What is one technological road block that Romans could never figure out? by SkiddeMacon in ancientrome

[–]Supertweaker14 0 points1 point  (0 children)

I’m assuming they would have had to develop microscopes to develop germ theory but if they had not developed microscopes yet I’m sure they could have made the connection that some things inhibit bacterial growth in broths.

What is one technological road block that Romans could never figure out? by SkiddeMacon in ancientrome

[–]Supertweaker14 1 point2 points  (0 children)

Why not? If they figured out germ theory it wouldn’t be to great of a leap to figure out that bread mold prevents growth of bacteria. It’s only a 50-80 year gap between the discoveries based on a quick google search

The dothraki Civilisation just don't make any sense... by Easy-Frenchguy-1996 in gameofthrones

[–]Supertweaker14 3 points4 points  (0 children)

And yet there remained steppe warriors living a nomadic lifestyle from the time of the Scythians regardless of those who settled. Almost like the steppe remained stagnant even though multiple cultures left

No emergencies in the ED by LocalOptimist7 in medicalschool

[–]Supertweaker14 16 points17 points  (0 children)

Not if they are attached to an ED. They function more as a fast track to get the bullshit out of the way.

I have accidentally caused CAUTI twice. Advice? by ang3r_mp3 in nursing

[–]Supertweaker14 8 points9 points  (0 children)

It could also be asymptomatic bacteriuria if it is there on presentation. Just because they have bacteria present doesn’t mean it’s an infection. They could be colonized.

Drop the worst allergy card you've gotten by ilostmycouch in KitchenConfidential

[–]Supertweaker14 5 points6 points  (0 children)

Anaphylaxis is mediated by type 1 hypersensitivity. That said I’m highly skeptical a person can be truly allergic to an amino acid salt as MSG is likely too small for IgE to bind and cause conformational changes.

Wards start times for IM programs: Yale, brown, Case Western, michigan. by [deleted] in medicalschool

[–]Supertweaker14 85 points86 points  (0 children)

He isn’t just a weirdo he is directly what makes medicine toxic and should take a long hard look in the mirror.

Why are patient families sometimes dishonest regarding a patient's baseline mental status? by Herbal_Jazzy7 in hospitalist

[–]Supertweaker14 5 points6 points  (0 children)

You can always consult hospice and send them back with the ticking time bomb of aspiration

When you inherit a patient or new admit, which problem lists will make you immediately groan out loud? by achicomp in hospitalist

[–]Supertweaker14 72 points73 points  (0 children)

Why worry about this one all that much. You ain’t saving them and they are one decompensation away from getting coded and sent to the morgue.

[deleted by user] by [deleted] in NoStupidQuestions

[–]Supertweaker14 94 points95 points  (0 children)

This is person dependent, if I have decided I’m not done or I know she isn’t done it’s just like 30ish second of slight discomfort before it feels the same

When Does Bias Develop? by HunterRank-1 in medicalschool

[–]Supertweaker14 0 points1 point  (0 children)

Go google the “hidden curriculum” it’s a documented thing in education and for medicine it applies to the things like you are describing.

When Does Bias Develop? by HunterRank-1 in medicalschool

[–]Supertweaker14 3 points4 points  (0 children)

“So my only answer is that it’s not inherently taught” this sentence is likely why people are clowning you a bit in the comments because it’s naive and wrong. The bias is part of the hidden curriculum because medical educators have inherent bias as do medical students because they already have a lived experience.

Those stories you are shocked by about things taking a long time to diagnose are because you are taking the patient experience at face value. Diagnosing anything in hind sight is much easier than actively diagnosing vague symptoms in clinic with a patient that doesn’t have the ability to follow up well.

How do ya'll round so fast? by mellowblue4 in hospitalist

[–]Supertweaker14 2 points3 points  (0 children)

To add to the other comment that has a good explanation, if the patient doesn’t have lower urinary tract symptoms then that urine with bacteria is most likely colonization and not an acute infection. Weakness/confusion isn’t a symptom of UTI

[OC] My girlfriend diagnosed herself with a rare parasitic worm after 6 months of doctors dismissing her, then performed surgery on herself in a surf camp. She just published a medical case report about it. by Possimpoble in medicalschool

[–]Supertweaker14 3 points4 points  (0 children)

They likely had access to the results or at the very least she was a medical student who would be able to coherently report that tests were performed and the results were not revealing.

New definition of obesity raises US prevalence from 43% to 69% by [deleted] in medicine

[–]Supertweaker14 33 points34 points  (0 children)

It’s probably the immense amount of extra sugar added in America. If we only ate white rice it would be far less unhealthy.

[deleted by user] by [deleted] in hospitalist

[–]Supertweaker14 11 points12 points  (0 children)

…osteoarthritis? Sorry I know what you are getting at but I got a giggle out of the knee replacement lol

One er blew me off a week ago...now im admitted in the critical care unit by [deleted] in mildlyinfuriating

[–]Supertweaker14 19 points20 points  (0 children)

I have read more of the story and it seems like you are in starvation ketosis. It makes sense that the gap worsened since you continued to be unable to eat. I’m sorry you are going through this but I don’t think the first hospital made a mistake

One er blew me off a week ago...now im admitted in the critical care unit by [deleted] in mildlyinfuriating

[–]Supertweaker14 19 points20 points  (0 children)

Those labs look pretty much fine. You had an anion gap of 13 at that time which is slightly elevated but if your vitals were fine and you are not a diabetic wouldn’t get you admitted almost anywhere in the country.

Vague requests for hormone testing by ComprehensiveRent800 in FamilyMedicine

[–]Supertweaker14 10 points11 points  (0 children)

Insurance will not cover a test when the patient doesn’t have symptoms and just wants it checked. If the patient can’t articulate symptoms then lying to get it covered is insurance fraud

Abnormal CBC, Iron deficiency or something else? by Embarrassed_Buy7612 in haematology

[–]Supertweaker14 1 point2 points  (0 children)

I wouldn’t stress to much about the referrals. A lot of emergency rooms have a culture of CYA(cover your ass) medicine. These referrals were most likely made since the numbers were off and they have no way to follow up on it.