Don't even sweat it. Honestly, forget about those reference ranges for a second... I'm actually working on my own stuff right now, but if you're looking for answers on lab results, there’s already a massive megathread pinned at the top of the forum to help out.
Nah... we actually have a massive thread going specifically for finding doctors, so please just head over there and keep the conversation moving, otherwise I'm gonna have to lock this one up!
I’ve been getting a ton of private messages lately asking about all things anesthesia, so since this thread is sitting as a top-tema right now, feel free to drop anything you want to know about it right here...
If I’m tied up or one of the other mods can't get to you, just reach out to urbanscout50—anesthesia is actually his specialty, so we'll all be able to help you figure things out together.
The Council's mouthpiece, which basically acts as the pride of the American Mayo Clinic, just keeps fueling this pattern of religious bullying against American society and everyone living in it.
I mean, obviously, when a totally clueless publication grabs this fake sense of superiority they've built up here in the States and tries to meddle in things that have zero business being their concern, it’s no wonder any sane person would find it absolutely revolting.
It would be just as ridiculous if the Journal of the American Cancer Society suddenly decided they had the authority to weigh in on the existence of Jesus.
Anyway, this will probably be my last word on the matter here... Ivanicapeca, I am right there with you, and I totally get why you're reacting this way because, speaking as someone in the healthcare field, I run into these exact kinds of issues all the time... and honestly, from my side too, a massive "to hell with them" for being so self-absorbed, malicious, and just plain dim-witted! This whole trend of the church constantly pushing its nonsense is truly the absolute bottom of the barrel for our society today.
Screw them!... If Beard were to descend from above right this second... he'd send that entire bunch of malicious people hiding behind the cross straight to a BBQ hosted by Horned!
wearygardener19 said:@Scott Allen10/">@@Scott Allen10, I’ve actually wondered about this forever—maybe you have some insight—why doesn't this exact same thing happen when the mom is type O and the baby is A, B, or AB? Logically, it feels identical since we're talking about a marker the mom lacks but the baby has. Why isn't there the same reaction? It seems like how you can't receive blood during a transfusion if it has an "extra" component you don't have, whether that's the Rh factor or one of those ABO letters. I've been curious about this since I was a kid, and nobody ever really gave me a straight answer. 🤷
Man, I totally blanked on replying to this, so here it is a little late...
The truth is, that exact situation definitely happens, and we've seen hemolytic reactions and all sorts of complications from ABO incompatibility between a mother and her baby.
It's honestly pretty tough to give a simple answer because there's so much deep immunology involved... but let me try to break it down simply...
With Rh(D) immunization, the body produces IgG antibodies, which are tiny enough to slip right through the placental barrier without any trouble... but with ABO immunization, the body makes IgM antibodies, which are way too big to cross that barrier easily, so it's super rare for them to get through... That doesn't mean it's impossible, though. The most critical moment for immunization usually happens during delivery, specifically when the placenta separates from the uterine wall. That's why the first pregnancy is generally safe—the mom hasn't been sensitized yet, so she doesn't have the antibodies ready to go. But if a mom has already been immunized and then has a second baby with an incompatible blood type, a hemolytic reaction—and a really serious one at that—is absolutely possible. There's a whole lot more to it, but I feel like I'd be getting way too bogged down in the weeds if I went into every single detail... Basically, just like with the Rh(D) system, immunization and hemolytic reactions are possible in the ABO system too, it's just that for a few biological reasons, it doesn't happen nearly as often...
Personally, I feel like a patient’s right to privacy—having some actual dignity during an exam and not feeling like they're being stared down by a dozen sets of eyes—should always come before a group of students getting a front-row seat to their business.
The prestige of the hospital or medical school doesn't change the ethics here. A doctor should be asking for consent first, plain and simple. If the patient says no, then the students need to just step out and that's that.
In my experience, if you look at a hundred people going through exams, maybe 10% might actually say no to having students in the room. So, honestly, no student is going to miss out on a life-changing lesson just because someone decided to keep things private behind a curtain once in a while.
When it comes down to pure precision, you don't see people running a classic EEG with all those wires looking like a floral arrangement on someone's head during surgery anymore. Instead, we usually rely on depth-of-anesthesia monitoring, specifically using things like BIS (bispectral index) or Entropy monitoring. Basically, you just stick a sensor patch on the patient's forehead. That little patch uses a few different variables—including the core EEG signal—to track how deep the anesthesia goes. Whether you're looking at BIS or Entropy, you get both a visual graph and a number from 0 to 100. A 100 means the patient is wide awake and conscious, while a lower number shows they're drifting deeper into sedation or anesthesia...
Back in the day, because BIS required its own dedicated machine, it wasn't really a go-to everywhere. But nowadays, most monitors are modular, so you can just plug in a module to handle BIS or Entropy, which is why we're seeing this method become way more common in American hospitals lately.
Obviously, this stuff won't mean much to the old-school anesthesiologists who learned the hard way, but the younger generation will be living and breathing this tech in no time...
John Barnes said:I’m a high school senior, and about a week ago, my school held a vaccination clinic. I didn't get vaccinated. At first, I just told them no, but then I made up an excuse about having a fever, and they bought it, so I managed to dodge it for the moment.
Now, I’ve received a notice stating that I have to go to a nearby city to get vaccinated, otherwise, I'll face a fine from $333. Honestly, what kind of nonsense is this? How can anyone be forced to take a vaccine when we don't even know what's in it—especially with all the swine flu concerns lately? I refuse to get vaccinated on principle. Once things settle down like they did with the bird flu, maybe I'll consider it.
Now I’m stuck. It looks like this is actually mandated by law, so I’m wondering if there is any way to avoid this vaccination entirely? Is there a way to bypass it without facing a fine or, heaven forbid, jail time? Since I'm an adult now, I need to know my standing. Can someone offer some advice or perhaps provide an excerpt of the specific law if it exists? Because it seems pretty clear that it does.
Thanks,
edit: I did some digging online and found out that this vaccination is regulated by a specific statute. Apparently, the penalties could include $667, and they can even initiate misdemeanor proceedings or report me to public health or social services. So, the question remains: how can I avoid the shot without paying a fine? And if I do pay the fine, is that the end of it, or will more trouble follow?
You can find all the answers to those questions you were asking in that Alternative PDF; there’s at least 20 pages of deep dives in there if you really want to get into the weeds.
Honestly, it’s just kind of ridiculous to see people heading over to Reddit to hunt for advice on how to dodge the standard vaccination schedule just because they're obsessed with some weird James Dean principle or whatever.😕...
urbanscout50 said:It wasn’t that Michael Jackson was crazy for picking propofol; he just totally botched the choice of doctor. If he’d gone with a proper anesthesiologist instead of some cardiologist, he'd still be with us today.
😂😂😂
I think we can all pretty much agree there's this whole messy pattern where people end up in a bad way because they make the exact same kind of call that M.J. did...
stormymaker24 said:So I’ve been wondering lately, when we actually have an anesthesia specialist on hand here 😁
how can you even tell if an anesthesiologist is actually any good and going to look out for you?
Lisa Young83 said:Where can I find a list of the budget-friendly anesthesiologists? Or maybe a blacklist of the ones I should definitely steer clear of?
I feel like I could jump in and answer this like Oprah before Dr. Phil even shows up...
Honestly, trying to figure out who’s a pro and who’s just coasting is tough because there isn't some public rating system; your best bet is really just finding an "insider" within the hospital scene—someone who actually works in the OR or even the surgical floor. Anesthesiologists are basically the unsung heroes working in the shadows, and like urbanscout50 always says, most people have zero clue who was actually monitoring their vitals, keeping their blood pressure steady, and managing their breathing while the surgeon (who you probably already did your homework on) was busy cutting and stitching... Since they work behind the scenes, you really have to lean on those insiders to get the real scoop on who’s reliable.
If you happen to have your heart set on a specific anesthesiologist that everyone raves about, your only real move is to talk to them directly beforehand, explain what you need, and see if they can coordinate their schedule to be in the same operating room as you that day.
I'm tweaking the title because I want this thread to turn into a go-to spot where we can dive into all those random questions about anesthesia. urbanscout50 is going to be our resident expert, trying to carve out some downtime whenever he can to help us out.
Think of it like Dr. Phil on The Tonight Show...🧐...while I play the part of Oprah...🙂...😍
If you're ever looking to pick someone's brain about anesthesia, urbanscout50 is hands down the guy to ask. It’s honestly wild how many doctors out there—even the ones working in massive hospital systems—barely know the first thing about what goes on with anesthesia... it's pretty obvious that a post like the one above could only have been written by a real specialist.
I really hope he keeps hanging out and chiming in on our discussions here.
Richard Moore73 said:I've got this one pharmacy where they don't ask a single question, so I can just grab as many boxes as I want
Wait, so you're telling me at Sanval the pharmacists just let you walk out with whatever you want? Like, four bottles a day? Come on, man, save those fairy tales for someone who actually believes them!☕