Two Plus Two Publishing LLC
Two Plus Two Publishing LLC
 

Go Back   Two Plus Two Poker Forums > >

Notices

 
 
Thread Tools Display Modes
Old 02-25-2019, 01:00 AM   #8951
hobbes9324
veteran
 
hobbes9324's Avatar
 
Join Date: Mar 2005
Location: Reno
Posts: 2,872
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by jman220 View Post
There are so many things though on even just a day to day basis that extend the lives of super wealthy people. Just the fact that when you get sick and you’re super-wealthy, the doctor comes to you, instead of having to go sit in a waiting room and get cross-contaminated with everyone elses illnesses probably prevents a lot of complications in elderly billionaires.
If you can, pick up the book "Extraordinary Care" multiple case vignettes about wealthy/important people who got totally ****ed over/messed up/killed because they got "special" care. I'd note that for one Michal Jackson had a doctor come to him, and he couldn't have killed him more cleanly if he'd hit him in the head with a ****ing axe. I trained at Northwestern in Chicago - on the medicine service we started on the 4th floor and worked our way upwards. On 17 ( I think) was the high roller rooms - looked like Bellagio hotel rooms with all the med equipment cleverly hidden behind sliding panels - it's where the rich and famous went in Chicago to die. We joked that the motto for the operation should have been something like "Near a major medical center" because by the time we got there we were worn out and disinterested.

CT is the test of choice for sinus stuff, if for some reason you want to get one. Generally, you shouldn't unless you're looking for sphenoid sinusitis which is deep in the skull and potentially lethal. Frontal/maxillary sinusitis should be diagnosed easily by anyone beyond an intern by history and exam. How helpful antibiotics are for sinusitis is controversial, although from what I can tell evidence suggest that smokers benefit from antibiotics more than non-smokers.

Generally, if you're yorking up yellow/green/brown crud, and it lasts for more that a week or two a course of antibiotics seems reasonable. If it's clear/watery stuff, probably not. On occasion, people grow ****ing fungus balls in their sinuses, with all sorts of potential disasters possible. You can't actually "swab" a sinus in an office/ER anyway - the openings to the sinuses are tiny, and you'd just end up with a contaminated specimen from the oral flora anyway.

"I’m convinced folks who are comfortable financially, but not rich get the best care because they don’t convince doctors to do stupid things or bend to patients will in ways that aren’t in patients best interest. " - this is absolutely correct. It's also helpful to do what the goddam doctor tells you to do, also.

Lastly, if anyone is using those Neti pot gizmos, for God's sake use sterile/distilled water, not tap water - some poor ******* did, and got their brain eaten up by an amoeba recently.

MM MD

Last edited by hobbes9324; 02-25-2019 at 01:09 AM.
hobbes9324 is offline  
Old 02-25-2019, 01:44 AM   #8952
microbet
Solar Powered
 
microbet's Avatar
 
Join Date: Jan 2005
Location: SoCal
Posts: 54,391
Re: The Presidency of Donald J. Trump: State of Emergency

hobbes,

My grandpa used to snort salt water every day. Just salt and water in a cup, put in hands and snort it. Is that fine? Would you only do it with distilled or boiled water?

I had heard the Neti pot story and when I decided to try a salt water rinse (congestion headache) I just did it my grandpa's way instead of Neti pot (my wife got one some time back - hasn't used it for a while afaik). And I've recommended this to one of my daughters who frequently is congested and has had several sinus infections.
microbet is offline  
Old 02-25-2019, 01:54 AM   #8953
gregorio
Carpal \'Tunnel
 
Join Date: Jan 2007
Posts: 38,110
Re: The Presidency of Donald J. Trump: State of Emergency

I started using this after my transsphenoidal surgery on the advice of my otolaryngologist https://www.amazon.com/NeilMed-100-S.../dp/B000RDZFZ0. I use with boiled water ( but let it cool down first obv). If just using salt, I think you want non iodized, like kosher salt.

Last edited by gregorio; 02-25-2019 at 01:59 AM.
gregorio is offline  
Old 02-25-2019, 01:57 AM   #8954
jmakin
DoorDash Balla
 
jmakin's Avatar
 
Join Date: Jan 2008
Location: Streaming
Posts: 29,667
Re: The Presidency of Donald J. Trump: State of Emergency

Do NOT use anything except distilled or previously boiled water
jmakin is offline  
Old 02-25-2019, 01:57 AM   #8955
Lawnmower Man
Pooh-Bah
 
Lawnmower Man's Avatar
 
Join Date: Feb 2015
Posts: 3,774
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by hobbes9324 View Post
On 17 ( I think) was the high roller rooms - looked like Bellagio hotel rooms with all the med equipment cleverly hidden behind sliding panels - it's where the rich and famous went in Chicago to die.
Was imagining this:

Lawnmower Man is offline  
Old 02-25-2019, 01:58 AM   #8956
hobbes9324
veteran
 
hobbes9324's Avatar
 
Join Date: Mar 2005
Location: Reno
Posts: 2,872
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by microbet View Post
hobbes,

My grandpa used to snort salt water every day. Just salt and water in a cup, put in hands and snort it. Is that fine? Would you only do it with distilled or boiled water?

I had heard the Neti pot story and when I decided to try a salt water rinse (congestion headache) I just did it my grandpa's way instead of Neti pot (my wife got one some time back - hasn't used it for a while afaik). And I've recommended this to one of my daughters who frequently is congested and has had several sinus infections.
I would GUESS in theory that's OK as long as the salt content is high enough to knock off the amoeba but I have no idea what the % needed would be. I'd think it would be much safer to shell out a couple of bucks for a jug of distilled water. Interestingly enough, the critter in question is Balamuthia mandrillaris - every other case of amoebic encephalitis I'd heard of (and was taught about) was Naegleria sp. - nature has an abundance of ways to kill us.Naegleria tends to kill you pretty quickly - the Neti pot lady died months after her exposure.

MM MD
hobbes9324 is offline  
Old 02-25-2019, 02:16 AM   #8957
microbet
Solar Powered
 
microbet's Avatar
 
Join Date: Jan 2005
Location: SoCal
Posts: 54,391
Re: The Presidency of Donald J. Trump: State of Emergency

Ok. I'll tell my daughter to boil or get distilled if she does it and the same for me. I still would expect the risk is low, like orders of magnitude lower than riding in a car.
microbet is offline  
Old 02-25-2019, 02:16 AM   #8958
uDevil
Carpal \'Tunnel
 
Join Date: Jul 2003
Location: Not here
Posts: 6,941
Re: The Presidency of Donald J. Trump: State of Emergency

Can we really expect distilled water to be sterile? Boil that too, imo.
uDevil is offline  
Old 02-25-2019, 02:30 AM   #8959
dlk9s
Carpal \'Tunnel
 
dlk9s's Avatar
 
Join Date: Nov 2004
Location: Correct, as usual.
Posts: 22,491
Re: The Presidency of Donald J. Trump: State of Emergency

Wait until it cools off.
dlk9s is offline  
Old 02-25-2019, 02:32 AM   #8960
hobbes9324
veteran
 
hobbes9324's Avatar
 
Join Date: Mar 2005
Location: Reno
Posts: 2,872
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by uDevil View Post
Can we really expect distilled water to be sterile? Boil that too, imo.
On the one hand, we're all gonna die of something. OTOH, having your brain turned to jelly by a parasite seems.....bad.

MM MD
hobbes9324 is offline  
Old 02-25-2019, 02:34 AM   #8961
hobbes9324
veteran
 
hobbes9324's Avatar
 
Join Date: Mar 2005
Location: Reno
Posts: 2,872
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by uDevil View Post
Can we really expect distilled water to be sterile? Boil that too, imo.
In theory, distilled water should be sterile (or reasonably so - there are some odd forms of life that can tolerate boiling water, but AFAIK they're not pathogenic). You always have the concern about contamination after the distilling/bottling process, tho. If you're a belt and suspenders type, yeah, boiling before use would do the trick - but if you boil tap water you'd be good anyway.....

MM MD
hobbes9324 is offline  
Old 02-25-2019, 02:56 AM   #8962
uDevil
Carpal \'Tunnel
 
Join Date: Jul 2003
Location: Not here
Posts: 6,941
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by hobbes9324 View Post
In theory, distilled water should be sterile (or reasonably so - there are some odd forms of life that can tolerate boiling water, but AFAIK they're not pathogenic). You always have the concern about contamination after the distilling/bottling process, tho. If you're a belt and suspenders type, yeah, boiling before use would do the trick - but if you boil tap water you'd be good anyway.....

MM MD
Yeah. I'm sure it's good at some point but maybe not by the time I pick up a gallon container at the Walmart down the street. But then I played in the irrigation water as a kid; brain eating amoeba's probably not going to be the way I go.
uDevil is offline  
Old 02-25-2019, 04:57 AM   #8963
fxwacgesvrhdtf
Guest
 
Posts: n/a
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by will1530 View Post
They would have given you a sinus swab and taken a sputum sample, but only because you are a rich moron who is insisting on stupid tests. They would have given you the antibiotics before your test results came back. The odds of an unchecked bacterial infection rise dramatically as time goes by. Especially considering your kid had a negative nasal swab (assuming this was before you went to the doc and they knew about it). Doing tests that arenít going to change your care plan is what is moronic.
But, and hereís the key, arenít unnecessary antibiotics not a good thing for you? In general they **** up your system. Again, as a biillionaire, I get instantly tested and all the results get analyzed stat, what am I looking at, a few hours turnaround to culture everything? Iím not arguing with the treatment I received, Iím instead pointing out that with unlimited resources Iíd probably be treated differently.
 
Old 02-25-2019, 05:01 AM   #8964
fxwacgesvrhdtf
Guest
 
Posts: n/a
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by microbet View Post
Ok. I'll tell my daughter to boil or get distilled if she does it and the same for me. I still would expect the risk is low, like orders of magnitude lower than riding in a car.
The risk is low, but as I understand it that is one of the most terrible ways to die imaginable... Iíd rather go out in a car accident quickly any day.
 
Old 02-25-2019, 05:15 AM   #8965
hobbes9324
veteran
 
hobbes9324's Avatar
 
Join Date: Mar 2005
Location: Reno
Posts: 2,872
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by jman220 View Post
But, and hereís the key, arenít unnecessary antibiotics not a good thing for you? In general they **** up your system. Again, as a biillionaire, I get instantly tested and all the results get analyzed stat, what am I looking at, a few hours turnaround to culture everything? Iím not arguing with the treatment I received, Iím instead pointing out that with unlimited resources Iíd probably be treated differently.
To be clear (semantics) cultures generally take 48 hours or longer to result - you're seeing if anything grows out of a specimen you have take, whether blood, urine, throat etc.

Screening tests generally come back in 30 minutes to an hour or so, assuming you're running the test in an onsite lab - and some come back almost immediately, such as urine dip tests. In that case you are looking for a chemical reaction that indicates nitrites are in the urine - since bacteria make them but people can't, a positive reaction is generally an indication that the patient has a UTI. Other tests (strep, RSV, HIV) look for a particular antigen that the bug has on it's surface.

So even if Bezos demands his strep culture results right now, he ain't getting them....

MM MD
hobbes9324 is offline  
Old 02-25-2019, 07:33 AM   #8966
realDonaldTrump
WITCH HUNT!
 
realDonaldTrump's Avatar
 
Join Date: Jun 2018
Location: Golfing at Mar-a-Lago
Posts: 2,921
realDonaldTrump is offline  
Old 02-25-2019, 07:51 AM   #8967
realDonaldTrump
WITCH HUNT!
 
realDonaldTrump's Avatar
 
Join Date: Jun 2018
Location: Golfing at Mar-a-Lago
Posts: 2,921
realDonaldTrump is offline  
Old 02-25-2019, 07:53 AM   #8968
+rep_lol
El Guapo
 
+rep_lol's Avatar
 
Join Date: Sep 2013
Posts: 14,777
Re: The Presidency of Donald J. Trump: State of Emergency

you know nothing about what it means to do the right thing
+rep_lol is offline  
Old 02-25-2019, 07:56 AM   #8969
Money2Burn
Carpal \'Tunnel
 
Join Date: Jan 2006
Location: Misreading your post.
Posts: 12,634
Re: The Presidency of Donald J. Trump: State of Emergency

Quote:
Originally Posted by realDonaldTrump View Post
Bold move, Cotton. Letís see if this play pays off with African Americans.
Money2Burn is offline  
Old 02-25-2019, 07:59 AM   #8970
realDonaldTrump
WITCH HUNT!
 
realDonaldTrump's Avatar
 
Join Date: Jun 2018
Location: Golfing at Mar-a-Lago
Posts: 2,921
realDonaldTrump is offline  
Old 02-25-2019, 08:18 AM   #8971
amead
veteran
 
Join Date: May 2005
Posts: 2,472
Re: The Presidency of Donald J. Trump: State of Emergency

Trump has devolved into an adolescent girl who derives all of her self-worth from attention-seeking social media. Can you imagine what would happen if Twitter banned him? God that’d be incredible. He’d literally deploy the military to get his account turned back on.
amead is offline  
Old 02-25-2019, 08:24 AM   #8972
Kafja
adept
 
Kafja's Avatar
 
Join Date: Dec 2013
Posts: 956
Re: The Presidency of Donald J. Trump: State of Emergency

if he's that rustled by a pretty tame passing mention in spike lee's speech, imagine president big boy actually watching blackkklansman and getting to the end
Kafja is offline  
Old 02-25-2019, 08:41 AM   #8973
realDonaldTrump
WITCH HUNT!
 
realDonaldTrump's Avatar
 
Join Date: Jun 2018
Location: Golfing at Mar-a-Lago
Posts: 2,921
realDonaldTrump is offline  
Old 02-25-2019, 08:50 AM   #8974
weeeez
Pooh-Bah
 
weeeez's Avatar
 
Join Date: Jan 2010
Location: EU servers
Posts: 3,606
Re: The Presidency of Donald J. Trump: State of Emergency

Thank you for the bot that reminds people that this guy is still in charge.
The attention span of americans is about 2mins from any tweet or news, then amazing derails go on for pages about everyone childhood anecdotes and cooking advices.
You deserve this.
weeeez is offline  
Old 02-25-2019, 08:53 AM   #8975
realDonaldTrump
WITCH HUNT!
 
realDonaldTrump's Avatar
 
Join Date: Jun 2018
Location: Golfing at Mar-a-Lago
Posts: 2,921
realDonaldTrump is offline  

 
      

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Forum Jump


All times are GMT -4. The time now is 12:48 AM.


Powered by vBulletin®
Copyright ©2000 - 2021, Jelsoft Enterprises Ltd.
Copyright © 2008-2020, Two Plus Two Interactive