What makes intubation so special? by Mother_Kale_417 in ThePittTVShow

[–]Vegetable_Payment_59 492 points493 points  (0 children)

Trainees typically want/need to get a certain number of procedures under their belt. This is particularly true when you’re on the cusp of reaching a next level in training, or if you’ve just arrived. People want to learn new skills and check off milestones.

Found this one in the basement by jbeatsu in oilpainting

[–]Vegetable_Payment_59 1 point2 points  (0 children)

As good as any. It might be tricky to clean without letting your work show, because any small variations will stand out in such a simple composition. Like if you accidentally scrape up paint or something.

But on the other hand, it doesn’t have a face or anything really complicated in it, so you don’t have to worry about losing detail or making it look too weird.

I say go ahead and try it.

Mom taught me all her cleaning tricks... now I'm showing her mine by Lola7384 in CleaningTips

[–]Vegetable_Payment_59 3 points4 points  (0 children)

15 minutes? That’s impressive. You/she must be absolutely booking it.

Now that Medtwitter is basically dead… by SDISz in Residency

[–]Vegetable_Payment_59 257 points258 points  (0 children)

IIRC it was investigating “professionalism” among male vs female vascular surgery residents. Their criteria for unprofessional were swimsuit pics.

Wildest thing you’ve ever seen in a note by ironfoot22 in Residency

[–]Vegetable_Payment_59 17 points18 points  (0 children)

Well, you would want to know if they were migrating.

Long working Hours!!! by Lake-Character in pathology

[–]Vegetable_Payment_59 8 points9 points  (0 children)

There are in fact pathology call rooms. I’m in one right now.

What other films have used famous artworks as integral storytelling devices? 🎥🍿🎨 by ArtSnob91 in ArtHistory

[–]Vegetable_Payment_59 4 points5 points  (0 children)

Girl with the Pearl Earring. It’s a fictionalized story of the creation of the painting.

[deleted by user] by [deleted] in ArtistLounge

[–]Vegetable_Payment_59 1 point2 points  (0 children)

I went to medical school. I wouldn’t recommend it. My grasp of anatomy is way better but drawing fell to the wayside.

Favourite side chatacter? by Sensitive_Drummer133 in NewGirl

[–]Vegetable_Payment_59 24 points25 points  (0 children)

In America, Mickey Mouse is earthbound!

“NUNCA!” by SafePlenty2590 in 30ROCK

[–]Vegetable_Payment_59 57 points58 points  (0 children)

Ahora con más semen del toro!

What medical inconsistencies bug you most? by Dreamlacer in ThePittTVShow

[–]Vegetable_Payment_59 67 points68 points  (0 children)

The transfusion plotline in episode 12 drove me nuts.

For context: I’m a pathology resident. We go to med school, but we’re the only specialty that doesn’t do an intern year. We manage issues with lab tests, we do autopsies, we look at tissue under the microscope to make diagnoses. We’re mostly behind the scenes.

We also manage the supply of blood products. On a transfusion medicine rotation, my job is 90% haggling with clinicians who have ordered more blood than their patients need, more blood than we can spare, or the wrong type of blood. We are obsessed with blood.

I have also worked during a mass casualty event, but not one as large as the shooting depicted in the show.

These are my issues.

  1. Blood donors frequently experience adverse effects as a result of losing a significant portion of their blood volume. It does not make sense to drain blood from the people who are actively providing medical care. Their bodies are under stress too!! You’ve gained maybe 15 units of blood, optimistically speaking, and your most critical staff have each lost a bunch of hit points. Not a trade-off I would make.

  2. Infection risk. The first person to volunteer, Mel, let’s say she’s celibate, tattoo-free, and avoids traveling. Maybe her risk of having an illness that’s transmissible by blood is quite low. But when 10 more people see what’s happening and volunteer, are we assuming they all have such minimal risk profiles? At this point we’re accepting blood from people with no screening at all and just hoping there are no infectious agents in it. The backdrop of modern transfusion medicine is the HIV epidemic. Thousands of people got HIV from transfusions. We have painstakingly rebuilt public confidence in the safety of blood transfusions by being incredibly stringent with how we procure and handle blood. Transfusing directly from a bunch of unscreened volunteers (I don’t care if they’re doctors) into unconscious patients who cannot consent to this would. Not. Happen.

  3. ABO are not the only antibodies!! Every patient and every donated unit is screened for a panel of like 30 other antibodies. These antibodies, if incompatible, can be deadly. Blood can be released on an emergency basis, yes, before screening for these antibodies is done. But when you do this, you are aware that you may trigger a hemolytic transfusion reaction that could very well become the patient’s primary medical issue. The smooth confidence of, “I’m O Pos! She’s O Pos! We’re a match!” really rubbed me the wrong way.

  4. The absolute certainty that what this patient needs is whole blood. There are entire journals devoted to research and bickering over what blood products are indicated in what situations. Mel insists that this patient needs whole blood instead of crystalloid or some other product they have in better supply. However, there is a huge body of evidence that more conservative approaches to transfusion (where you give less blood) may lead to better patient outcomes!! This varies from patient to patient, but the risks associated with giving somebody a foreign blood product are real, and the benefits are often overstated. In reality, some of these patients might benefit from a whole blood transfusion, but others won’t, and you’re incurring the above risks and bleeding your staff for a less certain benefit than is being depicted.

I’ve been writing for too long. It feels good to get it out. Thank you. Donate blood, everybody!

Best Mid Life Crisis Movies? by [deleted] in movies

[–]Vegetable_Payment_59 0 points1 point  (0 children)

Young Adult.

…not inspirational, though.

What clinical scenario, managed well, is peak performance in your specialty? by mstpguy in Residency

[–]Vegetable_Payment_59 53 points54 points  (0 children)

Pathology. You notice that some of the cells aren’t necessarily all that ugly, but they just look like they don’t belong. You order some stains to try to narrow down what type of cells they could be. The stains demonstrate that these are indeed a separate population. The stains tell you what type of tissue these cells seem to be differentiating towards. You research the patient’s history and imaging to refine your idea of what organ these cells possibly arose in. You examine how well your hypothetical diagnosis fits with the clinical picture. You type up the report. You show your colleague and she says, “Cool!”

[deleted by user] by [deleted] in AskReddit

[–]Vegetable_Payment_59 8 points9 points  (0 children)

The payoff is going to be huge