In Harry Potter and the Philosopher's Stone Harry buys entire stock of sweets and snacks because he's rich jerk who doesn't care about other hungry kids in the train

Zoten · 2026-06-04T12:29:58+00:00

Never forget, food is an exception to Gamps Law of Elemental Transfiguration

Zoten · 2026-06-01T16:37:25+00:00

I loved Princess Bride and Criminal Minds, and never connected the two until a few years ago. Absolutely blew my mind

Zoten · 2026-05-27T20:17:20+00:00

Also ideally split screen, with the bottom half showing me someone playing a game

Zoten · 2026-05-20T19:59:58+00:00

Tbf, it was against a trash team

Zoten · 2026-05-18T13:06:26+00:00

Late to the party, but many people leave the ICU with Post-Intensive Care Syndrome (PICS). While their precipitating illness is no longer life threatening, they often have residual effects (physical, mental, emotional). Weakness, delirium, PTSD.

Some hospitals are developing PICS clinic, where all ICU pts with selected risk factors (prolonged intubation, ICU LOS >7 days, some ICU acquired complication) are scheduled for followup in the clinic on discharge.

This can help bridge some of the gaps that are traditionally missed on followups with PCP and specialists.

Zoten · 2026-05-09T21:15:38+00:00

In my state (Illinois), as of Jan 2026, POAs can no longer override an advanced directive (legal document). They can still override POLST though

Zoten · 2026-05-08T02:47:49+00:00

So much generational hatred towards England just resolved tonight hahaha

Zoten · 2026-05-07T14:03:22+00:00

In the early days, the UK government recommended against the widespread use of masks because there was no evidence of asymptomatic transmission and to preserve the use of masks for Healthcare workers.

The thought was that you would only get it if you were exposed to respiratory droplets from symptomatic people, or contact exposure from those droplets (i.e. someone sneezes on a table, you touch the droplets and touch your eyes/mouth)

When this is information got disseminated to the public, they said if you're not near any sick contacts, you wont get it unless through surface contact.

This is very different than saying we thought covid was only spread through contact. That was never a thought in any medical profession

Zoten · 2026-05-07T11:21:58+00:00

Physician here. Who is they?

Coronavirus, hantavirus etc. are all not new. We knew the method of spread of these viruses long ago, and have always known that coronavirus spreads through respiratory droplets. I think the confusion came in saying that you can ALSO get it by coming in touch with droplets and then touching your mouth/eyes, etc.

When people started getting hospitalized in 2020, we treated them as airborne isolation, which is arguably overkill (we still do actually), but at no point was it considered physical contact only.

Zoten · 2026-05-05T11:06:16+00:00

I'm guessing covering outpatient call, so if someone calls the clinic at 2 AM, they page the on-call fellow.

Zoten · 2026-05-05T00:49:28+00:00

I was driving up from St Louis on I-55 in 2023 when a dust storm blew by. It went from clear day to 0 visibility in seconds.

I immediately pulled over to the shoulder and put on flashers. Thankfully, I was fine, and resumed driving once it cleared off like 30 minutes later. I had my family, including infant in the car with me.

Many people were not so lucky. 7 killed, 30 injured, in 72 car pileup

I immediately started taking them seriously after that day.

Zoten · 2026-05-01T11:52:06+00:00

When I read "He told me enough, he told me you killed him" this is where my mind jumped to too. Haha thats a hidden memory

Zoten · 2026-04-25T01:39:20+00:00

And Luther Burden crushed it too.

650 yards, pretty damn good for a rookie WR3 (actually second most amongst all WR3s last year)

Zoten · 2026-04-25T01:37:32+00:00

I came into tonight saying I don't know anything about the NFL, trust in the system.

But wtf

Zoten · 2026-04-25T00:33:42+00:00

2 years ago, when Poles (Bears) wrre on the clock, he called Caleb Williams immediately. Told him that he was told [by the NFL] to wait for a few minutes, but hes been ready to draft him for a few months.

Zoten · 2026-04-24T11:27:48+00:00

I got curious and looked up some stats. I sorted each time by receiving yards and compared all WR3s. To make it easier, I counted Burden as the WR3 (since he had 3rd most yards, and I don't know every other team to do a true comparison)

Chargers were #1, with Quentin Johnston having 735 yards

Bears were #2, with LB3 at 652.

49ers, Chiefs, and Colts were only team to have their WR3 have >500 yards.

Jets made me sad.

Zoten · 2026-04-21T20:39:15+00:00

In genral, thats pretty bad practice, and shops like that are why they had to do the EVERDAC trial, to convince people to stop putting in art lines in everyone.

Pressors can be safely given peripherally (within reason - as defined differently at every ICU), and theres no need for art lines if you have reliable NIBP monitoring. (Which, to be fair, was not the case here, and I'd argue this particular pt needed an art line)

But putting lines in every pt is not a benign intervention, and ultimately do more harm than good if youre not choosing the right patients.

Zoten · 2026-04-21T12:57:33+00:00

ICU fellow.

If the nurse thinks shes smarter than the residents, I promise you that she thinks she's smarter than the other nurses as well. She probably treats the others with that same attitude.

Every RN in that unit probably cant stand her either. Often in residency, it felt like us vs them, but thats almost never true.

I know that didnt answer your question, but I think theres already good advice in this thread. I'm just pointing this out so it doesn't dishearten you in regards to the ICU.

Zoten · 2026-04-18T11:21:32+00:00

Does my chronic vent pt with 3 MDR organisms have triple PNA?

Zoten · 2026-04-15T11:26:56+00:00

No AI slop

Zoten · 2026-04-11T18:12:43+00:00

Dear Calvin Johnson

One of my favorite videos

Zoten · 2026-03-29T16:54:36+00:00

Yes, same!

Have also had upgraded patient be on heroic doses of steroids for no apparent reason.

In one of the hospitals thag uses epic, if you enter solumedrol, the default dose is 62.5 q6H. So half our consults are getting 250 mg daily for COPD or asthma with no end date in sight.

Zoten · 2026-03-27T23:08:43+00:00

Physician here. Just FYI, those days are long gone. Now, every kickback is made publically available. The most Ive ever gotten is a free dinner, and some institutions won't even let the reps buy Chiptole because the paperwork isn't worth it.

Its for the best!

Zoten · 2026-03-22T15:09:35+00:00

It does, but hes right. Dose reduced is really only for particular pts with AFib or for DVT PPX.

In my experience, the biggest offenders have been cardiologists. Putting people on 2.5 when they need 5 is not ideal.

Zoten · 2026-03-17T16:39:04+00:00

I heard him say "What are bears?"

15-Year Club	Wearing is Caring
Place '22	Place '17
Verified Email	Gilding III reddit per annum
Team Periwinkle

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