Some stream of consciousness thoughts this morning to unload my mind before I start my real "thinking" today...
We really do have a discomfort with some numbers in medicine. Yesterday, I had a patient on a tracheostomy and I asked for cuff to be put down and ventilator changed so he could talk to me. Sats dropped to 88% and stayed there. My priority- understanding the patient wishes...
Others discomfort - sats below 90%. I could literally feel the discomfort in the room.
I'm reading about the CIA and Assange. The article I read claims the CIA "contemplated" assassinating Assange.
There is a big difference between contemplating and planning. This reminds me of the stages of change model. Contemplation->preparation->etc... selfrecovery.org/blog/precontem…
My "take this with a grain of salt" radar goes off whenever I see Burnside's name attached to anything too. abc.net.au/news/2021-10-0…
On the hypocrisy of "contemplating" assassinating Assange because wikileaks published stuff about the CIA's offensive cyber weapons, I am reminded of the US reaction/ condemnation of the Saudi reporter Jamal Khashoggi.
Working in ICU this week, I met two patients who had developed severe Covid this week, who ended up getting better.
Both were people of colour.😢 Both had waist to height ratios >0.5. I presume both had not been vaccinated.
Our politicians and media really have done great harm to our vaccination program. AZ is an effective vaccine, and risk of serious adverse effects is small. Another message I think we should have been saying, especially for the needle-phobes like me- one dose is better than none.
And in the end, who suffers because of the poor messaging and politicking?
The working class immigrants.
And finally, on PPE.
It has reminded me of the chemical, biological, radiological warfare defence training I did in the ADF. Everything is slower and harder when you're in that suit and have that mask on. It is taxing.
Must have been awful for the men in the trenches.
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This book by John Gottman of @GottmanInst will be interesting. They're trying to answer this question: "What's the secret to having a happy, healthy, and close relationship with another person?"
Let's see what they've got to say...
Gottman set up the "Love lab". Must have been an observational study. What they found was that how the couples communicated was not important, not what was said.
blinki.st/c87019b62fd6?b…
Gottman developed the concept of a "bid". A Bid is an attempt to establish an emotional connection and can be verbal or non-verbal. It's a way of saying "Hey, I'd like to connect with you".
Gottman found that responses fell into three categories.
Also, I'm hearing skips. @rseglenieks has used Powerpoint to record his presentation. You can record one slide at a time. Learnt this myself. Better than one take in some ways.
Who took this photo? Bigeminy and hypotensive. Glad it's not my anaesthetic! 🤣
#combisig21 talking about failure in research projects... but what is failure? How can you fail in research? Isn't research about improving our knowledge? Isn't a negative study actually a good thing but that we frame it in the wrong way?
"I roll with things pretty well" - I'm with you @DrDanSchumacher
"“nice” progressive white people frequently perpetrate the most racial harm in cross-racial spaces. They objectify Black people and people of color, enact daily racist microaggressions, & center their own feelings of shame when called out – that is, they make it all about them."
My time in Echuca having to write up other ppls (the previous term's interns) discharge summaries, whilst a crap experience, did teach me to navigate the medical record and find information very quickly.
Supervision in undergraduate medicine... was very thin on the ground when I went to medical school. We used to watch each other take histories and examine, possibly more for emotional support than peer feedback. Very rarely did anyone watch us take this vital clinical skill.