I see we're just going full speed ahead with the whole attitude that Long Covid doesn't exist or doesn't matter.
Chetzemoka
joined 1 year ago
Why is it always in CT??? That's an incredible save, if the first round of compressions weren't really effective. I can't even imagine doing compressions for 11 minutes at all, let alone in isolation gear. I think I'd join the patient, if I tried that.
I was really readying a polite, "No you should definitely render aid first and ask questions later" lecture until your comment made me read that again...slowly.
That setup was subtle and very well done. Bravo @FauxPseudo@lemmy.world
From a person with a lot of years of experience fighting mold on wood in a humid climate, what you want is borax:
https://www.thisoldhouse.com/green-home/21331232/killing-mold-on-wood
Borax kills mold and also soaks into wood and stays there to prevent future growth. Bleach does not help on porous surfaces like wood:
"Note that bleach should not be used to kill mold found on wood. While bleach is very effective for killing mold on non-porous surfaces, it doesn’t work well when it comes to wood. This is because the chlorine in bleach can’t penetrate wood, so only the water portion of the bleach gets absorbed.
The mold may appear to be removed from the surface, but it’ll likely continue to grow underneath and return within a few months."
And then the movie patient pops up and smiles and everything is perfectly restored back to normal instead of, "Oh, we convinced your heart to start beating again, but you're still unconscious probably because you have brain damage, your kidneys are dying, your blood is acidic, and now we're gonna put you on a breathing machine. Best wishes!"
There are a few things I wish we could really show the public. The first is how brutally savage and undignified CPR really is. And the second is what alcohol abuse really does to a person.
Chronic malnutrition, brain damage, hallucinations, anxiety, internal bleeding, fluid swelling your abdomen like a water balloon, literal ammonia building up in your blood that we treat by deliberately inducing massive diarrhea. That's not even mentioning esophageal varices and the increased cancer risk.
Alcohol is a horrifying drug.
Yeah, I grew up in a small American town and my cousins were more like my siblings than my actual sister because they were the same age as me. We all fled that small town, so the next generation are all growing up not surrounded by extended family.
I think there are good and bad sides to it. It was nice to grow up surrounded by family with a strong sense of belonging. But my cousins' children are growing up knowing people from far more diverse backgrounds than I ever had access to, which is good for them in a different way.
Overall, I think the effects are probably neutral
Making noise is the only way things actually get done in this world. Asking politely gets you nowhere. Squeaky wheel gets the grease and all that
Critical care nurse here. The answer is esophageal varices.
It's the same physiological anomaly as hemorrhoids, except in your esophagus. Swollen, fragile veins caused by increased internal pressure. In the case of hemorrhoids, that pressure inside the veins is caused by straining too much when trying to poo. In esophageal varices, the increased pressure inside the esophageal veins comes from blood backing up from a swollen, scarred, and damaged liver. So we often see esophageal varices in end stage alcohol use disorder.
Horror stories abound in emergency departments and ICUs of having to do CPR on a patient massively hemorrhaging out of their mouth from esophageal varices. As soon as nurses I know saw this report, our immediate thought was, "Yep, varices."
https://my.clevelandclinic.org/health/diseases/15429-esophageal-varices
You joke, but my dad literally built (most) of his own helicopter. My mom wouldn't let him fly it because of us kids haha. He sold it still incomplete
I know the blood flow seems obvious, but lesser known is the fact that phosphodiesterase inhibitors have direct impacts on the nervous system. There's a PDE4 inhibitor that is commonly used in Japan to treat post-stroke inflammation. (Also, caffeine is a weaker, broad spectrum PDE inhibitor.)
"Firstly, PDE5 inhibitors could enhance memory and learning by increasing long-term potentiation mediated by the glutamate NO-cGMP intracellular pathway, as cGMP-activated protein kinase is thought to mediate memory consolidation.
Secondly, as cGMP is a known vasodilator, the cognitive effects of PDE inhibition could be explained by enhanced cerebrovascular function owing to increased delivery of glucose and oxygen to the brain. Finally, improved erections might alleviate performance anxiety and boost self-confidence, with potential benefits to mood, cognition, and general health."
I knew it was West Virginia.
This is not climate change, y'all. The Appalachians are an eroding mountain range. The town where my sister lives is in a constant battle to keep the roads from falling into the adjacent creek beds. It's just an absurdly difficult geography to build on.