• 1 Post
  • 12 Comments
Joined 1 month ago
cake
Cake day: March 7th, 2026

help-circle

  • Looks like they’re interchangeable. In a clinical setting I’ve only ever used or heard it called a pannus. We even stock “pannus retractors” (basically a sticker with Velcro on the back - sticker part slaps onto the pannus, whole thing gets pushed wherever you need it, then Velcro straps connect to that to hold it on place).

    This might be a regional thing, too - chips vs fries kind of situation. Not sure where you’re posting from; I’m in that weird unstable area with all the guns that some orange neanderthal has been busy raping for the last couple of years.



  • Pannus? I’m talking about the ‘apron’ of abdominal tissue that hangs in front of morbidly obese people. Under those things there’s often a lot of skin breakdown and infection - and in one of my patients, maggot infestation - because it becomes a progressively harder place to keep clean as they pack on more weight, then come to the ER once it looks like something from a zombie movie.

    Side note for my larger friends reading this: don’t neglect those nooks and crannies when performing hygiene! Dry it thoroughly, and keep it dry with powder or by keeping a layer of fabric in between areas with a fold so it’s not skin-on-skin. Often those first stages of an infection aren’t painful or anything, so by the time it’s actually bugging you, it’s BAD! Cleaning it can be tricky if your reach is limited, but you can get creative with it - one of my patients would bring a clean towel into the shower, soak it with soapy water, and kinda ‘floss’ into those folds. Dude was pushing 500 lbs, but never had skin issues. Lots of other issues, but he had hygiene down to a science.


  • Any handle or surface in public areas, assume the person that handled it before you had just finished taking a monster shit and skipped the handwashing before rubbing their pathogen-factories all over it. Photo in OP, there’s not really a good option, so you’re in damage control mode… check for toilet seat liners that some public restrooms stock and grab one of them? At least that’s something the other people handle before getting shit all over their hands.

    One of the nastiest assignments I’ve had working in a hospital was ‘Handwashing Monitor’. And let me tell you, I’ve debrided infected wounds; wiped maggots out of some fucker’s pannus; cleaned up every bodily fluid our bodies are capable of cranking out from the floor, walls, and sometimes ceiling; helped amputate limbs that were literally rotten to the bone, and wiped a cumulative mile or two of ass crack…

    …apply to nursing school today!!..

    …but anyway, Handwashing Monitor. It is beyond appalling the number of patients, visitors, techs, nurses, doctors, housekeepers, you name it… who’d go in and out of patient rooms without performing hand hygiene; or they’d wash their hands, but for like half a second; or not use soap; or turn the faucet on with their grimy-ass hands, do a thorough handwash, then immediately contaminate themselves by grabbing that same dirty-ass faucet with their bare hands to turn it off. The thing that made that position take the crown above all the other examples I gave in the previous paragraph was the realization that the community who is THE single most painfully aware of pathogens and their origins / mechanism of spreading… can’t even wash their fucking hands!

    …which brings us back to my opening sentence: it’s not advice on sheer ick factor, but a reasonable assumption based on directly observed evidence.

    And no, this wasn’t just a particularly icky hospital: I’ve worked in multiple states for multiple organizations/facilities, and to this day get eye-rolls for asking people to re-wash or even first-wash their hands.

    We nasty. Be a germaphobe. End rant.









  • You’re pretty much describing the epicurian paradox. God, or at least the Christian (and similar) god, is presented as being three things in an absolute sense:

    1 - All powerful. His will is our reality, period.

    2 - All good. He doesn’t have even the tiniest shred of evil.

    3 - All knowing. He is completely aware of everything that happens in this reality.

    But we can plainly observe evil every time we so much as turn the news on, so how can that exist in the reality made by a god who demonstrates the three traits above?

    Every single attempt at answering that paradox just shuffles two of the three pillars. (feel free to take a crack at it if you think you’ve got a solution, but this is very much a ‘gotcha!’ kind of situation that you might get really frustrated with, so, fair warning).

    I was raised Christian, but this is a big part of what killed it for me. It boils down to accepting that if there is a god, the Christian presentation of it is mistaken at best, or dishonest at worst, and if we can’t be accurate or honest about even our own diety, then we have no basis for the rest of our religion.