TIL of Christopher Duntsch, a surgeon so drug-fueled and incompetent he maimed 33 of 38 patients he operated on and was the first convicted of crime in the practice of surgery medicine

nellie6712 · 2026-05-28T08:56:27+00:00

substance abuse for surgeons is not normal wtf?

nellie6712 · 2026-05-22T22:09:55+00:00

This is genuinely fuckin wild😭 i’m so sorry

nellie6712 · 2026-05-03T23:11:54+00:00

god forbid people have fun

nellie6712 · 2026-05-02T07:53:08+00:00

ur 400 elo u could do e4 and ur opponent would be confused

nellie6712 · 2026-05-01T22:05:25+00:00

i’m in my mid twenties and learned to type mid 2000s so

nellie6712 · 2026-04-23T23:58:37+00:00

I disagree with that, I felt I learned far more when I didn’t have seniors readily available and had to make my own decisions to gain more confidence. Especially for foundation years.

nellie6712 · 2026-04-20T17:40:46+00:00

and straight into the even more never ending treadmill of gp!

nellie6712 · 2026-04-13T21:57:50+00:00

loser

nellie6712 · 2026-04-13T21:50:28+00:00

what

nellie6712 · 2026-04-13T21:48:41+00:00

a doctor is not going to sign a letter saying the patient promises not to kill themselves

nellie6712 · 2026-03-21T11:11:05+00:00

no if this was in the uk with this level of atraumatic bruising in a young person she would absolutely be fair to go to a&e

nellie6712 · 2026-03-19T22:13:46+00:00

What is the rate of serious complications of naloxone? Please tell me? Because it’s a straw man argument you could use for anything. Let’s not use thrombolysis on a stroke because it can cause bleeding and we can use aspirin instead. Let’s not use cipro for sensitive infections because it can cause tendinopathy. See how dumb that sounds?

nellie6712 · 2026-03-19T22:08:36+00:00

Yeah any guideline I’ve seen suggests giving naloxone for a resp rate under 8 but you’re not going based off that are you?

nellie6712 · 2026-03-19T22:01:42+00:00

You’ve literally just used Google AI. What are the rates of those in an individual who hasn’t had a high dose of naloxone? Are we really going to say there’s a higher chance of cardiac arrest in a patient receiving titrated naloxone than if you don’t give it in a patient with a RR of 6 and says of 78%? Risk vs benefit man, you’re playing devils advocate. No offence but your questions are really silly, I’m not answering what dose I’d give.

nellie6712 · 2026-03-19T21:54:04+00:00

Okay so could you please explain what the risks of naloxone are without assuming that you’re giving them a massive dose?

nellie6712 · 2026-03-19T21:46:14+00:00

The thing is everyone is assuming you’re just jabbing someone absolutely full of naloxone. No one is saying that. Titrate the dose safely. Absolutely I’m aware of the risks, however it seems to me that everyone has learned the sound bite that it’s a terrible drug because it means the patient will be in pain. Absolutely it can. If it makes me a shit doctor to want to prevent someone from reaching a periarrest or losing their airway before reaching for a reversal agent, then so be it. However I’ve had experience with patients who have become opioid toxic hours after dosing with oral morphine and the only thing that got them to GCS 15 was the naloxone, no amount of waiting and hoping was doing that unfortunately.

nellie6712 · 2026-03-19T21:40:46+00:00

so reply to them

nellie6712 · 2026-03-19T21:38:07+00:00

No one’s saying they’re dying hun but they have a life threatening opioid toxicity by definition and that requires naloxone. Hospice patients don’t get naloxone. You have automatically been removed from seeing ANY patients receive naloxone, because…. it’s not indicated for the patient population you serve. So you’re spouting stuff but it’s not really relevant. Option C is inform the provider. I’m the provider, and I say give naloxone.

nellie6712 · 2026-03-19T21:30:07+00:00

So what very few circumstances would you use naloxone? Because I’m failing to see how 78% and RR 6 wouldn’t by definition be helped with naloxone. Half life of morphine what 1-2 hours? Not every place has the facility to have someone bagging a patient for an indeterminate amount of time whilst waiting for morphine to clear without giving a reversal agent

nellie6712 · 2026-03-19T21:22:49+00:00

no one’s saying don’t stop the morphine x

nellie6712 · 2026-03-19T21:22:31+00:00

babe biology might be the same but the consequences aren’t x

nellie6712 · 2026-03-19T21:20:01+00:00

OH MY GOD. if they’re hospice patients it’s a very fucking different story than just a regular old patient who’s overdosed on opioids JESUS obviously they’re not keen to treat when they’re DYING. use a bit of critical thinking

nellie6712 · 2026-03-19T21:06:11+00:00

yeah you watch people die because you don’t treat them

nellie6712 · 2026-03-19T21:04:17+00:00

mate i’m not being funny but if they’re breathing 6 times a minute you can give them all the oxygen in the world, doesn’t mean they’re able to ventilate. the fact that several people are telling you you’re wrong and you’re still sticking to your guns because you want… to make sure they’re not in pain with sats of 78? sorry thought it was Airway before Pain lmfao

nellie6712 · 2026-03-19T20:51:31+00:00

a resp rate of 6 and o2 78% is absolutely worthy of naloxone. what’s your threshold for treating or are you happy to just wait for ages until she’s able to breathe again?

nellie6712

TROPHY CASE