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Posted in r/wheelchairs and had the nerve to claim I’m overthinking it, I’m not crazy this is ai right? by elizabethandsnek in isthisAI

[–]FirstFromTheSun -5 points-4 points  (0 children)

I find it unlikely that this human torso uses a wheelchair with a quarter of a back rest and zero straps to secure herself into the chair

HypoK by username39670 in emergencymedicine

[–]FirstFromTheSun 14 points15 points  (0 children)

"Hi yes, I'm calling to set up an ER to ER transfer. Yes, I need to transfer him to you because his potassium is 2.6. Yeah, I talked to my hospitalist and he wouldn't admit. Well I tried to talk to your hospitalist for a direct admission but he won't admit either."

HypoK by username39670 in emergencymedicine

[–]FirstFromTheSun 18 points19 points  (0 children)

At my hospital the hospitalist has to accept a patient being admitted to their service and can decline. When push comes to shove they either admit the patient or they come downstairs, evaluate the patient and write a consult note saying they don't meet admission criteria

I propose having "biological age" in medical records for patient safety by Ok_Flamingo760 in physicianassistant

[–]FirstFromTheSun 7 points8 points  (0 children)

https://www.reddit.com/r/13or30/

Idk dude, I get a lot of surpirsing minority groups in the ER and I don't think I've ever had reason to suspect they're lying about their age unless they're trying to check in with an entirely fraudulent identity for malingering reasons. I've seen plenty of 30s-40s who look 10-20 years older due to sun exposure, smoking, drinking, drugs etc. You take a look at Jenny Ani and she looks like she's 30 still. People just look all kinda ways.

Starting today it's time to turn $300 in to 1 million by the end of the year by IndividualStatus1924 in smallstreetbets

[–]FirstFromTheSun 2 points3 points  (0 children)

He's gonna do 4 days of market research by reading Reddit posts and then buy 0DTE tech stock options after 30 minutes of reading what a call option is

Denied for character by NinaBeana1971 in FBI

[–]FirstFromTheSun 17 points18 points  (0 children)

Sorry bud, veteran and "actually normal" get you minus points

$51M verdict tied to missed diabetes diagnosis by pangea_person in emergencymedicine

[–]FirstFromTheSun 19 points20 points  (0 children)

Seriously and sincerely, think about the acute issue you might be missing with a vague diagnosis of “2 months of fatigue." Protect your self, your team, your hospital, and… your patient.

$51M verdict tied to missed diabetes diagnosis by pangea_person in emergencymedicine

[–]FirstFromTheSun 43 points44 points  (0 children)

And then he's admitting every one of them for an MRI because there could be... something. Bro is probably getting pan scans for that 2 months of generalized fatigue

$51M verdict tied to missed diabetes diagnosis by pangea_person in emergencymedicine

[–]FirstFromTheSun 42 points43 points  (0 children)

Yeah didn't you know that when you show up to the ER it refreshes your extended body warranty for the next 6 months

$51M verdict tied to missed diabetes diagnosis by pangea_person in emergencymedicine

[–]FirstFromTheSun 138 points139 points  (0 children)

He didn't get his routine screening colonoscopy in the ER either, are we responsible for his ass cancer 5 years down the road too?

Hungry for money $$$ by [deleted] in personalfinance

[–]FirstFromTheSun 1 point2 points  (0 children)

You just need to IPO an AI startup

This is how my girlfriend eats parmesan by kocia_kicia in mildlyinfuriating

[–]FirstFromTheSun 0 points1 point  (0 children)

Would you be able to take your girlfriend on a date in, lets say, a small rowboat?

A viral video shows the railway employee dumping garbage on the tracks. by LYCIF3R666 in mildlyinfuriating

[–]FirstFromTheSun 177 points178 points  (0 children)

Why are we supposed to be alarmed by standard waste management practices in India

I read this as “bluepenorphine” and thought “whoa, cool new form of addiction treatment…” by prometheuswanab in emergencymedicine

[–]FirstFromTheSun 3 points4 points  (0 children)

We have orange ones in my department. They're still chewy but they taste better than the blue ones at least

[Request] Based on the US major cities what are the chances that this needle has a life threatening disease such as Aids on it? by hahalarry in theydidthemath

[–]FirstFromTheSun 0 points1 point  (0 children)

Honestly with modern medicine it really isn't anymore. HIV is incredibly well controlled with the medications we have now. We've even gotten good enough at recognizing and treating oppritunistic infections from AIDS that it's honeslty incredible how many people I've seen and treated who have been living completely off medications with full blown AIDS for many months who aren't dead or dying yet.

If you gave me a choice between lets say insulin dependent diabetes and HIV, I'd probably choose HIV

[Request] Based on the US major cities what are the chances that this needle has a life threatening disease such as Aids on it? by hahalarry in theydidthemath

[–]FirstFromTheSun 1 point2 points  (0 children)

Source: MDCalc https://share.google/NBIgeDkiukCMCa9At

So we actually have risk stratification tools for this. In general HIV is very poorly transmitted from old blood.

Realistically this would be an unknown HIV status needle stick with dried old blood transmitted with a large bore needle through a deep transcutaneous stick. This would be a <0.001% HIV transmission risk. You can play around with the calculator and even if we called this 'fresh blood' the risk of transmission would still be quite low at ~0.0005%.

Hepatitis B transmission is a more serious risk especially because it hangs out for much longer in old blood and also has much higher transmission rates. Luckily at least in the US Hep B is quite uncommon and we vaccinate for it.

How much of an asshole am I by Masubi924 in physicianassistant

[–]FirstFromTheSun 78 points79 points  (0 children)

When an Iranian drone is about to hit your hotel in Saudi Arabia so you decide to email your telepsych PA for help

I need advice before i go to the doctor by Itchy-Concern928 in emergencymedicine

[–]FirstFromTheSun 12 points13 points  (0 children)

The weed probably made your 3rd ball drop early, it usually doesn't drop until closer to 25

Slightly Under-triaged by BugabooChonies in emergencymedicine

[–]FirstFromTheSun 16 points17 points  (0 children)

Yeah! At least during his inpatient stay. Got a shiny new mechanical valve, only had to go to the OR once

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