Sterile_Technique
joined 1 year ago
Yeah this is one of those hope-for-the-best-but-plan-for-the-worst kind of situations. Hopefully he's joking, as his supporters will undoubtedly claim; but if a potential president tells me he wants to damage our country in any way, I'm just going to take that shit at face value.
Let's not play with fire inside our thatch hut of a country.
To stop crime, you need one really violent day.
Yeah someone tried that at one of his rallies, but he missed.
Just one more prayer bro, I swear just one more and more and we'll beat weather, bro. One prayer, that's all we need, just one more prayer and I swear we'll be done, but we gotta have that one prayer bro. C'mon bro, just one. One prayer, you can do this bro. Just one, bro. Please, just one prayer, bro.
I grew up in a rightwing household, and unquestioningly drank the koolaid until my late teens. The right's bullshit eventually became impossible to ignore, so I dove right into the 'both sides!' trap and rode the Libertarian train for a while.
It became really easy to articulate what I didn't like about the right; describing what was bad about the left was just echoes of Fox bitching about things like them voting on emotion instead of logic... but no real examples.
Around my mid-twenties I finally realized ^that was projection; then 2016 happened and holy shit they're running Trump and Hillary?? Easily the two most hated candidates in my lifetime... against Gary Johnson - an admittedly goofy personality but likeable and most importantly not crazy, THIS IS THE LP'S TIME TO SHINE! ....yeah they got 3% of the vote. We won't ever see better conditions for a 3rd victory, so, pipedream shattered.
Guess I'll have to just pick a lesser evil, so let's see what we have to work with...
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there's the red team. Burn through our fossil resources with reckless abandon. War, war, war, and more war. Shave social services down to nothing so we can claim 'fiscal responsibility' which is good I guess (hey! eyes down here, we're done talking about the war part), a blatant integration of religion and politics, and they want to make life as miserable as possible for my gay/colored/female/nonchristian friends. Fuck, that's pretty bad...
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Alright, next we have the blue team, which is the opposite of all those things, at the exceedingly high cost of... getting cockblocked by the red team when they try to implement those things... and... well there was that time Bill lied about getting a blowjob- outrageous! Surely the red team does a better job of keeping it in their pants... *checks* ...uhh, nope! Fuck, I'm starting to become aware of my own cognitive dissonance and it feels like absolute shit.
So I start voting one issue at a time, crunching both options against eachother and choosing the one that's best for the US. That way there's no bias and I won't be part of this tribal bullshit plagueing our politics.... Weird, when I ignore affiliation and vote on policy alone, my ballot becomes solid blue. What are the odds of that?! Next election, solid blue again. And again.
My desire to be 'independent' on label alone is pretty much gone at this point, and I'm being more and more vocal about supporting leftwing policies. Family isn't a fan, but they hit me with the shit OP is poking fun at - I only shifted blue because I'm poor! Once I make more money, just you wait and see, I'll come crawling right back.
Now, I'm not rich or anything, but I'm (finally!) not living paycheck to paycheck. During all ^that I wandered into the military which gave me access to all kinds of socialized resources which have enabled me to get where I'm at now and have made a pretty significant improvement on my life. The thing that pisses me off about those socialized services is WHY THE FUCK DOESN'T EVERYONE HAVE THIS?! So wearing camo for 4 years for some reason got me this VIP tour of what we should should be doing for everyone.
I was a late bloomer, I got there. I haven't missed a single election since 2016, big or small. Solid blue. I've gotten to the point where I'll even look up the voter registration of candidates for nonpolitical positions like judges, and red is a deal breaker.
The better off I become, the more blue I get. The notion of red-shift with income is trash.
*abdomen bursts open and thousands of hatchlings scatter in every direction*
Here, take these bombs.
WHOA WTF MAN, I DIDN'T SAY USE THEM!!
Also here, have some more bombs.
I propose a new standard practice during debates: At some point, open a box in the center of the stage with 100 or so flies in it, then keep a tally of how many gravitate to each speaker.
Most docs have some kind of internet presence nowadays, so definitely look them up. Also in the later preop stages when you talk to your OR nurse, look your nurse in the eye and just straight up ask "Would you be comfortable with this doctor operating on you?" They won't be actually allowed to talk shit on their surgeon, but the second of panicked silence as they try to come up with some kind of non-answer without blatantly lying will tell you everything you need to know.
This might be like 30 mins before your surgery - you have the right to refuse up until you go unconscious. It'll feel dirty, but those standards exist for a reason.
Oh, well shit. Dr Death was before this shit, but it sounds like basically Dr Death 2.0.
...kinda makes me wonder how common this is.
No, he never got any media attention that I'm aware of. My concern is that he's just hopping from hospital to hospital - hiring on, fucking up, killing someone, getting fired, hiring on, fucking up, killing someone, etc.
Hospitals are pretty protective of their reputation and their doctors; and death is a thing that can happen in surgery so it be swept off as a "Oh well, patient signed off on the risks; and oh hey, this Dr said some mean things to our staff, so let's fire him for that and hope we don't make national headlines..."
Skip to the tldr if you don't want the novel explaining the reasoning.
A friend gifted me their old Razer Kraken headset a while ago. The leather Razer uses is some CHEAP shit, so the couple years in a closet leading up to it landing on my noggin left it in a state of deterioration that would sprinkle my head and ears with little bits of black leather.
The speakers are good though, and free is free, so no complaints: I hit it with some duct tape and peeled it off repeatedly until all the leather bits were freed up - the cloth layer underneath the leather is now the outermost layer, and no more black sprinkles all over, so yay.
Unfortunately the tape pulling on the ear cushions was a bit too much for whatever adhesive Razer uses to stick em on to their mounting plate, and they pretty much just pulled off. Also no biggie - replacements are pretty cheap on Amazon, so I got a set and lived happily ever after...
...but now I've got the old mounting plates (minus the cushions) and an idea.
So... I do a lot of gaming, wife watches a lot of TV. We do this in the same room, so I pretty much always have my headset on, which blocks most TV noises from getting to me, and most gaming noises from getting to her. Works great until she says something, and all I hear is muffled gibberish until I lift a speaker off my ear and hit her with "What?".
-----------TLDR---------------
My idea is to put... idk... something... on the mounting plate of the side facing her that's stable enough to keep the headphone in the correct position (and not pressing directly on my ear) but basically leaves the space completely open to the environment so that external sound coming from that side isn't muffled.
I'm thinking something like a plastic spiral hair tie, but with an inner diameter large enough to encircle my ear, and the spiral diameter roughly the same as the cussion, at least when its under tension against my head.
something like this:
...but ofc not just a cylindrical spring, but a donut shape. I kinda suck at photoshop, but you get the gist.
The spiral hair tie is the closest actual product I can think of to what I'm picturing, but those are far too small... ideas?
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Idk if this is the work of AI, or just a 3D artist who didn't get very good instructions for their commission.
At first glance: nothing special, just a collection of random instruments; but when you start to dissect it under the lens of a surgical tech (the target audience for this image) it just gets worse and worse.
So let's dissect it!
First off, that isn't even a surgical backtable - it appears to be on some kind of supply cart, with a raised lip around the edges, and random rectangular holes for handles that have folded sheet metal along the edge. Technically you could throw an impervious drape of that and it'd be fine, but you generally don't see surfaces made to support a sterile field with raised edges that go above the field. The folded sheet metal is also a no-no, as the grooves around it collect and breed the hell out of bacteria.
None of it's draped. There's that greenish material under the tray and instruments, but stops short of the edges of the cart, so there's some REALLY high contamination potential going on there. You could get away with a field like that in dental (which is just 'clean' vs sterile), but again, this wasn't sent for a dental tech position.
Instruments from left to right, we're looking at:
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a scalpel that's for some reason separate from all the other sharps in the kidney basin.
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looks like a tissue forcep - that actually checks out.
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...the only times I've seen a forcep like have been in ortho sets that have a lot of plates and screws - those forceps are to grab the tiny screws from their caddy, cuz they're hard to get your fingers around, and normal forceps tend to 'slip' around the head of the screw and send it flying across the OR.
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that's a sponge forcep, but the end is bent in a really odd way; and it doesn't have a ratchet lock, which isn't unheard of, but definitely not common for a sponge forcep.
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Dental explorer, which checks out with the whole not-really-sterile thing; except if it was a dental setup there'd be a lot more dental instruments.
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Fuck if I know. Doesn't help that the resolution isn't great, but the operative ends kind of look flat. Bowel clamps are shaped like that, but that is DEFINITELY not an open-belly setup lol. Also - the ringed end where your fingers would go is closed all the way, but the operational end is still open. If a real instrument looks like that, then it's damaged as fuck and needs to be thrown away.
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Either a kocher clamp or straight hemostat - hard to tell w/ shitty res. But they have have the same weirdness with the ratchet being closed w/ operation end still open.
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That looks like a potts scissor, which is usually for vascular surgery. Handle is janky as fuck though, and it's doing the opposite weirdness as mentioned before: it's operative end is closed all the way, but the handles are still a tad open.
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Mayo scissors, which are a go-to for cutting suture. Only weirdness here is the janky handle style.
...and that kidney basin in the upper right of the tray is just chock-full of WTF. So they're using it as a sharps container - that's normal, but they've got the scalpels facing one direction and needles facing the other... that's a good way to get stabbed. ALL of the sharps are resting on the edge, meaning if you bump them just right, they'll do a flip and launch off... that's a good way to get stabbed. They've got all their sharps in one spot, except for that one random scalpel on the left of the tray. Establishing a sharps zone and then not putting sharps in it... that's a good way to get stabbed. The scalpels and needles in the kidney basin all have the sharp end stuck into some gauze or something... that'll dull or bend the super fine end, reducing its effectiveness and generating snag points that'll cause a bit of unnecessary trauma. Between the three scalpels in the basin and the bonus one floating off to the left, a solid third of the instruments displayed are scalpels lol... are they doing a Wolverine cosplay in the OR?? The blades detach... you only need one scalpel handle - maybe two if you want one ready and on stand by. Also all of them are loaded with what looks like a #24 scalpel blade, which isn't very common; and is a fucking massive blade... I could see wanting ONE of those for something like an emergency C-section when you need to rip that skin open fucking NOW, but 4 of those monsters set up with an otherwise tiny collection of instruments? lol no. Those two syringes aren't capped, which is a good way to get stabbed; or labeled, which is a good way mix up your local anesthetic with something that could cause excruciating pain.
...there's just so much wrong with this image it's comical. I can't believe a fucking hospital would choose this over the millions of OR photos already floating around the web lol.
That was a fun rant to type up. If you actually read that wall of text, hope you got a kick out of it lol!
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