Ones I’ve experienced because of healthcare and would’ve otherwise not really known about—
US tech CT Tech Xray Tech Medical Simulation Tech/Actor (this varies, can also be IT. Med sim centers need a ton of IT) ECMO Perfusionist
Sekrayray
joined 2 years ago
Showers are like tactile white noise. Soothes my entire body.
They mention this in the article, but the physiology would suggest this is related to CSF/blood pooling in low G.
Taking it a step further, I bet this has a similar mechanism to IIH or the high pressure headaches you get with obstructive hydrocephalus. CSF is supposed to drain down via a relatively passive system. Without G to regulate this I can envision that you’d essentially develop the same physiology as someone with IIH (too much CSF).
Really interesting. A good example of how we have no idea what insane health things we are going to experience with space travel, but also how space travel may shed insight on treatments for other conditions with similar mechanisms we experience in a gravity well.
- Smoking
- Smoking
- Smoking
There are already a lot of good answers but I want to highlight this. Chronic tobacco smoke causes increased aging due to multiple mechanisms. Moreover, environmental tobacco exposure from second hand and third hand smoke prior to the 1990s was MASSIVE. So even if you didn’t smoke you got insane daily exposures to the same chemicals.
“I moved to a place to be surrounded by white people, and decided I didn’t like white people because those white people weren’t hostile enough nor did they have enough of a desire to conquer other people. This made me realize white people are weak, so now I’m disappointed in them. But actually it’s because the white people in that area came from inferior nations 🤡.”
That’s the premise of the article to save you from having to read absolute horse shit. That guy is a waste of atoms.
ED bills are sent afterward in the US, we never have to think about it up front. It’s governed by a federal law called EMTALA. This led to some predatory “out of network” billing in the past which thankfully was shot down (in all things) during the Trump admin. It’s not perfect, but getting better.
The job of EM is stabilization and resuscitation. That takes a wide array of forms depending on your presenting condition. There is no “time limit” on what entails a safely dischargeable condition—if you present with chest pain, we CT you, and don’t find an immediately emergent cause of your chest pain, but in the process we fail to tell you about the lung nodule on your CT that turns out to be a CA that kills you in several years we are still liable. Maybe in certain states we are not medical legally liable at that point, but I would argue that we ethically still are. We are still all physicians (unless you’re getting treated by an APP).
In the context of stabilization and resuscitation I personally have the take that if you present with something I can’t adequately diagnose in the ED (let’s say I can rule out life threats but you still have a condition that is compromising your quality of life) then for the next step I really have to ensure adequate follow up for you (subspecialty referral, etc). That goes for the underinsured as well. It can get tricky, but that’s what case managers and social workers are for. Maybe I’m just biased because I work in academics. In general if you need emergency care I highly recommend that you go out of your way to get to an academic center because you’ll be more likely to get plugged in in this regard.
I just don’t understand how you can ethically practice with the opening assumption that your patient is wrong.
I get just as angry when staff get judgy about who goes to the ER when. Everyone defines their own emergencies. It’s why we’re there 24/7/365. For a lot of people we are the only no questions asked lifeline that’s always open (at least in the US)
I’m sorry that happens to you. Unfortunately it’s a documented phenomenon (especially with rheumatologic diagnoses—I’ve explained that to residents a lot).
Here’s to hoping more attention to this leads to better education which can prevent it.
Yeah, it’s gotten so bad that I don’t feel like posting here anymore. Honestly may leave
I don’t understand, do you mean risk stratification in a specific clinical practice guideline based on gender?
I mean you basically don’t smoke then. Most of the effects of smoking are based on pack-years, which is the number of years you’ve smoked a pack per day. So two packs a day for 10 years? 20 pack years.
You have barely any pack years, and you stopped so young that the adverse effects are definitely reversed (10 years of cessation to reverse risk of lung CA/COPD).