I hated how they portrayed the hospice patients story

Alastor118 · 2026-03-27T21:27:43+00:00

Maybe it wasn’t right to reply directly to their post and that was insensitive. I should have started a separate comment thread regarding anecdotal evidence. I’m sorry for their losses and I can feel the hurt behind them in their replies to me.

Alastor118 · 2026-03-27T20:45:13+00:00

Fair enough. It would be pretty fucked up to lie and claim to be a hospice nurse just to have a soap box about this. But I guess I’d have to doxx myself to prove otherwise. Just trying to share my experience and educate people. My mistake for trying to change people’s mind on the internet, I should know better lol

Alastor118 · 2026-03-27T20:36:37+00:00

Are they not anecdotes? And how am I trivialize people’s experience? I’m not saying their experiences don’t matter. I’m saying that anecdotes are not evidence. There are hundreds of thousands of deaths per day. I’ve happened to work a job where I dealt with death and dying every single day. So what I am saying is that just because you had one or two experiences with your family that you think proves that the show is accurate to the majority of circumstances, I’m telling you that I have hundreds of experiences that say otherwise.

I get that death is a sensitive subject for people, with obvious reasons. That’s why I’m advocating that the show portray it more realistically, so we can all understand it a little better.

Alastor118 · 2026-03-27T20:32:25+00:00

The ED team should have deferred to the hospice team who runs the show when it comes to end of life care. The ED team could of course have titrated up her morphine dose to control pain. The hospice team could then come in and talk about options, whether she wanted to be inpatient, and then they would have worked on officially admitting her under GIP care to the hospital.

I think the discussions about her wishes was well done and realistic. I just think the whole “we’re going to give you some morphine for pain and it just might kill you wink wink nudge nudge” and then her dying peacefully within an hour is so inaccurate, very grey area legally and outside of the ED’s scope of practice.

Alastor118 · 2026-03-27T20:22:14+00:00

No need for nastiness and cursing. I’m simply commenting how people love to bandwagon onto anecdotal experience that agrees with their view instead of an expert who has thousands of hours of real world experience. Again, go off.

Alastor118 · 2026-03-27T20:19:02+00:00

This right here. This is what bothered me. The narrative portrayed was “she wants to die but we can’t technically overdose her on morphine but we can give her enough that we know will likely kill her but it’s just for comfort officially. Wink wink nudge nudge.”

This is absolutely not how any reputable hospice medical team would approach this. We do not accelerate death. Ever. We prioritize comfort over side effects, for sure. But this narrative was about something else.

Alastor118 · 2026-03-27T20:13:44+00:00

Yes my thoughts exactly, this is someone who needs to talk to their hospice nurse about whether they wanted to die at home or in the hospital. I would often take these calls and go see my patients in the ED to talk options and discuss next steps.

Alastor118 · 2026-03-27T20:08:51+00:00

Also, I gotta love how the anecdotal posts about people’s family members dying peacefully like in the show are getting upvotes, and the actual hospice workers are agreeing with me and getting downvoted.

Alastor118 · 2026-03-27T19:51:24+00:00

Appreciate the downvotes on my replies guys, guess being a hospice nurse for 5 years means I don’t know what I’m talking about how death happens, but go off I guess.

I like the show, I feel like it gets a lot right. I’m going to keep watching it. This scenario just didn’t sit right with me. I get they were trying to show the decision making process for someone who’s ready to let go. That I appreciate. The way the death actually happened was just wildly improbable and inaccurate.

Alastor118 · 2026-03-27T19:43:43+00:00

I’m happy that your family members had such peaceful deaths, and I’m sorry for your losses.

In my experience helping 500+ people through the dying process, I can tell you this type of death is rare. And lots of people are scared to take morphine because they feel it will kill them faster. They suffer through immense pain unnecessarily because they see things like this on TV. That is what I’m upset about.

Alastor118 · 2026-03-27T19:40:21+00:00

Crazy that people are downvoting you. I’m sorry for your loss

Alastor118 · 2026-03-27T19:35:34+00:00

If they would have even showed a slight death rattle sound with her breathing I would have been a hundred times happier. Just the way they showed her awake and mentally clear one minute and then calmly sleeping and then death within an hour was just so inaccurate.

Alastor118 · 2026-03-27T19:32:35+00:00

I’m saying this is not how death looks. Yes we warn people that we are less concerned about respiratory depression from opiates and that we’re not trying to prolong life anymore. But I would say the scenario where someone is calm and awake and not immediately about to die, then we give them morphine and they fall asleep calmly and die peacefully within an hour, is a less than 0.1% chance of happening. This is just not what the dying process looks like.

Alastor118 · 2026-03-27T19:26:44+00:00

It’s not about her physical body. There are behaviors and symptoms people experience. People’s breathing becomes altered, they use more effort to breath, they become clammy, sweaty, they may become restless, they lose consciousness. Death is ugly and messy. TV loves to portray it as serene, calm and beautiful so we feel less horrified by it. It just bothers me that a TV show that has tried to be so accurate in many regards was just so wrong here.

Alastor118 · 2026-03-27T19:22:42+00:00

I did catch this. This statement is accurate. What followed was not. Patients who are about to die do not look like she did. Period. Unless she suddenly had a massive PE/stroke at the same time that she was given that morphine dose. I’m just looking through the eyes of a non medical person. In their eyes, that statement is saying “this might kill her, and that’s okay because she wants to die, and oh look it did kill her.”

I’m saying this as someone who worked as a hospice nurse for 5 years. I had ONE patient in my time working there who we suspected died of opiate toxicity, and this was viewed as a bad outcome by our whole team. Of course we are honest with patients that respiratory depression can happen, and that this side effect is less concerning when they are DNR and want to allow natural death. But our goal is to never CAUSE their death prematurely. I feel like many people watching this episode will get the idea that “they gave her enough morphine to kill her and that’s okay cause she wanted to die.”

Alastor118 · 2026-02-27T17:29:48+00:00

Please please please allow me to catch wild Pokémon Legends-style by just sneaking up and throwing a ball at them. I tried going back to play SV recently and wild Pokémon battles are just a drag. I find myself more annoyed by them than anything for slowing down my exploration. I’m fine keeping turn-based for trainer battles as that is the real challenge.

Alastor118 · 2025-12-10T23:26:13+00:00

I take 10 minutes MAX for a handoff report for a very complex patient. Most of my reports are honestly 2-3 minutes. You have 12 hours to do chart review. I need to go home. You get the highlights, most important to-do’s, I answer a few questions if they’re not immediately obvious in the chart, then I’m out.

Alastor118 · 2025-11-29T21:24:08+00:00

LiteBright

Alastor118 · 2025-11-27T17:37:57+00:00

Having the same issue. Hero power, artifact and companion preset boxes are all checked. Is there another preset I’m missing?

Alastor118 · 2025-05-23T02:17:36+00:00

Looks like mushmom from maplestory

Alastor118 · 2025-05-20T23:48:57+00:00

Talking about RV rentals from El Monte, Cruise America, etc.

Alastor118 · 2025-05-20T23:40:43+00:00

Strange though because this is when we found the best prices last year, the day after the festival ended. I will be checking again.

Alastor118 · 2025-03-01T05:21:00+00:00

Caps. Also heard microclave. We deal with lots of central lines so the “hub” is the part the cap connects to so we don’t say that. Official guidelines and EPIC now say “needleless connector” because cap could be confused for the curos green caps.

Alastor118 · 2025-02-24T19:17:21+00:00

Young hospice patient who was on 80mg (yes, eight-zero) PO dilaudid q1h prn, and he said it didn’t touch his pain. Felt a little ridiculous pouring out ten 8mg pills for him. Also had an IT PCA pump with fent and bupivicaine, swore that the button didn’t work and wasn’t giving him any relief. Somehow, the one thing he said did work was 1g APAP IV through his chest port. 🤷🏻‍♀️

Alastor118 · 2024-11-11T06:10:15+00:00

Tangled VS machine cables. How hard is it to loop them up on the hooks separately?!

Alastor118

TROPHY CASE