Chetzemoka

Critical care nurse here. The answer is esophageal varices.

It’s the same physiological anomaly as hemorrhoids, except in your esophagus. Swollen, fragile veins caused by increased internal pressure. In the case of hemorrhoids, that pressure inside the veins is caused by straining too much when trying to poo. In esophageal varices, the increased pressure inside the esophageal veins comes from blood backing up from a swollen, scarred, and damaged liver. So we often see esophageal varices in end stage alcohol use disorder.

Horror stories abound in emergency departments and ICUs of having to do CPR on a patient massively hemorrhaging out of their mouth from esophageal varices. As soon as nurses I know saw this report, our immediate thought was, “Yep, varices.”

https://my.clevelandclinic.org/health/diseases/15429-esophageal-varices

Just did. Won our vote Wednesday night 💪

Bullshit

I’m born and raised in Appalachia, my daddy worked in the coal mines and drove an 18 wheeler. Certified redneck enough that I confuse the shit out of my New England neighbors.

I went out and marched with striking nurses when Bernie put out the call, and I’ve never voted Republican in my entire fucking life.

OP, you need to learn what a redneck is.

This is the one they were waiting for. There are several live cams trained on the area, and one of them caught the exact moment it erupted:

https://youtu.be/QcxaqCIon_Y?si=oLk4o29hIaSrv4WF

Injecting medications into necks.

Medical things are rarely accurate, but Jesus this one is absolutely infuriating. There’s no anatomy in a neck that you could even inject anything INTO. You’re not aiming for a jugular vein on the fly and there’s not enough tissue in a neck to receive an intramuscular or subcutaneous injection. If your needle is too long, you’re definitely hitting something critical. It’s feasible that you could squirt medication into someone’s trachea or esophagus or - god forbid - spine if you actually tried this nonsense.

Arms, people, ARMS. This is where we inject things into people who are not interested in receiving an injection. Arms or butts, right through the clothes. You’re aiming for the deltoid muscle or the glutes. I’m even willing to concede the inaccuracy of a medication affecting someone instantly (they don’t), if Hollywood would just stop having characters inject things into people’s necks.

On our next episode of medical things that make me crazy: People getting shot through the shoulder with zero consequences.

Well, it better have some kind of mechanism in place to keep the grocery stores full or it’s going to fail on its face.

Our institutions are not the problem, our policies are the problem. I want to see a transition to UBI, but a dramatic overhaul that dismantled WIC and SNAP before we got UBI in place would be an unmitigated disaster for the very people we were intending to help.

It’s not the reform that I’m skeptical of. It’s the lust for revolutionary destruction as a path to reform that I’m skeptical of. It’s emotionally satisfying without regard to its actual efficacy in accomplishing the proposed reforms. Because history does not show us evidence that this works out well in the short nor the long run.

Please show me where I said to do nothing. Why don’t you try imagining new ways of improving things rather than repeating the mistakes of the past? Of the revolutions in the 18th-20th centuries, I think only the American revolution accomplished anything close to what it was intending. And that’s because it didn’t destroy all the existing institutions while in the process of implementing new ones.

(Not that I agree with what the American revolution was intending, but we did get mostly what they set out to do without thousands of poor civilians starving to death in the process.)

All revolutions have hurt poor people the most.