In a medical class of 250, what do you call the person who graduated 250th?
Doctor
You really don't know what you are getting....
Not shot, dog bite
Posted on 06/11/2020 3:20:09 AM PDT by Enlightened1
Boy,when you HAVE to go to a hospital you’d better have an advocate with you to ask questions. Your spouse,family,whoever. Somebody that loves you and is not afraid to ask questions.
I dont have 30 minutes, can someone shorten this?
I just want to watch her talk
I’d Intubate that...
Her basic message seems to be that the treatment was all wrong. Patients who “had COVID-19” were just given very powerful tranquilizers and put on ventilators until they stopped breathing. She described a patient, a 38-year-old man, who seemed to have normal, slightly low, blood oxygen levels, but who (I guess) was a worrier and showed up at the hospital saying he felt a little short of breath. They jumped into action and killed him.
I only watched a few minutes so perhaps I’m misrepresenting.
OMG. thank you. but OMG! nurses and doctors arent the people you see on tv. there are more than a few over educated idiots out there and the hospital admins are focused on the bottom line $$$$$. Ive had surgerys and always felt they were not concerned about doing the right thing just going “ by the book” or less!
This is in general hogwash and this RN doesn’t have the education nor credentials to make the judgments she makes.
I can assure you we don’t stuff people on ventilators to kill them. As a matter of fact a recent critical care article has refuted the notion that 80% of patients with SARS Died. The number is more like 35-40% which though it sounds drastic is the mortality for any ARDS and sepsis shock case.
When we make the decision to intubate three things are taken into account. Oxygenation, ventilations, and mechanics. We look at indicators on blood gas, radiology, and clinical diagnosis to make the decision and weight the risks against the benefits. We look at things like the Pa : Fi gradient and make judgments on a plethora of well established criteria and clinical experience.
What we also know is that early on non clinician researchers made some horrible reconditions they we went with. Avoid high flow oxygen. Avoid bipap we it might aerosolize the virus. And cause spread. So we took several steps that are intermediate to intubation off the table.
We sedate people on mechanical ventilation lightly because not being able to talk with a tube on tour throat is not overwhelmingly comfortable. We have someone looking for a moment of fame who doesn’t know what she is talking s out in this case.
But hey it stirs up controversy.
later.
This nurse went from Tampa to help at a hospital in Queens. She describes her experience. Do you work at this hospital?
The hospital can then claim a COVID-19 "bounty" payment from the death. No, I'm not being facetious.
I said go to the 29 minute mark. Start there.
If you don’t have time, then do not listen to it.
Exactly
The $39K is a rounding error compared to the cost of having someone on a ventilator in the ICU.
That won’t even cover the medical costs of one DAY in the ICU.
No but I am a board certified intensivist and have treated many covid and ARDS patients. My certifying board has required extensive CME on the treatment of SARS and I have participated in planning and administrative level preparation for SARS and numerous other diseases that would potentially overwhelm the system
The system is relatively standardized with rapid communication of best practices. This ER nurse I assure you does not follow the patients on the floor and in my judgment lacks the education and insight to make the judgments she has from a professional standpoint and from a specialty standpoint
What she has said is long on assumption and short in data. But we have seen a lot of that with this disease.
I think her story is credible, given Q-mo’s statement about deaths, ventilators, and President Trump specifically calling out this hospital.
Of course that person who graduated 250/250 was still in the top 1-5% of their undergraduate class, scored at the top of the MCAT tests and passed 4 years of rigorous academic and clincal training.
Re: Blood gases
I have come to the conclusion that low oxygen levels in many nursing home patients was caused by strapping a surgical mask around their mouth and nose for days on end.
Re: “Of course that person who graduated 250/250 was still in the top 1-5% of their undergraduate class”
Only if they were white or Asian.
SARS had a very tiny death count. Dr Fauci back then was saying over 200 million dead. It ended up being under 1,000.
I am actually friends with a few RNs. She sounds the same to me.
Perhaps RNs try keep things simple for the public?
I would not be so quick to dismiss her.
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