#respiratory

[r-ene]

08.17.23

>> day 11/100 days of productivity

this day's productivity was more on completing my team's research:

acknowledgements

technical revisions

progress report submitted to the university ethics committee

surprisingly, just these 3 resulted into taking up my whole afternoon 😅 but it was very nice to complete our thesis. we only need to publish it and display it in our faculty and library, haha

also here we have bobby, habitually laying down on the books i read.

[torturing-characters-101]

Hi, i wanted to ask something I had been curious about:

Why is it that in movies, when someone is wearing an oxygen mask, they either don’t speak, are discouraged to do so or have it taken off if they want to say something?

On a tangential note, when it comes to that other kind of masks used in non invasive ventilation, like bipap, can one speak with it on?

You can absolutely speak in an oxygen mask. Unfortunately, even in person people can have a hard time understanding what is being said through an oxygen mask. It's also hard to see the person's lips moving, so I assume it would be difficult to mic/film well.

Without knowing a lot about the sound technology of movie making, I assume this is just a choice so they don't have to dub over what is being said. It can also just add a little flair to the scene- he wants to talk so bad he's giving up his life-saving oxygen!

With CPAP/BiPAP type masks, it's kind of the same. People can definitely talk in them, it's just really hard to understand. This is because the masks are blocking some of the sounds, the machines are designed to force air into the person's lungs (so talking is harder than it would otherwise be) and the machines are noisy.

[milk-chip]

crippled complaint number 8,793: how fucking dare y'all get covid and not mask and not respect the people who say it could hurt them. I keep being fought on how I want to get out of our place for a bit because our roommate is covid positive and is not masking or being even remotely considerate of me or my immunocompromisation and I just can't even begin to deal with how unreasonable these assholes are!! "oh nobody in our family had a bad covid reaction you'll be fine" I GOT BORDERLINE PNEUMONIA FROM A RESPIRATORY INFECTION! GUESS WHAT COVID FUCKING ATTACKS!!!! ugh my dad literally told me the worst thing for me was going to be my anxiety. like?? really???? worse than my inconsiderate COVID positive roommate?????? I am gonna have a fucking joker arc I can't TAKE it anymore

[roleplay14]

He has a respiratory infection but he looks so fucking pathetic, it's adorable

[gsdcf]

Full PPE

only hold out for 1 h

[willowreader]

[blue-genes]

I have covid :(

This is why I don't interact with people.

[macgyvermedical]

Do you know anything about how you would've treated asthma in the 1930s?

The closest reference for this i have is from the 1950s, but with the exception of antibiotics I think this is probably fairly similar.

Asthma was understood as a consequence of 1 or more of 3 possible factors:

Psychological

Infective

Allergic

For psychological, which was really important at the time, you'd pretty much just use sedatives. For that we had barbiturates, ether, or paraldehyde, the former given as a pill and the latter 2 given as suppositories as needed. The goal would be to give a med that wouldn't depress respiration, but would cause relaxation. Morphine was not used for this, but codeine might have been. For reference, yes, barbiturates and codeine depress respiration, but I guess not as much as other stuff?

They could also do back rubs and foot rubs, and mustard plasters to try to draw the inflammation from the lungs to a different part of the body.

A note on sedatives/hypnotics: The more I get into 20th century medicine, the more I realize we probably don't do nearly enough for anxiety these days.

Back then EVERYONE was being treated for anxiety if they were sick. We were on top of that sh*t. While I don't think it's great to give everyone phenobarbital and chloral hydrate for a cold or after surgery, I also don't think we should be as stingy about antihistamines and trazodone as we are. Like, do you know how much better patients' lives would be if everyone got a PRN for benadryl or trazodone in the hospital if they wanted it? I honestly think hospital length-of-stays would go down. My hospital won't go further than 0.3 of melatonin

I think it would solve a lot of problems if patients could sleep (nearly impossible in a hospital as they stand without some kind of assistance) and have their anxiety controlled before it boiled over and required a sitter and chemical restraint.

But that's just me.

Anyway, on to infective. So in the late 1930s we had sulfa drugs, but not the heavy hitters like penicillin. Prontosil (sulfanilamide) would have likely been used for pneumonias at least in urban areas in the US and Europe, and assuming a bacterial infection, it probably would have worked to some degree (resistance would not have been a major problem at this point). If there were no signs of infection, or if it had been anywhere else, it would likely not have been used.

Allergic is probably the cause most associated with asthma today. In the 1950s it would have been treated with the new steroids prednisone and prednisolone. In the 1930s the best we had was epinephrine, ephedrine, and theophylline. The ephedrine and theophylline would have been given as a tablet, the epi would have been given subcutaneously or IM as a long-acting shot packed in oil.

Additionally, the advice to clean the house and stay away from triggers would have been given just as it is today.

Generally, breathing steam, giving expectorants like potassium iodide, and sitting in a comfortable position for breathing would have been common practice. Oxygen, if available was also given if the patient was cyanotic (we didn't have a way of measuring pulse oxygen saturation easily, so relied on physical signs of labored breathing and color changes).

[r-ene]

day 47/366

slept at 4 in the morning because i suddenly remembered for clinical research we have a much earlier final defense and since my rotation got moved to the 27th, i decided to plan our deadlines since personally, i feel i won't be able to face some duties as the group's leader once our internship starts bc im assigned to a hospital 3-4 hours away from home and i wont rent a dorm or what bc its super expensive in that area

what i did from 12MN to 4AM

planned deadlines

made a timetable

made a respondent list for possible respondents – figured we could start on this while waiting for ethics approval bc it takes 2 weeks to process, at least we could just send the questionnaire as soon as it gets approved rather than just start on looking for respondents after

made a checklist in my planner for things we need to do

studied until slide 20/70 of comprehensive pt assessment presentation

[medixic]

जुकाम में दवाइयां लेने से बेहतर है कि घर में रखी घरेलू चीज़ों से देसी इलाज करें क्योंकि ये शरीर को कोई नुकसान नहीं पहुंचाती हैं। तो आइए जानते हैं जुकाम से निपटने के कुछ देसी उपाय🔥

[malecprscene]

They are members of a popular new band and have many fans, but there are those who don't like their presence. One day, while they were practicing, a man threw a poisonous smoke bomb, causing them to be poisoned, thankfully the manager found out about it and immediately took them to the hospital.

Their condition was quite worrying because they experienced shortness of breath which was severe enough to make them use oxygen masks, except one, because he was in the kitchen getting a drink.

They are: Xion, Zergan, Kio and Bem

[help-im-a-medstudent]

Today I went in to do a cannula to find a patient only rousable to a VERY firm sternal rub (and immediately drowsy again), doesn't flinch when I take a blood gas, had been fine and eating lunch an hour previously.

No clear sign of why she had low GCS (normal gas, normal blood glucose, no falls etc)

Call consultant who comes and sees her 15 minutes later and she is awake and chatting away quite happily

Me:

[beccaplaying]

I picked up that terrible respiratory infection making the rounds and my blood oxygen dipped to around 90% so I got treatment and it's viral so no antibiotics but they gave me these magic benzonatate pills and I love them. Blood oxygen back to normal! So fucking grateful for medication. And good healthcare. I thought I was going to suffocate on my own mucus at one point - literally choking on it. And it's not even Covid!

Stay safe everyone! This is a bad one. Worth masking and frequent handwashing if you're traveling.

[willowreader]

A video explaing how respirators work. The science behind these masks is amazing. They will protect you from COVID and other respiratory diseases.

[postcard-from-the-past]

Building of the Outdoor School of Suresnes, made for children with respiratory issues

French vintage postcard

[thethirdbear]