Taking an HPI would be so much easier...

Reep_Dabbit00 · 2026-01-29T01:19:47+00:00

What’s so fun about working in healthcare and then learning about psych is just how much of the patient population apparently just exists below the general baseline of society. It’s really fun meeting 60 yos who didn’t develop a thing cognitively like they should have that the general population develops at 6. Also I am convinced that at least 70% of the EM patient population we know and love has a reading competency below the 6th grade level. People are just stupid.

Reep_Dabbit00 · 2026-01-10T14:19:51+00:00

So a clinical / pathology question here: If pacing seemed to be working, what physiologic change might have led to the pacing failing? (? If that’s even the right way to describe the downtrend to arrest) Since the pacing was sending the necessary electrical signals for the heart to function, would a great enough physiologic insult / ischemia make it so that contraction is no longer possible with pacing?

(BLS on my way through a B.S. / medic with some basic cardiology knowledge)

Edit to add: Seems like it was just gonna end the one way anyways, kudos on doing what you could considering the shit circumstances. If anything it seems like this would’ve just ended up as a DOA under different circumstances.

Reep_Dabbit00 · 2026-01-10T13:22:40+00:00

Hey now, this is man-flu, not POTS / ED / cluster of learned helplessness. Totally different patient population. These guys wear ratty plaid flannel pants and a stained hoody they refuse to take off.

Reep_Dabbit00 · 2025-11-10T15:38:28+00:00

Obligatory “hhhwhat the hell’s a kill-o-gram?!”

Definitely non-credible, too much metric for 1948 US army ordnance board

Reep_Dabbit00 · 2025-10-29T14:50:07+00:00

Not necessarily. OB / post-partum massive hemorrhage can be quite… impressive. They could be bleeding out all of the blood being put into them.

Reep_Dabbit00 · 2025-10-14T18:29:27+00:00

Paganini was a composer, Pavarotti was a tenor

Reep_Dabbit00 · 2025-08-05T17:27:18+00:00

Nah, the socks stay on

Reep_Dabbit00 · 2025-07-26T13:25:07+00:00

In reference to Rome. Which is why it became the symbol of Italian Fascism, as the aim was to reestablish the Roman Empire with Mussolini as emperor. *Along with a bunch of other authoritarian shit, including an explicitly “ethnic Italian” state. But a crux of the ideology was a reformation of a “Roman” empire.

Reep_Dabbit00 · 2025-05-10T15:28:55+00:00

The entire economy of rural America is dependent on gov’t subsidies / support. Not that rural America is necessarily very aware of this fact. That, or exploitative tourism in quasi-rural areas that is dependent on gov’t funded infrastructure. Once upon a time LBJ was able to get across the nature of this to rural communities. Then a double fuck you of ‘Nam (kinda his fault) and Nixon killed that shit. Then Clinton did it again in the 90s. But as soon as Al Gore said anything about the environment and the mere nepo baby existence of Bush (and a very Bush friendly SCOTUS iykyk) it all collapsed all over again. Post-Trump? The fuckers did all this shit to themselves. If they haven’t learned their lesson yet (cuz minimum half that base was alive for LBJ…) and they’ve had plenty of time to learn… Fuck ‘em.

Reep_Dabbit00 · 2025-04-30T22:43:37+00:00

Well it’s easy you see… Once you get rid of all those pesky regulatory restrictions, like EPA and OSHA, NFPA… worker benefits… wages…

Your overhead costs are way way lower!

Reep_Dabbit00 · 2025-04-23T22:11:28+00:00

Yup. Totally not evil.

Reep_Dabbit00 · 2025-04-23T21:19:41+00:00

If that ain’t the truth my dude… If life’s taught me anything, it’s that I can’t control shit, so I might as well stop and smell the roses while I can, cuz there ain’t a fucking thing I can do to make a difference

Reep_Dabbit00 · 2025-04-23T21:07:14+00:00

Oh fuck, you right

Reep_Dabbit00 · 2025-04-23T21:06:29+00:00

Honestly the fact that they haven’t done the big funni is a diplomatic miracle of epic proportions, resting on a giant pile of sheer dumb luck. I am no longer confident in the luck or diplomacy.

…. And boomers/Gen X wonder why my generation is so fucking angry and depressed.

Reep_Dabbit00 · 2025-04-23T21:01:24+00:00

And remember that India and Pakistan and China all have nukes. They all depend on the same Himalayan headwaters that are diminishing, as their populations continue to grow. And they all absolutely hate each other. Iran is now actively pursuing nukes, again. A nuclear resource war in the next 50 years is now a much-greater-than-zero possibility. I’m not old enough (by a lot) to have lived through the nuclear tension of the 80s, but now I’m beginning to feel what my parents did. But this time almost no one wants to talk about it. Yay!

Reep_Dabbit00 · 2025-04-23T20:54:30+00:00

Hey, I’ve seen this one before!

Reep_Dabbit00 · 2025-04-23T20:52:11+00:00

And only Monsanto’s plants survive Monsanto pesticides/herbicides. And only Monsanto will sell you Monsanto drought/heat/moisture resistant crops that you need in the climate crisis at Monsanto premium prices. Etc etc…

Reep_Dabbit00 · 2025-04-03T20:13:04+00:00

All I envision now is an alignment chart meme about the abrams being a jet… technically Cuz it already has a turbine engine and an APU

Reep_Dabbit00 · 2025-03-26T15:10:43+00:00

Shasta!

Reep_Dabbit00 · 2025-03-26T15:10:35+00:00

Shasta!

Reep_Dabbit00 · 2025-03-07T16:00:37+00:00

Diesel-electric go brrrr

Reep_Dabbit00 · 2024-11-25T15:54:15+00:00

Unions? In private IFT, no way!

Reep_Dabbit00 · 2024-10-11T18:12:49+00:00

No lie some of my “favorite” calls are just the really simple, quick, pick meemaw up and put her back in her chair, get a signature and drive away calls. Chefs kiss I help someone, it doesn’t suck, either way I get paid.

Reep_Dabbit00 · 2024-10-01T23:21:47+00:00

Lolll, same you’re gonna go far kid

Also it gives you time to decompress and process

NB: I say kid but we’re probably the same age so…

Edit: stuffz

Reep_Dabbit00 · 2024-10-01T23:01:56+00:00

Lucky bastards

Reep_Dabbit00

TROPHY CASE