medgremlin

The article did say that he is currently suspended without pay, so at least they've got that bit straight in this case.

I was very grateful that none of the cadavers we had at my medical school were John/Jane Does, and that we have a memorial service for the cadavers every year and invite the families to express gratitude.

I worked as a scribe and as an ER tech in a Level 1 peds hospital. I'm not even done with med school and I've already punched that card more times than I care to remember.

I have gotten pretty good at weaseling my way into in-groups despite being a queer socialist with strong opinions about human rights, unions, and civil rights. It took a lot of trial and error though.

I explained the concept of there being the two genders of "cis-male" and "political" to one of my professors at a religious university and he was actually interested to hear me out on it because he had never thought of it in that paradigm. I'm absolutely not saying that everyone can be convinced, but some people can be nudged in the right direction if you have a good rapport with them.

I've played Judo, and I'm a licensed EMT, and I've worked in ERs, and I'm a third year medical student. I am quite confident in telling you that you are incorrect. Modern safety standards make it so that the seatbelt locks in a crash and limits your longitudinal inertia. Also, many dummies (and actual humans I have cared for) have "hit their head wrong" on the headrest due to their height, posture, or position, and they don't break their necks. Did their scalenes, paraspinal muscles, and sternocleidomastoids hurt like hell? Absolutely. But they didn't have broken necks.

Your body can compensate for a lot, but it was the introduction of headrests in cars that has been one of the biggest contributors to the drastic reduction in fatalities. The point of the headrest is the same as the seatbelt: to limit the range of motion your body goes through in a crash. Seatbelt signs and headrest concussions are real things that can cause some pretty significant problems, but those problems are easier to fix when the patient isn't dead or quadriplegic.

Whiplash is from your head moving more than your neck can compensate for. The headrests are designed to prevent excessive backwards movement of your head to help your neck not get completely over-extended. Heads are actually quite heavy and there are a lot of very important things inside the neck that you don't want getting fucked up be getting jerked around too much. The muscles in your neck can only do so much in a high-velocity situation like a crash.

You have to be very careful about "filtering" as well. It becomes far too easy to write off a legitimate concern if it has to pass muster with your "filter" before you consider it. The HPI and subjective portions of a note are explicitly for the things the patient (or their caretaker) tells you. It is subjective. Then you do your objective examination and testing, then you make an assessment, and if you can justify that assessment with the testing and history, then you can make a plan. SOAP notes go in that order for a reason.

That doesn't mean you ignore them. You listen to what they're saying, maybe take it with a grain of salt, and actually get a good history and physical.

Nah. Amy Klobuchar. I'm a Minnesotan.

When I have more time during my winter break, I'm going to mail a handwritten letter with some articles printed out, and follow up with a phone call. I'll read the damn article to her if I have to.

Stories like this make me very glad that I got my pediatric experience in a good children's hospital before starting medical school. The attending physicians made sure to drill it into everyone's heads that if the parent is expressing concern about a change in condition or "something just not being right", you report that to the patient's physician and nurse ASAP. Everyone from the physicians down to the admin folks were empowered to challenge decisions they thought weren't in the patient's best interest.

Hell, I even had a case where, as the ER tech, I challenged a physician on her diagnosis of a child and refused to let her discharge the kiddo without looking at him again. The mom told me something was wrong, and even with just an EMT license, I was able to see something was subtly wrong as well. It turns out the mom and I were right and the physician changed her diagnosis and admitted him to the hospital for treatment instead of discharging him home to follow up in clinic in a couple days.