steinkern

@koboldvintner.bsky.social

accidentally backed into a parked car at low speed the other day and exchanged insurance info. Had a great shift after this. I wonder if I discharged all my negative psychic energy into that car

One weird trick to confirm Bell’s palsy: ask the patient to close their eyes and place sugar on the anterior two thirds of the tongue on the affected side, then the unaffected side. If it is truly a lower motor neuron facial nerve lesion, they will have reduced or absent taste ipsilaterally.

We got one of those robot vacuum things to suck up leaves and stuff on the bottom of the pool. It’s fun to send him on his little missions. The deep end is very turbid right now, usually lose visual contact. Godspeed soldier

One of the most affecting details for me from the Sopranos series finale is Sil lying in a hospital bed on a vent + trach with his wife doing nail care on him. If you’ve ever spent time in an ICU you know the nails can get gnarly

There are people out there who don’t believe brain death is death. I won’t link it here but there’s a particularly gruesome autopsy of an individual who was kept on a ventilator for 20 years after. No identifiable brain tissue in the skull, all calcified blood products and cystic spaces

Sometimes I think regretfully about all the sacrifices that my career requires, and how it keeps ramping up during training. Especially as I watch my parents aging. But then I remember cool cases I’ve seen recently and I’m like wait a minute I love this shit. I’m a sicko. I’m built different