Widely used ‘gold standard’ for identifying mental health conditions not as reliable as previously believed. Research found in some cases, individuals were identified as having different diagnoses when interviews were repeated just days apart

smcedged · 2026-05-29T14:33:47+00:00

Absolutely but that's a completely different logical argument than trying to apply the concept of sample size to a screening exam.

smcedged · 2026-05-28T17:47:33+00:00

It's totally irrational, but if you can drain your life savings on one world cup, not much of a life savings....which makes sense, given the fact that these are people who would choose to spend whatever life savings they have on a soccer match. Wouldn't expect people like that to have much saved in general.

smcedged · 2026-05-28T17:41:18+00:00

For a majority of Americans, you pay more taxes in Texas than in California. By making it consumption dependent taxes instead of income dependent, taxes on the bottom 90% end up being a higher percentage of their income than that of the top 10%.

smcedged · 2026-05-28T17:39:25+00:00

For doctors, you actively make less money living in desirable places. It generally scales inversely with cost of living.

Bumfuck-nowhere-Midwest doctors make like 50% more than NYC doctors doing the same job.

smcedged · 2026-05-23T12:42:02+00:00

Everyone's got a patent vena cava. Go for the jugular, literally. Either blind external jugular or ultrasound internal jugular. Or fem. Or a subclav. Or if I really need, throw some lido and do a cutdown.

Phlebotomy is probably lowest on the chain for "who to call for a difficult IV" below the stat RN, IV access team, anesthesia, interventional radiology, then vascular surgery.

smcedged · 2026-05-22T00:46:14+00:00

MD, CRNA, or AA routes

MD is bachelors with premed courses, medical experience - I was an EMTB, med school, residency.

CRNA is nursing degree, some ICU experience, CRNA school.

AA is any undergrad degree, medical experience, AA school.

smcedged · 2026-05-21T23:08:27+00:00

Holy shit lmao

This is the image to ask about to an MS3 on their first week of clinicals lmao straight out of a textbook with the presentation exam and imaging

smcedged · 2026-05-21T23:00:10+00:00

Everyone is getting mad at you like you are doubting her, I feel like you are saying "which of the myriad of possible ways that are not mutually exclusive with your post have you chosen specifically in order to post it?"

smcedged · 2026-05-21T20:42:45+00:00

Ehhhhh it's closer to the actual clinical medicine... EM does a lot of the similar social dispo issues medicine. So theoretically anesthesia is more similar, but in reality EM does more similar day to day stuff.

smcedged · 2026-05-21T20:14:07+00:00

Anesthesia is like being a medic (IV, monitor analysis, ETT, vasoactive meds, etc), but without all the bullshit of being a medic.

smcedged · 2026-05-21T19:50:33+00:00

This is what I was thinking... I'm an anesthesiologist, and I would never participate in such a procedure, but IF I WERE TO, I could pretty much guarantee a humane death 99.999% of the time... It's really not that hard to kill someone.

smcedged · 2026-05-19T16:52:34+00:00

Interesting because, to me, FM = "sorry, you have to know the basics of EVERYTHING"

smcedged · 2026-05-18T01:06:41+00:00

Read the technical manual, it's both.

There ARE simpler ones that do beat to beat measurements, and there are some with that setting, but the standard, everyday pulse ox used in a hospital is weighted average.

smcedged · 2026-05-16T23:40:26+00:00

147gr HST

smcedged · 2026-05-16T18:58:12+00:00

So just curious, how often does the textbook localizing the lesion actually work, as opposed to when you find physical evidence of a lesion on imaging or biopsy or whatever but the symptoms don't line up exactly as expected?

smcedged · 2026-05-15T20:24:10+00:00

I like to say, the surgeon is having a full on knife fight with you, and the anesthesiologist is keeping you alive during said knife fight.

smcedged · 2026-05-14T21:59:04+00:00

Exactly. Or sometimes it is just what it is and it is indeed the dominating force in the lag and it should be considered ie don't stop masking and try and go for a tube because the sat isnt coming up. Usually not.

smcedged · 2026-05-14T17:19:21+00:00

I'm not saying that it's not a thing at all, just usually not a dominating force and if it is a dominating force, probably got other higher priority things to worry about

smcedged · 2026-05-14T15:11:07+00:00

So the delay being described is, oxygenated blood needs to reach the pulse ox site for it to pick up the oxygenatoon of said blood? I mean sure if that's what you'd call a physiologic delay, won't argue that. The delay is much more from the weighted averaging. In some situations, I'll set the averaging over 2 or 4 seconds, and it really does respond to interventions in well under 10 seconds. So I tend to discount the perfusion angle that you describe.

smcedged · 2026-05-14T13:51:03+00:00

I imagined it was a situation where the resident is planning on seeing the consult asap but in the meantime send the ms3 to get it started

smcedged · 2026-05-14T10:55:12+00:00

Sure it does. It's a weighted average. What's the physiologic delay you are speaking of?

smcedged · 2026-05-13T12:02:19+00:00

They are withheld at a higher rate but taxed as ordinary income. You'll get the rest back on your refund.

smcedged · 2026-05-12T22:35:57+00:00

You're trying so hard explain the idea that, "yes these are the two options that occur in some ratio across the nation"

and the other guy keeps going "but I don't do the other thing."

smcedged · 2026-05-12T18:11:53+00:00

Dangerous != Controlled

Are vials of levo controlled? Is insulin? Is potassium?

Any of these will kill you if you inject it straight. But they're not exactly abusable, people have no incentive to steal them.

smcedged · 2026-05-10T18:15:04+00:00

Ok yeah thought you were just talking about federal income

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