anything... except for AG. I'm off-duty here >:|
Recent Responses
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Well now just a few days back I was thinking I ought to finish up a few things I'd been planning to do on POM. I lost a few of my files but that's not a big problem, as I was thinking it'd take me a few years anyway haha.
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Apologies for the delay. Your best bet would be to contact the administration directly (if you haven't done so already). I could make an enquiry as to whom best to contact but unfortunately I am currently having issues with my login and I'm no longer particularly active on AG, so it will be some time while I resolve that.
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That's a really good question. Twitter and Tumblr seem to have filled in the niche.
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I have no real interest in answering this question because I have no interest in anaesthetics beyond "they put the patient to sleep and won't do so if the patient might die on the table", but I'll give it a shot. How much detail do you want, and which agents are you referring to? Propofol as the hypnotic (seeing that's what we use here)? Slow induction or rapid induction?
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I'm terrified of overheads, body corporate fees, and wannabe dojo crashers.
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I'm faster than your average keyboard warrior, but slower than a resident programmer.
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I don't think I'd ever have time to tell them everything. But I wouldn't hide anything.
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This question doesn't apply so much to me as I can't think of an operation/procedure which could be medically indicated that I would object to morally. If the question had been phrased "that I would not advise on medical grounds", in that case there is of course a point where I would say no, and I would explain why I said no. If a patient continued to insist on having it done, it would be medicolegally suspect if I were to say that I would not do the procedure and then do it, so I would refer them on for a second opinion. There are also procedures which are outside of my technical expertise, I would have to refuse in those cases but I would then refer to somebody who was able to do said procedures.
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This depends on the medico-legal jurisdiction. HIV+ status, as well as certain sequelae of HIV (i.e. AIDS) is directly reportable to the government in many countries/states, but this doesn't mean that partners are necessarily automatically informed. The rationale for each policy would have to be based on balancing the risks to others if reporting wasn't mandatory, as opposed to the risks to the individual if the patient was.
In fact, this article: http://www.health.ny.gov/diseases/aids/regulations/reporting_and_notification/question_answer.htm#fiftyfive
Which pertains to the state of New York, actually gives some good insight into the issues considered in making such policy.
In general however, there are other reportable diseases such as TB, certain strains of Hepatitis, certain bacteria known to cause outbreaks of food poisoning, potentially fatal strains of influenza (like H1N1) etc. etc. Patient confidentiality, (and in general patient rights to treatment/refuse treatment) may be voided when informed consent proves impossible, that is to say:
a) if the patient is not competent to understand their situation and make a decision based on consideration of this, and,
b) if the patient is a danger to themselves or others, or is in a life-threatening situation. -
Woah, professional practice questions. You're not examining me on this are you? :P
If a patient tells me not to tell his partner about his condition I'm obliged to follow that on the basis of patient confidentiality (with certain exceptions, which I'll explain in the next question). However it would then be best practice to explain the implications of this, particular the risk he then may pose to others, with a view to at least making him feel amenable to informing others. -
Lucky for me, I didn't have to take the referral as I was way too busy on the wards to go to emergency. But my registrar was successful.
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On Boxing day last year, a man presented to the emergency department having inserted a (large) shampoo bottle up his rectum. Why? He wanted to see if a doctor could remove it. I didn't even bother asking my registrar how he did it, I only know that he did.
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There have been many, but this one stands out.
I had a 91 y.o. lady, she defined the essence of "cute little old lady". She was under my care simply because she'd broken part of her hip (not the part that you need to walk with, either), but she just wasn't right to go home. About two weeks into her stay, she developed pneumonia, and one afternoon she was struggling to breathe because of all the gunk in her airways. I thought she was going to die, as my fancy medical interventions would have been inappropriate for her, but I didn't want her to die as if not for this she would have had plenty of life left in her, and she had family and friends to go home to. Well, the physiotherapist was the one who saved her life by simply taking her through a breathing exercise that calmed her down.
That's all it took. She eventually recovered and was discharged from hospital two weeks later. -
While I am answering this question 4 months late, that doesn't reduce the amount of pervertedness this question exudes!
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The dragon never fit into the dress, nor most other forms of clothing for that matter!
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Certainly ninja used all kinds of tools including kunai and shuriken, and exploding phosphorescent bombs etc. I don't know if all ninja used all those things, though.
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arrrrrrrrrrrgh don't remind me!
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Green? You mean that hay coloured thing? It's a quiver. It has arrows... or more accurately all kinds of tools that somehow can be strung onto his bow. Cen wouldn't fit in the quiver.
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