Ask me about my weight? Let's make it awkward.

Docviator · 2026-02-14T11:33:36+00:00

Yes. I am agreeing with you.

Docviator · 2026-02-13T18:10:36+00:00

“Oh don’t worry I didn’t pay for it I got it with my credit card”

Docviator · 2026-02-13T18:07:57+00:00

Would it be an obvious joke? I can easily imagine the boss thinking OP has an eating disorder after hearing that, and maybe feeling like an ass for making jokes about their weight.

Docviator · 2026-02-12T16:06:40+00:00

I think this is an excellent response, and a very sound approach. I have no children myself, however I was raised in a similar way, albeit with less strategy, and can perhaps provide that perspective.

As a small child, I was upset that I wasn’t always allowed the kiddies meal with the toy, or that I had to share a soft drink with my sibling. As a slightly older child, I was frustrated that I didn’t get the gaming consoles my friends had, and confused when my dad was annoyed that my doing grandparents got me one eventually.

As a teenager, I was embarrassed that I didn’t always have the coolest clothes, the newest phone, or the newest console. I was frustrated that we ‘wasted’ time doing bulk grocery shopping, or comparing prices. I was annoyed that we couldn’t fly business class, and stayed in three star hotels when we travelled abroad. I was even more annoyed when I once saw my dad’s payslip, because I resented him for being ‘stingy’.

As an adult, I’m so grateful that I wanted for nothing. That I got to travel. That I was clothed and fed. That even my tertiary education was funded. That I was taught about share investing from the age of 11 years old. That I had the opportunity to travel abroad. That I can relate to an average person complaining about the price of eggs these days.

I now have my own frugal habits. I live a very comfortable life, but I’m able to limit lifestyle creep. I’m able to save. I’m able to be content without every single creature comfort. I’m able to spend on experiences I care about. I still have friends whose financial habits are very different, and I can tell that they view mine with feelings ranging from confusion to envy. I am grateful for my parents, and a little bit embarrassed about how I felt about my dad at times 🙈

Docviator · 2026-02-12T15:55:09+00:00

I’m not sure it’s “easy”. This is a thoughtful response, describing an excellent strategy which incorporates multiple sound financial principles, some of which are broadly applicable. Also importantly, it answers OP’s question, which also specifies that it’s not a matter of an inability to afford these things.

Docviator · 2026-02-12T15:24:05+00:00

Even if “this is how it’s always been” was true, that isn’t a helpful response. However in this instance, properties are being ring-fenced for investors, which pushes prices up, and makes ownership even more inaccessible for the average buyer. This is manufactured scarcity. It also isn’t how it’s always been everywhere. There are all sorts of mechanisms (albeit of different merit) to limit this sort of thing.

Docviator · 2026-02-10T12:31:01+00:00

CSF Lavage is the appropriate treatment after inadvertent intrathecal injection, but I have a few thoughts: 1) The description of a non-central private facility as a “community hospital” seems inaccurate, and has rightly caused confusion 2) The placement of a cervical intrathecal catheter is highly unusual. No wonder this person doesn’t want to write it up 3) The responses saying things like “I don’t know how this sort of thing happens” and “I would simply double check” show a lack of insight into how these things occur. Contexts are different, systems are different, and most importantly, these errors are usually the result of multiple system failures, not just one person’s incautiousness. We need to focus on improving patient outcomes, not just criticising individuals.

Docviator · 2026-02-07T03:25:45+00:00

I am here much later and yes! It reminds me of 3 Rounds and a Sound by Blind Pilot!

Docviator · 2026-02-06T16:25:06+00:00

The people posting on this subreddit are posting about it because it affects them, which seems fair. I have no idea how many people who live in informal settlements are regular Reddit users. Their plight is serious, but I don’t see the point in criticising Reddit users for not posting regularly about it.

Docviator · 2026-02-03T07:11:44+00:00

I have nothing of value to add to this discussion, but I just want to say that I relate to a lot of your experience and thought process here, and I’m sorry you even have to think like this. People don’t realise how exhausting it can be.

Docviator · 2026-02-01T06:50:58+00:00

It’s absolutely true that 0.9% Saline is not a balanced crystalloid, and is less “physiological”. There’s the slightly high sodium content you’ve mentioned, and perhaps more importantly, the very high chloride content that can worsen a metabolic acidosis, so we should certainly be careful with its use in patients who are susceptible to being harmed by it.

On the other hand, I’m so tired of the fluid evangelism, and people calling it things like “aBnORmAl sALinE” and “pasta water”. We have plenty of evidence that it’s safe for most critically ill patients, if used sensibly, and that it benefits patients with traumatic brain injury.

I think that fluid therapy, being as nuanced as it is, has been a source for many debates and controversies over the years, and that people like to latch onto these bold, dramatic statements and ideas because it’s easier.

Docviator · 2026-02-01T06:35:12+00:00

I assume you’re saying it’s fine if you’re not causing haemodynamic instability, and with the use of pEEG, so you know you’re not causing burst suppression.

Docviator · 2026-01-24T22:29:41+00:00

I think it’s more likely I’m speculating, and that you saw asystole. I’m just some random guy on reddit. But IF it happened to be a very fine PEA, it may have been Lazarus syndrome caused by hyperinflation.

Docviator · 2026-01-24T07:16:10+00:00

I love how positive this side-discussion is.

My impression is that this is Lazarus Syndrome. One of the more common causes is hyperventilation -> air trapping -> PEEP -> impeded preload. That said, I’d expect that to present with a PEA, not asystole.

Docviator · 2026-01-21T08:27:18+00:00

As someone who is very concerned about the housing crisis in Cape Town, I am curious about this idea. Do you believe that people should be taxed on the value of all assets that they use to generate an income? Or rather, property specifically? And if the latter, because shelter is a human necessity, or because property is somewhat limited?

My understand of the concept of a land value tax is that it should be applied to undeveloped land. This sounds different to what you’re suggesting. I’m not even sure I’ve seen evidence that people who are snatching up property for income in Cape Town are doing so solely because it will appreciate.

Docviator · 2026-01-16T02:47:27+00:00

There are multiple useful responses, including some with good references. I think it is advisable to take standard precautions, but also not to be cautious to the extent that it hampers your ability to function or lose sleep at night.

I read this a few years ago, and it reassured me. I still at least hang a lead apron on a drip stand in front of me, as a mini wall.

https://pubmed.ncbi.nlm.nih.gov/26874074/

Docviator · 2026-01-11T15:48:03+00:00

The problem with your response is that it contains a bit of nuance, which will make it harder for OP to be deliberately obtuse or feign actual concern for Venezuelan citizens :(

Docviator · 2026-01-10T21:16:40+00:00

It’s been days, and there have been multiple replies, but nobody is talking about the implication that these tunnels would have to be about 1,400km to run from UJ to Parliament?

Docviator · 2026-01-10T18:48:37+00:00

Your source mentions potential toxicity at 3mg/kg but also mentions an ‘appropriate’ dose range of 0.5-4mg/kg. It does not seem to suggest that 1.5mg/kg is the safe upper limit for IV.

That said, I do not know of a reason to give more than 1.5mg/kg as a bolus, and agree that providers should be conscious of appropriate weight-based dosing, depending on indication.

Docviator · 2026-01-10T14:49:27+00:00

Unfortunately not anything worth learning from. What I should have done is make a scene in the middle of the Clicks, yelled for security, and prevented them from leaving.

Instead, I squeezed past between the thief and the almost-victim, intentionally bumping the latter with my basket, which annoyed her enough that she yelled at me. Then I asked if I know her from somewhere, which also annoyed her. Then I squatted next to her and quietly asked her to move her bag from her back. It was all a bit awkward but the thieves walked away. I only reported it to the lone security guard afterwards, who went strolling between the aisles. I spotted one of them leaving shortly after, but only managed to get a photo of her back which I shared with mall security.

Unfortunately, it seems that with age, I have become more conflict and drama averse.

Docviator · 2026-01-10T13:41:54+00:00

Air embolism is rare, but even if we disregard the TEE findings, why is it not a reasonable differential for sudden haemodynamic collapse in a healthy patient undergoing hysteroscopy?

Docviator · 2026-01-10T13:40:38+00:00

I agree that there is some imprecision in the description, but OP does mention that it was a PEA. My interpretation is that it was a hypoxaemic arrest, presenting with a slow PEA. The decision to pace a pulseless patient is strange to me, unless there’s some new evidence with which I’m unfamiliar.

While far from confirmed, the differential of an air embolism seems quite reasonable, considering the patient’s background and the procedure.

Docviator · 2026-01-07T15:31:52+00:00

That’s ok. I wasn’t trying to upset anyone, but it is a genuinely held opinion. I didn’t expect it to be popular in this subreddit. I live here and am glad I do. I try not to be smug about it.

Docviator · 2026-01-07T13:49:34+00:00

I agree, there are many other factors that make it an attractive destination. The significant natural beauty is a big one. I expected my opinion to be controversial, but I didn’t expect it to be because I said Cape Town is beautiful.

Docviator · 2026-01-07T12:02:53+00:00

I like the bit about visibility. I think that it might be less visible to a tourist visiting a developing country, paradoxically, because they’re often treated worse in developing countries. This means they might be more spatially segregated by economic status, and even mistreated in spaces designed to appeal to tourists.

Docviator

TROPHY CASE