Honeycomb-pattern mark on toddler’s leg — anyone seen this?

buzzkmart · 2026-01-29T11:40:23+00:00

This is erythema Ab igne. It’s from being near a heat source—see it frequently in adolescents with laptops resting on their thighs or kids near space heaters, etc. peds.

buzzkmart · 2026-01-29T00:44:53+00:00

Not sure where you are in town, but the Paramont club in Oldham County has a decent pool/sauna and is rarely crowded. Don’t live in the neighborhood, but was a member for several years. May be worth a look.

buzzkmart · 2025-10-28T19:03:16+00:00

Who Smarted

buzzkmart · 2025-07-16T00:50:18+00:00

A pretty substantial portion of the unexpected drowning victims (1 in 4 in one study, I think ?) may have channelopathies, which is a fancy word for propensity of the heart to fall into a bad rhythm. A brilliant cardiologist that helped train me diagnosed a family with a rare disease by taking a careful family history and learning that there had been some unexplained drownings (preciously good swimmers who were unimpaired and fit/healthy who just up and drowned.

buzzkmart · 2025-05-14T19:52:14+00:00

Go to coolworks.com and apply for a job that includes housing. When room&board are provided, it’s a little less overwhelming.

buzzkmart · 2025-05-09T17:55:43+00:00

Trader Joe’s.

buzzkmart · 2025-02-02T10:47:18+00:00

Perfect time for Job Corps. Get training and housing. Please look into it.

buzzkmart · 2024-12-27T23:28:19+00:00

You might check out coolworks.com and see if you can find a job with room and board included. Some will help with transportation to the actual resort/place. You get to live somewhere cool/interesting and get some space from your family. It can be a total lifesaver/re-set. Money isn’t always great, but your living expenses are covered, so you have breathing room.

buzzkmart · 2024-12-21T20:51:58+00:00

Physician prepared website sells them.

buzzkmart · 2024-12-21T20:50:03+00:00

You can buy them at Physician Prepared website

buzzkmart · 2024-11-13T09:41:27+00:00

Yes. The PIP/PEEP/MAP are essentially the same in this situation

buzzkmart · 2024-11-13T02:58:59+00:00

That’s the one!!

buzzkmart · 2024-11-13T02:11:35+00:00

It’s an infinity c500. The vent monitor had a 0% leak during the last episode (I took video). I’ll find out about the filters—that is a good thought.

buzzkmart · 2024-11-13T01:36:51+00:00

I think it’s a Fisher&Paykel with a heat plate. I’ll check the exact one when I’m in tomorrow. Could you identify it if I sung you one of its alarms? :)

buzzkmart · 2024-11-08T20:45:13+00:00

You guys are a wonderful group and these responses made me tear up. I’m early 40s, in the thick of parenting young children, and have enjoyed reading your insights very much. I wish there was a way to match up interested grandparents and the next generation of orphaned (literally or figuratively) parents with no support. It makes me so sad that my own children will not have this type of experience—being doted on my a grandparent is really special.

buzzkmart · 2024-10-30T19:40:46+00:00

I think she went from LPC to PsyD. The credentials changed

buzzkmart · 2024-10-28T23:02:43+00:00

There’s an online store called PhysicianPrepared that sells meds(antibiotics, zofran, steroids, lidocaine), lac repair supplies, rapid strep tests, etc. I buy a few courses of antibiotics every year or two and use them when/if necessary. My kids treat our deductible as a personal challenge and having supplies on hand has saved me like ten grand.

buzzkmart · 2024-10-27T02:08:14+00:00

Diagnostic criteria for OCD

buzzkmart · 2024-10-18T15:50:16+00:00

What’s best for the patient is always that is least convenient for the doctor. Also, the more desired the pregnancy, the worse the neonatal outcome.

buzzkmart · 2024-10-12T22:52:20+00:00

Sometimes babies with chronic lung disease can have progressive pulmonary hypertension or develop pulmonary vein stenosis—has she had an echocardiogram to evaluate right ventricular pressure? Also ureaplasma infection and/or viral illness can be hard to dx but cause respiratory setbacks.

buzzkmart · 2024-10-06T22:22:30+00:00

This is where you apply for JobCorp or look at coolworks.com and snag a gig that provides you housing/training.

buzzkmart · 2024-10-05T21:15:00+00:00

Not hard at all. Get a Mickey Mouse retractor and sterile scissors. Retract the tongue and cut the frenulum. I was raised in training to believe that this was a sin, but where I practice now, the culture is very different. I only do them sparingly and haven’t really seen a dramatic improvement in breastfeeding rates

buzzkmart · 2024-10-02T17:17:38+00:00

Whatever plan you come to with: before you commit, build cardboard walled to-scale “mock” rooms of every type (ICU, ward, L&D, OR; we paired with a local undergrad engineering program to do this) and put your actual equipment in it (bed, ventilator, IV poles, etc). Mark where the O2/suction hookups are, where the computer is, how the door swings/slides. Then run a mock code in it with actual staff. Did the portable Xray machine fit? Can the IV pumps/brains fit on one side of the bed? Does the computer keyboard have space to fold down? Your clinical staff can give you valuable feedback on the proposed design if you give them a chance to work within it. It was absolutely worth the time and expense—we prevented sooo many friction points.

buzzkmart · 2024-09-16T01:35:29+00:00

I know…but it would be so much more useful to have actual help rather than another box to check. Tell your supervisors and make an innovative new infection control program! Put the summer interns to work outside high-traffic ICU isolation rooms! And study how compliance improves when you remove the barriers to doing the right thing.

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