You must be an old soul.

These are horrible, horrible insults from a shit-stain of a person.

Dear god, the reference to having a soul is so grating. Probably because:

Probably won’t help, but you could try to explain to him that it’s not just the snoring, or the tiredness, it’s the very real risk of early death. Occluding your airway (which is what sleep apnea is), leads to low levels of oxygen which in turn causes increased pressure in your lungs. This leads to chronic lung…

Every time I hear that I think, “What time of the month? The time in which I’m appropriately enraged by bullshit? Nah, that’s pretty much just the entire month.”

Margarine tastes like sadness and regret.

Eh, the Eminem song still wins because it also contains the strikingly bad line, “Stare into my eyeball” (dude, no, that sounds gross).

I’ve never seen the first movie. Out of curiousity, could someone who has tell me how they address the fact that shocking someone in asystole (who is “flatlining”) doesn’t restart their heart?

Ooof. I started waiting tables at age 12 (lenient/exploitative boss). I haven’t had to wait tables in years, but experiencing the disgusting shit some men toss at you, even prior to being an actual teenager? I am so, so sorry for what you are going through. Castration fantasies are 100% normal, but make sure you have…

Removed because you answered my question in a different response below.

$50,000 per violation.

The problem with all of this is that it is straight out speculation. Sure, if it was an unnecessary pelvic, it was unethical. We have no idea if it was unnecessary, and the article is without any of the information we would need to determine that. Was the woman septic when she came in? She had syncopized at home - was…

That’s an intriguing idea, and one that I hadn’t thought of - I wonder where you’d try to get prostate secretions out of for testing after the reconstruction? In the ED frankly most of my prostatitis diagnoses are from symptoms, not laboratory tests or digital examination. Prostatitis would require a much longer…

I can assure you all ED doctors assume almost everyone is at risk for STI, regardless of gender, age, and sexual orientation. The first time I saw an 89 year old woman with florid gonorrhea firmly disabused me of the notion that I could determine who was at high risk of STI based on my preset ideas.

Thank you! There’s so much back and forth about the pelvic on this one, but I think the real takeaway is that saying shit like that to a patient, cis/trans, male/female, regardless, is completely inappropriate unless it is germaine to the issue at hand. I don’t quite understand why the pelvic was done in the first…

As a doctor I think you’re missing the point. You’re right, a pelvic examination is completely unnecessary to diagnose a UTI. It is, however, almost always necessary to differentiate between the many possible causes of lower abdominal pain and infection severe enough to cause syncope in a young woman. People do not…

Actually, a thorough pelvic examination should ALWAYS involve a digital examination. This is to check for cervical tenderness (sign of infection) and confirm the cervix is closed (sign of miscarriage, IUD loss...), as well as to check for ovarian tenderness or masses (neither of which can be assessed as all with a…

1. Logically, alkalinizing makes no goddamned sense, given the body’s regulation of pH (as many people have detailed below).

This is hilarious, and true. Every time my husband wanders by and sees me typing a reply to anything, he just shakes his head and sighs. This is why I comment maybe twice a week, and only on things I feverently hope won’t start a flame war. Kittens are soft? I 100% agree! Anything political? I’ll just mutter harshly…

Ironically my mother automatically takes these. I swear to God, every picture she’s taken of me in the last decade is me kissing my husband, my butt, or my butt while I kiss my husband. I have no idea how or why this happens. I’m overweight and definitely don’t have the kind of butt people seek out, and my (petit)…