jac241

7 ms·

1.
by jac241 10mo ago
The disclosure section in the cited research article may indicate a financial interest in the authors being able to say that Prozac is not effective: “ MAH and JM are co-applicants on the RELEASE and RELEASE + trials in Australia, funded by
2.
by jac241 2y ago
If there’s a brain microbiome then why does nothing grow when I send CSF from an EVD?
3.
by jac241 2y ago
Maybe, but I think more likely is the time factor for med students. There’s really only time to find the major structures implicated in disease. Surgeons also not likely dissecting around the clitoris much. Wouldn’t want to risk injury obvi
4.
by jac241 2y ago
That is known as the perforator drill bit - https://www.reddit.com/r/toolgifs/comments/z2zikm/cranial_pe... Used to make burr holes so that the dura can be stripped away from the skull using the Penfield
5.
by jac241 2y ago
Strong work. Looking forward to / dreading the update with the 2023 and 2024 data that I've been more involved with. RIP to all of the young people in their late teens and 20s who made the mistake of using a road for anything othe
6.
by jac241 4y ago
You electrically stimulate around the spot with a probe where you’re planning to resect. If the patient can’t perform whatever task you’re evaluating then you know you can’t resect in that area. Generally looking for a 1cm margin between ti
7.
by jac241 4y ago
Amen. The American Hospital Association wields way more power now. Mergers between hospital systems have led to the large hospital systems being among the largest employers in many states, which means that senators and representatives are g
8.
by jac241 4y ago
Probably many people you know have seen a doctor for depression and gotten better, they’re just not telling that to the guy who says things like you did in your post… Very stupid take here man…
9.
by jac241 5y ago
Yeah sterile technique has to be meticulous in shunt cases. There’s evidence that the number of people scrubbed into the case influences the shunt infection rate so students like me occasionally would not be permitted to scrub.
10.
by jac241 5y ago
There’s generally no bacteria outside of the food tube though it certainly could happen the way you describe if there happened to be.
11.
by jac241 5y ago
They tunnel it in the subq until the abdomen then they make a tiny incision in the peritoneum and depending on the neurosurgeon may have general surgery take a look laparoscopically to make sure there’s CSF flow then use the grasper to try
12.
by jac241 5y ago
The hard part in medicine isn't diagnosis and it's not performing the surgeries, it's disease prevention, it's working with patients to find treatment plans they can tolerate, and it's coordinating all of the moving
13.
by jac241 5y ago
Many studies comparing NP and physician outcomes will have the NPs under supervision by physicians, which is ideally how they would be used, but in practice the true supervision level varies widely. I wouldn't see an NP for my care per
14.
by jac241 5y ago
If someone was making more than twice as much as you, working half as many hours as you, seeing half as many patients as you, and were less qualified for their similar role, you would be upset too.
15.
by jac241 5y ago
It's a mischaracterization for PAs because doctors only have ~7.5x minimum more clinical training and not 10x, 15000 clinical hours (for med school + family medicine, the shortest residency program) vs 2000hrs. Ask any radiologist you
16.
by jac241 5y ago
I would guess that most people entering NP programs at this point have less than 3 years of work experience as a nurse, a job where you are not diagnosing, coming up with treatment plans, performing procedures or doing any other physician t
17.
by jac241 5y ago
Please list some of the solutions, because from where I am (actually in a hospital) all I see are people who care about patient outcomes.
18.
by jac241 5y ago
I thought we’d have banned software engineer lobbying by now, look how much harm they’re causing - https://www.healthline.com/health-news/social-media-use-incr...
19.
by jac241 5y ago
There’s no price segmentation. You pay the same for a visit with a PA or NP as for one with a physician, so why see someone with less than a tenth the experience who may have gone to an online only school with 100% acceptance rate and shado
20.
by jac241 5y ago
Totally side effect free if we ignore the risk of stroke from cardiopulmonary bypass (at least 0.5%), infection of the chest cavity (0.5-3% incidence of mediastinitis after median sternotomy), anesthesia complications, post op pulmonary emb
21.
by jac241 5y ago
One of my former coworkers who went to private schools said the same thing. All I could think to myself was that we have the same job and title except my education cost $300k less after going to public school and a public university. If it&
22.
by jac241 5y ago
Those greedy doctors trying to protect their livelihoods from a bill that gives insurers an easy path to drive down their reimbursement when an alternate method of doing the same thing (New York's law on surprise billing) exists that d
23.
by jac241 5y ago
It's not. Physician reimbursement has been going down year over year since the late 90s. Each unit of physician work (relative value units, RVUs) is worth 50% of what it was in 1998 for Medicare at least, and most insurers peg their re
24.
by jac241 5y ago
The hospital is reimbursed on a fee for service basis. Most (all?) countries use a fee for service model, but most countries also don't have for-profit payers that are incentivized to drive up the cost of care.
25.
by jac241 5y ago
Maybe it doesn't cause permanent psychosis but people do become psychotic due to it and need to spend the night cooling off in the psych ED.
26.
by jac241 5y ago
Yes they are indicated for that.
27.
by jac241 5y ago
No one is being forced to live in a mental institution because they sent someone texts one time that expressed suicidal ideation... There aren't enough psych beds to take care of the patients with schizophrenia, bipolar disorder, and s
28.
by jac241 5y ago
I don't think torture is a remotely accurate description of psychiatric care. How do you think they treat people with suicidal ideation? Tie them down with chains, stuff a sock in their mouth, beat them with whips, and inject them with
29.
by jac241 5y ago
I think the negative and totally inaccurate depiction of psychiatric care on TV and in movies is why people are surprised that antipsychotics actually really help most people who are prescribed them.
30.
by jac241 5y ago
This is literal survivorship bias. I'm sure there are many people who are no longer alive because people did not take their texts seriously. I can easily imagine someone posting something just like this from the other side of the coin.

More ›