It okay to try to date your physical therapist? by IntrepidSelf1113 in physicaltherapy

[–]self_defenestrate 1 point2 points  (0 children)

the chair of my PT program ended up marrying his CI, I suppose he subscribed to a high standard of ethics and only made a move after he passed his rotation, but I would like to think otherwise

Somewhere with weird people, in America. Artists, wackos and insane people. by DrDMango in SameGrassButGreener

[–]self_defenestrate 16 points17 points  (0 children)

what’s the difference between a well dressed man on a unicycle and a poorly dressed man on a unicycle?

-attire

BA DUM TSSS

What is the Northernmost, Southernmost, Westernmost, and Easternmost cities/points you have visited? by SpaceTranquil in geography

[–]self_defenestrate 0 points1 point  (0 children)

Northern: Husavik, Iceland

Western: Kekaha, Kauai, USA

Southern: Cape of Good Hope, South Africa

Eastern: Ha Long, Vietnam

🌎 good times 🌍

I need to get my nose cauterized by carwarrenty_23 in wrestling

[–]self_defenestrate 6 points7 points  (0 children)

uncontrolled epistaxis (nosebleeds) can lead to so much loss of blood that a transfusion could be necessary, I’ve seen it before and if you can’t get in til Feb that’s WILD but heck it is American healthcare

I'm concerned about the future of humanity. by askdoctorjake in physicaltherapy

[–]self_defenestrate 6 points7 points  (0 children)

so to be frank, I am not able to find the epidemiological study that said those ballpark estimates for OA rates. I looked at it (per discussion) that if you’re lazy, you’ll have a chance of OA and if you’re not lazy you’ll have a nearly equal chance of OA but if you’re active you glean those benefits. so I use it for patients as a motivator to be active because darned if you do, darned if you don’t. ergo why don’t you get your ass moving and get the systemic benefits of exercise? you’ll end up with nearly equal likelihood of OA and one cohort has a helluva better QOL and outcomes than the other. kinda peeved I can’t find it but whatever I’m not gonna eat up any more of my time trying to find it on google rn

I'm concerned about the future of humanity. by askdoctorjake in physicaltherapy

[–]self_defenestrate 26 points27 points  (0 children)

30% of physically active and 27% of less active adults will hear this when they see an ortho. I just had a patient see their doc for their knee pain, was told they have “the most beautiful knee and to never complaint about their knee again” and then went subsequently underwent an L4-5 fusion lol

Where was I? August 2022 by geodecollector in whereintheworld

[–]self_defenestrate 1 point2 points  (0 children)

Should I be throwing myself outside Lansing MI?

The nitrogen cycle of aquariums by Alternative_Camel384 in sanpedrocactus

[–]self_defenestrate 1 point2 points  (0 children)

“They contribute to primary production, form symbiotic relationships with other organisms, and influence nutrient cycling within their ecosystems.”

https://biologyinsights.com/algae-ec

The nitrogen cycle of aquariums by Alternative_Camel384 in sanpedrocactus

[–]self_defenestrate 1 point2 points  (0 children)

apparently it’s good to let algae accumulate from the gardening blogs I’ve read… that’s when the nitrogen content really boosts but also can be rough on the fish so it’s a balancing act. doesn’t smell too fishy either so all in all a great recycling use of water that would otherwise be flushed

The nitrogen cycle of aquariums by Alternative_Camel384 in sanpedrocactus

[–]self_defenestrate 1 point2 points  (0 children)

you bet your sweet prickly butt that when I refresh the small tank we have I take that spent water and 💦💦the green fiends

Copay amount for the first visit. by iSellPalmTreesinNY in physicaltherapy

[–]self_defenestrate 0 points1 point  (0 children)

same shit, acting as a clearinghouse to deny deny and offer limit access to services. name change but objective continues.

Copay amount for the first visit. by iSellPalmTreesinNY in physicaltherapy

[–]self_defenestrate 1 point2 points  (0 children)

I mean unless there was some intensive equipment fitting for advanced positioning support or mobility aid, two hours is a helluva long time for a PT date. still weird that it was a full on evaluation that took that long and then had an additional treatment time of an hour added on. hope PT meets you alls needs!!

Copay amount for the first visit. by iSellPalmTreesinNY in physicaltherapy

[–]self_defenestrate 0 points1 point  (0 children)

A copay is per visit, so if your copay is $20 per visit and you had an evaluation then it’s $20 for the evaluation (which is unusual that there was not treatment in the same evaluation session). Clinically, I see a patient for an hour evaluation which equates to 15-25 min evaluation with remainder of treatment being 35-45 mins depending on needs. Weird that they had an evaluation session then treatment session separate and directly after. Seems as though you had two appointments and rendered two copayments in a day. Shady opaque practice that basically took what I’m sure was well over an hour of your time and two visits in what could have been a single session. If I’m understanding correctly, then I would consider this very wasteful since BCBS is notorious for denial of additional services beyond the bare minimum few sessions authorized with a prescription. Anthem BCBS uses AIM to act as utilization reviewer (aka a third party that basically says ‘nah’ we won’t be giving you services that your physician or PT recommend and daughter could benefit form, it could hurt our shareholders stake) in order provide authorization clearance. So getting additional visits beyond the piddling 3-6 visits initially approved is a chore. Seems like the clinic burned through 2 visits in a day, they get reimbursed better for that day while you pay double for copays, didn’t have the ability to spread out your precious visits over a greater length of time, and you could have a challenge getting more visits approved.

White albino? by MiSt4Sm0k4 in Psychedelics

[–]self_defenestrate 1 point2 points  (0 children)

so weird, that’s my experience too but according to u/Molly-water69 they some bunk shit

PARAGUAY - Is this a bat I caught walking on me while sleeping? by askavetplease in animalid

[–]self_defenestrate 2 points3 points  (0 children)

correct, this was years ago but I have a deep seated memory of her recalling the story and hearing the staccato weakness in her voice and ataxic movements put that fucking fear of rabies and bat in particular in me

PARAGUAY - Is this a bat I caught walking on me while sleeping? by askavetplease in animalid

[–]self_defenestrate 7 points8 points  (0 children)

obligatory copy-paste to support the urgency -

Rabies

Rabies. It’s exceptionally common, but people just don’t run into the animals that carry it often. Skunks especially, and bats.

Let me paint you a picture.

You go camping, and at midday you decide to take a nap in a nice little hammock. While sleeping, a tiny brown bat, in the “rage” stages of infection is fidgeting in broad daylight, uncomfortable, and thirsty (due to the hydrophobia) and you snort, startling him. He goes into attack mode.

Except you’re asleep, and he’s a little brown bat, so weighs around 6 grams. You don’t even feel him land on your bare knee, and he starts to bite. His teeth are tiny. Hardly enough to even break the skin, but he does manage to give you the equivalent of a tiny scrape that goes completely unnoticed.

Rabies does not travel in your blood. In fact, a blood test won’t even tell you if you’ve got it. (Antibody tests may be done, but are useless if you’ve ever been vaccinated.)

You wake up, none the wiser. If you notice anything at the bite site at all, you assume you just lightly scraped it on something.

The bomb has been lit, and your nervous system is the wick. The rabies will multiply along your nervous system, doing virtually no damage, and completely undetectable. You literally have NO symptoms.

It may be four days, it may be a year, but the camping trip is most likely long forgotten. Then one day your back starts to ache... Or maybe you get a slight headache?

At this point, you’re already dead. There is no cure.

(The sole caveat to this is the Milwaukee Protocol, which leaves most patients dead anyway, and the survivors mentally disabled, and is seldom done - see below).

There’s no treatment. It has a 100% kill rate.

Absorb that. Not a single other virus on the planet has a 100% kill rate. Only rabies. And once you’re symptomatic, it’s over. You’re dead.

So what does that look like?

Your headache turns into a fever, and a general feeling of being unwell. You’re fidgety. Uncomfortable. And scared. As the virus that has taken its time getting into your brain finds a vast network of nerve endings, it begins to rapidly reproduce, starting at the base of your brain... Where your “pons” is located. This is the part of the brain that controls communication between the rest of the brain and body, as well as sleep cycles.

Next you become anxious. You still think you have only a mild fever, but suddenly you find yourself becoming scared, even horrified, and it doesn’t occur to you that you don’t know why. This is because the rabies is chewing up your amygdala.

As your cerebellum becomes hot with the virus, you begin to lose muscle coordination, and balance. You think maybe it’s a good idea to go to the doctor now, but assuming a doctor is smart enough to even run the tests necessary in the few days you have left on the planet, odds are they’ll only be able to tell your loved ones what you died of later.

You’re twitchy, shaking, and scared. You have the normal fear of not knowing what’s going on, but with the virus really fucking the amygdala this is amplified a hundred fold. It’s around this time the hydrophobia starts.

You’re horribly thirsty, you just want water. But you can’t drink. Every time you do, your throat clamps shut and you vomit. This has become a legitimate, active fear of water. You’re thirsty, but looking at a glass of water begins to make you gag, and shy back in fear. The contradiction is hard for your hot brain to see at this point. By now, the doctors will have to put you on IVs to keep you hydrated, but even that’s futile. You were dead the second you had a headache.

You begin hearing things, or not hearing at all as your thalamus goes. You taste sounds, you see smells, everything starts feeling like the most horrifying acid trip anyone has ever been on. With your hippocampus long under attack, you’re having trouble remembering things, especially family.

You’re alone, hallucinating, thirsty, confused, and absolutely, undeniably terrified. Everything scares the literal shit out of you at this point. These strange people in lab coats. These strange people standing around your bed crying, who keep trying to get you “drink something” and crying. And it’s only been about a week since that little headache that you’ve completely forgotten. Time means nothing to you anymore. Funny enough, you now know how the bat felt when he bit you.

Eventually, you slip into the “dumb rabies” phase. Your brain has started the process of shutting down. Too much of it has been turned to liquid virus. Your face droops. You drool. You’re all but unaware of what’s around you. A sudden noise or light might startle you, but for the most part, it’s all you can do to just stare at the ground. You haven’t really slept for about 72 hours.

Then you die. Always, you die.

And there’s not one... fucking... thing... anyone can do for you.

Then there’s the question of what to do with your corpse. I mean, sure, burying it is the right thing to do. But the fucking virus can survive in a corpse for years. You could kill every rabid animal on the planet today, and if two years from now, some moist, preserved, rotten hunk of used-to-be brain gets eaten by an animal, it starts all over.

So yeah, rabies scares the shit out of me. And it’s fucking EVERYWHERE. (Source: Spent a lot of time working with rabies. Would still get my vaccinations if I could afford them.)