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Rep Retirement Lodge #184: The 2016 Frozen Four

Rep Retirement Lodge #184: The 2016 Frozen Four

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Re: Rep Retirement Lodge #184: The 2016 Frozen Four

I am laying in bed and it is the best feeling ever. (Side note, phone corrected "feeling" to "fenugreek".) So tired. But I learned something new this weekend.
 
Re: Rep Retirement Lodge #184: The 2016 Frozen Four

bostonewe said:
I am laying in bed and it is the best feeling ever. (Side note, phone corrected "feeling" to "fenugreek".) So tired. But I learned something new this weekend.
Click to expand...

I'm sure there are other uses for fenugreek, but I only know of one, and I'm wondering why your phone would correct to that because you shouldn't have any need for it. :)
 
Re: Rep Retirement Lodge #184: The 2016 Frozen Four

bostonewe said:
I am laying in bed and it is the best feeling ever. (Side note, phone corrected "feeling" to "fenugreek".) So tired. But I learned something new this weekend.
Click to expand...
and that was??

Good Morning Lodge!
 
Re: Rep Retirement Lodge #184: The 2016 Frozen Four

Listening to a show talking about the changing climate for web based journalism. They mention FB, snapchat. No mention of Board. I find out who died from Board Dead thread long before FB. Don't have snapshat
 
Re: Rep Retirement Lodge #184: The 2016 Frozen Four

melmac said:
I'm sure there are other uses for fenugreek, but I only know of one, and I'm wondering why your phone would correct to that because you shouldn't have any need for it. :)
Click to expand...
I certainly don't have any need for it, nor do I like the taste or smell (there is a spice chain (Penzy's) that we love that has a little jar out for you to smell).
goldy_331 said:
But was it the best fenugreek ever?
Click to expand...
Definitely not. Licorice smell/taste -- yuck!
leswp1 said:
and that was??
Good Morning Lodge!
Click to expand...
In the notes on one of my patients over the weekend, there was a comment that the patient was not a candidate for extubation d/t a high A-a gradient. I'd never even heard of it and when I asked the respiratory therapist about it, she pulled up Wikipedia and proceeded to read me the article. Later, when I had a second, I looked it up and found info on the UCSF Med School site that explained what it is (equations and considerations for hypoxia related to the diffusion of oxygen from the Alveoli to the arteries -- elevated in patients with diffusion issues, right to left shunting, and ventilation-perfusion issues). While very interesting, it's not the sole reason that the patient cannot be extubated (they were doing the brain death work up and potential organ bank workup today now that he has been normothermic for 72 hours following therapeutic hypothermia s/p cardiac arrest). Sad case in some respects (pt is under 40, hx of heroin use for 15+ years, hep c+), but fascinating from a learning perspective. Not only did I read up on A-a gradient, but also on autodiuresis (likely SIADH in this pt) and we spent a lot of time talking about lab values/electrolyte shifts (his sodium went from 133 to 143 in 24 hours - yet CT negative for cerebral edema and potassium from 4.5 to 2.8 in the same period).

Evening, Lodge. Awake at this hour on my day off as I'm working every other day and it's easier just to stay on night shift mode than switch back and forth.
 
Re: Rep Retirement Lodge #184: The 2016 Frozen Four

bostonewe said:
Evening, Lodge. Awake at this hour on my day off as I'm working every other day and it's easier just to stay on night shift mode than switch back and forth.
Click to expand...

Having spent a year working 5 days on night shift (10pm-6am) and 2 days morning shift (6am-2pm), you are correct. With age comes wisdom.
 
Re: Rep Retirement Lodge #184: The 2016 Frozen Four

bostonewe said:
I certainly don't have any need for it, nor do I like the taste or smell (there is a spice chain (Penzy's) that we love that has a little jar out for you to smell).

Definitely not. Licorice smell/taste -- yuck!

In the notes on one of my patients over the weekend, there was a comment that the patient was not a candidate for extubation d/t a high A-a gradient. I'd never even heard of it and when I asked the respiratory therapist about it, she pulled up Wikipedia and proceeded to read me the article. Later, when I had a second, I looked it up and found info on the UCSF Med School site that explained what it is (equations and considerations for hypoxia related to the diffusion of oxygen from the Alveoli to the arteries -- elevated in patients with diffusion issues, right to left shunting, and ventilation-perfusion issues). While very interesting, it's not the sole reason that the patient cannot be extubated (they were doing the brain death work up and potential organ bank workup today now that he has been normothermic for 72 hours following therapeutic hypothermia s/p cardiac arrest). Sad case in some respects (pt is under 40, hx of heroin use for 15+ years, hep c+), but fascinating from a learning perspective. Not only did I read up on A-a gradient, but also on autodiuresis (likely SIADH in this pt) and we spent a lot of time talking about lab values/electrolyte shifts (his sodium went from 133 to 143 in 24 hours - yet CT negative for cerebral edema and potassium from 4.5 to 2.8 in the same period).

Evening, Lodge. Awake at this hour on my day off as I'm working every other day and it's easier just to stay on night shift mode than switch back and forth.
Click to expand...
OK, that made my brain hurt but interesting!

Good morning Lodge!
 
Re: Rep Retirement Lodge #184: The 2016 Frozen Four

Good Morning Lodge.

The only thing I got out of ewe's recitation was "Organ bank workup?? Who the **** would want organs from THAT donor?" Heroin addict with Hep C, no thanks.

Just learned that all the hotel rooms in gmann's town are booked for the weekend Jr is scheduled to shoot in the state trap meet. May have to get a resort room and they, of course, have a 2 night minimum. Is gmann interested in a family camping trip that weekend and doing an airbnb or VRBO to us that weekend? ;)

Seriously, I may take a look at VRBO for the weekend. Maybe get a big cabin with a couple other families.
 
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