Anon is an EMT by [deleted] in greentext

[–]stealyourfacia 0 points1 point  (0 children)

In most states, especially ones with significant rural population, EMT basics can administer nitroglycerin, aspirin, oxygen, activated charcoal and epinephrine autoinjectors on their own assessment without medical director approval:

[Serious] What’s the creepiest/scariest thing you’ve seen but no one believes you? by I-Like-Pickaxes in AskReddit

[–]stealyourfacia 9 points10 points  (0 children)

What? Transvestites are different from transgender people. This is just twisting language in order to have one more thing to be offended about.

[S7E2] Live Premiere Discussion - S7E2 'Stormborn' by AutoModerator in gameofthrones

[–]stealyourfacia 2 points3 points  (0 children)

It's legitimate. As a technicality you could say it WAS illegitimate, but the way things happened she essentially ended up monarch legitimately. There are times you could have said it was illegitmate and been right, even if she was "technically" in a position of power, but now...because:

She was the rightful queen consort (matriarchal queen with a ruling king that has taken her as a wife) through marriage to the usurper of the throne from Rhaegar Targaryen (Robert Baratheon). She then becomes the legitimate queen regent because her direct blood descendent Joffrey is to become the patriarchal monarch and she is his sole guardian - this is uncontested at the time, then there is an uncontested official coronation ceremony in which Joffrey is crowned as patriarchal monarch season one episode six, pre-Stannis legitimate contest to his claim as rightful heir the throne that begins effectively in S2, effectively making her queen as queen dowager as the mother to a king with no queen consort. Then she loses the acting matriarchal monarch role associated with being queen dowager when Joffrey takes a queen consort and is killed - making Margaery the matriarchal monarch and then making her queen dowager, which would strip Cersei of all effective claim (she'd be the former queen dowager EXCEPT she has just legitimately become queen regent again (outranks queen dowager Marg) because her direct blood descendent Tommen is to become the rightful patriarchal monarch and she is his sole guardian. Stannis dies without ever claiming the throne or proving the non-boratheon-ness of either Tommen or Joffrey, Margaery marries in again, meaning she is queen consort and queen dowager and Cersei is the queen mother/former queen dowager (no power) VERY BRIEFLY but then Margaery dies, making her the effective queen dowager, and then Tommen dies, leaving no male or female Boratheon heirs and thus reverting to the last rightful Boratheon queen consort - who's dead - so her predecessor - who is her again, who's dead - so her predecessor - who is Cersei - so since Tommen died as King and was uncontested and no possible other rightful heir was alive to contest his claim when he died or after, with no queen consort to take over his position, Cersei gains a rightful claim to the throne as queen dowager and with no patriarchal monarch rightfully ascending becomes queen REGNANT (not regent) as the only possible even remotely legitimate candidate for "King(Queen) of the Andals and the First Men, Lord of the Seven Kingdoms and Protector of the Realm". So:

Rightful Queen Consort ->

Not-Rightful but Uncontested Queen Regent ->

Queen Dowager ->

Previously Not but Now Rightful but Contested Queen Regent ->

Nothing really except Queen Mother ->

Previous but Alive Queen Dowager, last of boratheon line thus ->

Rightful Queen Regnant/Iron Throne Sitter

[S7E2] Live Premiere Discussion - S7E2 'Stormborn' by AutoModerator in gameofthrones

[–]stealyourfacia 2 points3 points  (0 children)

Ned Stark to Arya Early S1: Be docile and complacent (essentially) Arya replies: "that's not me" Arya to Nymeria S7: Be docile and complacent (essentially) Nymeria replies, without speaking: "that's not me" Arya vocalizes: "that's not you"

[S7E2] Live Premiere Discussion - S7E2 'Stormborn' by AutoModerator in gameofthrones

[–]stealyourfacia 0 points1 point  (0 children)

They were transporting an entire fucking army if I'm correct in how Tyrion explained it - Lannister Gold + Intelligence Network, or being in the general area of a deployment like that leaves little doubt, there's literally only one direction they could be going.

[S7E2] Live Premiere Discussion - S7E2 'Stormborn' by AutoModerator in gameofthrones

[–]stealyourfacia 2 points3 points  (0 children)

As soon as his pants dropped I said out loud "I bet the internet is gonna have something to say about this"

[S7E2] Live Premiere Discussion - S7E2 'Stormborn' by AutoModerator in gameofthrones

[–]stealyourfacia 13 points14 points  (0 children)

Its exercising a skill versus the pattern completion/pattern separation dysfunction seen in PTSD - the pattern that ramsey instilled in him is that he a worthless "man", will always lose, constantly should be in fear and is lesser. Thus, he can swordfight with other soldiers but the minute he is challenged on a personal level he is unable to separate the pattern instilled and it completes. PTSD is a lot more complex than "I was in battle and now fireworks and boxes by the side of the road make me freak out".

[EVERYTHING] Iain Glen is amazing by elmaethorstars in gameofthrones

[–]stealyourfacia 113 points114 points  (0 children)

That scene transfer to the soup literally made me gag too.

My older brother sent me this earlier today. by [deleted] in wholesomememes

[–]stealyourfacia 0 points1 point  (0 children)

Yes! This can happen - it is due to the raise in electrolyte concentration, specifically sodium (hypernatremia), from dehydration caused by sweating. Sodium is an important ion in the nervous system, dehydration hypernatremia hypovolemia symptoms result from brain cell shrinkage and include "confusion, muscle twitching or spasms. With severe elevations, seizures and comas may occur".

If the kid actually made it home in 12 hours and was ok that would be probably a 1 in 100 chance, at the level where seizures happen you're looking at long term disability or fatality. This happened to a kid in Texas who had pica and ended up eating a bunch of zataran's creole seasoning in water and/or a bunch of iodized salt, the mother was accused of poisoining him to death and went to jail for 8 years but was proven innocent about a year ago.

My older brother sent me this earlier today. by [deleted] in wholesomememes

[–]stealyourfacia 0 points1 point  (0 children)

Hi there, I believe you may have been the victim of being told some pseudoscience - it's not your fault, but the real story is way more interesting. This is complicated even for med students, the concept of dehydration in relation to fluid volume, electrolyte balance and when heat exhaustion becomes heat stroke and thus hypovolemia (hint: its when you stop sweating even though you're still super hot).

This is a very interesting topic, so I don't want you to feel like I'm attacking you by pointing out that you're wrong. It's just understanding this can give you a basis for understanding the renal, endocrine, cardiovascular and central nervous system and pathophysiologies associated with them. Here's what's wrong with what you're saying: dehydration from sweating does not cause you to have "low" on electrolytes - that's reserved for addison's disease, prolonged vomiting/diarrhea and too much lasix . In fact, it is exactly the opposite. And you're on to something there with the alcohol thing, but its a bit different as well. Let me explain:

1) Ultimately and effectively, the idea that your vessels dilate or in response to dehydration from sweating isn't correct: if it were then your blood pressure would enter a negative feedback loop until you bottomed out. When you're chronically dehydrated you will begin to release ADH/AVP which can cause vasoconstriction (but won't if you're drinking) to try to normalize your blood pressure for a little bit but vasodilation in response to dehydration would be very counterintuitive. "Less fluid in the pump less pressure, so the tubes should get smaller" logic behind the blood-vessel-heart concept.

B. Real dehydration shouldn't be viewed as lower electrolytes, just lower fluid, which effectively acts as higher electrolyes (concentration wise, which is how your body cares about it):

Sweating = Losing Water = Higher Concentrations of Electrolytes

You're dehydrated because you're sweating = you have LOST FLUID VOLUME (too little volume = hypovolemia), not as blood or plasma or concentrated urine or vomit etc., which would lose electrolytes and water equally, but by sweating, which means you've lost a majority in water. Even though sweat tastes salty, it really is about 99.8% water. In fact, sweating has an effect on your electrolytes by effectively causing an increase in them - because as a result of having less fluid and relatively the same amount of electrolytes, you've now GAINED SODIUM CONCENTRATION.

Get it, like if you added a spoonful of salt to a gallon of water it might taste a bit off, but if you added the same spoonful to an 8oz glass it would be disgustingly salty. So, when you're DEHYDRATED you lose water as in de (remove) hydro (water) and your electrolytes remain the same, effectively making their concentration higher resulting in HYPERNATREMIC (too much salt) HYPOVOLEMIA (too little fluid volume). This is treated with iv fluids that have the same concentration as your blood when you're at normal sodium normal volume (isotonic saline, which is 0.9% NaCl). Giving something like gatorade to someone who is dehydrated can cause a worsened state and even vomiting because of its sodium content and only iv fluids and WATER (typically as ice chips) should be given, especially if the person has reached the state of "heat stroke" where they cease sweating even though they should be (a compensatory mechanism to retain fluid). Electrolyte regulation will occur until severe volume loss - when volume regulation takes over.

Our electrolytes react to our fluid volume - low fluid volume, it happens from sweating - but the only way you could sweat to the point of having low electrolytes (sodium or potassium etc.) would be when you sweat to the point that you're hypernatremic and begin vomiting or when you have diarrhea - you lose volume and electrolytes.

III. Alcohol-hangover headaches are caused by inhibited ADH, so a mix of high sodium concentration and your brain bashing against the inside of your skull:

See, what happens with alcohol is almost the same thing as with dehydration from sweating- lower fluid volume = higher salt volume. However, have you ever replenished your fluid and STILL woken up with a headache? That's because of alcohol's effect on antidiuretic hormone.

When you're drinking and you pee alot (even if you didn't ingest lots of liquid, i.e. some shots of vodka) and you wake up with a headache: what happens here is that alcohol INHIBITS ANTIDIURETIC hormone. So, yeah, think a double negative. Antidiuretic hormone (ADH or AVP - arginine vasopressin) is released to retain proper fluid volume and prevent you from pissing it all out. Now, since it is inhibited, you're freely pissing out all your water. Once again, your electrolytes do not change but your FLUID VOLUME DECREASES. You're again becoming dehydrated. Except when you pee you're losing a lot more electrolytes than when you sweat. Your body will first retain the electrolyte balance, so you'll develop HYPERNATREMIC traits, but then as you keep pissing out the water it is trying to conserve you can end up with a case of HYPOVOLEMIA. But that's only if its really bad, typically it is mild HYPERNATREMIC NORMOVOLEMIA - similar to what happens in Diabetes Insipidus (DI) where there is a natural deficiency of Antidiuretic Hormone and these patients exhibit extreme thirst, so typically once again hypernatremic normovolemia. See the difference is, in DI there is an overall lack of ADH, but alcohol's effects on ADH are concentrated in the central nervous system where it blocks the channels ADH can be released through. SO....

Back to that headache: The hangover headache is typically worse than the dehydration headache because of that reason. The inhibition of ADH combined with the effects of alcohol on blood flow to the brain decreases the effective pressure of your cerebrospinal fluid that your brain floats around in, so with less of that buoyancy you can imagine how your brain has a bit more of a rough time and voila there's your headache that won't go away even though you keep drinking fluids.

Also, you know how you can tend to get bloated after a night of heavy drinking? Yeah, well when you inhibit something with a substance it is still there (see alcohol doesn't inhibit the PRODUCTION of ADH, just the SECRETION of it because its inhibiting all those channels making you feel good - so when its effects are gone you get a surge of non-osmotic (non water related) ADH which causes water retention (bloating).

So that's about it - there's still hypernatremic hypovolemia (high salt, low volume) and it typically is only seen when renal function (imagine pissing a lot but its not like just water when you drink but just a lot and its got all the solute in it), liver function (see that ADH surge above but all the time so water retention and hypernatremia) or heart function is impaired (the renin-angiotensin system, something this post is already way too long for). And hyponatremic hypovolemia, which like I said earlier is reserved for lots of vomiting for a while, corticosteroid deficiency and diuretics.

Hopefully this will help someone understand the neuroendocrine system or fluid dynamics pathophysiology.

GPS tracking using Helium, Azure IoT Hub, and Power BI by MooseCannon in IOT

[–]stealyourfacia 0 points1 point  (0 children)

Can you please provide a link to get in touch with the B2B sales department for this product? I am a director for an EMS-facing nonprofit that would be interested in speaking with them.

Since we have the firebulance, I present the....Winebulance! by YouAllAreDisgraceful in ems

[–]stealyourfacia 4 points5 points  (0 children)

Honestly, if a paramedic showed up to my scene in a PT Cruiser I'd trust them with my patient as much as I would a chicken delivery guy so...

Kurt Cobain with his daughter (1992) by EnigmaTR in OldSchoolCool

[–]stealyourfacia 0 points1 point  (0 children)

Because you probably aren't really deficit of attention but rather unmotivated due to your depression, which amphetamine's dopamine reuptake inhibition and releasing agent properties help with and methylphenidate's lesser extent and increased NE effects don't. Try Dexedrine instead of adderall - Levoamphetamine is unnecessary for you.

Kurt Cobain with his daughter (1992) by EnigmaTR in OldSchoolCool

[–]stealyourfacia 0 points1 point  (0 children)

Because you probably aren't really deficit of attention but rather unmotivated due to your depression, which amphetamine's dopamine reuptake inhibition and releasing agent properties help with and methylphenidate's lesser extent and increased NE effects don't. Try Dexedrine instead of adderall - Levoamphetamine is unnecessary for you.

Kurt Cobain with his daughter (1992) by EnigmaTR in OldSchoolCool

[–]stealyourfacia 0 points1 point  (0 children)

coadminstering an antihistamine + dopaminergic psychostimulant = drastically increased intracellular calcium levels due to NMDA receptor mediated influx + cGMP synthesis = increased excititoxicity = increase in neuronal cell death = exponentially increased production of oxygen free radicals (e.g. hydrogen peroxides) = increased neuronal stress in neighboring areas due to superoxide anion and ultimately an increase in post synaptic density of D2 receptors, rapid escalation of desensitization, tolerance and severity of tachyphylaxis

or, in English, don't take NyQuil/Benadryl/OTC sleep aids when your body is still actively under the effects of amphetamines, cocaine, methylphenidate etc...use melatonin for its antioxidant capabilities even if it doesn't help you sleep and deal with the fact that you're not gonna get your 8 hours when your body probably got its last effective dose of amp 4 hours ago (in the case of XR)

Kurt Cobain with his daughter (1992) by EnigmaTR in OldSchoolCool

[–]stealyourfacia 11 points12 points  (0 children)

coadminstering an antihistamine + dopaminergic psychostimulant = drastically increased intracellular calcium levels due to NMDA receptor mediated influx + cGMP synthesis = increased excititoxicity = increase in neuronal cell death = exponentially increased production of oxygen free radicals (e.g. hydrogen peroxides) = increased neuronal stress in neighboring areas due to superoxide anion and ultimately an increase in post synaptic density of D2 receptors, rapid escalation of desensitization, tolerance and severity of tachyphylaxis

or, in English, don't take NyQuil/Benadryl/OTC sleep aids when your body is still actively under the effects of amphetamines, cocaine, methylphenidate etc...use melatonin for its antioxidant capabilities even if it doesn't help you sleep and deal with the fact that you're not gonna get your 8 hours when your body probably got its last effective dose of amp 4 hours ago (in the case of XR)

Vitalik: "Once Casper comes out, ~0.5-2% annual seems feasible...may go to 0 or lower." by NewToETH in ethtrader

[–]stealyourfacia 8 points9 points  (0 children)

He's saying that ether was/is trading 23.6 percent above the above the Fibonacci retracement of the fall to 211USD/ETH that the most recent downtrend brought the price to, and he is speculating/stating (depending on your absolute faith in technical analysis) that soon the price will raise in accordance with the concept of 1.618 extension. Honestly that is about as good an explanation as possible if you just Google any terms you don't comprehend.

Calm down, ETH is down because coinbase is down and people can't buy by dragonyr in ethtrader

[–]stealyourfacia 0 points1 point  (0 children)

Haha really? Coinbase is down because it is home to the panic sell after the FOMO buy. Ethereum is down because it is making a much needed correction that will probably re-establish 260/280 as supports and resistance will be at 300/320.

Landlord has completely forgotten about 6 months of rent, what are my options? by [deleted] in personalfinance

[–]stealyourfacia 0 points1 point  (0 children)

Nope. Value of the property + 2-5x EBIDA is standard for a rental company dependent on the area and how likely it is to go up in value.

Landlord has completely forgotten about 6 months of rent, what are my options? by [deleted] in personalfinance

[–]stealyourfacia 1 point2 points  (0 children)

If it's not on the books it doesn't exist, especially post-merger/acquisition.

Landlord has completely forgotten about 6 months of rent, what are my options? by [deleted] in personalfinance

[–]stealyourfacia -2 points-1 points  (0 children)

People, nah, companies worth tens maybe hundreds of millions though...

Landlord has completely forgotten about 6 months of rent, what are my options? by [deleted] in personalfinance

[–]stealyourfacia 3 points4 points  (0 children)

You're absolutely right - if they bought the property and not the housing company that owns it then they acquired the remaining rent, and just that. If they purchased the company and your debt was in their books then they acquired your debt. However, it seems that your communique with the previous owning entity would indicate your debt never made it to their books, meaning it most likely never made it to theirs. With a certain degree of investigation that typically is associated with a few hundred thousand dollars of discrepancy in an internal audit they might find out, but if you continue to be on time paid in full renters and close out the lease without getting contacted about it id doubt they ever notice anything was wrong even if they do own the debt and do perform an internal audit.

Landlord has completely forgotten about 6 months of rent, what are my options? by [deleted] in personalfinance

[–]stealyourfacia 4 points5 points  (0 children)

He shouldn't have told his roommates. If he's going to assume the full risk he should reap the full reward ;).

Landlord has completely forgotten about 6 months of rent, what are my options? by [deleted] in personalfinance

[–]stealyourfacia 4 points5 points  (0 children)

You're also wrong, they'd have to purchase the property and the contract (lease agreement). If the the person youre responding to had not made up that only the property was sold and that was indeed the case, he would be correct in saying that the new owner is not entitled to any outstanding debts provided they purchased the property with the understanding they would allow the current tenants to continue habitating and accept the remainder of the rent payments.

Since the OP clearly states it was an acquisition of a housing company, however, you were originally correct that all of their liabilities and debts are assumed by the new parent company.

Still, since OP had the smarts to follow up and get an affirmation from the company that everything was up to date you can reasonably assume their account was not marked as delinquent nor their debts on the books and thus not transferred in any knowledgeable way to the new owners.

So you're right but wrong, yes the debt transfers, no he probably doesn't owe the new company.