the 100% directionless thread

NomadicMedic said:
Adulting.
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Not necessarily.
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Spoke to my PCP and she said the best thing would be to get COVID-19 tested before I go back to work. That'll be fun. I know what I have to look forward to because I got my brain poked for a recent hospital admission.
 
This isolation is tough on my mental health.
 
I love how it goes from sunny in the high 90’s to absolutely pouring rain in the 50’s.
 
DragonClaw said:
Definitely medic grade shears at that price
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Sign up for a leatherman pro account and buy them for half. Theyre worth it, mine are 6 years old and cut like the day I bought them, though I quit carrying them a few months ago.




Also, I'd like to use this opportunity to point out (again) that it is still ridiculous that someone put a seat belt cutter on a pair of scissors.
 
GMCmedic said:
Sign up for a leatherman pro account and buy them for half. Theyre worth it, mine are 6 years old and cut like the day I bought them, though I quit carrying them a few months ago.




Also, I'd like to use this opportunity to point out (again) that it is still ridiculous that someone put a seat belt cutter on a pair of scissors.
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I have a pair. My bf and I swap shears so we carry the other's shears. At first it was a sleight of hand joke between partners that turned out to be gut splitting hilarious due to the aftermath, but then neither of us wanted to give each others back.

I have the pro. Leatherman TYMFS.
 
I'm debating a new stethoscope. The diaphragm on the small bell of my cardiology 3 has always fallen off every 6 months or so. Really tired of replacing them. Thinking of going to a master cardiology, but I only ever use a scope for lung sounds these days (mostly just verifying tube placement).


I may just blow the just off my master classic and roll with it.
 
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So if you’re a veteran and have a diagnosis of tinnitus with disability, the VA will give you an electronic Littman stethoscope if you tell them you have trouble hearing lung sounds and it affects your occupation.
 
I got the cardiology IV, but I intermittently listen to heart sounds ever since there was a post made on it here. I took a break for awhile after I lost my last stethoscope, but recently bought that cardiology IV and decided why not. I am somewhat bummed because I at the frequency I listen to heart sounds, I still don't hear any murmurs, and I am wondering if I am missing them. I heard clicks once, but at the hospital, I asked a doctor to listen to it and then it sounded normal! She thought I heard bowel sounds and I was like no... it was definitely clicking.
 
Aprz said:
I got the cardiology IV, but I intermittently listen to heart sounds ever since there was a post made on it here. I took a break for awhile after I lost my last stethoscope, but recently bought that cardiology IV and decided why not. I am somewhat bummed because I at the frequency I listen to heart sounds, I still don't hear any murmurs, and I am wondering if I am missing them. I heard clicks once, but at the hospital, I asked a doctor to listen to it and then it sounded normal! She thought I heard bowel sounds and I was like no... it was definitely clicking.
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The ability to quickly auscultate heart sounds is all a matter of practice; most adult murmurs/clicks/rubs are far more subtle than most realize.

Within the past week I found a 2/6 murmur that was missed by the entire care team including the adult intensivist. The patient had a good bit of MVR on echo and will probably need a replacement in the next couple of months.

Generally speaking I prefer and recommend a heavy true open bell. Low frequency hearttones are almost impossible to appreciate otherwise.
 
Peak said:
Within the past week I found a 2/6 murmur that was missed by the entire care team including the adult intensivist. The patient had a good bit of MVR on echo and will probably need a replacement in the next couple of months.
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But realistically did they even listen to the heart sounds? I don't even regularly carry a stethoscope anymore and utilize the disposable ones as needed.
 
silver said:
But realistically did they even listen to the heart sounds? I don't even regularly carry a stethoscope anymore and utilize the disposable ones as needed.
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I can’t say for certain, but I assume so. We leave a stethoscope in each of our critical care patient rooms and I think they are classic II so it’s not like I had a nice high end set of ears or anything.
 
Second time getting COVID-19 tested wasn't as unpleasant as the first time. The technician was much more gentle.
 
Does anyone else totally jazz up ramen? I added chicken, an egg, hot sauce, butter, garlic, red pepper flakes, scallions and shiitake mushrooms. Best lunch ever. (It makes me feel cultured if I eat with chopsticks)
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NomadicMedic said:
Does anyone else totally jazz up ramen? I added chicken, an egg, hot sauce, butter, garlic, red pepper flakes, scallions and shiitake mushrooms. Best lunch ever. (It makes me feel cultured if I eat with chopsticks)
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Most I do is drain the water then add spaghetti sauce. Gives me something different to eat in the truck once in a while.
 
I had a partner that would take hot water and add the EMS room ketchup packets to make "tomato soup.". He would also take saltines, cheese, and ketchup and call it lasagna.
 
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