philpo

@philpo@feddit.org

• ⁨Comment⁩ on ⁨Are there any documentaries on what government mental hospitals are like when a defendant is found Not Criminally Responsible/Insane/Not guilty on account of medical status?⁩ ⁨⁨1⁩ ⁨hour⁩ ago⁩:

  While it’s might not be what you might be looking for,but I used to work in a forensic psychiatry (including high security ward) in a central European country.

• ⁨Comment⁩ on ⁨As a Nurse who works nation wide I have seen the effects of narcan on heroin,meth,acid and such. But what would happen to a person who is really really high on weed?⁩ ⁨⁨4⁩ ⁨hours⁩ ago⁩:

  Yeah. You are not a nurse.

• ⁨Comment⁩ on ⁨What are some cool infections?⁩ ⁨⁨6⁩ ⁨days⁩ ago⁩:

  Yeah. Worms are what I wanted to write as well…the Guinea worm (Dracunculus medinensis),sometimes also called medina worm, is one of these and was once really common. The Asclepius rod is possibly coming from it.

  If your character has a backstory that brings him to southern Europe, Asia or Africa in these times it’s basically perfect.

  Another disease to look up: Larva migrans cutanea

• ⁨Comment⁩ on ⁨Recommendation for Android File Manager⁩ ⁨⁨6⁩ ⁨days⁩ ago⁩:

  Same

• ⁨Comment⁩ on ⁨at what point in life it's too late to go back to school?⁩ ⁨⁨1⁩ ⁨week⁩ ago⁩:

  Never. Not what you want to hear,but hear me out. Because if it safes your sanity it is worth it.

  • I got my apprenticeship as a paramedic first and then went back to school to get my full A-Levels. Specialized school we have here,thankfully for these cases. The oldest one of my classmates was 52.

  • I studied economics with someone who was 55 and basically had already done the job we all wanted when we graduate for 25 years. He did so so he finally would get a more comprehensive background and maybe get up the ladder once more. (Which according to linked in he did)

  • I currently do another master (in a distant education setting,though) simply out of interest in the field and to broaden my CV. And you know what? I am 25 years in my field and still learned a fuckton of things, got a better network, love the research field AND got so much better at my job AND found a lot of opportunities.

  • An former paramedic trainee of mine was almost 50 when he started paramedic training. He was a C level executive before and at one point had enough - he changed careers so he would not get even more depressed and is now very happy with it. And I had multiple people do that in my bubble.

  Now,from my current perspective: Was it stressful? Fuck yeah. I literally cried sometimes. Was it a tough time financially? Fuck yeah. I am self employed/have a small company and I had month were making ends meet was really though due to the added expenses and the lost revenue. But it still was worth it. Because: For what it’s worth we all gonna need to work till 70+x anyway to afford retirement. And that’s a long time.

• ⁨Comment⁩ on ⁨Insulin⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:

  Neither it is mine,so maybe we both missunderstood each other. No hard feelings.

  But “worst” is generally,well the maximum.

• ⁨Comment⁩ on ⁨🎶 Hitting the Brown Note 🎵⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:

  And for hate?

  Like “I would hate to get cancer?”

  Tbh, it’s not pleasant,but also not that bad as people make it out to be if it’s done by someone who knows what they are doing. While I am male I would consider a pap smear (which is done far more frequently) far worse.

  …or a full scale STD test.

• ⁨Comment⁩ on ⁨Insulin⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:

  Other way around. The removal of the prolonged release is what would kill you right away. Hypoglycaemia kills WAY faster than hyperglycaemia. Like - one takes minutes, the other one hours to days).

• ⁨Comment⁩ on ⁨My Car Is Becoming a Brick: EVs are poised to age like smartphones.⁩ ⁨⁨4⁩ ⁨weeks⁩ ago⁩:

  Well, the AM transmitter in the old car won’t work anymore as well.

  Cars do age the same in terms of user experience - they are simply frozen in the state they are. (And at least within the EU can be operated fully offline)

  The author seems to be more concerned that his car might not get “new features” anymore - and that bothers hims as the “free update” culture is extending to a lot of things. Technology advances but nothing has changed about that - that was always the case and now we can at least update some things.

  While I would love to have a carnaker offer a open source plattform that would make people able to update and modify the entertainment/navigation part of their car I actually spoke to a car makers product manager about it - and sadly the multitude of regulations cars fall under in their various markets makes that basically impossible.

  More important would be that we campaign for other things in terms of laws (some are in place in the EU but are currently under pressure):

  • Manufacturers need to provide security updates for online functions for 10 years after the end of production.

  • Manufacturers need to provide navigation updates for 5 years after the end of production

  • Cars need a designated fully offline mode

  • Driving data obtained must not be used for commercial purposes. (Currently already implemented in the GDPR)

  • Important and often overlooked: Manufacturers must provide service software tools for cars for ALL repair shops and for at least 20 years after end of production. AND we need to work towards an open source industry standard.

• ⁨Comment⁩ on ⁨"Does Hitler have a right to privacy?" and other big questions in research ethics.⁩ ⁨⁨5⁩ ⁨weeks⁩ ago⁩:

  His relatives actually decided to not have children collectively afaik.

  They appeared to be fairly nice chaps - a friend of mine interviewed one of them 20 years ago for a uni research project.

• ⁨Comment⁩ on ⁨Goodnight sweet prince⁩ ⁨⁨1⁩ ⁨month⁩ ago⁩:

  No, power line is “on top” of the normal power distribution - it does not actually change frequency, etc.

• ⁨Comment⁩ on ⁨Goodnight sweet prince⁩ ⁨⁨1⁩ ⁨month⁩ ago⁩:

  Funny enough yeah,you can trans mit data long range via powerlines.

  I am old enough to remember the older career firefighters having devices at home that basically listened to the frequency shift. If a certain signal was given (via the substations) that frequency shift was observed by the devices and an electric alarm bell was activated so people knew shit had hit the fan and they probably should head to work.

  It was already phased out,thought, back then.

• ⁨Comment⁩ on ⁨Wi-Fi Extender, Long-Range, Suggestions?⁩ ⁨⁨1⁩ ⁨month⁩ ago⁩:

  It’s at the maximum of the specs and these are meant for straight connections and usually indoors. Potential differences,lightning strikes, there is a lot of issues that are hard to diagnose.

  Using a preconditioned fibercable is absolutely not an issue even for an inexperienced user - and the price difference is neglible in the end.

• ⁨Comment⁩ on ⁨Wi-Fi Extender, Long-Range, Suggestions?⁩ ⁨⁨1⁩ ⁨month⁩ ago⁩:

  Ethernet that long and outside is a really really bad idea. Fiber is much better suited and not that more expensive.

• ⁨Comment⁩ on ⁨Banana⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Get an allergy test. Banana allergies (even though that doesn’t necessarily sound like one) are associated with other allergies,including some medications.

  So…you might want to know in advance.

  If it is not that then try biobananas once. A lot of people are sensitive to the pesticides used.

• ⁨Comment⁩ on ⁨a sight to behold⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Haha. I’ve seen worse. Wait. I was hit by worse in worse areas and stool is by far not the worst thing that hit me.

  …starts sobbing

  I know why by now I prefer my desk and only ocassionally venture back into patient facing work.

• ⁨Comment⁩ on ⁨2022 vs. 2026 FIFA World Cup ticket prices⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  For the cheapest ticket you could have flown to the (excellent) womans European championship, got a CAT1 ticket,see Geneva and fly back.

• ⁨Comment⁩ on ⁨[deleted]⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Another Healthcare Professional here: I second this healthcare professionals advice.

  Don’t get strangers opinions through the internet who’s credentials you can’t verify. See a healthcare professional.

• ⁨Comment⁩ on ⁨Has anyone else experienced these psychological changes after eating meat?⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Please see my edit in case you haven’t before.

  And your ancestors were omnivores unless you have a lot of sudden body hair growth on a full moon.

  Seriously dude. I know mania feels great. But it isn’t.

• ⁨Comment⁩ on ⁨Has anyone else experienced these psychological changes after eating meat?⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Okay, okay. I know it’s a cliche right now, but can we please please please get this guy a brain scan? This sounds like a really good case for a few parasites.

  Seriously. You either had a massive massive anemia (red meat can temporarily (!) help then), you are a top shitposter or you have a major issue.

  Source: Healthcare professional. Not your HCP.

• ⁨Comment⁩ on ⁨What do ambulances do with patients cars?⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Yeah. Here cops are generally the “end of the food chain” legally. Whenever none else is responsible for something or the responsible department is not available they are the ones who sort it out.

  Health department outside of office hours? Call the cops.

  Building is in a possibly insecure state out of office hours? Call the cops.

  They can of course get other departments like ambos,firies,etc. to help,but in the end, it’s their job.

  Public safety officer is very much part of their job description here.

• ⁨Comment⁩ on ⁨What do ambulances do with patients cars?⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Paramedic and former ambulance service director here: In my jurisdiction the car is the sole responsibility of the police - in theory. So basically we call the police and let them handle it. They will decide if it’s safe to leave it where it is (e.g. if it’s on a highway, post accident or otherwise a traffic hazard). They will usually ask the patient if they should call a specific company or,if the car is still roadworthy, if they should call someone like a relative to get it - within certain limits of course, they won’t do that on a highway and if the relative is two hours away the patient is also SOL.

  If the car is stationary as in a safe and legal parking spot it’s a bit different, then in theory we could still call the cops,but they would hate us for it when the patient is conscious. In these cases most crews simply lock down the car and give the key to the patient - the same way we lock down an apartment when we leave with a patient.

  The only case when we might leave a car unlocked and unattended is an unresponsive patient that has a transport priority,aka we need to go NOW. We will still call the cops (and they will either find a way to secure the car or tow it),but we sure as hell won’t wait. While I might have a minute to spare waiting for the cops for an average unconscious patient e.g. post seizure there are a lot of reasons where I don’t have that - and might not have the time in some awake cases as well. In these cases a car might be left unlocked - especially in times when the key rarely is still required in the ignition anymore where I can easily find it. But in these cases the life of the patient takes priority over any material assets.

  (To give you a more practical example: The last guy I left the car unlocked was a gentleman with sudden onset of massive pain between the shoulder blades and a large difference in blood pressure values between the arms - a good sign of a thoracic aortic aneurysm, a very deadly condition. That’s a “fuckfuckfuck we need to go now” condition. I looked for the car key once for around 5 seconds,the car was a mess, I couldn’t find it. Dispatch sends the cops,but they often take a long time here once they know we are no longer on scene. Sadly he didn’t even make it to the hospital alive. But we tried).

• ⁨Comment⁩ on ⁨Why can't countries with vast deserts make solar farms to power the world?⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Yeah, but by now the much lower cost and higher efficiency of panels vs. the drawbacks of the location has shifted the cost/benefit ratio quite a bit.

  It’s far cheaper to build the panels where the energy is needed and compensate for bad weather by building more panels (and other sources) instead of having the drawbacks of the north african location. Solar panels in the desert are an issue - as noted here multiple times, sand does not mix well with panels, neither does too much heat. Solar reflector plants have never really taken off due to various issues as well. And transport remains an issue by itself and so does political stability in these countries.

• ⁨Comment⁩ on ⁨Shh⁩ ⁨⁨2⁩ ⁨months⁩ ago⁩:

  Tbf, I remember the times we reused everything, even tubes.

  And it was a mess and there is so much evidence that the whole process of reusing is even worse for the environment.

• ⁨Comment⁩ on ⁨Between Codeberg, Forgejo, Gitea, etc., which do you prefer and why?⁩ ⁨⁨3⁩ ⁨months⁩ ago⁩:

  Gitea once now Forgejo.

• ⁨Comment⁩ on ⁨Why is the human body so incredibly bad at responding to colds?⁩ ⁨⁨3⁩ ⁨months⁩ ago⁩:

  Not really. While COVID does indeed go through the roof atm in the northern hemisphere, bacterial supra infections are fairly common for flu patients.

• ⁨Comment⁩ on ⁨Awooga⁩ ⁨⁨3⁩ ⁨months⁩ ago⁩:

  Well,patients do get asked for consent before these pictures are taken (and usually are again asked for approval again when the whole thing is layouted).

  But,tbh, most patient I got to know with similar, rare, cases are often more than happy to help science and help other patients who experience the same right now or in the future.

  I personally had a case I worked with peripherally where a breast implant basically exploded after a road traffic accident and the poor, rather young, patient suffered from a catastrophic infection and bodily reaction before that. As in: “She nearly died,was on ecmo, needed her sternum replaced”-catastrophic. (And no, not a cosmetic breast implant, just making sizes equal)

  Tbh, despite extensive plastic surgery the final result was…really grim. I have seen third degree burns with a better cosmetic result… Especially for such a young woman. Further correction would need to be done much later, at least 5 years from then. She was nevertheless very keen on appearing in the case report and did willingly take part in photos(and even provided pre incident photos), appeared in front of medical students and interns, etc. It was part of her way of dealing with it,of making sense out of this freak occurrence.

• ⁨Comment⁩ on ⁨Awooga⁩ ⁨⁨3⁩ ⁨months⁩ ago⁩:

  Shit. That’s a terrifying case in so many aspects.

• ⁨Comment⁩ on ⁨Awooga⁩ ⁨⁨3⁩ ⁨months⁩ ago⁩:

  My condolences to your spine.

• ⁨Comment⁩ on ⁨Not trying to disparage first responders on 911. Why aren't nurses included with fire and police departments? Did we not take care of people on the backend of the rescuing?⁩ ⁨⁨3⁩ ⁨months⁩ ago⁩:

  I don’t know where you live,but as you are mentioning 911 I guess it’s the US - there are a shitton of ambulance services that use nurses as BLS or ALS providers around the world. (The netherlands, sweden, Italy, Spain, just to name a few. I intentionally do not name the US here,see below)

  For the US, UK and to a lesser extent Germany there is a simple reason: You guys did fight tooth and nail not to do so.

  But let’s go back a bit further: If you look into the history of EMS it’s not like that the fire departments were that happy to do so (and to this day I am a staunch opponent to them doing so. It’s an all around bad idea) and in many parts of these countries police, cab services and funeral homes did provide the first ambulances, other than charity organisations.

  When it became clear that prehospital care was needed in these countries the fire departments or independent “transport only” ambulance services had become the norm in most areas and there indeed were some people that pushed for nurse staffed ambulances - as nurses during the war had shown to be beneficial in that role.

  But they were basically scolded, often even publicly insulted, by nursing associations:

  • Nursing back then was far from an independent profession like it is today. Back then actual medical skills were largely dependent on doctors orders with very little leeway for interpretation. (From a nursing book in 1958 “if the blood pressure of a patient is too high or too low must,under all circumstances,be decided by the doctor and it’s not upon the nurse to decide this.”) Asking someone who is fully dependent on another profession for decision making to now make independent decisions without that profession and in the worst possible environment and use skills that the same person wouldn’t be allowed to use in their regular workplace understandably was a major cause for concern, dissent and resentment back then. And to some extent this is understandable.

  • The second factor was based on the issue of gender and “morals”. Nursing back then was a mostly female profession. Putting them to the scenes ambulances need to respond to (brothels, crime scenes, etc.) would, according to a female nursing director in a UK hospital “corrupt my girls”. Additionally, due to the fact that heavy lifting would be required(see below) and the ambulances would need to be driven by someone, the “poor nurses” would need to work alongside male ambulance drivers and that would also lead to immorality. (Their words, not mine. In case of the UK somewhat insulting to their Queen,imho)

  • Another factor was surely the fact that “transport only” ambulances already existed and that (also due to the lack of proper equipment) it was (rightfully so) considered backbreaking work - patients did need to be lifted far more than today, lifting equipment was primitive and medical equipment was far heavier. (I remember defibrillators that had 40kg…and I am not that old). So adding a third person would mean extra cost while you still need men (according to their reasoning back then). And as the first paramedic provides little more than BLS+ it was not that resource intensive to teach the people already doing the job.

  Nowadays nursing has developed a lot. But so has paramedicine and it is an independent health care profession in the more professional systems (CAN,UK,IR,AU,NZ,GER,POL,etc.). Because skills,mindset and approaches towards patient care are different. The US with it’s abhorrent EMS system uses nurses in some roles,but tbh, the main reason is a lack of proper paramedic training standards, standardisation and oversight and the results are, well, underwhelming.

  And why are nurses not named in line with other first responders in the US and similarly in a lot of other countries?

  Because they aren’t first responders. The issue with being a first responder is not the level of care, it’s the “unknown”. Hospitals are, to a certain extent a controlled environment. Even in the ED you most of the time know what’s happening next, even if the next patient is a multi system trauma and comes in without prior notification it’s still your playing field. You have light, it’s warm/cold, you are rarely alone, you have your equipment where it was the day before and the day before. On scene it’s different. The next call might be a mansion. Or in a ditch. Or a methlab. It’s the same people you see in the ED, but now it’s their home turf. I have resuscitated an almost naked 12 year old in -20° C alone (as a in “single responder”) in a park known for it’s shady people. That’s different.

  Don’t get me wrong: Nursing has it’s own challenges - I worked both sides long enough to know that I sure as hell won’t ever work another hour in nursing. As a para you have 1 patient most of the time. Not 25. Once you know your call,you can be almost sure that you won’t have another patient until you complete the call there won’t be another patient suddenly taking away your attention. You can leave the patient after like an hour max. And you rarely see them again.

  All these things are different in nursing. Multiple patients, changes in priorities, seeing patients day after day - it is its own beast. But it’s different.

  I am happy for everyone who does nursing. So am I for every midwife. Or every guy and gal that takes up paramedicine. We all have our place in this hellish trade.