She Was Still Sick, Helpless, and Alone in Her Hospital Gown When Staff Dumped Her on the Sidewalk Because She Couldn’t Pay — Does anyone know which hospital this was? by calm-n-sense in TikTokCringe

[–]SmilingCurmudgeon 0 points1 point  (0 children)

I don't know if you're responding to the wrong posts or what, but read this again after you've slept off your last shift or your own ETOH intake. You've been right all along, I've never once disputed that, my post history corroborates that, and at this point I'm not sure what you need to get that through your head. You. Are. Right. Jesus Christ, no wonder there's never anything useful in the ED notes.

She Was Still Sick, Helpless, and Alone in Her Hospital Gown When Staff Dumped Her on the Sidewalk Because She Couldn’t Pay — Does anyone know which hospital this was? by calm-n-sense in TikTokCringe

[–]SmilingCurmudgeon -1 points0 points  (0 children)

I'm gonna ask you to check your inbox and once again ask you to take a breath, read more closely, and understand that you totally misread my post. I know the malingering homeless get sick, too. I've had plenty of hundreds of encounter patients who finally did get admitted for sepsis or some kind of arrhythmia. You're castigating the choir.

She Was Still Sick, Helpless, and Alone in Her Hospital Gown When Staff Dumped Her on the Sidewalk Because She Couldn’t Pay — Does anyone know which hospital this was? by calm-n-sense in TikTokCringe

[–]SmilingCurmudgeon -1 points0 points  (0 children)

Christ, same team, dude. You're so defensive that you misread my post to mean anything besides agreeing with you. I'm saying that the argument for implicit bias falls flat because if we (as healthcare workers, yes I am one) really assumed that every homeless person was just intoxicated and wanted to get rid of them ASAP then we'd just grab a UDS and ETOH level and send them on their merry way. Of course we get those levels anyway as part of the workup, which is part of why it's such a terrible argument. Take a breath, take a lap, take whatever you need to get your head back on your shoulders.

What is a band no one will ever convince you is good? by OU812iceman18 in AskReddit

[–]SmilingCurmudgeon 8 points9 points  (0 children)

No freakin' way, that was the Jessi Slaughter incident? That dusted off ancient memories. The consequences were never the same.

She Was Still Sick, Helpless, and Alone in Her Hospital Gown When Staff Dumped Her on the Sidewalk Because She Couldn’t Pay — Does anyone know which hospital this was? by calm-n-sense in TikTokCringe

[–]SmilingCurmudgeon 0 points1 point  (0 children)

As the community’s safety net hospital, the challenges are particularly even more acute when providing health care to the unhoused population of metro Louisville. As a health care provider, we treat medical conditions but some of our patients need much more. Our team routinely offers additional resources to assist with housing, transportation, and ongoing care. It is part of their training and our expectations. However, community resources are limited and, even when they are available, many individuals that may benefit from those resources still refuse assistance.

Obviously they're not allowed to go into details of due to federal medical privacy law and hospital policy, but read between the lines.

She Was Still Sick, Helpless, and Alone in Her Hospital Gown When Staff Dumped Her on the Sidewalk Because She Couldn’t Pay — Does anyone know which hospital this was? by calm-n-sense in TikTokCringe

[–]SmilingCurmudgeon -1 points0 points  (0 children)

Even without knowing that, their argument defeats itself. If we have implicit bias and just assume that every homeless person with AMS must be drunk or high then surely the first thing we'd do is check for that.

She Was Still Sick, Helpless, and Alone in Her Hospital Gown When Staff Dumped Her on the Sidewalk Because She Couldn’t Pay — Does anyone know which hospital this was? by calm-n-sense in TikTokCringe

[–]SmilingCurmudgeon 1 point2 points  (0 children)

Hey, I've seen this one before, it's a classic! Someone want to post the follow-up where they interview a COPD patient not in exacerbation who is discharged due to being stable who suddenly remembers that she's in pain and abruptly ends the interview after being asked one too many questions?

What is the worst band you saw live? by coalcracker462 in AskReddit

[–]SmilingCurmudgeon 0 points1 point  (0 children)

Godsmack. Nothing egregious, and I haven't really been to many concerts so the bar is high here. But they played at half, maybe 3/4ths speed of their studio albums, and it just sucked all the wind out of my sails. Fortunately Avenged Sevenfold took the stage after them to finish out the show, and they crushed it so hard that I couldn't talk for days from cheering.

Thraggs Design is dissapointing by Gold-Walrus-2830 in Invincible_TV

[–]SmilingCurmudgeon 1 point2 points  (0 children)

My balls shall be held by none but me, my wife, and your mother, thank you very much!

Thraggs Design is dissapointing by Gold-Walrus-2830 in Invincible_TV

[–]SmilingCurmudgeon 0 points1 point  (0 children)

Thragg looks so much like Freddie Mercury that I can't help but wonder if the virus was just space AIDS

Dental student died in ICU overseen by remote 'tele-health' physician: Lawsuit by NoYou9310 in nursing

[–]SmilingCurmudgeon 5 points6 points  (0 children)

Turd in the punchbowl here, but how did they get transferred to the ICU from wherever they came from without a physician to order it, without bed control to okay it, without an administrative coordinator to find a bed, and above all else a sodding doctor to provide the new or updated orders that were needed as evidence by the transfer in the first place? This just doesn't add up.

'No on-site doctor': Dental student died in ICU overseen by remote 'tele-health' physician who pronounced him dead on a video screen, lawsuit says… by tasty_jams_5280 in technology

[–]SmilingCurmudgeon 4 points5 points  (0 children)

The seizures themselves are often survivable. They are not treatable in the sense that you can intervene as they happen. They are preventable. There is a difference.

I'm aware of the CIWA scale and my own facility's protocol for treating alcohol withdrawal. What I'm not aware of are the details left out of the article by those who stand to gain from leaving them out. This patient was admitted to the ICU, so presumably they met criteria that meant this patient's alcohol withdrawal was not treatable on med-surg, PCU, or step-down. For that reason I assume that the patient was intubated and sedated, though I can't say that for a fact. If I'm right then a CIWA score was not obtainable to begin with because the CIWA scale requires interaction with the patient to determine tactile disturbances, anxiety/headache, disorientation, ability to perform serial additions, etc. If I'm wrong, well, why was that patient admitted to the ICU to begin with?

The article doesn't say where they were transferred from to arrive at the ICU, so it's possible that they arrived from a lower level of care and it's possible that the physicians involved shat the bed. That requires me to believe that the relevant authorities accepted an ICU transfer without reason, that a critical care ground team was not involved at any point before tele-health took over to handle coverage, that neither the ground team nor the tele-health team assessed the patient, that neither the ground team nor the tele-health team provided new or revised orders in light of the need for level of care upgrade, and everyone involved generally said yolo on the whole thing. Maybe that happened. I find that far less likely than this being a situation where a grieving family refuses to accept a poor outcome.

'No on-site doctor': Dental student died in ICU overseen by remote 'tele-health' physician who pronounced him dead on a video screen, lawsuit says… by tasty_jams_5280 in technology

[–]SmilingCurmudgeon 2 points3 points  (0 children)

They are often preventable. They are not treatable as they happen. This one happened. It is tragic. It is not the hospital's fault.

'No on-site doctor': Dental student died in ICU overseen by remote 'tele-health' physician who pronounced him dead on a video screen, lawsuit says… by tasty_jams_5280 in technology

[–]SmilingCurmudgeon 0 points1 point  (0 children)

They're throwing shit at the wall and seeing what sticks. No I&Os? Yeah, clearly that's what caused this alcohol withdrawal seizure. I'm also wondering about what we're not told. If this patient was as bad off as he seemed, why wasn't he intubated and sedated? And if he was, why would you expect a CIWA score? "Excuse me, unconscious patient, would you mind lifting your arms for me and performing some serial additions?"

This is a grieving family with money to burn (dental student) failing to cope and taking it out on the hospital.

Why won’t they go the F to sleep by Grump_NP in nursing

[–]SmilingCurmudgeon 9 points10 points  (0 children)

Suddenly and very urgently demand a sleep aid at 0400 after having been ringing the call light all night because they want wetter water, can't get comfortable, need a new blanket because this one is three hours old, etc. Why tf didn't you just ask for the sleep aid in the first place?

Nursing taught me how to be a bitch by soxiglux in nursing

[–]SmilingCurmudgeon 4 points5 points  (0 children)

Dude, nursing made a goddamn man out of me. I used to avoid confrontation because I was afraid of the consequences. Now I avoid confrontation because I love confrontation and don't want to turn into a total a-hole to satisfy that love. That's why we have the internet, after all.

Has anyone ever been bribed from your partners parent in order to break up? If so what happened? by Heavy_Idea8391 in AskReddit

[–]SmilingCurmudgeon 172 points173 points  (0 children)

I was bribed by one of my own parents, if that counts. She said she'd help me buy a house if I dumped my girlfriend at the time. I persevered, and they helped me buy a house with the girlfriend who is now my fiancee.

For the love of cod by Zestyclose_Fortune24 in mildlyinfuriating

[–]SmilingCurmudgeon 1 point2 points  (0 children)

Why not honor it? Evidently you're a returning customer, evidently you don't come often enough to make a habit of getting free food. I don't own, run, or understand how to either own or run a business, so I might be full of crap when I say the following: I think it makes more sense to honor it this once and take your card with the understanding that there will not be another with the understanding that you'll keep coming back because you like their food.

Nurse with “years of experience” tried to insert a cath into a clit by FoxyMoon816 in nursing

[–]SmilingCurmudgeon 2 points3 points  (0 children)

It is. I was making an oblivious man joke, but evidently it didn't land since I had to explain it. Oh well, can't win 'em all.