Random Thought Thread

I wish we could get some of them cool smaller (and cheaper) pickups that are offered in the rest of the world. šŸ˜’

We were driving in town just the other day and ended up behind an F250. My wife was blown away by the size of it being used to Australian utes. I pointed out it was probably closer to the norm in the states.

I just look at them and the diesel usage hurts my wallet, especially when fuel is around $4.6usd a gallon. We're metric so that's my best conversion.
 
We were driving in town just the other day and ended up behind an F250. My wife was blown away by the size of it being used to Australian utes. I pointed out it was probably closer to the norm in the states.

I just look at them and the diesel usage hurts my wallet, especially when fuel is around $4.6usd a gallon. We're metric so that's my best conversion.
Understood. Don't get me wrong, I love the big ones (that's what she said), and used to own a F350 powerstroke.

But....

Zipping around town in a little pickup though is pretty cool. And, I can honestly say, that little 94 Ranger has done more actual work than any of the newer, bigger, fancier pickups that I've owned!
 
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.
Direct pressure for as long as it takes, and then have everything ready to apply the glue very fast, while using a heavy object or two on the kitchen counter to use as extra arms to help reapply pressure, until you can put the glue tube down on a napkin and apply pressure until the glue dries. The glue seems to get hard faster with blood or water present in drops not rivers.

You've seen how many pictures I've posted of superglued wounds, including the TOPS street scalpel that hit the bone in the palm of my left hand. Closing my hand 80% of the way actually applied pressure to slow/stop the bleeding while getting the glue ready, and after applying it. It's a skill that takes practice, and I've had A LOT of practice šŸ˜‚
 
Direct pressure for as long as it takes, and then have everything ready to apply the glue very fast, while using a heavy object or two on the kitchen counter to use as extra arms to help reapply pressure, until you can put the glue tube down on a napkin and apply pressure until the glue dries. The glue seems to get hard faster with blood or water present in drops not rivers.

You've seen how many pictures I've posted of superglued wounds, including the TOPS street scalpel that hit the bone in the palm of my left hand. Closing my hand 80% of the way actually applied pressure to slow/stop the bleeding while getting the glue ready, and after applying it. It's a skill that takes practice, and I've had A LOT of practice šŸ˜‚

For an idiot like me it’d be touch and go whether I learned the skill first or bled out first.

Is it a special type of glue?
 
Too many serious players spewing garbage- vitriol, hatred, fear; all the addictive hits. Give the masses their boogeymen, so they're so distracted by delusion that they can't see the reality that's staring them in the face- that they are being exploited.
It’s one of my simple gauges;
When someone is trying to push emotional buttons, and begins spewing rhetoric, and outrage, I automatically assume that it ISN’T because they’re so passionate about the topic, and more commonly, that they’re fully aware that a dispassionate delivery wouldn’t sway the sheeple listening, and need to resort to triggering emotions, for which most folks don’t require much logic or reasoning for.

And ā€œYou can’t reason a person out of a position they didn’t reason themselves intoā€.

It’s something that’s been studied in psychology, and actively used. People who’ve been swayed emotionally to their position, are far more resistant to being talked out of that position, because no amount of facts or logic have any bearing on their position.

Not knocking Subarus, or their owners, but anyone old enough to remember their ad campaigns, has seen an example of this used in advertising.

Remember those old ads, pushing Subaru’s AWD technology? Eg. The one where the Subaru owner challenges his BMW driving neighbor to race around their snowy neighborhood etc.? They spent a lot on ads trying to sway buyers to their AWD, safety and tech superiority etc.

Didn’t work very well as far as results vs marketing. It was when they began making ads to build an emotional connection, that they saw much better results. Showing Subaru owners doing the kinds of things, and living the kinds of lives prospective vehicle owners dreamed of (even if the buyer really never takes their Subaru to any of these out-of-the-way isolated outdoor spots, the dream is that they COULD).

Instead of talking about safety/crash ratings, showing loving families protected by things like anti-collision tech (which numerous other brands have) etc.

Emotion is how the devious manipulate the unwary and gullible.

I have a moron coworker who spends most of their free time getting riled up from listening to ranting podcasters. A sucker for every rage bait topic the ranting idiots bring up, and too stupid to ever fact check any of those topics.
 
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"Super glue ain't gonna save your ass, buster!!!"
 
Hey, could one of you doctor types get me some medical grade cocaine?

It's for my feet
Sorry T. No foot coke. Might be able to arrange some eyeball coke depending on what you've fished out of the streambed lately.

Edit: I am actually not kidding about eyeball cocaine. The only places I've actually seen cocaine used medically are in TAC (as referenced by DocJekl DocJekl below) and as an ocular anesthetic... and it has been years since I saw either of those actually stocked. Is Tanto Quantavious Tanto Quantavious a defrocked pharmacist by any chance?
 
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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.

Good tips. Soap and Water is indeed very good to clean wounds.

My insurance kept hitting me up to get a ā€œfreeā€ preventative care check up with my doctor. I hadn’t been to a doctor in over 10 years. Finally I agreed and scheduled a checkup. I told the receptionist and the doctor to code it preventative so I wouldn’t get a bill for it. When the doctor looked at my chart and saw that I hadn’t been to see a doctor in 10 years, he asked me what I was in there for 10 years ago. I told him I was in there for disc space narrowing in my neck, he asked me how was going and I told him. Then I got a bill. I called the receptionist and she told me that they couldn’t code it preventative care because we discussed a pre-existing condition. I told her the doctor directly asked me about it and I just answered. What was I supposed to do, just blank state with no words. Then she had the audacity to tell me it would be immoral and illegal to code it preventative when we discussed preexisting conditions. He totally knew what he was doing. Crazy stuff.

In Pediatrics it's important to discuss pre-existing conditions during a free well visit (insurance still pays us); but if the patient is not having new questions or problems with their issue, and are just getting bloodwork and Rx refills to maintain control of the issue, then they get billed for the free preventative care.

Unfortunately, that’s a known effect of fish oil (interfering with coagulation), which is why it’s standard procedure to instruct patients to stop taking fish oil for a week before any surgery (I take fish oil, too, and had to stop before the hernia surgery).

Celox and Quikclot are available as pre-impregnated gauze, sponges, and even granules. I just keep the gauze versions. They can be used in a similar fashion to a pressure dressing (wrapping an OLAES or Israeli bandage over it, or even duct tape, if needed. Using the gauze to wipe a wound will transfer the active ingredient to the wound, but the gauze is really intended for stuffing into deeper wounds. If a shallower cut won’t stop bleeding though, the cost of ā€˜wasting’ a pack of the treated gauze, is immaterial).

I keep the kind impregnated in gauze, and typically it's used to pack the wound as you stated above, not wrap the wound. I think it's like $15 for a 3" x 24" strip in a foil pack, last I checked.

Basic suturing can be done at primary care or urgent care for much cheaper than an ER visit. ER providers are typically very skilled at suturing, and also are able to summon a specialist like plastics or hand surgeon if needed. Providers need to realize limitations and skill. One hospital I worked at had a policy that any patient with facial wounds needing sutures would be allowed to choose to have a plastic surgeon perform closure.

I am fortunate to not have to worry about healthcare costs, but I still use glue frequently for simple incisions/lacerations (on myself) because it is convenient and covers the wound with a barrier. Getting a cut while float fishing a river- some betadine or hibiclens rinsed with clean water and then closed with glue is much better than just a bandage.

If using glue, it is obviously not ideal or for deep wounds that should have internal sutures to pull the wound together. When using any glue type closure, it is important to pull the edges of the wound together as closely as possible and keep tension until the glue has been able to hold. Some people put glue in the wound and then try to close it- not good!

I have sutured lots of patients, myself a couple of times, and keep a stapler in my bag because I am frequently away from people and alone. Again, when using a stapler the edges need to be pulled together (unlike in the movies).

My last trip to a provider for sutures, the provider told me that Dermabond treatment was the same cost as sutures at that office. Now that is crazy! No instruments or anesthetic needed and takes very little time.

Since this is a knife forum, and most injuries with blades seem to involve hands, I just want to caution folks that hands are precious and taken for granted. Wounds can be more damaging than expected, and a thorough exam by qualified person is wise.

I got A LOT of experience suturing in residency in the various ER rotations, and became very skilled at doing it before I had my own practice. Even with all that experience, I still sent 95% of facial wounds to a plastic surgeon, not including under the chin on on the scalp and hidden by hair. I once did a perfect suture across the vermillion border of the lip in residency, but refused to do it in my office in private practice. Even the best can leave a scar, and even a good job can turn out bad; and then you'll get blamed and/or sued when you did nothing wrong.

Here at home all I have left is some Vetbond, Gorilla Glue, and a variety of Steristrip like products (plus Quikclot). When my oldest daughter was in kindergarten she slipped at school getting off the bus, and I had to go to the school and staple her head closed. Many years later I had to do the same at school for my kindergarten son, when he was pushed on the playground while he had one arm in a cast from a skiing accident and couldn't catch himself from falling. I'm all out of staples right now, but also have no more little kids in school šŸ˜…
 
For an idiot like me it’d be touch and go whether I learned the skill first or bled out first.

Is it a special type of glue?
Dermabond, Vetbond, or plain Superglue as last resort. My last wound needed Gorilla Glue superglue since I was out of Dermabond.

EDIT - I have a medical provider business account with Amazon separate from my personal account, and I don't think just anyone can buy Dermbond. But Vetbond is good, although more stiff like OTC Superglue. It's still a Cyanoacrylate glue.

EDIT 2 - I think all you need is an NPI number to get a medical account on Amazon.
 
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Hey, could one of you doctor types get me some medical grade cocaine?

It's for my feet
True story. At a hospital I worked at a long time ago, we would apply topical TAC (Tetracaine, Adrenaline, Cocaine) liquid to lacerations on kids or people who were likely to freak out with getting anesthetic injected prior to suturing. It worked really well most of the time numbing the site and causing no stinging sensation. Suddenly the medication quit working much of the time and a new pharmacist decided to do her own investigation as soon as she heard about the issue. Turned out that much of the prepared medication was missing the cocaine! Authorities were called and it was another pharmacist who was stealing it (along with some other drugs).
 
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