The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.
• We’re not trained enough and even if we were see point 1
I posted these reasons elsewhere:
• The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking
• Antibiotic resistance goes up when antibiotics are available over the counter.
• The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.

No not at all it just came up when I googled island caretaker.

I totally get it. I ran away from civilisation 9 years ago after many years in corporate. Now I live in the bush. Could never go back to Sydney

Ah, yeah that’ll get ya…

What’s it like? Do you regret anything or miss anything?

I’d love to hear more. DM me if you want to chat.

Hi All, :-)

Has the New South Wales Parliament opened since the recent state election? I'm wondering whether I've missed the opening ceremony or not.

https://www.parliament.nsw.gov.au/Pages/home.aspx#:~:text=The%20Parliament%20will%20not%20sit,be%20in%20early%20May%202023.

Thanks for that!

Thank you. :-) I tried to look it up before, but clicked on the wrong page.

Thank you OP

No problem! :-)

While they're at it they could reopen the railway to Lismore??? Oh right, I forgot no NSW government cares about anything north of Stockton

Or west of parramatta

It makes sense that the areas where people actually live and produce most of the tax base would get more attention.

Hi, so I was wondering if anyone knows what I do with my p plates when I go from my green ps to my unrestricted license while waiting for my new physical license to come in the mail. Can I take the plates off my car after I apply and pay online because I'll be technically on my full license even though I'll have a p2 physical one? Or will I need to keep the plates on until I've got my physical unrestricted license? Thank you in advance!

[deleted]

I had covid when I went from Red to Green and paid online as well so I didn't have any proof I had upgraded my license until it came in the mail. I ended up using my digital license on the ServiceNSW App to get around this as it updated within the minute. If the digital license isn't your vibe maybe see if your receipt or order confirmation has any details around it being able to be used as an interim license?

Between the digital and paper interim licence, you'd be covered.

Plus, regardless of what physical card is in your possession, the real time licence data police can access will state you are an open licence holder, recently issued.

You can remove the P plates immediately.

I just drove around with the digital card on my phone, that updated minutes after I upgraded from P to full. Would still be smart to carry the older physical card with you just in case.

Thank you so much for the reply!

You probably missed something on the confirmation screen that was a printable version of the same interim licence you would get if you did it in person. I renewed my licence online in 2021 while in mandatory self-isolation because someone at my work tested positive, and printed my interim licence at home. I'm pretty sure I've done that when renewing online even before covid.

Thank you for the reply! I do have the digital license but I'm not fully comfortable with it yet but I'll definitely keep the confirmation

Thank you for the response!

If you're doing it online, there's a printable interim licence on the confirmation screen. That's your licence until the card comes in the mail. If you do it in person, they'll give you an interim licence. Even if you weren't changing from one licence type to another, the existing card stops being a valid licence immediately, although it's still valid as photo ID.

Ok cool, thank you so much for the info!

The frequency of the most recent advertisements on my feed suggests NSW is going through a crisis of botched cosmetic surgeries. Is this true? And also, am I so ugly that this is the calibre of advertising being targeted at me? 10/10 emotional damage

I get them too and I'm really really hot

I get them a lot too - I’ve heard that there is a big rise in dangerous cosmetic surgery (like making your buttocks larger) because of social media so I wonder if there is some campaign to get people to be more informed?

I think they've either just passed or are about to pass or trying to pass legislation so you have to get a psych eval to get plastic surgery. I've been seeing it too and have assumed they're trying to raise awareness and/or support for it.

I'm more worried about the one with the 30 yo dude who looks like he's about to get a boob job.

My mate got surgery done from a super high profile (instagram) NSW surgeon maybe ~3 years ago. I won’t go into it but it was super dodgy regarding the amount of anaesthesia she received for the size of the surgery. She looks great though. Cut to 3 months ago and I’m trying to find the name of the surgeon (just in conversation). He’s gone from insta and there are news articles about his dodgy practice. He’s now barred from practicing.

I’m wondering if he’s not the only one. I think about that every time i see these ads.

I upvote them every time

Hope so

I’m ugly but I’m also broke so I don’t think I’m the right target audience for the ads

It's about making awareness for the public regarding what they call themselves. New rules are restricting what these doctors can describe themselves as too.

Plastic surgeon - top shelf. Trained thoroughly as a plastic surgeon under guidance. Would expect to have been a doctor for minimum 8 years, realistically longer, with supervised training and exams before having such title.

Cosmetic surgeon - will no longer exist. These are not specially trained doctors. They will rename themself something flashy like cosmetic sculpting doctor.

Basically, the term surgeon is becoming protected, so not just any doctor can use it. Previously, any doctor who had finished medical school and 1 year internship could go off to the wide world, open a shop and call themselves cosmetic surgeons. They weren't specifically trained in the operations they were doing, they weren't trained in the anaesthetic they were using.its all allowed under their registration. Now their indemnity insurance may not cover them and Medicare may not rebate their patients, but it wasn't against the rules.

Now they've said only doctors trained with specific surgical colleges can use the term surgeon, to prevent the general public believing the 'cosmetic surgeons' on insta (because they often look the flashiest) are as qualified as a proper surgeon.

Tl;dr cosmetic surgeons = fake. Plastic surgeon= good.

As an aside, if ever you want cosmetic surgery on your eyelids, you want an oculoplastic surgeon.

Can confirm.

Psych eval seems very reasonable before cosmetic surg

wait wait I have to know, too much or TOO LITTLE was she given?! Nightmares either way, stoked for her it turned out good!

Very enlightening, thank you

I have absolutely no problem with them tightening up the registration requirements and qualifications in order to have surgeon on your brass plate. If anything, it's a decade overdue.

Plenty of cowboys out there paying less than lip service to, first do no harm.

Too little. Pretty traumatic. She was in so much pain. It was lipo.

She looks friggin amazing though. Like wow. Im happy for her in that regard lmao. She was never overweight but just carried weight in places that she wasn’t happy with. Her body shape now is to die for. Lol

Ahh righto, so maybe the anaesthesiologist lost their license but the surgeon is fine

Cockatoos really test my commitment to fauna protection and conservation.

These are *nice* cockies. Not the sulphur crested rascals.

The sulphur of the crest marks them as the agents of hell from whence they came

Jesus, this is a terrible idea. People who believe it isn’t, including OP from what I can see in their comments, just highlight the poor health literacy we need to work on in NSW. There’s a reason every person with medical training believe this is a bad idea, whether it’s doctors, pharmacists or other professionals.

A UTI is a clinical diagnosis - you make it based on the presence of typical symptoms and a supportive examination (let’s say for instance, no worrying abdominal pain in areas that would suggest another diagnosis). Are community pharmacists, who are already busy, going to be expected to take this detailed history? Where are they going to do the exam? And after you get the diagnosis, best practice is to get a urine sample for testing - hundreds of bacteria can cause a UTI, and you need the right antibiotic for the right job, especially in recurrent UTIs. You can’t just give an OTC antibiotic empirically for “symptoms of a UTI”.

For one, you’re going to breed horrible resistance in the population and the patient. I’ve already personally seen many people come into hospital with UTI from bacteria that are resistant to everything other than IV antibiotics - so they need to stay in hospital for days. The people most affected by this ironically include OP, who have indicated they have recurrent UTIs, and get multiple courses of antibiotics. Now imagine you’re getting multiple courses that don’t even work.

The second issue is that doctors have the training to recognise oddities, such as when to screen for pathologies other than UTIs, so-called “mimics”. Diseases like STIs, kidney stones and appendicitis can all sound like UTIs but require vastly different treatments. Inappropriate treatment leads to horrible complications and you can miss life-threatening problems. Doctors have sufficient training that they have a good chance of picking up on these subtleties and investigating appropriately. We aren’t wizards and medicine is still not an exact science - but we have a good shot of it. How do you expect pharmacists, who haven’t been trained in those conditions, to be able to pick that up? And moreover, if they miss a serious mimic, it’s horrifically unfair to place that medicolegal liability on them.

You won’t find pharmacists disagreeing with this opinion, because they know what I’ve mentioned above. If the government passed a law saying I was able to dispense medicines in the community, I would be similarly strongly against it - because doctors simply don’t have the expert level training in what pharmacists do, and many many errors would be made.

tl;dr: terrible idea, a band-aid solution to the government being obstinate and not funding outpatient GPs. Happy to answer any questions in the comments.

I’m a pharmacist and I can tel you, this is a garbage policy. It’s bad for patients and it’s bad for pharmacy

Edit, reasons:

• The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking. Why would a pharmacist be better at prescribing and less requiring of oversight than a doctor? This completely undermines the need for a pharmacist.

• Antibiotic resistance goes up when antibiotics are available over the counter. All this will do will mean that a 3 day course of trimethoprim becomes useless

• The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.

They should allow doctors/GP practices to run a pharmacy on site. It would save patient time, and allow the GP practice to claim the dispensing fee/embed a pharmacist in the practice.

That is your opinion but not the reality for many patients. Just give people what they need in a timely fashion. Waiting to try and get into a doctor in this current health care crisis to get a script for a recurrent UTI is painful and unnecessary.

Can I ask why?

No offence, but I know when I have a UTI. I don’t need to pay a doctor $90 just to confirm it.

Thanks

????

Why is it bad?

[deleted]

This is a horrendous idea too. Walking across the street or into a separate business located in the same practice is not difficult. The issue is not access to a pharmacist. The issue is access to the GP in the first place. Just because you and the public don’t understand the purpose and role of a pharmacist, doesn’t mean you should remove them from the process. There’s a reason the government pays pharmacists a lot of money. We provide a critical service. I’m against this policy but that doesn’t mean I think pharmacists aren’t good at what they do. The problem is that this isn’t what they do

If you have a recurrent UTI, you need further investigation not simple access to antibiotics

Countries that have OTC antibiotics have horrendous rates of resistance. Seeing a doctor in any metropolitan city is annoying but not hard. We shouldn’t dismantle the way the system works because it’s “hard” the government is just trying to get out of revamping the way GPs are paid. Something that is long overdue

My guess would be something along the lines of there is a big jump between giving out medicine prescribed by someone who knows your history, symptoms, risk factors etc. and a the local pharmacist who hands out the prescribed medication. I would see it essentially as doctors job is to study the human, the pharmacists job is the drug. Whilst the pharmacist will know everything about the drug, they won’t know enough about the specific human.

Even if they were perfect complications will arise, which leads to thing like liability etc.

I’m sure there are numerous other reasons but this would be my best guess.

Edit: just read the article in full

“Doctors are concerned the move lacks respect for general practice "and the years of training, experience and knowledge required to properly diagnose and treat a medical condition".”

Yep. Here are the reasons:

- The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking

- Antibiotic resistance goes up when antibiotics are available over the counter.

- The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.

- We’re not trained enough and even if we were see point 1

Same here.

No offense taken. You may very well know and you may be completely correct. If that’s true (actually quite a big if), public policy shouldn’t be based around your excellence as a diagnostician. A barrier to access is important to prevent overuse. While you might be able to excellently and accurately diagnose a UTI, not everyone can and those people shouldn’t be able to walk into a pharmacy and access antibiotics at the drop of a hat.

I posted these reasons to another comment:

• The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking

• Antibiotic resistance goes up when antibiotics are available over the counter.

• The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.

• We’re not trained enough and even if we were see point 1

I posted these reasons elsewhere:

• The philosophy of pharmacy is to be a double check to the prescriber. If the pharmacist is the prescriber then no one is double checking

• Antibiotic resistance goes up when antibiotics are available over the counter.

• The reason it’s so hard to go see GPs is because the government hasn’t reviewed how they’re paid since the 80’s, this policy is just to avoid spending money on actually attracting doctors to being GPs. It’s short sighted and will result in more harm.