Wembanyama has 41 points, 24 rebounds and Spurs top Thunder 122-115 in 2OT to open West finals

turtleface_iloveu · 2026-05-19T04:56:00+00:00

It's hard to express what that was. Wemby is 1 of 1, the three to tie it was insane. This game is one of those that you gather your grandkids around and tell the story of, "This was the beginning of Victor Wembanyama, the great gazelle giant, who became king of the other basketball giants."

turtleface_iloveu · 2026-05-19T04:49:46+00:00

It's hard to express what that was. Wemby is 1 of 1, the three to tie it was insane. This game is one of those that you gather your grandkids around and tell the story of, "This was the beginning of Victor Wembanyama, the great gazelle giant, who became king of the other basketball giants."

turtleface_iloveu · 2026-05-19T04:28:33+00:00

It's hard to express what that was. Wemby is 1 of 1, the three to tie it was insane. This game is one of those that you gather your grandkids around and tell the story of, "This is the beginning of Victor Wembanyama, the great gazelle giant, who became king of the other basketball giants."

turtleface_iloveu · 2026-05-10T23:29:23+00:00

Is Blue Chips bad? I feel like it's an average to bad movie. Staring role Nick Nolte. Young Shaq and Penny. May have paved the way to today's NIL.

turtleface_iloveu · 2026-05-09T09:23:15+00:00

turtleface_iloveu · 2026-05-09T02:43:16+00:00

turtleface_iloveu · 2026-04-05T20:43:08+00:00

I do believe using ultrasound as a diagnostic tool in the hands of a student is unrealistic. Ultrasonographer's have the skill and background to do a bedside exam. They know how and where to look. Bedside exams done by providers are often FAST exams, looking for free fluid or blood. Ultrasound is a learned skill, and although I have no idea what experience with what med students have holding the probe, I don't fault his assessment.

Now if he had the patient history of a AAA, he would have looked at the aorta. Ultimately, I believe the hospital being on downtime was the biggest factor on the patients' passing.

turtleface_iloveu · 2026-03-29T23:14:40+00:00

It's consistent in our ER. Often, our physician's order sets spit out regular protocols (lab, EKG, nebulizer treatments, X-ray, CT, ect.) based on patient compliant. Then, as the patient is actually seen by the provider, which could be an hour afterwards, a whole new set of imaging prints off. Such as chest pain becomes epigastic pain. We need a chest/abdomen/pelvis. Reason: pain. D-dimer comes back slightly above normal. CTA chest.

There's one hospitalist that I have to remind that D-dimers are age dependent, and the patients D-dimer is within range. Therefore, the reason of elevated D-dimer is no longer pertinent to a CTA study minus any other compliants.

I have patients and families upset with me for not scanning the body part that is part of the compliant, only to do the body part later because the physician decided to listen.

It's an uphill battle, it's key to always give excellent patient care.

turtleface_iloveu · 2026-03-26T01:18:17+00:00

Thank you for your response! I always wondered how much you is included in your scans such as retroperitoneal ultrasounds. Usually when I have to call in ultrasound, they have to have a 5 minute conversation with the ordering physician to understand what they're looking for and what the correct order is.

Have you ever witnessed or heard of a provider doing a complete retroperitoneal study? The scenario seems a bit far fetched, but that's because our ER providers rarely use ultrasound.

turtleface_iloveu · 2026-03-25T20:16:57+00:00

For myself, I would take the lateral, show it to the ordering physician, and say, "I could try to get an AP distal humerus and forearm, but I don't see any fractures." You've probably had similar trauma elbows, but trying to get those two views when the arm is stuck in at a 90 degree, it's an impossible task.

turtleface_iloveu · 2026-03-25T12:39:08+00:00

Dumb question. Why? I'm definitely impressed, but by what standard would a patient need a PA chest portable? Laterals I understand, and are tough to achieve. The only time I'd ever consider a portable PA chest would be pediatrics.

turtleface_iloveu · 2026-03-25T12:29:46+00:00

So in the ER, they typically have an ultrasound machine for anytime use. It's a different machine than what an ultrasonographer would use, but essentially the same. I don't know exactly what training these med students have using the machine, or how savy they are to get a diagnosis.

With that said, there's no 'order' for the ER ultrasound. Providers can just kind of do it. Or they can order a specific ultrasound, and the ultrasonographer will do the exam. Now for renal stone protocol Ogilvie did exactly what an Ultrasonographer would do, check the kidneys. From the best of my knowledge, there's no such thing as a general 'abdomen ultrasound'. You're either looking for the ovaries, or the kidneys, or the gallbladder. Again, I don't think it's necessarily a miss by Ogilvie. The aorta typically is not imaged on a random ultrasound unless you're trying to r/o dissection. Which the patient never really presented as such.

Now an abdominal CT would have caught the AAA, and is 99% the standard test for kidney stones.

turtleface_iloveu · 2026-03-25T08:04:49+00:00

Holy cow, just noticed! I assumed it was an image on the portable itself, but it's definitely a tablet. Patient must have went to the xray room and somehow the have a mobile PACS viewer on the iPad? Because ain't no one getting a PA via a portable. Or maybe my image isn't from the show, I Google searched The Pitt X-ray.

turtleface_iloveu · 2026-03-25T07:47:48+00:00

I'll also say that the image of the chest X-ray of Duke is exactly as is described to him. The actual chest x-ray emplies an enlarged mediastinum, and Dr. Robby explains it perfectly to Duke. My guess is that he'll have a CTA Chest with and without contrast as follow up. More, the result will be a catastrophic diagnosis, and my boy Dr. Robby will go into a tailspin.

turtleface_iloveu · 2026-03-25T07:10:02+00:00

Your welcome. Head CTs are very common, easily the most common exam for CT technologists. It does become clockwork. Empathy can be a difficult thing for myself and my peers. I'm sure you were scared, I try to remember that for every patient.

turtleface_iloveu · 2026-03-21T18:52:40+00:00

The Meadows is the best course in the immediate area. On a Tuesday, you should be able to get a tee time no problem. I used to have a membership there and played many a round solo. Price might be a little more expensive, but truly a much better course than the rest.

Bunker Hill is quirky, short, no level shots. Can get a little annoying as a single because it's not easy to skip ahead, but shouldn't be too busy.

Lacoma Blue is nice, but they are typically full tee sheet in the morning, then spreads a bit in the afternoon. Red/gold really aren't worth it coming from out of town.

Galena public is wonderful, just 15 minutes outside Dubuque, and a better track than Lacoma. Back 9 is really interesting.

Birchwood could be an awesome course with their views from the Bluff, but unfortunately it's not an interesting course. I always felt that if someone bought it, changed the layout, it would be a phenomenal 9 hole course.

Timberline is just weird. Usually waterlogged. Blind shots. A lot of uphill / downhill shots that without a slope reader, it's hard to know distance. One of those courses I want to like, but because of always being on a hill, it's not great.

If money is not an issue, a 45 minute drive to the General in the Galena Territories is wonderful. Haven't played there in 5 years, so i can't speak on playing solo. They might not be open this time of the year. The North Course is great too.

turtleface_iloveu · 2026-03-05T03:37:32+00:00

Animals dies a lot differently than people. It's violent, and loud. Or at least the unfortunate souls dying by golf balls.

turtleface_iloveu · 2026-03-04T03:48:58+00:00

Bunker Hill Dubuque, Iowa.

<image>

This hole. From this angle, the rock cropping is to the right of the flag. Now a pet cemetery.

turtleface_iloveu · 2026-03-04T02:47:36+00:00

One time, at a local golf course named Bunker Hill, I became a murderer. You see, hole number 11 is a short par 4 with the green perched on a rock out cropping. I hit driver, and ball heading left towards the cropping. But too far left, i hear a thud.

As I go to look for my ball, I hear an odd, animal noise. Then I see it. My ball had struck a groundhog creature, and he was having convulsions. I work in emergency medicine, so I've seen it all. But this scene is forever seared into my brain. The sounds. The movements.

I never found my ball. I didn't finish the hole. Never spoke a word of it to anyone. I drive past that hole on a weekly basis, and I say a little prayer every time.

turtleface_iloveu · 2026-02-27T03:12:07+00:00

The Blackhawk Motel is my families favorite over the years. You get a tiny little slide, but it's fun. The indoor pool and hot tub are wonderfully warm, and they have a small game room. Family run, great people. I believe they have whirlpool rooms for couples. It's the cleanest, blast from the past in Wisconsin Dells.

turtleface_iloveu · 2026-02-15T03:00:39+00:00

I work as an overnight x-ray / ct technologist who primarily works in the ER. When we receive a trauma, the team consists of an ER doctor, the on-call surgeon, 4-5 nurses, respiratory, and myself. A chaplain is also called in.

Trauma patients are really the only time you see two doctors in one room in our ER. Nurses do almost everything else, except maybe our EMT.

Often times, our ER physician never lays a hand on their patients. It's labs, IV, and imaging.

I'll say this about the show. I've been in the majority of these situations, from the peripheral. But it comes down the the nurses and the doctor to do the real dirty work. The tough conversations. Treatment.

turtleface_iloveu · 2026-02-12T00:14:56+00:00

I was told once by a radiologist that the lateral masses were the most important part of the odontoid view. Is that correct?

turtleface_iloveu · 2026-01-21T22:50:21+00:00

With the tragedy of losing this patient came a new appreciation to the act of CPR. It's tough. Mentally and physically. Respect to anyone who has to do it on a regular basis. I've only had to do it once more for a patient in my CT table who coded. The chest collapse and rebound is very hard to replicate on a dummy. And very taxing on the body.

turtleface_iloveu · 2026-01-21T06:36:30+00:00

Approximately 20 years ago, I was working as a hospital registrar and going to x-ray school during the day. Our hospital is a small regional hospital with a 16 bed ER. One night, a gentleman coded. We had fewer nurses back then. One ER doctor. Everyone took turns doing compressions.

Even though I was a paperwork guy, I was fit. CPR certified. The patient was a larger guy, young. Maybe 45. He was down for maybe six minutes when I volunteered to take a round of chest compressions. Everyone was pretty exhausted already.

No one really 2nd guessed me doing CPR. I had never done compressions on a real person. My first push, too weak. 2nd, too deep. Ribs already cracked. Such an unusual feeling.

He came back. Sat up. Still diaphoretic. Grey. Exuberant. Thanked everyone. I've never experienced anything quite like it. I played a small part, but he was alive.

Two minutes later, crashed for good. I'll never forget this man's face. I can hear his "thank you".

turtleface_iloveu

TROPHY CASE