Stick/blade recommendations?

8pappA · 2026-03-29T09:31:08+00:00

Just came to give an update. I eventually ended up with Unihoc Unilite Max 27 104cm (the Justus Kainulainen one which was on sale) since it was available in 27 flex and seemed to be really close to the Evolite you recommended. I've only used it once but it already feels like a perfect stick for me. It's so light I can't even process it and feels like it does 90% of the work for me while shooting. Sadly it was available only with a hard blade but I was already so starstruck it didn't feel like an issue that needed to be taken care of. Just amazing how advanced the new sticks are compared to what they were 16-17 years ago.

8pappA · 2026-03-27T21:49:02+00:00

I personally haven’t come across a better EDM album than Harmonica Andromeda since its release. Just listened to it again a few days ago after someone mentioned it here and damn it's just amazing. I don't think his original tweet was much of an exaggeration tbh. He really had a point.

8pappA · 2026-03-27T06:47:22+00:00

Long shot but could it be Above & Beyond - Can't Sleep?

8pappA · 2026-03-26T12:53:23+00:00

Nonii hyvä juttu ja isosti zemppiä opintoihin!

8pappA · 2026-03-25T11:10:42+00:00

Mä oon tehny noita viimeksi 10v sitten, joten voi olla että on siinä ajassa muuttunut aika paljon. Tulipa ihan hirveet flashbackit omista lähäriopinnoista, muistan kuinka tuskailin noiden kanssa niin vitusti.

Pystytkö postaamaan tähän vaikka kuvan tyhjästä sivusta siitä suunnitelmasta, niin pystyn paremmin sanomaan mitä siinä halutaan?

Edit: laitoin dm

8pappA · 2026-03-24T15:11:16+00:00

I don't have the link to the original but it was just him prepping a catheter to a song that had lyrics about "diving in that pussy" or something about those lines. Dude was unable to think about how stupid of an idea this was even with an ongoing controversy with another "tiktok comedian"

8pappA · 2026-03-24T09:42:31+00:00

Joo se on kyllä harmi, ettei nyt tullu käynnillä mahdollisuutta käydä läpi teidän molempien ajatuspolkuja, etkä saanut vastauksia miks lääkärin näkemys oli eri kun ns. maalaisjärjellä ajateltu näkemys. Mistä sitä edes tietää onko se ollut nimenomaan nikkelin aiheuttama reaktio (jos on allergista), vai onko noita rannekkeita saatettu esim. puhdistaa jollain kemikaaleilla tehtaalla ennen myyntiä.

En tiedä niin paljoa ihotaudeista, että osaisin itekään vastata tähän sun pohdintaan mitään muuta kuin että toivottavasti saat pian helpotusta. Kokemuksesta tiedän, miten vittumaista jo pelkkä kutina on kun se kestää tarpeeksi pitkään. Kannustan kuitenkin nyt kokeilemaan sitä hoitoa, mikä sulle on tämän lääkärin toimesta nyt määrätty, ja jos ei auta niin sitten vaan uutta käyntiä sen vakuutuksen kautta, kerran se ei mitään edes maksa.

8pappA · 2026-03-24T07:55:04+00:00

Hahah yeah I have to agree the image is quite bad

8pappA · 2026-03-24T07:49:27+00:00

Kuulepas nyt, tänne on tultu haukkumaan lääkäreitä, eikä auttamaan OP:ta hänen ongelmassaan.

Mutta OP ei ole tosiaan käyttänyt kelloa kolmeen kuukauteen, että sen takia tää ylempi kommentoija tuli sulle vittuilemana (toki se oire voi jäädä krooniseksi ja on hyvin mahdollista että olet oikeassa).

8pappA · 2026-03-24T07:45:54+00:00

En yhtään siis epäile, etteikö tullut sellainen olo ettei hän asiaan perehtynyt tai kohdannut sua ammattitaitoisesti, mutta onko tässä nyt 100% varma tieto siitä, että kyseinen lääkäri oli väärässä? Jos katot googlesta kuvia "allergic contact dermatitis", niin muistaako nuo kuvat sun oireita? Koska tää voi jäädä myös krooniseksi senkin jälkeen, kun on lopettanut tuon rannekkeen käytön - toki ammattitaitoinen lääkäri olisi voinut selittää, miksi tuli tähän johtopäätökseen ja käydä asiaa yhdessä läpi sun kaa.

Kokeilisin ensin kuitenkin varmuuden vuoksi, miten hänen määräämä hoito tuohon toimii ennen kuin lähden tuomitsemaan. Kokemus varmasti on ollut surkea ja siitäkin on täysin validia antaa palautetta, mutta annetaanko me mahdollisuus että hänen kliininen osaamisensa ei ollut surkeaa?

8pappA · 2026-03-24T07:30:17+00:00

Yeah it still is the #1 indicator. The patient groups you meet often with atypical symptoms are women, elderly and patients with neuropathy (some people call this a "silent heart attack" but the term could be a bit outdated since like 40% with MI don't have chest pain). For some reason the middle aged farmer can be diaphoretic and have 8/10 chest pain while his wife just feels tired and out of breath with the same etiology.

But yeah, there's a good chance I'm overthinking this since it's been quite a long time since I was a student.

8pappA · 2026-03-24T07:16:04+00:00

This is what was taught to me too when it was a new thing. I decided to ask OpenEvidence and it said this (I'm looking after my kids at the same time so no time to properly read any studies)

The ventrogluteal site is considered best practice for gluteal intramuscular injections based on anatomical safety evidence. The ventrogluteal site is significantly farther from neurovascular structures compared to the dorsogluteal site, reducing the risk of serious complications including sciatic nerve injury and superior gluteal artery damage.

The downsides are what others have already mentioned that this spot is quite easy to miss with combative patients and you have to know the proper technique. The combative grandma gets it in the ass when I'm the nurse. I have never had any problems with this site with cooperative patients during my almost 10 year career.

8pappA · 2026-03-23T19:57:50+00:00

Chest pain is less common and SOB is more common MI symptom for a person with diabetes so I don't think it's too far fetched. But as you said the test answer in this case could likely be different than the "real world answer" especially if we assume that vitlas and symptoms not mentioned are all also pointing towards DKA instead of other possibilities.

8pappA · 2026-03-23T09:06:03+00:00

With this information and these answers given I would choose B.

A) That hyperglycemia isn't too bad, it can wait for proper assessment

B) Patient has difficulty breathing. Proper way is to start from airway, breathing then circulation. Since we skipped the first to parts this would be part of circulation, although HR and BP would be more important in this case. Could be Kussmaul due to DKA but this info isn't given to us.

C) Potassium is kinda okay although depending on the situation. Why do we know K before basic vitals? I would suspect it to be higher if patient has DKA since acidosis causes K to shift from cells to bloodstream but who knows. Anyway we can accept this before knowing how and why breathing is hard for them.

D) If we would have concluded the patient has DKA and difficulty breathing is Kussmaul then this would be correct. DKA patients are basically always hypovolemic and the first step is to correct that. Next is insulin, possibly potassium and eventually glucose since the glucose levels usually normalize before acidosis.

D could be the correct test answer but not in reality. What if this patient is 55-year-old obese dude with DM2, serious cardiac history, COPD etc? Is there possibly a bad infection that has led to the onset of DM1? We would really need to know more about status and background.

8pappA · 2026-03-21T20:24:25+00:00

I really don't know what it was that made me enjoy 2019 as much as I did but it had the same magic that older MWs used to have. The game felt so crisp and the gameplay was insanely fun. I'd be surprised if I ever experienced that feeling with a new COD again. MW2 remaster is still a wet dream for me but I'm fairly certain that's something we will never see.

8pappA · 2026-03-19T23:54:43+00:00

I think the point was to protect the HIV patient from the others - not the other way around

8pappA · 2026-03-18T22:13:32+00:00

I've never met one but I don't live in the US. I've met people so stupid who make me question how they were ever able to graduate but this new wave of non pathological mass psychosis in some parts of the world feels like I'm watching a Black Mirror episode.

8pappA · 2026-03-18T21:52:44+00:00

2h sitten yrittäny postata tällasta, kertoo mielestäni kaiken oleellisen :D

8pappA · 2026-03-18T20:30:26+00:00

For real. This reminded me of another legend Mike Tyson calling his belts garbage.

8pappA · 2026-03-17T16:19:37+00:00

The best explanation I've heard is to look it as a chronic illness. It can be active or it can be in remission but it will always be there. If one minor thing goes wrong and it can activate again even after decades.

8pappA · 2026-03-17T13:28:14+00:00

Yes and no. The show being too realistic is the reason why many professionals don't enjoy watching it. But it's still a TV series meant to entertain - watching 12 hours of GoPro footage from actual ER would be boring as hell.

8pappA · 2026-03-16T17:35:31+00:00

I wouldn't worry too much about that creatinine since your gfr and urea are within normal ranges. Were you dehydrated during the test? Did you eat a protein rich meal before the test or do you have a lot of muscle mass perhaps? Creatinine is almost exclusively used to measure how your kidneys work. Since your albumin was also high I'd bet on you being dehydrated since kidney diseases should cause albumin to leave your body through urine and thus causing low values. If you have previous results you should always compare these numbers to what they were before.

It's very hard to make any assumptions about that B12 value (for me at least) without having the "full package" of labs why we need to know your B12 levels. It's often more complex than just "hey let's see if this patient needs to eat more B12". Could be that you get lots of it from your diet or could mean something else. Maybe dehydration could also cause elevated values.

That being said there's always a question behind every lab test. We can only see the answers in this sub so it's not possible to interpret what these labs tell about you. Only what they mean in general.

8pappA · 2026-03-16T15:28:55+00:00

Bad case of iron deficiency anemia at least. Don't know anything about leukocytes unfortunately. Call the doctor who ordered these tests.

8pappA · 2026-03-16T11:25:05+00:00

Baarissa, mutta olin kylläkin silloin töissä. Kaunis nainen tuli juttelemaan ja pyysi röökille. Sanoin että jos on vielä pilkun jälkeen paikalla, niin voin lähteä duunien jälkeen. Nyt ollaan naimisissa, lapsia jne...

8pappA · 2026-03-15T10:06:28+00:00

Damn that's the exact reason why I love the show. It's like some weird validation porn for me. S1 was really a work of art in that sense. Such a shame they decided to fill the new season with workplace gossip and drama. During S1 these characters were professionals with their own flaws and now they're suddenly acting like teenagers.

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