I think this is the week the conspiracy theorist writer is going to unleash her pet theory that oncologists only give chemo for pharma kickbacks.
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Yes, when you have multi-trauma call an internist? Wait, what? Why is he just standing around like a putz?
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Is anyone actually triaging these patients or are they just piling them in a back room?
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Yeah that's not how you replace a dislocated shoulder. It's traction, not shoving it back in the socket, unless you're just a big Lethal Weapon fan.
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My best guess is a subdural, he needs a burr hole. I don't know where, because I just pulled that out of thin air, but thats drama.
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The best way to deal with medical error is to harangue the triage nurse.
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Hawkin's affect is so bizarre. He doesn't come across as confident but just rage-filled and petty.
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I like how the trauma patients are covered with blood in the beds, in their street clothes, not exposed to, you know, figure out what is injured.
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That mass looks a lot like...cholecystitis. And he just orders EUS based on ultrasound? I think you would need better cross sectional imaging.
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This is just terrible special effects, is that supposed to be an abdominal operation? The abdomen appears to be between the patients knees. There are no retractors or Bookwalter, just instruments shoved in a dark incision with viscera hanging out.
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It's also not a thing to dissect with a kelly unless you're talking about a chest tube, it's a big and blunt. Try a tonsil or a right angle, something with a finer tip.
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Oh boy. I can't wait to see how these jackasses do trauma.
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Why are they going straight to a surgical airway without looking? Just because he coughed up a bit of blood? How bad do they suck at intubating?
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Now for a cricothyrotomy, which they incorrectly refer to as traching the patient. And no, it's not normal to get sprayed with blood because you sliced the neck like a hack. This is frequently done in the ER. I did two in the last week.
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This is the one instance in which if indicated you specifically would NOT wait for an attending if there was a delay. Airway first.
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Then the trauma workup kind of just stops...It's not clear what the injuries are. I also like how he has a nice HR of 80 despite being trauma without an airway. Either tachy or brady, cmon.
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I like how he shows a picture of the patient's face ON HIS PHONE to the dad. Don't take pictures of patients' faces, yikes.
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Now the trauma patient is seizing, probably because they have no idea what has happened to him or any attempt to identify his injuries. Why couldn't this guy have a magical subdural causing his problems? So many questions about this scene.
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What is the magic "seizure monitor" that beeps until the seizure resolves than makes an "all clear beep"? Why doesn't he use an IO in this instance? This is when trying to get a vein would be hard, yet last week they did the IO on a young healthy lady holding perfectly still.
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Have they explained what any of this patients injuries are? Why are they doing surgery? What is the injury? Why is calcium the first Rx, rather than say, ativan? Why is the patient seizing under anesthesia? Why was the patient not paralyzed? Why is any of this happening?
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There are certain meds nurses can give without orders. Epi for anaphylaxis would be a good example.
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#Theresident has a common theme, protocol interferes with care, except when it's necessary to protect people from mistakes. Also, everything they think is a protocol is wrong, and is the exact opposite of reality.Show this thread -
Why is
#theresident coming in and commenting on the surgical resection of a gallbladder tumor rather than a surgeon? He doesn't know shit about doing that resection. And it's really not a "minefield", it's actually pretty easy. And if they're anemic, guess what? We have blood!Show this thread -
Oh no, maybe in HODADs hands this is a bad idea. I like how he goes from doing urologic surgery to hepatobiliary.
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Hawkins doesn't come across as a risk taking doctor who just wants to do right. He comes across as a creepy sociopath.
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Isn't Okefor a 2nd year resident? That's a case for a 4 or 5.
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I like how she objects to being treated like an intern. A 2 is basically senior intern. (sorry 2s)
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Now the nurse is investigating medical overuse by, taking pictures of patients! Stop taking pictures of patients!
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There is a good reason insurance companies won't pay for "experimental therapies". Because there is no evidence for them. If it's experimental, why isn't she enrolled in a protocol? Insurance absolutely shouldn't pay for therapies without evidence!
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