Doctor [???] Liz O'Riordan,
Posted on 03/27/2022 5:39:55 AM PDT by KeyLargo
By LIZ O'RIORDAN FOR THE MAIL ON SUNDAY
PUBLISHED: 18:01 EDT, 26 March 2022 | UPDATED: 03:11 EDT, 27 March 2022
The first time I saw CPR being performed was on TV. I was in my teens – it was probably the American medical drama ER. Maybe it was Casualty.
There would always be a frantic scene of a medic pumping away at a patient whose heart had stopped.
Someone would rush in with defibrillator paddles. Someone else would yell 'CLEAR!'
Years later, as a fledgling doctor working on a crash team on hospital wards, I got to see it and do it for real – and it couldn't have been more different.
CPR, or cardiopulmonary resuscitation as it's formally known, is brutal and undignified.
It's given when the heart stops – so in effect the patient has died – in the hope that it will bring them back to life. But it almost never works, because it is generally carried out on patients who are the sickest and the most frail in the hospital.
Their clothes are pulled off so the crash team can get paddles on their chest, and there are medical staff everywhere.
Some are feeling for a pulse, others are cleaning up blood and vomit. It is noisy. Someone is shouting out the number of chest compressions, doctors grunt as they press down. Rib fractures are incredibly common because of the force needed to start the heart – you can hear the bones break.
(Excerpt) Read more at dailymail.co.uk ...
CPR can be applied in four settings:
1) Witnessed cardiac arrest from either known cardiac disease or disease of unknown cause.
2) Witnessed and potentially survivable trauma (includes drowning, excludes crushed head/decapitation).
3) Found dead, in hospital on 5AM nurse rounds or at home.
4) Cessation of heartbeat from failure of treatment of other diseases (progressive cancer, COVID lung on a ventilator when lung blows out, GI bleed with four blood pumps running, etc).
The usefulness and appropriateness of CPR varies according to scenario.
From the article: course, if I had a sudden heart attack out in the street tomorrow – while I’m fit and healthy – and a defibrillator was close by, then I would absolutely want someone to try it on me.
Years ago I read about a cancer patient who went into remission, but while she was really sick and her prognosis looked bad, she had signed a DNR.
Then she had a heart attack. Because of the DNR still on her record, they did not resuscitate her and she died.
This is why I do not have a blanket DNR and instruct my medical power of attorney person what I really want.
If I get to be old and/or very sick, I will get a tattoo, despite my fear of needles! But in the meantime, no.
Exactly. 20% chance is better than no chance at all.
Typically,unless the patient's past medical history is *known* to be bad or with very old people the code teams would work for an hour or more trying to get the patient to the ICU or the OR.
A personal experience: there was a time when all our ER staff,including administrators like myself,were required to be CPR certified.One day,we had a code come in and the ER happened to be quiet except for that one patient.As a result just about the entire staff was assisting in the code.I,and my boss,were standing by awaiting orders when my boss noticed that the medical student who was doing the chest compressions was getting tired (it's difficult work).He asked me if I wanted to take over for the medical student.I was shocked! "Joe,this is a world famous hospital chock full of the best doctors and nurses in the world.Surely somebody better than me can be doing this" I said. Well,turns out I didn't step in...and it seems *highly* unlikely that the physician running the code would have allowed me to even if I had tried.
Thankfully,my boss didn't hold it against me...I continued to get promotions and raises afterward.
Quite obviously you do not know what gaslighting means. Obviously you are projecting it as irony is lost on you.
What have I said that it factually incorrect? Otherwise piss off. You are the one who is narcissistically gaslighting people. I suspect you have little intelligence to actually debate the issue. I look forward to your typically inane and unreasoned response.
The doctor’s personal DNR order just means we’ll be shed of her sooner rather than later.
That’s a good thing.
I am truly curious why you think that the narco/pharma hospital death industry would not want CPR performed to try to keep a patient alive for even more treatment by that very same narco/pharma hospital death industry.
Exactly!!
From a whiney, millennial Karen, no less.
Actually,they might even say that *before* the time comes! ;-)
Doctor [???] Liz O'Riordan,
Oh for God’s sakes! People get CPR all the time and go on to lead healthy lives. What a crock. For terminally ill people its probably not a great idea but for everyone else it totally is.
Glad you're still here!
From a fellow class of '98
Employ rule #13.
__________
Rules for Radicals recommends mostly working within the system—though in the twisted way Machiavelli is reputed to have done (whether or not he’s been interpreted fairly). Below, you’ll find Alinsky’s list of 13 “Rules for Radicals,” offered with his proviso that political activism cannot be a self-serving enterprise: “People cannot be free unless they are willing to sacrifice some of their interests to guarantee the freedom of others. The price of democracy is the ongoing pursuit of the common good by all of the people.”
1. “Power is not only what you have, but what the enemy thinks you have.” Power is derived from 2 main sources – money and people. “Have-Nots” must build power from flesh and blood.
2. “Never go outside the expertise of your people.” It results in confusion, fear and retreat. Feeling secure adds to the backbone of anyone.
3. “Whenever possible, go outside the expertise of the enemy.” Look for ways to increase insecurity, anxiety and uncertainty.
4. “Make the enemy live up to its own book of rules.” If the rule is that every letter gets a reply, send 30,000 letters. You can kill them with this because no one can possibly obey all of their own rules.
5. “Ridicule is man’s most potent weapon.” There is no defense. It’s irrational. It’s infuriating. It also works as a key pressure point to force the enemy into concessions.
6. “A good tactic is one your people enjoy.” They’ll keep doing it without urging and come back to do more. They’re doing their thing, and will even suggest better ones.
7. “A tactic that drags on too long becomes a drag.” Don’t become old news.
8. “Keep the pressure on. Never let up.” Keep trying new things to keep the opposition off balance. As the opposition masters one approach, hit them from the flank with something new.
9. “The threat is usually more terrifying than the thing itself.” Imagination and ego can dream up many more consequences than any activist.
10. “The major premise for tactics is the development of operations that will maintain a constant pressure upon the opposition.” It is this unceasing pressure that results in the reactions from the opposition that are essential for the success of the campaign.
11. “If you push a negative hard enough, it will push through and become a positive.” Violence from the other side can win the public to your side because the public sympathizes with the underdog.
12. “The price of a successful attack is a constructive alternative.” Never let the enemy score points because you’re caught without a solution to the problem.
13. “Pick the target, freeze it, personalize it, and polarize it.” Cut off the support network and isolate the target from sympathy. Go after people and not institutions; people hurt faster than institutions.
Amen!
They performed CPR on my grandmother in the 70’s. It worked but afterwards she had them put ‘Do Not Resuscitate’ on her chart. She said CPR was worse than dying.
It’s your own life, do with it as you wish.
My daughter, the nurse, had to administer it to a woman who fell out on the floor in the produce aisle at the grocery store. The woman was 82. My daughter said she knew she cracked some of the woman’s ribs. Three years later, my daughter still gets a call from the woman thanking her.
” I interpreted her words as saying CPR should never be done. “
In the article she says the OPPOSITE!
Weekend afternoon. 1995. 54 years old. Smoker (then) but in fairly good health. Working on cabin in the mountains. Heavy lifting. Felt sick. Got worse. Took aspirin. Went to lie down, thinking that the illness would pass. Got weaker and sicker. Wife and son put me in the car and drove me to the ER in our little country hospital (10 miles away over twisty mountain roads). Blood clot. Clot buster (tPA) administered after I signed a release and acknowledgement that the reaction to the clot buster might bring death. It did.
I had a DNR on file. Nurse reminded doctor. He ignored her, called for the paddles and said “clear.” Terrible pain followed by body drawing up into fetal position, afib and heart stoppage. Nothing. Take two, same result. Flat line. Doctor decided to give me one more chance. Success. Twenty-seven years later life is good.
The resuscitation saved my life. The aspirin probably kept me alive long enough to reach the hospital where I was lucky to be treated by a GP, trained by a great cardiologist who made it his purpose to once a week visit small town hospitals to help rural doctors understand and deal with urgent heart issues.
Whatever combination of pain, embarrassment and indignity the article’s writer imagines, it is far preferable to death.
Quote
No if really is not propaganda.
Yesterday in this very forum, someone posted a piece about DNR.
From another publication. From a doctor.
Now, this piece.
It seems there is some sort of movement to get in front of something regarding the previous story about DNR and hospitals being more death camps than places of treatment, especially during Covid..
Now, maybe it’s not strange to most to see two stories about DNR and the topic of CPR, from two different sources , back to back days.
But some might see that as curious timing.
And the world has been under one constant propaganda war, especially in the morally corrupt medical industry of ghouls, for quite some time now..
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