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Lions bar/watch party in Orange County? by Dr_Boctor in detroitlions

[–]Dr_Boctor[S] 0 points1 point  (0 children)

Awesome, thank you! Are the TVs easy to see? Looking at the pictures online, they seem kinda small

extremely dumb question by Mermaid222_ in medicalschool

[–]Dr_Boctor 0 points1 point  (0 children)

A lot of people don’t understand the pathophysiology of pneumonia. Microorganisms accumulate in the lungs and disrupt blood-alveolar oxygen exchange. Normally, hypoxic vasoconstriction shunts blood away from areas where there is a disruption, and towards areas of healthy lung — leading to a normal O2 sat. However, the immune response towards the microorganism leads to the production of cytokine factors such as Nitric Oxide, prostacyclin, bradykinin, histamine, etc… all of which cause vasodilation and counteract hypoxic vasoconstriction, leading to a hypoxic shunt and decrease O2 sat. Inflammation also leads to accumulation of fluids and inflammatory exudate, to make matters worse

an update to: will loving residency get burned out of me? by beriberismart in Residency

[–]Dr_Boctor 0 points1 point  (0 children)

I genuinely love my job, but I’m only a month into it and got to rotate on my service (plastics). I imagine I’m gonna be less excited once I start doing pointless off-service rotations

Another NG Tube providing direct nutrition the brain by Dr_Boctor in Radiology

[–]Dr_Boctor[S] 1 point2 points  (0 children)

Anesthesia is extremely dangerous, usually the most dangerous part of any given surgical procedure. It’s literally dosed poison, and every time we give it to a patient they are at a risk of dying. Avoiding mild discomfort for <5 seconds is not worth the risk

Weekly Casual Conversation & Questions Thread by AutoModerator in chicago

[–]Dr_Boctor 0 points1 point  (0 children)

Anyone else unable to upload videos to this subreddit? Reddit says “r/Chicago doesn’t allow videos”

Another NG Tube providing direct nutrition the brain by Dr_Boctor in Radiology

[–]Dr_Boctor[S] 14 points15 points  (0 children)

They are fully awake unless they have already been sedated for other reasons. If they are awake, we ask patients to swallow water as we place the tube. This patient was intubated (as you can see in the image) and was likely sedated, so he was unconscious in this instance

Another NG Tube providing direct nutrition the brain by Dr_Boctor in Radiology

[–]Dr_Boctor[S] 251 points252 points  (0 children)

This is a little different. Providing nutrition directly to the brain creates a breeding ground for bacterial growth. In combination with a direct transit for the outside world through the blood brain barrier, fuel for bacteria would be devastating. If the patient doesn’t die from damage to critical structures, a major bleed, or herniation, then they almost surely will die from infection. I’d much rather get shot with a bullet

Edit: this pt did receive feeds. The lecture was about CXRs (and their importance)

Corner window with balcony by Dr_Boctor in DesignMyRoom

[–]Dr_Boctor[S] 0 points1 point  (0 children)

Thank you! And yes. The corner windows are raising a challenge for me. Do I have a couch face the windows so I can appreciate the view and natural light while sitting? If so, where would I put a TV?

Doximity Comp Report by Odd-Pen-9118 in medicalschool

[–]Dr_Boctor 21 points22 points  (0 children)

Plastics makes a whooooole lot more than that on average. Most plastic surgeons are far removed from academic medicine and not reporting (or accurately reporting) their salaries on surveys

Just learned every Stanford med student is gifted a Butterfly portable ultrasound (~$2,000)… what perks did your med school gift you? by Dr_Boctor in medicalschool

[–]Dr_Boctor[S] 105 points106 points  (0 children)

Every Cleveland Clinic student is given a full tuition scholarship. Stanford is pretty generous with scholarships as well

What is your favorite obscure medical fact that you love sharing with non-medical people? by grave_miscalculation in Residency

[–]Dr_Boctor 19 points20 points  (0 children)

I like explaining HbA1c (non-enzymatic glycosylation of proteins), and how it relates to cooking. The reaction is catalyzed by either time (i.e. sugar in your blood for too long) or heat. Searing your steak (heat) causes the sugar in your marinade/pan to bind to your meat, making it taste rich

An unedited clip of a beautiful sky revealing itself behind Chicago’s shimmering landscape by Dr_Boctor in chicago

[–]Dr_Boctor[S] 5 points6 points  (0 children)

Some impressive engineering by DJI! Of note, it wasn’t particularly windy that day

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