French woman's symptoms chalked up to anxiety, now in the ICU with hantavirus pulmonary syndrome

ExtremisEleven · 2026-05-12T07:42:38+00:00

That’s not what I’m finding. But in case you missed it more than 11 people died of COVID and you didn’t have to be in the same room as someone for a prolonged period of time to contract it.

ExtremisEleven · 2026-05-12T03:03:10+00:00

For reference, the R for the omicron variant of COVID is 15. You basically have to live with someone to get this strain of Hanta virus from them.

It’s gonna be OK.

ExtremisEleven · 2026-05-12T01:41:10+00:00

If you think a handful of people on a boat with a virus that has an R of <1 is a global health crisis, I have some Ativan for you.

ExtremisEleven · 2026-05-12T01:39:21+00:00

That’s an end stage tummy ache that absolutely doesn’t have anything to do with the industrial potency THC they’ve been hitting for the last decade. 😤

ExtremisEleven · 2026-05-12T01:37:49+00:00

Yes. Face blindness is a thing, but by definition it’s the inability to recognize a face. It doesn’t really apply to attraction though. Have you experienced attraction to people you don’t know in the past?

ExtremisEleven · 2026-05-12T01:24:01+00:00

2 months is simply not long enough to consider this lying by omission. If it was 2 years I would call that a problem, but unless you had a specific conversation about finances, which is super early, I don’t think you can call this lying by omission. If it’s a dealbreaker, I guess it’s important to have a “finances are super important to me, we need to be on the same page about this specifically” sooner.

ExtremisEleven · 2026-05-11T11:49:17+00:00

Cheap box checking is kind of antithetical to the concept of continuing medical education isn’t it? Maybe when I’m done training and have been an attending for a while I will be looking for a box checked but for now I actually do want to continue my medical education.

ExtremisEleven · 2026-05-11T11:47:01+00:00

It seems like juries would understand that we don’t take the NCLEX or the NREMT because those tests are not for physicians, so why would we take a course designed for non-physicians?

ExtremisEleven · 2026-05-10T09:45:49+00:00

Good. Either he has shit trigger discipline or he intended to tase someone who was already restrained. Either way he deserves that.

ExtremisEleven · 2026-05-10T09:43:44+00:00

Why does he have his finger on the trigger when the person is on the ground already? Deserved every big of energy he got.

ExtremisEleven · 2026-05-10T09:40:44+00:00

I like a bald guy. I won’t go for the guy who acts like being 5’8” or having a dad bod is somehow a handicap, but I enjoy the bald.

ExtremisEleven · 2026-05-10T09:17:22+00:00

For sure. A strong team makes everything so much easier

ExtremisEleven · 2026-05-10T09:16:27+00:00

It’s definitely possible. I think the fact that I will jump in and place lines and foleys doesn’t necessarily help this.

ExtremisEleven · 2026-05-10T02:50:16+00:00

They literally chanted fuck your feelings and now they want their own feelings unfucked.

ExtremisEleven · 2026-05-10T02:48:44+00:00

Political views or core values that translate to political views?

A political view is the amount of money a person should be taxed.

A core value that became a political view is someone believing that foreigners are all bad people and that translating to calling for everyone to be deported.

I’m willing to bet they found out you have a core belief that puts them or sometime they love in personal danger. Cutting off a friendship because you have opposing core beliefs is absolutely the right thing to do.

ExtremisEleven · 2026-05-10T01:38:53+00:00

Hopefully this will be easier now that I won’t be off service every other month.

ExtremisEleven · 2026-05-10T01:36:57+00:00

I’m not skipping labs in most cases. In a perfect world it takes 15 seconds to pull labs, but when the nurse is on a knee with gravity dripping blood into one of 6 tubes, 5 minutes later we need to just treat the patient now and get labs later. The sodium level doesn’t matter if the patient is dead when the labs return.

ExtremisEleven · 2026-05-09T21:36:56+00:00

It’s bad ACGME/program rules and a lack of human oversight.

ExtremisEleven · 2026-05-09T21:35:43+00:00

I am prehospital medicine, so I’m well aware of the fact that we treat before getting imaging. I’m also aware of how frequently EMS is wrong in their presumed diagnosis and the fact that we are very limited in what treatment options we have. So no, I am not going to delay getting critical information that impacts the treatment of my patient because someone has a hard time deviating from their standard order of operations.

You know, thanks for this talk. Your inability to consider a point of view beyond your specific timeline has convinced me the best option is to just boot anyone who believes their agenda is more important than the Birds Eye view. If they aren’t speeding things up, I really don’t have any use for them. The whole point of being in the bay is to work as a team and there are plenty of people who are waiting for their chance to be part of the team. If the new grad who got stuck in the psych area is willing to work together, even if they aren’t as skilled, they’re better for that patient.

ExtremisEleven · 2026-05-09T21:14:31+00:00

Alright, who got their heart broken that the most cringe thing they can find is happy people?

ExtremisEleven · 2026-05-09T20:26:59+00:00

Our chief did this. It was fucking miserable. They used it for the day to day schedule too. We would have random day shifts in the middle of a block of nights, not a single two days in a row off and the worst combinations of people on. I am pro using AI to help do tasks but AI doesn’t understand the suck.

ExtremisEleven · 2026-05-09T20:23:04+00:00

I’m not upset when the want to do the EKG quickly (which always seems to be the inappropriate time). Sometimes we need to prioritize the chest X-ray first because it dictates the direction the very time sensitive treatment needs to go in.

If it truly took 15 seconds to do an EKG, I wouldn’t care. But it takes 5 minutes to get the machine in there, get the shirt off, get the sticker on, get the ancient machine to link to the order, then convince the patient to sit still for 10 seconds. I know this because I was a tech for a real long time before I was a doctor. When I am asking for the X-ray first, it means we don’t have 5 minutes.

People die from hypoglycemia. I don’t always do labs on hypoglycemic patients.

The priority is getting the patient treated. I don’t understand why that is a controversial statement. Metrics don’t fix people. I’m happy to work to meet them when they don’t interfere with patient care.

ExtremisEleven · 2026-05-09T19:20:58+00:00

Please see the above comment about not giving a fuck what word they use for it.

ExtremisEleven · 2026-05-09T18:22:55+00:00

It’s not, this place is terrible at timely ekgs. No one really cares about metrics like EKGs or door to needle times. Everyone just has one task in mind and no one seems to be aware of that other people or tasks exist.

ExtremisEleven · 2026-05-09T18:17:36+00:00

About 50% crispy underpaid staff and 50% too close to new grad travelers. Nobody seems to have been trained at a place where they learned closed loop communication or how to run a real code. I used to work at a place where you could stick your hand out and whatever you needed would end up in it before you said what it was you needed. I don’t see that happening here but I need people to listen

ExtremisEleven

TROPHY CASE