philpo
@philpo@feddit.org
- Comment on Pictures of Animals Getting CT Scans Against their Will: A Thread 4 days ago:
It depends. MRI and to an even larger extent CT scans are “targeted” to an area. People are very very rarely scanned “totally”.
E.g. you want to look at the cervical spine and therefore only examine this area. While you will also see neighbouring regions these are not necessarily full resolution (only if they can have an impact). So if the imaging run is being done for an area that is not affected much by the fat tissue it won’t produce more data necessarily (a cardio MRI is a good example). If you do a abdominal or pelvis MRI/CT is normally does include all tissue and therefore will produce more data.
(Take this with a grain of salt though, while I worked inhospital for a while I am primarily a paramedic and more into repairing vital signs than radiology. While we have mobile CTs nowadays they are brain only and not my area of expertise)
There is an exception for the real complicated cases like the one I mentioned, though. As we didn’t want to do the whole transport effort 4 weeks later again because another speciality found another issue the patient was indeed scanned almost completely" (with breaks in-between as that gets uncomfortable fast).
(Sadly enough the whole thing was done 6 weeks later again,indeed, as the patient had suffered from an acute stroke which later killed them. Sad story,really. Never had a chance in life)
- Comment on Pictures of Animals Getting CT Scans Against their Will: A Thread 4 days ago:
Actually most of them (according to a friend who works for a large animal hospital and has some human EMS background) are intubated far easier than humans - and they place a “hand safer” device (if you’re old enough to remember the “plastic screw device”-I don’t actually remember the actual name- used to open a seizure patients jaw that were once used, they are similar).
Back in my training day we used cats to practice neonatal intubation.
- Comment on Pictures of Animals Getting CT Scans Against their Will: A Thread 4 days ago:
No shit, I once had the chance to accompany a patient to an large aninmal hospital for an MRI.
The problem: It was so far away that the patient needed to be airlifted. Which was far beyond the capacity of regular HEMS. So they called in the military and they send a fucking CH-53 cargo helicopter. These things are huge and loud. But cool.
That was one interesting ride. Somewhat embarrassing for the patient (who was not in on weight level due to simply eating too much - patient had a massive and life altering orphan hormonal disease) but patient kept somewhat good spirits and the volunteer fire brigade did a good job blocking the view.
- Comment on I have a shamefully dark question for firefighters. I'm sorry but I'm just too curious to not ask... It's about the smell and how that affects life. 4 days ago:
Thanks mate for the kind words. If you are that far down the spiral again, let us know. Personally I rather read a DM from you than read about your funeral.
And I get it. Even the fire part. Fire does send a message. We all know that powerful photo of the monk.
The human who is responsible for half of my fire-PTBS wanted to send auch a message. But it instead fucked people up. Not only myself, back then a 19 year old fresh paramedic graduate. Who now, multiple decades later sees that human in his dreams. Well. Not actually. I see my gloves melting because the flesh I am working on his still so hot. I don’t see the actual human.
There are only a few things I truely fear. I went to conflict regions as a job for ages… But there are few things I dear like fire/burns. Rabbies, some cancers, ALS. But fire still is something else. Because it is more cruel. Unless someone really needs that fix to understand why it’s a bad idea I spare you the details.
- Comment on I have a shamefully dark question for firefighters. I'm sorry but I'm just too curious to not ask... It's about the smell and how that affects life. 5 days ago:
My firefighter days were long ago and short numbered but I am a paramedic.
Truth to be told: I have PTBS from the smell of burning human meat. I had two cases that cemented that in my brain - both were not people burning to crisp but instead people who were still moving* - but beyond rescue. In that state human meat smells different from other meats and it is… something you don’t want to smell ever.
(*: Even most severely burnt people, with 99% grade 3 burns are awake for quite a while. They are beyond resuce,though. Please people, don’t try to kill yourself with fire. And if you do, don’t do it in front of people. Really don’t. You fuck them up for life)
I still cannot stand if my wife cleans the oven for example.
- Comment on Cities Skylines 2, Kerbal Space 2, Planet Coaster 2, Frostpunk 2... What Went Wrong? 1 week ago:
As a project manager (well sort of, but did IT projects for a while, have multiple friends in the gaming manager): Yes and no.
From my point of view: The problem isn’t the fact that games are art. While games have their creative side they also require good “brick and mortar work” in the back - as many games as went horribly wrong due to a lack of space for creativity went wrong due to a lack of “less than glamorous” brick and mortar work and overcreativity. (Most drastic example would be the reddit dragon MMO story)
This is actually a reason why people who are very invested in the subject matter of the project they manage often are horrible project managers - and vice versa people who have no clue can’t be good PMs either.
Project management has one core component: Knowing when to ask whom. A good PM knows that the dev(or dev team lead) will always know better how long “feature X” will take. Of course I can try to learn how to do things… but that wouldn’t help much as the exact dev or team will still have their individual speeds. But a good PM also will know when to ask someone else who is nore knowledgeable for advice or to confirm things. (I literally had an Dev trying to tell me a small feature would take two weeks. Fair enough. But interestingly enough two other Devs were fairly sure it takes 30min including documentation. Which sounded way more reasonable. Turned out said Dev always tried to pull these stunts with new PMs and his lead being on vacation)
A good PM will also know when to give people space for creativity - and defend this room towards the budget.
Sadly - and this is a problem existing on all sides around PM- in the end it all boils down to a simple thing: Everyone thinks they know better. The PM thinks they know the job of being a Dev(or engineer,etc. etc.) better than the actual people doing the job. And vice versa the Devs think they could do without PMs (they can’t for larger projects it’s impossible, for mid size projects often really inefficient) or know their job better.
Such is life.
- Comment on Slate Truck is a $20,000 American-made electric pickup with no paint, no stereo, and no touchscreen 1 week ago:
EVs (at least well build ones) are far less depending on AWD (and 99% of the people telling me they require one should buy fucking proper winter tires instead)
- Comment on What is the best Sea based game out there in your opinion? 3 weeks ago:
Definitely not the best, but still worth a mention is “Stormworks: Build and rescue”. Basically a Lego like “build a ship/plane and do missions on the oceans” game - missions nowadays are also including far more than rescue.
- Comment on Suggestions for mouse only games? 3 weeks ago:
Btw: There are USB foot keyboards on the soulless online marketing platform of your choice. They can usually be programmed to different keys or combinations. While it is not something I would use for FPS gaming, it can come handy in situations like yours. I have one with three different switches that are programmable which is quite handy.
- Comment on am i insane? 4 weeks ago:
This post is incredibly well written and I can second this, both as a patient and as a healthcare professional. @Mods: We should have a wiki/halloffame or something to point people to posts like this.
!Lemmysilver
- Comment on How chaotic gang of British 'geeks' launched one of most lucrative gaming franchises of all time [Grand Theft Auto] 4 weeks ago:
TBF: There was GTA London
- Comment on Anon keeps it classy in the comments 4 weeks ago:
Friend of mine is a burly former spec ops medic who knows a flight medic. A guy who simply loves trauma cases.
And he is recurringly having a vasovagal when getting his own blood drawn. Hehe.
- Comment on What's so important about keeping military operations secret? 5 weeks ago:
To add a more recent example: The Serbians shot down a F-117 Nighthawk with a obsolete air defence system from the fifties. How? They knew the aircraft were coming, when (both due to spies), where (as they used the same routes) and that they had no anti radar escort.
- Comment on What are some slow acting poisons? 5 weeks ago:
You could go for Paracetamol/Acetaminophen. The lethal dose is quite low and in theory low enough someone could poison someone else with it. And once symptoms set in people’s livers are often beyond rescue and they die a very gruesome death unless we find a transplant organ in time.(And even then survival is not guaranteed)
And it’s relatively save to use in writing as it is coated/mixed with enough bittering agent these days that it actually wouldn’t work that well to secretly posing someone.
If you need something with a shorter timeframe Methanol is an option.
And of course there’s always Dihydrogen monoxide-everyone who has even had one drop of it will die eventually but the time range depends on the dose. With very high doses people die in minutes,with medium doses (this is actually sometimes used by inmates to kill themselves) they die within a day, with lower dose after decades, but some die mere days after they ingested the mere last drop of it. Nasty stuff and very available.
- Comment on how do they decide where to put bus stops? 5 weeks ago:
Yeah, actually some companies like IKEA which often are located “on the outskirts” even pay for lines from train stations to their shops - which are for public use and often it’s a mixed deal, like the company (or sometimes a few companies, sometimes even competitors) subsidies the line during business hours and the local government pays the remaining hours.
- Comment on What phones are the government people using that are supposedly secure enough to discuss war plans? iPhone? Android? Some special custom-made phone specifically for the government? 5 weeks ago:
Actually they kind of still do. Secusmart is very popular in most industrial nations for that and they are a division of Blackberry nowadays.
They are based on specialised Samsung devices afaik.
The other big alternative is iOS at the moment, they also offer highly secured MDM solutions but they are less trusted by non-US countries as they do not allow code review.
- Comment on Mother 1 month ago:
It’s true. There are various witnesses of the Shoa who absolutely did testify this happened. I actually spoke to one of them in school - during highschool two survivors of the holocaust did come to my (German) highschool and talked about what they went through, extremely nice people with extremely horrible stories.
One of them explained how they hid in an abandoned building and how the mother of the other family hiding with them choked their 8 week old baby when there was a official patrol nearby and they had to stay quiet. Didn’t help, they got caught shortly after and as far as we were told none of the other family made it.
The worst thing? It’s one of the “less gruesome” stories the whole Holocaust has…
- Comment on adhesive tape to the buttocks 1 month ago:
Tbf, not that different from an stoma bag
- Comment on adhesive tape to the buttocks 1 month ago:
As long as it’s not the same math genius who calculated the amount of tampons for the first female long term crew member…
- Comment on adhesive tape to the buttocks 1 month ago:
Oh god yes, so much.
I do disaster response planning, mostly for healthcare. “No, your OR really needs electrical power!” “No, you can’t still run your outpatient clinic during an active shooter situation!” “For fucks sake,NO,you will not use a diesel generator indoors to power the ED!Not even with a open window. Your windows are 30cm x 1m”
- Comment on How did you get your job? 1 month ago:
Yes and no. Old job was more IT and process related, nowadays I work more in disaster planning , public health policy and process planning in healthcare, spiced up with a bit of medical intelligence.
Basically hospitals, large companies and government bodies are legally required to have plans for major incidents (from “hey,there has been a train collision, you get 30 severely injured in 20min” to “shit,we lost all power” or “IT outtake”) - we do the planning and training, including life exercises for you. You want to update your healthcare system/the placement of your prehospital resources(ambulances, etc.) as a state or government body? We do that that for you.
You need to know which hospital in a random African country is the right one for a tourist with a sudden rare disease or your insurance wants to know how safe it is to send on of your staff members someone right into the current emerging disease hotspot? We do that for you.
- Comment on How did you get your job? 1 month ago:
Well, I got fired from a very stupid company (who would have guessed that healthcare companies needs more assistance instead of less during COVID? Not them.) when COVID hit.
Started my own company from the severance,so basically I hired myself and created my own job…and a few more.
Couldn’t be happier.
- Comment on Is it possible to eat a toxic amount of culinary herbs/spices? 1 month ago:
You can easily kill yourself with a water overdose (and it’s actually fairly common),so yes.
Nutmeg was already mentioned - high doses can easily kill someone, sadly even without hallucinations simply by killing off ones liver and dying an agonizing death a few days later. The same goes for cinnamon, but with a much lower dose.
There are a few more, but I don’t want to give people too many ideas.
To make it short: Yes, possible,but it’s mostly a very slow death over multiple days that fucks you up really bad and is a horrible way to go.
- Comment on Is it possible to eat a toxic amount of culinary herbs/spices? 1 month ago:
Sadly the hallucination effect does not correlate with the toxicity,especially the hepatotoxicity with nutmeg… You can absolutely kill of your liver and die an agonizing death a few days later and have no hallucinations at all.
- Comment on tig ol bitties 2 months ago:
Boobworld, it’s a world for you, but it’s actually two!
- Comment on [deleted] 2 months ago:
Reminded me of the company a friend worked for. They had little parking space but the price one had to park was reasonable - and most people used public transport anyway.
Then they moved their office to a commercial area with no public transport within a few kilometres. And multiplied their parking prices by 10.
… surprisingly the staff retention and recruitment rates dropped.
Surprised Pikachu face Leopards ate my face
- Comment on Is it OK for a baby's head to be rolled all the way back on its neck? 2 months ago:
As you correctly wrote newborns/very small babies heads need to be supported urgently - the head to body ratio of babies is very different from older kids and sadly the neck muscles are not that developed in utero. (Dark note: One of the reasons it was not uncommon - and still happens extremely rarely with underqualified healthcare providers- that newborns were sometimes decapitated when trying to facilitate a forceps birth 70+x years ago) Failing to do so can lead to various injuries, from muscular overextension (painful,can lead to chronic issues), ligament or nerve damage (can paralyse) or even vascular damage. I have seen a kid who suffered a fatal vascular damage from a sudden “falling back” of the head after insufficient support was provided and two more with rather complicated injuries - while these cases are super rare,they happen. (And kids are not all the same. My own kid came out and lifted its head 2h after birth and tried to roll onto its belly before we left hospital. Others take months just for the first thing)
When they get older this becomes less of an issue, but they are still suspectable to another thing: External force and exhaustion. It’s a big difference between a kid sitting in a stroller or being on a flat surface and holding its own head and a kid being forced to stabilise its head against external movement by the carrier moving around, especially over longer periods of time. This can,in some rare cases even lead to the classic “shaken kid” syndrome (where repeated acceleration and deceleration rupture small vessels within babies brain,leading to a often fatal haemorrhage within the skull). I am fairly sure I read a case report once that reported about a case of a kid who suffered this while Mom was jogging with a unsuitable backpack like carrier, but sadly as PubMed is down at the moment (thank you,Orange and Elmo) I can’t find it.
- Comment on Discord requiring you to add a phone number **after** the creation of your account 2 months ago:
Yeah, that’s the problem - none has. Sadly I also only read about it here in a previous post about discord a few months ago.
- Comment on Discord requiring you to add a phone number **after** the creation of your account 2 months ago:
It’s a shame that spacebar and revolt did not really take off so far.
- Comment on Layoffs every 2 years 2 months ago:
Reminds me off a friend who was made to lay off his entire team. Himself included.
He basically got his team in a meeting room, told them that everyone in this room is being fired. People of course were shocked and some shouted at him how he could do such a thing to them. “Again: Everyone, I mean literally everyone in this room is being fired.Understood?”
He rehired half his team soon after for the company he created with his severance package.