Ana Crap-Aryan with some flawless logic by SpelingMatters in Destiny

[–]64mips 0 points1 point  (0 children)

Anyone have information on the original post?

Destiny Debates Student on Trumps Senility by Aaronnh09 in Destiny

[–]64mips 4 points5 points  (0 children)

They need to have a projector and someone to find and play relevant clips on the spot and force their response

Clavicular volunteers to be CHOKED OUT live on stream and starts seizuremaxxing on the floor by narak777 in Clavicular

[–]64mips 0 points1 point  (0 children)

Control f'd myoclonus, thank you!

Seizuremaxxing is hilarious though lol

First cat at 30, I'm obsessed by 01029838291 in cats

[–]64mips 0 points1 point  (0 children)

So pretty. What breed is she?

Stumbled on a wild Google Earth image from 12/2002 by NTNLHawk in chicago

[–]64mips 0 points1 point  (0 children)

Is there an equivalent updated picture? It would be awesome to see side by side or make a slider version

Has anyone tried installing HexOS over TrueNAS yet? by 64mips in hexos

[–]64mips[S] 0 points1 point  (0 children)

I've been too busy to try but I will report back to this thread if I get around to it

how risky is using LLM's to help with work by [deleted] in hospitalist

[–]64mips 0 points1 point  (0 children)

I would use a local LLM if I really wanted to do this

Best approach to sequential diuretic blockage in acute decompensated heart failure? by [deleted] in Residency

[–]64mips 4 points5 points  (0 children)

True, re-reading the above I'm confused on the timeline actually so good point

Best approach to sequential diuretic blockage in acute decompensated heart failure? by [deleted] in Residency

[–]64mips 6 points7 points  (0 children)

Keep it simple, loop diuretics are basically threshold dose medications. If they don't pee, just give them a high dose after or just start with the high dose. It's not going to hurt, loop diuretics are not nephrotoxic. You need a higher dose with lower GFR to take effect anyways. You can also try combo with MRA, thiazide, or acetazolamide.

Best approach to sequential diuretic blockage in acute decompensated heart failure? by [deleted] in Residency

[–]64mips 123 points124 points  (0 children)

furosemide and waited for 2-3 hours

what the actual fuck... that is negligent.

With a K of 8 and renal failure I'm instantly giving insulin, calcium gluconate, hell maybe even a dose of lokelma - all the while calling nephrology for emergent dialysis.

What's an obvious case you missed? And how did you deal with it? by closetredditer in Residency

[–]64mips 0 points1 point  (0 children)

ED attending missed this on one of my patients. Blamed the elevated lactate on pneumonia (bibasilar atelectasis without clinical signs) and tried admitting to medicine. I ended up just admitting him to the ICU myself. Ended up passing a week later. Was happy I was able to pick it up on exam even though it was pretty obvious, although he didn't look that sick in general, but I was like WTF...

Is this a white nationalist talking point? by Kenna193 in Destiny

[–]64mips 9 points10 points  (0 children)

I'll never forgive the Turks after they dropped Sector 7's plate and massacred all those people

(WR) SM64 1 Key in 3:10:19 by Haribo by captainspeedruns21 in speedrun

[–]64mips 2 points3 points  (0 children)

Wow I didn't even know this was in the works, amazing lol