• 2 Posts
  • 27 Comments
Joined 1 year ago
cake
Cake day: June 15th, 2023

help-circle






  • Idk if this is the textbook answer, but what I personally use them for most often is for catching fluids during a washout.

    Say your thigh has a nasty infection - like a deep wound, pus all over, tissue is dying, not a good time. So you get sent to the OR, where we’ll irrigate the fuck out of it, trim out all the tissue that looks like it’s dying, then irrigate the fuck out of it again, then irrigate some more. We’re talking like 5 liters of saline being shot into your wound and allowed to just flow right back out. If we let that just hit the floor, we’d be ankle-deep in a coctail of saline, blood, pus, and whatever pathogen is causing the infection, so enter the kidney basin: the curve shape allows it to conform to the curve of your leg, so if I hold that below your wound while the surgeon is blasting it with saline, it’ll catch the mess before it hits the floor. I’ll generally hold with with my fingers wrapped around the bottom of it and thumb around the inside of the basin; that way I shove a suction tube between my thumb and index finger so that the tip of it is resting at the lowest point in the basin. So, as nastiness falls into the basin, it’s immediately sucked up out of our sterile field.

    Other than that, I like to put all my fine/sharp instruments in the kidney basin at the end of a case, shove the basin full of sharps into a side of my instrument set, pack the other instruments around it, and send them to our sterilization department like that. That way whoever gets my dirty set in decon can very clearly see where all the sharps are, so they don’t get stabbed when they’re sorting out and wash all the instruments. Some techs will just dump all the dirty shit into the tray with no logic or organization, and it all just looks like a bloody metal birdnest, which is a fucking nightmare to deal with in decon (I used to work in sterile processing, so I know the pain).
















  • ‘point chasing’ e.g. karma farmers on reddit is fucking stupid, but I find the metric useful on an individual post. I think of them like an online extension of a facial expression: if I read a post attempting to explain something, and it’s got way more downvotes than up, the kinda tells me the poster is full of shit, which is especially useful in threads where I don’t know enough about the topic to actually identify the bullshit myself. Like a flat-earther trying to give a lecture to an auditorium of booing geological scientists - my clueless medic ass is going to be gauging the audience as much as the speaker.

    Or, say I post some joke: if it gets a lot more upvotes than down, that tells me other folks folks got a kick out of it.

    It’s just another tool to communicate - and communication is hamstrung right out the gate in a predominately typed medium, so I’ll take the crutch.