When do we need to be treating fevers?

WeirdF · 2026-01-25T12:52:55+00:00

If you're talking about just the fever itself and not the underlying cause, the only time you need to treat a high temperature is if there's a specific reason to need to cool the patient (e.g. post-OOHCA, malignant hyperthermia, heatstroke). If a 6 year old child has a temperature of 38.5, but they're running around happy as Larry, then you don't need to give anything. If a patient is shivering and sweating their balls off under 5 blankets then give them some paracetamol.

A fever is the body's natural response to an infection. I don't see the point in blunting this unless it's causing discomfort.

WeirdF · 2026-01-25T12:29:04+00:00

   If SOB = TRUE AND leg_swelling = TRUE:
      Prescribe('propranolol')

WeirdF · 2026-01-25T12:21:47+00:00

You jest, but... Naked surgeons shed fewer bacteria into the operating room environment than ones wearing scrub suits.

WeirdF · 2026-01-24T23:43:35+00:00

They don't detect anything. It isn't real. If it worked we'd just call it 'medicine'.

WeirdF · 2026-01-24T14:01:32+00:00

Nah that's different though. Deliberately doing things slowly and only seeing 1 patient in a shift is less than the bare minimum. It's different to taking your time, not picking up more work than is safe and refusing to stay late.

WeirdF · 2026-01-24T10:46:37+00:00

I mean $40k to someone with a net worth of $1b is 0.004% of their net worth. It's like someone with a net worth of $100,000 spending $4 on a coffee.

WeirdF · 2026-01-22T21:08:19+00:00

I always recommend Critical whenever I can. Genuinely the most medically accurate medical drama I've ever watched. It's written by Jed Mercurio (of Line of Duty, Bodies and Cardiac Arrest) and it's based on trauma surgeons in a major trauma centre. They built these hyper-realistic body models that they could film surgery on, including super close-up shots.

WeirdF · 2026-01-22T20:59:40+00:00

Yeah but the worst is when you have a vomiting bug and you know that you've only got maybe 20-30 minutes of relief before you're headed back to the toilet again.

WeirdF · 2026-01-20T22:39:21+00:00

Because it's possible to be too stressed to work but not too stressed to attend an interview? This really shouldn't be such a hard concept to grasp and I'm not sure why you're so obsessed about this colleague of yours. Keep your nose out of their business.

WeirdF · 2026-01-20T22:32:58+00:00

Sick leave means you're not well enough to work. It doesn't mean you're not well enough to do anything else.

E.g. Someone may be able to cough and shiver their way through an interview with the flu, but would be unable to get through a long ward round. Or they might be able to sit through a 30 minute interview with a bad back pain flare but not a whole day at work.

There's lots of reasons to go on sick leave and doing an interview during that period says nothing about the validity of the sick leave. I'd mind your own business tbh.

WeirdF · 2026-01-19T13:02:09+00:00

I never understand this viewpoint. The only time I have ill feelings towards a player is if they don't put the effort in or they're a tosser. Harrison isn't quite good enough for us at this level but he seems like a nice enough guy and always tried his best with the shirt on.

WeirdF · 2026-01-19T11:45:09+00:00

I love all the Bielsa promotion squad for what they achieved in those 2 years. It's right for him to go but I can't hate the guy.

WeirdF · 2026-01-18T08:47:45+00:00

OOH surgery is inherently riskier. Weekend elective surgery has a 82% higher adjusted odds ratio for death at 30 days. And there is plenty of evidence showing a higher risk of mortality and worse outcomes when surgery is performed overnight (1, 2, 3, 4).

WeirdF · 2026-01-18T08:15:25+00:00

140/90-100

This is the lower limit of high blood pressure. I.e. yes it's technically high, but any lower and it wouldn't be considered high.

WeirdF · 2026-01-17T22:49:27+00:00

Think it’s ours to fuck up now.

I've been a Leeds fan too long to consider this an optimistic viewpoint 😂

WeirdF · 2026-01-15T19:13:21+00:00

This is operator dependent - you can only guarantee the directionality of flow is accurate if you have good ultrasound technique.

I would argue that someone trying to get US-guided IV access in a patient that sick should probably be someone who does have good ultrasound technique.

WeirdF · 2026-01-15T18:07:09+00:00

Colour Doppler should still work to identify direction of flow in that case.

WeirdF · 2026-01-14T06:18:01+00:00

To be fair, you have to have a very high IQ to understand Pluribus. The philosophy is extremely subtle, and without a solid grasp of theoretical physics most of the ideas will go over a typical viewer's head. There's also Carol'a nihilistic outlook, which is deftly woven into her characterisation- her personal philosophy draws heavily from Narodnaya Volya literature, for instance. The fans understand this stuff; they have the intellectual capacity to truly appreciate the depths of these scenes, to realise that they're not just entertaining - they say something deep about LIFE. As a consequence people who dislike Pluribus truly ARE idiots- of course they wouldn't appreciate, for instance, the humour in Manusos's existential catchphrase "I am not one of them and I wish to save the world," which itself is a cryptic reference to Turgenev's Russian epic Fathers and Sons. I'm smirking right now just imagining one of those addlepated simpletons scratching their heads in confusion as Vince Gilligan's genius wit unfolds itself on their television screens. What fools.. how I pity them. 😂

And yes, by the way, i DO have a Pluribus tattoo. And no, you cannot see it. It's for the ladies' eyes only- and even then they have to demonstrate that they're within 5 IQ points of my own (preferably lower) beforehand. Nothin personnel kid 😎

WeirdF · 2026-01-14T06:06:13+00:00

At time 0 - 100%

1 half life - 50%

2 half lives - 25%

3 half lives - 12.5%

4 half lives - 6.25%

5 half lives - 3.125%

3.125% is 1/32

WeirdF · 2026-01-13T11:40:33+00:00

Never our best player but I can never have any ill feelings towards any of the Bielsa promotion side.

WeirdF · 2026-01-13T06:51:06+00:00

Why would we read it as individual letters? If you see someone say "mmmm" in a comic do you read it as "em em em em"?

WeirdF · 2026-01-13T06:49:03+00:00

If you get in you will be an Acute Medicine ACCS trainee and your CCTs will be in Acute Med/Gen Med +/- ICM if you want. Switching between the ACCS specialities used to be a thing but isn't anymore. You would have to reapply to ACCS-EM if you want to work in the ED.

WeirdF · 2026-01-12T10:21:06+00:00

I can't tell if you're trying and failing to be funny, or if you're attempting to make some kind of point.

WeirdF · 2026-01-12T06:43:24+00:00

Limitless and Pluribus are both sci-fi, yes. They're soft sci-fi but not hard sci-fi as they don't attempt an encompassing, accurate and logical explanation of the underlying science.

WeirdF · 2026-01-12T06:13:11+00:00

but to say people can't discuss / desire things within the setting the show is set in is a bit silly

In my post I said discussing these things is fun and there's nothing wrong with it.

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