Right now, junkies are being turned out because critically ill people get first priority in triage. No rehab beds. No psyche beds. Very limited trauma beds. No selective surgery. We do not have either staff or equipment or medications for the overflow. The same jackasses who howl about their "freedoms and rights" are the ones howling about how long its taking to get a bed or medication when they're sick.
Apley found out way too late what a moron he was. We are running out of medication to safely intubate. People have no idea what hell is with a big tube shoved down your throat is like completely conscious. Your hands tied down and restrained so you don't yank it out and rip your airway apart with the balloon that keeps it in place.
Agreed. I went into respiratory distress during a cardiac procedure (it was minor, I was awake) and not being able to breathe was terrifying. As I went unconscious I wasn't expecting to wake up again.
When I did wake up, I was disoriented and didn't know where I was. I couldn't talk because of this large tube in my throat, and immediately discovered my hands were strapped down. That was practically as terrifying.
Yup. It's just like a bladder catheter only bigger in a different place. The throat is highly muscular. You will try to expel something that your body thinks is blocking your airway. That's why people have to be restrained. They frequently try to yank them out.
I think they were asking if your field intubation was a combitube (aka King tube). They're a lot easier to place in the field, sounds like the kind you had.
They are the worst aren't they? I'm in the biggest medical center in the world. It's not a happy place, but it has got to the point that when we get word that someone particularly awful coded and couldn't be revived, we say something like, "Oh no... Anyways."
I freely admit I hate losing patients. I've beat on their chests trying to drag them back. That's one of the reasons this is so damn frustrating. I've had idiots attack me because of diagnosis they would not , did not understand or agree with. It's different with COVID-19. They are actually demanding garbage because a reality show fruitcake told them too.
I don't know if you've spent a lot of time in a trauma center, but after a shit ton of death, everyone starts to look like meat. The human mind has its limits, and you gotta roll out onto some other duty. The problem with covid is, there is no other duty.
I'm a combat medic veteran and medical professional. I've worked with doctors without borders before. I still would but I can't right now. That's why I have a gym in my house. I just got through beating a punching bag senseless after a long day. I can't punch patients. I won't drink myself to death either to deal with the frustration and death either. Idiots who refuse to take it seriously are exactly like drunks who drive or junkies who only thinks of the world revolving around them. They do not give a rat's ass about anyone except themselves. They do not care about the wake of devastation they are leaving behind.
Some people can take it. Most people can't. It is what it is, heh. I've got a bunch of staff that are on a pretty high dose of SSRI's or Benzos and they are still about to break.
Yup. I thought a resident had a piece of tape on his scrub pants. I yanked on it. He had a butterfly IV in his lower leg. So he could keep it open to inject drugs. He would steal narcotics from the nursing home he did staffing in. I had a nurse go batshit while taking care of an aortic balloon pump patient. She simply cracked up with no warning. I bounced my flight surgeon off his feet when he came into the ER with a beer and a 45. He had lost his wife suddenly and he was our only surgeon on call. He could not simply shut off his feelings. None of us can.
I had to. He was going to do surgery on a patient. We had called him in. He was at the range with a cooler of beer. He almost shot the range master. Because he was a full eagle, they couldn't run him off without the base commander's authority. He came into the hospital drunk and literally loaded for bear. He was retired after that. He was too grief stricken to effectively do his job.
I'm not sure how this convo became "staff stealing drugs". I think it might have went off the rails. From my perspective I was talking about the legally prescribed drugs staff are on to deal with mental breaks, and the other guy was talking about dealing with addicts doing crazy stuff to get admitted since the bar for getting admitted is higher now.
Yup. I know. I've busted more than one doctor and nurse who turned into a drunk or junkie. I've known fellow medical professionals who turn their exhaustion on patients. Nurses who kill patients. Intentionally. Doctors who are code junkies. We are human beings. I have family too. Just like cops who see people at their most vulnerable and worst, then have to go home and forget it.
We've got a pretty good protocol for rolling people off services that we know are pretty emotionally damaging to mitigate this. The problem is that we can't really roll people off dealing with covid patients during these surges. It's all hands on deck.
We pretty much know the junkies in town, and most of them show up an LBJ or Ben Taub. They are contained and thus, not really that big of a deal for the med center's 21 hospitals.
People like dr swango. He got his jollies from making people's heart stop. They do it for a variety of reasons. They are the center of attention. They are looked at as heroes. They have a God complex and they relish the power of life and death over people. Dr's like Shipman killed patients for money. Nurses can be code junkies too.
I can see how you thought that was the topic of conversation since the other guy was talking about dealing with drug addicts. The points being made in this thread were about the amount of stress and emotional damage coming in, and SSRIs and Benzos are what staff have been prescribed to treat that emotional damage/mental trauma. I'm not sure why he kept bringing up drug addicts. My best guess is that it's just an additional problem he is dealing with in his hospital. Also a generalization like "Texans are fidiots" is typically the kind of thing a "fidiot" would say.
I understand. I posted about an impossible situation my mother is in. The staff are great. I’m not angry with staff. I’m angry with the government who demand our taxes but offer no protection from a real threat. Silly wars intervening in other nations demanding they treat their people better when we cannot take care our own.
I wish those who think this is a joke would suit up in full PPE for an hour. It’s hot. Sweaty. Cumbersome. Pretty awful. Turning patients. Running from one catastrophe to another for 10+ hours a day with no end in sight.
Yup, those that remain are at the end of their rope, barely hanging on, and this happens. You either laugh about it and become cynical, or you implode.
I hope you're doing better now. We've had an increase in gunshot victims in my area. We are having to leave them outside because our bays are crammed with people. We've had trauma victims of wrecks that had to wait because people have been fighting with us to get in because they got COVID-19. It doesn't matter if someone else is sick or dying, these people howl, I come first. In essence that's what they're saying because they refuse to take it seriously and work together to fight it. I understand people being afraid because they cannot breathe. I understand wanting to get your kids taken care of. Of getting your elderly parents seen if they can't breathe or are having a stroke. Unfortunately, we only have so much staffing, equipment, medication and beds.
Oh boy. You want people to use a glossary of acronyms you find easier to deal with. Addicts are junkies. Nothing changes that fact. Junkies are people who are seeking to escape pain or reality. For whatever reason. Physical, emotional, just wanna live in altered state of mind. Simply changing the acronym does not and never will change the fact. BTW. I sincerely hope you have found peace and an answer for your problem. Whatever caused it too
even in the retraction he is bullshitting about the 28k was slightly off and he is making it seem like it was the 3 day total when the 3 day total was 56K
ROTFLMAO. You must be joking. Junkies are not a HIGHLY CONTAGIOUS virus. Although unfortunately, they can transmit them. Usually by blood and fluids transmitted sexually. Not airborne.
162
u/hellfirecat1 17d ago
Right now, junkies are being turned out because critically ill people get first priority in triage. No rehab beds. No psyche beds. Very limited trauma beds. No selective surgery. We do not have either staff or equipment or medications for the overflow. The same jackasses who howl about their "freedoms and rights" are the ones howling about how long its taking to get a bed or medication when they're sick.