Speaking as one who rides the Chicago et train to work every day, where the size of seats has not kept pace with spreading ass mass, let me assure you that injection efficacy is the least of our problems here.
Wanna get those innoculations into some of these people? Just put it on a friggin' cheesesteak sandwich. It'll get where it needs to go.
CapelDodger
Penultimate Amazing
I was thinking much the same in the local market yesterday. There's the pre-Xmas crowd, of course, but the sheer volume it takes up these days is amazing. I blame phone-in pizza - which I once regarded as one of the few unnalloyed good things to come out of the US.
And then there's the footprint of their baby-buggies, which seems to have followed the 4x4 trajectory - perhaps because fathers feel they should be more involved these days, and latch onto the the things with wheels. (If nappies had wheels, mothers in general would have less to complain about.) Fat people with their fat babies in monstrous buggies. Ugh! I don't think I'll be going again until January.
CapelDodger
Penultimate Amazing
The first time anyone calls me a fatass I'll be requiring an explanation. Just so fatasses out there realise I don't share there pain.
Actually from a medical point of view it's a valid topic. Many drugs that are injected intramuscular are toxic to adipose (fatty) tissue. If you've ever seen and smelled necrotic fat tissue, it ain't pretty, not to mention with all that extra fat to eat through the care required to treat is going to be very expensive and the patient, still needs to be treated for the original complaint.
Then there is the whole issue of approaching a patient with a two to three inch needle, no matter how thin, and they are going to freak.
I am soooo glad I don't do that anymore.
Boo
Then there is the whole issue of approaching a patient with a two to three inch needle, no matter how thin, and they are going to freak.
I am soooo glad I don't do that anymore.
Boo
El Greco
Summer worshipper
- Joined
- Nov 11, 2003
- Messages
- 17,610
I have proposed a new way of administering injections, namely a gun like the one they use to anesthetize rhinos. It's fast, guaranteed to reach the muscle, safe for all and in fact less painful than normal injections. I can't understand why people scowl at me everytime I explain the benefits of the new method.
Yes, this isn't really news. The problem was described decades ago, and we don't inject into the butt much anymore. Larger injections go into the antero-lateral thigh (vastus lateralis), smaller injections usually into the deltoid. Also, the sciatic nerve runs through the butt, which is another reason we stopped using it.
Actually, the tongue is a very good muscle; very high blood flow, which produces rapid absorption and a fast effect. We occasionally use it in unconscious patients (painful!) when we don't have an IV yet. You don't stick it in the mouth (dirty!), but from the outside just above the hyoid bone (the highest "hard" structure you can feel in the neck, above the larynx).
BZ MD.
RandFan
Mormon Atheist
- Joined
- Dec 18, 2001
- Messages
- 60,135
You what??
"I resemble that remark" is an intentional pun made famous by the incomparable Groucho Marx
"I resemble that remark" is an intentional pun made famous by the incomparable Groucho Marx
http://troyano.com/marxmadera/img/art_entregroucho2.jpg
I believe Curly Howard may have said it first.