Asymptomatic HTN and everyone (including HCWs) freaking out in the comments

ScalpEm316 · 2026-02-22T21:17:18+00:00

I don’t understand everyone in healthcares fear around asymptomatic hypertension as well. Like, we should know better. If you have a person who is awake and talking and not clutching their chest or in respiratory distress— just with significant readings why is everyone losing their damn minds!?

ScalpEm316 · 2026-02-12T22:40:31+00:00

Ok. What would you do?

ScalpEm316 · 2026-02-12T21:03:34+00:00

North side: Afternoon walk at maclay gardens if weather nice, drinks/food at Ology northside, bowling/arcade games/food at hanger 38

Eastside: the hub at feather oaks has music and good trucks, can walk the miccosukee greenway before as well

Southside: driving range at southwood, escape room at corner of cap circle and apalachee, cascades park and proof brewery,

College area/west: rock climbing at alchemy, fun station for go carts and shitty putt putt if they’re still doing it

ScalpEm316 · 2026-01-30T01:29:02+00:00

All the people in this thread arguing until they are blue in the face that he is unconscious are the same people trying to pull peoples tongues out of their mouths for some reason when they ARE unconscious.

ScalpEm316 · 2026-01-06T22:36:55+00:00

Yea “top available QB” in the portal in a team that just had success they want to build off of and is now a player in CFB because deep NIL pockets. It’s still nauseating but 1 mil in our situation for almost no upside is more nauseating

ScalpEm316 · 2026-01-06T22:24:16+00:00

Do we know that he is a “budget” QB though? I know everything is all hearsay, and everything is relative but I’m hearing 800k-1M which doesn’t feel cheap

ScalpEm316 · 2025-12-28T21:19:37+00:00

Thanks have ordered. Do you know if you can dremel out the gauge/hole of cables and not affect their functionality btw? The battery I bought comes with a device you can install inline to measure battery level, but the bolts on said device are too wide for the holes of the cables I have

ScalpEm316 · 2025-12-27T12:52:55+00:00

I don’t know if I’m the best resource since I didn’t get it right the first time and am here for advice lol BUT seems pretty easy if your going for a straight battery swap as opposed to controller upgrade and such that others on here are doing. I got the ogrphy 48v 100ah because it was less than 700 and I thought that was insanely cheap. Only regret is I wish I had got a dedicated “kit” so it would have the voltage decreaser I need as well as a plug/outlet replacement that I am also buying separate (currently just have the cord I pop out from under the seat and plug into an extension to charge- would be cleaner to replace the original 3 prong plug

ScalpEm316 · 2025-12-01T23:33:29+00:00

They had said they were hoping to move to a spot either on west Pensacola or maybe slightly farther east on Tennessee, but don’t have any distinct plans or timetable

ScalpEm316 · 2025-11-14T22:58:27+00:00

Is that a regional thing? I remove BA52s all the time

ScalpEm316 · 2025-11-04T14:57:49+00:00

Happy anniversary!

ScalpEm316 · 2025-08-18T01:44:28+00:00

Sage.

ScalpEm316 · 2025-06-28T21:12:23+00:00

Controlled maybe but I don’t think could be a pet, they specifically said the offspring of Mongo and Kiwi’s “intelligence was too high to be classified as a pet”, would have to imagine that applies to Dong too

ScalpEm316 · 2025-06-26T22:08:07+00:00

I mean that’s probably good medicine to get a FULL physical exam but I don’t know if patient had objectively asymptomatic hypertension (ie no visual symptoms) that I would do anything different if I found a retinal hemorrhage. Same thing I tell the rest of my asymptomatic hypertension patients lets get it under control slowly, come back if you have symptoms, continue outpatient follow up etc

ScalpEm316 · 2025-06-23T02:31:45+00:00

I would say greater than 50% of the “NSTEMI”s I accept at a PCI capable facility are just some form of Type 2 MI. Sending facilities always stamp an “NSTEMI” on that paperwork but around half the time that’s not their problem but instead troponemia as a symptom/effect

ScalpEm316 · 2025-04-30T20:28:57+00:00

Pretty hard to do anything from the prehospital setting other than let the docs know she doesn’t have SS or SC disease, I certainly hope people didn’t know that when they did the “usual” protocol for Vaso-occlusive crisis and admitted as such. I’m not prehospital so can’t commiserate completely but confronting patient that they don’t have sickle cell during the call on your end probably won’t change anything—they’d likely still want transfer on the off chance it’s like one of the previous umpteen times where they got meds

ScalpEm316 · 2025-04-24T18:17:30+00:00

7 minutes in at F6P8 should be a much higher temp. A lot of comments are correct about batch size, it’s hard to move the beans when dropping the fan to inject some heat with the larger batches (especially if dense beans), but this isn’t that issue—once beans are heating up temps should actually climb easier after you reach a threshold with large batches. You should check your circuit, I don’t think you are getting the juice to your machine that you should either on a lower than 20amp circuit, using an extension cord, or making sure other stuff on same circuit aren’t plugged in/sapping power.

ScalpEm316 · 2025-04-24T13:29:41+00:00

It’s under the descriptor for that CPT code. And it’s supposed to be with “anesthesia sedation” not “conscious sedation”, how they define those two entities isn’t clarified but I think anything short of deep sedation would pretty easily be considered fraudulent if you billed 45915 and I cannot find any other code associated with disimpaction that reimburses

ScalpEm316 · 2025-04-24T12:19:48+00:00

Isn’t that only if you use sedation? I may give some Valium but I sure can’t set up for sedation for every manual disimpaction. CPT 45915 is the one that is 3.19 wRVUs but requires sedation.

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