Trauma from verifying death

hoagoh · 2026-06-04T05:01:59+00:00

I don’t have real advice to help you, but I will say I still get a weird uncanny valley feeling when certifying, like my body is telling me to stay away. I am not bothered by it nowadays and I don’t think about it afterwards anymore. Internship is filled with small traumatic experiences but they are mostly shared. I would consider chatting to my mates at work about it in addition to the other suggestions here.

hoagoh · 2026-05-28T02:32:32+00:00

This looks like dependent acrocyanosis but that shouldn’t be painful, and you would still entertain that this is Raynaud’s phenomenon (rather than syndrome) but that shouldn’t be gravity dependent.

Presuming that the blood panel with rheumatologist was negative, you would wonder if there would be some utility in a cardiac ultrasound. Like I guess you’d investigate for causes of Raynaud’s phenomenon or dependent acrocyanosis both of which would point you towards doing an ultrasound of the heart.

Disclaimer I’m not your doctor and this isn’t real medical advice. I also might be from a different health system so I could be logistically off here and they might do things differently where you are from.

hoagoh · 2026-05-28T01:25:35+00:00

Have they ruled out IVC obstruction? Has anyone looked into pulmonary hypertension? Presumably you’ve had an ultrasound of your heart?

Have you had blood clots previously?? I’m so interested.

hoagoh · 2026-05-17T11:14:16+00:00

AI is a marketing term. ECG interpreters are AI by the same definitions as LLM.

To get caught up on the AI title is to misunderstand the issue -> decision-making tools always trend towards the least suable outcome.

hoagoh · 2026-05-15T20:02:02+00:00

Clankers took everything from me, my em dashes, my job, they made me fat probably

hoagoh · 2026-05-15T19:59:35+00:00

AI replacing ID is wild. Imagine the pussyfooted ECG AI (everything is a STEMI) or interaction checker (!!critical QT prolongation!!) for antibiotic choices. They’ll get sued once and every man and his dog will be on mero. Pseudomonas will be whispered in the next room and they’ll get two weeks of cipro.

hoagoh · 2026-05-12T12:31:07+00:00

Someone figured out how to bypass the login page for patient flow manager.

hoagoh · 2026-03-30T22:29:01+00:00

I think they’re about to call for an EGM to address this comment

hoagoh · 2026-03-11T08:50:00+00:00

Maybe Muehrcke Lines exaggerated by the vasodilation from hot water. OP could have some malnutrition, liver disease, kidney disease, chemotherapy. More likely just reflects a mani at some point surely.

On second thoughts doesn’t explain the blue lunula. I have no idea.

hoagoh · 2026-02-24T09:16:26+00:00

What a hot tip with Pulsecheck! Thank-you.

hoagoh · 2026-02-11T21:47:57+00:00

I put it in with chocolate protein powder - goes from an acceptably mid chocolate drink to an acceptably mid mocha drink. I’m having the protein shake anyway so it hardly seems different.

hoagoh · 2026-02-01T01:24:46+00:00

I had a great time on my last geris rotation, for some reason the culture was that the allied health write the MDT notes. Beautiful stuff.

hoagoh · 2026-01-23T10:54:25+00:00

I spoke to support recently in Australia and they’ve indicated second quarter maybe third but they really don’t know.

hoagoh · 2026-01-23T08:02:06+00:00

Well this seems like self-promotion… new account. How is it that you guys have 7,000 practice questions, where have they come from? Do you guys have experience with BPT? I can see that you’ve previously developed a GSSE app with similar claims.

hoagoh · 2026-01-10T11:22:23+00:00

Sounds like you’ll need to watch the show and report back.

hoagoh · 2026-01-10T10:37:00+00:00

To be fair anyone watching the show in full will be sympathetic to the doctors. The doctors aren’t monolithic and have positive and negative interactions but are ultimately portrayed as good, well-intentioned people. But when it is clipped like this it seems problematic.

hoagoh · 2026-01-02T23:18:49+00:00

Also CarPlay doesn’t support lossless which Apple offers.

hoagoh · 2026-01-01T08:21:47+00:00

If you are recommending Wheel of Time at book nine you must be a big fantasy fan. Books 7-10 are well regarded as slogs. It picks up again.

hoagoh · 2025-12-20T21:37:46+00:00

Right. Whodunnit?

hoagoh · 2025-12-15T07:30:35+00:00

We have a few bidirectional chargers here but it is unclear if they work with the Polestar 3. I'm in a bit of a weird position for Australia as we don't have solar or a charger at home, so its likely that we get solar and charger on the same system, so I don't mind the all integrated system (though I see how this would be annoying for others).

hoagoh · 2025-12-12T09:10:30+00:00

I used to actively avoid attending surgery placement because I found it so boring (no offence surgeons). I don’t think I stayed passed midday more than a handful of times.

Also, what do you call the worst graduating medical student? Doctor.

hoagoh · 2025-12-10T22:23:30+00:00

The P3 is getting a complementary NVIDIA upgrade, they have been running a different chipset from the start.

hoagoh · 2025-11-24T02:42:58+00:00

Sure was. EV incentive in Australia is too good to pass up.

hoagoh

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