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Herc11

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Posts posted by Herc11

  1. 9 hours ago, Ethan in Cleveland said:

    Thats what I said. 

    If you are doing a thoracenteis the pleural cavity has fluid in it and thus there is room for the needle to not hit the lung. If no fluid there is precious little space between the pleura and the lung itself. 

     

    My bad, sounded like you were saying entering the pleural cavity causes a pnuemo

  2. 9 hours ago, BillsShredder83 said:

    Ok smartie pants!

     

    Then explain how women can urinate with a tampon in?!?!

     

    They just like..... push really hard?

     

    Or do they do it all out the same hole? The way that ducks and people from Australia do???

     

    Is it a cloalca? Hurry back, I have to sleep next to a woman tonight!

     

    IS 

    IT

    CLOALCA

    ??!?!

     

    Oh the anatomy of a female, especially a geriatric female. The horrors we see and.... Smell in the hospital 🤣🤣

    • Vomit 1
  3. 5 hours ago, Mr. WEO said:

     

     

     

    Tyrod was getting a thoracic nerve block, got a pneumothorax, which quickly and spontaneously resolves in most such cases.  The main impact that injury had was forcing the Chargers to come to grips with the reality that TT had no business being their starter when they had just drafted Herbert.  TT is still starting games in the NFL. 

     

    Pleural effusions are far more significant and secondary typically to a serious primary pulmonary or secondary abdominal process.  Pro athletes typically aren't walking around with these and even if he had one there's no chance an effusion would be drained outside of a hospital--in an NFL training room especially.

     

    No matter what adjunnt imaging a provider uses to inject local to do a thoracic nerve block, the risk of pneumothorax is never zero.  

     

    A nerve block makes sense, however, I have to ask, wouldn't a nerve block that high make quite a bit of that side of the thoracic area and abdomen numb? Also, which nerve are they targeting for this? 

  4. 10 minutes ago, Ethan in Cleveland said:

    Wrong.

    It shouldn't happen but the same thing happened to Tyrod.

    The pleura lines the thoracic cavity along the inside of the rib cage. When trying to numb the rib it only takes a small needle prick to go into the plural space and nick the lung. Then you get a pneuomothorax(collapsed lung). 

    That said people can get spontaneous pneumothorax as well. Usually tall thin women with or wolitgout underlying lung disease. 

     

    I know the anatomy of the thoracic cavity. I've assisted in more thoracentesis' than I can count. The pleural space isn't the issue. It's the lung tissue that causes a problem. You can't do a thora without entering the pleural cavity

  5. 26 minutes ago, Generic_Bills_Fan said:

    Can’t remember where I saw this but apparently the Steelers facility is attached to a very cutting edge medical imaging center where they could easily use an ultrasound when they do injections like that and I guess they just don’t?  
     

    I don’t know that it’s a tyrod Taylor type thing though 

     

    You really don't need cutting edge tech. I've seen dr's use their phones with an ultrasound attachment to find pleural effusions, visualize the heart, etc...

     

    We don't at bedside all the time. They locate a pocket of fluid big enough to safely drain, mark the spot, insert a needle with catheter until fluid begins to drain, pull the needle leaving the cath and wait until it's done draining. Pull the cath and all done. The margin for error is small though. Go to far and you cause a pneumo

    • Thank you (+1) 1
  6. 5 minutes ago, US Egg said:

    I experienced a sort of similar procedure decades ago, before MRI’s, that required precision and risks. Had to get myelogram injections in the ‘80’s, a spinal tap to inject dye into the spinal fluid. I had 3 done, one at a time, minimal pain med/anesthetic is given.

     

    Basically you bite the bullet as the needle is inserted in and hope no nerve gets knicked, which mine weren’t, but they do get touched, mine did. It shoots pain bolts down your legs and causes hard back spasms but you cannot move from them, if you do the dye can leak and cause unbearable headaches, though some sort of headache is typical as most do move a little, and laying flat for 24hrs. afterwards is common to relieve it.

     

    I got through it well and only had to lay flat for about 4hrs afterwards as I developed no headache at all.

     

    Ya, those headaches are typically a result of CSF leaking from the injection site. If it persists, they have to go back in and fix the leak

    • Like (+1) 1
  7. I HIGHLY doubt this had anything to do with pain killers being administered and "popping" a lung. You wouldn't be putting a local that deep and through the ribs. Locals aren't given that deep and neither are opioids or nsaids.

     

    Maybe he had a pleural effusion and they were doing a thoracentesis. That very well could have done it, and it happens more frequently than you would imagine.

    • Like (+1) 2
  8. 2 hours ago, DapperCam said:

    Can anyone explain the logic of not going for an onside kick at the end for the Bengals? I see two scenarios:

     

    1. You kick it away and if the Bills get a first down the game is over.
    2. You kick an onside kick, and if the Bills recover they need a first down to end the game.

    Seems like both scenarios are the same, with scenario 2 having the benefit of maybe recovering the onside (especially considering the snowy slippery weather).

    I thought the same thing. Why are you kicking it off to a team you haven't been able to stop? Also, you have a much higher chance at recovering an onside in those conditions

    • Agree 1
  9. 48 minutes ago, transient said:

    Actually Higgins, by his own admission, was evaluated multiple times for a concussion today and passed. Tua, on the other hand, didn't get evaluated until he got into the locker room at half time because the Dolphins staff was calling it a "back injury" and then basically ran interference for him on the independent consultant when they looked at the film.

     

    I know, it was just a joke. However, it was pretty clear Higgins smacked his head multiple times, even grabbing at his head while getting up. By Tua treatment, I mean that the team kept sending him out there with a "passed" e v a l

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