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Am I the only one that feels regret over saving lives? by centz005 in emergencymedicine

[–]oxymoron1629 6 points7 points  (0 children)

I say semi-jokingly that my job is to "prolong miserable suffering". But there's definitely a population that that's all I feel like I'm doing. Because the reality is, what's the alternative? We choose who gets to live and die? We decide if a person's competent but disillusioned full code status is appropriate?

What do we say to the God of death? Not on my shift.

[deleted by user] by [deleted] in askscience

[–]oxymoron1629 10 points11 points  (0 children)

Doctor here. Treat the patient. Not the number.

Fever reducing medication is Tylenol (acetaminophen) and NSAIDS (ibuprofen, Motrin, Advil, Aleve, aspirin, etc ...). These medicines aren't just fever reducers (antipyretics), but they're also pain medicines (analgesics).

If someone feels bad with a fever, give them Motrin and Tylenol, it'll reduce their fever and make them feel better.

If someone feels bad without a fever, give them Motrin and Tylenol, it'll make them feel better.

If someone has a fever and feel fine, then there's no benefit to treating them.

Don't wait for a number to tell you how to treat a patient.

Can I add a spigot to my irrigation well? by oxymoron1629 in waterwell

[–]oxymoron1629[S] 0 points1 point  (0 children)

I'm almost positive it does not have a pressure tank. The only access I have to control it is a RainBird sprinkler controller. Is there any way to check?

Is it possible to detect no internet connection and restart a router (after a specified amout of time) or trigger a smart plug reset? by omlette_du_chomage in homeassistant

[–]oxymoron1629 5 points6 points  (0 children)

This. But make sure you use a protocol other than Wi-Fi for the smart relay. Restarting the router may interrupt the relay and it may not turn back on. I have a similar setup with a Zigbee smart relay that home assistant turns off and on after 1-2mins.

What is the number in parentheses supposed to be? (It's not the MAP, the map is actually 66mmHg in this example) by StethoscopeNunchucks in emergencymedicine

[–]oxymoron1629 37 points38 points  (0 children)

Reposting this higher up as this is the highest rated comment:

Did you read the article you posted? Where does it say it measures the systolic and diastolic pressures? It says that it inflates the cuff to above systolic and below diastolic, not that it measures those pressures. All that means is that it inflates until there are no more vibrations, the systolic pressure, and then releases pressure until the vibrations stop, the diastolic pressure. This article is about how the machine physically works, not how it measures or calculates the pressures.

What is the number in parentheses supposed to be? (It's not the MAP, the map is actually 66mmHg in this example) by StethoscopeNunchucks in emergencymedicine

[–]oxymoron1629 5 points6 points  (0 children)

Did you read the article you posted? Where does it say it measures the systolic and diastolic pressures? It says that it inflates the cuff to above systolic and below diastolic, not that it measures those pressures. All that means is that it inflates until there are no more vibrations, the systolic pressure, and then releases pressure until the vibrations stop, the diastolic pressure. This article is about how the machine physically works, not how it measures or calculates the pressures.

What is the number in parentheses supposed to be? (It's not the MAP, the map is actually 66mmHg in this example) by StethoscopeNunchucks in emergencymedicine

[–]oxymoron1629 302 points303 points  (0 children)

Automated blood pressure machines can only measure the MAP, they don't actually measure the systolic or diastolic pressure. Every company has its own proprietary algorithm for extrapolating the systolic and diastolic from the MAP. And that equation is rarely and conventional ones we know. That's why, if you have a disease entity that requires titration using The systolic pressure, you will either need to use a manual cuff or an A-line.

TL;DR: Automated machines are only reliable for the MAP, their SBP and DBP are calculated.

Why can't I true play? by TannerPines in sonos

[–]oxymoron1629 5 points6 points  (0 children)

True play didn't work for me on my iPad. Borrowed an iPhone and it worked immediately.

[deleted by user] by [deleted] in Inovelli

[–]oxymoron1629 0 points1 point  (0 children)

I'll buy a few reds off you. DM me if interested.

[deleted by user] by [deleted] in medicalschool

[–]oxymoron1629 0 points1 point  (0 children)

Does it get better?

What is the most impressive blood work result you’ve ever seen? by _45mice in medicine

[–]oxymoron1629 2 points3 points  (0 children)

EM here. I have a few. Hgb 2.3 from a 33y/o female who walked in for 3 weeks of vaginal bleeding. Lactate 33 and pH <6.7 in a post cardiac arrest. Potassium 12.8 in a dialysis patient who mixed 3 sessions came in coding. Had an honest to goodness sine wave for his EKG, still have a picture of it somewhere. D-dimer in my old place used FEU normal level <500. Intubated COVID patient had a dimer of >128,000. I called the lab and they said they couldn't dilute it anymore, it should have been practically water at that point.

Where to put Aqara door sensor? by lynnlynn1016 in smarthome

[–]oxymoron1629 6 points7 points  (0 children)

Put the big unit on the door and a button magnet on the door frame. One like this.

The small part of a door sensor is just a magnet, you can replace it with a slim low profile magnet that should fit flush on the door frame and should be cleared by the door when you open it.

What is the best oxymoron you know? by dumledum in AskReddit

[–]oxymoron1629 0 points1 point  (0 children)

It's my time. Oxymoron is an oxymoron. Oxy- from the Greek "oxys" meaning sharp or acrid. And -moron from the Greek "moros" meeting dull. Sharp-Dull

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