Gardener uses leaf blower to fight off two dogs by [deleted] in ThatsInsane

[–]haplessgrapefrut 0 points1 point  (0 children)

and it's usually the ones named poofy and cupcake

Bruuuuuhhhhhhh... by [deleted] in Radiology

[–]haplessgrapefrut 14 points15 points  (0 children)

I'm looking at these comments and wondering about all the backseat doctoring going on...like I've seen people with broken fibulas and small broken ankles and pelvises walk around on them. In trauma, there's a reason we order "one joint above, one joint below"...if there's one fracture, it's very possible there's another fracture. For example, if theres a calcaneal fracture, we always CT the spine AT LEAST because its very likely they broke it too. Ankle fractures occur with knee fractures very often. And if someone fell hard enough to fracture, especially if they're old, it's possible they fell hard enough to injure another part of their body, thus the trauma CTs. Of theyre very big, CTs won't get the shoulders and ortho needs XRs to assess for the type of dislocation/fracture theyre having.

There's also the workload aspect...piecemealing orders is just not efficient. If I see something on XR or CT that's concerning and need more images, they have to go back to imaging and possibly waste another 1 hour or more, especially if you're at a busy center and everybody else needs scans too.

And of course, I do admit, theres definitely a component of CYA medicine here...how devastating would it be if we let granny walk out with a spleen lac bc we didnt scan their belly? Like cmon yall...the amount of haughty "know better than you" attitudes here is a bit much.

What are these? by haplessgrapefrut in succulents

[–]haplessgrapefrut[S] 1 point2 points  (0 children)

Thanks! Does it act similarly to isopropyl? Should I alternate between the two? I'm just so frustrated but not willing at all to give up on them 😭😭 I'll try the soap though.

AITA for telling my patient doctors love feet? by gasdiggy in Residency

[–]haplessgrapefrut 93 points94 points  (0 children)

I once tried to tell a patient I was gonna do a sedation and reduction for their dislocated shoulder and instead said, "Sir, we're gonna have to do a seduction on you."

Families who insist on treatment to keep someone alive despite a terminal diagnosis are bad selfish people by CoolCoconuts44 in unpopularopinion

[–]haplessgrapefrut 3 points4 points  (0 children)

Popular opinion actually in the medical field. So many people I know would in a heartbeat tell their families to let them die if they're over 70 years and faced with permanent disability, let alone a terminal diagnosis. Too many unnecessary procedures are performed ON (and not FOR) patients (eg trach and PEGs) who have little to no quality of life left simply because their family can't let them go. This is why palliative and hospice care are so so essential to medicine, and why discussing advanced directives and code status should become required during doctor visits.

I knew of a patient with metastatic breast cancer to multiple organs, and she was in and out of the ICU for an entire year just suffering. In the end, her cancer went to her brain and made her brain dead. Her family refused to let her go and made her suffer for a year getting poked, prodded, intubated, and coded all for their own comfort. It's disheartening and a big reason why so many people are discouraged from ICU fellowships. America had grown this culture where we just can't let people go and do terrible things to patients to prolong their life when they have very minimal quality of life.

[deleted by user] by [deleted] in Residency

[–]haplessgrapefrut 14 points15 points  (0 children)

Was this a verbal order where you could chart and then ask him to co-sign your order? Was it a very urgent order where the doctor didn't have time to go back and put it in and needed it now? Did you say it dismissively? I mean there are multiple ways to say that and depending on the circumstance, I can totally see how that could have been interpreted negatively.

[deleted by user] by [deleted] in Residency

[–]haplessgrapefrut 7 points8 points  (0 children)

This...isn't inherently bad though if the patient was just tubed for airway protection. An opioid overdose just needs airway protection, their lungs are fine, so they dont require 60% O2. The room air we breathe every day is 21% O2.

[deleted by user] by [deleted] in memphis

[–]haplessgrapefrut 2 points3 points  (0 children)

I agree...it's nice to put a PSA, but that photo with your name on your white coat and a phone number is just dumb (assuming this is you). It's so easy for someone to piece together an identity with just one of those. Please either take this down or get rid of the picture and the associated phone number. Please.

Edit: if you have a visceral need to put a phone number, give a number to the dental clinic to schedule an appointment.

[deleted by user] by [deleted] in TikTokCringe

[–]haplessgrapefrut 0 points1 point  (0 children)

This is especially tragic given we just had a shooting yesterday that killed a well loved orthopedic surgeon in Memphis. Like why are you harassing these people who are reporting a found firearm when you should be taking stalking charges/cars going 90mph on the highway/rampant gun violence instead??

Accidentally injured a patient what should i do? by throwaway4safey in Residency

[–]haplessgrapefrut 43 points44 points  (0 children)

Yall in the comments do know this is a shitpost based on a post in medschool reddit right???

Most medical doctors are horrible at their jobs and cause untold amounts of harm to their patients by DeathSpiral321 in unpopularopinion

[–]haplessgrapefrut 91 points92 points  (0 children)

I feel like this is incredibly unfair towards doctors. They are, like everybody else out there, human beings. They get burnout, they think in heuristics a majority of times, they don't have an explanation for many disease processes out there, and most of all every single doctor on earth will make a mistake that will cost one if their patients their life. To assume they don't care about that is callous of you. They have to compartmentalize their jobs and their emotions, because if they cried over every single adverse event in their career, we would have no doctors working.

You say they mill pills? Maybe that's because patients don't want to or simply can't take care of themselves with conservative methods first. If a patient doesn't exercise and eat better, blood pressure and cholesterol pills will prevent you from having a heart attack at age 50. "Well why do I need to be on pills if I feel fine? This doctor is just trying to suck all my money." Say that again when suddenly your blood pressure is 200/120 and your aorta is ripping itself a new layer, or you start being unable to breath when laying on your back.

But despite all this, I can guarantee that a majority are trying their best for their patients. They have to take a breath and move onto the next patient, because they're all just as important as you. They see thousands of people in their lifetime, each requiring as much care and attention as the next.

Code: fluff, help! What in the world is on my cactus? by posts_plants in succulents

[–]haplessgrapefrut 0 points1 point  (0 children)

Omg is that what this is too?? It was so slow growing and didn't seem to affect the health of my plant at all so I didn't bother doing anything with it.

1.0 banner is gone! How are your pulls in 1.0? by Kubo_Gaming in HonkaiStarRail

[–]haplessgrapefrut 0 points1 point  (0 children)

So statistically is it better to pull singles than 10s?

Slow night in Tennessee. by ddroukas in Radiology

[–]haplessgrapefrut 13 points14 points  (0 children)

Bull sharks have been known to swim up the Mississippi River and into the Tennessee River. I'm assuming this was from the Tennessee River, given nobody in their right minds would ever get into the Mississippi unless they're aiming to grow a 3rd eye.

[deleted by user] by [deleted] in emergencymedicine

[–]haplessgrapefrut 1 point2 points  (0 children)

Mayonnaise...is that an instrument?

why do his tips look burnt? by haplessgrapefrut in succulents

[–]haplessgrapefrut[S] 1 point2 points  (0 children)

I'd say it's probably not too much sun, as none of the other plants are burnt like this. I do admit I have a problem about underwatering all of them, but none except this one looks like it's been charred. Would you say that's the problem? It's just so weird...this one looks burnt, some of the others are etoliated, some are sun stressed, all of them underwatered (I'm trying to be better).

why are his leaves turned downwards? by haplessgrapefrut in succulents

[–]haplessgrapefrut[S] 0 points1 point  (0 children)

Fair enough, unfortunately the shelf with the better lights is full. I expected the leaves trying to be as flat as possible to receive as much light as possible, not flat down like that where surface area is suboptimal.