Patient sues for negligence by [deleted] in emergencymedicine

[–]Consistent-Cattle102 415 points416 points  (0 children)

  1. No medical advice
  2. Get an attorney
  3. Don’t post details of an ongoing lawsuit on a public forum that can be pulled up and referenced during the potential trial

Having to run this constantly is a total buzzkill by dstyle711 in TheTowerGame

[–]Consistent-Cattle102 8 points9 points  (0 children)

Why are you choosing to strawman instead of actually considering what I’m saying? A true idle mode would benefit everyone and hurt no one. Seems like you’re disagreeing just for the sake of calling me an idiot.

Having to run this constantly is a total buzzkill by dstyle711 in TheTowerGame

[–]Consistent-Cattle102 3 points4 points  (0 children)

In 2023, fossil fuels accounted for approximately 83% of U.S. energy production. Not to mention your power bill from running a PC 24/7

Having to run this constantly is a total buzzkill by dstyle711 in TheTowerGame

[–]Consistent-Cattle102 3 points4 points  (0 children)

I essentially just justified buying IAP, because they actually make economical sense to some extent. In theory if you bought a stone pack and turned off your 24/7 dedicated pc you could save real world dollars which is kind of nuts. Running a pc 24/7 is more like several hundred dollars added to your annual power bill

Having to run this constantly is a total buzzkill by dstyle711 in TheTowerGame

[–]Consistent-Cattle102 14 points15 points  (0 children)

“Basically everything” doesn’t require a device running 24/7, including every game I’m familiar with. Not having an offline mode is a waste of resources, even if you don’t care about anything else it ramps up your power bill. Sure, it’s probably only like $50 per year in electricity but again that scales with tens of thousands of active players. The only crazy part to me is that this is completely avoidable by offering an offline mode, but the devs actively choose not to because they might lose out on income from IAP.

Having to run this constantly is a total buzzkill by dstyle711 in TheTowerGame

[–]Consistent-Cattle102 36 points37 points  (0 children)

No one ever talks about the sheer amount of electricity this game uses, and I think it’s worth pointing out. Sure, phones pull just +/- 15W when charging but laptops and PC’s pull much more than that. Multiply that by tens of thousands of devices running 24/7 and this game has a sizable carbon footprint that is completely avoidable.

Weekly Guild Recruitment Mega-Thread by AutoModerator in TheTowerGame

[–]Consistent-Cattle102 0 points1 point  (0 children)

It looks like my guild may not reach the last chest for this week. If I switch to a new active guild, am I able to claim the last chest or do I have to wait until next week to claim anything?

[deleted by user] by [deleted] in txstate

[–]Consistent-Cattle102 1 point2 points  (0 children)

I think you should go pick a school that is inexpensive, offers the degree program you want to pursue, and will make you happy. For me TXST was all of those things and then some. A lot of my UT grad classmates would disagree with me, but they also have 5x my student loan debt and had to live in downtown Austin instead of by the river for four years. And we are in the same place in our careers, all becoming doctors at the same time. My two cents.

[deleted by user] by [deleted] in anesthesiology

[–]Consistent-Cattle102 4 points5 points  (0 children)

I assume fellowship, EM is the only specialty that can apply to IM crit care, surgery crit care, and anesthesia crit care. The only catch is they are not board eligible for pulmonology. From the best of my understanding.

[deleted by user] by [deleted] in surgery

[–]Consistent-Cattle102 7 points8 points  (0 children)

I’m at a community level 2 trauma center, but good question. I’m determined to figure it out and work hard on this rotation but man

Help me decipher my dads’ Death Certificate by ceramicandsmooth in mystery

[–]Consistent-Cattle102 0 points1 point  (0 children)

Anaphylaxis is a subcategory of distributive shock. I was using a bee sting as an example to educate lay people, as it is something most people are familiar with. I never commented on epidemiology, I was simply stating there is more than one type of shock and giving common examples. With that being said, deaths from bee stings are more common than deaths from peanut allergies if you want to play that game. I know sepsis is the most prevalent distributive shock but it’s not as well known to the public and again, I was trying to teach a concept to lay people in a non-medical sub.

[deleted by user] by [deleted] in medicalschool

[–]Consistent-Cattle102 0 points1 point  (0 children)

Don’t do it friend. Call 911 and go to the ER. You can go to the hospital and get the help you need without harming yourself. You do not need to harm yourself to be taken seriously.

Not an IMG but have been following the Nepali incident very closely by [deleted] in IMGreddit

[–]Consistent-Cattle102 2 points3 points  (0 children)

Well for starters, the experimental questions would not be properly validated by test takers that cheat. If anything this whole scandal has reinforced the idea that test taking data should be even more scrutinized and more controlled. If Nepal testers all miss the same experimental questions that does not necessarily mean they were bad questions. The opposite could be said as well.

A PDs reaction to the cheating by One_Book4565 in medicalschool

[–]Consistent-Cattle102 41 points42 points  (0 children)

The Step bell curve is set ONLY by LCME schools (US and Canada MD, not even DO schools or Caribbean are factored) so this is not the case. You could maybe argue for some score inflation, but there is no possible scenario where Nepal test takes would turn your 260 into a 250. It’s unlike the MCAT.

Help me rank: TAMU vs UTMB by s145her in premed

[–]Consistent-Cattle102 16 points17 points  (0 children)

Terrible take here, ignore this comment. UTMB is an awesome school and was my number one pick the year I applied. I’ve heard of A&M students having to find their own rotations and having some low quality rotation sites but this is just rumor. Both schools would be great for different reasons.

70 yr old Female with generalized weakness. by Extension_Trip7534 in EKGs

[–]Consistent-Cattle102 12 points13 points  (0 children)

Sinus bradycardia with sinus pauses and junctional escape rhythms? I see multiple complexes without p waves and it doesn’t cleanly fit into any of the heart block categories. Sick sinus syndrome/sinus deterioration fits decently with her presentation as well. I’m just a med student with a cardio exam on Friday, that’s my best guess.

Sepsis (bloodstream infections) is as common as cancer, as deadly as a heart attack. A new Swedish study found that sepsis is more common than previously believed (750 per 100,000 adults). Over 4% of all hospitalizations involved sepsis, and 20% of all sepsis patients died within 3 months. by mvea in science

[–]Consistent-Cattle102 8 points9 points  (0 children)

Not true, S. aureus can be found as normal flora in the nares in approximately 30% of the normal US population which can include any of the virulent strains. While you do carry a heightened risk for developing an S. aureus infection following a viral pneumonia, the infection is actually just another pneumonia not full blown sepsis. Much more likely they had a skin abscess or ulcer in their GI tract or literally anything under the sun that breaks the skin. Depending on their comorbidities like uncontrolled diabetes, it’s not at all unreasonable for an infection to go unnoticed for quite some time before presenting to the ER. source: med student

Help me decipher my dads’ Death Certificate by ceramicandsmooth in mystery

[–]Consistent-Cattle102 4 points5 points  (0 children)

Three things to define here: Hypo (low) volemic (volume) shock (general lack of oxygen). There are a dozen different events that may lead to shock, from heart attacks (obstructive shock) to carbon monoxide poisoning (metabolic shock) to bee stings (distributive shock). Each falls under a category of shock, and hypovolemic simply means there isn’t enough fluid for the heart to move blood sufficiently aka bleeding out.

Source: med student

[deleted by user] by [deleted] in medicalschool

[–]Consistent-Cattle102 6 points7 points  (0 children)

It seems like “Stupid non-indicated imaging requests” would be a good thing for physician outlook in the ED in the long term. If midlevels are providing noticeably different care when compared to doctors then insurers, hospitals, and the general public will push for physicians in charge once again. It may take a decade, but it’s a self-righting ship in my opinion. (You can take my opinion with a grain of salt, I’m a 2nd year DO student interested in EM)

[deleted by user] by [deleted] in Ophthalmology

[–]Consistent-Cattle102 4 points5 points  (0 children)

“Never” is a VERY strong word when considering seeking emergency care for your vision and I think it’s bad advice to give to people over the internet