I work at neither one and was trying to give anecdotal evidence from my own experience. Again if you read what I said and what others have said they do not comprise a majority of the cases in ICU. Some yes but certainly not a majority.Originally Posted by ramairthree
Must clarify to mean I'm talking about overdoses and other lifestyle self inflicted morbidities. Now geriatric, ie old people well obviously they are going to comprise quite a few ICU beds.
Tags:
-
Last edited by ABNAK; 03-24-20 at 11:19.
11C2P '83-'87
Airborne Infantry -
If you can tolerate it without the heat and humidity you can probably get away with wearing it in your home. Originally Posted by Averageman
11C2P '83-'87
Airborne Infantry -
I was just talking with our MICU medical director. He was saying the same thing, too quiet, especially in light of cancelling all the elective surgeries and halting all non-emergent admits. He said the census "is as low as it has been in years." Originally Posted by lsllc
He also said one of his colleagues from the MICU tested positive last week. -
It isn't triage when those patients weren't going to be treated anyway (Italy). Originally Posted by ABNAK
ramairthree, is 100% right, we waste too much time and money on people who don't deserve it.
Freedom is dangerous, or did we forget that? I'd rather be free ("shelter in place" orders et al) and have a good solid economy to ensure my future success even if it means 500,000 people who would have normally died within the next 18 months die of COVID19...It was you to me who taught
In Jersey anythings' legal, as long as you don't get caught. -
Welcome to the party pal.
India, Nepal lock down to stave off coronavirus, NATO troops in Afghanistan infected
https://www.reuters.com/article/us-h...rce=whatfinger
NEW DELHI/KABUL (Reuters) - Authorities enforced lockdowns across most of India, Nepal and parts of Pakistan on Tuesday to halt the spread of coronavirus in one of the world’s most densely populated regions, as four NATO personnel tested positive in Afghanistan.“The Trump Doctrine is ‘We’re America, Bitch.’ That’s the Trump Doctrine.”
"He is free to evade reality, he is free to unfocus his mind and stumble blindly down any road he pleases, but not free to avoid the abyss he refuses to see." -
Originally Posted by lsllc
You’re going to need, a bigger ICU....
Originally Posted by Averageman
Why would this be an issue at home? I have a buddy in a home office that is constantly Purelling, and I was like ‘Why’, you’re at home and haven’t left the house. I understand that it isn’t bad to do, but it’s a virus, not a bogey man. Originally Posted by ABNAK
I just did two lines of powdered wig powder, cranked up some Lee Greenwood, and recited the BoR. - Outlander Systems
I'm a professional WAGer
- WillBrink /// "Comey is a smarmy, self righteous mix of J. Edgar Hoover and a gay Lurch from the "Adams Family"." -Averageman -
Is it not the reverse? They were not going to get treated because they triaged and put in the group least likely to survive and priority given to those who would likely survive if treated. Originally Posted by Alex V
- Will
General Performance/Fitness Advice for all
www.BrinkZone.com
“Those who do not view armed self defense as a basic human right, ignore the mass graves of those who died on their knees at the hands of tyrants.” -
Unless i missed it, didn't see mentioned Rand Paul has Covid-19. He's my favorite GOP senator being of a Libertarian minded type and the only one I sent any $. Being medical doctor, his experience, write ups, etc will be interesting and useful.
https://www.businessinsider.com/memb...navirus-2020-3
I will also say, members of Congress and such getting sick, will motivate them to actually do something beyond run their overpaid pie holes about it.
We shall see...- Will
General Performance/Fitness Advice for all
www.BrinkZone.com
“Those who do not view armed self defense as a basic human right, ignore the mass graves of those who died on their knees at the hands of tyrants.” -
Just reading briefly what is in the Dem's China Virus bill. Loaded with pork and business killing mandates. They don't want to help people. They are literally willing to crawl over the bodies of dead people to get their agenda items into place.
https://www.foxnews.com/politics/wha...-help-and-more
I don't think a lot of folks realize that someone has to pay for all this crap. The gubbamint isn't a business... they get their money from one place... outta your pockets. Eventually our pockets are going to run dry with all this spending... then what... Better have a bigger stock of TP on hand.Repression Is Nine Tenths The Law -
Again, Originally Posted by Alex V
It’s not about being right or wrong.
It’s stuff to think about.
It’s taking a look at what we do, why, does it make sense, etc. in America.
Our blunt trauma population is massively over represented by those on drugs, alcohol, illicit activities, and majorly dumb stuff they were doing.
Out penetrating trauma population is massively on steroids over represented by the same.
People showing up to the ER and getting admitting are heavily represented by futile, end of life, etc. care not done in other Westernized countries from rational perspectives, not done at all in other countries without ability to pay, and not even available in yet other countries.
Noncompliance, drugs, alcohol, morbid obesity, dumb and off the charts unhealthy activities make up the majority of people showing up to big city ERs and getting admitted. This is where half our population lives. Repeat offenders with multiple returns and admissions, etc.
This is what has our system at full capacity as a standard, daily normal.
What role does an 87 year old bed ridden dementia patient with multiple other medical problems that needs to be fed, bathed, changed, etc. like an infant, possibly for years because they keep getting saved, have in our society vs. letting him slip past those cold gradations of decay with dignity and comfort care?
What role does a never employed, never married, SSDI baby daddy with kids raised by grandmas and welfare with a love for smoking, eating, drinking, and coke on dialysis, with heart failure and an LVAD have in our society? Should they get a heart transplant so they can keep doing the stuff that made them need a heart transplant?
What role does a 400 pound, SSDI 40 year old with diabetes, heart failure, COPD, and a pulmonary embolism have? What obligates you to have to fund their care? You did not stuff them with food, make them smoke, etc.
What about the old COPD drunk with a dozen hospital admissions this year that goes home and drinks and smokes and rarely makes it a week before they are back in the hospital? When they were younger and healthier they had 8 DUIs. To the point of killing an innocent young couple, their baby, and does this change anything?
The homeless psyc patient near continuously in the ED complaining of suicidal ideations? Now here with sepsis from bilateral pneumonia.
The repeat admission IV drug abuser? With spinal and heart valve infections that keeps leaving AMA to get high as soon as they are well enough to walk?
The sweet little old lady that is going to have a stroke or heart attack without blood thinners but falls all the time? And refuses to use a walker or go into assisted living. They think it is 1970 and are looking forward to their husband the pilot getting back from the war. He had a huge stroke and died nine years ago. When she has a massive stroke off blood thinners, or falls and has a big intracranial bleed on blood thinners should she get a $50,000 medicine to reverse the blood thinners, an intubation, ICU bed with a vent, etc.?
Your Dad the 6’4” bad ass force recon Vietnam vet and retired state trooper that is a frail little shell of his former self in a wheel chair with oxygen and COPD that now has metastatic lung cancer? Is it worth spending a couple of million to drag it out a few more months? Is it more humane to just open the pain med candy store for him instead of a bunch of painful, invasive medical procedures and absolutely miserable medical regimens?
Your daughter’s sweet kindergarten teacher with a beautiful family just found out she has ovarian cancer. Stage IV to include brain Mets? A year of massively expensive medical care or a few months of being kept comfortable?
The 33 year old that was saved by a hair from their aortic dissection shows up after skipping all their meds, care, and follow up for the past year? That 40 year old that got a stent in their widow maker two years ago and has done none of their medical plan or follow up? Jesus would have to show up in person and backhand them to exceed the wake up call they already got and blew off.
The south or Central American here illegally that specifically came to the ED to get in the system for heart surgery and a shunt and dialysis they can’t get or afford where they are from?
The internal medicine H1B physician that specifically had his father come from India and show up in the ER to get a bunch of complicated pancreatic cancer care they can’t get in India?
Each of them shows up and gets intubated in the ED one month ago.
Each of them shows up and gets intubated in the peak of the COVID phase.
Does this change anything?
None of them has ever made enough in their lifetime to pay for the care they are about to get.
All of them would die shortly with no care.
All of them likely to be dead in a few months if you get them past them. Using even more man hours, equipment, and funds for additional admissions.
This is a daily state in American medicine that does not get addressed.
Only the very few people that have been in need of an emergency surgery, heart cath, transfer, ICU admission, etc. or had a loved one that has,
And experienced delay while one of the above was getting it.
It is not a widespread experience.
The majority of the population has not had to watch Grandpa die after rolling over his tractor and rupturing his spleen while two gangbangers have tied up the available surgeons and ORs.
The majority of the population have not watched Dad go from doing the Fred Sanford to passing out, losing his blood pressure and dying because an undocumented immigrant is tying up the carb lab and only interventional cardiologist.
The majority of the population has not watched their child die awaiting transport to a neurosurgeon after getting hit by a drunk driver, let alone knowing that every single patient tying up a transport right now directly caused their own problem or is a futile, end of life situation.
People are going to have different opinions.
As of yesterday, the number of deaths in Italy overall was on track with last year.“Where weapons may not be carried, it is well to carry weapons.”
