surgeryres

5 ms·

1.
by surgeryres 3y ago
Not sure what you mean by over-eager. Patients are only intubated and placed on mechanical ventilation when they will die otherwise. There is a step wise increase in ventilatory support in these cases, starting at a nasal cannula, then incr
2.
by surgeryres 3y ago
VAP (ventilator associated pneumonia) is a known morbidity of mechanical ventilation. ICU protocols are much improved these days to combat it (oral hygiene, suctioning, early extubation protocols etc).
3.
by surgeryres 3y ago
Doctors are done? Can the chat bot take out a colon or gall bladder or fix an aneurysm? Hilarity.
4.
by surgeryres 4y ago
I am a vascular surgeon, and have many patients in the ICU constantaly. #6 confuses me - the original operating surgeon should be a constant through the patient’s stay. And while the ICU doctor might be the captain while the patient is in t
5.
by surgeryres 4y ago
Not getting the attention it deserves. CT scans with IV contrast are critical for trauma, cancer staging, emergency general surgery, orthopedics - everything. Having to ration it at all is a big deal. And IV contrast is used for more than j
6.
There is a shortage of medical IV contrast and no one is talking about it(aha.org)
1 points by surgeryres 4y ago|3 comments
7.
by surgeryres 4y ago
I am a vascular surgery trainee. Myself and others rely every day on IV contrast to do our jobs. We were told today the hospital has a two week supply left - and the production side could take 6 weeks to catch up. Scary stuff.
8.
by surgeryres 5y ago
All your question marks makes brain hurt. This study is not establishing a new treatment protocol by any means. It’s also a tiny number of people. This study raises the question maybe we should design bigger trials to investigate treating l
9.
by surgeryres 5y ago
The problem the paper is addressing is fibrin micro clots, which occurs in long Covid. This also occurs in acute Covid. The treatment is similar - anti coagulation. We (doctors) knew this from the beginning (1). Chill out bubba. (1) https:
10.
by surgeryres 5y ago
Very interesting study. I am an expert in the field of clotting mechanics (US NIH funded research / vascular surgery fellow). Not sure why they chose TEG to monitor coagulation status - it does not reflect well changes from any of the
11.
by surgeryres 5y ago
As an engineer the PCL seemed like foreign territory as it was in the other side of campus. Thus it was a nice place to go and think, especially in the map room, it was a magic place.
12.
by surgeryres 5y ago
Fascinating. They mention in the paper that the Dark Ages power spectrum would require a 100,000 dipole antenna array, seems like we are far from that. Full disclosure brain fart - dark side of the moon still gets sun light (duh, right?), t
13.
FAA warns Musk that he is building Super Heavy launch tower without permission(reuters.com)
72 points by surgeryres 5y ago|76 comments
14.
by surgeryres 5y ago
Agree for Mars - this tech will translate well into other areas of need in hostile environments - like agriculture, mining, large scale manufacturing etc.
15.
by surgeryres 5y ago
I think it’s a great idea to build mud huts on another planet where labor is scarce, machine energy is under different constraints, and certain resources are “unlimited”. But this approach for building a house on Earth to house humans seems
16.
by surgeryres 5y ago
Yes true, but brick and other base material like it is very strong and support fixtures to attach ducting, pipes, cables - I’m not sure you can drill brackets into this mud and safely secure an AC duct or conduit.
17.
by surgeryres 5y ago
Yet another example of the over-hype of “3D Printing”. Yes it’s neat that they collected some local dirt, mixed it with some non-locally sourced water and binder, and poured it into an extruder run on some kind of non locally sourced energy
18.
by surgeryres 6y ago
I was a medical student with Cohn and Frazier in 2012 at Texas Heart - it was an awesome experience. Every day we would either do a heart transplant or peel a heart mate II out of a box and implant that. I remember sitting in Cohn’s office
19.
by surgeryres 7y ago
Y TU TAMBIEN
20.
by surgeryres 7y ago
I wonder what these for profit companies do with the red cells and platelets? These are both heavily regulated with short shelf lives.
21.
by surgeryres 7y ago
Anticoagulation normally, six months of pills or injections for the first vein clot (deep vein thrombosis or DVT) and then lifelong if you develop another one. If the clot travels to your lung and is big enough it can kill you (pulmonary em
22.
by surgeryres 8y ago
No one likes to talk about the potential side effects of stem cell therapy. They express tissue factor, which increases after culture required for these treatments. Tissue factor is highly thrombogenic and can cause blood clots. https:&#x2
23.
by surgeryres 8y ago
Concerned about the decrease in meat, and ultimately protein in the diet. His meals only serve meat three times a week? For a surgical patient trying to heal their wounds, a decrease in protein content is the last thing they need.
24.
by surgeryres 8y ago
Here is one paper from pub Med discussing NEC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3357630/
25.
by surgeryres 8y ago
No, it is necrotizing enterocolitis (NEC). NEC is associated with formula feeds and accounts for up to 20% of NICU costs annually. Here is a pubmed link discussing: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3357
26.
by surgeryres 8y ago
At what point though must we consider that we, the American people, elected these people into office? They are there because we put them there. To play my own devil's advocate, my perception is that the barrier to entry into politics,
27.
by surgeryres 8y ago
This post is one of the many reasons I love HN. In depth discussion of obscure (but very interesting) topics; and the personal websites that host them.
28.
by surgeryres 9y ago
Another use would be 3D printed surgical instruments. There is already a proof of concept paper written on this topic: https://www.ncbi.nlm.nih.gov/pubmed/27822724
29.
by surgeryres 9y ago
Houston
30.
by surgeryres 9y ago
It's been awesome the last few days to see stories like this. So many Houstonians serving one another after this terrible tragedy.

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