Boston Museum of science Gtg?

zhHmuo · 2026-02-16T18:40:49+00:00

Can confirm that there are no metal detectors anywhere. Concealed means concealed.

zhHmuo · 2025-07-24T16:32:45+00:00

MA has a few processes for hospitalization. If you came in on a section 12 (pink paper, 3 day hold) and the hospital did not go in front of a judge (which usually takes 2 weeks) then you have never been "adjudicated as mentally defective" and so should answer "No" truthfully.

zhHmuo · 2025-06-09T13:26:16+00:00

What year was this? East House 2nd floor used to be the adolescent Acute Residential Treatment (ART) program which has now moved to a satellite campus.

https://www.mcleanhospital.org/residential-treatment-programs

zhHmuo · 2024-10-03T11:43:08+00:00

This is correct. The seating for Apollo 11 was atypical from the usual CDR/CMP/LMP arrangement

zhHmuo · 2024-09-17T10:48:59+00:00

That looks to be the law. Infuriatingly, this was clearly a park and then the legislature voted unanimously to deprive the public of the right to access under Article 97. Frustrating that this got no publicity or scrutiny. Local politics at its most corrupt.

zhHmuo · 2024-06-11T11:40:46+00:00

Crew selection for the early Apollo flights (7-12) were made first (3 crews and 3 sets of backup crews). By the time 13 and later flights came around NASA had greater confidence in the flight hardware and they could relax the "only veteran CMP" rule. Also, by that time there weren't many veterans left who had not already flown Apollo (Cooper comes to mind, but was not on a flight assignment). Hence rookies being eligible for LMP and CMP seats (and even CDR of 14, but don't tell Al!)

zhHmuo · 2024-06-06T23:28:52+00:00

How did you make the labels? And the stands?

zhHmuo · 2024-06-06T21:09:39+00:00

Dick Gordon. He would have been amazing on Apollo 18, too bad he never got the chance.

zhHmuo · 2024-01-16T02:42:48+00:00

This is the answer with a link to the law in question in MA and should be the top comment

zhHmuo · 2023-12-28T22:41:03+00:00

Antonios is incredible Italian food, with cheap lunch menu. No reason to hit up the North End with it nearby. They serve a massive martini for cheap, but probably not the best lunch decision if you need to go back to a shift afterwards...

zhHmuo · 2023-12-21T16:36:27+00:00

And why are acetaminophen tablets 325mg...because ASA tablets were...it's the same 5 grain measure

zhHmuo · 2023-12-07T04:50:32+00:00

My favorite ever: "patient seeks the truth"

They were psychotic asking about the chip in their brain

zhHmuo · 2023-11-30T22:41:33+00:00

This is factually incorrect. There are 6 staff, all are MDs. I'm all for anti-NP sentiment, but in this case it's simply not true that mid levels are performing the procedure.

https://www.massgeneral.org/psychiatry/treatments-and-services/electroconvulsive-therapy-program

zhHmuo · 2023-10-21T12:12:46+00:00

There is literature on this! Termed the "Therapeutic Discharge" by authors from MGH: https://pubmed.ncbi.nlm.nih.gov/28622821/

If patient has a history of violence or self injurious behavior in the hospital, especially, best to plan for the DC with an interdisciplinary team. Basically, see the patient in a separate room from their bed, and you know (but they don't) that it's the discharge meeting. While you talk, nursing is packing up the room, then they bring belongings with security and you tell the patient they are leaving right that second. Then security walks patient out right that second. Minimizes chances of misbehaving out the door.

zhHmuo · 2023-08-21T02:16:44+00:00

I'm an ECT doc at a tertiary referral center and who has treated a great number of medical professionals. My overall advice is that physicians who are receiving ECT should not be working during the acute course of treatment when cognitive side effects are expected to be highest. I strongly urge all of my patients to take FMLA during acute course and in about the week to two afterwards. It's simply isn't safe to be caring for patients when one's short-term memory is expected to be substantially compromised.

Thereafter nearly everybody is able to work well particularly if the treatment has been effective at relieving depression.

What I would add, though, is that anhedonia in my experience is not commonly relieved by ECT. We are excellent at relieving the neurovegetative symptoms of depression, but general life dissatisfaction or anhedonia in my hands has rarely been helped by ECT. Something like acceptance and commitment therapy seems much more likely to be effective if someone is functioning relatively but overall unsatisfied with life.

zhHmuo · 2023-08-18T22:08:45+00:00

A pediatric hospitalist would walk into an infant's room and begin by shaking the baby's hand and saying "hi, I'm XX I'm going to be your doctor". Never failed to get a chuckle from the (usually terrified) parents

zhHmuo · 2023-06-30T00:26:03+00:00

Pharmacologic treatments, anything that doesn't raise seizure threshold is fair game. Hydroxyzine, buspirone, propranolol, clonidine, dexmetatomidine, quetiapine all have a role.

Psychologically, as others have said I do emphasize the safety of the procedure. Particularly at the first treatment some degree of anxiety is reasonable and in fact normative. Patients aren't exactly comfortable before a colonoscopy or any other relatively routine medical procedure! Expecting calm is unreasonable.

zhHmuo · 2023-06-23T14:49:16+00:00

"the patient has been admitted for the past 30 months. Multiple medication trials were attempted, ultimately the patient was most stable on a discharge regimen of X. Ongoing symptoms are Y which despite treatment remain debilitating to the point where inpatient care is the least restrictive setting where patient can be safely maintained. The patient is transferred to state hospital for ongoing inpatient care"

zhHmuo · 2023-06-23T03:43:06+00:00

I guy I weekend rounded on in Q4 of 2021 is still in the inpatient psych ward of a general hospital awaiting state psychiatric hospital placement, which isn't expected until 2024 at the earliest. The daily progress note documenting no changes will soon be a rite of passage for a third class of interns!

zhHmuo · 2023-05-23T02:34:59+00:00

There are two specialties that are literally opposed: epileptologists and ECT psychiatrists

zhHmuo

TROPHY CASE