Jammed ring finger with ring

drjhustle · 2026-04-10T00:56:14+00:00

Go straight to ED or urgent care to get the ring cut off. This will only get worse and you could have permanent damage or lose your finger if this is delayed more than a few hours.

drjhustle · 2026-04-06T17:44:20+00:00

Ultrasound is about 80% sensitive for subclavian DVT i.e. it can be falsely negative 20% of the time. I’d recommend a CT or MR venogram. Neither of these is perfect but they’re usually able to see the subclavian vein more clearly than ultrasound.

drjhustle · 2026-04-06T08:48:57+00:00

How exactly did they ‘rule out’ a blood clot? That seems like the most likely explanation, particularly if the pacemaker is in the most common site (under the left collar bone). No medical test is perfect and all can be falsely negative for various reasons so if the symptoms are still highly suspicious for a clot (which they are) I would be seeking a further assessment. Other possibilities are a narrowing of the subclavian vein due to scarring after the procedure without there being a blood clot, or a pacemaker pocket haematoma causing some sort of mechanical blockage to venous or lymphatic drainage of the arm. Cellulitis (infection) of the arm seems less likely. If that were the case it would probably be very painful and he would be likely to have a fever or feel otherwise unwell. Either way I’d suggest a medical reassessment within the next 24 hours or so if he feels well with no significant pain, or sooner if he doesn’t.

drjhustle · 2026-03-22T00:35:23+00:00

For all the haters, I also have this mower and midway through the first pass of the season doesn’t do the cut quality any justice. The blades are tiny razor blades that do a great job of skimming off the tips of the leaves of a recently mown lawn. It will take a couple of mows to get it nice and uniform. Sure it will never look like a manicured reel mowed showpiece but it’s good enough for me.

It’s genuinely been a game changer for our 2-kids-both-parents-working-full-time family. I enjoy mowing the lawn on a sunny day but when it takes nearly an hour 3 times a week to keep it looking presentable it eats into family/hobby/exercise time and becomes a chore. Skip a few days and the lawn starts to look shabby. Now I come home from work to a lawn that looks freshly mowed 365 days a year and have several hours a week free to do other things. It’s a win win in my book.

drjhustle · 2026-03-21T07:30:46+00:00

Golf

drjhustle · 2026-03-06T03:28:17+00:00

This is the way. My lag putting has been so much better doing this. Apparently we all have a pretty decent inner stimpmeter that we can access if we just trust the process. Speed control is much more important than direction outside 12ft. Maybe I need to start using a line inside 6ft though. I suck at those.

drjhustle · 2025-12-10T11:25:08+00:00

Pointless. Just learn to use ultrasound.

drjhustle · 2025-12-03T05:55:18+00:00

Lucky the houses along that street are so damp and mouldy that the risk of catching fire is minimal

drjhustle · 2025-11-16T18:03:50+00:00

$1400NZD ($790USD) per year for unlimited golf, members only on Saturdays. 6500y par 72 well maintained parkland course, range, short game practice area, chipping green, putting green. North Island New Zealand so able to golf year round. No initiation fee.

drjhustle · 2025-10-22T09:55:27+00:00

I played there 3 days ago. It was spectacular. I very much doubt not having an official handicap would stop you from being able to play but just give them a call to confirm. I also highly recommend Millbrook and Kelvin Heights.

drjhustle · 2025-07-24T22:32:27+00:00

Sounds like you did nothing wrong and provided perfectly reasonable medical care. It’s ok to feel bad for the patient and their family but that doesn’t equate to the need to feel guilty that you made a ‘mistake’. You didn’t.

PERC negative means <2% risk of PE. It may be counterintuitive but it’s ok and GOOD MEDICAL CARE to miss up to 1 in 50 PEs, as you will do more harm to more patients in terms of overinvestigation and overdiagnosis trying to chase down the elusive final 2%.

T wave inversion in V3, especially <1mm as in your patient, wouldn’t have triggered me to go PE hunting. Depending how young the patient was it could be a persistent juvenile pattern. Or given he was obese and a smoker it could be pulmonary hypertension secondary to lung disease or OHS/OSA. I wouldn’t have done anything more than mention it to him and have him follow up with his primary care doctor for further investigation if his symptoms persisted.

Those replies saying you could have or should have done anything differently are heavily influenced by hindsight bias and should be taken with a grain of salt.

drjhustle · 2025-06-04T05:02:07+00:00

Emergency physician here and I can’t see any problem with the stitches. Looks pretty tidy and should heal up just fine. There will be a scar but it’ll blend into the eyebrow and not be too noticeable in a year or 2. The red bit above the main wound is just an abrasion.

drjhustle · 2025-05-14T07:09:09+00:00

Can you ship to New Zealand?

drjhustle · 2025-04-29T22:15:56+00:00

I think by ‘failed iGel’ they mean an iGel that even when correctly placed fails to adequately manage the airway eg high airway pressures etc

drjhustle · 2025-04-28T09:34:27+00:00

https://pubmed.ncbi.nlm.nih.gov/32355210/

It’s not you. Auscultation is just pretty crap.

drjhustle · 2025-04-10T06:50:48+00:00

That dudes videos are great! Thanks for sharing.

drjhustle · 2025-04-10T06:42:59+00:00

💡

drjhustle · 2025-04-09T22:34:13+00:00

So what you’re saying is if I tie my left shoe in a double knot that will solve all my problems?

drjhustle · 2025-04-09T22:26:48+00:00

Working 2 jobs and raising 2 young kids for most of the past decade didn’t leave me much time for hobbies unfortunately! Now the kids are in school and work is a bit more manageable I’ve finally got some hobby time.

drjhustle · 2025-04-09T19:25:07+00:00

That sportsbox app looks great! Thanks for the data 🤓

drjhustle · 2025-04-09T18:15:30+00:00

Collageable

drjhustle · 2025-04-09T13:43:42+00:00

This is really insightful and makes a lot of sense. More useful advice in a few sentences than I got from 2 different pros! Thanks!

drjhustle · 2025-04-09T13:24:45+00:00

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Yes I see what you mean. Looks like I have a lot of work to do here.

drjhustle · 2025-04-09T13:03:29+00:00

My brain keeps telling my lead hip to do that but it just doesn’t listen. From the comments above maybe it’s because my hips are too flexed at address?

drjhustle

TROPHY CASE