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To: CheshireTheCat
I watched that video.

I would say that this Kate Dalley seems to have pretty good instincts, and she handled her situation pretty much OK, and she essentially won, but her understanding of the entire scope of these issues is limited and that becomes evident rather quickly during her discourse or rant.

An SPO2 of 79% is indicative of a genuine problem. It is a virtual certainty that any and all Patients who are brought to the ER are going to be given supplemental Oxygen. Everybody in the ER gets Oxygen.

A Saturation of 79 would call for an ABG (arterial blood gas) in order to determine ventilation status. Simply giving more O2 is not solving anything. Ventilation status must be determined.

Likely the first therapy provided would be more Oxygen, but once the Ph is determined and the Carbon Dioxide is evaluated, then would a decision to institute High Flow Oxygen be made. Likely her husband was not ventilated and so NIV (non invasive ventilation; BiPAP) would be ordered. The arterial gas results would determine that.

Measurements must be made.

The notion that ventilators are to be rejected is naive. Each case is distinct. The numbers that I have seen do appear to be disfavor-able to the reliance on ventilators in many cases. The NIV treatments not necessarily.

Ventilation modes are troublesome for some Physicians, particularly Residents and non Pulmonologists. There are Volume modes, Pressure modes, APRV (inverse ratio ventilation,) as well as spontaneous modes.

I liked her giving the Nurses and Doctors some sass, but she is definitely unable to articulate an actual understanding of what happened in her family.

I think that advocating for your loved one is a positive thing, but her presentation above might not be helpful in the vast majority of cases.

286 posted on 08/09/2021 7:37:15 PM PDT by Radix (Natural Born Citizens have Citizen parents.)
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To: Radix

Thank you for filling in that information. Always good to have the perspective of a professional.


303 posted on 08/09/2021 8:41:13 PM PDT by Bigg Red (Trump will be sworn in under a shower of confetti made from the tattered remains of the Rat Party.)
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To: Radix; Jane Long; bitt; bagster; numberonepal; Cletus.D.Yokel; Cathi

327 posted on 08/09/2021 9:32:27 PM PDT by grey_whiskers (The opinions are solely those of the author and are subject to change with out notice.)
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