Posted on 02/13/2022 1:32:32 PM PST by E. Pluribus Unum
2020 Care,,,
and I’m thinking we may look back and know that it’s Never gonna be That good Again, sadly.
He also works at a “hospital” that has never had a vaxxed patient in his ICU. They are all unvaxxed. Zero credibility
As a physician I simply disagree. We are not seeing this with our colleagues and groups. The clinical situation may influence the length in which ACLS is attempted. But you are confusing two issues. Palliative care is a reasonable consultation to get allows a full understanding of all options. I am comfortable having that discussion with families. Some are not.
If you believe that patient rights are being violated and that code status is not honored then please report that to the regulatory agencies. That should be investigated. But as for wide spread practice this is a very doubtful statement.
VERY scary.
So glad you were finally seen by a cardio doc, from your regular group.
If you are going to express my opinions. Express them
Correctly. We have seen cases of breakthrough in the hospital but in the delta wave all critical cases were indeed not vaccinated. As is what other physicians who actually are at bedside reported
You are nothing but an armchair expert with a keyboard and lack of knowledge. And a coward for not directly brining or to me.
“A hospital cannot do this on its own”
I don’t know where you work but you need to get out more
Hospitals have done this and ARE doing this. My nurse practitioner cousin who works in a university tertiary care hospital in one of the largest cities in the US called me to say how distressed she was that COVID patients in her ICU were marked as DNR, which is just one of a multitude of examples I can cite.
Family consent is not being obtained. Are you aware of how the CARES Act stripped patients of their rights? Hospitals have been empowered to do this garbage and the ghouls have certainly seized the opportunity
👍🏼
I have "Horse De-wormer Paste (Ivermectin)". I gave it to my 90 yr old, Non-Jabbed Mother a month ago, when she came down crying explaining classic COVID symptoms.
I put her weight dose on a corner of white bread and 90 minutes later, she told me, "This is the best I have felt in a long time, do you have anymore of it" lol.
People it works!
what regulatory agency would you like me to report to? Since the CARES Act has permitted these things to happen legally then exactly what would some “authority” do?
You really discredit yourself with defensive statements that amount to “that would never happen”
It does happen, it is happening, and just because you say it isn’t doesn’t make it so.
The George V treatment
I’d like to get some,
Just in case.
I am aware
And CARES is being abused if this is going on. Your APRN acquaintance has the authority to properly list code status. I suggest she or he do it. My orders on code status in CCM cannot be changed by anyone but another physician. We don’t change orders of our colleagues s it pertains to code.
Unless you are in the hospital practicing please do not tell me you know what is going on. I am at bedside every day. Are you?
It is unfortunate the healthcare profession has squandered any goodwill it carried.
Unless someone knows and trusts their healthcare team, it should be assumed they are not acting in the patient’s interest until they can prove otherwise.
It was breathtaking to watch how quickly bioethics such as patient choice and abhorrence of coercion were tossed to the curb for power and money.
1. I work in a hospital
2. I also do advocacy work & am in touch with nurses & patients all over the US. I have nursing contacts in Canada as well
3. Every day? No....I do not work at the bedside every day. I am a wife & mother, plus I also run a house. I don’t know anyone who works every day, except you.
Thank you.
I am not doubting your credentials. I am disagreeing with what you are saying. So to clarify.
1. Who and on what authority are withholding ACLS without proper consent? If this is being done or should be reported to the state licensing boards as a violation of patient autonomy which is an abuse. Additionally, if it a hospital policy as you say then it should be reported to the state regulatory institutions. Have you done this? If not, then why not?
2. I work with critical care nurses everyday. They are lithe best of the best. And they are not shy to express an opinion if the believe something is being done wrong. Further if there are nurses with this knowledge please report it to the peer review committee structures in the hospital. I assure you if a physician came before our panels changing the code status without proper consent it would not be pleasant for that doc
3. It is curious that you report in lock step what I know to not be true. I would encourage and support your nursing colleagues to bring these abuses forward to make sure that if this occurring it would be severely punished.
4. Are non physicians changing orders without consent? Please answer directly.
Finally, you may disagree with the practice of palliative care consultation but this is not a violation of anything. You say people are bullied by palliative care. Have you ever met a palliative care doc? They usually are the most widely gentle and nonconfrontational of the medical staff
You are mixing your opinion of disagreement with valid medical judgments and practices with actual violations of patients rights.
yup. used the paste on myself the first day. worked great.
i do prefer the pills though. less hard on the digestion :).
It does mean withholding some treatments depending on the patient. I apologize for being unclear about that.
I”ve had attending physicians tell me that (for an elderly patient) IV fluids were “extraordinary”. I encouraged family to insist on continuing antibiotics for my FIL. The attending spent a fair amount of time telling us that treatment “would not prolong life”. The old guy lived for 2 more years after that.
Perhaps they would have been treated the same even with a DNR (they didn’t indicate that) but it can be an excuse to not treat.
Notice what happens in this report on hydomorphone fatalities -
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378545/- “The discontinuation order for morphine was not transcribed and the patient was administered both the morphine and hydromorphone for 3 days. She was found unresponsive, with a low respiratory rate. The orders were then reviewed, and the error was detected. The opioids were held and opioid toxicity was treated with 1 dose of naloxone (0.2 mg intravenously). The patient’s vital signs normalized after the administration of naloxone. An hour later, the patient was found unresponsive with a low respiratory rate. because there was a “do not resuscitate” (DNR) order in place, no resuscitation was started. Opioid toxicity was deemed to have caused death.”
In this case the physicians seem to be using the regular definition of “resuscitate” i.e. to revive from unconciousness. They could have given her a second dose of naloxone but didn’t because of the DNR.
The young woman had Down syndrome, which may explain too much. St Elizabeth’s seems to have been founded as a Catholic hospital.
I just googled a picture of her and saw that she was DS.
Typical NZ tactic — they liked to dispose of those they deemed unworthy.
Demonic.
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