Comments by "Stephen Villano" (@spvillano) on "Chubbyemu" channel.

  1. Back when I was working a long gig at TUH, a radiology department "Case of the week" image of a neonate was posted on the board. Classic gassy abdomen. The department head noticed my looking at the image, a few comments back and forth and I asked if the child survived beyond 12 hours. Pretty much 12 hours precisely. I suggested imperforate anus. None of his residents recognized what was going on in the image, so doctor asked me to give a presentation on that case, as I was correct. Thanks to insurance companies requirements for rapid discharge, the infant had never passed a stool and was incapable of doing so, obstructing the bowel, resulting in ruptured intestines. What captured doctor's attention was my sad shaking of my head when examining the simple x-ray. Totally preventable, still haunts my many nightmares. The irony is, I was there as an IT guy. But, I was also a military medic and trained in basic x-ray reading and that particular case was one I bumped into during study.
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  2. Heh, my wife used to joke that I'm too lazy to have an affair. I'd reply, "There is no man lazier than a man too lazy to go fishing and I am that man!" We also used to do "The Lockhorns" numbers at parties.
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  3. You can see it, if the burden is high. If it's a lighter infection or early on in the infection of the animal, the fewer cysts could be missed. But then, that's also why we were taught to cook pork well.
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  4. Haven't looked up the citation, but if I was the dad, I'd write up the case.
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  5. Had some junior soldiers decide to mess with my constantly present thermos of coffee. I pretended to not notice the hot pepper sauce dumped into my coffee. So, I picked up some indicatorless OC spray, bathed the thermos with it, allowed the solvent to evaporate, leaving a fine film of OC over the thermos and only handled it with gloves on. The next time they messed with it, well finger oils are solvents, the OC adhered to their fingers and people love to touch their faces and especially eyes. Getting the crap off of the thermos was annoying, but the lesson was learned not to screw with Sarge's shit. Instead, got comms cables switched around, they got batteries disconnected, just regular pranks.
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  6.  @saikirannarayanaswami1618  there was a very similar course with a patient, where the treating physician's prognosis in the chart said, "The prognosis for this patient is horrible". The patient worked at a dry cleaners and had brought home some dry cleaning solvent, carbon tetrachloride. Said patient then dutifully began attempting to remove some stubborn carpet stains without adequate ventilation or respiratory protection, inhaling the fumes. Same course, as it destroyed his liver. The moral of the story, enjoy a chemical free life and only enjoy purified vacuum. Or, don't screw around with toxic chemicals. I recommend the latter, given the really bad smell of a hard vacuum. ;)
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  7. They can go with $9 every day or enjoy OSHA shutdowns, fines and being prohibited all federal contracts. I suspect they'll go with the $9. Retired Army and cleared DoD contractor here. I'm very diplomatic about safety, "do you want me to shove that missile up your ass sideways, the fire the high energy igniter?", they universally go with safety. Probably because the missile is longer than they are wide...
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  8.  @killpidone  well, she did promise to take care of him. Just not quite in the way that he expected.
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  9. I lost my wife of over 41 years to sepsis, rapidly advancing from a dental infection on a weekend. Within around 6 hours of initial pain, she had died while I was outside having a cigarette. Initiated CPR to no avail, while on the phone with 911. Brief interruption to open the door for law enforcement, who ran and retrieved his AED to no avail. EMT's arrived, took over compressions to no avail when the paramedics arrived and plugged in the monitor. No pattern, not even pulseless electrical activity and I recommended discontinuing CPR (old military medic here, I know those monitors and treatments intimately). They continued for another 20 minutes, then called the hospital for the code to be called. Four hours earlier, she'd helped me carry in $400 in groceries. Couldn't eat for a week, as every time I saw that food, I saw her carrying it inside for me. Two weeks of nightmares of her ribs fracturing under my compressions.
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  10. ​ @SuperLordHawHaw  it teaches the meaning of the root words. Be happy, I usually add in a tidbit as to the origin, Greek or Latin. Leaving students to seek out safer inhalants, such as CN compounds. ;)
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  11.  @BreakTheCode115  that isn't a one, it's an entire class of compounds of mercury that integrate carbon, hence organic. In the case you're speaking of, I mentioned Doctor above. She was the case that died from methylmercury drops on a latex glove. She was pretty much the world's leading expert in mercury compounds.
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  12. I watched a friend go into respiratory arrest from huffing nitrous oxide. Got him breathing again and during the mess decided, NOPE!
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  13.  @RainboomDash  indeed, with unwashed contaminated lettuce, all she did was incubate the bacteria in a nearly ideal culture medium - the meat.
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  14.  @NateB  given that the video related that it was an Asian country, there's a good chance that there was no no fault divorce option available. But, thank you for playing US law is universal law, please play again. But, given the region, I suspect his fate was dire, as murder is seriously frowned upon in most countries and in that region, the death penalty is available in many nations. And while he was a wronged party, murder isn't a civilized option in that scenario.
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  15. Dr Karen Wetterhahn taught us well, complacency kills, assuming protective measures are effective without testing kills.
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  16.  @deaddan2148  dunno, smart would be not getting caught and executed in my book.
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  17. Me: Activated charcoal to the esophageal region and stomach, then gastric lavage, while also intubation and supportive therapy. And 1e^77 Our Fathers and Hail Mary's, of whatever faith that you follow equivalent. Surfactants and oxidants are nasty species. Nasty, as in, better to get into naked polar bear wrestling in the polar bear's habitat, while it's hungry and has young to guard and provide for. It's nearly as bad as the worst chemical exposure possible for humans, HF exposure being worse and that stratified field is rather rare, overall, for the average populace (HF can be found with "Halon" fire extinguishers, once it meets a fire and as most operators will forget proximity warnings, be fired into the fire and sit there to breathe in a very nasty chemical).
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  18.  @nagato2k633  I have two addictions, nicotine and caffeine.If I stop cold turkey, damage to my heart from a heat stroke sends me into v-tach, which can easily lead to v-fib, then on to that dead thing. So, if I'm to quit, I'll want a cardiologist monitoring. When I was hospitalized for a severe thyroid storm, doctors came to swiftly agree, once the PVC's started to pile up.
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  19.  @trueheartintent  well, not only mice. Occasionally, it's with dogs or even primates for some drugs that interact much differently in mice than in primates. I remember one drug write-up that discussed an increased incidence of testicular cancer in male beagle dogs, which was never reflected in humans or well, any other species or canine breed.
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  20.  @EmeraldEyesEsoteric  that'd be like avoiding ham or turkey on our winter holidays. It's a traditional staple. It's literally like telling some Italians to never eat baccala ever again, just ain't gonna happen. Better enforcement and inspections by the national government in those locations would be far better, so that dodgy sources are removed before finding a consumer's dinner table, which is how we addressed that very same problem in the west.
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  21. Well, strychnine is natural. Comes from seeds from a tree. Arsenic is natural as well, doesn't mean I drink water laden with it or chew the shit. Wild boars taste good, preferably after being killed and butchered, otherwise they don't taste all that great. My cat's foot is natural as well, not the best thing in my mouth in the middle of the night. Although, I suspect she was objecting to my snoring.
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  22. Nope, usually either Taps plays or the theme from F-Troop, both quickly confirming the bad idea and I desist. Likely, why I'm still alive today. Despite my worst efforts to the contrary. ;)
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  23.  @sheisofthewoods  both use pressure canning, some will even use refrigeration. Depends upon the sect and their adherence. I've a bit of a clue on that, they are just down the road from here. If it's acidic or sweet, they'll water bath it, otherwise it's pressure canned.
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  24. Remember, the VA budget was cut every year I served, from 1982 through the first year and a half of our GWOT. Hence, they ration sparse tax dollars and it's now purely reflexive actions from the privations of those decades. So, put the blame on Congress and the taxpayers, who whined about their tax rates, to hell with the veterans. Whenever you hear how "The troops are #1", realize that it's the third digit being raised. Around a decade before the GWOT began, I had a clinical rotation through a VA hospital. Most of my time was spent on the oncology ward, with every patient being on the DNR board. Some were so ill that they required a flotation bed to prevent pressure ulcers, but had to be authorized by a board, as there wasn't enough money to get the number of those specialized beds for all of the patients that needed them.
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  25. He'd have had one consequence. No more worms. I've taken ivermectin for a parasitic worm infection some years back. The only issue was some modest mental confusion issues toward the end of treatment, although I understand that the worms had some very severe, fatal issues involving a sewage treatment plant.
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  26.  @AnymMusic  well, there is Mercury the planet, Mercury the old space program and ethylmercury, as well as dimethylmercury. The ethyl variety was known as Merthiolate or the preservative thiomersal, which is rapidly removed from the body. If you're into art, remember the shade vermilion? Mercury oxide, which is also fairly toxic. Don't get me started on how often as kids, we played with regular mercury metal. Back then, nobody thought it could be harmful. Of course, that's back at the beginning of the ice age... As near as I can tell, it was an absolute miracle we didn't manage to kill ourselves back then! The only times I came really close was in the Army and that was during a war, where some really unpleasant people objected strenuously to our very existence. They're quite placid now.
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  27.  @mina-xt1mj  chuckles remembering SPO2 83 - 85 on room air, tachycardia, severe hypertension, lungs with minor collapsed pockets and pockets with fluid. When notified of my thyroid storm, I said, "Thank God it's only a form of CHF!", words I never thought I'd ever utter. Our youngest was hospitalized at the time for COVID-19 and due to metabolic issues associated with her PCOS, wasn't doing well. All, because the COVID floor she worked on became lax on protocols. Convalescent serum quickly put her on the mend. Addressing my thyroid storm sent me on the mend. COVID-19 would kill me and my wife, so mask up and avoid being tripped with my cane - repeatedly, folks.
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  28.  @mayuko7042  I don't think anyone hear understands Klingon.
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  29. Can't possibly be that! Still, let's just take a look... Sumbitch, it is! Son, hope you don't mind, we'll be writing a paper about your dumb ass...
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  30. For seriously neutral PH foods, I also goose up the cooking time. I'll can quart jars of pasta sauce with meat, that's after cooking and still quite hot, 15 minutes under pressure. For green beans and other fairly neutral vegetables, I've gone up to a half hour if they were fresh and cooked in the jars under pressure. Better mildly paranoid than a whole lot fouled up!
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  31. What makes this mixture worse is, promethazine (AKA Phenergan) is, it potentiates opiates and opioid, as well as possessing weak pain relieving properties and antihistamine activity. Great Swiss Army knife of a drug limited facility, but chronic use has to be avoided. Hopefully, whoever prescribed such a toxic load for had his or her medical license withdrawn for cause!
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  32.  @metallicarchaea1820  and every microbiologist on the planet is covering for them because of hand wave, right? Thank you for the disinformation!
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  33.  @therabbithat  sodium metal isn't exactly fun to juggle either. ;) Interestingly, it wasn't all that long ago that mercurochrome and merthiolate tincture could be found inside of household medicine cabinets. Of course, those largely went away around when leaded gasoline and paint went away. Although, one can still get leaded gasoline for aircraft, as an equal or superior substitute hasn't quite been found.* *Note that I said gasoline, as in aviation gasoline, totally different beast than kerosene that's jet fuel.
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  34. It's fairly well published all over the internet that nicotine for vaping especially is a deadly poison if mishandled or abused. There are plenty of US cases where nicotine poisoning has occurred just by careless handling, as it passes through the skin somewhat easily.
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  35. Maybe, but with the incessant slamming, he'd first have to recover from a comminuted skull fracture.
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  36.  @ferreroman2913  true. My first thoughts were, salicylate toxicity, but couldn't recall if it was in the ointment that was indicated. It's a common ingredient, as doctor mentioned and if recognized late, is terminally bad news for the patient and family. Other toxins to mitochondria can cause malignant hyperthermia, in short, a dangerous to fatal fever, salicylates block that method of energy production and hence, part of why they lower fevers in therapeutic doses. Remember, the dose makes the poison - too much of a good thing can and will kill.
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  37.  @Elora445 I actually was lactose intolerant at birth, that went away, then returned after my gallbladder was removed (that's a complete mystery here, as lactose is produced in the intestine, so totally weird). Long and short, I'd give laban or kefir a shot, as the bacteria consume the lactose completely and I've yet to see a lactose intolerant person have a problem with either. Your mileage will likely vary, as individuals are different. One upside to the 9 months that I was intolerant after surgery, got to fall in love with goat milk. I'll treat myself to some around once a year. One warning there, it's fatty as all get out. Cow milk is around 4% fat, goat and sheep milk is much higher in fat. Oh, I also use kefir in place of buttermilk, as both have lactic acid from bacteria and impart quite similar flavors with a bit less fat.
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  38.  @HappyBeezerStudios  my wife died six hours after her wisdom tooth started hurting, as she went septic. Her immune system was quite good, given she was just diagnosed with lupus, an autoimmune condition that attacks the body. The antibiotics are automatically prescribed - especially for wisdom teeth like mine, which have to be surgically removed. It's not like they're able to sterilize a human mouth!
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  39. Another common cause of botulism in small children, especially infants is from honey. The bacteria proliferate in their underdeveloped intestines and poison them. Another common in newborns, from the umbilical cord stump, although that's much less common in the modern era.
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  40. ​ @SOSPainting  nah. He's got the same loaded gun. He just lucked out by having a worn out firing pin.
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  41. Soy sauce salted, with extra salt, with additional salt. Boy, did my blood pressure skyrocket! Worse, no garlic, which is absolutely a sacrilege.
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  42. I've been wracking my brain trying to remember hypernatremic changes in the ECG pattern, but all I can remember is non-specific intermittent T wave inversions, which are both rare and only in extreme cases. That makes it a rarity in electrolyte imbalances where the heart isn't telling on the patient. :/
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  43. I suspect that's covered in medical schools now, as all of the younger doctors I've dealt with incessantly would start to try to Goober things down for me, right until I began talking shop with my physician. I've also had intelligent conversations with pharmacologists about various drugs over the years. Learned all of that while I was in the Army.
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  44. I've an odd pica effect. Wanting to rotate diet incessantly. So, I've still Thanksgiving dinner in the fridge and clams and linguine sitting happily alongside, each in rotation with other dinners. And a hint on rotation, ranging from veggie burgers to a love of fish. If it ain't moving, I'll eat it, if it is, I'll get a bite on the run. For ramen, some green beans in a can and drained works, an egg adds to wealth. Rice and everything in the leftover tray works great. Been poor, won the title, survived is the real title.
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  45. Had an aunt I never got to meet. She died of the sequelae of meningoencephalitis, years after.
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  46.  @Puppies03b3eleyyBalenciaga  it's RX limited in quantity dispensed by law now. I've used it in the military to treat recalcitrant cough, with doctor cosigner, which says how rarely I suggested it for a patient. It's way too much like giving a kid a loaded gun...
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  47.  @silent_stalker3687  the majority of antivaxxer nonsense isn't spread on college campuses, but on the internet with those who don't know better.
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  48.  @LQOTW  PFM. Pure Fucking Magic, as there's no other possible mechanism for such activity.
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  49.  @YevhenRawrs  put the blame where it belongs. I served from 1982 - 2010 and each and every year the VA budget was first in getting cuts by Congress in response to taxpayers complaining about their tax rate. That counts our first 18 months and change of our GWOT. So, wanna place the blame? Look at Congress and use a mirror while you're looking.
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  50.  @Canleaf08  Gwyneth is well documented, complete with video, of saying that anything natural can't be harmful. Frankly, I'd happily invite her to sit upon a 30 pound mass of purified U-235, with a fine neutron reflector as a seat. We'll discuss it farther in whatever orbit she ends up in.
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