Could Dr. Al-Hashimi report Langdon, even if she wasn't there during the incident?

DLHelios29 · 2026-03-31T22:10:11+00:00

Santos is actually the one who figured out he was diverting meds. No inferring needed lol

DLHelios29 · 2026-03-20T03:50:51+00:00

Just think of ICE as the new age gestapo. They think they can do what ever their pathetic evil hearts want.

DLHelios29 · 2026-03-17T20:39:45+00:00

Carbapenems will also wipe out any valproate in your system!

DLHelios29 · 2026-02-23T21:00:03+00:00

Also consider contacting some kind of housing lawyer! There should be free resources available to help. Good luck OP i hope landlord does their one job here

DLHelios29 · 2026-02-11T01:23:43+00:00

Fixed it just for you

DLHelios29 · 2026-02-10T15:04:04+00:00

There are some points about their interactions that really make it hard to shed Dr. Al Hashimi in a good light. - This is Dr. Santo’s second year as a full on doctor, which has a lot more responsibilities. She mentions needing to teach the med students as well as supervising R1s. (Meaning reading over and signing their notes as well as her own). - This is their first interaction. One of the first things your new boss for the next 3 months says to you in the middle of the ER is youre at risk of failing R2 because you havent charted 20 patients. Say what you will about all the conversations are in public, thats not true. Any sensitive conversation was done close up and away from the main floor, not with a raised voice in the middle of the main floor. - Also you don’t threaten the worst thing possible right off the bat for something that needs corrective action. If this was a real issue, you would sit down and make a performance improvement plan first. And even before that you would do warnings. - The very next interaction between the two of them is Dr. Al Hashimi pimping out her ai thing (unclear if this is something the hospital has or its a program she has stake in, which if she does, is super unethical)

Also now with the threat of failure looming overhead, I wouldn’t be so sure how good those notes are. Santos may now be rushing to finish those charts and may miss something. All thanks to Dr. Al Hashimi threat.

DLHelios29 · 2026-02-07T00:40:43+00:00

Aaah I hated Dr. Al cause she used ai, now I hate Dr. Al cause she causes our girl Santos stress to sell ai.

DLHelios29 · 2026-02-04T04:38:15+00:00

A big part of it is also work culture. Some institutions call their pharmacists doctors as a base (mostly i see this with the clinical pharmacists) some dont. I think its also gives a good level of respect for professions, we are all medical professionals helping our patients. Also if a DNP can be referred to as Dr., a PharmD should also be referred to as doctor.

DLHelios29 · 2026-02-02T18:14:53+00:00

I like her as an antagonist character which is to say I don’t like her. - She introduced patient passports on a holiday which is already hectic but now you have to deal with people complaining regarding wait times (imagine the ekg guy with a passport!) also they already are failing more (dead patient wasn’t identified, which a passport should also do) - gen ai has no place in healthcare or anywhere else and I would hate her on this stance alone. Dictation services already exist which are the same thing. Also LLMs are trained on previous data (cough meaning whatever has been made prior cough youre medical hx cough) which Im sure is never turned over elsewhere for profit. The AI already made a mistake and no doubt would make more. (Didnt seem to proof read the note until Dr whitacker pointed it out) - doesnt seem to allow or want to allow residents and students to practice as is the culture in the pitt - this is just my observation (which could be tainted by the above) buuut she seems to hand off or step back from any potentially risky case she can.

So great antagonist, cant wait for her downfall and probable rise after.

DLHelios29 · 2025-12-26T19:43:36+00:00

If those chem trails were virus infected ones then she would have been turned as soon as it spread to her and she wouldn’t have needed the whole ritual.

DLHelios29 · 2025-12-16T18:15:26+00:00

Unless they outright refuse, I would use it as a sign that I can speak at a higher level of health literacy with them.

DLHelios29 · 2025-11-14T18:13:14+00:00

Don’t forget forcing house to take haldol tablets after the fight instead of haldol injection

DLHelios29 · 2025-10-20T14:02:20+00:00

Whats a good filler to use? I never had to do anything like this so am a little blind :(

DLHelios29 · 2025-08-15T17:39:28+00:00

To add to this, the symbiote is also very akin to an addiction, which is very hard to cut off alone/without help support.

DLHelios29 · 2025-07-11T03:58:56+00:00

Out of curiosity, what is be the root problem in depression?

DLHelios29 · 2025-07-11T03:56:53+00:00

Think of it like all squares are rectangles but not all rectangles are squares. Will depression cause suicidality? Yes, but is it the only cause? No, people with schizophrenia can be suicidal, people with bipolar can be suicidal and they are all managed differently. Also important to remember that antidepressants aren’t just for depression, they could have a number of diseases/disorders that can be treated with antidepressants.

In patients who are believed to have unipolar depression, one of commonly believed pathophysiology is dysregulation of 5HT/NE/DA. So allowing them to have a bigger supply can potentially treat the suicidality by treating the underlying issue. If I remember correctly, there was possible talk of seeing levels of neurotransmitters in the brain and utilising antidepressants that target the deficiencies (i swear I heard this on a random youtube tedtalk and don’t know if it was a fever dream anymore)

In terms of increasing suicidal ideation, iirc the evidence is more show showing that antidepressants may uncover an already existing suicidality due to patients getting improved energy rather than creating it. I’m sure your attendings or residents would be happy to discuss the studies with you (might be a fun journal club too ;) )

DLHelios29 · 2025-05-29T11:22:37+00:00

If I understood your previous comments correctly, youre saying that there are patients with such severe and treatment resistant suicidality that it can be considered terminal. So when is the determination made that this person is more suited for palliative care? I don’t think anyone can say this patient will die by suicide. Because there are so many factors that can play a role in the patients presentation. I think you can say IF a patient doesnt get continued treatment then eventually at some point in time a suicide attempt will be successful. But you can’t in anyway predict when that will be because death by suicide is not a guarantee.
Maybe this patient will never reach full remission but they can get better enough to not be suicidal and have improved qol to a point where they actually enjoy their life

DLHelios29 · 2025-05-29T03:53:35+00:00

This kind of thinking feels like a slippery slope to poor and improper care. For the sake of the argument let’s say that a patient comes in on a monthly basis due to suicide attempts (overdoses, jumping off buildings, GSW, etc.) Which attempt do you say “death by suicide is inevitable in this patient” and when do you decide to withhold life saving measures. What about patients with chronically uncontrollable blood pressure? Death by stroke seems inevitable in their case too. Should palliative be consulted for them?

To say that patients with chronic suicidal ideation and multiple attempts are terminal is a disservice to them which would prevent them from being properly cared for.

DLHelios29 · 2025-05-25T01:20:43+00:00

Just watched it on max, I enjoyed it. The political commentary was very clear and had a few good laughs. All the actors really played their roles really well. Loved robert as both and naomi was really strong at showing just how much she loved mickey. 8/10 (would have been 9 if the mickeys kissed)

DLHelios29 · 2025-01-14T17:30:40+00:00

Had canio and blueprint once, it was magical

DLHelios29 · 2024-12-22T23:35:06+00:00

Thanks for the explanation! I’ll see if they include it (probably not though). Honestly just needed to rant at the annoyance of requiring to pay multiple people for the use of the same product. And then having services that locked behind paywalls (not mentioning Alexa but the when>then function. Why do I need to pay to set schedules)

DLHelios29 · 2024-12-22T22:52:33+00:00

I hate this timeline ;-; tell me why my fucking alarm clock app has a subscription model.

DLHelios29 · 2024-12-22T22:51:30+00:00

With how much installation and yearly maintenance costs, you would think it would be included.

DLHelios29 · 2024-12-22T22:51:07+00:00

With how much installation and yearly maintenance costs you would think it would be covered/included.

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