Random Thought Thread

fnordmorph said:
I can tell you how *I* get the bleeding to stop... direct pressure. If that doesn't work, direct pressure over a lidocaine/epinephrine compress. If that doesn't work I usually just give up and sew it.
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The doc who stitched me up had a hard time getting the bleeding to stop, and commented on it a few times while putting seven stitches in one finger, and six in the other. Asked me if I was on blood thinners...I told him I took some fish oil is all.
 
Lorien said:
a reminder- the USA is the wealthiest and most powerful nation in recorded history.
I mean, WTF?
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People with means still fly to the US for healthcare. You can thank the politicians, the insurance companies, and the hospital corporations for the mess we are in. Doesn't help that there are many millions of people here "visiting" who use the ER and can't be forced to pay. We, the people, foot those bills as well, just not in taxes like other countries do.
 
Blues said:
How do you get the glue to set when you're bleeding like a stuck pig? That's the reason I went to the ER for stitches last go round.

(Plus the wound was on two fingers of one hand, I'd not have been able to apply it myself, and I doubt the missus would be inclined to do it for me.)

I like the concept though. Just haven't tried it.
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This is a good question and I should elaborate on my use of super glue

The super glue that you and I have from the store is not exactly the same as the stuff they use at the hospital and should not be used down in the wound.

I apply it to a cloth Band-Aid and use it to hold the wound together, similar to stitches

Most cuts will eventually stop bleeding on their own. They say you can use visine in a wound to stop minor bleeding if it keeps oozing.

The super glue bandage will fall off in about 3 days but it takes about a week so you have to reapply it once. You have to be very careful when taking it off to replace it because the wound is easily reopened after only 3 days.

You can soak the glue in really well and form kind of a hard shell that helps protect the wound

This is particularly useful on fingers

Obviously, you have to clean the wound very very well very thoroughly because once that super glue goes on, there's no good way to clean it and you don't want to trap an infection. I scrub the wound out with soap and water and then apply isopropyl alcohol.
 
Regarding the system and charges...

When I started my career working for the gov't in my mid 20's, (back in the 1970's), a local dentist wanted to charge me something on the order of $700 plus for a root canal, crown and some repair to a tooth. I couldn't come close to making that fit my budget. That was a lot of money back then.

I went to the NYC Health & Hospitals run neighborhood clinic in the impoverished section of Brooklyn I was working in at the time, and they said that based upon my income, (they verified with a pay stub), it would cost me $12 per visit no matter what medical or dental treatment I received at any visit.

The two African-American dentists I was assigned, both of whom had Afros, looked like Barry White, and smelled of the cigars they enjoyed, told me that I didn't need a root canal or crown, did some drilling, put in a post, filled it back up and it held without incident for about the next thirty years. Go figure. Those were two of the coolest healthcare providers I ever met.

(I went back to the original dentist to tell him I had gotten a second opinion and it cost me a total for $24 and two visits to get my tooth fixed. His comment? "It's highly irregular to get a second opinion on a dental procedure." I told him to pound sand and that I wasn't paying for his fancy consultation he had provided during the up-sell.)

The weirdest, (and sort of sad), thing was that I was about the only person who was employed that visited that clinic. When they sent me in to see the dentists, I told the receptionist that there were people ahead of me in the waiting room. She said "You have a job to get to, they don't." I was reluctant, but she insisted, Nobody seemed to mind, (I was also the only person that looked like me and thought I'd get lynched. Nobody batted an eye.)

Haven't thought about that experience in many a moon.
 
Nathan the Machinist said:
This is a good question and I should elaborate on my use of super glue

The super glue that you and I have from the store is not exactly the same as the stuff they use at the hospital and should not be used down in the wound.

I apply it to a cloth Band-Aid and use it to hold the wound together, similar to stitches

Most cuts will eventually stop bleeding on their own. They say you can use visine in a wound to stop minor bleeding if it keeps oozing.

The super glue bandage will fall off in about 3 days but it takes about a week so you have to reapply it once. You have to be very careful when taking it off to replace it because the wound is easily reopened after only 3 days.

You can soak the glue in really well and form kind of a hard shell that helps protect the wound

This is particularly useful on fingers

Obviously, you have to clean the wound very very well very thoroughly because once that super glue goes on, there's no good way to clean it and you don't want to trap an infection. I scrub the wound out with soap and water and then apply isopropyl alcohol.
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I personally recommend against isopropanol (and peroxide). Soap and water, more water, more water, a little more soap, mechanical scrubbing if needed, and more water. The solution to pollution is dilution (at least in this case).

The superglue soaked bandaid thing is an interesting approach, except for the part where you try to peel the bandage off without opening the wound. I use medical cyanoacrylate when I have it (dermabond or skinstitch) and it does work a little better (and probably stings less), but I have used regular OTC superglue on many wounds at home. You can buy dermabond on amazon, but because it's medical, it's stupid expensive. Both really only work well on wounds where you can get the edges together cleanly (like knife wounds). You want most of the glue on the surface of the skin, spanning the wound, and as little as you can manage in the wound (it does hold the wound together there but it probably delays healing if there's too much of it). I don't see much advantage to soaking a bandage with glue as far as glue going into the wound, and the disadvantages of not being able to see the wound (to look for infection) and risking reopening it when you remove the bandaid are significant. Also, you can absolutely use regular superglue to reinforce a wound that was initially closed with tissue adhesive.

I should probably shut up now.
 
fnordmorph said:
I personally recommend against isopropanol (and peroxide). Soap and water, more water, more water, a little more soap, mechanical scrubbing if needed, and more water. The solution to pollution is dilution (at least in this case).

The superglue soaked bandaid thing is an interesting approach, except for the part where you try to peel the bandage off without opening the wound. I use medical cyanoacrylate when I have it (dermabond or skinstitch) and it does work a little better (and probably stings less), but I have used regular OTC superglue on many wounds at home. You can buy dermabond on amazon, but because it's medical, it's stupid expensive. Both really only work well on wounds where you can get the edges together cleanly (like knife wounds). You want most of the glue on the surface of the skin, spanning the wound, and as little as you can manage in the wound (it does hold the wound together there but it probably delays healing if there's too much of it). I don't see much advantage to soaking a bandage with glue as far as glue going into the wound, and the disadvantages of not being able to see the wound (to look for infection) and risking reopening it when you remove the bandaid are significant. Also, you can absolutely use regular superglue to reinforce a wound that was initially closed with tissue adhesive.

I should probably shut up now.
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I appreciate the details, thanks.
 
beeinak said:
Some radiology centers do have cash prices that are much less. One independent radiology center up here charges about 1/3 the price for some imaging if for example you let them know you don’t have coverage and will be paying cash.
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I had a coronary calcium scan, I think that’s what it’s called, that helps figure if you have a widow maker, I think 🤪
Insurance wouldn’t cover it. Out of pocket was under $100.
 
carnifex knifeworks said:
It didn't sound like you were going to ask. "Revenge" or "Payback" usually isn't consensual.
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I feel like this is a fire that I need to put out.

I had ZERO intention of promoting the completion of a damn felony.

FFS her doing him a favor of ANY kind, the dishes on his night, wash his car etc, was the point.

I'm pretty dissapointed that people actually thought I was alluding to an illegal act.

nuff said. it's over and I'm over it. I had to clear that up though.

HEATHCARE and the WAR ON DRUGS are both working exactly as intended. We live in opposite world as far as what the people in charge tell us.
 
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