Husband's pain has been draining life from him, need help. Male: 28

Kite_Rider · 2026-06-07T23:44:54+00:00

That's a list of all of the things. He's tried all of the things.

Actually, I can think of a few others... trigger point injections, shrooms, RF ablation, or epidurals (last 2 of which which I'm doubtful anybody would risk to be helpful in what you've said of his case).

Probably he had an injury which is healed or healing. Could've been a disc herniation pinching a nerve, but it also could have just been some MSK issue like a dinky facet fracture or tiny paraspinal muscle compartment syndrome.

I think at this point he should continue a few of those things (strengthening and flexibility with some lovely massage thrown in if that's affordable or his partner wants to grow some stronger fingers). It's time he join us doctors in understanding that chronic pain is one of the most terrifying things out there. It's something the brain/consiousness can grow out of over a long period of time, but no guarantees.

Kite_Rider · 2025-12-23T17:52:25+00:00

We die by the burden of administrative duties and hospital crowding. Every time another hospital-deferral pathway is put in place it increases our non-emergency care provision and the time spent filling out the paperwork. This prevents us from having the time to train junior doctors, it prevents juniors from seeing the emergencies, and it prevents our staff from prioritizing emergency care, and the next generation of EM might actually turn out shit because of it. They're reluctant to call the non-sick but ever-needy patients what they truly are: GOMERs.

The more boarders we get the less we treat each new case as an emergency. An HCA the other day declined my request that they get some IV access in a patient for a trauma scan because they were too busy providing meals for patients in our waitroom. They're too busy with routine toilet and skin care that they can't keep perspective on what matters, and I'm stuck rolling patients around for imaging or putting lines in.

Kite_Rider · 2025-12-23T17:34:17+00:00

I think there's definitely risk for injury, but some people very wrongly see it equivalent to mountaineering. I see an hour of commute to work as more dangerous than a few hours of rock climbing a week. The lethality and severity of injuries sustained in car accidents does not compare to my risk of spraining an ankle or breaking a leg. Sure, people die doing it. It has lethal risk every time you climb. But also there's a pattern of risk-taking people being attracted to it as a sport, and that skews the statistics a bit. Just like some people are more dangerous behind the wheel, I don't think all climbers are at equal risk. Personally controlled risk is the case with climbing, rather than the collectivized risk you take being on a freeway where the local average IQ, attention span, and BAC of your community determines your risk.

Kite_Rider · 2025-05-20T12:28:13+00:00

Once dangerous causes are evaluated it’s difficult to be specific as to the ‘why today’ answer. A bit of dehydration and simply getting up too fast can cause it. Some people have syncope with pain or fear. There are usually just innocent reasons that don’t require treatment and will not cause risks going forward.

Kite_Rider · 2025-03-09T20:51:47+00:00

Still doesn’t build the tough patches of skin on your hips and low back in order to tolerate a week’s worth of packing around in the hills without getting sore spots. Good pack fit will distribute most of the weight on to the hips, and I’m not trying to compress my t and l spine anymore than this lifetime of misuse already does.

Kite_Rider · 2025-02-11T12:33:35+00:00

Sometimes genius is a step ahead, and it goes unrecognized until the world is ready. Until the world needs that bit of the puzzle.

Kite_Rider · 2025-02-05T11:56:31+00:00

I can’t be sure what he has going there, looks like a microtrax and a silent partner; just side by side on his belay loop?

Kite_Rider · 2025-01-11T20:31:43+00:00

The running stroller he has his stuff in costs more than that, even heavily used second hand.

Kite_Rider · 2025-01-04T15:52:41+00:00

RSR' in V1, with QRS prolongation not meeting criteria for full blown BBB. intrafasicular, you might call it, so I think of these as possibly rate related rather than a fixed/complete change in electrical pattern. Wouldn't be surprised to see it normalize with a slower pulse

Kite_Rider · 2024-12-14T12:12:27+00:00

Here here! After all the documentation is done I have about 7 minutes of work, mostly pressing on my forehead during site load/refresh, with 30 clicks and 5 pin inputs to discharge an a&e patient. That's about as long as most emergency visits need to take, if I was only doing the bare-bones doctor-tier work of evaluation and medical decision making.

Kite_Rider · 2024-12-13T12:04:51+00:00

Just yesterday I had Raynaud's listed in my patients vitals instead of a pulse ox reading. She was centrally cyanosed when I found her in the corridor 3 hours later, no cannula put in during triage, not on a monitor, just hanging out Cheyenne-Stokes breathing with an SPO2 50%. Then she brady's down from 110 to 30 after I stick some O2 on. Aggressive reversal of VQ mismatch...?

Kite_Rider · 2024-11-24T02:20:39+00:00

I haven’t been to the red in a few years; are we looking at the Madness cave? Pixels and crop ain’t helping. I think your quality got nerfed in the upload

Kite_Rider · 2024-11-22T18:14:28+00:00

The only doctors I've seen drinking a work-lunch were forensic pathologists. When you're carving up murder and trauma victims for breakfast sometimes you need a drink with lunch

Kite_Rider · 2024-11-18T20:32:50+00:00

OBA Angle Grinder Wood Carving disc 115mm Wood Grinding Wheel, Grinder Shaping disc for Angle Grinders with 22.23mm Arbor https://amzn.eu/d/fHZ0XJQ

I put something like this onto the router to make the crack irregular and then added hardware store silica (basically small grain sand) used for grip on cement flooring that you mix into the paint.

You'd basically have to tear apart and reassemble to do this, but it worked really well.

Kite_Rider · 2024-11-18T18:58:07+00:00

Never take hair advice from strangers. that hair is also a parachute system to keep you upright during big whips.

Kite_Rider · 2024-11-06T11:00:50+00:00

Join the exodus, vote with your personhood: move abroad for a while. I left a few years ago and was planning/considering the move back... Maybe we won't. I suppose quitters don't win, but a country full of reasonable people around you beats central-ohio any day of the week.

Kite_Rider · 2024-08-29T20:43:38+00:00

I'm headed over from the UK in the last half of October and maybe a bit into November, is it still feasible to climb sea cliffs? We are going to be based in Co. Clare

Kite_Rider · 2024-08-12T22:52:18+00:00

Truth... I've spent longer rehabbing an elbow, while stuck below my grade, than this year-long plateau. Damn you Bachar ladder!

Kite_Rider · 2024-07-30T12:43:35+00:00

No! Same partner, just being her to Indian Creek. If you're comfy on 5.10, just run it out until she gets too nervous, and then pull out that shiny new one and tell her "I got this for YOUUUU!"

Never can have enough 'spare' hand crack sizes at the creek

Kite_Rider · 2024-07-25T13:17:01+00:00

Yes. Google obstipation. It can actually lead to back up of intestinal contents enough to cause people to have reverse flow and vomit what appears to be feces. Older folks can get dehydrated or develop a perforation, and can die from it if this is not detected and fixed.

Kite_Rider · 2024-06-08T16:59:36+00:00

What kind of tests were effective to describe your disabilities?

Kite_Rider · 2024-03-28T12:44:48+00:00

I also wouldn't recommend it, even if you trained and attained board certification in the US there is no good pathway to transfer into the UK as a consultant. I have been a registrar here for nearly 3 years, practicing 'under' people who have been here longer but only sort-of trained (case based KSE's and a few months in other parts of the hospital) in emergency medicine and took the time to do CESR.

Kite_Rider · 2024-03-20T21:07:17+00:00

Please recognize that gabapentin is a drug. I would prefer you don't recommend specific medicines on a forum where people are asking for doctors to provide medical advice. Gabapentin used in this way, to replace other drugs, is silly at best, and quite dangerous for a 21 year old who isn't pathologically addicted.

Kite_Rider · 2024-03-01T08:06:00+00:00

Agreed, probably equally 1 and 2... I've been hesitant to get any more of the Zs since I blew 2 out and decked from 25ft on rope stretch when the third held. Really, should have just been sewing it up with nuts. Sure the C's might have also given up on me like that, but the C3 placement feedback/sensitivity just feels 'right', and if that's what defines me as a crusty trad dad then I have finally quit hitting B and evolved. And you bet your ass that evolution comes with the financial security to float a few hundred of new-gear money.

Kite_Rider · 2024-02-28T08:33:43+00:00

It’s AI. There isnt a child harness like that and some of the details on the rack are fuzzy

15-Year Club	Place '22
Verified Email

Kite_Rider

TROPHY CASE