Sterile_Technique

joined 2 years ago
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[–] Sterile_Technique@lemmy.world 5 points 12 hours ago

The Scots will just need some bigger bullets.

[–] Sterile_Technique@lemmy.world 13 points 15 hours ago (2 children)

sad Department of Agriculture noises

[–] Sterile_Technique@lemmy.world 6 points 16 hours ago

One guy tried, but he's dead now.

The rest of us are either fruitlessly bitching into the void, or actively loving the evil shit coming out of the Trump regime.

All our eggs are in one basket, and that guy might not actually exist.

[–] Sterile_Technique@lemmy.world 23 points 17 hours ago (2 children)

Get in the habit of composing your emails in a specific order. My preference is:

Write the title, upload attachments, write the body, choose the recipient(s).

Doing the recipients last in particular gives you that extra few seconds to consider all the other elements so you can realize and correct any mistakes before hitting send. I used to do shit like send w/o attachments or send to the wrong/not all of the intended recipients all the time, but following the same order has basically idiot-proofed it against myself.

10/10, do recommend.

[–] Sterile_Technique@lemmy.world 4 points 17 hours ago

Favorite: horror comedy.

Least favorite: the news.

[–] Sterile_Technique@lemmy.world 6 points 18 hours ago* (last edited 18 hours ago)

I mean, you'll have to choose a hobby or w/e that puts you into a compatible crowd. If you're interested in women, don't choose something that's male-dominated.

...also idk what 'normie' means to you, but it's actually okay to date someone who isn't a carbon-copy of yourself as a different gender. My wife isn't into hardly any of the nerdy shit that I am, nor vice versa, but there's enough overlap that we don't generally struggle to find things to do together; but enough that's distinct that we can explore our own interests when the other isn't available. What's way more important is you enjoy eachother's perosnality. Specific interests, field of study etc absolutely do not need to be on the same page.

So again, pick something. It doesn't have to be your favorite thing to do; if you enjoy it even a little, there's your like-minded overlap.

[–] Sterile_Technique@lemmy.world 13 points 19 hours ago* (last edited 18 hours ago) (2 children)

I've never never bothered with online dating, but I've heard quite a bit of anecdote about it being an absolute dumpster fire for anyone over 30 who doesn't look like a pornstar. As others have mentioned, stop wasting time with the apps and do -something- that interests you that'll get you out and interacting with like-minded people, and see where that takes you.

[–] Sterile_Technique@lemmy.world 9 points 19 hours ago

Only if he volunteers at a cat shelter...

[–] Sterile_Technique@lemmy.world 15 points 1 day ago* (last edited 1 day ago) (1 children)

Sure!

Anesthesiologists are known primarily for preventing sensation and awareness, but they manage pretty much all of your body's functions including things like respiration and blood pressure. The conversation about the degree of intervention needed for an organ donor is riddled with an absolute fuckton of conjecture, so if you want to go down that rabbit hole, be mindful of whether or not you're reading a credible source.

Studies in the National Library of Medicine are my personal go-to: here's a good one on this topic: https://pmc.ncbi.nlm.nih.gov/articles/PMC10355135/ (Crtl+F "Preoperative Role of the Anesthesiologist for Organ Procurement After Brain Death" to jump to the bit that specifically addresses your question).

Reading that, it sounds like anesthesiologists are the primary authority on verifying the legal checkmarks for verification of brain or cardiac death, and ultimately giving the thumbs up or down for the surgery to proceed. I didn't know this - my assumption was that it was the primary care doc's responsibility... so my initial post here probably should have chewed out the anesthesiologist too.


The ones I was in... so I'm a surgical technologist - recently posted a breakdown of my job here. Both of them were brain death due to drug overdose. Organ harvests vary a lot depending on which organs are actually being harvested. The first one I was in was after the pancreas, liver, kidneys, lungs, and heart, so as the tech I had to set up for and do 5 different surgeries at the same time. Each organ system had its own surgeon come in from the donor organization (both of mine were under Life Share). All of them want to move fast to keep the organ tissue as healthy as possible so it stays viable for the recipient, so I felt like the octopus dude from Spiderman madly passing and receiving a slurry of scalpels, hemostats, scissors, and ties. We had 4 'slushers' running to produce sterile ice which we poured a lot into the abdominal and thoracic cavities; and more into basins for the organs to be placed in once they were removed.

As each doc finished, they broke scrub and left immediately with the organ, which was transported straight to the recipient site at some other hospital (iirc the heart was transported by helicopter), so it went from being absolute madness to a kind of eerie stillness. Seeing the donor on the OR bed with the cavities fully exposed and completely empty was pretty unnerving. We did a final sponge/sharps/instrument count (which is done in every surgery to ensure nothing gets left in the wound [every policy has a terrifying backstory]). Sutured the incisions closed, but with much larger 'bites' than normal and all with one running stitch (vs an 'interrupted' stitch where each one has its own length of suture). I think from the OR, the body goes to mortuary or something for postmortem care to make it look as presentable as possible for a funeral - so that stitch is probably removed, and the cavities packed with something to fill in the empty space, but I'm not involved in that part of it, so, speculating on that last bit.

Second one was mostly the same, except they only took the pancreas, kidneys, and liver - other organs were deemed nonviable for whatever reason.

In both of them, we were present for the honor walk, and they told us a bit about the patient. The OR side of things is a mad dash for tissue preservation sake, but the process as a whole was very sensitive to the human side of things. One of the cool things they did in both was asked the family what kind of music the patient liked, and they played it over the OR room speakers through the entire operation. We also got to meet the family, which is about the only time a surg tech ever gets to do that. Typically we're in the actual OR all day - before the case when the doc is talking to you, we're in the room setting up the instruments and such; and afterward we're still in the room tearing down and setting up for the next one. The organ harvests were much more personal.

Happy to answer any questions, but keep in mind as the tech I'm the literal rock-bottom of the OR food chain, so some of my answers might be "No idea!" followed by speculation.

[–] Sterile_Technique@lemmy.world 77 points 1 day ago* (last edited 1 day ago) (4 children)

This smells all kinds of weird.

"Almost immediately as soon as his honor walk started, his eyes were opened, and they were tracking, looking around at the people that were there," Rhorer said.

...and you didn't draw attention to that? That'd be a pretty solid cue to stop the honor walk and get the doc over. Also none of the techs/nurses/doctors noticed??

TJ's declaring physician believed he showed too many signs of life to continue with the surgery, but KODA wanted to proceed anyway.

...and you still declared it, and didn't raise a stink with patient advocacy or the head of the hospital? Or the individual surgeons on the harvest team?

They also don't mention how far they got in the surgery. Like was the anesthesiologist starting to intubate him and noticed his eyes moving and called for a stop before n incision was made? Or were they a kidney or two into the operation?

I've been scrubbed into two organ harvest surgeries; I've been scheduled for five - the other three canceled because the patient didn't meet the super strict criteria as they died. Hospitals are all about covering their ass to avoid situations like the one reported. They'll push you to cut corners on things like room turnover time (which is still fucked) but not things that put them in situations like this.

I'm not familiar with KODA or "Network for Hope", so maybe they're just extra shitty, but take this one with a mountain of salt.

Organ harvests are super important procedures - we don't just have a backstock of healthy livers in the OR core; there's a backlog of deathly ill patients clinging to the hope that their phone rings with news of a match. People are already hesitant to sign up as donors because surgery is genuinely scary as fuck; we don't need half-assed journalism pouring fuel on that fire. If shit is actually happening, by all means report on it, but give enough details to make it credible... or if it's a nothingburger that you're hyping up for clicks, maybe shut the fuck up, cuz that'll prolong peoples' misery / get them killed.

[–] Sterile_Technique@lemmy.world 83 points 1 day ago (14 children)

C'mon Scotland... give us the headline we've all been waiting for.

The US doesn't have the spine for it.

 

Coworker is building one of the fancier surround sound setups, and mentioned we wished he could find the THX Deepnote in full surround sound. Seemed like a simple enough request, so I did some searching myself, and am only seeing YouTube videos like this one, or .mp3 files, both of which (afaik) only support two audio channels.

Even THX's own website just links to more YouTube videos.

I don't actually know jack about surround sound or audio formats - taking his word and the web articles I've stumbled across all at face value... am I just being stupid about this? Is there somewhere to download the full-quality thing?

 

I'll leave the thread up incase anyone wants to continue the conversation tho.

 

Short version:

☝title, something that can be clipped onto scrubs or worn around the neck. Also easy to clean - hard surfaces that can be wiped down with alcohol, no cloth coverings or anything.

 

Long version:

Nursing student here. Basically I'm trying to build a stethoscope that doesn't need to be inserted into my ears.

I have some hearing loss, and currently use hearing aids, which has posed a frequent annoyance / hazard at my clinical rotations when it comes time to listen to my patient's heart and lung sounds. I can't use a normal stethoscope with the hearing aids in, cuz it shoves them way too deep into my ear canal (doesn't feel great); so I've just been popping the fuckers out and using the stethoscope normally when needed. ...but I hate doing that, cuz hospitals are disgusting - there's literal and metaphorical shit on everything, so screwing with the hearing aids mid shift is 100% introducing pathogens into my ears.

At my last clinical site, one of the nurses had a bluetooth stethoscope that seemed like the miracle solution I needed - it's basically a stethoscope bell with no tubing, and it pairs with bluetooth headphones. She let me try it out, so I paired it with my hearing aids, and... heart beats sounded like two pieces of metal clanking against eachother. Total flop, clinically useless. Fuck.

So I whine to my audiologist, and eventually we figure out that the issue is that heart and lung sounds range from 20-100 hz; and my hearing aids are designed to amplify human speech, which is about 300-3000 hz. The speakers in my hearing aids are not physically capable of playing heart and lung sounds (that clanky metal sound was just the tiny bit that overlapped with the hearing aid's range). More fuck.

So, I don't think my hearing aids are going to be part of the solution here, but I'm still seeing potential in the bluetooth stethoscopes: but instead of pairing it with bluetooth headphones, since again the ear canals are already occupied, instead pair it with a bluetooth speaker that I can clip onto my scrubs or use the kind that hangs around the neck.

Poking around the internet, there are tons of those types of bluetooth speakers, but they never seem to advertise the hertz range and I'm worried about getting a whole setup built, then running into the same issue with the new speaker not playing the sounds I need to do an actual nursing assessment. And those bluetooth stethoscopes are expensive as fuck, so if I'm going to dive in to this, I want to make sure I don't screw it up.

What do you all think? Any brands or specific products you'd lean to?

Also, bonus question: putting yourself in the patient's shoes: how would you feel if your nurse dropped in rocking a setup like this? If it's playing through normal speakers, YOU the patient would be able to hear your own heart and lung sounds during my assessment - my thought was it'd be great for patient education: "That clicking sound when you exhale is called crackles, which means there's fluid in your lungs, so..." Would that make for a decent patient experience, or be offputting or intimidating? I've been a surgical tech for like a decade, so my perspective is pretty skewed in terms of how much info is too much info.'

Thanks all!

 

"Weird" to be interpreted at the reader's discretion.

Looking for some cool new tunes.

I'll get the ball rolling with one of mine: Scaretale by Nightwish. That song is all over the place... it's like haunted fantasy carnival jingle metal. Love it.

 

Please go into lots of detail - some of us are taking notes!

 

Hey all!

This feels like a weird request, so I'm hoping to pick the brains of anyone familiar with Ukrainian culture, as both an authenticity check, and to make sure this project wouldn't come off as disrespectful, so let me know what you think and don't pull any punches.

I'm a surgical tech in the US, and one of the surgeons I work with is involved with a program that helps train Ukrainian doctors in specific types of surgeries that have a heightened demand from all the wartime injuries coming from Putin's dumb fucking war.

During an operation, this doc mentioned wanting to get a scrub cap that featured a fusion of traditional Ukrainian folk embroidery and iconography relevant to his practice (surgical instruments? The hospital logo? I'll have to follow up with him to see specifically what he meant).

Anyway, hearing all that, the whole time I was thinking "I can make that happen..."

So, the first question is SHOULD I make that happen? The fusion bit especially strikes me as culturally risky, especially since this dude is going to be standing across the OR bed from people who live that culture... Would it come off as disrespectful at all?

If it passes the first check, are there elements of the design I should gravitate toward or steer away from? Looking at this article, it sounds like different patterns have different meanings, so I don't want to submit a design filled with iconography relevant to like fishing or something: shooting for medical / healing themes, or anything that promotes concepts like partnership or defense / military victory.

And finally, the cap itself probably wouldn't be allowed if it was authentic embroidery - it'd have to meet all the criteria for surgical scrub attire / laundering, so my thought is to whip up a custom pattern on Photoshop, then submit that to a company that can make custom prints of fabric (not decals, but actual prints) for a sheet of cotton that looks like the embroidery, then take that fabric to someone who makes scrub caps (got a few local options for that last bit).

Then doc can rep for Ukraine in the OR!

Thoughts?

30
...and domestic. (lemmy.world)
submitted 1 month ago* (last edited 1 month ago) by Sterile_Technique@lemmy.world to c/politicalmemes@lemmy.ca
 

AFAIK, there's no fine print that says "...except when that enemy is the president."

Stop harassing protesters and do your job, troops.

 

https://www.army.mil/values/oath.html

 

Heresy, right? I've had a mechanical for the last couple of years, and while it's served me well enough, I still don't like the feel or clickety-clack compared to a membrane switch - and my current one is the Razer Blackwidow Stealth w/ rubber o-rings added to the base of each key, which I think is as non-clackety as a mechanical gets.

Anyway, the Blackwidow is starting to have issues - F5 key died months ago, and lately it's been doing this annoying thing where I press a key and it registers the downstroke, but not the release, of the Tab and D keys until I pull it from its USB port and reinsert. It's time.

...but the initial search for a replacement all I'm seeing are either mechanical or mimicking mechanical (like a membrane switch but with the big blocky keys that mechanicals use).

My favorite keyboard 'feel' 100% is an oldschool laptop style keyboard. Like the IBM T60 - flat, light to the touch, and no dead space in between the keys like you see in a lot of today's laptops (the 'island' style... not a fan).

I don't think my entire wish-list exists in a single product, but what I'm after is:

  • That T60 style described above

  • Programmable keys (remap / macros)

  • Corded... unless cordless options have really improved in the last decade or so: I recall a noticeable delay, and constantly running out of battery.

  • Extra keys specifically for binding macros like the Blackwidow

  • Backlight. Low priority, and I don't give a shit about RGB (or aesthetics in general), but it is nice to be able to be able to see which key is which when the room is dark.

...is anything even kind-of like that on the market, or should I just shut up and get another mechanical?

 

Inspired by this thread.

I could have sworn when I was in highschool (y’know, like 25 thousand years ago) you could order a bag of like 50 3.5mm audio jack plugs but with no wire or connection after the plug. I'm searching for these now, but the closest I'm seeing are legit components designed to be an adaptor or connect to a wire.

It was just a 3.5mm audio plug with matte black plastic cap on the end, so you’d plug it into a TV’s headphone jack and some models of TVs would be permanently silenced until someone unplugged the cap, because it was sending its audio to the ‘speakers’ that were just plugged in. And once plugged in, it just looked like a screw cover cap - nothing protruding. But also didn’t damage anything, so you couldn’t get in any real trouble for doing it.

Shoddy photoshop to illustrate the gist:

…am I just imagining shit? If anyone knows what I’m talking about and figure out the magic search terms to actually pull it up, please drop a link to a product that can be ordered.

Anyway, the TV in my work's breakroom is one of the culprits, so I'd love to hit it with one of these and see how long it takes for them to figure out why it won't vomit out the misinformation they're addicted to.

Audio jack sabotage aside, any suggestions on how to otherwise fuck with it would also be golden.

Thanks all!

 

What's up chefs,

So one of my coworker's kids has been in ROUGH shape the last couple months - couldn't keep anything down. After a ton of labs and testing they FINALLY figured out she has CSID, and they've got her diet narrowed down to foods she can actually stomach.

But, there's sucrose and maltose in like everything, so she's going to be super limited on what she can eat for the rest of her life.

So... I want to send her mom home from work with the best fucking dessert she's ever had, and as many recipes as I can get a hold of, especially comfort food kinds of dishes.

If you've got any that sound like a good match, please share!

Thanks all!

 

US - For the first time in my life I'm not living paycheck to paycheck, but now that I've got a bit of savings it feels like the US dollar and economy is on the cusp of death.

I'm wondering if I should split my bank account into another one that isn't affiliated with the US, maybe even have a percentage of each paycheck go to that one automatically. The thought being to not have all my eggs in one basket.

No idea the best way to go about this, or if it's even remotely a good idea. What do y'all think? Any relatively stable economy to shoot for / ease of opening/accessing an account in a country I'm not physically in?

This is new territory for me - my financial planning historically hasn't gone much past comparing the price tags of 40 lb bags of rice, so... Idk, I have no idea what I'm doing. I have this dread that the income I have now is about to become worthless, and not sure how to protect myself from that.

 

My death cult is better than yours.

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