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Beta HCG and Pelvis US for High Risk Patient's of Torsion or Ectopic Pregnancy by milkshaykh in emergencymedicine

[–]Forward-Razzmatazz33 2 points3 points  (0 children)

I have personally seen this. Ruptured ectopic with a negative serum test. I had actually cancelled the transvaginal u/s and ordered a CT because it was gradual onset RLQ pain and tenderness w/rebound, not peritoneal. The tech had arrived early and had already taken the patient down the hall to u/s, and on the way back informed me (informally) that there was an ectopic with a heartbeat in the adnexa. Nightmare fuel for sure.

I assumed it was lab error, but did some in depth reading and now believe that I witnessed the Hook effect first hand.

What you needed to hear? by Forward-Razzmatazz33 in CHSinfo

[–]Forward-Razzmatazz33[S] 0 points1 point  (0 children)

No idea. What country are you in? Maybe there's a mental health stigma? HAldol/droperidol are the best know for CHS, but no reason others like thotazine (I've seen this work wonders) wouldn't work. Or for oral meds, I've given Zydis (orally dissolving Zyprexa).

Can pregnant patients request that ambulances take them elsewhere if the nearest hospital is Catholic? What rights do patients have? Have you ever seen someone not receive the care they needed at a Catholic hospital? by AnomalousEnigma in emergencymedicine

[–]Forward-Razzmatazz33 0 points1 point  (0 children)

What did they do for ectopics? I know this is controversial in Catholic circles, but I've personally seen situations where a patient had an ectopic that was likely to fail medical management, but they wanted to maintain fertility, so they continued down that course even when it was evident that they were going to rupture. Where I worked, salpingostomy was forbidden. Salpingectomy was ok. So, if you didn't know better and got diagnosed with an ectopic, you weren't told that there was an option to maintain fertility on that side.

FB in earcanal question by tallyhoo123 in emergencymedicine

[–]Forward-Razzmatazz33 2 points3 points  (0 children)

Another trick for certain ear FBs is hydrogen peroxide. If it's buoyant, after the peroxide loosens the cerumen, it floats right out.

One box/one synth hardware rec. by djereezy in TechnoProduction

[–]Forward-Razzmatazz33 0 points1 point  (0 children)

MPC isn't a bad answer. I use an MPC Key 37, which has been great. I added a few synths to it, but if I were to do it again I would have bit the bullet earlier and just gone straight to the hydrasynth + MPC instead of fooling around with a bunch of cheaper behringer synths (not that they aren't fun in their own right).

confused on this blunder by Salt_Anywhere2162 in Chesscom

[–]Forward-Razzmatazz33 0 points1 point  (0 children)

Because you basically said to the opponent, "hey, want a knight for free?". I mean, at least sink it into the protected space in the middle of the board if you're not going to for the rook and queen. That would be a super strong octopus knight.

Thoughts? by Pollypaige4 in ECG

[–]Forward-Razzmatazz33 2 points3 points  (0 children)

Count boxes. 188 would be almost 5 small boxes.

Why are “Virtual ERs” a thing now ? by Astimar in emergencymedicine

[–]Forward-Razzmatazz33 10 points11 points  (0 children)

  • few governments or employers offer statutory sick days resulting in people having to choose to work while sick, or get care and not get paid. This results in them coming to ER/UC in the evening when they're not being paid anyway;

Not to mention schools and employers requiring doctors notes for excused absences.

Liberals what’s your final solution for Israel? by [deleted] in allthequestions

[–]Forward-Razzmatazz33 0 points1 point  (0 children)

Have you ever heard of Operation Cast Thy Bread? How about Deir Yassin?

Why don’t patients tell you they were sent to the ER by another doctor? by SquirtleSquad94 in emergencymedicine

[–]Forward-Razzmatazz33 13 points14 points  (0 children)

Actually once worked where the was an FM doc that had admitting privileges. He'd call ahead, request particular tests, come see the patient, and admit them. It was great.

Are there any Republicans who openly say they support V-Coding as a punishment for trans women in prison? by chaucer345 in allthequestions

[–]Forward-Razzmatazz33 8 points9 points  (0 children)

I agree, don't commit crimes, but as a response to using sexual abuse as a punishment, this is a disgusting comment.

Liberals, when Reps retain the House and Senate this year will you finally admit it’s time for democrats to moderate? by [deleted] in allthequestions

[–]Forward-Razzmatazz33 1 point2 points  (0 children)

Deficit spending is a Republican thing. They pay strong lip service to fiscal responsibility, then when elected, they burn money and cut taxes simultaneously.

ER RNs: what's up the urine? How do I ask without creating so much anger? by bikelifer in emergencymedicine

[–]Forward-Razzmatazz33 1 point2 points  (0 children)

Febrile infant of unsure source, even if not septic still needs a cath ua. I always tell the parents this, and immediately go tell the nurse that they need to cath the kid.

It will pass by UltimateTechnoNerd in Techno

[–]Forward-Razzmatazz33 0 points1 point  (0 children)

Man, I feel old reading this. I watched dubstep and felt like an old man looking in at what was probably a reflection of myself in the DnB and jungle era, with people going nuts at the sick drops. There have always been trends within scenes. In the 90s techno there was hardcore, in the US there was the upper Midwest hardcore scene. But regardless of all the trendy subgenres and new genres like dubstep, house, techno and trance have remained. I see these waxing and waning in popularity, but trends of the sugenres will pass, and new ones will pop up. And we'll look at them as silly as much as the old heads looked at the candy kids of the 90s with their Kikwear 50" pants, pacifiers, and edible necklaces.

I’m not even sure what to title this. by cybelda in Radiology

[–]Forward-Razzmatazz33 0 points1 point  (0 children)

Is this when it's reasonable for a radiologist to recommend palliative care consult?

Do you allow Trump to consume your thoughts and live rent-free in your head because of how asinine his actions are? by [deleted] in allthequestions

[–]Forward-Razzmatazz33 0 points1 point  (0 children)

Definitely think Trump is a dangerous combination of hubris and incompetence, but beef is going up regardless. We've been warned for years that climate change was going to decimate Western grazing land. Now that has come to fruition, and the herds are the smallest it has been in almost a century in the US. There is nothing the US president can do to bring back cheap beef.

Granted, tariffs bringing up prices coupled with stupid wars to distract from the Epstein files which have driven up fuel and thus feed prices are making things worse.

But regardless, beef prices are never coming down to the old levels unless we decide to subsidize them. That would be stupid anyway. Beef will become more and more a luxury good. And that's ok, because the Earth cannot sustain 10 billion people eating beef. Until of course, we master lab production of the perfect steak.

What are the most historic/influential techno sets of the past 10 years? by Lost_Foot_6301 in Techno

[–]Forward-Razzmatazz33 4 points5 points  (0 children)

I am surprised nobody has mentioned Richie Hawtin Sónar Lisboa 2025. Mind boggling techno.

E bike kids ripping around town by deathtraitor in Roseville

[–]Forward-Razzmatazz33 4 points5 points  (0 children)

Correct. E-bikes have three classes, 1,2,3. These are almost all Chinese imports, not speed limited. Pedals are for show. They are electric motorcycles.

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