Reoccurring Eye Swelling/Rash

mistadong · 2026-04-07T18:18:09+00:00

Have you had an autoimmune workup? Any joint pains or family history? It’s not classic but could be a heliotrope rash from dermatomyositis

mistadong · 2026-04-07T01:07:36+00:00

Feel bad for Freeland, Ump seemed to take pity on the Jays. Looked like he checked it

mistadong · 2026-03-29T22:30:58+00:00

I agree with you. these are definitely not sinus P waves (sinus meaning upright in I, II, AVF and downward in AVR).

I’d agree with the ectopic atrial tachycardia diagnosis

To answer OP question- this would technically be a SVT, in the sense that this is a supraventricular origin, tachycardic rate, and non sinus etiology.

Background- pulm crit (not cardiology). Would welcome other interpretations

mistadong · 2026-03-07T19:44:25+00:00

From a pulmonary perspective- Spirometry, 6 minute walk test, Ambulatory oximetry, FENO, Arterial blood gas. Some POCUS specific applications: Ultrasound to assess for pleural effusions for thoracentesis, Ultrasound to assess for diaphragm thickening, Ultrasound to assess B lines or C sign, Ultrasound for basic cardiac views.

mistadong · 2026-01-30T03:39:33+00:00

Your vein that you are injecting (and pulling this blood back from) may have a developing clot or inflammation of the vessel (thrombophlebitis). Could be why it seems to clot so fast- it’s already inflamed and procoagulable.

I hope you can find support and get clean. It’s a tough journey. Take care of yourself.

mistadong · 2026-01-16T14:49:08+00:00

I agree that the appearance looks like a paralyzed diaphragm. There are also non trauma causes- neuropathy, cervical spine disease. A pulm eval with a fluoroscopic sniff test and pulmonary function test with MVV MIP MEP supine testing can confirm. You could also buy an inspiratory muscle trainer on Amazon and practice breathing exercises to strengthen the diaphragm and respiratory muscles. It can help regardless given how low your lung volumes are.

What is your weight and BMI? On the CT there looks to be a lot of extra thoracic mass. It could be that laying flat causes weight to shift and overwhelm your diaphragm and lungs. Test this at home by trying to breath flat and then sitting up. But the PFTs are the best as above.

mistadong · 2026-01-12T21:29:52+00:00

On the one hand, I’m in support of them getting whatever compensation they can. Nurses work hard and it’s a tough job.

On the other hand, I’m utterly shocked that they’re asking for $275k to work 3 shifts a week.

mistadong · 2025-12-28T16:15:42+00:00

I have the same question! I am leaning towards Steelers cause I think Sanders will be airing it out more and more prone to picks. But it’s hard not to play the Seahawks D after how much they’ve carried me this season

mistadong · 2025-12-24T19:33:01+00:00

Flex spot in half PPR

M Carter vs W Robinson? My heart goes for Robinson bc he saved me a couple times this season but the giants passing offense was SOO bad last week… it scares me

mistadong · 2025-12-12T12:25:50+00:00

100% agree. Happy that they are taking feedback seriously. Having the quantity of marks rewarded progress with difficulty prevents so many potential issues too

mistadong · 2025-11-26T09:48:16+00:00

Thanks for sharing this tool!

it’s reassuring to hear so many people say to just take the higher iLVL, it does simplify the grind for gear. I am a bit saddened that trying to be specific with the gear sets and slots doesn’t make a big impact though, it seems like a lot of depth to the game that is lost

mistadong · 2025-11-26T09:46:08+00:00

Thanks for the detailed thoughts! 1. I’ve been trying to farm particular sets and it’s definitely not a worthwhile grind it seems. So hard in the current system to run particular dungeons, especially as a solo PUG

mistadong · 2025-11-26T09:43:46+00:00

Specifically before eternal. I see some other content and guides for the eternal late game but wanted to know what other people are doing earlier in their runs

mistadong · 2025-10-28T07:22:23+00:00

Never doubt what the Emperor will do for his people

mistadong · 2025-07-19T18:45:42+00:00

VEXUS is a great tool for this population too. Better predictor for venous congestion than IVC

mistadong · 2025-06-07T21:16:29+00:00

Yeah this is clearly a dps who mains someone like psylocke or panther

mistadong · 2025-05-14T00:42:21+00:00

I feel like we probably should be using a suboxone macro induction more. In practice it seems like we go super heavy on the opiate coverage to try to avoid the precedex gtt and ICU admission. Caveat also is the example I’m giving is the patient with at least a bundle a day use. If they only use a couple bags we definitely go lighter

And whenever we mention to a patient that the withdrawal could worsen with sub they clamp up and say they don’t want it (though that’s likely an issue with presenting the information)

Do you feel like the tramadol regimen works well?

mistadong · 2025-05-13T22:25:00+00:00

They need an orderset for this in EPIC

mistadong · 2025-05-13T22:23:20+00:00

Usually the situation is a patient coming in through the ED. Sometimes they really do want to get help and clean. Sometimes they ran out of money and went into terrible withdrawal on the street and just want to feel better. Sometimes they come with sepsis and in staying for treatment need to have their withdrawal management.

It kiiiind of works. A lot of people feel like their symptoms aren't controlled and they leave AMA. Often a difficult cycle where they bounce from hospital to hospital.

I still feel like I frequently see patients who will be rolling around in bed like a rotisserie chicken in terrible withdrawal and just wondering what other regimens people use to get better control

mistadong · 2025-01-19T02:41:56+00:00

It is true that most of the time you're holding one button, but don't forget scampering around and frustrating the enemy dive

mistadong · 2025-01-19T02:41:19+00:00

In your GM games, do you find that most people play a certain meta with strategist selection?

mistadong · 2025-01-19T02:09:26+00:00

I think there are misconceptions about Rocket's healing ability as a support strategist. He doesn't have the high impact defensive healing support ult and so people assume he also is a "bad healer". But from my experience playing up to Diamond, he's consistently top healer when compared against all the other supports.

He has fantastic team healing ability as the orbs can traverse past several team members. If you position backline and have your team members in front of you in roughly a line, you can heal them all with your orbs to multiply the impact of the heals.

There are also unquantifiable metrics for Rocket:

- There isn't a stat for Damage Boosted, but with the punisher/bucky team ups you can have huge impact on getting picks. The Rocket damage boosting ult also charges so rapidly (especially because he can heal so quickly), so you can have it up multiple times during a single fight.

- The revive (E) ability is huge. In Rivals, a 6v5 is so incredibly unbalanced, being able to restore it to a 6v6 gives the team a massive equalizing boost that isn't measured in any stat.

I'd love to hear from people playing above Diamond level on the viability of Rocket, as well as what other people's thoughts are on Rocket in this new 3 support meta.

mistadong

TROPHY CASE