Recent content by TheTruckGuy

Good point, I always figured all these places had to have an optometrist. Do you think everyone needs a dilated eye exam? Or just slit lamp without dilation is enough?

Do you think there's a difference in a big corporate place like Lens Crafters vs a small shop at Walmart vs a completely private shop that is in its own building?

Hope this doesn't get flagged as asking for medical advice. But my question is, how often should someone go to optometry to just get their comprehensively checked? Assuming they don't need glasses, and they're 20/20 at their annual PCP check, and have no other systemic disease that directly...

You mean the dentist that did the injection should follow up that patient? Or you think I should follow up and see how things turned out? I can imagine pharyngeal anesthesia would be quite uncomfortable and unnerving when you're pinned down reclined. Another random question, but do dentists...

ER doc here. Saw a patient the other day, sent by ambulance from the dentist without any paperwork or anything. According to the patient he was sent because he started having facial swelling and trouble talking. By the time I saw him, it was roughly 2 hours after he had received local...

The CPGs are great to base lectures off. I think a big thing is allowing people to answer questions and explaining concepts that may not be clear. Also tailor lectures towards everyone's roles. For example, there's a lot in the prolonged casualty care CPG that most nurses will understand and...

As a medical student/junior intern I used rank frequently. As I became more attuned to the fact that midlevels use rank to try and minimize differentiation between them and physicians, I started using doctor more. However, in the operational world it was LT 90% of the time. Only time I used...

Yeah, I see it in medicine a lot as well. Some people are very rigid and refuse to believe anything is possible unless there are high quality randomized controlled trials that prove a benefit to it. And sure, those are nice to have, but a lack of evidence doesn't mean something doesn't work...

Yup. They can get stationed at a large overseas base (such as in Iraq or Afghanistan), or can be ship board. As far as I know, they are only on air craft carriers. I don't think they're typically on the smaller ships like LPDs/LHAs/LSDs, and certainly not on anything smaller.

Hello everyone. ER doc here. Curious if any of y'all have heard of Knees over Toes Guy? He's got a big YouTube channel. I've heard a lot of folks say his stuff has helped them out, and I've seen some of his videos. In some he says things along the lines of "traditional teaching/traditional...

It's true, a lot of the meetings you don't need to be at. Not sure who's on the FAA mishap teams, but I suspect their physicians aren't as familiar with the air frames as the average flight surgeon should be. Not sure how much it matters in the investigation. Flight docs can also better...

Yup. We just had one of those town halls. They were saying how the Army has said all their docs WILL get sufficient volume and complexity at their MTFs, no moonlighting needed. The Navy is ok with moonlighting, but doesn't actively encourage it. And the Air Force actually encourages it and...

Yeah, there's no way I'd be a remotely competent EM physician if we only relied on the MTF. And my first couple days when I go to an outside ED after a few months at NMCP Urgent Care, it's always a rough transition. Can't imagine what it would be like if I did years of it and then got out. No...

I mean, it really depends. Witnessed arrest, in a hospital, in a young patient, is going to have the best chance at a meaningful outcome. Unwitnessed arrest, unknown downtime, in an old and sick person, even if you somehow get pulses back, chances of any meaningful outcome is low. I've had...

Yeah, at some point too much epi can actually be making things worse. I'm sure you've seen this before, but sometimes epi will convert someone from PEA to VFib. But if they were VFib to begin with, more epi just makes the ventricles fibrilate more and sometimes makes it refractory to...