Dad provides "credit card and insurance" outside the room. That. Never. Happens. No one has listened to breath sounds yet on this kid who repeatedly says, "I can't breath."
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Somehow this kid survives an AJ Austin splenectomy. Conrad starts working up apparent jaundice in the skating kid. Everyone around him in his family has had cancer. I wonder if they're trying to suggest Li Fraumeni or something.
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Intern says, "Every doctor needs to know how to place an IV." Which is a little bit funny, because most of us have fully delegated that to nursing. I can place an U/S guided, but if the nurses can't feel the vein, I don't have special doctor magic, they're *way* better than me.
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"Ken-Tuc-Key" mocks a bad stick colleague with, "this is why you're going into radiology." but I bet interventional radiologists are pretty good sticks. Then the idiot says, "the pulsing thing." No! Not the pulsing thing! That's an artery. You don't want an a-line.
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Or the gush of blood he just got. These are not geniuses. Also, don't stick the brachial artery if you don't know what you're doing.
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Skater kid has pancreatic cancer, shocker. Rando drug thief somehow managed to have gotten opiates out of that unlocked cabinet, now ODing in supply closet. Because this is the 80s. Maybe the 70s.
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Surprise twist, it's insulin! Because we don't lock up insulin? One of the most dangerous medications we prescribe if misused? They get her in a bed and split between an EJ and IO, she's got a great visible EJ which Nic gets. Good shot. Nice line in a pinch.
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Sneaky medical rep knows the most effective way to get someone to believe them is to mention someone we know and trust uses a product. Because, naturally, humans trust their friends more than they trust strangers. Good manipulation.
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I guess the girl is homeless because she's wearing a flannel shirt, and is stealing insulin to live, vs the "prince" who gets all the care for his trauma and cancer. People dying from insulin rationing is real and happens and is pathetic, but she would have been treated in ED.
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The tumor is bleeding into his abdomen now per the CT, and Conrad runs to stop the transport. Debatable whether that's emergent, a contained RP bleed is going to go where exactly? You could probably follow crits if vitals are stable.
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The intern is super-bad at teaching. He says, "that gunner nearly killed Abby." No medical student should ever be in a position of such responsibility that they can nearly kill anyone. That means *you* nearly killed Abby because you improperly delegated. It's *you* that sucks.
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So time for a pancreatectomy on this kid, despite an incomplete staging workup, for a bleed which likely would be self-contained. They try to make out like they're taking out pancreas but it looks like a patch of skin. Then they make up some BS about "speed pathology."
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Now with chunks the size of three pancreases out, the margins are still not clear. Now they're headed for a Whipple/total pancreatectomy. HODAD is recruited for Whipple and everyone apparently has *nothing else to do* but sit around outside of this surgical patient's OR.
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They then tell the parents afterword Jack is, "likely cancer free." These are the worst doctors.
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OK, now I hate this rep, she literally butts into a patient room in the middle of a discussion to hawk a product. Reps don't see patients. This is gross. Abby the insulin-seeking, uninsured girl is comatose and "going to cost Chastain a fortune."
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COB asks, "is there any way this could be prevented." Universal health insurance and cost controls on pharma cranking costs on a 100 year old drug. Once again the writers seem to think this is a hospital problem. This is a social problem. Individual hospitals can't fix this.
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Okefor is saying putting her patient/boyfriend in a car for rehab. Yes, that is an accurate sentence describing something treated as not icky by this show. HODAD is in trouble for his prostitution. He has to self-report, what?
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Pretty sure medical boards cross reference criminal complaints to their licensees each month and criminal complaints are routinely referred to the board for docs. He's in for a bad day when he finds out this self-reporting is BS.
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Also every time you apply for anything - a license, a job, privileging, re-privileging, background checks get run. He has maybe a 2 year reprieve even if that's true. Anyway, another week of
#theresident stupidity. Not the dumbest episode - that was last week. But still.Show this thread
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