medgremlin

@medgremlin@midwest.social
2 Post – 223 Comments
Joined 10 months ago

Stories like this make me very glad that I got my pediatric experience in a good children's hospital before starting medical school. The attending physicians made sure to drill it into everyone's heads that if the parent is expressing concern about a change in condition or "something just not being right", you report that to the patient's physician and nurse ASAP. Everyone from the physicians down to the admin folks were empowered to challenge decisions they thought weren't in the patient's best interest.

Hell, I even had a case where, as the ER tech, I challenged a physician on her diagnosis of a child and refused to let her discharge the kiddo without looking at him again. The mom told me something was wrong, and even with just an EMT license, I was able to see something was subtly wrong as well. It turns out the mom and I were right and the physician changed her diagnosis and admitted him to the hospital for treatment instead of discharging him home to follow up in clinic in a couple days.

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The medical symbol of the staff with the snake is only supposed to have 1 (one) snake on it. A staff with 1 snake is the Rod of Asclepius (the son of Apollo and Greek demigod of medicine), a staff with 2 snakes is a Caduceus which is carried by Hermes as a messenger or herald.

Physicians get 1 snake. Couriers and heralds get 2 snakes. Any medical professional or organization that uses 2 snakes is wrong and needs to go study the humanities and classics for a bit.

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I want them to seize the Trump tower and turn it into low-income housing and a job training/community college with whatever liquid assets they do squeeze out of him. Use the disgorgement to help the people of New York have better lives.

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Yes! I fucking love buttons and dials! And maybe Android Auto can just heckin' let me use my phone keyboard when I'm stopped.

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As a Minnesotan, I'm disappointed to be losing our governor. He's done great things for our state, but I'm hopeful that the Lt. Governor who will be taking his place will be a good replacement.

Walz’s ascension to the ticket leaves questions for Minnesota. Under the state Constitution, Lt. Gov. Peggy Flanagan would become governor if Walz resigns, but he’s not on the ballot in Minnesota this fall, meaning he could wait until after the November election to step down. Flanagan, a member of the White Earth Nation, would become Minnesota’s first woman and first Native American governor.

This is why I'm sad to be losing him in Minnesota, but he's going to be good for the country as a whole.

These are incredibly important reports to publish and spread awareness of....but I kind of wish I hadn't read them today.

Plotted, and executed. He just didn't succeed.

Never have I ever drank alcohol illegally or underage.

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I'm currently a medical student in my clinical rotations....

Me: "So it looks like we're due for our (blank) month/year vaccinations. Have those been done already or do we need them today?"

Parent: "Oh, we're not vaccinating."

Me: screaming internally

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As a medical student that gets nonsense like this as question stems on exams: "confused and horrified screaming"

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As a Minnesotan, I’m disappointed to be losing our governor. He’s done great things for our state, but I’m hopeful that the Lt. Governor who will be taking his place will be a good replacement.

Walz’s ascension to the ticket leaves questions for Minnesota. Under the state Constitution, Lt. Gov. Peggy Flanagan would become governor if Walz resigns, but he’s not on the ballot in Minnesota this fall, meaning he could wait until after the November election to step down. Flanagan, a member of the White Earth Nation, would become Minnesota’s first woman and first Native American governor.

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This is insulting to 10 year olds.

Even if they don't die now, there's complications that can kill them that happen 2 months later (for the more dangerous one), or 7-10 years later (for the sneaky one). Measles is a nasty virus and there's a long list of damn good reasons why everyone who possibly can should be vaccinated against it.

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She did get Nobel prizes in Physics and Chemistry, so you're both right!

At this point, Israel is a rogue terrorist state that needs to be cut off from all material and financial support until they agree to permanent ceasefires and handing Netanyahu and his cabinet over to the ICC.

Robert Evans just did a 4 part series on RFK Jr. and it is fascinating. Links below (on spotify because that's what I've got, sorry)

Part 1

Part 2

Part 3

Part 4

I highly recommend the Behind the Bastards podcast overall. It's a great way to get your heart rate and blood pressure up to really enhance your cardio workouts or stay awake on long road trips. You will be intensely angry at everything, but it helps. :)

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I see your point, but that is a bigger can of worms than I think you are expecting. There are dozens of genetic or congenital disorders that can lead to intellectual disabilities and hundreds of acquired ones; all of which result in a range of severity. Also, "intellectual disabilities" and "behavioral problems" are very large buckets of different manifestations. In order to differentiate in the way that you are asking for, they would need to report exact diagnoses and give a detailed description of the individual to differentiate them, and even then, there would need to be a lot of context and clarification if they are to avoid misinterpretation or misunderstanding of any terms or descriptions used.

I hate to be the bearer of bad news...but it was a complete decapitation. The torso and limbs were delivered via delayed C-section and the head was delivered vaginally. This article has the medical examiner's release including the description of the head being detached.

https://www.ajc.com/news/medical-examiner-rules-babys-decapitation-at-birth-a-homicide/LYMJVYQUUBCD3L5MHUGIQEO3PU/

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Then support your local trap/spay/neuter charities. This is a miserable and painful way for them to die and likely wouldn't kill enough of them to get the effect you're hoping for. All you're wishing for here is needless suffering.

Medical field here: The vast majority of us are not in it for the money. Physicians have to spend 3 to 9 years after medical school working for a wage that works out to about $5/hour to gain certification and a medical license in their specialty. And that's after 8 to 12 years of undergraduate/graduate/doctorate education that basically has to be paid for with loans unless they're in the military or come from a rich family. So, yes, physicians do make high salaries once they're established, but there was a lot of work and sacrifice to get to that point, and very few people are masochistic enough to put themselves through that just for the money.

Also, the most expensive parts of a medical appointment/surgery/ER visit etc is the administrative overhead, inflated prices of drugs and supplies, and insurance company bullshit. Very little money from that price tag actually makes it to the healthcare workers. Your average EMT on an ambulance makes between $13-20/hour depending on the state minimum wage.

If you have a problem with your healthcare costs, that's something to take up with your representatives in government, not the EMTs, CNAs, nurses, and physicians providing your care.

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That needs to be a serious sit-down conversation. I'd advise against making it about her health because that's more likely to put her on the defensive and ignore everything else. You could print out a credit card statement to show her how much it's costing you and what that money could be going towards. Also, it would be worth pointing out how much of the door dash bill is going to tips and delivery fees. I think the issue a lot of people have with door dash is the lack of sticker shock. You don't notice the impact of a bunch of smaller purchases anywhere near as much as a single big purchase.

While working in the ER I've seen some impressive ingestions, both intentional and unintentional. I can guarantee that if he survives, it ain't gonna be a fun time. Off the top of my head, I think he'd be getting Narcan, Amiodarone, Flumazenil, cardiovascular and respiratory support, and probably hemodialysis. If he doesn't die from the cocktail, the hospital bill might get him.

The popular vote? Hillary. The egregiously outdated and unfair electoral college vote? The bloated, corrupt rapist that is also a flailing and failing oligarch.

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Usually the situation they put themselves in is taking a job as a cop and refusing to deescalate any situation.

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It's appalling how much we have to alter treatment plans based on Medicare rates. If someone doesn't have a supplement plan, they probably won't be able to afford the new medications that are MASSIVE improvements on the old ones. It's so frustrating to have to try to cobble together a treatment regimen for congestive heart failure or type 2 diabetes without being able to use the new medications because Medicare doesn't cover enough of the cost for the patient to be able to afford it. It also affects how long a patient can be hospitalized and figuring out the requirements to make sure they qualify for rehab after hospitalization is aneurysm-inducing.

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That doesn't mean you ignore them. You listen to what they're saying, maybe take it with a grain of salt, and actually get a good history and physical.

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I use Proton when I'm on my university's campus because they switched to using EDUroam for the campus wifi. I used to be a Sys Admin at a different university a while back, and from what I know, EDUroam allows the IT department to monitor basically all of the traffic over the network. I don't know exactly how deep that stuff goes, but if I was doing anything personal or sensitive like banking or whatever, I'd flip on the VPN on my personal computer. I also don't have any personal accounts logged in on the school issued laptop because they have it loaded with institutional spyware. Once I graduate, I'll blank the drive and reinstall the OS to have a decent Lenovo laptop on hand as a spare.

Edit to add: I use Proton because it was the least shady service that I could get for a reasonable price as a student. It is also helpful for finding textbooks. :)

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If "all" his marbles is about half a normal set, sure, I guess he has all the marbles he started with....

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"Assault" is shouting and threatening, "battery" is actually making contact. It sounds like she got the pepper spray out in time to prevent him from touching her, which is a very good thing.

I've got a little while until I do my psychiatry clinical rotation in school, but I feel like interviewing you to hear about your theories and perceptions would make for a fascinating case report.

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Do you know the name of this sculpture or the name of the artist?

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We watched him instigate a goddamn coup on live television. There were hundreds of millions of witnesses. Trump's innocence is not the question here...the extent of corruption of the system is what's really on trial.

Alternating the paracetamol and ibuprofen on a schedule is the best recommendation I can give. Severe pain, especially post-operative pain, is best managed by taking the pain meds before the pain sets in. The ibuprofen is also an NSAID and the swelling and inflammation are big contributors to pain.

The schedule that I always recommend is:

  • 0800: 650-1000mg paracetamol (acetaminophen)

  • 1200: 600-800mg ibuprofen

  • 1600: 650-1000mg paracetamol (acetaminophen)

  • 2000: 600-800mg ibuprofen

  • (and in the first day or two after surgery, set alarms to wake up and take pain meds at 0000 and 0400 on the same pattern if the pain is really bad.)

This pattern keeps you covered on pain control, and you can shorten the intervals to every 3 hours if this isn't enough without exceeding daily dose limits on either medication. If you are an American reading this and you're also taking something like Norco, make sure to account for the acetaminophen/tylenol/paracetamol that's in those because exceeding the recommended dose on that one is bad news for your liver.

Like some other folks have said, warm saline (salt water) rinses and soft or liquid foods are going to help as well.

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The image won't load, but based on the replies, I think it's a weeping angel, and now I don't want the image to load.

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This is my plan. I have to finish medical school anyways, and once I've done that, I'll be in a better position to help other people.

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The point is that there are people that cannot regularly afford fluoridated toothpaste or for some other legitimate reason cannot brush their teeth as often as is recommended. Fluoridated water is the best and only dental care many Americans get, and it doesn't carry any harms that are even meaningfully measurable.

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The lack of accountability means that there is nothing and no one to take responsibility when the robot/computer inevitably kills someone. A human can be faced with legal ramifications for their actions, the companies that make these computers have shown thus far that they are exempt from such consequences.

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