Yeah, I’m a grad student with limited funds and I contributed to the server when I joined last summer. I don’t really want to sacrifice this account, but if we can’t interact with anyone else, it kind of defeats the purpose of being federated.

I’ve had it for years and one of the biggest features that I find worthwhile is being able to easily download videos to watch on the plane or play like podcasts when I’m driving. When I first got it, I had a really long commute, so being able to download stuff and play it with my phone screen off is helpful.

I’m going to print this out and carry it like a pain scale for working the ER when I’m done with medical school or make something like it. Thank you for sharing this.

As a former healthcare support staff professional and current medical student, I want you to know that I hate it just as much as you do. I can’t make any explanations for that GI, but my least favorite part of medicine is when there isn’t a good answer, or enough time, or the right treatment is just too expensive…I hate it when the capitalist bullshit medical system gets in the way of actually practicing medicine.

I treat mine more like a dual screen setup than a fold-able setup. As far as I’ve seen, none of the other folding phones work like that and my entire device ecosystem is tied together through OneDrive, so having it natively on the phone is awesome.

If they are very lean, yeah, it can be a problem. Having a bit of adipose to absorb some of the formaldehyde and retain some moisture helps to keep the tissues from drying out. Once the body tissues dry out, they’re basically mummified and dissecting them would be about as useful and easy as dissecting jerky.

I’ve worked in ERs where on a really busy night patients with chest pain and a cardiac history that came in by ambulance went out to the lobby because their EKG was mostly okay and literally the only room open was the resuscitation bay. We kept checking on him in the lobby and did repeat EKGs until a room was available, but if there’s not space and they’re not dying, they’ll just have to wait.

American ambulances are usually an EMT and a Paramedic that can start some pretty advanced care en route. Paramedics can intubate, defibrillate, and give medications on their own authority or with clearance from the EMS medical director.

I have also worked at a Level 1 Trauma hospital, and I think it depends on the distance from the hospital and the degree of specialty care needed. Also, since Covid, there have been more and more staffing and capacity problems in ERs. Taking a critical patient to an ER with no available resus bays that is also boarding ICU patients due to a lack of ICU staffing is going to be less effective and less safe than going the extra distance to a hospital that does have the capacity to care for the patient. Studies from before 2020 are just not relevant anymore.

Eh, for some significant trauma, the ambulance is better because they know which hospitals are equipped for the emergency in question and which hospitals have resuscitation or trauma bays open. They call ahead too which also allows for the ER staff to prepare and have people standing by to receive you.

Wishful thinking? Entitlement? Main character syndrome? Some kind of nonsense.

I don’t understand it either. I think it’s usually the corporate owned and run ERs that have those billboards and the community hospital ERs just triage people as they come and offer no guarantees about wait times.

There are a lot of people who call ambulances for inane, non-emergency bullshit. I’ve seen people come in by ambulance for minor complaints that have been ongoing for months or even years.

I did my cadaver dissection last year in medical school, and you’ll probably be a better cadaver than you think. The worst one to deal with in the class was in the tank next to ours. The cadaver was 102 years old at time of death without a scrap of fat anywhere. The muscles dried out and fell apart almost immediately on dissection, and started growing mold over the winter break. The lab manager had to keep removing portions of the cadaver to try to limit the spread of the mold until all that group was left with was a head in a bucket of formaldehyde. The head, neck, and brain were the last dissections we did, so it worked out okay-ish, but I will never forget the absurdity of them ending up like a Futurama president.

Taking an ambulance to the ER does not ensure that you will be seen faster. A decent chunk of ambulance patients go right out to the lobby to wait like everyone else because everyone is triaged based on their illness or injury, not their mode of transportation.

Adding on to this: if you’ve had negative experiences with psychiatrists in the past, first off, do not let NPs be the primary managers of your care, and secondly, consider seeking out a DO physician psychiatrist. I’m currently a DO student, and while the medical education is equivalent to an MD program, the philosophy is more “person” oriented than “patient” oriented. There’s a strong emphasis on treating your patients as whole people and taking advantage of the body and mind’s abilities for self-regulation and healing. A DO will absolutely prescribe medications when necessary and DO’s are not “holistic” quacks, but they do have more emphasis in their training on helping you find non-chemical solutions if medication is not the best answer to the question or if you are hesitant about medication.

Along the lines of “not all men”, I actually scrolled down and looked at some of the comments for the first time despite having seen this comic shared numerous times. The thing that stood out to me was a guy complaining about how feminists aren’t fighting for men’s rights and things like funding for testicular cancer… which is epidemiologically a fairly rare and not typically lethal cancer. He doesn’t even care about men’s issues enough to know that prostate cancer is the epidemiological equivalent of breast cancer (and ignores the fact that, albeit highly unlikely, men can get breast cancer too).

Something I’ve seen at some restaurants (ranging from casual to Michelin star) is the increasing prevalence of mocktails. If you mix non-alcoholic ingredients with the same kind of style and objective as mixed drinks, you can make some really tasty stuff.

If you’re still looking for resources (particularly if you are needing non-religious resources) a lot of health systems have outpatient programs and support groups for various substance use disorders, so that would be a good place to look. Depending on how severe the problem is, presenting an open and non-judgemental front regarding medical intervention and medication use can help reduce the stigma of getting chemical help for a chemical problem.

Unfortunately, the medications that help with alcohol withdrawal are somewhat dangerous in their own right and need to be fairly tightly controlled. Delirium tremens (the shakes) from withdrawal are usually managed with benzodiazepines like Valium for emergent use and Ativan for prolonged control. The other main maintenance drug for alcohol withdrawal is Librium, and that one is also a benzodiazepine. It would be amazing if there were safe OTC options, but because of the serious damage alcohol does and the dangerous nature of withdrawal from it, it really needs to be closely medically managed. Opiate withdrawal sucks…alcohol withdrawal can very easily kill you outright.