eragone

There’s actually another company called SleepMe (or maybe that’s the product…?) that makes a mattress cover that’s water cooled (or warmed)

As a night shifter it’s completely life changing in allowing me to sleep comfortably during the day. 100% worth the price to me

I think any reasonable interpretation of the comment you’re replying to is not “sleep is always good” but rather “sleep is good, on the whole”, which is absolutely true.

Both studies you linked indicate correlation not causation

Personally I use it more as a reminder than an official reference. So, for example, reminders of less common diagnoses or less common presentations of common diagnoses that I’ve learned and know but may not remember the details of but will come back to me with some prodding. If I actually need to dive deep, I usually use UpToDate

Both - I spent 6 years not making any salary, plus another 4 making less than a software engineer, and on top of that I took on a lot of debt.

No, this sounds like a great example of shared decision making.

Not sure where you went to med school, but couldn't be different for me for med school and residency. Very little of being a doctor has to do with money. If I wanted money, I would have stayed in software and not gone another half a million in debt.

I’ve had the opposite experience. I get lenses recommended, then a repeat visit in about a month to check for lens fit and adjust as needed.

Changing careers. Left software to become a doctor. I'll graduate in 7 months.

Strokes can present in truly any number of ways. The Cincinnati Stroke Scale, often seen in public health campaigns as "FAST", provides three simple, quick assessments that can reliably delineate a majority of strokes. It is the standard for basic EMTs as well. More advanced providers should perform a more comprehensive exam, testing all the cranial nerves (actually usually just II through XII). A more formalized, advanced stroke scale is the NIH stroke scale: http://stroke.nih.gov/documents/NIH_Stroke_Scale.pdf

While there are often some kind of neurologic deficit associated with a stroke, the goal standard is, of course, a CT or CTA that should be administered immediately upon arrival in the ED of a suspected stroke (depending on the presentation of symptoms an exam by a neurologist may occur first).

The symptoms described in this story would absolutely make me think this person was having a stroke if she had verbalized them to someone with my training.

It's also worthwhile to point out that the person having a stroke may not realize they are having a stroke. People may have the obvious symptoms - slurred speech and hemiparesis - and refuse to acknowledge that these problems exist, because, in their mind, they don't.

If you think someone is having a stroke, record the time you first noticed symptoms and call 911 immediately.