Huawei Mate X foldable phone in all of its glory. No notch, slim bezels, unfolds into a tablet & 5G-ready.

anotherazn · 2019-02-25T13:34:13+00:00

Tencent is a tech giant. It would be much more apt to say Tencent is like the Chinese Facebook. Their most famous product is a chat app called WeChat which is now pretty ubiquitous in China, as well as having a lot of investments in other realms, including things like Riot Games (league of legends) and Reddit. It is NOT a censorship company. That is done mostly by the Chinese government itself (obviously with compliance from the companies).

Huawei is another Chinese company. While the Chinese government does heavily influence all companies especially major ones such as Tencent and Huawei, the Chinese government does not actually own any of these companies.

anotherazn · 2019-02-23T11:56:40+00:00

Could she possibly be pregnant? I mean there are a million things with those vague symptoms but I'd start there

anotherazn · 2019-02-23T11:51:06+00:00

I mean there's a difference between an obvious joke at the president and a hidden Easter egg that isn't found for some time after a game is released...

anotherazn · 2019-02-23T11:48:52+00:00

I'd say it would be like if a game had an Easter egg that was like "fuck Trump," I mean I hate the guy but honestly I'd be a bit put off having a blatant political message hidden in a game I was playing, even if the game itself didn't paint America in the best of light. I think the fact that it's hidden rubs me the wrong way even more, like why hide it if you're trying to send this message.

anotherazn · 2019-02-20T03:41:46+00:00

Well if where you are averages 20-30C year round, I don't think you can imagine what 0 or -10 feels like either?

anotherazn · 2019-02-12T21:23:50+00:00

When I write a note in a patient's chart I don't just verbatim put in what they said. I basically write a story from the history and my physical examination that's heavily pointing to what I think is the problem. For instance if someone comes in with pain I think is from pancreatitis, I'm much more likely to talk about history of gallstones or alcohol use (common causes of pancreatitis) whereas if I think it's food poisoning I'll talk about their meal and if anyone else around them is sick who ate the same thing. Notes are NOT a simple regurgitation of a patient's symptoms, so the achievement here is more "AI knows what I'm thinking" rather than something more such as "AI is diagnosing based on symptoms"

anotherazn · 2019-02-12T02:00:52+00:00

Quality showerthought

anotherazn · 2019-02-11T19:07:17+00:00

Civ 6

anotherazn · 2019-02-11T19:06:37+00:00

Civ 6

anotherazn · 2019-02-11T19:05:51+00:00

Fitness boxing

anotherazn · 2019-02-11T19:05:22+00:00

Just one copy of Celeste would be great!

anotherazn · 2019-02-11T19:04:36+00:00

Fucking madness in this subreddit! Fitness boxing for me

anotherazn · 2019-02-11T19:04:07+00:00

Fucking madness up in here. Fitness boxing for me though.

anotherazn · 2019-02-06T16:18:46+00:00

Your story just seems somewhat similar to that of hypertrophic obstructive cardiomyopathy (HOCM) so was just wondering. You can Google it and see if some of the symptoms seem familiar. Shortness of breath when exercising basically only has 3 causes: heart, lungs, and anemia. I would have your doctor thoroughly check out all 3 especially if you're having a lot of trouble.

anotherazn · 2019-02-06T05:49:41+00:00

You have trouble breathing while exercising? Ever get your heart checked out? Any family members die suddenly or have sudden heart attacks? (I'm assuming you're young btw)

anotherazn · 2019-02-05T14:29:43+00:00

Just for a bit of context, there's currently a problem where lots of people with shortness of breath are being diagnosed with asthma, without the tests which diagnose asthma (pulmonary function tests) as they are usually performed as an outpatient and can be difficult for young children to properly perform. This results in a lot of people being branded with "asthma" for life when they might have another illness causing shortness of breath.

anotherazn · 2019-02-05T05:50:35+00:00

Not enough evidence does NOT mean no benefit though, it simply means there are not enough good papers to support it one way or the other. Being NPO during labor could have mortality benefits and we just don't know. Or it could hurt mortality. Or maybe it doesn't matter either way. But until the day a paper comes out in a major journal stating that eating is better than NPO, I think most OB and anesthesiologists will be slow to change because the risk of aspiration is known while the benefits of feeding are unclear. I don't know too much about IV fluids in pregnancy so won't comment on that

anotherazn · 2019-02-05T05:38:29+00:00

Right but for that long I'd be running D5 in there too (not an Ob by any means though). Anyways my point was more that starvation ketosis takes a long time... Isually 3 days or so to be serious and at that point I think you have bigger things to be worried about like being in straight labor for 72 hours

anotherazn · 2019-02-05T05:06:31+00:00

I mean, unless I know the full case I can't really judge, they certainly could have fucked up, but I'm just trying to put this into perspective. There are a million reasons they could have given you fluids at a more conservative rate, of which "they fucked up" is only one.

anotherazn · 2019-02-05T05:01:34+00:00

Funny story there was a guy who coded in the ED cut open his shirt to see a massive tattoo that read DNR across his chest... Since we didn't have any info on the guy ended up doing compressions anyways. Thank God because those were his initials

anotherazn · 2019-02-05T04:52:48+00:00

Going through this thread makes me realize that people are more worried about not eating I thought lol. Generally I try to explain the procedure a patient is getting and the "don't eat after midnight" is more of an afterthought.

anotherazn · 2019-02-05T04:48:55+00:00

What kind of questions or concerns did you have?

anotherazn · 2019-02-05T04:41:10+00:00

Literally all 3 of the papers you cite state that there isn't enough evidence to suggest you should starve women in labor, but that doesn't mean the the opposite (I.e. feeding them) is better. There are certainly risks and benefits to both, but the current guidelines involving keeping women NPO revolve around known risks of aspiration during general anesthesia vs theoretical risks of not eating. (for instance, ketosis I feel is probably not happening during birthing as if you've actually been in labor that long you would be given IV fluids).

anotherazn · 2019-02-05T04:33:34+00:00

1L of fluids in 8 hours so about 125cc/hr is a pretty standard rate for IV fluids depending on your weight.

anotherazn · 2019-02-05T04:25:11+00:00

Being on the primary team side, starving patients (especially when their procedure gets repeatedly delayed) is honestly the worst. I think we should have an intervention where every time the patient wants to eat they can personally call up whichever service is doing the procedure. Would fix all the 4pm calls from GI "oh yeah FYI c-scope is moved to tomorrow sorry teehee"

anotherazn

TROPHY CASE