supapoopascoopa
supapoopascoopa t1_jdrdebs wrote
Reply to comment by i_should_be_coding in Incision in my arm that doctors left open for 2 weeks after a surgery. by soapboxingdaychamp
Yeah there should be a dressing to catch the drainage.
supapoopascoopa t1_jdrbfyq wrote
Reply to comment by i_should_be_coding in Incision in my arm that doctors left open for 2 weeks after a surgery. by soapboxingdaychamp
We don't close these back up. The whole point is to let them drain. He definitely should have given you info on dressing changes, and usually come back for a wound check and packing removal.
supapoopascoopa t1_jcjvu3o wrote
Reply to Are there any known endogenous retroviruses that can cause active infections, and is this possible in principle? by amlyo
Endogenous retroviruses are defective, only vertically transmitted like other genes, and none yet found are competent to produce virions. But they are all in some sense heritable infections and also “infect” new cells every time a cell divides.
Some can produce proteins and even entire viral like particles using host machinery. These proteins are associated with autoimmune diseases and certain cancers. One could argue these are “active” infections in terms of causing symptoms.
The takehome message as usual is that nature in general and viruses in particular don’t give a hoot about arbitrary definitions.
supapoopascoopa t1_j9lmkck wrote
Reply to comment by Chefseiler in Doctor has sex with patient in emergency department toilets 'to help with chest pain' by alyaaz
I mean there is a little gray area, but in general the farther away you get from the doctor-patient relationship and the hospital toilets the less problematic the relationship in the eyes of the medical board.
supapoopascoopa t1_j8er07o wrote
There is a lot of water in mechanical ventilation circuits due to condensation from air exhalation from the lungs. In fact many ventilators add humidification to decrease this water loss, which further saturates the circuit.
Warm water will turn into an ecosystem if left undisturbed, especially when exposed to oropharyngeal secretions dripping around an endotracheal tube cuff.
supapoopascoopa t1_jeg1l0i wrote
Reply to comment by nighthawk_something in ELI5: How does a DNR work? by HalloweenLover
It is a great idea to spell this out and good advice.
I don’t like at all this idea of “being a burden” on the family as a criterion for withdrawal of life supporting care. I’m an ICU doctor and almost always the family wants the patient kept alive more than the patient does, as the family loves them and doesn’t want to let them go. But the patient is the one who has to suffer the reality of their quality of life. And many will be in nursing facilities so not a “burden” on the decision maker. In addition it is unlikely the decision-maker would use being a burden as their explicit reasoning.
Focus instead on what an acceptable quality of life means to you. Knowing that they are following your wishes is usually what gives people the strength and love to let go.