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  1. chechusma

    Someone has to take the hit. Opie Steps up vs Giants

    Trying to think of the “ideal scenario” for how the rest of this game plays out. I think mine is: - zappe looks good-ish, completing many passes to Douglas, Thornton, Boutte But - Devito goes off, and Pats lose
  2. chechusma

    The Inches We Need

    Congratulations! Also, I really enjoyed your interview on Pats Nation Network podcast: https://podcasts.apple.com/us/podcast/pats-nation-network/id1023385674?i=1000626579056
  3. chechusma

    Tim McCarver has passed away

    Keith Olbermann on his podcast today devoted the first block of the show (usually reserved for political ranting in the manner of KO) to his friendship with McCarver, and how McCarver “saved” his love of baseball 40 years ago. I know that YMMV on Olbermann, but I personally found it touching...
  4. chechusma

    Damar Hamlin is headed home to Buffalo!

    Awesome news. Just for some context, per CARES (our big US registry for cardiac arrest outcomes) in 2021: (keep in mind that very few of the cardiac arrest patients are extremely fit 24 year olds) ~25% if out-of-hospital cardiac arrests survive to hospital admission ~7.5% survive to...
  5. chechusma

    Damar Hamlin is headed home to Buffalo!

    I agree - a second arrest would substantially widen the confidence intervals on our collective hypothesis about the cause of the initial arrest, as you note. It shouldn’t happen with a young, otherwise healthy heart with a short down time (who presumably didn’t get a ton of epinephrine etc) due...
  6. chechusma

    Damar Hamlin is headed home to Buffalo!

    (didn’t save the right quote but) the (unrealistic) depiction of survival rates following CPR on TV shows has been studied (and lamented as it gives patients families unreasonable expectations), including this excellent article from the 1990s which made it to the New England Journal...
  7. chechusma

    Damar Hamlin is headed home to Buffalo!

    An AED (Automated External Defibrillator) is very close to foolproof for lay people. It’s basically two large-ish stickers you place in the chest (both to read the heart rhythm and to apply a shock) that are connected to the box which has both the computer that interprets the heart rhythm and...
  8. chechusma

    Damar Hamlin is headed home to Buffalo!

    yes. It is much better to be alive than dead and getting CPR. :) but honestly, the 20% is very important, not just for the brain, but for the chance of restarting your heart. your chance of getting g your heart to restart is very dependent on your”coronary perfusion pressure”, CPP… which...
  9. chechusma

    Damar Hamlin is headed home to Buffalo!

    Last bit of commentary, before I go to sleep: In cardiac arrest, we used to proceed as: check if shockable rhythm, if so, shock ->3 min CPR -> check if shockable rhythm, if so, shock ->check pulse -> if no repeat CPR. now what we try to do is: 3min CPR -> check if shockable rhythm, if so...
  10. chechusma

    Damar Hamlin is headed home to Buffalo!

    With respect to my other doc friends chiming in, the 9 minutes of CPR (presumably high quality, and fairly immediate), is a very-good case scenario, IMHO - less than 3 rounds of ACLS. I don’t see therapeutic hypothermia or anything as likely to be indicated with that short of down time, in an...
  11. chechusma

    Damar Hamlin is headed home to Buffalo!

    Hey - another ER doc here and as usual, coming in after Fisk: Excellent recap. Just as a point of reference, the amount of joules used to “shock” a heart in fibrillation/arrest is 200-360J, so it’s actually (scarily) not a huge fraction to cause the rare arrhythmia (if commotio cordus is in...
  12. chechusma

    David Andrews Out with Blood Clots in Lungs

    If it makes anyone feel better, the other important context about PE (in addition to the excellent commentary from the other docs) is that if they are going to kill you, it is generally right when the clot initially embolizes to the lung. If you survive that, and are appropriately...
  13. chechusma

    Copa America Centenario

    Bump for a question I'd like to bring my Peruvian wife to the July 12 game vs Brasil at Gilette. Do they do any sort of geographic seating? My last international soccer game was World Cup 94, S. Korea vs Bolivia (only scoreless draw of the tournament!) and they had "sides" for each...
  14. chechusma

    That was then: Celebrating what was

    http://news.harvard.edu/gazette/story/2016/01/doing-his-job/?utm_source=SilverpopMailing&utm_medium=email&utm_campaign=01.22.2016%20(1) I'm mobile so hope the link works - From Harvard Gazette interviewing HBS professor W. Carl Kester "about why Belichick, who graduated college with an...
  15. chechusma

    #DFG: Canceling the Noise

    As a non-lawyer, I'm trying to divine the implications of this question. Could you clarify? I work in an academic medical center, so there is always a lot of kerfuffle around July-August, as July 1 is when all the new interns start, and all the trainees change roles. Suffice to say - try not...
  16. chechusma

    The Book of Pedro: Q&A with Mike Silverman

    Hi Mike -   I was simply wondering if there were any stories or anecdotes that you would have liked to include in the book, but could not, for whatever reason (Obviously, I don't expect or want you to share anything that Pedro wanted to keep private and out of the public eye).    Thanks! Can't...
  17. chechusma

    Aaron Hernandez Trial (Odin Lloyd)

        I'm an ER doc in one of the large teaching hospitals in Boston (and I also work some shifts at some smaller community hospitals in Eastern Massachusetts). At all of them, we see a fair number of inmates for a variety of issues... sometimes traumatic injuries, sometimes medical issues (chest...
  18. chechusma

    Aaron Hernandez Trial (Odin Lloyd)

    I've been lurking and wanted to chime in with my thanks to RR and the rest of the commentators in this thread. I am curious about the trial for the South Boston double homicide - what is the incentive to actually try this case (aside from closure for the victims' families, which has some...
  19. chechusma

    BbtL/Patriots Nation Super Bowl Roll Call

    Bilbao, Spain at 1230am, with my wife. Depending on how things go, will consider waking up my 5 year old daughter around 4am.
  20. chechusma

    Aaron Hernandez charged with 1st degree murder; released by Patriots

    I work in one of the ERs here in the city, and see a lot of different Intoxications... i.e., bath salts, a lot of Molly recently, other designer drugs, plus the usual suspects. PCP one of the relatively few substances we can actually screen for, but I can't remember seeing one case of PCP...
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