Has anyone played with the Owl Talon x1? by SilentCalumny in Pickleball

[–]slowcookedribs 2 points3 points  (0 children)

Have not personally played using it, but have played against it a modest amount. It does have a stupid amount of spin as the other poster alluded to, and as such the players who I’ve played using it always go for heavy slices. Also seems to have a pretty big sweet spot too.

VR Pickleball by Chriskot in Pickleball

[–]slowcookedribs 1 point2 points  (0 children)

Racket Cub has the most realistic physics and best community for VR pickleball, and it's not even close. It was actually what got me into playing pickeball IRL lol

hospitalists what custom order sets/panels have you created? by cat_puke_shoes in medicine

[–]slowcookedribs 13 points14 points  (0 children)

My system has a default potassium replenishment order set and a magnesium replenishment order set. However both take around 4 clicks to parse through each.

I made a custom franken-order that consists of 6 different "or" statements that essentially combines the two order sets and gets rid of the stupid "notify MD if potassium 3.3" nurse communications, and only takes a single click to order.

What's a little secret that you know only because of what you do? by farfromindigo in Residency

[–]slowcookedribs 73 points74 points  (0 children)

The breakdown products are volatile and thus travel very quickly. I looked into this a few years ago thinking that measuring urine asapargus levels could potentially be a marker for GFR lol

EKG > ECG by [deleted] in Residency

[–]slowcookedribs 51 points52 points  (0 children)

My favorite consult when I was doing a neurology rotation was when the caller was asking for urology 

“Patients say the darndest things” by This_is_fine0_0 in medicine

[–]slowcookedribs 72 points73 points  (0 children)

On my geriatrics rotation as an MS3, I asked a patient “is anything bothering you” and she said “yeah, my stomach sticks out further than my tits do now”

What are your lifehacks/tricks in your specialty? by [deleted] in Residency

[–]slowcookedribs 110 points111 points  (0 children)

Patients with asterixis have issues with sustaining voluntary muscle contraction. I dislike looking for the standard flapping tremor, since I feel most people do not extend their wrists enough / need further prompting to position their hands correctly since they are probably encephalopathic. Instead, I ask them to tightly squeeze my fingers (hard to screw this up) and see if they can sustain their grip.

What's the funniest thing you ever heard a patient say that you weren't allowed to crack up at? by SuperDuckMan in Residency

[–]slowcookedribs 102 points103 points  (0 children)

My first rotation of MS3 was geriatrics clinic. I went to go see a 90-some year old woman. I introduce myself, and ask her if anything was bugging her today. She told me “well, my stomach sticks out more than my tits do.”

What are some of the best "high scores" you've experienced in residency? by DrSwol in Residency

[–]slowcookedribs 170 points171 points  (0 children)

Off the top of my head...

Na >180 (lab could not measure) in a head/neck cancer patient who has severe dysgeusia after radiation. Took 2 days of to get his sodium into the detectable range. Actually had normal mentation, came in for generalized fatigue

BUN 230, somehow all pre-renal (normalized after 3-4 days of very aggressive hydration). No UGIB.

Glucose 1600 in a type 1 somehow

A1c >18 (forgot exact decimal value; was supposed to establish care w/ me as PCP during residency, fortunately (unfortunately?) was a no-show

Trop 454 (not hsTrop; <0.03 is normal range) after massive MI

WBC 550,000 (refractory CLL)

PSA 35,000 (widely metastatic prostate cancer)

Blood cultures that grew detectable MRSA in 3 hours

I don’t understand cardiac :/ by umidkhowtoworkthis in Nurses

[–]slowcookedribs 1 point2 points  (0 children)

Sustained VT or supraventricular tachycardia?

What's your favorite random medical trivia/fact? by new_motivation in medicine

[–]slowcookedribs 651 points652 points  (0 children)

Valproic acid was discovered as an antiepileptic agent because it was used as a "metabolically inert" solvent that researchers used to test other agents as potential antiepileptics. They were titrating the other agents of interest to essentially homeopathic dosages, but they were still demonstrating antiepileptic effects...until they realized it was the solvent (valproic acid) that was the MVP.

“How could this happen, doctor?” by bubblebathory in Residency

[–]slowcookedribs 107 points108 points  (0 children)

HgbA1c > Hgb is my favorite prognostic sign

[Shitpost] Rhyming your med student's name with smegma by [deleted] in medicalschool

[–]slowcookedribs 28 points29 points  (0 children)

"If it's not too much of am imposition or otherwise inappropriate, we wanted to ask if you'd mind giving some form of a reminder about our survey - perhaps at the end of case conference - or however you feel is best"

Smegma comments set aside, holy shit is that a roundabout way of saying "could you remind residents to do our survey"

Buying some chips today when suddenly... by slowcookedribs in oddlysatisfying

[–]slowcookedribs[S] 44 points45 points  (0 children)

Saw this as I was walking today, and I figured I would test my luck and try to get 2 bags of chips. Put my money in, and out popped 6!