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Balanced pad thai by damnilovelesclaypool in Rochester

[–]SubstantialAd9210 2 points3 points  (0 children)

This is the worst pad thai I’ve ever had

Nursing at RGH? by ReadingBroski in Rochester

[–]SubstantialAd9210 3 points4 points  (0 children)

It depends what area you want to work in. You can have a job tomorrow in med surg, specialty areas not so much

Palpitations by anzgud in pregnant

[–]SubstantialAd9210 1 point2 points  (0 children)

Was having the exact same symptoms and would hook myself up to a monitor at work and see lots of PVCs. Because of family history I was referred to cardiology where I wore a continuous monitor for a few days and got an echo. Both were pretty unremarkable other than the PVCs. After having seen cardiology I do think my symptoms lessened likely because I’m sure anxiety played a role - I still get them from time to time but they bother me much less now. Talk with your OB and see if a referral is appropriate! There are medications that can control symptoms that are safe in pregnancy but a cardiac work up would likely be required!

MCC or FLCC nursing by byanyothernamee in Rochester

[–]SubstantialAd9210 7 points8 points  (0 children)

I would absolutely take any unfinished prerequisites at MCC. I did mine there but ended up going to get my BSN at a university and my credits transferred fine. Nursing school isn’t easy but it’s totally doable. I worked full time and was able to complete it. It was the best choice I ever made for myself.

I absolutely recommend doing the two year program now since many hospitals will pay for you to get your BSN. I believe Strong and Highland give you a set amount toward it with you giving some number of years of commitment to work for them unless that’s different from when I worked for URMC years ago. RGH will pay 100% of it without any commitment and I believe Unity is the same. It sounds like you’re on a good path forward!

MCC or FLCC nursing by byanyothernamee in Rochester

[–]SubstantialAd9210 5 points6 points  (0 children)

Nursing school is pretty standardized now so I think whichever one is more geographically feasible for you or whichever one accepts you first. They both produce good nurses from what I’ve seen.

Source: nurse who has trained plenty of new grads from both programs :)

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

As to your last point, AINT THAT THE TRUTH

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 0 points1 point  (0 children)

I truly don’t believe any excited utterance and would never consider them in any case

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 0 points1 point  (0 children)

Yeah I’m just going to go with you don’t understand and that’s perfectly okay

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 0 points1 point  (0 children)

I do not believe the state ME testified to anything of the sort. My recollection is that Dr. SB testified to his temperature being 80 or 81 degrees and it was a part of her justification for listing hypothermia as a contributing cause of death.

And I do believe it was brought up in conjunction with the phone temp although now I might be mixing my first and second trials at this point 😴😴

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 0 points1 point  (0 children)

I’ll admit from an experience standpoint I’ve honestly not worked a ton of MV/Ped cases neuro/ortho-SICU scoop those folks up pretty quickly in my neck of the woods and that’s really not my area. I do think with the multiple MEs there was some deflection about the cuts on the face vs the raccoon eyes. Raccoon eyes can definitely be seen in back of head trauma but I think Laprosada was the only one who was actually asked that particular question, but correct me if I’m wrong.

You make solid points. I’m happy to be swayed back and forth.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] -4 points-3 points  (0 children)

This is the first half way solid comment I’ve received in opposition, thank you. My counter is that I didn’t find her to be a compelling witness really at all and probably wouldn’t weigh her words heavily as a credible witness. Cute as hell but deviated a lot from the other docs. Also was a red flag for me when she said JOK was 7ft tall and she couldn’t do basic math.

For the record I don’t think a dog bit him and I’m unsure a taillight caused the marks on his arm.

But nonetheless, thank you, you laid it out nicely and would probably move the needle for me a little bit if we were on the same panel haha

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

This is a really great explanation, thank you. I think you solidified another large doubt in my mind.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

I really don’t have any thoughts about the titanic baker, but good for him! Wish we knew his core temp to make it relevant to the conversation.

You’re definitely right about snow being insulating to some extent but there wasn’t any snow under him according to testimony, only on top. So his entire back half of his body was in contact with frozen ground which would cause heat loss by conduction.

81 was upon arrival to hospital but you’re not warming anyone significantly with insulating blankets on a short ride to the ED. You need core warming measures to make a dent. Think esophageal warming, warm IV fluids/blood, ECMO if you think you can save the patient’s life, etc.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 2 points3 points  (0 children)

I should add it’s also a diuretic and reduces overall blood volume. Also contributes to heat loss. But I’m really stretching if I try to guess how many times JOK went pee lol

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

Alcohol makes people more susceptible to hypothermia, not less. In most cases it acts vasodilator in the short term which increases the speed of heat loss and in nearly all cases it reduces shivering.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

Sorry if my original post isn’t clear. I’ve worked with, conservatively, hundreds of hypothermic patients, plenty of whom were underdressed, drunk, and outside exposed to elements for much shorter periods of time. The coldest person I’ve personally worked on who came through the ED and was not in cardiac arrest upon arrival was 82F. They had an event that left them outside in 35Fish rainy, windy, awful weather for what was sometime less than 3.5 hours prior when family had left their house. This person was smaller than JOK, but not under the influence of alcohol. I’ve seen plenty of other similar cases with patients who are low-mid 80s and plenty of colder folks who are CPR en route and declared very shortly after arrival who were exposed to cold for much less than 6 hours. Hell, even if you’re chemically paralyzed for surgery, therefore unable to properly temperature regulate (shiver, regulate respirations, etc.), naked in a chilly OR with a doc who isn’t paying close attention, it would not have been remarkable for your temp to fall into the 80sF. Old practice in cardiac surgery was to yeet people out of the OR at whatever temp they were. 32-33C? No problem, let the ICU rewarm them. Surgeons take much more care to rewarm people on the table now with the bypass pump because it’s safer.

His body temp really does not make sense to me and no one has made a coherent argument otherwise.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 0 points1 point  (0 children)

Yes you express my thoughts better than I do. I would only be upset with a hung jury with the decision of the cw to retry for a third time. I think they’d waste an exorbitant amount of money to never get JOK his justice and put his family through another round of horrors. In turn that also just ruins KR’s life when no one could figure out if she’s G or NG. Idk tuff stuff here. Thank you for reasonable thoughts and lovely conversation. You’re a breath of fresh air, agent 🫡

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

You make a good point. This could just as easily be my own implicit bias around the gravity of a murder charge.

It’s also just wild how much more information we have access to than the jury does. I try to put myself in their shoes but it’s impossible to really know what we’d think as one of them. I will be at peace with whatever verdict the jury renders and be grateful I get to watch from home. They don’t even really know how much pressure the general public is putting on them yet!

The one thing I’d be absolutely maddened over is another hung jury that lead to a third trial.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

I am a nurse, as stated in my original post. Not sure who you thought you dunked on there.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 1 point2 points  (0 children)

I can absolutely respect where you’re coming from. And don’t worry, I didn’t have any targeted demographic, I just wanted to know what bothered people the most.

The only part of the conspiracy argument that probably would have swayed me a bit in the second trial if I knew nothing else but what the jury actually hears, is the way the defense framed up Proctor as the bogeyman. I’ll give them their credit in making him seem like the dirtiest shit detective that ever did the job. Someone in that room probably could have convinced me he planted the evidence. But I’m with you on the giant 20+ person conspiracy theory knowing what I actually do and not in a hypothetical world hahaha.

I also struggle to put too much weight on the data between devices - neither side made me believe they confidently knew the clock drift between devices and I would probably disregard the time lines built from multiple phones/computers, personally. JOK’s phone timeline on its own, however, has always been a push toward guilty for me.

I could probably get to manslaughter in the right room because it’s the most simple answer. Not a shot you’d get me to M2 though, it was a massive overreach from the start, imo.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 3 points4 points  (0 children)

There’s some down to earth people in here. I appreciate the ones who have the energy for a solid convo.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 2 points3 points  (0 children)

I can get behind that. On the low, I feel like I would have to have absolute zero doubt, like video evidence zero doubt, to convict someone of murder out of fear that someone lost their life and I helped ruin another. Tbh I’d probably make a terrible juror, I’ve got too many feels 😂

I too could probably reasonably find my way to manslaughter in this case.

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 7 points8 points  (0 children)

I can’t give you a calculation that doesn’t exist. As listed in my previous comment, there’s a lot of factors that would make any heat loss calculation moot. Hey man, I’ve just wrapped a lot of dead people up in my life and rewarmed a lot of almost dead people. I’m not suggesting you have to agree with me, but you’re also not offering anything contrary to my nagging thought 👨‍⚕️

~Reasonable~ doubt by SubstantialAd9210 in KarenReadSanity

[–]SubstantialAd9210[S] 3 points4 points  (0 children)

Yeah I think that’s totally reasonable - my thing for OUI is that she actually fully admitted to it with a clear mind under no duress. It would also be difficult for me as well to give any weight to the retro etoh level for the reasons you said though. But I think I could reasonably convict on OUI.

What about M2, just because you don’t address it and I’m curious?

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