OT: Hurricanes Lounge XLVI: Really, It's All About Beer and Bojangles

[Svechhammer]

As if the US Government would allow these things to fly anywhere CLOSE to important government buildings unless they knew exactly what they were and why they were there.

I saw this one pop up on socials over the weekend and just had to log off



Its the f***ing Goodyear Blimp.

 

[Blueline Bomber]

I saw this one pop up on socials over the weekend and just had to log off



Its the f***ing Goodyear Blimp.

I give it 5 years before we go straight past aliens and start claiming it's witchcraft again. I have a few neighbors that could use a good burning.

 

[Svechhammer]

But again, tell me why we should feel sympathy that someone finally snapped on an exec of this shit company

 

[tarheelhockey]

https://www.npr.org/sections/goats-and-soda/2024/12/12/g-s1-37662/breakthrough-hiv-lenacapavir

https://www.reddit.com/r/BrandNewSentence/s/95SvZd84No

But again, tell me why we should feel sympathy that someone finally snapped on an exec of this shit company

These are coming too fast for me to gather the level of outrage that they each individually deserve.

 

[MrazeksVengeance]

But again, tell me why we should feel sympathy that someone finally snapped on an exec of this shit company

If small enough… DVT can be treated in an outpatient manner.

PE? At least three days to set up medication and check vitals. Ideally discover the origin - arythmia, onclogical disease, some hereditary coagulopathy.

…

Also I cannot emphasize enough how wrong that sentence about hypotension/lab tests and other stuff is.

You see… Imagine I have a patient during my internship at ER. Relatively young (32-40) male. Clear as hell pneumonia. Given demography and epidemiological situation at the time I assume it’s origin is Mycoplasma pneumoniae. High fever, elevated liver enzymes, slight corresponding coagulopathy, CRP and leukocytes elevated to all hell, nasty X-ray especially for a relatively healthy male of this age. Like… I can risk it and give him one i.v. fluoroquinolone (our local Mycoplasma is resistant to macrolides) and send him home with pills, but it’s still preferable not to risk a long-term health of a productive member of society just because he was healthy thus far and his vitals haven’t gotten to shit, because they STILL MIGHT.

PATIENT’S VITALS WERE OKAY BECAUSE I MADE SURE THEY WERE.

 

[Svechhammer]

 

[bleedgreen]

But again, tell me why we should feel sympathy that someone finally snapped on an exec of this shit company

It’s crazy but pulmonary embolisms are generally considered stable once blood thinners are on board, as messed up as it might sound. If a PE is a saddle embolism it essentially kills you immediately but if they’re in your lung fields your body can compensate. My ex wife had multiple at the same time, she spent three or four days in the hospital while they stabilized, got the thinners on board and to control the pain associated but then they kicked her out with Oxy pills instead of the IV dilaudid she had been on while there. So basically I was taking care of a drug addict who still couldn’t breathe very well. Like MV said that’s ridiculous what they said about blood pressure. They’re saying you only need to be in the hospital from this if your pressure is crap, which means you’re actually dying from it.

That was 12 years ago. Today we’ve progressed to “if it hasn’t killed you yet then you’re probably good, pick up your blood thinners from the pharmacy and follow up with us next month”.

 

[MrazeksVengeance]

It’s crazy but pulmonary embolisms are generally considered stable once blood thinners are on board, as messed up as it might sound. If a PE is a saddle embolism it essentially kills you immediately but if they’re in your lung fields your body can compensate. My ex wife had multiple at the same time, she spent three or four days in the hospital while they stabilized, got the thinners on board and to control the pain associated but then they kicked her out with Oxy pills instead of the IV dilaudid she had been on while there. So basically I was taking care of a drug addict who still couldn’t breathe very well. Like MV said that’s ridiculous what they said about blood pressure. They’re saying you only need to be in the hospital from this if your pressure is crap, which means you’re actually dying from it.

That was 12 years ago. Today we’ve progressed to “if it hasn’t killed you yet then you’re probably good, pick up your blood thinners from the pharmacy and follow up with us next month”.

Some notes

1) Considered stable once there is a therapeutic level in the blood. Perorall anticoagulation is slower than heparine. And even LMWH should ideally have a level of anti-Xa taken.

2) It is kind of ironic, but I’d guess bunch of people with habitual hypotension (as in their relative “hypotension” is normotension”) got covered because they were 4’11 and 90 pounds and they are 90/60 torr… all the time.

3) You should probably be treated
a) for arrythmia if one was discovered
b) or have a basic onco screening - mammaries/prostate, gastroscopy, occult bleeding/colonoscopy, chest x-ray, abdominal somography

Because it should be known why you got PE (or DVT) in the first place.

I have seen enough PEs that ended up as undiagnosed (til that point) metastatic cancers.

4) God fu^king dammit USA. Ever heard of NSAID? Metamizole? Weak opiates?