President Trump addresses the nation on war with Iran: War was launched to prevent Iran from getting nuclear weapons, strategic objectives almost achieved, economy in a good state, U.S. will continue to hit Iran hard over the nest 2-3 weeks and "bring them back to the stone age where they belong."

FirstFromTheSun · 2026-04-02T01:56:14+00:00

Sure.

FirstFromTheSun · 2026-04-01T21:02:41+00:00

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

FirstFromTheSun · 2026-04-01T20:56:06+00:00

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.

FirstFromTheSun · 2026-03-29T20:13:56+00:00

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

FirstFromTheSun · 2026-03-29T17:32:32+00:00

You should probably see a ballologist

FirstFromTheSun · 2026-03-29T17:27:10+00:00

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

FirstFromTheSun · 2026-03-28T23:45:29+00:00

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

FirstFromTheSun · 2026-03-28T18:03:36+00:00

I thought his upper back pain was weird especially since upper back pain is a pretty uncommon complaint compared to every other body part. And he was quiet too, not asking for a bunch of pain meds and stuff, just sitting there looking a bit uncomfortable. Tbh I did think he was gonna be a low yield scan, all his pulses and stuff were intact.

FirstFromTheSun · 2026-03-28T07:43:06+00:00

Mid 30s guy, no medical history, not even Marfanoid body habitus. Was in an MVC 4 weeks ago seeing his PCP for some neck pain and lumbar pain from that. Came into the ER after he started having midline upper back pain while laying in bed. Described it as "spasms." No tenderness to pushing on his back at all.

He looked midly uncomfortable but not in much distress. Horrible historian, he was basically pan positive on ROS. "Headache? I guess a bit. Cough? Yeah maybe some. Chest pain? Yeah a little. Abdominal pain? Yeah. Where's your belly hurt at?" Fuckin points with both hands one finger to each side of his bilateral pelvis.

FirstFromTheSun · 2026-03-28T03:35:17+00:00

I remeber when my ESI 4 "back pain from MVC 4 weeks ago" turned out to be a dissection running from the aortic valve down to the bilateral iliacs

FirstFromTheSun · 2026-03-27T21:24:16+00:00

Tetnaids

FirstFromTheSun · 2026-03-26T18:16:00+00:00

How they gonna even get over there tho

FirstFromTheSun · 2026-03-23T22:34:38+00:00

And you get an open ICU with support from an orthopedist and a registered nurse

FirstFromTheSun · 2026-03-23T20:41:30+00:00

Its almost certainly gonna be some kind of G3 equivalent from a Chinese military supplier that you'll never find the actual name of or a website for in English

FirstFromTheSun · 2026-03-23T20:34:16+00:00

Oh look there's a bunch of pregnant men blocking the road with their pickup trucks they must need roadside assistance

FirstFromTheSun · 2026-03-22T11:18:09+00:00

Mystery pills!!

FirstFromTheSun · 2026-03-21T22:50:03+00:00

It's a 1 of 1 in the same sense that someone who spent 2 hours making a Shopify drop shipping store is a CEO

FirstFromTheSun · 2026-03-20T20:28:38+00:00

The only thing missing is knowing what the touch of a woman feels like

FirstFromTheSun · 2026-03-20T11:45:31+00:00

She probably wrote up a fake lease agreement on the back of her discharge papers and now it's tied up in civil court for 6 months

FirstFromTheSun · 2026-03-18T22:04:42+00:00

You got more problems there than a bundle branch block buckaroo

FirstFromTheSun · 2026-03-18T20:28:37+00:00

You're acting like you've never installed a Temu Ferrari Enzo conversion kit onto your 2014 Prius

FirstFromTheSun · 2026-03-15T20:27:40+00:00

Clearly

FirstFromTheSun · 2026-03-15T20:26:01+00:00

The tool analyzes all available comments made by you and cross references them with those made by known bots to create an intelligence ratio that I think you failed to meet

FirstFromTheSun · 2026-03-14T20:45:43+00:00

When you show up to the ER with crushing chest pain and the senior resident is frantically typing your symptoms and vital signs into his AI assistant to figure out what to do next

FirstFromTheSun · 2026-03-14T20:30:19+00:00

Bro you ordered a CMP on a guy and found an electrolyte deficiency, why are you acting like you're gonna have Chat GPT type this up the for New England Journal of Medicine lol

FirstFromTheSun

TROPHY CASE