GoodOldNe

8 ms·

31.
by GoodOldNe 10y ago
San Francisco ER doc here. See a lot of older dudes who weren't skateboarders to begin with breaking bones on these and more traditional longboards. I am a former skateboarder, and certainly don't think that longboarding is inhere
32.
by GoodOldNe 11y ago
Many TASER darts don't end up embedding properly in the skin, or come out on their own. Patients with excited delirium (a term that may or may not represent a distinct clinical phenomenon from stimulant-induced psychosis, and which may
33.
by GoodOldNe 11y ago
Came in wanting to make this joke, was surprised when I didn't see it already in top comments. Good for you, sir.
34.
by GoodOldNe 11y ago
This happens because psychiatric units will not take patients who are not "medically cleared". Meaning that, if a patient has any evidence of injury or medical illness (or they think that the symptoms may be caused by something ph
35.
by GoodOldNe 11y ago
An excellent report on this subject: http://www.cacj.org/documents/sf_crime_lab/studies__misc_mat... More people should know this. There is a great piece in the Washington Post today about how a false positive res
36.
by GoodOldNe 11y ago
"Do they just have to suffer or do you "give in" and provide them desired relief?" No. There are plenty of other options for treating their pain without using opioids -- first I would educate them about the relative risk
37.
by GoodOldNe 11y ago
ER doc here. I have seen people in the ED with marijuana-related complaints. I can count the total number on my hands. Every single one of those patients has been absolutely fine. Am I aware of patients with marijuana-related complaints who
38.
by GoodOldNe 11y ago
ER doc here. I think that this is absolutely a large contributor of these mortality trends. There are so many more factors than just users turning to IV drugs / overdosing on rx meds though, and I think that's what we're just
39.
by GoodOldNe 11y ago
EM resident with an interest in EHR design and development here -- this is really cool, I didn't take a close enough look at this in Annals in August but I'm reading about the spec now. Looks promising.
40.
by GoodOldNe 11y ago
It's a horribly wasteful policy that makes no sense beyond increasing the political power of the fire department. According to one higher-up in the SFFD EMS, this has to do with the software used to dispatch apparatus to calls. It wa
41.
by GoodOldNe 11y ago
The Houston Fire Department is doing an experimental project that is pretty similar to what you're describing, only they have first responders deploying the video conference with online medical control in order to avoid transporting pa
42.
by GoodOldNe 11y ago
“We believe we can double the income of the average family physician or internist" This sounds like a setup for badness the first time someone has bronchospasm or goes apneic when they push the full dose or aspirates their vomit. Proba
43.
by GoodOldNe 11y ago
I'd say it's like 50/50 among the people I know. A lot of doctors marry doctors, since that's who they meet at work/school. I am married to someone on the tech side of things. I like having someone who doesn't
44.
by GoodOldNe 11y ago
It was something I sort of knew coming in. My mom was an ER nurse, and my step-dad is a firefighter/paramedic, so I spent a lot of time around the emergency department environment. There's a lot of things that could be better abou
45.
by GoodOldNe 11y ago
I really liked most of medical school. The years are progressively better (from my perspective) as you get more clinical and hands-on, and further away from rote memorization of biochemical pathways and arcane minutiae that have only the ob
46.
by GoodOldNe 11y ago
He failed to mention that local anesthesia can also lead to neurotoxicity, and I was too ignorant to know about it(for some reason I assumed that local anesthetics are harmless, and didn't do my research). You get that "neurotox
47.
by GoodOldNe 11y ago
Those steps could be automated. And since this would usually be life-threatened situations, they should be automated. I wonder how much HIPPA rules complicate the technology; they certainly don't make the space attractive or fun to wo
48.
by GoodOldNe 11y ago
Ten years old as of yesterday. Rewards re-reading for sure.
49.
by GoodOldNe 12y ago
Access my files on Google Drive? No thanks.
50.
by GoodOldNe 12y ago
There are companies that help with this. Aptible, TrueVault, Accountable, etc. -- the market in healthcare is worth working with partners to get past the regulatory hurdles that various governing bodies impose on ingenuity. As someone about
51.
by GoodOldNe 12y ago
As someone about to start a medical residency in the Bay Area who is interested in developing projects to work on a research platform like this, could the HN braintrust recommend a resource for learning the basics of whatever developer tool