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[hector13]

But then they wouldn’t get to use their fancy toys if they just did a physical examination.

[wierd]

It is my understanding (but merely as a bottom rung healthcare lackey) that the bladder scan is not so much to determine "Yes, there is pee in there alright", so much as to rule out potential causes of complication from insertion of a disposable single use urinary straight cath, such as weakened urethral walls, urethral occlusion by nearby soft tumor (which might cause trauma to the urethra when a catheter is inserted, followed by subsequent adhesion), etc.

In short, it is there because of insurance companies and malpractice suits, looking to minimize financial risks from procedures. 

[ChairmanPoo]

weakened urethral walls, urethral occlusion by nearby soft tumor (which might cause trauma to the urethra when a catheter is inserted, followed by subsequent adhesion),

There's no way a generic junior doc will be able to see any of that in an ecography. I mean ultrasound is highly dependent on the training and experience of the guy doing it*. I freely admit I can see little unaided. If we were talking an urologist, or a radiologist (even in-training) mmmmaybe...



*I recall many years ago there was a trial comparing neurologists (who usually perform carotid US) with cardiologists, screening for cardiac problems, and viceversa (this worked by redundancy btw. Basically both groups dis everything. They werent reckless). The rationale was that since both groups were experienced sonographers the performance wouldn't drop that much. But it didnt really work. Each group's performance outside their field dropped a lot outside their scope.
Which shouldnt be a reason for shame. There is a reason for division of labor and specialization. I do the things I do and I do them well. Pull me away from the usual and I'm going to struggle.

, it is there because of insurance companies and malpractice suits, looking to minimize financial risks from procedures

Could be. But it'd be more reasonable for the juniors and/or nursing staff (normally I'd expect this to be a nursing procedure barring complications, but in the British Isles nursing shortages have resulted in it being offloaded often onto juniors) just stop if there's difficulty, and then call the urologist to review the matter.


That'd be an ideal world of course.

[Egan_BW]

Maybe it's intended to offload blame onto more expendable workers?

[wierd]

Nurses are not expendable.  They are in short supply, and there is division of labor and responsibilities for important reasons.

The disposable worker class is what I am; Nursing assistants, and this is an invasive procedure. At most, we can assist with the procedure by helping to position the patient, hold the collection end of the catheter, and hold the collection container. Anything that involves a tube or other object being inserted into a human body requires either a specialist certification in that discipline (such as inserting a trach tube, and having an RT perform it), or an RN, as a minimal requirement. At least here in the states anyway.


I suspect this is actually a 2-fold requirement.

1) Insurance company needs to have documentation that there was no indication of a pre-existing condition that might be worsened by the procedure, and that there is documentation that a screening (of some kind) was done to assure that this was not the case, before performing the procedure.

2) Being an onerous prerequisite that requires getting out sonogram gel, sterilizing additional equipment, additional prep time, additional staff, and additional levels of oversight in terms of QC on the equipment, et al--- it discourages staff from prescribing a straight-cath willy nilly; and this is "Intentional."



I whole-heartedly agree with Chairman that it is painfully obvious even to lowest level lackeys like myself when there is a distended bladder.  A simple (but gentle) palp of the lower abdomen will readily reveal this finding.  I have performed such palpation myself many times, and have alerted my Nurse when I make such a finding for verification and remedy.  Other things I check for with a distended abdomen include firmness of the descending bowel area (indicating bowel obstruction), or signs of herniation.   A physician is more than qualified to make the determination that a straight-cath is appropriate (or not) under the VAAAST majority of circumstances.  Usually, the need to void the patient is vastly greater than the risks of potential complications.   

Low level lackeys like myself are the eyes and ears of superior staff.  While we are easier to train (and thus more disposable), reliable and competent staff, even at my level, are never something you want to throw out. 

[TamerVirus]

The PS5 design got unveiled and it kinda looks like an internet modem that fused with the Wii

Spoiler (click to show/hide)

[MrRoboto75]

we still doing Apple minimalist glowy white?

[dragdeler]

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[Egan_BW]

I'd worry more about dust and hand grime than exposure to the sun. This is gamers we're talking about, you know.
(Can't even imagine how horrifying my controller would look if the dirt actually contrasted with the plastic...)

[TamerVirus]

It will really show off that bespoke grease and cheese-doodle residue handprint look everyone is after

[Frumple]

fucksake they keep coming back to white, guys we tried that allready plenty they will become nicotine "white" with the sun

Not gon' lie, the last time I paid attention to what color playstations were they only came in grey, least as far as I was aware of. It wasn't a bad color, honestly.

[Naturegirl1999]

On the topic of sun exposure, wouldn't white reflect the UV light? Thus keeping it from getting inside and needing with components? Am not a physicist and haven't spent lots of time researching light, can people please correct any mistakes I make while hypothesizing/guessing about the effects UV light would have on components?

[bloop_bleep]

Any plastic cover whatsoever would block UV light. Plain woven clothes with holes in between the threads stop sunburns.

In fact I'm pretty sure just the protective plastic cover on the IC chips is enough.

[dragdeler]

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[bloop_bleep]

Some white paint may get denatured over time as it is broken down by UV light, yes.