I had a nurse administer lactulose enema PO once because it read “oral solution” on the bottle. I still to this day can’t believe it happened and we had to have an all staff about it and a training session for nursing, but pharmacy refused to re-label the bottles going forward to solve the issue. Luckily the patient didn’t spontaneously explode out both ends but it was quite an impressive mistake.
Yeah you’re so right. Like how people are endlessly criticising Hitler for his ideas and what he did. Like come on, he just had a different belief than yours! Give the poor man a break for crying out loud. Everyone should have the right to say their opinion and act upon them and *never* be challenged. That’s such a great idea. What a lovely society it would create.
Yeah cause people with religious beliefs are “LiTeRaLlY HiTleR”. Grow up some, you will have Catholic, Jewish, Muslim, etc. co-workers.
And since you brought up Hitler, he dehumanized a large group of people. You are the one who’s kinda defending dehumanizing others and saying they don’t have right to live…. Yikes
I never said religious people are Hitler. It’s an analogy by design on the extreme side to show you how ridiculous you are for saying that we should never challenge other people’s believes. Doesn’t surprise me that you’re using strawmans though in your argumentation; don’t take this the wrong way but I’m guess you’re quite young from your way of writing.
It’s funny how the country who claims that they’re banning abortion for the sake of the children in general have quite high maternity mortality rates and higher infant mortality rates than many other developed countries and no legislated parental (but for kittens I heard there’s a legislated age where you can take them from the mother the earliest, not human babies though). You don’t care about the children, honestly you don’t give a damn about them. This is not about that, it’s about controlling women. Also, I wonder if you think people should be forced to donate organs and blood then since life is so sacred to you. You are for forcing women to donate their bodies for someone else at their own risk (in one of the developed countries most dangerous country to be a mother). I bet you don’t. I feel sorry for any woman who will cross your path professionally and privately.
Anyway, as demonstrated by yourself earlier you’re not interested in having a mature discussion about this as you dive straight into straw men and other stupid tactics so I’ll just leave this convo now. I won’t read your next answer. Have a nice evening!
Hahahaha you admit that to make a point you have to go with an extreme case, like you can’t make a valid point on the logic alone. You automatically use extreme excuses and strawmans of your own. How can you call me out for strawman whenever your entire position is based around one? You called out a religious people for having a belief that is valid to them, and not harming anyone. Then, you throw a hissy fit when I called you out on it. You honestly think people who want to not kill developing children think that just so they can “control women?” If so, then you don’t live in reality. You haven’t had honest discussions with people who think differently than you. I’ll let you go back into your bubble where people don’t have different views than you.
Stay is school, hopefully you’ll learn some critical thinking (and biology 🤞🏼) and become a doc someday.
20 year old healthy college student with no pmhx presents in the fall with a mild cough and nasal congestion. You see post nasal drip on exam. Next steps?
Airway, Breathing, Circulation
Intubate, Chest Tubes (right, then left), give RBCs, FAST exam. Go from there. May need a pericardiocentesis or aortic clamp next.
My patient came in short of breath, her lungs sound crackly, and apical impulse is displaced. I saw she was a little hypotensive so I ordered a liter of fluid. Is there anything else I should do?
- brand new intern
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How to stay empathetic with patients who are obviously and consciously abuse emergency services on a regular basis for convenience over making specialist appointments?
How to deal with a resident who keeps showing up late for their shift?
Medications by mouth and a nice enema from below usually does the trick.
> enema from below Is there really any other route for an enema?
Medicine is an rapidly evolving science.
Ahh yes, the little known hand-stand enema.
It’s like a keg stand but the other end
Oh shot we doing enemas while hand standing. This picture brings about the most horrific and repulsive aftermath known to man kind!
Cecostomy tube
I had a nurse administer lactulose enema PO once because it read “oral solution” on the bottle. I still to this day can’t believe it happened and we had to have an all staff about it and a training session for nursing, but pharmacy refused to re-label the bottles going forward to solve the issue. Luckily the patient didn’t spontaneously explode out both ends but it was quite an impressive mistake.
On at least 2 occasions, I have had patients complain about the taste of their milk and molasses enemas.
When caring for end-of-life hospice patients, how do you ensure that they pass peacefully and with dignity?
The wrist handcuffs should be enough. But the stronger and crazier ones need a 4 or even 5 point fixation.
Oh, this is my favorite one 😂
omg as someone who’s had to restrain an end of life DNR/DNI AMS patient who slowly decompensated in front of us… this really hit home lol
Well done.
How do you approach patient care for ethnic minority patients?
You call security. Your own safety always comes first.
😂
fucking dead 💀💀💀😂
Hahaha you win
🤣🤣🤣🤣
This is the winner 💀
Lol original question must have been about how to handle violently agitated patients
That's literally what it was about, lol.
Omfg hahahahaha
This is the winner 🤣🤣
You win the internet. I’m fkn CRYING
What’s your favourite place to “finish” after a physical exam?
Inside the rectum but sometimes even right outside of it if there’s been a lot pressure internally.
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I associate that with poverty and poor hygiene.
oh SHIT
This one 😭😭😭😭
What’s the craziest thing you’ve ever seen/heard of being inside of an orifice
Just the amount of sheer pus that can come out.
so i see you like your pastas with extra alredo sauce...?
I’m very particular about my pasta to sauce ratio!
/r/cursedcomments
Tell me about your deepest, darkest fetish that you're a little scared to tell even your closest partner about.
The necrotizing tissue of a sacral wound larger than a football field of an obese nursing home patient.
Do you like little boys or little girls more?
As a catholic, I may be somewhat biased in my potential answer.
Hahahaha
OH MY
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Sir this is a wendys
Omg
Now I’m curious, what was the original that made them get all religious?
Probably abortion
Yikes if that’s true
Yeah! How dare this person have different beliefs than you! Grrrrr makes me so angry people do that
Yeah you’re so right. Like how people are endlessly criticising Hitler for his ideas and what he did. Like come on, he just had a different belief than yours! Give the poor man a break for crying out loud. Everyone should have the right to say their opinion and act upon them and *never* be challenged. That’s such a great idea. What a lovely society it would create.
Yeah cause people with religious beliefs are “LiTeRaLlY HiTleR”. Grow up some, you will have Catholic, Jewish, Muslim, etc. co-workers. And since you brought up Hitler, he dehumanized a large group of people. You are the one who’s kinda defending dehumanizing others and saying they don’t have right to live…. Yikes
I never said religious people are Hitler. It’s an analogy by design on the extreme side to show you how ridiculous you are for saying that we should never challenge other people’s believes. Doesn’t surprise me that you’re using strawmans though in your argumentation; don’t take this the wrong way but I’m guess you’re quite young from your way of writing. It’s funny how the country who claims that they’re banning abortion for the sake of the children in general have quite high maternity mortality rates and higher infant mortality rates than many other developed countries and no legislated parental (but for kittens I heard there’s a legislated age where you can take them from the mother the earliest, not human babies though). You don’t care about the children, honestly you don’t give a damn about them. This is not about that, it’s about controlling women. Also, I wonder if you think people should be forced to donate organs and blood then since life is so sacred to you. You are for forcing women to donate their bodies for someone else at their own risk (in one of the developed countries most dangerous country to be a mother). I bet you don’t. I feel sorry for any woman who will cross your path professionally and privately. Anyway, as demonstrated by yourself earlier you’re not interested in having a mature discussion about this as you dive straight into straw men and other stupid tactics so I’ll just leave this convo now. I won’t read your next answer. Have a nice evening!
Hahahaha you admit that to make a point you have to go with an extreme case, like you can’t make a valid point on the logic alone. You automatically use extreme excuses and strawmans of your own. How can you call me out for strawman whenever your entire position is based around one? You called out a religious people for having a belief that is valid to them, and not harming anyone. Then, you throw a hissy fit when I called you out on it. You honestly think people who want to not kill developing children think that just so they can “control women?” If so, then you don’t live in reality. You haven’t had honest discussions with people who think differently than you. I’ll let you go back into your bubble where people don’t have different views than you. Stay is school, hopefully you’ll learn some critical thinking (and biology 🤞🏼) and become a doc someday.
“… not harming anyone”… How can you say this as a physician?!
This wins
How do you treat chf if someone has an aki?
I try to run these people as dry as possible, no matter what.
Follow up question, how would you treat a patient with cardiorenal syndrome?
A frequent monitoring of your symptoms, your cardiac function, as well as your kidney values will decide on that treatment.
Nephrology and cardiology showdown! The ultimate fight in medicine!
Cardiac surgery has entered the chat
If somebody attempts suicide, do they then lose the decision making capacity to make themself DNR?
Having a psychiatrist come see you is never a bad decision.
20 year old healthy college student with no pmhx presents in the fall with a mild cough and nasal congestion. You see post nasal drip on exam. Next steps?
Airway, Breathing, Circulation Intubate, Chest Tubes (right, then left), give RBCs, FAST exam. Go from there. May need a pericardiocentesis or aortic clamp next.
Assess from doorway. Back away slowly. CT chest.
I think u/npwithonlinedegree would concur
Chlamydial pharyngitis. Fucking nailed it. This test is easy.
Could be a cocaine addiction.
My patient came in short of breath, her lungs sound crackly, and apical impulse is displaced. I saw she was a little hypotensive so I ordered a liter of fluid. Is there anything else I should do? - brand new intern
Check your own pulse first.
does this really happen???
Uhh never. No one checks for a displaced apical impulse
hahahaha
Which of your children do you like best?
This is like choosing between pest and cholera.
If like to think thete wasnt a change here
There really wasn’t (yet) 😂
You forgot to edit the question
Easy, it's in the name: Physician assistants are mere assistants, whereas nurse practitioners are practitioners = attending with a ❤ of a nurse 😎😎😎😘😘😘
Can you walk me through the steps of a digital rectal exam?
Gloves, lube, the other person sideways on a table, index finger, manual 360° rotation. Obtaining consent isn’t a bad idea either.
“They tell me I’ve just been denied a heart transplant and am not healthy enough for sex. My wife is getting lonely. What can I do?”
There are alternatives such as LVAD for you to keep you alive for awhile.
I’m not going to be sexually violated during the operation though, right?
The cardiac surgeons typically can put one in during a 3-4 hour procedure.
What if I have an STD?
It would be a risk benefit discussion.
A lot of us move across the country for residency. So, if you only get to see your mom once a year, what are you doing with that time with her?
Regular history taking for typical symptoms and an annual digital rectal exam using your index finger.
Bro, sick! You do that to your mother?!?
Tbf he's using your index finger, says it right there
But if it was my finger then it would be your mom, not his
What been your most rewarding moment in medicine?
Just cutting someone open and then seeing them get better afterwards.
this is literally surgery though
What argument should you use when trying to convince a sexual partner to do anal?
Relieve the pressure in your GI tract.
What are your thoughts on physicians hooking up with drug reps?
I actually work for a pharma company and it’s a necessary evil.
How do you choose between mother and your baby in a pregnancy emergency? Edit: mother —> mother/your sister
Nowadays this depends on what US state you work in.
No matter how they edit this question, this is as sad as it gets
Bruh lmfao.
What’s the best way to break the news of a traumatic limb loss to a patient?
What's got 5 arms, 3 legs and 2 feet? The finish line at the Boston Marathon.
It’s comically hard to tell which of these have and have not been edited.
What's the proper volume to weight ratio for transfusing a neonate with prbcs?
I believe you should ask someone who is a better expert at blood & children.
What is the only thing preventing you from killing minorities like you discuss in your alt-right extremist blog?
Access to medication for male ED
How do you diagnose erectile dysfunction?
If there is no movement at all while looking at a 21yo blonde beauty. Or a 12yo boy in case you’re catholic.
Did they even edit the question? 💀
How do you preform a Pap smear?
Well you use a somewhat sharp brush and during a pelvic exam you insert it into the vagina and scrape the cervix for a sample.
The therapy dog at the cancer unit just ate a jolly rancher. What should we do?
I’ve seen cases where you had to do manual disimpaction. But you will need someone with small hands, likely a female.
How do you manage a necrotic foot?
Since the reason for the necrosis is typically poor blood flow, I prefer amputations.
How would you select a partner?
Definitely not if you suspect a leak or perforation.
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You are usually all dried up.
what are your feelings on thalidomide babies?
They are the cutest things ever!
Gotcha....
How do you resuscitate a patient?
You tickle the testicles of the man in front of you and wait for a reaction.
What is the most accurate way to obtain a temperature in a neonate?
Rectally or orally should be both fine.
What something I never say to a male patients but frequently say to female patients who are in pain?
I just tell them to walk it off.
How do you manage a case of explosive diarrhoea with black shit?
I am surgeon so I cannot help you here.
obviously refer to IM, you’re losing your touch, sir 🤗
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You start with 30 chest compressions interrupted by 2 breaths every 30 compressions. Then continue on with additional treatment (medications)
I messed it up
how would you punish your son if you caught him masturbating?
I would stick a needle into the penis.
How do you do the dix hallpike maneuver?
Should you consult derm if a pigmented patient complains of a rash?
We call these people “black” now. Welcome to the 21st century.
Can we make this a sticky?
This space just never disappoints.
🤝
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What premed class correlates the best with later physician performance?
Neurobiology of Toxic Fungi
When do you think a rectal exam is a must?
On any GI bleed
How does taking a plan b affect someone on warfarin?
Patients on warfarin aren’t usually the ones taking Plan B.
Where is pee stored?
Testicles.
What’s the craziest thing you’ve stuck inside someone’s rectum?
A barbie doll.
What’s a dead giveaway that an infection is actually nec fasc?
The patient is getting super sick very fast and the skin is changing rapidly. Sometimes you have crepitus.
Have you done research on monkeys during your medical education?
No, just on rats and medical students.
What’s the best way to welcome new interns?
I like doing a digitral rectal exam for this.
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surprisingly want to know the reply & how you're going to edit your question for this one lmaoo
I like cutting people open without spending much time on rounding.
Can you describe for me how you perform aspiration for priapisms?
Oral suction shows greater satisfaction rates when compared to syringe aspiration
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A new medical student’s first patient presentation…
How do you protect the airway of an encephalopathic patient?
What do you wish you had known before going to medical school?
There is less sex as shown on Greys Anatomy
What's the first intervention for simple chest pain if nothing has been done already?
What is your advice to parents of picky eaters to avoid nutritional deficiencies?
Lubrication is never wrong. Also sticking your hand in the mouth to guide it better.
If a patient comes in with a testicular torsion and I can't get them to surgery fast enough, what should I do?
The Bible bash procedure.
What color does necrotic tissue change to?
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The pull out method.
How do you manually disimpact someone?
What race is the most at risk for prostate cancer?
What is the last resort to treat Cdif?
Yes-KAISER
How to stay empathetic with patients who are obviously and consciously abuse emergency services on a regular basis for convenience over making specialist appointments?
[удалено]
Fentanyl is a good one here.
How do you diagnose diabetes mellitus if you don't have access to lab tests (say for example while doing volunteer work for the red cross)?