ArmyTiger

joined 2 years ago
[–] ArmyTiger 3 points 1 week ago

I frequently lied about my hours in surgery residency to be under 80 because if you were over, you had to explain why you were over your duty hours and it somehow became more work.

[–] ArmyTiger 2 points 1 month ago (1 children)

Plague and lightning are natural causes.

[–] ArmyTiger 8 points 2 months ago

No, if a patient is declared brain dead, there is usually no sedation given. It shouldn't be necessary, as the neurons responsible for sensing pain aren't alive and processing signals, and extra medication like sedation comes with the risk of hemodynamic instability, which is already kind of a headache in brain dead patients as the brain is no longer meditating that (extremely oversimplified). Yes, sedation can be measured (sorta) with a BIS probe, a spectral imaging probe on the forehead that acts like an EEG with fewer probes, but it's not very useful in brain death as it's ultimately looking at blood flow, and in brain death, we don't expect to see blood flow to the brain.

All of this, of course, assumes that he was declared brain dead, which is a very specific legal term with very specific parameters that vary slightly state by state, which seems unlikely in this situation. He may have been deemed to have a severe neurologic injury with an unlikely prognosis of meaningful recovery, and thus be a planned DCD (declared cardiac death) donation, meaning placed on a minimally assistive ventilatory support and allowed to die once his respiratory drive was so low he died of hypoxic respiratory failure. But the article is long on anecdotes and short on the technical terms physicians would use, so it's hard to say.

[–] ArmyTiger 5 points 2 months ago

Same! New long for me in I can't remember how long.

[–] ArmyTiger 6 points 2 months ago (3 children)

Day 4, might be the longest this year for me. IWNDWYT

[–] ArmyTiger 3 points 2 months ago

7k for a noncontrast CT scan is absurd. As is the $700 CMP. And then charging around $1900 for nurses to hang IV fluids and two medications when the ER visit itself is only billed at $1700? Bonkers.

When I look up surgical code payback numbers, my 1-2 hour surgeries rarely top $3k. So this hospital is really reaching with some of its numbers.

[–] ArmyTiger 6 points 3 months ago

Why were the cops even there?

[–] ArmyTiger 14 points 3 months ago

As a surgeon, I have a lot of questions. But I have trouble accepting a personal injury attorney's statement at face value when they stand to benefit from a judgement or settlement, too.

[–] ArmyTiger 1 points 3 months ago (1 children)

Food is a worryingly small bar.

[–] ArmyTiger 5 points 4 months ago (1 children)

That's such a weird picture, I've seen fancier tables and chairs at a tailgate.

[–] ArmyTiger 6 points 4 months ago (2 children)

That seems like a really easy mistake to not make. Like, has North Korea ever been to the Olympics?

[–] ArmyTiger 9 points 5 months ago (1 children)

Well, one did. There were videos and everything of her death.

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