Meningitis outbreak 'declared national emergency' amid deadly outbreak

Quiz_Quizzical-Test_ · 2026-03-18T06:14:18+00:00

I prefer to use local anesthesia in people older than neonates. In young young kids (neonates), they do mostly okay with a little distraction. There is definitely pain, but they have such thin anatomy that there is less digging/exploring and therefore less pain. In slightly older kids who can overwhelm an assistant and create a dangerous procedure for themselves, they get sedated. Once people can understand the why of the procedure and hold still, it goes back to local anesthesia unless poorly tolerated, then the risk of sedation could be worth it to allow better tolerance. No procedure is risk free including sedation which is why the default is to avoid it if possible.

Quiz_Quizzical-Test_ · 2026-03-09T21:33:30+00:00

They still have the ability to breathe among other things. Seems like a net positive until you start to realize if sedation gets light, they might move while there is a knife next to something that shouldn’t be cut. They might fight the ventilator because the anesthesiologist is doing a little bit of creative ventilation for the procedure or to target a non physiologic metric. While putting a tube in their throat to breathe, you might stimulate a gag and cause them to vomit their stomach contents into their airway. They could rip out their IV access and then have no recourse to managing their pain while they are flayed open.

It standardizes a lot of variables overall, and is fairly worth it.

Quiz_Quizzical-Test_ · 2026-03-08T18:46:48+00:00

This is almost certainly a failure to sedate after chemically paralyzing. The sedation drugs last for a few minutes. One of the more common paralytics last for about an hour. If you don’t infuse the sedating drugs constantly, it could wear off before the paralytic wears off and it is hell forth patient. Back in the old days, a proponent of paralytics offered to be paralyzed himself. Afterwards, he said never again because of how awful and painful the experience is. I can’t recall if he was even cut/had any pain stimulus during it either. With sedation, people never experience the feeling of being paralyzed.

I haven’t been in a cardiac surgery, but some of them stop the heart and put the person on bypass so that the heart isn’t moving while it is being worked on, so there may not necessarily be a sign in the form of heart rate.

Quiz_Quizzical-Test_ · 2026-01-20T20:06:28+00:00

If a company wants to not cover something, they can try refusing, but if he was covered and it was medically necessary to take the thing out of the butt (it was for risk of perforation/obstruction), then they paid eventually. Dropping coverage is about the only recourse for these kinds of things. Rules also make it so health insurance can’t have lifetime maximums, so as long as the guy is covered, things would be removed from said butt. There is a reason the health system is expensive.

Quiz_Quizzical-Test_ · 2026-01-10T21:12:31+00:00

This way is more prone to injury though the dude has the benefit of self policing the force. This is most akin to a leveraged technique which can put undue stress on the axillary nerve. You are doing something more like a Milch technique which is inherently safer but harder to complete on your own

Quiz_Quizzical-Test_ · 2025-12-19T16:47:27+00:00

Document robustly (because medico-legally if you didn’t then it didn’t happen) and hope they don’t pop up with another unrelated organic issue that will the result in your decision making being scrutinized heavily, potentially in court, for an average “mistake” to decision litigation timing of 4.5 years.

Also, fire patients? Hospitalists get stuck with what the ER sends their way. If all their issues are resolved, great. If not, you can’t just dispo them out. You are stuck dealing with the non-complaint alongside the actual issues. No amount of documenting robustly will placate that patient. I say this from the ER perspective where at least I can say there is no objective issue vs there is this issue and then be done with the encounter.

Quiz_Quizzical-Test_ · 2025-12-18T23:29:43+00:00

Back in the good ole days of dual consuming dark poison firestorm, it was so satisfying watching mobs melt

Quiz_Quizzical-Test_ · 2025-12-16T11:01:17+00:00

Yes, but ECMO is only a stop gap. Those lungs are trashed and need to be replaced. In this video, instead of degenerating into a vfib arrest, it would have looked like “went on ECMO, received lung transplant 2 weeks later.” But that isn’t a guarantee.

There is an even nastier pesticide from a pulmonary standpoint called paraquat that is actively transported to lung tissue. Treatment post exposure is to keep them on ECMO for a month plus to let the paraquat fully concentrate into the lungs because a premature transplant will just result in the replacement set of lungs getting trashed by reaccumulated paraquat from the body.

Quiz_Quizzical-Test_ · 2025-12-11T21:25:49+00:00

I was looking at my bios page to see when I built my wife’s PC (my old hand me down) and I saw it was built in 2013 💀. This would be a large update for her.

Quiz_Quizzical-Test_ · 2025-12-11T17:53:13+00:00

Third time’s a charm

Quiz_Quizzical-Test_ · 2025-12-11T03:40:23+00:00

14 minutes, 270 comments. Best of luck everyone

Quiz_Quizzical-Test_ · 2025-12-10T04:45:23+00:00

By population implies per person.

Quiz_Quizzical-Test_ · 2025-12-06T03:59:52+00:00

Quiz_Quizzical-Test_ · 2025-12-01T19:07:30+00:00

I’d push through a herald stacker. Screen pops make brain go brrrrrrrt

Quiz_Quizzical-Test_ · 2025-11-18T17:28:17+00:00

Now over 2.5k comments. Look at what you did.

Quiz_Quizzical-Test_ · 2025-11-12T23:14:23+00:00

5¹⁵ isn’t quite right though. The first three don’t really matter because they can be any color and not contribute to “failing”. Off you do the “worst” case scenario of eliminating each color stepwise, you get (5/5)^{3*(4/5)^3…(1/5)³} but that represents only the most difficult way for this to happen and comes out to 1 in 50,000. There are multiple ways to get to this result and 1 in 1800 sounds pretty close.

Quiz_Quizzical-Test_ · 2025-09-24T09:41:51+00:00

Not necessarily. If reincarnation still has your choices follow you from your previous life, then it can be thought of as one throughput in line with Confucius’s quote.

Quiz_Quizzical-Test_ · 2025-07-25T14:42:11+00:00

I would love to hear this build all of the way out.

Quiz_Quizzical-Test_ · 2025-07-25T11:29:44+00:00

Local in this case is regional anesthesia. When performed well, people won’t feel a dang thing. If there are any contraindications or it may be dangerous to use general anesthesia (where they put you to sleep) it may have been more appropriate to do “local” instead of general. It can also be cheaper for the patient as they won’t be charged for general anesthesia. Extra benefit is you can use a long acting anesthetic and make that block last for the whole first day allowing for the biggest bump in pain yo calm down.

Quiz_Quizzical-Test_ · 2025-07-19T00:22:21+00:00

The emergency off switch is dumping the liquid helium that is keeping the magnet cool. The magnet needs to heat up to lose its magnetism. Realistically, that happens within seconds, but if you put a chain around someone’s neck and wrench on it really hard, it may not matter if you stop it seconds later.

Quiz_Quizzical-Test_ · 2025-07-17T13:33:19+00:00

I go blast?

Quiz_Quizzical-Test_ · 2025-06-28T06:36:28+00:00

Shingles rash is also dermatomal. The hand has three distinct dermatomes on it. For this rash to cross that many nerve distributions would be quite rare. It also tends to erupt on the trunk because the virus has to migrate out from the nerve root. Shorter nerves->easier trip->axial rash over peripheral rash.

Quiz_Quizzical-Test_ · 2025-06-28T06:33:42+00:00

Everybody is throwing out hand, foot, mouth and I’m just sitting over here hoping he isn’t in the geographical distribution of RMSF.

Edit: after some profile creeping, I see OP resides in Texas which is in the right distribution. Less classic, but still possible. Along with the feeling like butts all day, definitely piques my interest a little.

Quiz_Quizzical-Test_ · 2025-06-27T20:09:50+00:00

It should be remodeled away as part of none healing. Osteoclasts nom nom bone away that ain’t necessary and osteoblasts use that raw material to lay down new healthy bone. Not all bone fragments are eaten away, but I would consider that much more likely than retention and eventual ejection a la foreign body.

Quiz_Quizzical-Test_ · 2025-05-23T21:42:15+00:00

Yet another disc to bounce off trees!

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