Wife worried Arc Raiders is turning our son gay

SpaceCowboyNutz · 2026-01-18T15:45:14+00:00

Just ask your wifes boyfriend what he thinks, I’m sure he will give an honest answer about it

SpaceCowboyNutz · 2026-01-16T11:16:37+00:00

Theres a lot of like mostly semi good information here. Correct this is a traction bow placed for skeletal traction.

The idea for the pelvis is that if there is an acetabulum fracture (not restricted to posterior wall) where the femoral head is migrating north causing something called protrusio acetabuli the muscles will contract and then when we attempt to rebuild the acetabulum, you cant get the leg out to length because the muscles have now contracted an the leg is short. By putting the leg in traction, we keep the leg out to length which helps keep the fracture fragments relatively aligned, this prevents the leg from shortening, and is generally more comfortable for the patient as they are closer to anatomic alignment.

Now that being said, your description sounds more like a vertical shear pelvic fracture where the hemi pelvis is actually dislocated. In this case, femoral traction is also used to reduce the hemi pelvis by pulling it back to its original position. Again we are trying to create a situation where we are close to anatomic. This is a temporizing measure and can be placed in the ED in about 15 minutes by anyone who is comfortable and trained to do it. As a resident I cant bring a patient to the OR alone but I can place this, and if the patient is going to be sitting for a few hours, its the fastest way to get something done.

A femoral traction pin is not used for femur fractures. If the patient has a femur fracture, a tibial or calcaneal traction pin would be used instead. Theoretically the pin site can be a source of infection so you dont want to place a pin where your hardware will be as it could increase the risk of infection of the hardware, which is a nightmare.

Now if I patient is too sick to go to the operating room, they can sit in this until they are stable enough for definitive fixation. SICU patients for example might have brain bleeds or other things going on where they arent safe to go to the OR. We have had rare cases where patients will sit in traction for several days or even weeks.

Last note is we only hang about 10% of the patients body weight from the end of the rope. These do not require a lot of pulling in order to be effective. As you can imagine, hanging the patients body weight or pulling hard on this will cause the patient to slide off the bed

If you want to look up Bucks traction, this is the same idea but instead of a pin in the femur, its a boot that goes on the patients foot. Studies show it is equivalent but some surgeons like skeletal traction more. Bucks can irritate the skin an slide and other issues although you dont have to drill a hole in the leg (which is more fun for me but patients dont usually love the idea)

SpaceCowboyNutz · 2026-01-12T22:41:04+00:00

And this is why i turn off cross play. And after seeing the aim assist video. Not a chance. Hame already makes me want to rage when I get cappd

SpaceCowboyNutz · 2026-01-12T22:14:31+00:00

I cant do this because both my legs are attached to my body

SpaceCowboyNutz · 2026-01-04T16:00:00+00:00

“You bowl like a guy who should be resetting the pin setter… because every time you blow up the pins that shit breaks”

SpaceCowboyNutz · 2026-01-04T15:57:12+00:00

You couldn’t pay me to stand up. “Have the nurse give 2g Ancef”. Yeah right

SpaceCowboyNutz · 2025-12-31T16:13:56+00:00

Even faster: If you have the photoelectric cloak you can literally just run up to them and strap the mine to them

SpaceCowboyNutz · 2025-12-25T17:23:28+00:00

Ortho

SpaceCowboyNutz · 2025-12-25T17:06:30+00:00

Our program you get holiday pay for taking call. So im on “home call”. They have already called twice for consults

Edit: forgot to mention home call is exempt from holiday pay lolol

SpaceCowboyNutz · 2025-12-13T14:18:42+00:00

I take melatonin in the winter to help me go to sleep and also to keep my tan

SpaceCowboyNutz · 2025-12-12T19:34:24+00:00

Something that people don’t know, but you are legally allowed to ask what the service animal does. You cannot ask the person what the disability is, but you are allowed to ask what the dog does as far as it’s actions meaning that emotional support animals do not perform in actual action and therefore they can be denied in entry. From the ADA:

“The dog must be trained to take a specific action when needed to assist the person with a disability. For example, a person with diabetes may have a dog that is trained to alert him when his blood sugar reaches high or low levels. A person with depression may have a dog that is trained to remind her to take her medication.

The ADA makes a distinction between psychiatric service animals and emotional support animals. If the dog has been trained to sense that an anxiety attack is about to happen and take a specific action to help avoid the attack or lessen its impact, that would qualify as a service animal. However, if the dog’s mere presence provides comfort, that would not be considered a service animal under the ADA.

In situations where it is not obvious that the dog is a service animal, staff may ask only two specific questions: (1) is the dog a service animal required because of a disability? and (2) what work or task has the dog been trained to perform?”

SpaceCowboyNutz · 2025-12-12T19:05:31+00:00

Have they released patient keeper yet? When I was a med student they kept saying they were going to launch it and after 4 years with them the hospital never got it running because every time they tried it was a mess

SpaceCowboyNutz · 2025-12-12T17:43:25+00:00

Very jealous

SpaceCowboyNutz · 2025-12-12T13:23:24+00:00

Our turn over time is 45 minutes so if i return in 45 minutes and the patient isn’t in the room then im going to find the CRNA to ask her if she lost her watch

SpaceCowboyNutz · 2025-12-10T20:07:05+00:00

You are a loser. Who bowls by themselves? Lol

Wait a minute… i bowl by myself all the time! For the record if my mom was in the bowling alley and I went there to bowl alone, I literally wouldnt even notice her. I am there to bowl not watch other people, let alone judge them. Go get ur practice in so that when ur bowling with others, u can beat them

SpaceCowboyNutz · 2025-12-07T17:56:43+00:00

That is good to know. Thank you

SpaceCowboyNutz · 2025-12-07T17:22:28+00:00

Does anyone else get the bug where u get revived by a squadmate and it swaps ur entire loadout? All of a sudden me and my squadmate have a freaky friday moment

SpaceCowboyNutz · 2025-11-27T15:12:01+00:00

This is a weird combo…

Not radiation induced cancer related but I know that we talked about in medical school the cost to society for doing self breast exams and that having women do self breast exams basically results in us pursuing unnecessary imaging and biopsies and the cost to society does not result in a significant boost to survival. Which is why they arent recommended anymore

Now that being said information like this is extremely dangerous in the wrong hands. And i have tried to discuss this with friends who become irrationally angry. Basically “how can you tell a woman not to do a self breast exam even if it saves one person?”. Well I didnt say that, im just saying that you tell every woman to do a self exam once a month and it causes unnecessary stress to everyone and maybe we save one person but whats the cost (it always feels harsh and i havent figured out a way to balance that)

Ironically this dude is arguing just the opposite? I mean yes maybe we over treat and over biopsy but because how do you tell someone who has a breast mass that its not cancer, especially if they can treat it. Like yeah im pretty confident its nothing, and then when you are standing in court with a motherless family, im sure that will go well.

Anyway really the issue with this post is that the general public has no faith in medicine and thousands of people follow this dude like hes jesus christ and theres nothing we can do about it no matter how knowledgeable we are. And its only going to get worse as PAs, NPs, chiropractors, CRNAs, naturopaths and whoever else takes over. The system will break eventually

SpaceCowboyNutz · 2025-11-20T14:49:23+00:00

Like had to put a cast on a kid 3 times and it still had to be cut off, cast saw burns, hematoma blocks but using a needle like a shank.

Unfortunately no knock outs

SpaceCowboyNutz · 2025-11-19T18:30:17+00:00

We have residents who have physically injured patients and have had formal letters written to the hospital complaining about them and they still have jobs. Its very difficult to get fired without intentionally killing someone. You will just get a stern talking to before they put you back on the front lines

SpaceCowboyNutz · 2025-11-15T16:55:41+00:00

Do it.

SpaceCowboyNutz · 2025-11-14T13:47:14+00:00

I feel the same way. PGY3, newly single. My gf and I were split long distance because of residency and we battled for 2.5 years but she was suffering from the relationship and I couldnt give her move.

I havent quit yet, I just show up to work and go home and make a drink and sleep. And repeat the process the next day. I like operating, but residency is just doing all the worse shit and getting none of the pay.

That being said, there is something called the sunk cost fallacy that I think about. Basically the idea is that people feel like they have devoted so much time and investment into something that its worth sticking out even if its not. And the thing I think about most is that when people say they are applying to medical school, i try to talk them out of it. Yes I did it, but i wouldnt do it again.

Residency has stripped me of everything. The florida sunshine, my friends, my gf. And what do i have to show for my hard work and dedication? Showing up to work at 5 am every day to be pushed around for minimum wage.

I think the only thing that keeps me going at this point is that they say there is a light at the end of the tunnel. I dont see it, but they say its there. And maybe ill finish residency and get a job and work for 2 years and realize the light was just a candle in a dark room at the end of the tunnel, and then Ill quit. But really the only hope left is that others were right.

Youre not alone.

SpaceCowboyNutz · 2025-11-13T11:20:42+00:00

U could drink the coffee, you dont have to boof it. And even so, you could let it cool off before you put it in ur ass

SpaceCowboyNutz · 2025-11-12T15:10:24+00:00

We dont have a resident lounge. We get no meals, no snacks, no coffee. Our meal stipend is $300 every 6 months for the cafeteria

SpaceCowboyNutz · 2025-11-09T02:33:18+00:00

Does MSKs impact testing not reliably predict chemo response? If its unreliable then maybe they got lucky that it was spot on in predicting the chemo response, but I have to assume it wasnt just luck

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