mikecsh

8 ms·

31.
by mikecsh 7y ago
I work as a doctor (in the UK) in a hand injury clinic and see tens of hand and finger injuries a day, including a lot of fingers slammed in doors. Whilst you are correct that trephining a nail (making a hole) to relieve the subungal haemat
32.
by mikecsh 7y ago
We never rely on patients telling us their blood tyoe, or even past lab results. A test must have been performed recently (in my hospital it’s within the last seven days) for the blood bank to dispense blood. If there is a major haemorrhage
33.
by mikecsh 7y ago
Also used in medicine for determining management of paracetamol (acetaminophen) overdose.
34.
by mikecsh 7y ago
Your comment reminds me of illegal numbers [1] where a number is illegal because of the information it represents. [1] https://en.m.wikipedia.org/wiki/Illegal_number
35.
by mikecsh 7y ago
Which compiler is this?
36.
by mikecsh 7y ago
Indeed - see Poiseuilles equation [ https://www.openanesthesia.org/poiseuilles_law_iv_fluids/ ]
37.
by mikecsh 7y ago
During a cardiac arrest the primary problem is a pump failure - blood is not flowing through the vasculature. A trickle of oxygen into the wrist will not help if the blood is not being circulated.
38.
by mikecsh 7y ago
> Maybe in the form of a cuff that you clamp over someone's wrist that can use computer vision to identify veins and automatically insert the needles and run the machine. There's a reason they put the lines in the femoral vesse
39.
by mikecsh 7y ago
I’ve never understood why people ever feel the need to point out whether a pun is intended or not. I never see (rhyme intended) for example, so why puns? To me it tends to disrupt the flow of the prose
40.
by mikecsh 7y ago
Do you not have access to beta2 agonists such as salbutamol?
41.
by mikecsh 7y ago
This condition is called situs inversus. There’s another similar one called dextrocardia where only the heart is on the wrong side (literal meaning is “right sided heart”).
42.
by mikecsh 8y ago
I wonder whether you would have such strongly held opinions if you had more experience of medicine, disease, and end of life.
43.
by mikecsh 8y ago
Palliative care is an incredible specialty. Something I wish more patients understood is that palliative care is not just end of life care. Their remit is the alleviation of symptoms and pain at any stage of a life limiting illness. In th
44.
by mikecsh 8y ago
Wow, thanks for the treasure trove of links!
45.
by mikecsh 8y ago
Reminds me of old-school chorded keyboards[1] that allow you to type via key combinations from a small number of keys. [1] https://en.wikipedia.org/wiki/Chorded_keyboard
46.
by mikecsh 8y ago
We call it an “inco pad” here.. inco being from incontinence, but they’re useful in far more situations than just incontinence!
47.
by mikecsh 8y ago
Is the application on the tablet showing test data or is that a live demo of the machine with the gentleman in the video?
48.
by mikecsh 8y ago
I agree with this completely; not being able to understand a patient's medical history often makes it much harder to treat them effectively. Especially in an emergency setting. That said concerns about the sensitivity of information ar
49.
by mikecsh 8y ago
The problem with this is that a very small minority of patients are that diligent or reliable, for various reasons (dementia, forgetfulness, disinterest, mental illness, low IQ, substance abuse, not realising the information is required, br
50.
by mikecsh 8y ago
In the UK patients pay a flat charge for a prescription which is around £10. For that reason I rarely prescribe something like ibuprofen or paracetamol outside of the hospital. I will always tell the patients to buy it themselves over the c
51.
by mikecsh 9y ago
In a discussion of NHS vs private practice, the fact that some (certainly not most) NHS-employed doctors also do private work, has no baring on the incentives placed upon them within their NHS employment. I am certainly not saying the NHS
52.
by mikecsh 9y ago
And this certainly isn't the case in the NHS in the UK where doctors have no financial incentives interfering with their clinical decisions (barring saving the service money). What you describe is a pitfall of private medicine.
53.
by mikecsh 9y ago
> yet scant data indicates that it helps But this is not the case. In the UK, these observations are entered into a proforma by the nursing staff which allows them to calculate a "National Early Warning Score". Based on the pat
54.
by mikecsh 9y ago
I think this hits the nail on the head. There is a huge information gradient between most patients and the doctor and perfectly bridging that gap takes more [time|money] than any system is willing to support. I think about this when i
55.
by mikecsh 9y ago
> its that they knew nothing That does sound rather concerning if that's the case! As a medical student about to sit my final exams, I have shadowed hundreds of doctors of different grades and specialties in many different hospitals
56.
by mikecsh 9y ago
In addition to this, many doctors want to re-take the history from the patients and re-examine them for themselves, rather than rely on a brief handover or potentially sub-optimal notes from another doctor. Clinical signs can be subtle, as
57.
by mikecsh 9y ago
In the UK (not an insurance-based system), many GPs ("family doctors") will aim to take a BP reading if there is time. This is partly because there is a system called the Quality Outcome Framework that incentivises practices to do
58.
by mikecsh 9y ago
> Speakers are something that NEED to be repaired. I get the landfill argument, but I have not needed to have any of the speakers I have owned over the last 25 years repaired.
59.
by mikecsh 9y ago
How much cheaper was your Hackintosh setup?
60.
by mikecsh 9y ago
> Based on similar techniques, many single-gene disorders are effectively cured. This is a bit of a leap. In principle (some of) the technology "is there" but there is a huge amount of complexity in the steps 1 through 5! &gt

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