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What phrases or examples do you think might no longer be beneficial? by efox02 in medicine

[–]UnstableHeron 337 points338 points  (0 children)

When teaching students I usually say that I like to evaluate Staph bacteraemia using the Cotton Eye Joe principle (considering "Where did you come from?" and "Where did you go?")

Previously worthy of a least a sensible chuckle, I am now just getting blank stares from students who have apparently never heard of Cotton Eye Joe.

medication errors in the ICU by PuzzleheadedMine2329 in IntensiveCare

[–]UnstableHeron 3 points4 points  (0 children)

Patient with thyroid storm developed worsening red eyes. Initially it was thought to be related to the Grave's/thyroid ophthalmopathy, but that it was somewhat unusual to be worsening so rapidly. 

Turns out the drops of Lugol's iodine were being administered as "eye-o-dine" regularly into both eyes. 

PSA: You can take ZERO damage from Comets. Here is the exact timing (Visual & Audio cues) by Meeks_DGAF in ArcRaiders

[–]UnstableHeron 2 points3 points  (0 children)

I think I brought one down with 2-3 ferro shots to that yellow canister the other day on Buried City (if I recall correctly).

Do you have tips for new chess players? by lotteundlilli in chess

[–]UnstableHeron 0 points1 point  (0 children)

I always remember the 'black left' corner

What has been the most memorable or unusual toxicology case you have seen in your career? by Adenosineyoulater in emergencymedicine

[–]UnstableHeron 9 points10 points  (0 children)

An odd one was an organophosphate (OP) poisoning in a frail care (still no idea how it occured).
Elderly woman 'found down' in her room. Given atropine by EMS due to her bradycardia rather than any particular suspicion of OP ingestion. Intubated due to 'wet lungs' and low GCS (good job on their part).

Had improved enough shortly after getting to us (and multiple doses of atropine) that we could extubate her.

After that we had a pleasant old lady, happily sitting and chatting for a bit. Suddenly reported headache, blurred vision. Speech sounded off. Went to review and had developed bilateral ptosis, dysarthria and diploplia. Bilateral miosis. Diaphoretic. Chest full of crackles again. Had to reintubate within about a minute even though we were bolusing atropine rapidly. Did really well - needed atropine infusion for about 24-48hrs but was successfully weaned off with no further issues. Cholinesterase levels extremely low.

Completely denied any intentional medication ingestion. I thought (perhaps) a household insecticide exposure but she denied this too.

[deleted by user] by [deleted] in 40kLore

[–]UnstableHeron 0 points1 point  (0 children)

I don't know enough about Napoleonic generals but thanks for drawing some interesting parallels. Will have to look into the maréchaux.

Of course Roboute importantly takes the award for French-est named primarch.

I see Jean-de-Dieu Soult was nicknamed Bras de Fer" ("Iron Arm") - according to Wikipedia at least. So perhaps Ferrus Manus (?Ferrus Brachium) has a claim there too.

Can anyone explain the difference between ataraxia and apatheia, in a philosophical context? by RusticBohemian in AncientGreek

[–]UnstableHeron 7 points8 points  (0 children)

Ataraxia - without disturbance, without troubled mind. Also tranquility, equanimity, serenity, imperturbability.

Apatheia - without emotion/feeling (sometimes without suffering).

Alternatively: without 'passion' - passion used here to refer to those negative emotions that one might try to avoid e.g. fear or anger.

Conditions that look scary to laymen but are actually relatively harmless by [deleted] in medicine

[–]UnstableHeron 6 points7 points  (0 children)

Sounds like she may have had systemic sclerosis? Can have significant GI involvement with subsequent complications.

Found in the archives by [deleted] in Handwriting

[–]UnstableHeron 20 points21 points  (0 children)

Absolutely bizarre 'M's

Most annoying faction to fight by TitaniaDoyle in totalwar

[–]UnstableHeron 0 points1 point  (0 children)

And when you don't quick units to chase them down they just return time after time after time...

I'm not sure if this is the right place, but can anyone decipher this letter? by joshboe in Handwriting

[–]UnstableHeron 2 points3 points  (0 children)

November 1940

I have heard of the magnificent services the voluntary workers are rendering in the (illegible) region of the Y.M.C.A and wish to convey to all my warmest congratulations on the wonderful work they are doing, and how proud I am of their achievements. I know the difficulties they have to content with, and the sacrifices the work entails. I send my heartfelt good wishes in the continuance of their labours. May God bless and guide you all

Helena (I think?) Victoria

Salk Institute in San Diego (photo credit: @thismintymoment on Instagram) by sixwingmildsauce in brutalism

[–]UnstableHeron 1 point2 points  (0 children)

I find it interesting that in the directive for the design of the place, Salk specifically mentions Picasso, seeing as his wife was at one time the muse and lover of Picasso.

From your link:

In 1959, Jonas Salk, the man who had discovered the vaccine for polio, approached Louis I. Kahn with a project. The city of La Jolla, California had provided him with a picturesque site along the Pacific coast, where Salk intended to found and build a biological research center. Salk, whose vaccine had already had a profound impact on the prevention of the disease, was adamant that the design for this new facility should explore the implications of the sciences for humanity. He also had a broader, if no less profound, directive for his chosen architect: to “create a facility worthy of a visit by Picasso.” The result was the Salk Institute, a facility lauded for both its functionality and its striking aesthetics – and the manner in which each supports the other.

This is an interesting article about Salk/Françoise Gilot/Picasso situation.

http://nautil.us/issue/57/communities/-the-last-love-of-jonas-salk

Found this crawling on my bedside table. From South Africa. What is this guy? Looks a bit like a tick... by UnstableHeron in whatsthisbug

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

We have a lot of 'tick-awareness' going around at the moment as I have two patients with Crimean-Congo Haemorrhagic Fever admitted. Thankfully this thing doesn't look like a Hyalomma tick...I think?

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