The New Coffee Room

The kid’s recovering.

Most men still can't afford the civil penalties.

@Horace True it doesn’t prove causality, but those other countries were much more flat than the US prior to the Great Recession. Our price inflation started matching theirs (as % of gdp) only after 2009-10

Link to video

A tragic car crash in Missouri yesterday was captured on a video from a neighbor's home. In the video you can see a car flying through the air at a high rate of speed before it slammed into a house.

The female driver was killed in the crash.

Luckily, several people who were inside the home at the time escaped injury.

Nice.

Very cool!

@Doctor-Phibes said in Some San Diego scenes:

Turns out there are worse discussion topics than politics.

A pretty girl laughed. That's good enough for me.

@LuFins-Dad said in Watching football 6 hours a day must be 16:

I think the genuine disinterest was a big part of it. If I had done it specifically to meet girls it wouldn’t have worked.

Yeah there's a fine line which apparently I cross.

@Horace You will be delighted to know that while I cannot quantify this line, I consider it uber-coherent to acknowledge its presence and that I indeed crossed it!

I did my liver-ups in the morning, don’t worry. 3 sets of 25. I knew it was going to be a big day.

Food pyramid.

I've been preaching that for a while.

In my career, I've had two patients aspirate gastric contents.

One was a 12 (?) year old having foot surgery. He had been NPO for 8 hours, and I did the case without an endotracheal tube. It was within the standard of care. He coughed up last night's dinner. Spent the night in the hospital for a presumably outpatient procedure. No long-term sequelae.

The other was a guy (I still remember his name, 30 years later) who had some ENT procedure. At the end of surgery, he coughed up last night's pizza. I remember the green peppers. He did not, AFAIK, aspirate, but it scared the crap out of me.

Not my case, but there was a patient who I pre-oped who had a hiatal hernia. My partner put her to sleep, and before he could intubate her, all the stuff in her stomach came up and filled her oropharynx. A goodly amount ended up going into her lungs. She died about 10 days later - in the ICU on a ventilator.

I was sued, as was my partner. I was dropped. He settled.

Instead, the new ASA guidanceopens in a new tab or window states that most patients can continue their medication up until the day of surgery but should follow a liquid diet for 24 hours before the procedure, depending on specific circumstances.

For decades we've been taught that pregnant women have delayed gastric emptying, and we should treat them all as having a full stomach. Now we're being told that it's probably OK.

I disagree.

Glad I'm retired and I don't have to make these decisions. I can't imagine going to the GI lab to give anesthesia for an endoscopy and, because the patient is on an GLP-1 agonist, arguing with the GI doc that I need to secure the airway because there's STILL STUFF IN THE STOMACH.

Sorry for yelling.

But, as they say, these days it's not my circus and not my monkeys.

There are few things scarier for an anesthesiologist than opening the patient's mouth, inserting a laryngoscope and having half a liter of semi-solid gastric contents well up and fill the pharynx.

As a former colleague of mine said (paraphrasing), "If you think the stomach might be full, you should treat it as if it definitely is."

This is a hill I would have died on.

To beat Harris, I don't care if he has cloven hooves and horns.

@jon-nyc said in Maga’s war on the first amendment:

@Horace said in Maga’s war on the first amendment:

TDS performance art.

TDS (noun): (1) Trump Derangement Syndrome. (2) A handy epithet used to dismiss claims that offend one's sensibilities without having to go to the bother of providing any arguments.

Trump said something about "fraud" rather than controlling the ability to express oneself. I am guessing he's wrong that the poll in question was "fraudulent", and I don't know the legal standards, if any, the honesty of a poll could even be held to. I will remain secure in my preference for a Trump administration and its attitude towards free speech, compared to a Harris administration in which Walz was saying that misinformation/disinformation is not free speech. As for the TDS, that will be the geyser of double standards that will come from you in this and other threads over the next four years.

I appreciate that someone took some time with that, but it's more along the lines of clapter for a target audience, rather than general purpose funny. IMO.

Note the top vaccine has caused a ‘holocaust’ if you believe RFK Jr.

@LuFins-Dad said in Hey Aqua:

@Aqua-Letifer said in Hey Aqua:

I'll pay $7/month if he's willing to change it to just "YIKES"

How about $3/month for “Well, that’s an approach”

$1/month for any one of the following:
🫢🤣🤨🤪🥸🤭🤮🙄🤡