Useless Conversation

[Paelos]

Pika - for those who remember him - once had a wonderful story about showers.  I don't go barefoot in public areas anymore because of it.

Was that they one where he always peed in the shower?

[ghost]

Getting a loan right now apparently requires a downpayment of your left kidney with your right kidney due if you default.

Sounds about right, for the state of things. 

[Sand]

Pika - for those who remember him - once had a wonderful story about showers.  I don't go barefoot in public areas anymore because of it.

Was that they one where he always peed in the shower?

I pee in the shower and dont really understand people's desperate disgust with it. Do they have super sticky pee or something? Its mostly water, sterile, is sometimes cleaner than the gunk Im washing off of myself.
The stuff runs straight down the drain.

[Paelos]

Was that they one where he always peed in the shower?

I pee in the shower and dont really understand people's desperate disgust with it. Do they have super sticky pee or something? Its mostly water, sterile, is sometimes cleaner than the gunk Im washing off of myself.
The stuff runs straight down the drain.

http://www.youtube.com/watch?v=eRppqaanECA

[Strazos]

 

"It's all pipes - I'll call a plumber right now."

[Merusk]

Pika - for those who remember him - once had a wonderful story about showers.  I don't go barefoot in public areas anymore because of it.

Was that they one where he always peed in the shower?

Not pee.  Then he used his toe...

Yeah.

Peeing in a public shower is a problem because it fucking smells.  Guys used to piss in the showers during High School swimming and you'd gag because the steam & heat would intensify the smell.  There's still random guys who do it in the gym now and it's still godawful.

[ghost]

Peeing in a public shower is a problem because it fucking smells.  Guys used to piss in the showers during High School swimming and you'd gag because the steam & heat would intensify the smell.  There's still random guys who do it in the gym now and it's still godawful.

 


Ummm.  Yeah, shower shoes are a must.  I don't mind standing in my own pee, but I'm not standing in some random dude's pee at the gym.

[Yegolev]

To those of you that microwave fish at work: die in a car fire.  Good god, this smell is terrible.  I may have to go work in the lab for the afternoon.

Hostile work environment! /archer

[ghost]

So my wife has started selling Scentsy.  It's fine because the house smells good, but damned if that stuff isn't like crack for the female types. 

[Yegolev]

But how does it pay?

Good job putting her to work.

[ghost]

The nurse who was prepping my wife for the procedure gave her a bit of advice that would have been useful several hours prior. Which is "vaseline is your friend". A little application can save you from what amounts to rugburn on your ass. (Suffice it to say, it doesn't matter how fancy and soft your toilet paper. After about 8 hours, it's going to be like sandpaper. Hence, vaseline).

Also-  baby wipes.  From the beginning. 

[Morat20]

The nurse who was prepping my wife for the procedure gave her a bit of advice that would have been useful several hours prior. Which is "vaseline is your friend". A little application can save you from what amounts to rugburn on your ass. (Suffice it to say, it doesn't matter how fancy and soft your toilet paper. After about 8 hours, it's going to be like sandpaper. Hence, vaseline).

Also-  baby wipes.  From the beginning. 

The nurse was hilarious. She was about 50, no-nonsense, but had that "Bless your heart" way of talking that indicated that the worse curse word she'd ever uttered was "Sugar cookies!" (which is bullshit. I'm pretty sure all nurses, anywhere, swear like sailors). She told my wife that, tsked that doctors never think to mention such sensible thing, then confided in how so many people getting colonscopies are elderly with the thin and easily irritated skin that implies.

I can't remember her exact analogy, but it was hilarious.

[Furiously]

The nurse who was prepping my wife for the procedure gave her a bit of advice that would have been useful several hours prior. Which is "vaseline is your friend". A little application can save you from what amounts to rugburn on your ass. (Suffice it to say, it doesn't matter how fancy and soft your toilet paper. After about 8 hours, it's going to be like sandpaper. Hence, vaseline).

Also-  baby wipes.  From the beginning. 

The nurse was hilarious. She was about 50, no-nonsense, but had that "Bless your heart" way of talking that indicated that the worse curse word she'd ever uttered was "Sugar cookies!" (which is bullshit. I'm pretty sure all nurses, anywhere, swear like sailors). She told my wife that, tsked that doctors never think to mention such sensible thing, then confided in how so many people getting colonscopies are elderly with the thin and easily irritated skin that implies.

I can't remember her exact analogy, but it was hilarious.

I've long suspected a lot of health care practitioners are sadists.

[ghost]

The nurse who was prepping my wife for the procedure gave her a bit of advice that would have been useful several hours prior. Which is "vaseline is your friend". A little application can save you from what amounts to rugburn on your ass. (Suffice it to say, it doesn't matter how fancy and soft your toilet paper. After about 8 hours, it's going to be like sandpaper. Hence, vaseline).

Also-  baby wipes.  From the beginning. 

The nurse was hilarious. She was about 50, no-nonsense, but had that "Bless your heart" way of talking that indicated that the worse curse word she'd ever uttered was "Sugar cookies!" (which is bullshit. I'm pretty sure all nurses, anywhere, swear like sailors). She told my wife that, tsked that doctors never think to mention such sensible thing, then confided in how so many people getting colonscopies are elderly with the thin and easily irritated skin that implies.

I can't remember her exact analogy, but it was hilarious.

I've long suspected a lot of health care practitioners are sadists.

Maybe not sadists, but there is a certain degree of "don't give a shit" that is present. 

[Morat20]

I've long suspected a lot of health care practitioners are sadists.

The nurse seemed more of the mind that doctors just didn't have the brains to mention such common sense precautions. I was rather grateful she said something, because odds are I'm going to have to suffer through that someday, and I'd like know how to make it slightly less horribly unpleasant.

[Lantyssa]

Maybe not sadists, but there is a certain degree of "don't give a shit" that is present. 

Mixed with a bunch of "seen it all before".  I joke around with my nurses and doctors on such matters (as much as the pain or illness allows).  Seems to go over well with them.

[ghost]

A lot of the attitude of doctors comes from the training process.  It is often horrifically grueling and that, combined with the way that hospitals generally deal with patients, leads to an attitude of apathy at best and downright contempt at worst.  If they're going to change healthcare significantly in this country I think they ought to start with the Medical School/Residency continuum.  When it takes 7 hard years to be a family physician something is wrong with the schooling.  /offofsoapbox

[ghost]

Where is Ironwood?  I miss the snarky son of a bitch.   

[Paelos]

Where is Ironwood?  I miss the snarky son of a bitch.   

He lost in Bloodbowl and left after pitching a hissy fit.

[ghost]

Where is Ironwood?  I miss the snarky son of a bitch.   

He lost in Bloodbowl and left after pitching a hissy fit.

Seriously?

[Paelos]

No. But it sounded funnier than him just taking a break because he was tired of forums.

[Yegolev]

Also he is still playing Blood Bowl.  I assume he decided to indirectly take my advice and reduce some mental clutter.  Which I really need to do myself.

[Sky]

Let me recommend Ranier cherries. 

You can thank me later.

This is me, thanking you later.

I've never liked cherries, ever. I hate cherry flavor everything, hate them in desserts. I have not had cherries before, but pale imitations of the true cherry goodness that is the Ranier cherry. Holy shit are they good. I have a nice little pre-honeycrisp season fruit snack built of awesome.

I will now have to look into how they fare in cold climates :)

[ghost]

Also he is still playing Blood Bowl.  I assume he decided to indirectly take my advice and reduce some mental clutter.  Which I really need to do myself.

I'm pretty sure f13 is the exact opposite of mental clutter, but I can see how it would stress folks out.  I suppose.

I've never liked cherries, ever. I hate cherry flavor everything, hate them in desserts. I have not had cherries before, but pale imitations of the true cherry goodness that is the Ranier cherry. Holy shit are they good. I have a nice little pre-honeycrisp season fruit snack built of awesome.

I will now have to look into how they fare in cold climates :)

Cherry flavor isn't what cherries taste like, just like grape flavor isn't what grapes taste like. 

[NowhereMan]

I've long suspected a lot of health care practitioners are sadists.

The nurse seemed more of the mind that doctors just didn't have the brains to mention such common sense precautions. I was rather grateful she said something, because odds are I'm going to have to suffer through that someday, and I'd like know how to make it slightly less horribly unpleasant.

I'd imagine a bidet would be a better move than having to vaseline up your butt. That said my medical friends are largely sympathetic to their patients but usually have so much stuff to do or think about beyond the face to face interaction that they're rushing. That and a few of them are really not people persons, they view the whole thing as a diagnostic exercise and aren't really thinking about the other factors. And one hates sick people, he thinks they're whiny so does his best to make sure they're gone and don't need to come back. I think he's only half joking when he says that's what he does.

[Mosesandstick]

I'm with Ghost that medical training really needs to be shaped up. Analytical monsters and walking encyclopedias don't necessarily make good doctors.

[Murgos]

My wife's dad, now retired, was a long time head of a large city hospital ER.  He is certainly sympathetic however it's also obvious that your pain is being weighed against his vast history of dealing with peoples pain.  Talking with someone with 30+years or so of dealing with everything from massive trauma to people complaining about nothing for attention on a pretty much daily basis and you can see that your issues aren't the end of the world until and unless they are.

My friends live-in girlfriend is a gastroenterologist and endoscopist, I haven't asked her if she advises lube for her patients but if she doesn't it's not because she doesn't care (she is a very nice, caring person) it's more likely because she is very busy and she is concerned with FAR worse things than a temporarily chaffed ass which need her full attention.

[ghost]

it's more likely because she is very busy and she is concerned with FAR worse things than a temporarily chaffed ass which need her full attention.

That is something that the nurses should be telling the patients.  However (and I know this well as I'm a clinician myself) your staff is only as good as you are, and if you don't push them to remind patients about things like this they often won't. 

[Minvaren]

A happy Sysadmin Appreciation Day to all the other people who do that job. 

[Lantyssa]

A lot of the attitude of doctors comes from the training process.  It is often horrifically grueling and that, combined with the way that hospitals generally deal with patients, leads to an attitude of apathy at best and downright contempt at worst.  If they're going to change healthcare significantly in this country I think they ought to start with the Medical School/Residency continuum.  When it takes 7 hard years to be a family physician something is wrong with the schooling.  /offofsoapbox

Residency is going to become a problem.  Talking with my boss yesterday about the state of my position, he says State and Federal level support cuts are going to gut the number of open positions.  Texas has a 1:1 MD to residency and we're looking at a 2:1 in the very near future.  Seeing similar things for PhDs.  Going to be a lot of doctors who can't practice in their chosen field.

[Sand]

A lot of the attitude of doctors comes from the training process.  It is often horrifically grueling and that, combined with the way that hospitals generally deal with patients, leads to an attitude of apathy at best and downright contempt at worst.  If they're going to change healthcare significantly in this country I think they ought to start with the Medical School/Residency continuum.  When it takes 7 hard years to be a family physician something is wrong with the schooling.  /offofsoapbox

Residency is going to become a problem.  Talking with my boss yesterday about the state of my position, he says State and Federal level support cuts are going to gut the number of open positions.  Texas has a 1:1 MD to residency and we're looking at a 2:1 in the very near future.  Seeing similar things for PhDs.  Going to be a lot of doctors who can't practice in their chosen field.

Speaking of PHD's you guys did know the budget cuts this year gutted the vaunted Fulbright scholarships this year. There were none appointed.


My only issue with the medical training, as I saw it in my recent hospital visit, is they shouldnt let certain levels walk around the hospital unsupervised introducing themselves as Doctor So and So.
My buddy is the attending ER doc at the hospital I went to, which I why I went there as he could have me seen immediately and in a private room rather than the general organized chaos of the ER. He told me how certain coat lengths correspond to interns or residents or med students.

I had med students walking into my room over my five day stay at all hours, introducing themselves as doctors. For the most part I was nice to them. When one, who looked like an escapee from the Jersey shore, woke me up at 4am introducing himself as Doctor and wanting to assess me, I was much less than pleasant. I had a talk with the attending physician for my floor the next day where he was made aware of my displeasure and I was unbothered by med students for the remainder of my stay.

[ghost]

Yeah, I keep hearing about how there is a shortage of doctors, but there's one on every street corner.  For instance, the state of Texas puts out 20 plus orthodontists per year.  That is way overkill.  Probably 7 per year would be fine.  Then you have the issue of budget-  these programs don't want to lose their budget money so they keep on chugging along churning out doctors.  They even pipe in something like 25-30 foreign dental graduates that have to take 2 years of US dental school to be able to practice.  Once the Medicaid and other health cuts hit you're going to see a lot of unemployed doctors.  

[Nebu]

I'd argue that the problem with medicine derives more from the insurance/administrative side.  Physicians aren't allowed to truly practice medicine in the US.  Physicians are more inclined to give a patient what they want rather than what they need simply because it's not worth the hassle.  

If there was a problem with the educational side, it would be that medicine selects for the wrong type of people.  Type A assholes with immense memorization skills make terrible caregivers and problem solvers.  The number one lesson that I learned while in medical school was just how many idiots/unethical assholes are attracted to the medical profession.  I'm dumbfounded by how little science most physicians actually know.  

[ghost]

My experience from Medical School was that the experience is way too broad.  Doctors graduate not being able to really do anything.  This is because all of the specialties want to get their say in when it comes to training.  We did huge rotations through psychiatry, OB-Gyn and tons of surgical specialties.  The medicine portion was seriously lacking.  My thoughts are that education should consist of one year of class work with 25% clinic.  The second year should be 50% clinic and the third and fourth years should be 90% clinic.  There shouldn't be any thought of specialties until you get to the last six months of the fourth year.  80% of the clinical experience should be spent on solely medicine and surgery. 

As for the students coming in to introduce themselves as doctor, that's pretty crappy.  They should never do that.  An intern or resident is a different story.  They've earned their credentials. 

[Lantyssa]

I had med students walking into my room over my five day stay at all hours, introducing themselves as doctors. For the most part I was nice to them. When one, who looked like an escapee from the Jersey shore, woke me up at 4am introducing himself as Doctor and wanting to assess me, I was much less than pleasant. I had a talk with the attending physician for my floor the next day where he was made aware of my displeasure and I was unbothered by med students for the remainder of my stay.

You went in at the absolute worst time.  July is when all the new residencies start.  They're still learning their way around and still thinking they're hot shit.

By comparison, I went in during June last year.  I had only two or three visit me, they all came in when the nurses were going to be disturbing me, and were friendly and explained what they were doing/checking for.  A year smooths them out quite significantly.