Recent comments in /f/sports

IWearACharizardHat t1_j2us29m wrote

Are the triples harder to hit than a bullseye? I kind of wish the optimum strategy was to always go for the bullseye, though I understand there isn't room for that many darts if they both need to keep throwing at it

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-ImJustSaiyan- t1_j2uro0m wrote

Good to see there's still people getting irrationally upset by well-meaning condolences. What exactly do you want people to do? Fly on over to the hospital to go see him?

And no, most people who say "thoughts and prayers" aren't actually thinking they're making a difference, they do so because they genuinely mean well and are hoping for the best outcome in an awful situation that is entirely out of their hands.

No need to be cynical about people earnestly voicing their support for a man whose life is on the line and his loved ones.

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kellogg76 t1_j2uqngt wrote

You start on 501, and have to get to zero, ending on a double or the bullseye.

Smith hit 180 (60+60+60), 180 (60+60+60), and then 141 (60, 60, 24 as double 12) to do a nine darter in a world final. Incredible stuff.

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DDougie t1_j2uq3sx wrote

Yes they start at 501 and go down from there, needing to hit a double to win (so if you have 40 points left you need to hit a double 20). He can throw as many as he needs to win, but the minimum possible is 9 darts.

Traditionally its 3 Triple 20s (180 points) on turn 1, 3 Triple 20s (180 points) on turn 2, then Triple 20 Triple 19 Double 12 (141 points). There are other combinations that work, but that's the standard.

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CodeBlue614 t1_j2uohdl wrote

ICU doctor here.

The decision about therapeutic hypothermia (cooling) is made based on the initial neuro exam. Typically, if they’re not following commands, you do it. There’s some debate about whether it’s helpful to actually cool them (target a central body temperature of 32-34 C) vs just preventing fevers (hold central body temp at 36 C). The deeper cooling can cause a lot of metabolic problems, and needs deep sedation and sometimes a paralytic (if they shiver uncontrollably). At my hospital, most patients get 36 C these days. It may be different at UC, I can’t comment on their practice patterns.

Prior to all of the cooling studies, the prognosis was based on the initial exam and the exam between 72-96 hours (3-4 days in). In short, if you’re awake and following commands by then, good sign you’ll be at least semi-independent (for self care) at 6 months. Obviously, if the patient improves in less time, that’s great. Cooling pushes the timeline back. I have had patients wake up and start following commands during cooling, in which case we stop.

During this time, Mr. Hamlin will be reassessed frequently, looking at things like cranial nerve reflexes (from nerves that come directly off the brain and not the spinal cord). These include nerves that control the pupils reacting to light, eye movements, cough and gag reflexes, and blinking. If they are impaired, that’s a bad sign, as they tend to be more resilient than the “higher function” areas of the brain.

As the updates come in during the coming days, look for reports about wakefulness and following commands. If he is off the ventilator at some point this week, he would need to be awake and following commands, so that is a good proxy. If he’s out of ICU in the next 7-10 days, he would need to be off the ventilator.

I’m happy to answer questions if you have them.

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