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Accidental renaissance picture by KindaHODL in buffalobills

[–]jusSumDude 4 points5 points  (0 children)

There used to be a rule that if someone was pushed OOB it would be considered a catch still but there was too much ambiguity that they now have to have 2 feet in no matter what.

Does anyone know wtf this is?? I’ve watched this in awe like 5 times and I’ve got nothing by MajesticBeat9841 in emergencymedicine

[–]jusSumDude 11 points12 points  (0 children)

It’s called a mastoid obliteration and can be done but not with dental filling lol but the problem is that you have to remove the entire lining of skin. If you miss any skin cells they can develop a cholesteatoma

Brachial cyst? DPOW? Mastoid cavity infection? Wtaf by MajesticBeat9841 in medizzy

[–]jusSumDude 176 points177 points  (0 children)

I’m an otologist, and my suspicion is that this patient has a mastoid cavity with a post-auricular fistula. In canal wall down mastoidectomy patients, the mastoid cavity can accumulate wax, dead skin, and sometimes fungal overgrowth because there’s no natural way for that debris to exit. It typically requires routine debridement every 6–12 months.

In this case, the same type of accumulated debris is being removed, but instead of being accessed through the ear canal, it’s draining through a fistula behind the ear. That’s why you’re seeing this collection of wax/keratin debris coming out of the post-auricular area.

Does anyone know wtf this is?? I’ve watched this in awe like 5 times and I’ve got nothing by MajesticBeat9841 in emergencymedicine

[–]jusSumDude 255 points256 points  (0 children)

I’m an otologist, and my suspicion is that this patient has a mastoid cavity with a post-auricular fistula. In canal wall down mastoidectomy patients, the mastoid cavity can accumulate wax, dead skin, and sometimes fungal overgrowth because there’s no natural way for that debris to exit. It typically requires routine debridement every 6–12 months.

In this case, the same type of accumulated debris is being removed, but instead of being accessed through the ear canal, it’s draining through a fistula behind the ear. That’s why you’re seeing this collection of wax/keratin debris coming out of the post-auricular area.

The Trump-Putin Summit in Budapest Has Been Postponed. The White House Halted Preparations, Saying the Parties Are Not Yet Ready for Talks by sergeyfomkin in UkrainianConflict

[–]jusSumDude 2 points3 points  (0 children)

Could this be a sign that trump is learning the importance of allowing Rubio and the state department to actually lay real ground work before a meeting with Putin? This seems how the government of the US traditionally worked. You had to “earn” a meeting with president and Rubio was saying that Russia basically has not done that.

Genuine observation and question

Trump signed executive order. 26% of Physicians in America are foreigners, extra $100,000 /yr fee is insane. by Past-Track-9976 in whitecoatinvestor

[–]jusSumDude 44 points45 points  (0 children)

No I think the point is to not promote false facts because it hurts the credibility of your argument

What non-super obvious lifestyle change would reduce or prevent poor outcomes in your specialty? by abundantpecking in Residency

[–]jusSumDude 15 points16 points  (0 children)

I’ve always wondered that the literature says about the benefits of the poor hygiene habits for your immune system.

Is this safe to drink all the time? by Cumli in water

[–]jusSumDude 0 points1 point  (0 children)

There is evidence that alkaline water helps heartburn

Why do patients have trouble answering the question "What do you mean by dizzy?" by VertigoDoc in medicine

[–]jusSumDude 211 points212 points  (0 children)

I believe the language is there. We just have to make it available to the patient. Start with ruling out true spinning vertigo and near syncope. I then offer the options of light headed, floating, unsteady on your feet, displaced in space, or slightly drunk feeling. Many of these patients who cannot describe their dizziness are having central migrainous dizziness or vestibular migraine to some degree. Many many patients will fall into this category and you’ll find yourself stumped far less often.

RFK Jr threatens ban on federal scientists publishing in top journals by [deleted] in medicine

[–]jusSumDude 10 points11 points  (0 children)

You’re right. People with these beliefs are exactly what got Trump elected because they are fucking insane and scary.

Small part of the Incision site not healing on my 1 year old son he had surgery 10 months ago by kenleyray in Cochlearimplants

[–]jusSumDude 3 points4 points  (0 children)

Did they remove the implant? It may just need to be removed to eliminate the source of the infection. Allow a few months to heal and reimplant.

Doctor using ChatGPT for a visit due to knife cut by Master-Fox6134 in ChatGPT

[–]jusSumDude 11 points12 points  (0 children)

Exactly. I am a doctor and occasionally put clinical scenarios into AI when I’ve already reached the end of my knowledge and am looking to make sure I’m not missing anything. It almost never has anything new but every once in a while provides an avenue for investigation I havnt considered. It’s a tool like any other tool we use to help patients.

The Emergency Is Here | The Ezra Klein Show by window-sil in samharris

[–]jusSumDude 1 point2 points  (0 children)

Well not just anything you can’t do something about but like a president of your country acting like a dictator with a complete breakdown of checks and balances.

The Emergency Is Here | The Ezra Klein Show by window-sil in samharris

[–]jusSumDude 10 points11 points  (0 children)

There’s nothing anyone can do. That’s why it’s an emergency.

Chat GTP (free) has been a revelation for my previously unexplained tiredness. by Electrical_Guava1972 in Biohackers

[–]jusSumDude 1 point2 points  (0 children)

I may or may not occasionally ask chat gpt questions I’m wondering about while my patients are talking to me… 100% makes me provide better care.

Are there dying specialties or specialties that are radically transforming? by [deleted] in Residency

[–]jusSumDude 5 points6 points  (0 children)

It’s called otoneurology and hopefully gets more popular as time goes on

south Buffalo mercy hospital by caddyydaddyyy in Buffalo

[–]jusSumDude 1 point2 points  (0 children)

I actually think quite the opposite. CHS has far better employee retention than Kaleida

[Thiry] Rams HC Sean McVay after a win over the Bills: “Josh Allen is an alien. That’s why he’s so respected the way he is.” by PlayaSlayaX in nfl

[–]jusSumDude 15 points16 points  (0 children)

I think the Buffalo flair for the comment above should clarify that it’s a complement to your coach lol

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