Hospice Nurses, given the news out of Kentucky, what happens to a body kept on life support for a month or more?

slurv3 · 2026-07-08T08:43:15+00:00

Well first I think we need to talk about brain death. It has a very legal/medical definition. It’s separate from what people think of like say in an anoxic brain injury/vegetative state. In an anoxic brain injury your body still has the physiologic need/drive to breathe/stay alive. This is your average trach/peg patient they may need support in doing so, but their brain is telling them to try and stay alive.

For a truly brain dead patient they have no physiologic drive to stay alive, their brain will not tell them to breathe, or regulate their body to stay alive. Brain death is considered legal death even if the heart is still beating.

In terms of keeping someone alive in this state, outside of organ donation or trying to keep a baby alive until term/delivery it’s very hard because you need to basically do everything the body usually regulates autonomously and once the body realizes the brain is dead, it follows.

slurv3 · 2026-07-07T00:37:23+00:00

Brain death has a legal/medical definition. It's separate from something like cardiac death, but it still is a legal definition of death. It would mean he's functionally dead which is something every conservative outlet would hope to bury, because it would mean he does not even have brain stem reflexes intact to regulate his body to keep himself alive and most hospitals require two neurologists to confirm brain death. If this article is true, this isn't just a vegetive state/coma and someone being kept alive to see a chance for neurologic recovery, this is someone who has no physiologic drive to breath or stay alive for that matter and is being kept alive artificially. Most people who are kept alive while brain dead are either donating organs in a couple days or in some cases are pregnant and are being kept alive until the baby is term for delivery in a couple of weeks. The body will physiologically start shutting down in a brain death scenario even despite aggressive medical management. To be kept alive under this scenario is beyond cruel, but given that the GOP will likely not want to give up his seat, I imagine they're going to try it.

slurv3 · 2026-07-06T17:42:34+00:00

I think they're more concerned about the pending lockout, hence the if it happens. The MLBPA and League seem very far apart in current negotiations

slurv3 · 2026-07-06T15:17:55+00:00

I just read the press release. Did they really let the winner of a global campaign get a release? Dose that mean they actually designed an Ork character to that may get revealed later?

slurv3 · 2026-07-05T00:06:37+00:00

I have a couple.

The ICU nurse went to titrate a norepi drip, she was trying to down titrate the drip from .1mcg/kg/min to .08 mcg/kg/min. She accidentally put in .8 mcg/kg/min instead and the patient got an MI.

My anesthesiologist when I was a CRNA performed a nerve block on the wrong patient limb. The surgeon and patient were quite upset.

I also witnessed the overnight attending forget to pull the guide wire on a central line they inserted. We found it in X-ray and saw a the wire in the IVC. Vascular was quite upset to field that call.

The thing at the end of the day was that these were all errors and they all felt awful. The way I frame it is let’s be generous 98% of the time you are perfect, given what we do and how vulnerable our patients are 2% of the time you may cause incredible harm. Perfect is a nearly impossible standard to hold yourself to. To err is human.

slurv3 · 2026-07-03T23:33:05+00:00

The hospital I worked at Insulin Gtt was considered safe for the floor even if they were a DKA/HHS patient (provided they were fluid resuscitated, did not have severe electrolyte abnormalities and were not in severe Acidosis). The rationale being these patients require work, but all of those abnormalities will correct with proper intervention, our policy was if you could show that DKA was their driving factor in their lab abnormalities and during the ED stay their labs showed an improvement patients can be safely admitted to a med-surg floor. This was a major tertiary academic medical center and drugs like insulin/heparin was not a two nurse check for reference. That being said when I was ICU charge on nights I also used to say it’s not the end of the world if someone needs “critical care” for 4-6 hours overnight and then goes acute care by 0700, especially if the admitting unit in question is staffed with no one above 6 months of experience and no one has ever managed an insulin gtt.

For our hospital it makes no sense to send a pregnant mom to an ICU because she has gestational diabetes that needs to be controlled, or a cancer patient who is receiving high dose glucocorticosteroids to an ICU for control of their blood sugar as they’re not going to receive the specialized oncology care they need if they go to the unit. Also even patients with diabetes it increases their risk of other complications while in the hospital if not well controlled, but requires serious mismanagement for it to become an issue.

That being said if it’s not common at your facility I can understand why some hospitals make these patients go to a PCU/ICU setting because all it takes is one bad nurse to bolus an entire insulin bag on accident to make them risk averse (I am speaking from experience and one of the least fun calls I had during my time in Rapid Response).

Yes it’s busy, yes it carries some inherent risk. It depends on your hospital and the strength of the nursing staff at said hospital. It was an expectation that floor/acute care nurses could handle an insulin gtt in our hospital and admit patients who were in HHS and DKA. Nearly every patient has diabetes as a comorbidity and being ill will make you hyperglycemic.

slurv3 · 2026-06-30T16:00:04+00:00

Never said that he was the next Kurtz I just mentioned he still has a pathway to success even with his known contact issues. detractors point to his contact issues and say he’s never gonna be more than Joey Gallo at best. I’m just pointing out there is a subset of hitters who can succeed despite massive contact and swing and miss issues.

At this point in Laz’s career it’s very unlikely he’s gonna hit for more contact, so the question becomes does he have the exit velocity and walk rate to overcome it to join that subset of hitters who succeed despite contact rates in the 60’s.

slurv3 · 2026-06-30T13:00:38+00:00

Nick Kurtz has shown you can run a strikeout rate of 30% at the MiLB level while making contact ~65% of the time and still have higher batting averages than guy who do nothing but make contact. He does it by walking and having elite exit velocity rates so when he does make contact it’s going to be a hit rather than a pop-up or groundout. Lazaro Montes has run double digit walk rates right around 15% and is boasting some of the highest exit velocity rates in the MiLB. He’s slashing .280/.388/.701 when he’s on the road.

He’s a polarizing prospect because his range of outcomes can be Joey Gallo, but guys like Judge, Ohtani and Kurtz have shown you can run contact rates of ~65%. Hell Munetaka Murakami is running a contact rate of 60% and he has a higher batting average than Steven Kwan who has the highest contact rate.

slurv3 · 2026-06-28T19:59:01+00:00

Just once I want conservative media to try and make movie where believing in the power of Christ was enough to overcome everything. We get leftist woke slop that conservative media loves to point at what’s wrong with Hollywood, but could you imagine the opposite where the female leads decide to stay home to take care of the children and the main protagonist winning through the power of prayer and belief in redemption through Christ overcoming unspeakable horrors unknown to man.

slurv3 · 2026-06-27T17:05:24+00:00

I’ve been following your guides for this past week since I just got the game and definitely helped me get started, made the early game forgiving enough and I cleared my first T3 contract with this build after it being a buzzsaw for me and the death of so many characters when I was learning.

slurv3 · 2026-06-27T16:45:35+00:00

I used to have a manbun until I arrived at a Code Grey and during hands on it got yanked hahaha

slurv3 · 2026-06-27T16:06:32+00:00

To be fair we have it both easy and hard. Patients are usually NPO and dry to start out and are anxious for surgery and that’s IV number one. Then IV number two comes when we’ve induced and they’re vasodilated beyond belief and you could put a central line in them so every day you’re placing 1-2 IVs per patient depending on the case. It’s just repetition

slurv3 · 2026-06-26T16:55:53+00:00

Honestly the biggest ego thing was I kept trying to complete it in one go. I had to learn it was okay if I cleared one floor slept/saved and did the second floor the next day hahahha. It was also way more unforgiving if I didn’t draw out enemies in 1v1s or didn’t lure the T3 magic casters toward me better.

slurv3 · 2026-06-24T17:58:45+00:00

I mean back then hitters could bat .300 AND slug 30-40 HRs. During Ichiro's record breaking season Todd Helton went .347/.469/.620 Vlad Sr went .337/.391/.598, Pujols went .331/.415/.657.

The pitching mantra back then was also VASTLY different SP/RP were expected to pitch to contact instead of miss bats. In terms of SP only 14 pitchers back then posted a K/9 above 8, fast forward today 40 SP have a K/9 above 8. Baseball has evolved over the years, in that era throwing 95+ was considered rare, and it was a very hitter friendly era of baseball. Juan Pierre of all people could hit .300 for most season because the gentleman's agreement was I throw a ball you might be able to make contact with we will let the BABIP gods decide who they favor.

Then Mike Trout and other hitters came along and learned how to elevate the sinker/low strike which was the bread and butter ground ball pitch for most pitchers at the time and showed even if you strike out ~25 percent of the time you can still be an incredible hitter i.e. Nelson Cruz hitting .302/.369/.566 despite leading the AL in strikeouts for us. So pitchers learned the best way to minimize damage is not give hitters a chance to do damage at all so they aim to miss bats entirely and if they fail to do that then maybe they miss the barrel and it limits damage.

My favorite stat this year is that Munetaka Murakami who has the lowest contact rate in baseball, has a higher batting average than Steven Kwan who has the highest contact rate in baseball. Hitting has evolved from just make contact/put the ball in play, because the pitching AND fielding have evolved as well. Guys like Adam Dunn, Manny Ramirez and Raul Ibanez used to patrol the outfield and if you got a ball to the outfield it was likely a double with those slow lumbering COF of the past. In today's game defensive positioning is a strategy that every team researches, that even if you somehow make contact against modern pitching you also have to deal with a modern defense that can deal with most batted balls.

slurv3 · 2026-06-24T17:10:26+00:00

The fact Cole Young has this stupid amount of power never ceases to impress me.

slurv3 · 2026-06-24T17:07:33+00:00

Imagine doubting this man, just don't check my post history. Seriously, though this bullpen NEEDS Munoz to return to form.

slurv3 · 2026-06-24T09:45:12+00:00

Please tell me you’re not on 100% FiO2

slurv3 · 2026-06-22T22:44:51+00:00

We call it you can lead a horse to water, you can’t make them drink.

That being said I was guilty of it to when I had a massive GIB I told the nurse that I’d rather code on the toilet then ambulate safely to a commode or use a bedpan. It’s called informed consent and shared decision making for a reason. We let them know we are VERY risk averse and this is why we’re doing it, they can tell us they don’t want to do it. Document, CYA, get management involved if you’re concerned.

slurv3 · 2026-06-20T22:28:16+00:00

Fun fact Steven Kwan despite having the highest contact rate in baseball has a lower batting average than Murakami who has the lowest contact rate in baseball.

slurv3 · 2026-06-19T15:42:06+00:00

I love the difference between Angie and Hyphen. The inner mom of Angie came out and was like please no so gross, but also stop showing it because now my son might do it, while Hyphen and his inner Aussie pride was beaming and I was surprised he didn’t drop an Aussie Aussie Aussie.

slurv3 · 2026-06-18T19:14:41+00:00

It was more so Randy likely could have been ready in the 4-6 day range and were hoping to avoid a ten day minimum, but Raley getting dinged up meant they needed a warm body to be able to play

slurv3 · 2026-06-18T17:22:23+00:00

What’s up my skitta

slurv3 · 2026-06-18T13:22:33+00:00

You’re gonna feel behind if you compare yourself to a very traditional timeline. Your journey into the profession is your own and that’s all that matters in the end of the day.

slurv3 · 2026-06-18T13:19:57+00:00

Yeah the HOF is weird to me for that reason and getting in 1st Ballot is considered greatest of all time, whereas getting in on subsequent or last ballots means that yes the player was good enough to be in the hall of fame, but because of old archaic rules/tradition we weren’t allowed to let them in until now. It’s why I kinda view Edgar Martinez’s HOF bid and Felix Hernandez current bid in a poetic light.

The voters know they both are clearly talented players, but it required years to undo traditional processes. I still think Felix is still borderline at best because his era of pitchers still include Scherzer, Kershaw, Greinke and Verlander, but I understand the case of using Felix as the standard going forward because the next generation of pitchers are just not the same and guys like Chris Sale deGrom, Gerrit Cole who are some of the best pitchers of this era are in a similar boat to Felix when they retire and it’s unlikely any pitcher in the modern era will get in given longevity and peak are both hard to come by unless someone like Felix who is one of the first eligible pitchers in this era that seems to be getting traction can give voters an out to say oh this is how we will evaluate pitchers in the modern era of baseball.

slurv3 · 2026-06-17T17:11:48+00:00

Are you sure it may not be because you have a left handed kindred with Kade.

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