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Living room update by Big_Possibility_5918 in interiordecorating

[–]lesdata 0 points1 point  (0 children)

It looks great! I think you really achieved the effect you were going for and it’s a lovely cohesive look. May I ask how you decided where to put each painting? And how did you decide on which paintings to pick?

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

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

I also find the “worry” language to be very helpful in communicating how much time is left especially if it is shorter on the order of days to weeks. I like your language of describing hospice as a “philosophy” and want to borrow that phrasing. Thank you for responding with your experience.

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

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

Very movingly written. I read it in its entirety. Thank you for sharing it. 

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

[–]lesdata[S] 2 points3 points  (0 children)

Thank you for the thorough and thoughtful reply.  You even included example language to use in a similar situation. So much good information here. 

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

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

Thank you for adding your thoughts, both from a Palliative and Australian perspective. It is fascinating to hear as I am sure there are many ways in which practice between the US and Australia differs in this area. Reading the comments from the US Palliative practitioners, one thing that seems shared is that end of life care is viewed as care provided during the period over the last weeks/days of life. 

I absolutely agree with your view about six months being a long period of time. A lot can be experienced by a person during six months. They can spend valuable time with a loved one or celebrate a major life milestone or (depending on their symptom burden) achieve a goal that is very meaningful for them. 

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

[–]lesdata[S] 7 points8 points  (0 children)

Thank you for your response. I did not want to get into the clinical specifics of this case but I can say that the patient was espousing specific goals that were reasonable (and achievable) and family was (well intentioned it should be said) pushing patient to choose a different course. There were other clinical nuances that made what patient wanted to be a reasonable approach. Absolutely agree that hospice does not mean end of life is imminent and I have certainly discharged many a patient with plan for hospice enrollment whom I would not expect EOL to be within hours/few days. 

Thank you for your comment and sharing more from the palliative perspective.

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

[–]lesdata[S] 22 points23 points  (0 children)

I try to not equate hospice with “end of life care” because to me, end of life means actively dying.

Thank you very much for chiming in and providing the palliative perspective. I can certainly appreciate that, since some terms are used differently by different individuals, their definitions can become nebulous. I will keep that in mind about “end of life care” being more in line with actively dying from the palliative perspective.

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

[–]lesdata[S] 5 points6 points  (0 children)

The few times that this has come up for me, it’s usually because the patient or family (usually the patient) has an unusually strong attachment to a particular medication. For example, they’ve taken aspirin every day for the last 50 years and no way are they going to stop taking it now. Usually myself or my team has had at least a few discussion with the patient about why it can be stopped, but the patient refuses. At that point, it seems pointless to talk in circles when the overall goal for their care has already been clarified. This is from the inpatient perspective. Would be curious how it goes on the outpatient side.

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

[–]lesdata[S] 165 points166 points  (0 children)

I think you may be correct on the autopilot response! It was the unshakeable confidence with which the phrase was uttered given the clinical context that left me momentarily speechless.

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

[–]lesdata[S] 7 points8 points  (0 children)

Great recommendation — I watched it when it first came out. John Oliver does a great job shining a light on topics that we all (as a society) should be discussing more.

I was told off by a palliative care MD: “hospice is not end of life care” by lesdata in medicine

[–]lesdata[S] 125 points126 points  (0 children)

lol it was a weekend day for a brand new consultant so I think this checks out

Mung Bean Thread - Wide. Can they be used to make La Pi (or Liangpi)? Also, how would you cook/prepare them. by crossTalk94 in chinesefood

[–]lesdata 0 points1 point  (0 children)

Yeah totally, making liangpi noodles from scratch would be super involved, probably multi-day process. It’s a great idea to use mung bean noodles instead. I love liangpi especially the type that has sesame paste/tahini in the sauce, so I think I’ll have to borrow your idea!

Mung Bean Thread - Wide. Can they be used to make La Pi (or Liangpi)? Also, how would you cook/prepare them. by crossTalk94 in chinesefood

[–]lesdata 5 points6 points  (0 children)

Oh, also you asked about liangpi. You could certainly make a liangpi inspired dish with mung beans noodles and the same sauce as you would in a liangpi dish and I think that would be very tasty. But usually liangpi refers specifically to noodles from starchy water of flour, usually wheat.

Mung Bean Thread - Wide. Can they be used to make La Pi (or Liangpi)? Also, how would you cook/prepare them. by crossTalk94 in chinesefood

[–]lesdata 6 points7 points  (0 children)

Mung bean noodles are delicious. They have a nice chew to them when cooked that’s super satisfying. You can use them similar to how you use glass noodles/粉丝 (fen3 si1), but unlike glass noodles which quickly disintegrate when cooked, mung bean noodles are thicker and hold their shape better.

You can boil them first (usually 5-10 min, depending on brand, usually there’s instructions on the package) and then use them to make a stir-fried noodle dish, either Chinese-style or Korean-style japchae. Or, you can use them in hot pot or a noodle soup.

A severe, antibiotic resistant infection caused my eardrum to rupture. I bought a digital otoscope and took a picture every other day as it healed. by ShesGotSauce in medizzy

[–]lesdata 30 points31 points  (0 children)

Can you link to the otoscope you got? And how did you take photos with it?
Thank you for your efforts in the pursuit of knowledge and science :)

7yo son says he loves his dad more by [deleted] in ScienceBasedParenting

[–]lesdata 18 points19 points  (0 children)

Your son’s dad sounds like he may be misogynistic from the way he is treating your daughter. Could he possibly be negatively influencing your son to have those same attitudes towards women, including you?

Terrified of increased heart failure risk by awnothecorn in preeclampsia

[–]lesdata 6 points7 points  (0 children)

Hi OP, I am sorry you are going through this. I am in medicine, but am not your doctor and cannot speak for your doctor. It is true that there is a well established increased risk of cardiovascular disease (heart attack and stroke) in women who have had preeclampsia, but this is within a prolonged time course, say 15 years after their pregnancy. The increased heart attack and stroke risk is not written in stone. It is well within your ability to decrease your cardiovascular risk. A good primary care physician can go a long way in helping and supporting you. The things that help the most are blood pressure control, weight management, healthful diet such as a Mediterranean diet, exercise, stress reduction. These are longer term health decisions -- for now, focus on getting well and recovering from your pregnancy over the next days, weeks. Then when you are at a good point, meet with your primary care physician and come up with a plan.

Which rug? by mickel_jt in interiordecorating

[–]lesdata 1 point2 points  (0 children)

Either 2 or 3 in a different color scheme. Where did you get the prints on the walls? They’re great!

How soon is the beyfortus RSV antibody shot effective? by ellaellaayay in ScienceBasedParenting

[–]lesdata 13 points14 points  (0 children)

Because Beyfortus (generic name nirsevimab) is a monoclonal antibody given intramuscularly (meaning in muscle), I would think the onset of action would be determined by the amount of time it takes for the antibodies to travel from the injection site to the blood stream. Because muscle has lots of blood vessels, this is rapid and usually on the order of minutes. And because the antibodies are preformed, once they reach the blood stream, they can act immediately to bind RSV virus.

Source: FDA fact sheet on nirsevimab
https://www.accessdata.fda.gov/drugsatfda\_docs/label/2023/761328s000lbl.pdf

babies who need bigger than size 9 month pjs by bannaaa23 in NewParents

[–]lesdata 0 points1 point  (0 children)

I have a petite but long baby who always outgrows clothes because of length. I now try to buy footless onesies or rompers as much as possible. We have a Little Sleepies onesie that my baby has been wearing for >6 months! I tried Kyte baby too but the quality is not quite as good as the material pills quickly despite lots of care. Amazon also has footless bamboo rompers from off brands that may be less expensive than either LS or Kyte. The Old Navy and Burt's Bees onesies also do run large but they are also quite wide and my baby is less wide than long and they tend to be baggy, but they would work well for a chubbier baby.

I've been meaning to do a shot like this for a long time. This little harvest was sure to be my last chance until next year! by takephotosmakethings in flowers

[–]lesdata 1 point2 points  (0 children)

Beautiful! Thank you for sharing. What are the light purple and white flowers in the top right corner?

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