The Fall of Hospitals

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I hope it’s successful
No one should be dictating medical treatment. Not attorneys, not insurance companies, not large corporations- it should be up to the doc after conversation with the patient.
 
I agree.

I could always tell who the new nurses were . . . because during lunch, the veterans were eating lunch while talking about secretions, pus, maggot-infested decubitis from low-end SNF facilities, and colostomy bags.

The new nurses were the ones whom weren't eating and looking pale and/or green around the gills.

I had few issues with this, as I could run on a 4 car pile-up with multiple fatalities, and have spaghetti when I got back to the station.
i have eaten dinner with 2 Vet specialists with A GP sitting behind us. The double boarded college professor and my wife.
I heard a lot of gross stuff and told my wife afterwards, I didn’t understand half of it. She said, don’t worry neither did the GP sitting behind you.
 
I don't claim to have never gotten sick, however.

I'm sure you all know how hot Florida can get in August.

We had a welfare check in a trailer park on a guy that no one had heard from in a while, and the mail was accumulating into a large mountain.

Well . . . it was a metal Airstream trailer, which was sitting in the hot August sun in South Miami.

The resident had died on the toilet (we guessed that he had "vagaled out" while straining from constipation, which means that he possibly died because his heart slowed down from too much stimulation of the vagus nerve.

He had died approximately 11 or 12 days before.

I was OK until the M.E. guys pulled him off the toilet . . . and his ### tore off and was left behind because it was sticking to the toilet seat . . . which--of course--caused me to heave my guts up in the shower stall.

As we were leaving, one M.E. guy said "How awful. I can't stand the smell of vomit . . ."

It was a difficult call.

(Added later, after getting approval on prior post from forum members)

P.S. I think this was when I began to drink heavily . . . not that it's an excuse.
 
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I don't claim to have never gotten sick, however.

I'm sure you all know how hot Florida can get in August.

We had a welfare check in a trailer park on a guy that no one had heard from in a while, and the mail was accumulating into a large mountain.

Well . . . it was a metal Airstream trailer, which was sitting in the hot August sun in South Miami.

The resident had died on the toilet (we guessed that he had "vagaled out" while straining from constipation, which means that he possibly died because his heart slowed down from too much stimulation of the vagus nerve.

He had died approximately 11 or 12 days before.

I was OK until the M.E. guys pulled him off the toilet . . . and his ### tore off and was left behind because it was sticking to the toilet seat . . . which--of course--caused me to heave my guts up in the shower stall.

As we were leaving, one M.E. guy said "How awful. I can't stand the smell of vomit . . ."

It was a difficult call.
If anyone here is so hardcore bads--- that they wouldn't have--at least--contemplated being violently ill after experiencing that under similar circumstances . . . then all I have to say is that your stones and/or ego is much bigger than mine . . . and that's saying a lot.
 
I have literally gotten sick. Accident call when I was at a Halloween Party. Walked 3 doors down to get there.
El Camino broadsided, kids were in the back. Trick or treat bags next to the over turned vehicle.
No amount of alcohol helped me that night.
 
I have literally gotten sick. Accident call when I was at a Halloween Party. Walked 3 doors down to get there.
El Camino broadsided, kids were in the back. Trick or treat bags next to the over turned vehicle.
No amount of alcohol helped me that night.
I'm sorry you experienced that. It must have been very difficult.

Do you have PTSD from work? And do you have a support system?
 
I agree.

I could always tell who the new nurses were . . . because during lunch, the veterans were eating lunch while talking about secretions, pus, maggot-infested decubitis from low-end SNF facilities, and colostomy bags.

The new nurses were the ones whom weren't eating and looking pale and/or green around the gills.

I had few issues with this, as I could run on a 4 car pile-up with multiple fatalities, and have spaghetti when I got back to the station.
 
Most of the medications listed have the doses on the bottle, and how often to take. I would hope that diabetics would know how to self administer their own insulin.
I agree with you, without proper training, you shouldn't self administer - but if you have the supplies and a doc or nurse happens to come along, they can help out with it.
You can pick up the book procedures for primary care physicians which goes over cleaning, debriding wounds and suturing.
You also can't do much damage with one bag of IV fluids for dehydration. Its also pretty obvious if you accidently cannulate an artery (spurting blood) instead of a vein.
Only ones here, would really be steroids and antibiotics, but there are protocols you can look up on medical websites (like SCCM, ABIM, AAFP)
famotidine 1 tab and diphenydramine 1 tab for an allergic reaction.

Had a patient I brought down to ICU this week who had COVID, former ICU nurse. She stayed home and treated herself with 100 mg of prednisone instead that she got from a friend.
You just can't solve all of it, but if you are prepared and resourceful and careful, I think it will be ok :)

Doc have you seen this good news Scientists develop insulin that can be kept without refrigeration - The Economic Times
 
I see NYstate is sacking loads of nurses who refused to get vaccinated, Good.

I am guessing you are talking about this:

83,000 hospital workers could be fired under N.Y. vaccine mandate
83,000 hospital workers could be fired under N.Y. vaccine mandate (msn.com)

Why do you think that is? Why do you think 83,000 medical professionals in a democrat state do NOT want to take the vaccine? The democrats like to call people who do not want the vaccine idiots, anti-vaxxers, neanderthals, etc. These are medical professionals who have to work with people who actually have covid, and they DO NOT want the vaccine.
 
My guess is most of the hospital workers aren’t physicians or nurses.
I’ve been looking for exact numbers but I’ve seen it’s mostly techs, assistants.
Does anyone have any data on this?
 
My guess is most of the hospital workers aren’t physicians or nurses.
I’ve been looking for exact numbers but I’ve seen it’s mostly techs, assistants.
Does anyone have any data on this?
I've been getting very, very fed up lately-- if I count--at the stupidity that's at the heart of all of it.

I have actually lost a lot of faith in humans--as a group--because of the consequences of the pandemic.
 

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