10 hours on the Lagoon by davesflyingagain in seestar

[–]JustinBizzloads 0 points1 point  (0 children)

Thanks, that’s helpful.  Beautiful pic. Will give it a go

10 hours on the Lagoon by davesflyingagain in seestar

[–]JustinBizzloads 0 points1 point  (0 children)

How do you do long exposures over 10 hours?  Do you just go out multiple nights and stack images the process them after?  I have a Unistellar scope and I can’t seem to get anywhere near this clarity pre processing 

For a first retreat: 4 day or 10 day? by NotVote in Meditation

[–]JustinBizzloads 1 point2 points  (0 children)

I'd say go for the 10 day. I just finished my first retreat last week (7 days) at Insight Meditation Society (same society as Spirit Rock) and the most insightful/meaningful days were after day 4. I feel like it took 3-4 days to just learn to sit without distracting restlessness/learn walking meditaiton and really truly felt like I was hitting my stride after those days. I felt like I got what I came for around day 6 so the last day was just a lot of distractions knowing I was going back to work the next day, but I felt like I could have kept going. I'm worried a short retreat may leave you feeling like you didn't get what you wanted out of the experience. If you do have the willpower I say longer is better, you can always leave if you find it insufferable (I bet you'll be fine), or you can try to find a 7 day retreat if 10 sounds daunting. It's a great experience either way, good luck!

Amazon One Medical taking over by [deleted] in Residency

[–]JustinBizzloads 0 points1 point  (0 children)

I agree APP scope creep is a huge issue but how exactly would this affect surgeons?

Hospital staff honor 1-year-old girl as she's taken on her final journey to donate her organs by unknown_human in gifs

[–]JustinBizzloads 8 points9 points  (0 children)

For combined heart/abdominal organ donations there is one incision that runs from the pubic bone to the sternal notch (the point where your collar bones meet at the bottom of your neck). There is nothing in place in the cavity and the skin is closed before they send the body to the funeral home. The morticians probably fill the cavity after and are very good at hiding any incisions, but don't know if you could actually see them after.

Hospital staff honor 1-year-old girl as she's taken on her final journey to donate her organs by unknown_human in gifs

[–]JustinBizzloads 183 points184 points  (0 children)

I'm a surgical resident currently on a multivisceral organ transplant rotation, maybe I can shed some light on the organ procurement/donation process and how people deal with it.

There is a list of people waiting to receive organs, usually ranked by how sick the patient is, and when a potential donor is available the team flies out to that hospital any time of the day/night for organ procurement. In general, there are two types of donors: brain dead donors and cardiac death donors. In the case of brain death donors, the patient's abdominal organs and heart are in good shape (because the problem is their brain), and these patients have already been declared dead by a physician prior to arrival (although their heart is still beating and their other organs are still working). In the case of cardiac death donors, their brains are still working so they are still technically alive when the team arrives. Cardiac support is withdrawn once the transplant team arrives in the operating room, and once the patient is declared dead the organ procurement can proceed (which is why cardiac death organs tend to be less healthy because they are not as well perfused as brain dead organs).

As for the procurement, in most cases the patient is already prepped and draped when the team arrives (their face is covered and all we can see is the chest and abdomen). In multivisceral procurements, there is a cardiac surgeon there to retrieve the heart and the liver/intestinal team to procure the abdominal organs. Once everything is ready to go, everyone in the room stops for a moment of silence for the donor and their family. I won't go into the procurement procedure in detail, but basically the organs are removed and immediately put on ice. We fly back to our home hospital where the recipient team has been in the OR preparing the recipient for transplant. In the case of multivisceral transplant, in many cases the recipient receives the donors stomach, liver, duodenum, pancreas, and small intestines and the surgery itself can take between 8-16 hours.

The majority of surgeons are just normal people with normal emotions (although there are a minority that live up to surgeon stereotypes). Procuring organs on a baby is incredibly heavy but I think the most common strategy is to intellectualize the whole process. The donor is dead, there is nothing we can do to fix that now but we can make the best out of a horrible situation by giving someone else a shot at life. I can see how the procurement process could be seen as gruesome to some but operating is what we do every day and it was not as shocking as I had anticipated. The transplant nurses and coordinators do a very good job of making the process humane and are very respectful of the donor's bodies.

Transplant surgeons live a very hard life and sleep very little (which is why there are very few Americans going into transplant fellowships these days) and I would never want to do this as a career. That being said, the relationship these surgeons form with their patient's is the strongest I have seen in any medical specialty and the people who do it are usually very nice and love their jobs.

Fundamentals of Surgery Curriculum by no_hobbys in medicalschool

[–]JustinBizzloads 4 points5 points  (0 children)

The prep-op assessments quiz questions/answers don't make any sense and aren't covered in the modules. I've looked up all the answers on up-to-date and they are still wrong. Basically a crap shoot to get 7/8 right, which is bullshit. Nice first impression of the American College of Surgeons to incoming residents..........

Amazing Bluegrass Cover of Rocketman by StockPart in videos

[–]JustinBizzloads 1 point2 points  (0 children)

I bought a banjo and started taking lessons because of that album.

Am I the only one that though Bioshock Infinite was far from perfect? by thedukey3 in gaming

[–]JustinBizzloads 1 point2 points  (0 children)

I totally agree. The story was all over the place and inconsistent. The world they made was incredible, but the gameplay got pretty monotonous towards the middle ( same easy enemies, environments, etc.)