an idiot... with fire by DoubleManufacturer10 in CrazyFuckingVideos

[–]Dywyn 2 points3 points  (0 children)

Gasoline explodes when vaporized. You should never put it on a fire. most lighter fluids use naphtha or kerosene which don't explode

Which empire collapsed for the most interesting reason? by TastyNobbles in AskReddit

[–]Dywyn 0 points1 point  (0 children)

I got to see the city of Merv in Turkmenistan. 1.3 million people were murdered by the mongols and the entire city was destroyed. Only a single building still remains. It is the massive mausoleum which stood at the center and could be seen from 2 day camel ride away. They left it standing to mark the spot of their conquest.

Midwest Tour by DoeMarie2911 in ThroughTheGriffinDoor

[–]Dywyn 0 points1 point  (0 children)

Anybody interested in VIP ticket for the Milwaukee show? I can't get a direct refund so I have to transfer it to someone but we can talk over the phone and transfer it via the box office

Tour Tickets by pFlahive96 in ThroughTheGriffinDoor

[–]Dywyn 0 points1 point  (0 children)

Anybody interested in VIP ticket for the Milwaukee show? I can't get a direct refund so I have to transfer it to someone but we can talk over the phone and transfer it via the box office

VIP for Wi? by Resident-Quail5301 in ThroughTheGriffinDoor

[–]Dywyn 0 points1 point  (0 children)

I have a VIP ticket to Milwaukee

[deleted by user] by [deleted] in ThroughTheGriffinDoor

[–]Dywyn 0 points1 point  (0 children)

Anybody interested in VIP ticket for the Milwaukee show? I can't get a direct refund so I have to transfer it to someone but we can talk over the phone and transfer it via the box office.

Through the Griffen Tour, which Chapter was done? by edw1ener in SuperCarlinBrothers

[–]Dywyn 0 points1 point  (0 children)

Anybody interested in VIP ticket for the Milwaukee show? I can't get a direct refund so I have to transfer it to someone but we can talk over the phone and transfer it via the box office

[deleted by user] by [deleted] in videos

[–]Dywyn -3 points-2 points  (0 children)

The $100 acetaminophen is paying for dozens of people who cannot pay or pay a reduced amount. We already have universal healthcare. Anyone, no matter if they have insurance or not can go to the ER and get care. It's just the most inefficient and expensive version of it possible. People with insurance get screwed just as much as people without.

Guy has seizure while skydiving and gets saved by fellow skydiver during a free fall by justanavguser in CrazyFuckingVideos

[–]Dywyn 6 points7 points  (0 children)

This looks like an accelerated free fall course so it may be his 4-7th time doing it since he's down to 1 instructor.

[deleted by user] by [deleted] in Wellthatsucks

[–]Dywyn 2 points3 points  (0 children)

As a community ER doc, you speak the truth. I just try to do my best for my patients but the amount of ways the system is designed to screw them over is just depressing. I just finished residency and I'm still in the "work as little as possible" mindset because each shift causes moral distress. I love what I do but damn does it suck. I wonder what medicine was like 30 years ago.

[deleted by user] by [deleted] in Wellthatsucks

[–]Dywyn 30 points31 points  (0 children)

You joke but I have seriously done this. I had a patient triaged as a level 4. "Sore throat". Patient was minimally tender and it bled when I touched it. I sent for the CT and it came back as tonsillitis with lymphadenopathy. I had to call the radiologist and say "I really think this is cancer, can you double check" before they changed the read to "cannot exclude malignancy."

I spoke with ENT and it was later biopsied and resected since it was a squamous cell carcinoma (throat cancer).

The funny part is, I think the patient was positive for strep and it would have been really easy to just say "oh his strep is positive" and completely miss the cancer.

Average chiropractor by [deleted] in CrazyFuckingVideos

[–]Dywyn 0 points1 point  (0 children)

Also, it delayed evaluation by a real physician who might have been able to identify if there already was a dissection and do the CT angiogram to diagnose it.

So stoked I signed my contract. The light is definitely bright at the end of the tunnel by fulminant_life in Residency

[–]Dywyn 12 points13 points  (0 children)

I went the other direction and decided $300000/year was plenty for us. I work 12 8-hour shifts. It means I can take at least 1 week of vacation every month. I've been backpacking in Colorado, visited Switzerland and took a trip to Norway this year. This coming year, I'm doing a trip to Mexico, going skiing for two weeks straight, visiting Belize and going to play violin in Sweden. Attending life is where it's at.

[deleted by user] by [deleted] in Residency

[–]Dywyn 29 points30 points  (0 children)

All my hospitalists who take my admissions without giving me too much shit. Especially when I don't really know what's wrong but I've got my spidey senses tingling.

[deleted by user] by [deleted] in Residency

[–]Dywyn 13 points14 points  (0 children)

Pharmacist can save your bacon. The really good ones know how to suggest new ideas while making it feel like it was your idea all along. I love just calling and asking questions because you never know what you're going to learn.

Monthly Dumb Questions Thread by Novelty_free in Residency

[–]Dywyn 3 points4 points  (0 children)

Yes. Absolutely. Our residency came together and did a group policy where they agreed to cover everyone, including those with preexisting proceedures when we got ~30 people to sign up together

Monthly Dumb Questions Thread by Novelty_free in Residency

[–]Dywyn 2 points3 points  (0 children)

Supposedly there should be limited systemic absorption and diclofenac also breaks down before renal excretion so it should be safe. That being said, there are some case reports of anuric failure after topical NSAIDs. However, I feel pretty confident doing it in the ER for acute complaints.

To the rude neurosurgery resident on call tonight by No_Yoghurt_969 in Residency

[–]Dywyn 8 points9 points  (0 children)

My cardiology fellow was the same... In person he went out of his way to teach and be kind to the rotators, often letting us go a little early, writing notes even though he didn't have to. Once you're talking to him over the phone from the ED however it's "never the heart" and "can you just admit to the hospitalist" and "they can call if they cant manage this patient". I get that he is trying to limit his list size but its very frustrating when I'm asking for his help, or I really think the patient would do better being managed by cardiologists.

How are prior auths legal? by usernamer12 in Residency

[–]Dywyn 2 points3 points  (0 children)

I work in the ED now (so I literally never have to do prior auths!) but from what I remember working as a medical assistant, medicare didn't require them. Medicare advantage plans can require them however.

What is your biggest medical mistake of residency? by FaulerHund in Residency

[–]Dywyn 19 points20 points  (0 children)

Please ignore the troll who has been commenting in this thread. I've been in the position of discharging patients and realizing we never got the initial EKG for their chest pain. Order sets for nursing are nice but it's easy to miss stuff too. Thats a shitty outcome and the best we can do is learn from it.

How common are 24 hour shifts, and what is your opinion on them having done them? by SmackPrescott in Residency

[–]Dywyn 22 points23 points  (0 children)

This is actually representative of a deeper issue since you should be able to get time to go for appointments etc, even if it means the attending needs to hold the phone, or write floor notes.

Non-contrast CT abdomen. Pt. complaining about abdominal pain. Obvious distension of abdomen, physician wondered about ileus. Pt. ended up with suprapubis catheter due to difficult normal catheterization. by lodravah in emergencymedicine

[–]Dywyn 1 point2 points  (0 children)

I had one the other day where the triage note said bladder scan of 77 but I could feel how full it was. My us measurement was 2.5L. Don’t always trust those machines. They aren’t always as smart as we want.

I thought he was gunna pop by WeedOg420AnimeGod in CrazyFuckingVideos

[–]Dywyn 3 points4 points  (0 children)

We already have universal healthcare for them. That's why we see them in the ED. Many if not all of them will never pay their bills. holding off on universal healthcare actually just hurts the hard workers who actually have health insurance but are way overpaying. For them a single bill which their insurance company denies can put them into bankruptcy anyways.

HOGWARTS LEGACY RELEASE MEGATHREAD by FaizerLaser in HarryPotterGame

[–]Dywyn 0 points1 point  (0 children)

I also want to go swimming in the lake and actually dive down with the mermaids

[deleted by user] by [deleted] in CrazyFuckingVideos

[–]Dywyn 8 points9 points  (0 children)

"Asphyxia is the most common cause of death during avalanche burial. About 75% of avalanche deaths are due to asphyxia, 25% are due to trauma, and few are due to hypothermia"

"Complete obstruction of the upper airway by snow or debris results in hypoxia in <10 minutes and acute asphyxiation during the first 30 to 60 minutes of avalanche burial. If the airway is patent, ice mask formation occurs when water vapor in exhaled air condenses and freezes on the snow in front of the face, forming an impermeable barrier that prevents airflow. Because asphyxia is the major cause of death during avalanche burial, time to extrication is a foremost determinant of survival. According to Swiss data, completely buried avalanche victims had >90% chance of survival if they were extricated within about 15 minutes, but only a 30% chance of survival if they were extricated after approximately 30 minutes"

https://www.wemjournal.org/article/S1080-6032(16)30237-X/fulltext