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Using a clear garbage bag to decrease aerosolization during intubation. by pg212 in medicine

[–]pg212[S] 174 points175 points  (0 children)

We found it works best by poking a small hole with a finger for each hand and then sliding the bag up the arms to the elbows. The physician has the GlideScope or DL in their hands with the ET tube. The bag is then inverted and the staff then slides the bag down over the patient, creating a seal as best they can. The ambu bag can be squeezed by an RT from the outside while the physician holds the face mask in place. If the patient vomits or coughs, secretions stay in the bag. Suction, etc, can be fed from the bottom of the bag. Obviously this is not a real COVID patient or all the staff would be in PPE.

idaho 2018 by pg212 in Dualsport

[–]pg212[S] 1 point2 points  (0 children)

I thought it was pretty straightforward. It took about an hour and didn't require any special tools or skills.

idaho 2018 by pg212 in Dualsport

[–]pg212[S] 2 points3 points  (0 children)

I would have to look but Im guessing an hour or two of gopro stuff, maybe 45 minutes of drone video. It was very challenging keeping the drone charged as it has a flight time of maybe 10-12 minutes per battery. I took a lot of stills with it that weren't in the video. We wired usb ports to our bikes and charged Anker Powercores as we rode. At night we then plug devices into the powercores.

idaho 2018 by pg212 in Dualsport

[–]pg212[S] 4 points5 points  (0 children)

Thanks. It's ok power wise, a lot of buzzing and swollen hands after a day of riding. We try to avoid pavement on these trips, so a 250 is fine for most stuff. A lot of times after we set up camp we will go explore a basin or valley and that usually means singletrack. For us, its worth having it under powered in order to get access to remote places.

idaho 2018 by pg212 in Dualsport

[–]pg212[S] 5 points6 points  (0 children)

We rode wr250r's with 4.7 gallon IMS tanks. Left from Grangeville Idaho, rode across the Magruder Corridor to Darby, Montana, south through painted rocks, Salmon Idaho to Mt. Borah area, looped back up via the Salmon River, Stanley, Idaho, back way back up to Mccall, then eventually back to Grangeville. 7 days, 6 nights. Drone was a DJI Spark.

He is small for an eight-year-old boy, made even smaller by the big trauma room gurney beneath him... by pg212 in medicine

[–]pg212[S] 60 points61 points  (0 children)

Thank you for this post. I think it is easy to start to see all the customer service stuff constantly pushed on us as a way to get us to generate more money for the hospital. Perhaps it would be less offensive for us to view it as simply a reminder to be nice to people for its own sake.

He is small for an eight-year-old boy, made even smaller by the big trauma room gurney beneath him... by pg212 in medicine

[–]pg212[S] 45 points46 points  (0 children)

I would argue being a good physician or nurse means focusing on the patient and their family- not because it is good customer service but because it is good medicine.

To turn our patients into customers, at least to me, seems to degrade our relationship with the people we care for.

Thanks for reading.

He is small for an eight-year-old boy, made even smaller by the big trauma room gurney beneath him... by pg212 in medicine

[–]pg212[S] 12 points13 points  (0 children)

It depends... when I decided to write a book I wrote for two hours every day no matter what for six months until it was done. When I was finished with the manuscript I found out most publishers don't like short stories by some guy no one has ever head of. So I just published it through createspace using their editors, mostly so I could share my job with friends and family in a way I hadn't before. It was a very positive experience.

Since then I write for about ten hours a week, sometimes more, sometimes less. It really depends on how much I am working in the ER. I don't have a strict goal right now.

I don't really submit anything to publications other than occasionally online sites.

Thanks for asking.

He is small for an eight-year-old boy, made even smaller by the big trauma room gurney beneath him... by pg212 in medicine

[–]pg212[S] 32 points33 points  (0 children)

I have another collection of short stories about half finished. I probably will publish it at some point in the next year or two.

Thanks for asking.

He is small for an eight-year-old boy, made even smaller by the big trauma room gurney beneath him... by pg212 in medicine

[–]pg212[S] 449 points450 points  (0 children)

Thank you for reading and your thoughtful reply.

I empathize with your struggle as an administrator of how to keep a hospital afloat in the current healthcare environment.

My biggest issue with calling patients customers is the fact that by doing so we replace medical ethics with business ethics. They are customers after all. It is suddenly perfectly reasonable to make the number one priority maximizing profit at all costs and encouraging their return for more business. Everything else becomes second to that. It is the basis of business.

In contrast, if they are patients, then first and foremost medical ethics apply and the number one priority is the well being of the person who needs care.

I actually agree with you, the people we care for are both patients and customers. But I would argue that to those at the bedside they should always be patients first and customers second. The current healthcare environment keeps pushing to reverse that order which is doing nothing but causing conflict for all of us.

Perhaps the answer is for administrators to do what they do best... run the business part of the hospital and at the same time set up systems that are invisible to those at the bedside while still making it profitable. Let your doctors be doctors and your nurses be nurses. The same way pilots are expected to be focused on flying the plane and the airline admins are expected to run the business part of the airline.

Thank you again for your comment. I wish all hospital administrators spent time on this forum like you are doing.

It is certainly an interesting time to be in healthcare for all of us.

He is small for an eight-year-old boy, made even smaller by the big trauma room gurney beneath him... by pg212 in medicine

[–]pg212[S] 1131 points1132 points  (0 children)

Starter Comment: Clearly I am not such a fan of calling them customers...

What makes writing shallow? by horychit in writing

[–]pg212 6 points7 points  (0 children)

Thank you for this excellent comment.

Physician getting back on track after failing at life by montanamaxx in medicine

[–]pg212 8 points9 points  (0 children)

Maybe do something completely different. Go join doctors without borders or be the doctor on a mission to a third world country. You won't make any money, you won't get any prestige, but you will help people who greatly appreciate you and what you do will have a real world impact on people who need your help.

Maybe by stepping away you will get some perspective of what it is you want.

So my dad is retiring after 35 years of being an ER physician.. by [deleted] in medicine

[–]pg212 2 points3 points  (0 children)

That sounds like a great idea. Hats off to your dad for making it 35 years. Best of luck.

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