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Joined 2 years ago
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Cake day: June 12th, 2023

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  • I’m actually feeling ok for just this one last night. I had a patient get more physically ill than they really should be on a psych unit but not so much I completely couldn’t handle it workout the charge nurse making all the phone calls. The patient was actually super grateful the whole time and their condition improved a lot which was a nice change of pace. Dayshift was pissed but not at me, and there’s just something deeply satisfying about knowing the hospitalist is about to get verbally fisted for not admitting your patient to medical (as they should, there was a lot more luck involved in my success than is generally advisable in a hospital setting). I’m really, really good at holding a crisis together until sunrise, but at my last job they forgot how good I was to the extent that they stopped realizing it was me putting all the fires out, and eventually they forgot the fires even existed. It’s only been six months so we’ll see but so far but them telling me the hospitalist boutta find out about our unit manager is… nice. It’s just nice.






  • I remember reading a paper on phage therapy ages ago. Iirc the implementation difficulty was that you have to culture the bacteria from the patient then use that culture to breed the phages. Culture & Sensitivity testing alone is already usually a 24h+ process and even a tricky sample collection process; at least when I was a phlebotomist 10 years ago it was the most complicated process I was qualified to perform.

    On the other hand phage therapy is great because you don’t really have resistance issues and they’re not going to be harmful to the person. Viruses are extremely host specific compared to bacteria so if they feed on a certain type of bacteria they’re unlikely to be or are even incapable of hurting a human. Vancomycin on the other hand requires regular peak and trough testing to make sure the person is getting enough to kill bacteria but not enough to kill the person.

    The issue being that in addition to the culture they then have to breed the phages with a sample of the bacteria collected from the patient. You could maybe develop a “library” of phages to try but I feel like you’d need to keep getting population samples because they’re that host specific. I’m also not sure how long breeding the phages would take vs how long it takes to test antibiotic sensitivity.



  • As others have stated, you’re still going to have to define dead, and you’re going to have to define the question of what happens. I suspect you may not actually have any specifications for either and are just having fun thinking up and about random shit (that’s not a dig; I share this hobby).

    But for the sake of further discussion, let’s add a few more specific (but non-limiting) questions just to help the discussion along.

    I’m going to exclude cases where they’re already deeply buried or cremated because the obvious answer is “stay there” with the exception of a purely magic related situation where their body just spontaneously recorporeates somewhere? What would be the social consequences to that, how would people react, and what would happen to any property they left behind? This actually raises a lot of other questions related to the social dynamics such as:

    • how would the people immediately around them react.
    • what proof would people need to believe it?
    • are they still on the hook for their student and medical debt
    • would it likely start a new religion and how would the existing religions feel about it from most to least happy?

    There’s also some physical questions such as how much skin, muscle, brain, and other organ breakdown would have occurred and which part would have the most damage.

    There’s questions about whether or not they’re likely to have experienced something spiritual (including what we DO know about near-death experiences like the commonality of a peaceful feeling or spiritual experiences.

    I gave no great answers to any of these and additionally encourage others to ask similar hypothetical details to ask about.