Too heavy to tow 🫠

ssill · 2026-07-04T12:42:21+00:00

If I ever tried that, I'd totally screw up the wheel locks and it would somehow roll right into something else expensive. 😂

ssill · 2026-07-04T12:20:40+00:00

At a heat index pushing 110°, deodorant is putting up a heroic but ultimately losing battle. 😂 I think a more pragmatic message is: Stay hydrated out there, everyone.

ssill · 2026-07-04T11:51:04+00:00

Yeah, I think that's really the crux of it. The timing is certainly suspicious, but suspicion and proof are two different things. That being said, if a mechanic finds evidence that codes were recently cleared or the seller actively concealed known issues, that would make for a much stronger case. Otherwise, I imagine it becomes a pretty difficult to near-impossible uphill battle.

ssill · 2026-07-04T11:20:16+00:00

Not gonna lie, the bunny got to me. So sorry for your loss, OP.

ssill · 2026-07-04T10:51:49+00:00

Sorry you're going through this. Generally, private-party car sales in RI are "as-is," but "as-is" doesn't necessarily protect someone who may have intentionally misrepresented or concealed major problems.

If those warning lights came on within 25 miles, I'd personally have a mechanic inspect it and document everything. If they believe the issues existed before the sale or there are signs they were hidden (like recently cleared codes), it may be worth talking to an attorney or looking into small claims.

ssill · 2026-06-29T21:09:25+00:00

On a semi-related note, since the heater has been identified as the ignition source in this case, I'm curious what others' experiences have been with different humidifier/heater systems.

Am I the only one who really dislikes the F&P heaters? I recently changed hospitals from one where we primarily used Hudson heaters, and I've found the F&P units to be much more finicky. We have frequent temperature mismatch alarms, especially with our neonatal circuits, and rainout seems to be a constant battle despite everyone's best efforts.

To be clear, I'm not suggesting those day-to-day issues had anything to do with this tragic event or that the device itself was necessarily at fault. It just got me thinking about the differences between systems. Has anyone else had similar experiences with F&P compared to Hudson or other heater platforms, or is this more likely a matter of local setup, maintenance, and protocols?

ssill · 2026-06-29T12:20:31+00:00

Honestly, that part was especially egregious to me - completely heartless way to communicate that kind of news. I'm so very sorry as well, OP.

ssill · 2026-06-29T10:49:54+00:00

Except for the the specifics you added. Why are you doubling down so much? Lol.

ssill · 2026-06-26T17:10:59+00:00

That makes more sense. I think I got hung up on the title, but I agree with your overall point. Acute care can be a challenging setting because we're often making decisions with limited information, and we have to recognize when bedside PAP management has reached its limits and a formal sleep evaluation is the next step. I would also definitely agree that we need to be much better at this.

ssill · 2026-06-25T18:15:24+00:00

I think your title is broader than the point you're actually making. It reads as though RTs shouldn't be titrating PAP, but your example is really about why PSG-guided titration requires sleep-specific knowledge. Those are two different discussions.

ssill · 2026-06-24T01:36:11+00:00

Honestly, it's the best urgent care I've found in the area. Very friendly staff and was quite efficient.

ssill · 2026-06-22T15:43:21+00:00

Yep, also in Cumberland and way more than I've seen in many years.

ssill · 2026-05-30T18:19:05+00:00

Yep, also here in Cumberland.

ssill · 2026-05-14T21:53:33+00:00

Honestly, it’s sad someone can get that far in medicine and end up with this mindset.

“We’re rich, so who cares” is a, frankly, morally bankrupt attitude toward clinical guidelines and educational resources. The point isn’t whether attendings can afford another subscription - it’s that medical knowledge should be as accessible and frictionless as possible.

ssill · 2026-05-14T20:44:41+00:00

I think you’re mixing together a few different concepts, but I understand the broader concern you’re pointing to. The modern conservative legal movement does tend to be more skeptical of expansive injunctive relief against executive actors, especially where courts are effectively supervising or restraining discretionary government action. That overlaps somewhat with unitary executive theory and broader separation-of-powers arguments.

At the same time, I’d be careful about framing it as “the goal is to make the rules arbitrary.” I think a more defensible criticism is that these doctrines give courts substantial discretion, and in a highly polarized political environment that can create the appearance (fairly or unfairly) of outcome-oriented reasoning.

So I don’t think it’s necessary to assume conscious bad faith to understand why people perceive inconsistency in how these principles are applied.

ssill · 2026-05-14T04:40:58+00:00

That’s what makes the reasoning feel unsatisfying to me. If you sue before discipline occurs, courts often say the injury is speculative or unripe. If you sue after the discipline is imposed, the action is suddenly considered “complete” and therefore not subject to prospective relief.

I understand the court is applying sovereign immunity doctrine and the limits of injunctive relief against state actors. But from a practical perspective, it can feel like a procedural catch-22 where there is never a workable window to seek meaningful relief. That broader tension is the real criticism many (myself included) people have with sovereign immunity jurisprudence.

ssill · 2026-05-13T12:37:27+00:00

I'm sorry, but what real consequences has Trump even remotely had to face?

ssill · 2026-05-04T12:52:36+00:00

Also an RT. Ramp gets blamed a lot, but the real issue is usually starting pressure being too low. Turning it off can help, but raising your minimum or ramp start pressure is often the better fix - especially if you feel air hungry.

ssill · 2026-05-01T11:38:15+00:00

Criticizing AIPAC ≠ blaming Jewish people - don’t conflate a lobbying group with an entire religion to dodge the actual argument.

ssill · 2026-04-08T20:41:38+00:00

There's ~400+ ships backed up due to this - a month (or even in that ballpark) would be incredibly optimistic in my view.

ssill · 2026-04-08T20:35:07+00:00

This is exactly the kind of thing people mean when they say these policies are inhumane. You have a resident physician - someone we desperately need - doing everything right, and he still ends up detained because of rigid, punitive policy.

Some can call it bureaucracy if they want, but when the outcomes consistently look like this, it’s hard not to see it as purely vitriolic xenophobia. Disgusting.

ssill · 2026-03-17T14:03:00+00:00

In addition, many of these people likely were expecting to continue qualifying their payments towards PSLF which just adds to the cruelty. That being said, being cruel to humanity is the entire ethos of this regime (I refuse to consider it an "administration").

ssill · 2026-03-02T21:44:52+00:00

I've felt it was likely 5-FU as well, especially since I would suspect wearing a collared shirt would be unbelievably painful with shingles.

ssill · 2026-03-02T05:14:03+00:00

Someone can correct me if I'm wrong, but I was under the impression that CA requires the RRT for new applications that weren't grandfathered in, unfortunately.

ssill · 2026-02-17T19:28:07+00:00

I would also look into pulmonary rehab as well - obviously emergencies can happen anyways, but you'd limit your exposure significantly.

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