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Loden Taylor posted:Along with YouTube medic training, Caro also had extensive YouTube master resiliency training. loving lmao
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Jun 15, 2017 04:19
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Terrible Robot posted:Could you expound on this a bit? I know very little about the mechanics and effects of general anesthetic. Just because your conscious mind is not aware of the surgery occurring, due to being under, the rest of your body and the unconscious/involuntary functions of your mind are still very aware. Your body is excreting adrenaline and the other hormones responsible for fight or flight in response to nerves telling your brain they are being cut on. The fight or flight response is hardwired into your system, knocking you out won't stop it from occurring.
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Jun 15, 2017 04:21
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puts my father's 13 hours valve and hextuple bypass into perspective
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Jun 15, 2017 04:23
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One of the bigger breakthroughs in trauma medicine was apparently the realization that you'll go into shock and die if you're they "fix" too much at once.
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Jun 15, 2017 04:28
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Nostalgia4Butts posted:puts my father's 13 hours valve and hextuple bypass into perspective Yeah they don't pump you up on pain meds for the surgery, they sedate you. People who have woken up in the middle of surgery (an absolutely horrifying experience) can have to undergo some pretty intense therapy to deal with the PTSD from the experience. Inter-operative awareness is like a loving nightmare come to life because you can hear, see, and feel exactly what is going on, but cannot move because you are likely paralyzed by the sedatives and muscle relaxants, so you can't even indicate that you are aware and feeling to the OR staff, it's up to the anesthesiologist noticing that your readings aren't right and correcting your anesthesia. Your body still feels all of that pain, and reacts to it, even if you're not conscious of it.
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Jun 15, 2017 04:33
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orange juche posted:Just because your conscious mind is not aware of the surgery occurring, due to being under, the rest of your body and the unconscious/involuntary functions of your mind are still very aware. Your body is excreting adrenaline and the other hormones responsible for fight or flight in response to nerves telling your brain they are being cut on. The fight or flight response is hardwired into your system, knocking you out won't stop it from occurring. This is basically it. There are Gas goons who can expound a ton more, I work mainly in ICUs. The meds that are used for general anesthesia, namely propofol, medazolam, fentanyl, they are very good at "turning you off" and making sure you are not recording memories or centrally recognizing that pain is occurring. The hardwiring of the neurons from your skin, to your spine, to your adrenal glands and blood vessels and heart and every mechanical organ are still quite awake and kicking though. As a physician cuts through your skin and opens your pelvis and starts rummaging around to cauterize and clip things that are hosed up, and run your bowel to check every centimeter for leaks... trust me your body is feeling and experiencing a lot of this. It won't remember or ever know, but the anesthesiologist sees it by spikes in your blood pressure and heart rate, increases in your respiratory rate, etc. We see the same in the ICU when a person is ventilated and in a coma but still in so much pain they are overcoming their anesthesia. It thus becomes a balance between dosing the person with more medicines to control these things, while not overdosing them to the point of cardiopulmonary collapse. Anesthesiologists have a helluva job. Surgery on anything is nuts. It is why they make patients go through pretty extensive pre-operative evaluations nowadays and even get cardiac stents placed to prevent heart attacks if need be. I doubt this guy is going to die. He will likely have a poo poo ton of morbidity from this, but he likely will live in some capacity.
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Jun 15, 2017 04:34
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Nostalgia4Butts posted:puts my father's 13 hours valve and hextuple bypass into perspective The one thing that will always stick with me from Surgical Tech Clinicals was when we shut down a patient's heart for surgery and then restarted it after we were done. I have seen traumatic amputations, brains, the insides of every part of the body (sometimes my own). But that was the thing that caused me to  Surgery is like 90% boring formalities and 10%   
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Jun 15, 2017 04:34
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orange juche posted:Yeah they don't pump you up on pain meds for the surgery, they sedate you. People who have woken up in the middle of surgery (an absolutely horrifying experience) can have to undergo some pretty intense therapy to deal with the PTSD from the experience. Inter-operative awareness is like a loving nightmare come to life because you can hear, see, and feel exactly what is going on, but cannot move because you are likely paralyzed by the sedatives and muscle relaxants, so you can't even indicate that you are aware and feeling to the OR staff, it's up to the anesthesiologist noticing that your readings aren't right and correcting your anesthesia. They do give you fentanyl or whatever during surgery for pain though. And give you a shot of versed so you shouldn't remember anything even if you do wake up. Still even with all that I worked with EEG data and you could definitely tell when the surgeon started cutting.
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Jun 15, 2017 04:41
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I don't mean to sound  here, but has anyone here just taken a step back and taken a big loving deep breath while taking a look around? We have a president who, five months into his term, is under investigation for obstructing a probe into how the motherfucking Russians undermined the same electoral system that got him into power. Beyond that, we have the GOP becoming increasingly horrified that there's No Brakes on the Trump Train but unable to do anything but keep pushing the throttle. The Democrats' electoral prospects for 2018 are starting to look somewhat decent, which means they've got a year and a half to rescue defeat from the jaws of victory yet again. At a societal level, we've tribalized ourselves to a degree that no one has a shared sense of reality. We have one side that believes Hillary Clinton was sex trafficking children out of a loving pizza parlor, and the other side fervently hoping for proof that there's clandestine footage of Trump watching Russian hookers piss on a bed Obama slept in. Political violence, though pretty low level at this point, is becoming increasingly normalized. Again, one side marches into battle with its soldiers marching under the banner of a cartoon frog, its troops looking like a mix of bloated Operators and half-assed Spartan warriors, against punks and ninjas. This would be fun as gently caress to watch in Ultimate Epic Battle Simulator, but holy poo poo otherwise.Things just seem straight up loving STRANGE and I don't see them getting any better any time soon.
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Jun 15, 2017 04:44
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Yeah there is a huge difference in dosage between propofol to knock a person out for surgery and propofol to achieve electrical silence on an EEG (we have to do this for status epilepticus sometimes). Patients definitely have working brain signals during general anesthesia, its probably just lovely and akin to a lot of static on a TV or those garbled porn channels from the 90's or something.
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Jun 15, 2017 04:44
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suboptimal posted:Things just seem straight up loving STRANGE and I don't see them getting any better any time soon. I've lived in a constant fugue of existential horror as I continue to work in the military-industrial complex. I keep thinking that 50 years of low level violence is coming and I keep telling myself to smile and that it will all be alright. Because of my job I can't smoke up to relax. Anxiety is high to say the least.
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Jun 15, 2017 04:47
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suboptimal posted:Things just seem straight up loving STRANGE and I don't see them getting any better any time soon. I have a very, very long political memory and every day I'm hearing and seeing the looniest poo poo I've ever heard and seen. The military-industrial complex provides me with a CNN and Fox News feed, plus a front-row seat. Nothing will happen, welcome to history, hail gay satan.
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Jun 15, 2017 04:50
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facialimpediment posted:I have a very, very long political memory and every day I'm hearing and seeing the looniest poo poo I've ever heard and seen. That's why I post here. how long we talking here i hear a lot of people who lived through watergate saying the same thing
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Jun 15, 2017 04:52
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hobbesmaster posted:They do give you fentanyl or whatever during surgery for pain though. And give you a shot of versed so you shouldn't remember anything even if you do wake up. Yeah there's different grades of inter-operative awareness, almost all the time if it happens, the patient has no idea that it happened after the fact. Sometimes though drug resistance and complications from the condition of the patient combine to make it so the anesthesiologist miscalculates badly enough that the patient is aware, and has recall of events that occurred during the surgery, which pretty much would qualify as enough nightmare fuel for the rest of your loving life depending on the procedure.
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Jun 15, 2017 04:54
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The trick is people have always been weird and violent. We did a good job at hiding it as a society. Even when it would rear its ugly head, we would just hand wave it away. Your coworkers are probably hosed up people. The people on SA are probably hosed up. The trick is not to let other people know how hosed up you are. That is why some groups have rules about not talking politics or religion at work spaces or family gatherings. Facebook/the internet is a mistake though since it lets people come together in ways we are not ready for. You feel like poo poo has changed as you age since you start to see it more, but it has always been there. We just have more ways of seeing it now but we will still forget it almost as fast as it happens. TLDR https://www.youtube.com/watch?v=eFTLKWw542g
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Jun 15, 2017 04:56
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Nostalgia4Butts posted:how long we talking here I'm not that old, but fortunately/unfortunately I remember all the American history bullshit since roughly high school. Hell of a post Third World. I guess what I'm trying to say is from here: https://twitter.com/brianstelter/status/875199580035588096 facialimpediment fucked around with this message at 05:01 on Jun 15, 2017 |
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Jun 15, 2017 04:56
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WHAT IN THE gently caress CAN'T I GO TO BED http://m.live5news.com/live5news/db_330614/contentdetail.htm?contentguid=z4giiiAM quote:MOUNT PLEASANT, SC (WCSC) - Officials with the Coast Guard say the FBI is investigating a report of a dirty bomb on a ship at the Wando Terminal Wednesday night.
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Jun 15, 2017 05:05
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I woke up towards the tail end of some gnarly oral surgery when I was in college (which I was IV sedated for because gently caress being awake for 18 fillings and 3 extractions) and that was unpleasant as gently caress. I was numbed up but it was still pretty horrifying. I can't loving imagine what it would be like for that to happen when someone's rummaging around in your abdomen.  e: facialimpediment posted:WHAT IN THE gently caress CAN'T I GO TO BED UM, FUCKIN WHAT Kazinsal fucked around with this message at 05:10 on Jun 15, 2017 |
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Jun 15, 2017 05:07
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facialimpediment posted:WHAT IN THE gently caress CAN'T I GO TO BED Is there corroboration on this
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Jun 15, 2017 05:09
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Blind Rasputin posted:Yeah there is a huge difference in dosage between propofol to knock a person out for surgery and propofol to achieve electrical silence on an EEG (we have to do this for status epilepticus sometimes). Patients definitely have working brain signals during general anesthesia, its probably just lovely and akin to a lot of static on a TV or those garbled porn channels from the 90's or something. Regarding the static the most interesting hung to me was that the different types of anesthetic (propofol, volatiles, xenon, etc) actually have differently shaped noise patterns. They all knock out high frequency gamma waves that are correlated with consciousness but down in the 1-10Hz and 10-30Hz they each looked pretty different. That was almost 10 years ago now though and I don't recall all the details. IIRC for example propfol usually had a little peak in the 10-14Hz range. Of course as you said you could crank it up and get near silence on the eeg. Those are the patients that don't feel quite right for potentially months after surgery. (That's where anesthesia is a bit of an art)
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Jun 15, 2017 05:10
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I'm gonna go find a fuckin shelter see you guys on the fury road
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Jun 15, 2017 05:11
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Kazinsal posted:I woke up towards the tail end of some gnarly oral surgery when I was in college (which I was IV sedated for because gently caress being awake for 18 fillings and 3 extractions) and that was unpleasant as gently caress. I was numbed up but it was still pretty horrifying. I can't loving imagine what it would be like for that to happen when someone's rummaging around in your abdomen. Supposedly it's not uncommon for dental anesthesia to just use the inductive part because they'll be fast enough! (The anesthesiologist I was doing that qEEG stuff for had some, uh, opinions)
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Jun 15, 2017 05:12
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from what it looks like it is a report, not confirmed also if you want to track the ship as it stays still the name of the cargo vessel is Maersk Memphis
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Jun 15, 2017 05:14
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Glad im not in South Carolina right now
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Jun 15, 2017 05:16
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If the reports are true then gently caress that's a lot of ship to search.
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Jun 15, 2017 05:16
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Normally I wait for multiple news sources, but that one is a local South Carolina station, linked by an NBC News reporter. It's obviously a bomb hoax or some other form of bullshit since no radiation found (not a hoax from the news station), but what the gently caress else is gonna happen?
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Jun 15, 2017 05:17
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facialimpediment posted:It's obviously a bomb hoax or some other form of bullshit since no radiation found (not a hoax from the news station), but what the gently caress else is gonna happen? another reichstag fire by what it looks like out there
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Jun 15, 2017 05:19
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Is the naval weapons dump that trains nuke techs still down in charleston?
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Jun 15, 2017 05:22
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Nostalgia4Butts posted:another reichstag fire by what it looks like out there Agreed. Still, now confirmed independently by coast guard. https://twitter.com/USCGSoutheast/status/875203749500866560 https://content.govdelivery.com/accounts/USDHSCG/bulletins/1a27e43 quote:Correction: Potential threat reported in Port of Charleston
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Jun 15, 2017 05:23
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My spirit god Tom Clancy predicted this years ago.
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Jun 15, 2017 05:25
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I'm trying to backtrace where the gently caress this came from, but BNONews is saying it came from a conspiracy theorist. The news station information is good, but the "report" is some unnamed conspiracy theorist. https://twitter.com/BNODesk/status/875204293619576832
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Jun 15, 2017 05:28
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Wasn't "Obama gonna blow up the port of Charleston" a conspiracy theory that was making the rounds back in the day?
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Jun 15, 2017 05:29
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What's the ships flag and previous port Also who owns it
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Jun 15, 2017 05:30
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facialimpediment posted:WHAT IN THE gently caress CAN'T I GO TO BED I hope this is just speculation and rumour, because if this is real I'm calling wwiii
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Jun 15, 2017 05:31
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Waroduce posted:What's the ships flag and previous port Flag is USA, ship is MAERSK MEMPHIS. Previous port was NYC.
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Jun 15, 2017 05:33
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Waroduce posted:What's the ships flag and previous port https://www.marinetraffic.com/en/ais/details/ships/shipid:425203/mmsi:366337000/imo:9348651/vessel:MAERSK_MEMPHIS
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Jun 15, 2017 05:33
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http://www.wyff4.com/article/coast-guard-fbi-investigating-report-of-dirty-bomb-on-ship-in-charleston-county/10026002 Another local link
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Jun 15, 2017 05:34
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Here's one with more on the conspiracy theorists. http://heavy.com/news/2017/06/charleston-dirty-bomb-port-wando-welch-terminal-evacuated-photos-south-carolina-you-tube-conspiracy-theorist/ Not the most trustworthy source, came up in my google feed.
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Jun 15, 2017 05:37
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Odds Trump goes kinetic over this.... You know the whole shipping container dirty bomb was always a pretty common hypothetical vector. Best Korea also has more delivery problems than detonation problems no? Don't think it was them tho. They don't have the balls Let's go full Clancy, Russian false flag fraiming Iran E: It's probably bullshit
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Jun 15, 2017 05:38
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https://twitter.com/uscgsoutheast/status/875210294326247424
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