@CapitalOne if I travel internationally and use local SIM, I can't receive texts for confirming transactions (sent to US number). Email confirmation does not show up as an option. Your customer support is clueless - 40 min later, tells me to contact vendor's customer support! ๐คฆโโ๏ธ
@RealiComplex1@unusual_whales Only NYC residents think NYC is the best city in the world. I used to live there for a few years and, during that time, I thought so too. If you belong to the cult, you believe in the cult. ๐คทโโ๏ธ There's a lot of country and world beyond the Hudson/East River!
@drjgutt In addition to downtime my concern would be what caused it, and how well protected is the pt from it happening again? That would decide level of observation for me. I agree that 24h seems short and I'd favor not sending out quickly - this person literally died, what's the hurry?
@abd_jabbar@PulmCrit Yeah always many confounders in CC research but logically risk of infection would be related to number of times a hub is accessed, which would be related to number of drips. Anyway, with CVC as with meds, using the lowest effective dose (in this case lumens) is probably best.
@abd_jabbar@PulmCrit Yeah exactly my first thought as well. In the last year I think I've needed to place two quad lumens in the MICU. Having quad as standard might risk more infections, although I don't know if the studies on this topic adjusted for total number of drips as well.
@williamkellymd This person will probably get equal (if not higher) benefit in terms of dyspnea from a lifestyle intervention (diet/exercise, muscle conditioning) with no side effects compared to whatever immunosuppressant you end up prescribing.
@awsumpowers So many empty compliments or false promises. No wonder the med ed system is so broken when it comes to providing honest feedback! Nobody is asking the trainee why exactly they need to be uplifted in the first place... It all depends on where your learner is and what they need.
@Dylon_WJLee I've always wondered why despite it being illegal to discriminate based on "national origin," this has never been applied in the context of hiring IMG residents. Even highly competitive IMGs continue to be disadvantaged at the entry stage purely due to a visa requirement.
@schwoop_loops@IM_Crit_ The sailor on watch was asleep and the Titanic hit an iceberg. They're discussing which mop will work best to wipe the water off the deck. Bipap for 2 wks with injurious ventilation was where the damage was done. None of those vent strategies is superior to thoughts and prayers.