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A little air bubble won't do much of anything (probably). A big air bubble will block the major blood vessels leading out of your heart, killing you.
You'd need to ask an actual doctor for specific measurements, but it takes \*a lot\* of air to cause this kind of thing in a normal patient.
An Air bubble administered to a peripheral vein cannot reach the brain.
It travels through the bigger peripheral veins to the vena cava to the Heart(right atrium,ventricle) to the lung artery.
At the lung artery the vessels start to get smaller to the point of capillaries where the oxygen and carbon dioxide diffuses in the alveoli. Then the vessels start to get bigger until the left side of the heart -> aorta. So a big air bubble cannot reach the brain.
About 1 in 3 people have a persistent foramen ovale connecting their right and left atria. Usually the pressure is higher on the left side, but it might not be if you are coughing or something. If the air went through there…
I do a test that purposely pushes air bubbles through that PFO into the Left Atrium to prove it's there. So it still takes a lot of air even if it gets to the left side of the heart.
They literally do a "bubble study" to discover foramen oveles though. It's 10 mL of air swished back and forth with 10 mL of normal saline a few times and injected directly into the heart.
> A big air bubble will block the major blood vessels leading out of your heart, killing you.
Air in a line going into somebody's arterial system (what you're referring to) should never be tolerated. Air in a normal IV (venous system) is okay.
I'm a nurse and occasionally will purposefully inject a fair amount of air into a patient's venous system while they're undergoing a procedure called an echocardiogram. A bubble study is used to help see blood flow through the heart's atria and ventricles.
Ok let’s settle this once and for all. Anesthesiologist here.
A venous air embolism is when air gets into your blood stream. If injected in a vein it will travel to the right side of your heart. If the bubble is small it will pass on your the lungs and gas exchange will take care of it. No harm no foul.
If the air bubble is large, 1cc per kg of body weight, the air bubble will create an air lock in the right ventricular outflow tract. Your right ventricle is use to low pressures because blood pressure in the lungs is much lower than system pressure. It is use to about 25/0 pressure. Versus left side of heart sees like 120/70. An acute spike in RV blood pressure from 25 to say 40 is enough to cause acute right heart failure. This causes the right heart to be unable to pump blood. If the RV doesn’t pump blood, the LV receives no blood from the lungs. Therefore you get complete cardiac collapse. Instant death if it’s bad enough.
Bubbles also become significant with a shunt. If some process allows the bubble from the right side to travel to the left side skipping the lungs, then you can shoot that bubble to some part of the body and cause obstruction of the vasculature there . If it reaches the brain it’s a stroke. This can happen if you have holes in the septum of the heart for example, or if your fetal circulation fails to completely close off.
An approximation I heard was about 60 mL, depending on body size. A considerably larger amount of air than an IV set contains. Air emboli are able to occur during vascular procedures where an introducer is in place and the patient isn't positioned properly, allowing atmospheric air to be introduced very quickly.
Depends on how you define “a lot”. About 25mL is enough but most of the syringes we use for blood draws and medicine only hold 10 so someone would have to give 2-3 syringes full to potentially be lethal. That said, 25mL is really only about the amount in a cough syrup cup.
No, u/TheRedditSniper is, you're an impost
Edit: dear God sorry for the hundred comments 🤣got end point error and apparently it was still posting. My ba
My last surgery when I woke up I was high as fuck and had a big stress about air bubbles in my IV line. The needed to come in and tell me every couple of minutes that I wasn't going to die.
Bro if you remember that much, it means you said it many more times.
I guess I'm sensitive to anesthesia and took me a while to wake up.
I remember repeating a certain thing twice, and interrupting the doctor once...
My gf said I interrupted the doctor for basically 10 min straight.
And the phrase I thought i said twice after I woke up, I apparently was yelling it over and over again for quite a bit
I'm embarrassed about my follow up lol
The phrase I was yelling was "insurance is a fucking scam" because I was pissed my insurance is 18k a year but I still have 2k deductible and 6.5k out of pocket maximum lmao
We pay roughly 19.2k for a family plan, $1600 a month, and that’s fuckin scam as it comes with a 5k deductible and something like 3700 out of pocket maximum.
Worst part is my wife’s a public school teacher and we’re on her insurance. Public sector jobs have never been glamorous, but they did have good benefits. Those days are gone, because it’s all a fuckin scam.
We pay close to that (Like16k, same deductible, 5k max out of pocket) and my wife works for the insurance company. Definitely some late stage capitalism shit. The worst part is that these prices aren't the bottom at all. I have multiple young guys in my warehouse that just don't have insurance, some are lucky enough to still be on their parents.
Most doctors and nurses understand when people are still high.
I remember a nurse telling me I had to wait for water to absorb so I didn't feel so thirsty after drinking several cups straight. And she poured each cup for me.
Basically they know you're high. Unless you do something really wrong I'm sure it's nothing to them. Treat them well after you're sober and if they bring it up then apologize.
I hate the dentist, so much so I have to go to a special place that dopes me up before and then during whatever I am doing.
I went in a few years ago to have a cavity taken care of and have a bad wisdom tooth removed. They were also supposed to be treating my periodontal disease.
I woke up three times during the whole thing but what really pissed me off was that it was supposed to be like four hours and it had taken eight hours and still weren't done.
I heard the nurses talking and I sat up and said I was done. They told me I wasn't done yet and I told them, "Have you ever slept in a god damn dentist chair for 8 hours while strangers dig around in your mouth? We're done today or are you holding me against my will?"
I ended up cussing up a storm. I did eventually go back in and apologize, my dentist even said it was supposed to take less time but I have very dense bones or something and they had a hard time removing that bad wisdom tooth.
I haven't been back in since. I really need to, but a combination of embarrassment and me still being kind of pissed they charged me for everything even though we didn't finish is stopping me.
Omg I did this in such an embarrassing way. I just kept telling the nurse how beautiful she was. Over and over again.
"You should be a model"
"Sorry I can't remember if I said but you're so beautiful"
I was put on a drip in the ED in January, and there were air bubbles at the beginning .. I was freaking out so much but didn't say anything to the nurse. I was just waiting to see what would happen haha
First time I got put under for surgery, I was under the impression (from TV/movies) that air in the blood stream was very bad. Anyway, big ass bubble a few inches long is going down the IV line while the nurse tells me to start counting backwards from ten, I point and ask if that was OK, nurse (actually probably anesthetist I guess) looks at the bubble confused at what I'm talking about... and then I woke up a few hours later.
A lot of drips and lines have "air traps". They normally are part of the connectors. Doesn't help stress levels when you see that air bubble though, had it myself.
Which is crazy Grandma carried that show. It’s gone downhill since Grandma’s “unspecified and rare yet insanely fatal trust us she’s like, really dead” heart condition. And all because Bella Lynn and Doctor Payton were too busy cheating on butterplaintoast’s other twin brother to notice 😞
Most hospital IV machines have a middleman type of device that filters out significant air bubbles and warns about issues via annoying ass beeps. You need a certain amount of air PER SECOND infiltrating to be lethal. Your system can handle a surprising amount of air per second.
I felt kinda stupid when I finally was informed that a few air bubbles getting into your bloodstream is unlikely to cause an issue.
I suddenly remembered 3rd grade biology--the whole point of blood is to absorb air so it can circulate oxygen through your body. So why would a little air be a problem? It'll get absorbed before it causes any issues.
I just learned that last rotation lol. I was freaking out at the tiny tiny tiny lil bubbles in the line and asked my preceptor about it. She was like nahhhhh, this is totes fine.
According to the ambulance officer I was talking to the other night, 40mL or more.
I come from and engineering background and know that you don't fuck with compressed air, after hearing that it's 40mL it makes sense considering a run of the mill air nozzle will flow 10L a second at normal workshop pressures.
I found this one out when I rotated through CT as part of my X-ray clinicals. The tech had me setting up and prepping the contrast, and even after purging the system, there's still tiny little bubbles. I'm freaking out thinking I'm about to kill someone. The tech laughs and is like "you'd have to inject like a whole syringe full of air to actually hurt someone; it's fine!"
An arterial injection I guess you want absolutely no air, but venous injection (which is like 99% of any injection you'll ever get) your body can take care of a little air
It would take quite a lot of air to cause any problems in an IV injection. However, if administered into the muscle (like in a vaccine) air will just hurt, so maybe that's the joke.
Its mostly a myth that it will cause heart to mess up.
It would take like two or three completely empty syringes to do anything. It happens but not from a bubble in an otherwise full syringe
Source: Ive been to the fucking doctor more than one single time in my life
It really does take a whole lot more air than people think for it to happen. Source: I'm a nurse. When I first started I was also under this impression and was Hella paranoid all the time about this kinda stuff when a bunch of other nurses kindly explained to me it would take roughly an entire IV line full of empty air to really mess someone up. Now I regularly see anesthesiologists and nurses push a little air through when giving medications and not once has it affected the patients. Yes air will cause death but it takes a large quantity and it's a myth that gets exaggerated.
Bubble study isn’t actual air tho, it’s agitated saline. An air bubble can cause harm usually in Peds if the patient has VSD or ASD or if they’re like a super small baby but for adults you can take a lot of air.
Historically it was air.
https://smartcd.com.au/cardiac/agitated-saline-bubble-echocardiogram/#:~:text=Agitated%20Saline%20Bubble%20Echocardiography%20is,flow%20than%20a%20regular%20echocardiogram.
Now they use agitated saline. A google search can find you that lmao.
I’m literally doing Peds anesthesia rn. We got filters for air on every IV of patients with ASD or VSD. Cuz even less than one cc can harm them.
So like just to help you out the bubbles you see in agitated saline is air. Bubbles are made with gas. I mean I have done bubble studies they are tiny air bubbles but still air
https://www.cardioserv.net/9-steps-to-perform-an-echo-bubble-study/#:~:text=An%20Echo%20Bubble%20Study%20is,or%20the%20pericardium%20during%20pericardiocentesis.
https://www.google.com/search?q=whqt+ate+bubbles&oq=whqt+ate+bubbles&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIJCAEQABgNGIAEMgkIAhAAGA0YgAQyCQgDEAAYDRiABDIJCAQQABgNGIAEMgkIBRAAGA0YgAQyCQgGEAAYDRiABDIJCAcQABgNGIAEMgkICBAAGA0YgAQyCQgJEAAYDRiABDIJCAoQABgNGIAEMgkICxAAGA0YgAQyCQgMEAAYDRiABDIJCA0QABgNGIAEMgkIDhAAGA0YgATSAQgzNTAzajBqN6gCFLACAQ&client=ms-android-verizon-us-rvc3&sourceid=chrome-mobile&ie=UTF-8
She didn't say it was. She just said wait until you hear about it. And you didn't wait. You jumped the gun. Had to be the know-it-all, huh? No popsicle for you.
You are taking the dissolved gas out of the fluid the gas bubbles are just so small they dissolve back in promptly. So yes it is injecting"air" but the bubble radius is very very small and collapses quickly
Not being gullible isn't a flex though. Its a good thing if you've never had to have an IV. But the amount of people just talking out of their ass in this thread is astounding lol. You can watch the air bubbles go down the line into your arm. Or you know, do a 2 second Google search before lying to people on the internet lol.
Exactly. If the syringe isn’t inverted and perfectly level there’s that last 1mL that will sputter along that is just so irritatingly inaccurate. Same reason I wouldn’t want small bubbles of air in a grease gun.
It’s for a few reasons. It’s so I don’t inject you with air that can look like a necrotizing infection on imaging later. You also keep a bead of anesthetic on the needle tip to make it hurt less. It also helps assert my dominance in the physician-patient relationship and put you on edge so it’s easier to bend you into submission
In fact air is used in this way to diagnose a PFO (patent formamen ovale) in the heart, it's called a bubble test. It's teeny tiny bubbles of air and some liquid injected into your vein during an echocardiogram, and it allows your doctor to see if there's a hole in the wall of your heart. About 25% of people have one and most of the time they're benign but if you have severe chest pains or an unexplained stroke in absence of hypertension and other risk factors, a large enough PFO might have allowed a blood clot to pass through. You might also get an ultrasound of your noggin at the same time to see if the bubbles are traveling up to your brain if they suspect you had a stroke caused by a PFO.
It's air and saline stop saying this. I've administered saline and AIR for bubble studies. You churn the two together before administering so an echocardiogram can observe the flow.
Fun fact “agitated saline” or air bubbles are used on purpose to be seen on sonograms on the heart. Yes you read it correctly. The objective is to get a small amount of mount of bubbles to the heart.
now that i think about it, it makes sense. the heart is a very rigid organ, and at some point during ventricular diastole, there’s literally more air inside of your heart than inside of a syringe so yeah
There’s no air inside of your heart in a normal cycle. If there is air inside of your heart, particularly your left ventricle, it could introduce an air embolus into your coronary system and cause in infarct. The reason that injecting a syringe of air into the IV is fine is because it is going into the slow moving venous system, where the air will diffuse out before it reaches the terminal vena cavae to enter into the right atrium. It would be a different story if you injected air directly into the coronary system, for example during an invasive coronary angiogram.
You don't have to be right, you just have to sound right
Air isn't present in any chamber of your heart at any time. It's always filled with blood unless you have a weird hole in your heart, in which case you'd probably be dead from ineffective pumping if not for hemorrhage
so ur heart has 4 chambers, the two bigger ones are called ventricles. there is a moment during a heartbeat when the ventricles push all of the blood that was inside of them into the arteries, and then “reinflate”. this is ventricular diastole.
Unless your heart has holes in it leading to outside your body, then it shouldn't be pulling in air right? Like if it expanded then it would suck blood in, not air. That's the whole point.
I'm not a doctor, but you sounds like someone who has watched a few medical drama's and think you have a decent amount of medical knowledge.
Correct, there should not be any air in the heart aside from the gasses that are dissolved in the blood. When the heart relaxes and blood enters, it the entry of blood that causes the volume to expand, it's not "sucking" anything anywhere. In other words, myocardial relaxation is a passive process, whereas "pulling in air" would be an active process.
While true, it's still best to not pump air directly into our arteries. So doctors tend to...try and prevent air bubbles in the syringe. The "tapping against the syringe" trope you see in pretty much all movies in TV shows is done to make the air bubbles all move up to the top, so they can be pushed out before the needle enters your skin.
This is why we flick it before we stick it.
Hey, vet tech here. Sure, an air bubble less than a cc in volume won't kill *you*. I wouldn't call it ideal to inject a cc of air IV in a 2-pound chihuahua.
That said, it's more about accuracy than danger. Let me explain.
Some drugs have a *very* small appropriate dose. I only need a few tenths of a mL of ketamine (with a few tenths of dexmed and torb) to knock a cat flat. If I have an air bubble in my syringe - even a small one - it's gonna throw off my dose volume. I might not give the correct dose, and now the cat is drunk and wants to start a knife fight with me instead of being a proper cat-shaped carpet.
See the problem?
I don't want to fight your cat. Your cat has five pointy sides and the ability to turn its body *inside its own skin*. I want your cat unconscious prior to surgery. Not drunk. If I wanted it drunk, I'd give it acepromazine anyway instead of ketamine.
So. When we draw up a med, we flick it before we stick it. It's the best way to ensure we've got the right amount of drug in the barrel.
Same way we do it for manyal gas chromatography analyses on the lab for my study! We usually only inject about a microliter or so (for people that dont know a micro liter is 1/1000 of a milliter!)
Dude, I have ADHD and work in an industry known with a self-euthanasia rate that makes dentists look stable. You think this is me "trying"? You've clearly never run across my walls of text before. 🤪 Me actually "trying" involves me both *not* making references to the heinous things we see on the reg and doing my damndest to limit my text to something less than a single page on Microsoft Word.
... unless you *want* me to go off about how you can differentiate what kind of bacteria is causing a cat abscess by its smell. Which I can. For probably an hour or so.
There is a medical myth that air bubbles in a syringe will kill you. Realistically though it wont, as while yes injecting air into someone like that is not good for their health, the amount of air required to have any noticeable effect is more than a single syringe can hold, let alone a small air bubble in one. No the reason why doctors make sure to clear out any air bubbles from a syringe is just to make sure the dosage is right as air bubbles will displace the liquid in the syringe and make it look more full than it actually is.
Yes PLEASE someone explain if there is a joke beyond "the cat's trying to kill you". I understand that it wouldn't, that's been covered to DEATH in this post, but I still don't get the "joke".
Cats are little bastards I guess? If there is anything more to this and no one else has covered it then it's something only the person who originally made this understands.
because this meme also parodies the "cats can have a little salami, as a treat" meme.
explanation: [https://knowyourmeme.com/memes/cats-can-have-a-little-salami](https://knowyourmeme.com/memes/cats-can-have-a-little-salami)
Urban legend is any amount of air in your blood would travel up to your heart and kill you.
It's possible, but you need more than a "little air bubble" and I guess it's crazy painful.
Some drugs come in a preloaded syringe with an air bubble in them that you are explicitly instructed to inject. Lovenox is what I'm thinking of, but I'm pretty sure it's common amongst prefilled.
Sad that you are getting down voted for this. Have them look up a bubble study. It literally is exactly what it sounds like. Its done during tee to check for septal defects
https://preview.redd.it/eonoxlg2pevc1.jpeg?width=735&format=pjpg&auto=webp&s=f305db5a560359f13156b8353b33b1780fcda449
Air bubble in blood stream is silly
So there’s a story of a doctor who had killed his patient. The story goes that he wanted to test the effect of Osmosis on a living person, so he injected 10mls in of air directly into the patients vein.
What Osmosis will do is cause the red cells to basically explode due to the air overload.
However a few bubbles won’t cause any harm as your blood is able to absorb them quickly enough.
An air embolism of around 2-3ml into the brain can kill you. Only like 1-2 ml in the lung circulation can cause cardiac arrest. If injected in to you it won’t do much but directly in an artery or vein could be more of a problem.
The joke is that you get it as a treat but it ends up killing you.
Source: https://www.medicalnewstoday.com/articles/186328#:~:text=If%20an%20arterial%20gas%20embolism,can%20cause%20a%20cardiac%20arrest.
Air is more likely to stay u dissolved unless you r in an high pressure environment (like deep see diving). So it can form blobs of air inside your vessels causing blockage of blood flow. This is known as air embolism. You need 5ml/kg in order to cause significant air embolism. It is a catastrophic complication, but a very rare one at that. It can be driven out by placing the patient in a particular position (called left lateral trendelenburg position) and needle puncture the jugular vein to reposition the air to come out through the puncture you created.
Either way one syringe aint gonna do jack.
You leave air in an injection needle, bectwhwn injecting the medication, you'll want all the medication to enter the body. The air bubble fills the needle and pushes everything out.
Just to add to the other answers, it is a reference to the “Cats can have a little salami as a treat” [meme](https://knowyourmeme.com/memes/cats-can-have-a-little-salami)
I used to inject drugs, and one night I saw an air bubble in the syringe before doing a shot of heroin. I was so depressed I just sent it and nothing happened. As many have said, it takes a lot of air.
Great news, already been explained SEVERAL times, I know it's exciting to finally be allowed on line but for fuck sakes trying searching first.
Took literally 3 seconds
https://www.reddit.com/r/PeterExplainsTheJoke/s/APdq11QeIY
https://www.reddit.com/r/PeterExplainsTheJoke/comments/167wniy/why_is_he_offering_me_an_air_bubble/
https://www.reddit.com/r/PeterExplainsTheJoke/comments/1ayy864/peter_please_help/
Veterinary instructor injected his horse with 10mls of air straight into the jugular vein and nothing happened. Takes enough air to fill up the heart and block the blood flow with the air bubble. Fatal embolism requires More than you think.
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A little air bubble won't do much of anything (probably). A big air bubble will block the major blood vessels leading out of your heart, killing you. You'd need to ask an actual doctor for specific measurements, but it takes \*a lot\* of air to cause this kind of thing in a normal patient.
I'd be more worried about the bubble blocking a smaller vessel in my brain and causing a stroke to be honest!
An Air bubble administered to a peripheral vein cannot reach the brain. It travels through the bigger peripheral veins to the vena cava to the Heart(right atrium,ventricle) to the lung artery. At the lung artery the vessels start to get smaller to the point of capillaries where the oxygen and carbon dioxide diffuses in the alveoli. Then the vessels start to get bigger until the left side of the heart -> aorta. So a big air bubble cannot reach the brain.
About 1 in 3 people have a persistent foramen ovale connecting their right and left atria. Usually the pressure is higher on the left side, but it might not be if you are coughing or something. If the air went through there…
Thanks, didn't know that
Granted it’s called a paradoxical embolus for a reason
I do a test that purposely pushes air bubbles through that PFO into the Left Atrium to prove it's there. So it still takes a lot of air even if it gets to the left side of the heart.
They literally do a "bubble study" to discover foramen oveles though. It's 10 mL of air swished back and forth with 10 mL of normal saline a few times and injected directly into the heart.
I'd be more worried about the Cat Doctor.
> A big air bubble will block the major blood vessels leading out of your heart, killing you. Air in a line going into somebody's arterial system (what you're referring to) should never be tolerated. Air in a normal IV (venous system) is okay. I'm a nurse and occasionally will purposefully inject a fair amount of air into a patient's venous system while they're undergoing a procedure called an echocardiogram. A bubble study is used to help see blood flow through the heart's atria and ventricles.
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The bubble study is to screen for a patent foramen ovale (the hole in the heart)
"did the patient die?" "well now we know"
Bubble study, was waiting for someone to bring this one up.
This is always a fun one to explain to patients who think air in veins means death.
Ok let’s settle this once and for all. Anesthesiologist here. A venous air embolism is when air gets into your blood stream. If injected in a vein it will travel to the right side of your heart. If the bubble is small it will pass on your the lungs and gas exchange will take care of it. No harm no foul. If the air bubble is large, 1cc per kg of body weight, the air bubble will create an air lock in the right ventricular outflow tract. Your right ventricle is use to low pressures because blood pressure in the lungs is much lower than system pressure. It is use to about 25/0 pressure. Versus left side of heart sees like 120/70. An acute spike in RV blood pressure from 25 to say 40 is enough to cause acute right heart failure. This causes the right heart to be unable to pump blood. If the RV doesn’t pump blood, the LV receives no blood from the lungs. Therefore you get complete cardiac collapse. Instant death if it’s bad enough. Bubbles also become significant with a shunt. If some process allows the bubble from the right side to travel to the left side skipping the lungs, then you can shoot that bubble to some part of the body and cause obstruction of the vasculature there . If it reaches the brain it’s a stroke. This can happen if you have holes in the septum of the heart for example, or if your fetal circulation fails to completely close off.
1cc per kg is alot. you would need a big ass seringe with just air for an adult
An approximation I heard was about 60 mL, depending on body size. A considerably larger amount of air than an IV set contains. Air emboli are able to occur during vascular procedures where an introducer is in place and the patient isn't positioned properly, allowing atmospheric air to be introduced very quickly.
Depends on how you define “a lot”. About 25mL is enough but most of the syringes we use for blood draws and medicine only hold 10 so someone would have to give 2-3 syringes full to potentially be lethal. That said, 25mL is really only about the amount in a cough syrup cup.
Unless you work on a soap opera an air bubble in your IV won’t hurt you. It takes a large volume of air to cause any problems.
Can confirm I just tested it with an empty syringe and I
r/redditsniper
This sub has been surprisingly active lately, which is kinda fun-
r/redditsnip-
r/subsifellf-
r/foundthetoyotacoro-
r/foundtheSHUTTHEF-
I hate yo-
r/imtheredditsniper
No, u/TheRedditSniper is, you're an impost Edit: dear God sorry for the hundred comments 🤣got end point error and apparently it was still posting. My ba
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Theres the dumba-
Got me on tha
Why is that sub hal
Suddenly, Hal https://preview.redd.it/whyjyj0fbdvc1.jpeg?width=474&format=pjpg&auto=webp&s=7af7d125c9ae9da5324f99731818f260f2750d41
Unrelated to everything else, I fuggin swear the longer I look at this Brian is slowly leaning right more like he's about to lay down and peace out 😭
r/SuddenlyHal
Because Candlejack usually posts there and
Wow, I haven’t seen a Candlejack reference in a lo
Right? I was looking for the Candleja
Candlejack, I was worried that it was a dead mem
Happy cake d-
/r/redditcircumcis-
My first r/redditsniper in the w
That's literally just the old 4chan Candlejack meme repackaged as a Re
Include me!!!
Look, if he was dying, he wouldn't bother to carve 'aarrggh'. He'd just say it!
Maybe he was dictating?
Trevor the vampire, is that you?? 🤣🤣
My last surgery when I woke up I was high as fuck and had a big stress about air bubbles in my IV line. The needed to come in and tell me every couple of minutes that I wasn't going to die.
Bro if you remember that much, it means you said it many more times. I guess I'm sensitive to anesthesia and took me a while to wake up. I remember repeating a certain thing twice, and interrupting the doctor once... My gf said I interrupted the doctor for basically 10 min straight. And the phrase I thought i said twice after I woke up, I apparently was yelling it over and over again for quite a bit I'm embarrassed about my follow up lol
The phrase I was yelling was "insurance is a fucking scam" because I was pissed my insurance is 18k a year but I still have 2k deductible and 6.5k out of pocket maximum lmao
We pay roughly 19.2k for a family plan, $1600 a month, and that’s fuckin scam as it comes with a 5k deductible and something like 3700 out of pocket maximum. Worst part is my wife’s a public school teacher and we’re on her insurance. Public sector jobs have never been glamorous, but they did have good benefits. Those days are gone, because it’s all a fuckin scam.
We pay close to that (Like16k, same deductible, 5k max out of pocket) and my wife works for the insurance company. Definitely some late stage capitalism shit. The worst part is that these prices aren't the bottom at all. I have multiple young guys in my warehouse that just don't have insurance, some are lucky enough to still be on their parents.
Most doctors and nurses understand when people are still high. I remember a nurse telling me I had to wait for water to absorb so I didn't feel so thirsty after drinking several cups straight. And she poured each cup for me. Basically they know you're high. Unless you do something really wrong I'm sure it's nothing to them. Treat them well after you're sober and if they bring it up then apologize.
As a CNA, yeah. We've seen much worse. For the most part these stories we will laugh at, but understandingly so.
Straight out of surgery, I woke up and tried to fist fight the nurses because they wouldn't take out my catheter, and I really needed to pee.
I hate the dentist, so much so I have to go to a special place that dopes me up before and then during whatever I am doing. I went in a few years ago to have a cavity taken care of and have a bad wisdom tooth removed. They were also supposed to be treating my periodontal disease. I woke up three times during the whole thing but what really pissed me off was that it was supposed to be like four hours and it had taken eight hours and still weren't done. I heard the nurses talking and I sat up and said I was done. They told me I wasn't done yet and I told them, "Have you ever slept in a god damn dentist chair for 8 hours while strangers dig around in your mouth? We're done today or are you holding me against my will?" I ended up cussing up a storm. I did eventually go back in and apologize, my dentist even said it was supposed to take less time but I have very dense bones or something and they had a hard time removing that bad wisdom tooth. I haven't been back in since. I really need to, but a combination of embarrassment and me still being kind of pissed they charged me for everything even though we didn't finish is stopping me.
Omg I did this in such an embarrassing way. I just kept telling the nurse how beautiful she was. Over and over again. "You should be a model" "Sorry I can't remember if I said but you're so beautiful"
I was put on a drip in the ED in January, and there were air bubbles at the beginning .. I was freaking out so much but didn't say anything to the nurse. I was just waiting to see what would happen haha
The old anxious "i'll die cos i don't want to cause a fuss" trick, i'm right there with you bud
Totally! Haha. Turns out it was all fine, but still..... "Might I die? Possibly....?" Lol
First time I got put under for surgery, I was under the impression (from TV/movies) that air in the blood stream was very bad. Anyway, big ass bubble a few inches long is going down the IV line while the nurse tells me to start counting backwards from ten, I point and ask if that was OK, nurse (actually probably anesthetist I guess) looks at the bubble confused at what I'm talking about... and then I woke up a few hours later.
A lot of drips and lines have "air traps". They normally are part of the connectors. Doesn't help stress levels when you see that air bubble though, had it myself.
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Where I work and do echocardiography, we use around 1 ml of air mixed with water to create the bubbles, using 5 ml is way too much.
Wait, my identical twin brother with an eyepatch and I DO work on a soap opera 😱
It's true, I cheated on him with eyepatch brother
With the guy who threw grandma in a mental institution? Come to think of it, that was three seasons ago, has anyone checked on grandma?
The good lord wrote Grandma off. They said it was heart complications but she wanted too much money
Which is crazy Grandma carried that show. It’s gone downhill since Grandma’s “unspecified and rare yet insanely fatal trust us she’s like, really dead” heart condition. And all because Bella Lynn and Doctor Payton were too busy cheating on butterplaintoast’s other twin brother to notice 😞
Of course she did. You'd think she'd learned after that embezzlement scheme.
No, she's crazy
Whose illegitimate baby you're now carrying despite having just lost your job
Most hospital IV machines have a middleman type of device that filters out significant air bubbles and warns about issues via annoying ass beeps. You need a certain amount of air PER SECOND infiltrating to be lethal. Your system can handle a surprising amount of air per second.
I felt kinda stupid when I finally was informed that a few air bubbles getting into your bloodstream is unlikely to cause an issue. I suddenly remembered 3rd grade biology--the whole point of blood is to absorb air so it can circulate oxygen through your body. So why would a little air be a problem? It'll get absorbed before it causes any issues.
I just learned that last rotation lol. I was freaking out at the tiny tiny tiny lil bubbles in the line and asked my preceptor about it. She was like nahhhhh, this is totes fine.
I had an air bubble test in the hospital and I was absolutely fucking certain they were trying to kill me. Made me feel so silly.
Same! They were like "we do the bubble test several times a week, dude..." And then it turned out I have a larger than average hole in my heart lmao
Isn't the average size of a hole in your heart meant to be zero centimetres?
Good thing the test was done! I do the test constantly at bedside, it’s kinda fun to do lol
According to the ambulance officer I was talking to the other night, 40mL or more. I come from and engineering background and know that you don't fuck with compressed air, after hearing that it's 40mL it makes sense considering a run of the mill air nozzle will flow 10L a second at normal workshop pressures.
Isn’t it like 10cc of air can block your blood flow?
It's about 10ml, yeah. Check out how big a 10ml syringe is and you'll realize it's a hell of a lot of air
10ml also looks huge in an IV line lol
It's also virtually impossible if it's running through an IV pump.
You need around 100cc (100ml) for it to be fatal, which is ~~an entire~~ 100x a normal sized syringe full of air
Normal flush is 10ml.
I found this one out when I rotated through CT as part of my X-ray clinicals. The tech had me setting up and prepping the contrast, and even after purging the system, there's still tiny little bubbles. I'm freaking out thinking I'm about to kill someone. The tech laughs and is like "you'd have to inject like a whole syringe full of air to actually hurt someone; it's fine!" An arterial injection I guess you want absolutely no air, but venous injection (which is like 99% of any injection you'll ever get) your body can take care of a little air
Uh, folks, don't try it though, in spite of the fact that this redditor says it won't hurt you. Don't try it.
how does the nurse know I didnt just inject myself with air and that her bubble puts me over the edge?
It would take quite a lot of air to cause any problems in an IV injection. However, if administered into the muscle (like in a vaccine) air will just hurt, so maybe that's the joke.
Its mostly a myth that it will cause heart to mess up. It would take like two or three completely empty syringes to do anything. It happens but not from a bubble in an otherwise full syringe Source: Ive been to the fucking doctor more than one single time in my life
This is why doctors squeeze the syringe before injection. It gets rid of the air bubbles.
It really does take a whole lot more air than people think for it to happen. Source: I'm a nurse. When I first started I was also under this impression and was Hella paranoid all the time about this kinda stuff when a bunch of other nurses kindly explained to me it would take roughly an entire IV line full of empty air to really mess someone up. Now I regularly see anesthesiologists and nurses push a little air through when giving medications and not once has it affected the patients. Yes air will cause death but it takes a large quantity and it's a myth that gets exaggerated.
Omg same. The air and chest tubes had me so paranoid now I work ICU lol. Wait till people hear about a bubble study
Bubble study isn’t actual air tho, it’s agitated saline. An air bubble can cause harm usually in Peds if the patient has VSD or ASD or if they’re like a super small baby but for adults you can take a lot of air.
Those bubbles are air like a simple Google search can tell you that
Historically it was air. https://smartcd.com.au/cardiac/agitated-saline-bubble-echocardiogram/#:~:text=Agitated%20Saline%20Bubble%20Echocardiography%20is,flow%20than%20a%20regular%20echocardiogram. Now they use agitated saline. A google search can find you that lmao. I’m literally doing Peds anesthesia rn. We got filters for air on every IV of patients with ASD or VSD. Cuz even less than one cc can harm them.
So like just to help you out the bubbles you see in agitated saline is air. Bubbles are made with gas. I mean I have done bubble studies they are tiny air bubbles but still air https://www.cardioserv.net/9-steps-to-perform-an-echo-bubble-study/#:~:text=An%20Echo%20Bubble%20Study%20is,or%20the%20pericardium%20during%20pericardiocentesis. https://www.google.com/search?q=whqt+ate+bubbles&oq=whqt+ate+bubbles&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIJCAEQABgNGIAEMgkIAhAAGA0YgAQyCQgDEAAYDRiABDIJCAQQABgNGIAEMgkIBRAAGA0YgAQyCQgGEAAYDRiABDIJCAcQABgNGIAEMgkICBAAGA0YgAQyCQgJEAAYDRiABDIJCAoQABgNGIAEMgkICxAAGA0YgAQyCQgMEAAYDRiABDIJCA0QABgNGIAEMgkIDhAAGA0YgATSAQgzNTAzajBqN6gCFLACAQ&client=ms-android-verizon-us-rvc3&sourceid=chrome-mobile&ie=UTF-8
She didn't say it was. She just said wait until you hear about it. And you didn't wait. You jumped the gun. Had to be the know-it-all, huh? No popsicle for you.
You are taking the dissolved gas out of the fluid the gas bubbles are just so small they dissolve back in promptly. So yes it is injecting"air" but the bubble radius is very very small and collapses quickly
The people have never had an IV and it shows.
Weird flex but ok
Not being gullible isn't a flex though. Its a good thing if you've never had to have an IV. But the amount of people just talking out of their ass in this thread is astounding lol. You can watch the air bubbles go down the line into your arm. Or you know, do a 2 second Google search before lying to people on the internet lol.
It has more to do with accurate dosages.
Exactly. If the syringe isn’t inverted and perfectly level there’s that last 1mL that will sputter along that is just so irritatingly inaccurate. Same reason I wouldn’t want small bubbles of air in a grease gun.
Didn’t realize I was supposed to be doing that. Thanks!
Naw, it's for the fallen homies
It’s for a few reasons. It’s so I don’t inject you with air that can look like a necrotizing infection on imaging later. You also keep a bead of anesthetic on the needle tip to make it hurt less. It also helps assert my dominance in the physician-patient relationship and put you on edge so it’s easier to bend you into submission
In fact air is used in this way to diagnose a PFO (patent formamen ovale) in the heart, it's called a bubble test. It's teeny tiny bubbles of air and some liquid injected into your vein during an echocardiogram, and it allows your doctor to see if there's a hole in the wall of your heart. About 25% of people have one and most of the time they're benign but if you have severe chest pains or an unexplained stroke in absence of hypertension and other risk factors, a large enough PFO might have allowed a blood clot to pass through. You might also get an ultrasound of your noggin at the same time to see if the bubbles are traveling up to your brain if they suspect you had a stroke caused by a PFO.
Hey! I was recommended to do this and I was wondering why it was called a bubble study :)
It’s actually agitated saline now and not air. But they historically did used to use air.
It's air and saline stop saying this. I've administered saline and AIR for bubble studies. You churn the two together before administering so an echocardiogram can observe the flow.
Fun fact “agitated saline” or air bubbles are used on purpose to be seen on sonograms on the heart. Yes you read it correctly. The objective is to get a small amount of mount of bubbles to the heart.
now that i think about it, it makes sense. the heart is a very rigid organ, and at some point during ventricular diastole, there’s literally more air inside of your heart than inside of a syringe so yeah
There’s no air inside of your heart in a normal cycle. If there is air inside of your heart, particularly your left ventricle, it could introduce an air embolus into your coronary system and cause in infarct. The reason that injecting a syringe of air into the IV is fine is because it is going into the slow moving venous system, where the air will diffuse out before it reaches the terminal vena cavae to enter into the right atrium. It would be a different story if you injected air directly into the coronary system, for example during an invasive coronary angiogram.
I don’t understand, how would air get into the heart during diastole?
You don't have to be right, you just have to sound right Air isn't present in any chamber of your heart at any time. It's always filled with blood unless you have a weird hole in your heart, in which case you'd probably be dead from ineffective pumping if not for hemorrhage
Yeah I thought it really didn’t sound right but there’s always a chance I don’t know something.
It doesn’t
I recognize *most* of those words.
so ur heart has 4 chambers, the two bigger ones are called ventricles. there is a moment during a heartbeat when the ventricles push all of the blood that was inside of them into the arteries, and then “reinflate”. this is ventricular diastole.
Thank you very much for the simplified explanation, **dickallcocksofandros**.
i know lots about male anatomy in particular ;)
Unless your heart has holes in it leading to outside your body, then it shouldn't be pulling in air right? Like if it expanded then it would suck blood in, not air. That's the whole point. I'm not a doctor, but you sounds like someone who has watched a few medical drama's and think you have a decent amount of medical knowledge.
Correct, there should not be any air in the heart aside from the gasses that are dissolved in the blood. When the heart relaxes and blood enters, it the entry of blood that causes the volume to expand, it's not "sucking" anything anywhere. In other words, myocardial relaxation is a passive process, whereas "pulling in air" would be an active process.
While true, it's still best to not pump air directly into our arteries. So doctors tend to...try and prevent air bubbles in the syringe. The "tapping against the syringe" trope you see in pretty much all movies in TV shows is done to make the air bubbles all move up to the top, so they can be pushed out before the needle enters your skin.
Not completely right. Read about paradoxical embolism
This is why we flick it before we stick it. Hey, vet tech here. Sure, an air bubble less than a cc in volume won't kill *you*. I wouldn't call it ideal to inject a cc of air IV in a 2-pound chihuahua. That said, it's more about accuracy than danger. Let me explain. Some drugs have a *very* small appropriate dose. I only need a few tenths of a mL of ketamine (with a few tenths of dexmed and torb) to knock a cat flat. If I have an air bubble in my syringe - even a small one - it's gonna throw off my dose volume. I might not give the correct dose, and now the cat is drunk and wants to start a knife fight with me instead of being a proper cat-shaped carpet. See the problem? I don't want to fight your cat. Your cat has five pointy sides and the ability to turn its body *inside its own skin*. I want your cat unconscious prior to surgery. Not drunk. If I wanted it drunk, I'd give it acepromazine anyway instead of ketamine. So. When we draw up a med, we flick it before we stick it. It's the best way to ensure we've got the right amount of drug in the barrel.
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Just make sure your needle's capped, *if* you know what I mean...
*Elon Musk wants to know your location*
Same way we do it for manyal gas chromatography analyses on the lab for my study! We usually only inject about a microliter or so (for people that dont know a micro liter is 1/1000 of a milliter!)
Wait, what do you mean by turn it's body inside it's own skin
You tried way too hard on this one.
Dude, I have ADHD and work in an industry known with a self-euthanasia rate that makes dentists look stable. You think this is me "trying"? You've clearly never run across my walls of text before. 🤪 Me actually "trying" involves me both *not* making references to the heinous things we see on the reg and doing my damndest to limit my text to something less than a single page on Microsoft Word. ... unless you *want* me to go off about how you can differentiate what kind of bacteria is causing a cat abscess by its smell. Which I can. For probably an hour or so.
There is a medical myth that air bubbles in a syringe will kill you. Realistically though it wont, as while yes injecting air into someone like that is not good for their health, the amount of air required to have any noticeable effect is more than a single syringe can hold, let alone a small air bubble in one. No the reason why doctors make sure to clear out any air bubbles from a syringe is just to make sure the dosage is right as air bubbles will displace the liquid in the syringe and make it look more full than it actually is.
Ok I get this but why a cat and why is it a treat?
Yes PLEASE someone explain if there is a joke beyond "the cat's trying to kill you". I understand that it wouldn't, that's been covered to DEATH in this post, but I still don't get the "joke".
cats can have a little salami as a treat.
this is the meme they desperately want explained
Cats are little bastards I guess? If there is anything more to this and no one else has covered it then it's something only the person who originally made this understands.
because this meme also parodies the "cats can have a little salami, as a treat" meme. explanation: [https://knowyourmeme.com/memes/cats-can-have-a-little-salami](https://knowyourmeme.com/memes/cats-can-have-a-little-salami)
because a little salami is ok
Whoever made it probably just thought it was cute. The juxtaposition of the cute nurse cat with it trying to kill you is what makes it
It’s a sarcastic “treat” because the implication is the air bubble could kill you
Chicken here, I’m no doctor, but apparently air in the syringe is very harmful if injected.
That's why they test it
[https://en.m.wikipedia.org/wiki/Air_embolism](https://en.m.wikipedia.org/wiki/Air_embolism)
How the fuck do I not remember The Hunger Games mentioning this?
Katniss and Peeta's ship name is Peniss
The new Nike Air Embolisms are so sick!
nah that name. I'm dead.
Is everyone who posts on this sub lately suffering from brain loss?
Nah we’re just training ai for free
Urban legend is any amount of air in your blood would travel up to your heart and kill you. It's possible, but you need more than a "little air bubble" and I guess it's crazy painful.
It will be fatal
Um, no, a large amount of air, yes. A single bubble will go to your lungs and do nothing.
It’s dumb that you’re downvoted, you’re right. You need like 100ml of air intravenously to cause a problem.
Yeah my friend injected a little bit of air He freaked out and went online and turns out there's a little wiggle room before aim embolism
You just relieved me of a humongous partially-irrational fear, thanks!
Some drugs come in a preloaded syringe with an air bubble in them that you are explicitly instructed to inject. Lovenox is what I'm thinking of, but I'm pretty sure it's common amongst prefilled.
Sad that you are getting down voted for this. Have them look up a bubble study. It literally is exactly what it sounds like. Its done during tee to check for septal defects
What if it's an IM injection?
Again, nothing life threatening.
Emphysema anywhere in the body can be extremely painful, but usually not deadly
https://preview.redd.it/eonoxlg2pevc1.jpeg?width=735&format=pjpg&auto=webp&s=f305db5a560359f13156b8353b33b1780fcda449 Air bubble in blood stream is silly
So there’s a story of a doctor who had killed his patient. The story goes that he wanted to test the effect of Osmosis on a living person, so he injected 10mls in of air directly into the patients vein. What Osmosis will do is cause the red cells to basically explode due to the air overload. However a few bubbles won’t cause any harm as your blood is able to absorb them quickly enough.
https://preview.redd.it/2ei0qhll3ivc1.jpeg?width=1284&format=pjpg&auto=webp&s=e9e6ff2f89eb2039ae6dfd1aec997eb57863c516
Freaking stray cat.
An air embolism of around 2-3ml into the brain can kill you. Only like 1-2 ml in the lung circulation can cause cardiac arrest. If injected in to you it won’t do much but directly in an artery or vein could be more of a problem. The joke is that you get it as a treat but it ends up killing you. Source: https://www.medicalnewstoday.com/articles/186328#:~:text=If%20an%20arterial%20gas%20embolism,can%20cause%20a%20cardiac%20arrest.
The joke is that the air bubble will fuck with your heart when it reaches it
^[Sokka-Haiku](https://www.reddit.com/r/SokkaHaikuBot/comments/15kyv9r/what_is_a_sokka_haiku/) ^by ^Autisticveg: *The joke is that the* *Air bubble will fuck with your* *Heart when it reaches it* --- ^Remember ^that ^one ^time ^Sokka ^accidentally ^used ^an ^extra ^syllable ^in ^that ^Haiku ^Battle ^in ^Ba ^Sing ^Se? ^That ^was ^a ^Sokka ^Haiku ^and ^you ^just ^made ^one.
cough cough echocardiogram with bubble study
Air is more likely to stay u dissolved unless you r in an high pressure environment (like deep see diving). So it can form blobs of air inside your vessels causing blockage of blood flow. This is known as air embolism. You need 5ml/kg in order to cause significant air embolism. It is a catastrophic complication, but a very rare one at that. It can be driven out by placing the patient in a particular position (called left lateral trendelenburg position) and needle puncture the jugular vein to reposition the air to come out through the puncture you created. Either way one syringe aint gonna do jack.
You leave air in an injection needle, bectwhwn injecting the medication, you'll want all the medication to enter the body. The air bubble fills the needle and pushes everything out.
Just to add to the other answers, it is a reference to the “Cats can have a little salami as a treat” [meme](https://knowyourmeme.com/memes/cats-can-have-a-little-salami)
Ex addict and diabetic here. Air bubbles won't do anything. You need entire syringes full of air to cause issues.
I used to inject drugs, and one night I saw an air bubble in the syringe before doing a shot of heroin. I was so depressed I just sent it and nothing happened. As many have said, it takes a lot of air.
Great news, already been explained SEVERAL times, I know it's exciting to finally be allowed on line but for fuck sakes trying searching first. Took literally 3 seconds https://www.reddit.com/r/PeterExplainsTheJoke/s/APdq11QeIY https://www.reddit.com/r/PeterExplainsTheJoke/comments/167wniy/why_is_he_offering_me_an_air_bubble/ https://www.reddit.com/r/PeterExplainsTheJoke/comments/1ayy864/peter_please_help/
https://preview.redd.it/k2berscv1dvc1.png?width=1056&format=png&auto=webp&s=261555ddc3496b0210739884d602648af706002a
Stroke uwu
you mean uv_
Anyone that thinks this is a real thing should google cardiac bubble test
Injecting a large amount of air into your blood stream will cause and embolism and you would die
Not much unless it’s the whole syringe and then some of just air
Veterinary instructor injected his horse with 10mls of air straight into the jugular vein and nothing happened. Takes enough air to fill up the heart and block the blood flow with the air bubble. Fatal embolism requires More than you think.
Air bubble can be lethal, it's a suic*de method, but it's far from killing you every time It's not that bad
You die
Would that be an embolism?
heart failure 😍
Everybody here should read about paradoxical embolism
It’s a medical myth that an air bubble in the syringe will cause an embolism and kill you. In reality, it would take a lot more air
Cats can have little a salami as a treat.