Is this Loss?

Maybes it was a sick ostrich?

Legends of the Hidden Temple

I frequently lied about my hours in surgery residency to be under 80 because if you were over, you had to explain why you were over your duty hours and it somehow became more work.

No, if a patient is declared brain dead, there is usually no sedation given. It shouldn’t be necessary, as the neurons responsible for sensing pain aren’t alive and processing signals, and extra medication like sedation comes with the risk of hemodynamic instability, which is already kind of a headache in brain dead patients as the brain is no longer meditating that (extremely oversimplified). Yes, sedation can be measured (sorta) with a BIS probe, a spectral imaging probe on the forehead that acts like an EEG with fewer probes, but it’s not very useful in brain death as it’s ultimately looking at blood flow, and in brain death, we don’t expect to see blood flow to the brain.

All of this, of course, assumes that he was declared brain dead, which is a very specific legal term with very specific parameters that vary slightly state by state, which seems unlikely in this situation. He may have been deemed to have a severe neurologic injury with an unlikely prognosis of meaningful recovery, and thus be a planned DCD (declared cardiac death) donation, meaning placed on a minimally assistive ventilatory support and allowed to die once his respiratory drive was so low he died of hypoxic respiratory failure. But the article is long on anecdotes and short on the technical terms physicians would use, so it’s hard to say.

7k for a noncontrast CT scan is absurd. As is the $700 CMP. And then charging around $1900 for nurses to hang IV fluids and two medications when the ER visit itself is only billed at $1700? Bonkers.

When I look up surgical code payback numbers, my 1-2 hour surgeries rarely top $3k. So this hospital is really reaching with some of its numbers.

Why were the cops even there?

As a surgeon, I have a lot of questions. But I have trouble accepting a personal injury attorney’s statement at face value when they stand to benefit from a judgement or settlement, too.

That seems like a really easy mistake to not make. Like, has North Korea ever been to the Olympics?

Well, one did. There were videos and everything of her death.

Huh, and here I was thinking you didn’t have to test Fallout games to release them.

“I only killed that one girl, not my accomplice”??

I mean, the whole turning point of the story was the death on the boat. But I guess that was cool?

I wish I could set aside a week to write down all Donald Trump says in court.

… wait no I don’t.

I can go lower.

The US approach to donation is odd, to say the least. You can’t be paid for blood, or organs. Blood products, like plasma, aren’t actually regulated and you can be compensated for them. The companies that collect those blood and organs you can’t profit from? They can make money from those transactions.

Went to school with Weston Wamp. His dad was a professional congresscritter, and it was pretty clear all he was ever interested in was politics. Not very bright, not very athletic, but always shaking hands. I doubt he has any real understanding of the situation outside what an advisor told him. He won the Special Olympics of jobs, since he was running as a Republican for local elections in Tennessee. I value his opinion just slightly more than my dogs, as I suspect he knows not to eat his own poop, but he’s basically just a fine combination of nepotism and entitlement and shouldn’t be allowed to counsel people unless it’s on how to make a career without any marketable skills.

The one thing they’re good at unless someone is trying to make a terrorist attack against Russia.

She wants martial law? Does she realize that’d mean soldiers would have shot her on January 6th?

He was a part of a group holding a large American flag at midfield, I think for a Giants game. He’s holding it at his waist and it’s flapping in the wind.