[-] Sjy@lemm.ee 8 points 9 months ago

Yes. I’ve been in a lot of operating rooms for a lot of different surgeries. It’s also common to give antibiotics before a surgery..and wear surgical masks.. which is my point, also in the context of COVID masks still work to reduce the spread of a virus. Antibiotics will not work against a virus.

[-] Sjy@lemm.ee 4 points 9 months ago

Yes, please make sure if you have surgery you tell your surgeon “no need to wear a mask, just a helmet and some knee pads”.

[-] Sjy@lemm.ee 9 points 10 months ago

This is beautiful and just a perfect description. Even though this sucks day to day I will say very rarely but sometimes, this can spin to our benefit. I recently had an electrical contractor fuck up some work I needed done..well, that’s an understatement my entire home needed to be rewired, and I wanted wiring so I didn’t have to keep charging my doorbell camera.

Now my mind goes thought everything as it normally would, I pay large amounts of money and I’m told everything is done. Well my doorbell camera isn’t charging. Out of the entire house that’s all I can focus on. I have an endless list of stuff that needs to get done but I want my doorbell camera to have power. The guy adds the wire for the doorbell and I’m happy. Until I see it isn’t charging. Trace the wire and it isn’t connected to anything, talk to the guy and he gives me some excuse, it’ll be done soon. Wait when I followed the wire for the doorbell I didn’t see anything connected to my roof above my bathroom. Okay they also didn’t install the exhaust fan correctly.

Now my house still needs 80% of a total renovation but he didn’t fix the doorbell and I just don’t want to keep charging it. So I’m scared of messing with any electricity, which is why I paid someone to do my electrical work. But maybe I can just hook up a doorbell. Well a weekend of researching and I still am not sure how to do it, but I found a copy of the national electric code because I think the exhaust fan is supposed to be going up through my roof.

Long story short the guy didn’t do half the work I paid for. I now have a log of every wire that was run, every junction box that was placed, every switch, every outlet, everything, including if it is up the code of the exact code that it is violating. Along with a note about the expected electrical load, that should be on each circuit, how much is can candle and how much more I can add to still be within code for continuous load. I also have the manufacture date of every wire that was placed and found a bit of damage to an exterior and a door wall that wasn’t there and found it caused by the contractor that are both is areas I said do not touch.

So now, I have all this information and if I am successful in suing him I will have gotten a great deal on having the house rewired considering I now know how to rewire an entire house and have improved a few circuits in my house, but I’m not an electrician so I can’t actually do anything with this information. But here I am on lemmy writing about this instead of doing what I planned on doing today with no idea how to actually sue someone and an existential dread of trying to figure out how to or if I should hire an attorney.

It’s great. I mean awful.. well actually both, but also neither.

[-] Sjy@lemm.ee 2 points 11 months ago

Yes, pain is pain. People can still feel it and suffer even if they do not remember it. Anesthesia in context of surgery is too complex of a topic for me to comment on but I do frequently manage patients that are sedated, on ventilators either going to or coming from surgery. There are different scales and tools we use to assess if someone is under sedated or in pain. Keeping explanations simple pain can reflect as changes in vital signs, rigid or tense muscles, facial expressions. Sedation in the context I’m referring to is more a scale of either how awake someone is or what type of stimulation they respond to, for example do they open their eyes if someone says their name? Or do they open their eyes if I gently tap on their shoulder or do I need to put pressure on their nail bed for them to respond, if they respond at all. If they’re sedated enough they won’t remember the pain but they would still feel pain. Again this is NOT referring to general anesthesia during surgery, that is too complex and anesthesiologist have a very difficult job ensuring people are adequately medicated for surgery while also ensuring that they treat the side effects of the anesthesia medications so they don’t just kill people.

The two do have some overlap and my previous statement assumes no chemical paralysis. There are also times where it is acceptable to just sedate someone, or do something emergent without sedation and then giving something like Versed which causes retrograde amnesia. The person may have been fully conscious and felt everything that just happened but still won’t remember it.

This is a bit of an oversimplification but I’d say firing of the nerves is pain. I don’t have literature available to support but I know giving babies anesthesia is very dangerous so I would like to believe that the reasons you listed where just an over simplified “it’s really okay to do X or Y because they won’t remember it” rather than explaining to a parent in a way that they would truly understand the risk of anesthesia for a baby AND still allow whatever procedure to be done or force a parent to knowingly elect to put their baby through pain and suffering for a procedure. But again, not a doctor and I don’t work with people/babies during surgery

[-] Sjy@lemm.ee 48 points 11 months ago* (last edited 11 months ago)

This is very good advice, especially if someone has taken drugs. Please tell us. The medicine I give for chest pain can kill someone if they’re having that pain from doing a ton of cocaine and not a possible heart attack.

After the first time someone went into cardiac arrest after I started treating them after telling me they didn’t use any drugs or alcohol today - I followed up found out he survived but had in fact taken a ton of cocaine today, I’ve changed my wording to “Have you taken any drugs or alcohol recently? It’s okay if you have I’m not a cop but if you have it changes which medicine I can safely give you.”

[-] Sjy@lemm.ee 10 points 1 year ago

Believe it or not, it is assuming the pelvis is present, it is very easy to determine sex. Just look at the pubic arch, just inferior (below) the pubic symphysis. Narrow (less than 90 degrees) is male wide (more than 90 degrees) is female. There are a few other details like the shape of the iliac crest and the size of the pubic cavity but the pubic arch is the simplest.

[-] Sjy@lemm.ee 5 points 1 year ago

Late but USA, wanted to share a personal experience. While at work I collapsed and had to take an ambulance to the hospital. I got sent the bills for everything. Including the ambulance ride. I stayed in the hospital overnight for observation. They couldn’t figure out what happened and I didn’t have symptoms anymore so I was discharged. Whole event cost maybe $500.

Here’s the kicker, I work(ed) as a paramedic for the ambulance company that transported me. I had insurance that was not from the company so prices were reasonable relative to what one would expect in the country. Had I been insured through work, well, the insurance provided by the company doesn’t cover transport by that company’s ambulance.

[-] Sjy@lemm.ee 3 points 1 year ago

My apologies, before now I haven’t heard of green. I legitimately run my instance on the limited edition blue that kinda lead to yellow being created and before that I used a raspberry pi. My original comment was a little bit of me finding the naming for this stuff funny, not trying to discourage anyone that is new to the platform.

[-] Sjy@lemm.ee 6 points 1 year ago* (last edited 1 year ago)

Don’t know about green but I got a Home Assistant Blue and it’s good enough. Tho You can just use a raspberry pi.

Side note I think you were being sarcastic when you said Home Assistant Green, so I wanted to make reply that sounded sarcastic but Home Assistant Blue and Home Assistant Yellow are real things, tho rereading my comment if one isn’t familiar with technology or home assistant talking about Home Assistant, colors, and raspberry pi for controlling light bulbs just sounds like trolling.

Edit: Sorry, Home Assistant Green is also real. It’s every level hardware that is more than enough for running home assistant and Home Assistant Yellow is the next step up in hardware. Home Assistant Blue was a limited edition run of the hardware prior to Home Assistant Yellow being created. To be clear, I am not trying to troll but to one that isn’t familiar with this technology these names might sound like trolling.

[-] Sjy@lemm.ee 4 points 1 year ago

I am a paramedic, these comments have lost me. At least in the United States there is a 0% chance anything will happen if someone does CPR on another while acting in good faith.

This does exclude some some uncomfortable situations where family is screaming at me that I’m not doing enough or that I need to help them and people have appeared to be close to getting violent but I’ve never been attacked, and if someone is threatening another individual that is trying to help, leave. We can’t help other people if we become another person who needs help.

But I’ve done CPR on a lot of people, it’s violent. No one around will ever have to wonder what is being done, it is very clear and I don’t believe it is possible to confuse with touching an unconscious person inappropriately. Again, these comments have lost me. Maybe if some of these people would see a resuscitation attempt, they’d probably realize once the patient is spitting up blood from how violently their chest is being pushed on, there is no way to misinterpret CPR for groping.

[-] Sjy@lemm.ee 9 points 1 year ago

Please do not say CPR does not save lives, it 100% does. And in the United States our Good Samaritan laws protect anyone from liability if they are acting in good faith trying to help someone.

I’m a paramedic in the United States, hold a certification as a flight medic, nothing I can bring, in a helicopter or an ambulance will do anything for anyone if high quality CPR isn’t performed.

To break things down, yes in adults early defibrillation does make a huge difference but in kids it is literally high quality CPR that saves them. If you’d like I’d be happy to break down the details of resuscitation, but without CPR until I can get there and attempt resuscitation, then no matter how much I throw at someone to try to get their heart beating again, they’ll still be brain dead.

[-] Sjy@lemm.ee 3 points 1 year ago* (last edited 1 year ago)

This isn’t entirely true. More than just cops can place people under a baker act and they need to believe that the person they are placing under a baker act as a result of a mental illness is a threat to themself or others, or the person is incapable of caring for themself. And in the context of “locked up” it doesn’t mean jail and it is not 72 hours, it’s up to 72 hours.

That doesn’t mean cops don’t use it inappropriately but if it is obviously inappropriate once they see a doctor, a doctor can override it. On the opposite end, if it is a valid baker act that is still a threat to themselves or others at the end of that 72 hours, they can be l placed under another one with no limit on how many times they can be placed under a baker act. Tho a cop should never be in the situation to keep someone under multiple baker acts.

The rest of your comment about being traumatic and not helpful, yeah… that sounds accurate.

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Sjy

joined 1 year ago