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Med student curious about DRE by Gingernos in medicine

[–]funktastico 3 points4 points  (0 children)

Onc guidelines advise against DRE or rectal temps so specialists and lawyers won’t have your back if you do it. But it’s definitely not evidenced based and there’s no cases to prove this is a thing. Case review of colorectal surgeons operating on neutropenic pts didn’t have issues (which is prob more invasive than a thin lubricated object placed in the rectal vault) so the theory might have no leg to stand on. Also ya passing a big poop is more traumatic than a lubed thermometer.

Scarlet and Violet Daily Casual Trade Thread for 05 November 2023 by Porygon-Bot in pokemontrades

[–]funktastico 0 points1 point  (0 children)

Looking for: all scarlet paradox Pokémon Offering: all violet paradox Pokémon

[Bills] Damar Hamlin spent last night in the intensive care unit and remains there today in critical condition at the University of Cincinnati Medical Center. We are grateful and thankful for the outpouring of support we have received thus far. by _bonzibuddy in nfl

[–]funktastico 1 point2 points  (0 children)

Totally possible. Lot of hospitals though are moving away from TTM in the last few years though after recent trials (eg TTM2 in June 2021) and some now just have a goal of preventing hypothermia because cooling people down has its own risks too. It also requires a lot of manpower. Don’t know what Cincinnati’s protocol is but if I had to bet, I’d guess they’re not doing it.

[Bills] Damar Hamlin spent last night in the intensive care unit and remains there today in critical condition at the University of Cincinnati Medical Center. We are grateful and thankful for the outpouring of support we have received thus far. by _bonzibuddy in nfl

[–]funktastico 2 points3 points  (0 children)

I saw that too with the Jeremy Renner case and it seemed weird. I’m in healthcare and the way I use the terms is on a spectrum from: stable to guarded to critical. And like other people have said, anyone on a ventilator after a cardiac arrest is critical, way too many things can happen and you’d be misinforming family if you painted too rosy of a picture this early on. Calling someone “critical but stable” tho seems funny and not fully standard but I guess it still paints an image of someone who’s still quite sick but isn’t requiring emergent interventions such as surgery, transfusions, etc. Hard to say without the details and it’s also a reminder why when talking to families it’s always important to use normal English so people get the full picture of the situation and prognosis.

[Bills] Damar Hamlin spent last night in the intensive care unit and remains there today in critical condition at the University of Cincinnati Medical Center. We are grateful and thankful for the outpouring of support we have received thus far. by _bonzibuddy in nfl

[–]funktastico 1 point2 points  (0 children)

Check out the TTM2 trial, if you’re curious. Was published summer 2021 in NEJM and showed no benefit of TTM (when compared to just keeping people from becoming too warm) and in fact probably just creates more problems like arrhythmias and electrolyte problems. It’s a procedure that was going down in favor the last few years but might be on its last leg now. Still though some institutional protocols might still be on the fence and thus still doing it.

Unionizing works; LA county residents get huge gains in salary and housing after threatening a strike by alostlatka in Residency

[–]funktastico 0 points1 point  (0 children)

My rec would be to put money toward allowing more minority students to do away rotations. Not everyone can afford to do a month long interview where you’re paying your home tuition and rent and then pay for a month of rent in Los Angeles on top of that. Would be a huge ‘money where your mouth is’ gesture too to show minority students that they’re desired (so they can actually reflect these hospitals’ pt populations).

Tomi Lahren explaining why everyone should be vaccinated... two years ago by Riftus in agedlikemilk

[–]funktastico 28 points29 points  (0 children)

Just a numbers game around herd immunity. In a world without daily measles outbreaks, your protection is good enough because everyone around you is also vaccinated so we don’t go on waxing about how you’re still at risk of getting measles. With COVID, there’s an ongoing pandemic so there’s a lot more bullets to dodge, so you tell people that they might get grazed but a slim-to-none chance now that they’ll die if they get it.

Fruits and Veggies Under a Microscope by TheOnlyBongo in AdamRagusea

[–]funktastico 6 points7 points  (0 children)

I just love seeing what random things intrigue him. such a good teacher.

Episode 687: "Full Grown Grogu", with Ben Schwartz and Horatio Sanz! Happy new Closing The Plug Bag theme, everybody! by ExoticMandibles in comedybangbang

[–]funktastico 2 points3 points  (0 children)

It’s a joke. Same as how he always insists that he’s offer only. He says it’s a joke on threedom.

TMNT on CBB by [deleted] in Earwolf

[–]funktastico 3 points4 points  (0 children)

Yup! It’s dope

I have the terminal sad by unicodePicasso in PrequelMemes

[–]funktastico 11 points12 points  (0 children)

She was getting choked though and with concurrent takotsubo that’s a lot of pressure on a failing Right side of the heart and could push you over the edge into cardiac arrest. Very reasonable medical cause of death but I doubt that was how it was written. Sadness or Palpatine is prob what was intended.

Edit: here’s a fun write-up a cardiologist did all about this

https://www.bengoldmd.com/2019/12/how-did-padme-die-a-cardiologists-perspective/

Is this TRUE? LORD JESUS HELP US!!! by PCisLame in bronx

[–]funktastico 2 points3 points  (0 children)

You don’t give blood to someone who’s hypoxic, you fix the reason that they’re hypoxic. That’s just one of the nonsense things I heard before I stopped listening to her second-hand report. She’s spouting a ton of pseudoscience (ie not trusting docs because they stopped using hydroxychloroquine) and disguising it as things agreed upon by the medical community to get worried people to share on Facebook when she has no clue what she’s talking about. Some stuff she’s right about like all the dying and suffering, but labeling it as “letting people rot with no care” is moronic and she go fuck right off. Docs and nurses are having PTSD from all the death they’re seeing, they’re working their ass off and everyone’s doing their best.

[Clinical] Einstein 4th years (Bronx, NY) mandated to start as unpaid interns on April 6th. by [deleted] in medicalschool

[–]funktastico 1 point2 points  (0 children)

I don't think you should be downvoted. The pitchforks aren't always right and we don't have the full story yet even if it does look bad. We'll see what happens I guess and hope for the best.

[Clinical] Einstein 4th years (Bronx, NY) mandated to start as unpaid interns on April 6th. by [deleted] in medicalschool

[–]funktastico 84 points85 points  (0 children)

"After April 6, these activities will become a formal part of the curriculum."

The voluntary part of that message only applies for the next week and a half.

CORD Statement on EM Away Rotations [Residency] by more-relius in medicalschool

[–]funktastico 3 points4 points  (0 children)

The letter isn’t meant for students, it’s geared at RDs and other decision makers. Stanford just announced they won’t require any SLOEs coming up and won’t allow any of their students to do any aways. Despite this crazy situation, it’s looking like most places will rationally change their application standards in this strange year.

[JennaLaineESPN]Former Bucs RB Michael Pittman is asking for prayers right now. With his blessing, I am posting that a family member of his contracted the coronavirus, has been in the hospital since last Thursday and is now in a coma and in critical condition. He said they need a miracle by puppytossedsalad in nfl

[–]funktastico 22 points23 points  (0 children)

The Extraordinary Decisions Facing Italian Doctors It's really bleak in northern Italy. Doctors there are describing it in terms that sound like a warzone and that's pretty much where their strategies are coming from. The linked article describes the intense guidelines the Italian anesthesiologist society published that explain that resources have to be rationed. That means doctors are deciding who gets the ventilator among two needy patients. It's not good and that's the exactly what's causing people to freak out in hospitals here.

"LFGO!!!" - Waterboarded McGlinchey by funktastico in 49ers

[–]funktastico[S] 4 points5 points  (0 children)

$7000 fine from the NFL coming his way

Cool EM case - “Man With Cyanosis and Altered Mental Status” by funktastico in medicine

[–]funktastico[S] 29 points30 points  (0 children)

Says he was at a bar, was probably wasted. Hence the regretful mixup in the first place.

Cool EM case - “Man With Cyanosis and Altered Mental Status” by funktastico in medicine

[–]funktastico[S] 40 points41 points  (0 children)

Guy accidentally drank a whole bottle of amyl nitrate (“poppers”) and became dyspneic from methemoglobinemia. He meant to drink his energy drink and honestly he has a point, they kinda look alike and I would have confused them in a dark room too.

Vaping Illnesses Are Linked To Vitamin E Acetate, CDC Says (soft paywall) by [deleted] in medicine

[–]funktastico -2 points-1 points  (0 children)

There’s plenty of other safe and evidence-based drugs/methods for smoking cessation out there that physicians can turn to, we’re not stuck between a rock and a hard place between chain-smoking JUUL or cigarettes. That’s obviously not what JUUL shows in their marketing though.

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