That’s not hanging out with the boys. “The boys” are friends you know, like, and trust. You were just out with some random guys - or at least, that guy was some random guy.
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Joined 3 years ago
Cake day: July 2nd, 2023
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Oh interesting, I didn’t look into it past seeing the trailer on Dropout.
FYI if anyone hasn’t seen, they are making new episodes of Don’t Hug Me I’m Scared on dropout.tv . I haven’t watched it, so I couldn’t say if it’s as good, but might be worth checking out!
3·4 days ago“Roach motels” here
“Worst days” may be a bit extreme, but if you find yourself needed to take pain meds very frequently, talk to your doctor about which one(s) would be best to use regularly, given any other meds or medical problems you may have. They can also often prescribe longer-acting anti-inflammatories that only need to be taken once a day instead of 2-4 times a day.
That pic of Noferatu was shown at the end of an episode about the “Hash-Slinging Slasher”, shown to be the one flickering the lights.
Why is this meme remastered by Gemini?
I know it feels wrong, but the data supports outpatient management of asymptomatic high blood pressure.
And the European Society of Cardiology agrees with the AHA, so it’s not just an American thing. Check out section 10, or ctrl+F “hypertensive urgency”.
I guess we could argue at what point it is no longer physically possible to be asymptomatic with an extremely high blood pressure, but to date there is no evidence to support the treatment of the blood pressure number alone in the acute setting.
Low blood pressure is a separate issue, but also only really treated if causing issues for a patient; however similarly, one questions the plausibility that a patient could be properly perfusing their organs and therefore have no other signs/symptoms of organ damage with a mean arterial pressure of ~30 mm Hg.
Yeah, heart palpitations would be a great example of a symptom associated with markedly elevated bp that indicates you should be treated emergency. I’m glad you got effective treatment.
Yeah >180 is definitely serious, I may have overstated myself there trying to make my point. If you read that high, it’s recommended to contact your doctor asap, but not to seek emergency treatment unless you’re having symptoms.
Current (but limited) evidence actually suggests some harm caused by unnecessarily treating asymptomatic markedly elevated blood pressure, and low risk of acute (hours to days) adverse events caused directly by the hypertension.
I’m a PharmD who works in the ED at a large teaching hospital. I have this conversation often.
Recommendations from the AHA directly to patients/lay persons
A great “Things We Do For No Reason” article about the topic. (There’s even one article in this paper that specifically talks about patients with systolic >220, only 0.2% of which had a negative vascular outcome at 7 days without inpatient treatment.) I highly recommend this paper. The folks at SHM/JHM do great work with this series.
No seriously, there is no number that you need to treat emergently without accompanying signs of end-organ damage. The AHA recommends considering “permissive hypertension” even for SBPs over 180. So you could be 220/180 and if no other symptoms or signs of organ damage, you should get treated the same as someone who is 145/95, and even then that’s only if the hypertension is chronic. The only difference is it will probably take a lot more meds to chronically control someone whose bp is that extreme.
That tendency reminds me of this old joke:
A young man walks into a bar in Ireland and sits next to a really old guy drinking a beer. And the old guy’s like, “Did you see that wall on your way into town?” And the guy’s like, “Yeah.” And the old man’s like, “I built that wall with my own two hands. But do they call me O’Grady the Mason? Noooo.” Then he’s like, “Did you see those cabinets on your way into the bar?” And the guy’s like, “Yeah.” And the old man’s like, “I build those cabinets with me own two hands. But do they call me O’Grady the Carpenter? Noooo.” Then he says, “Did you see the iron gates on the way into town?” And the guy’s like, “Yeah.” And the old man’s like, “I built those gates with me own two hands. But do they call me O’Grady the Smith? Noooo. But you fuck one goat…”
I like to think he’s just talking about her wrestling career and being in bed is a red herring. He’s just found out that pro wrestling is staged. The sex was genuine and great, though.
High blood pressure alone is not an emergency. Definitely something to be concerned about preventing/treating in the long term, but no blood pressure number alone warrants an ambulance without also having symptoms of something like a heart attack or stroke that indicates organ damage.
That said, that kind of blasé approach to markedly elevated blood pressure with no real plan to reassess or find a root cause is still unacceptable, especially lazily blaming it on menstruation like is so common. So not trying to undermine your experience, I just had to chime in bc the “hypertensive crisis” thing is a pet peeve of mine.
No? I think it still looks fine. I think Pixar did pretty well in choosing what types of things they could get away with animating at the time with their early movies.
This artist’s comics are often explicitly anti-AI. They’re the one with the “avian intelligence” comics where the AI character is always malfunctioning and/or getting the protagonist into trouble.
https://www.davidrevoy.com/article1130/the-first-dose-is-free
Ah yes, we just finally threw out a brown paper bag from takeout because it finally tore through, but the cats were playing and sleeping on it more than any furniture we’ve bought them until it nearly disintegrated.
17·14 days agoI think cursed AI images are cheating. Someone has to subject themselves to seeing the picture the whole time they’re making it.
OOP’s comment on the original post that the cross-poster should have shared: