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Message
Ventilators have been a shitty, 20th century "solution" for a long time.....
Posted on 4/10/20 at 2:51 am
Posted on 4/10/20 at 2:51 am
Why the hell was Doctor Death Cuomo pushing so hard for ventilators?
Why is the "revelation" that ventilators are not good for patients for more more than a few hours, 19 hours old on Google and likely to pass like a fart in the wind?
Why is the federal government making more ventilators when the research on ICU ventilator patients before the Chinese Commie Cough reads like a book of horrors?
????
Why is the "revelation" that ventilators are not good for patients for more more than a few hours, 19 hours old on Google and likely to pass like a fart in the wind?
Why is the federal government making more ventilators when the research on ICU ventilator patients before the Chinese Commie Cough reads like a book of horrors?
????
Posted on 4/10/20 at 4:12 am to Rip N Lip
quote:
Why the hell was Doctor Death Cuomo pushing so hard for ventilators?
Why is the "revelation" that ventilators are not good for patients for more more than a few hours, 19 hours old on Google and likely to pass like a fart in the wind?
Why is the federal government making more ventilators when the research on ICU ventilator patients before the Chinese Commie Cough reads like a book of horrors?
Do you know what a ventilator is and what it is used for?
It is used when a patient otherwise would die from not being able to breath so the machine can breathe for them.
Sure it is a “crappy” thing, but the people otherwise die.
Contrary to your Q research, you can’t give them a blood transfusion and cure their breathing problems
Posted on 4/10/20 at 4:29 am to Rip N Lip
Because Hydroxychloroquine can’t be the answer because Trump came up with it
Everything is political to democrats and they want people dead!
Everything is political to democrats and they want people dead!
Posted on 4/10/20 at 4:30 am to tiger1014
OP is speaking to the possibility raised online (I know) from one doctor and a research paper saying the issue is the oxygen not binding to the hemoglobin causing hypoxia.
Ventilators are then used to help breathing but that doesn't exactly help oxygen binding so vents are cranked up and over pressured causing Kung tissue damage and patient dies anyway. If they do survive they have lung damage.
This is why they think the malaria drug works. Helps to break down the mechanism that is stopping the RBC from carrying oxygen.
I do not know if this is true, merely starting what I've read. And what I am assuming the OP is referring Tom
Ventilators are then used to help breathing but that doesn't exactly help oxygen binding so vents are cranked up and over pressured causing Kung tissue damage and patient dies anyway. If they do survive they have lung damage.
This is why they think the malaria drug works. Helps to break down the mechanism that is stopping the RBC from carrying oxygen.
I do not know if this is true, merely starting what I've read. And what I am assuming the OP is referring Tom
Posted on 4/10/20 at 5:31 am to thejudge
quote:
OP is speaking to the possibility raised online (I know) from one doctor and a research paper saying the issue is the oxygen not binding to the hemoglobin causing hypoxia.
Ventilators are then used to help breathing but that doesn't exactly help oxygen binding so vents are cranked up and over pressured causing Kung tissue damage and patient dies anyway. If they do survive they have lung damage.
This is why they think the malaria drug works. Helps to break down the mechanism that is stopping the RBC from carrying oxygen.
I do not know if this is true, merely starting what I've read. And what I am assuming the OP is referring Tom
I read the report you referenced last week - makes more sense to my layman's mind than anything else I have heard/seen.
At one time, Cuomo was begging for 40000 ventilators - got by with 10% of that - something changed in the mix somehow. Either he drastically overestimated the need for ventilators or the protocol changed - possibly both.
Posted on 4/10/20 at 6:15 am to Rip N Lip
quote:
Why is the "revelation" that ventilators are not good for patients for more more than a few hours, 19 hours old on Google and likely to pass like a fart in the wind?
On admit, the default code status for every patient is "full code" status...do everything possible to keep me alive. The patient gets to make that decision. If the patient is unable to do so then the family can...spouse ranks first, if no spouse then children or legal care giver. If no one is there to decide and the patient is unable to make that decision then you are a full code...if the need arises...you get a vent.
The point is that it doesn't matter if it's a shite choice. The doctor doesn't decide IF someone gets put on a ventilator, he decides WHEN someone gets put on a ventilator. If it's impending respiratory failure and then death without a ventilator or a ventilator for some time and then organ failure and death, with either being 100% the likely outcome...without a DNR...you're getting a ventilator.
I've seen a lot of 75+ year olds with terminal CA spend the last 2-3 months on a ventilator because the family wouldn't let them go. It's a miserable thing to see...more for the patient.
Cuomo's crying for 30-40k ventilators was his having a panic attack when he thought what it would look like, and what it would do for his political career, if he ran out. Personally I think it made him look like a huge dumbass.
Posted on 4/10/20 at 6:23 am to Rip N Lip
quote:
Ventilators have been a shitty, 20th century "solution" for a long time.
Premature babies disagree....
I read some doozies before on TD, but this one takes the cake....
Please tell me you didn’t make that up yourself...
This post was edited on 4/10/20 at 6:50 am
Posted on 4/10/20 at 6:30 am to DMAN1968
You do realize that patients are put on vents everyday that are not coding right...
Ever see a by-pass pt right out of surgery..?
Yeah me too... Blame the Docs and the family.... I’ve actually heard a doc, who is probably the biggest shite head in the hospital, tell a nurse, “I don’t make money taking care of dead people”.
I’ve seen a woman’s husband rescind her DNR status on his 82 y/o wife with pancreatic ca because he couldn’t “let go”. Poor woman basically rotted from the inside out... It’s a very selfish act.
Ever see a by-pass pt right out of surgery..?
quote:
I've seen a lot of 75+ year olds with terminal CA spend the last 2-3 months on a ventilator because the family wouldn't let them go. It's a miserable thing to see...more for the patient.
Yeah me too... Blame the Docs and the family.... I’ve actually heard a doc, who is probably the biggest shite head in the hospital, tell a nurse, “I don’t make money taking care of dead people”.
I’ve seen a woman’s husband rescind her DNR status on his 82 y/o wife with pancreatic ca because he couldn’t “let go”. Poor woman basically rotted from the inside out... It’s a very selfish act.
This post was edited on 4/10/20 at 6:51 am
Posted on 4/10/20 at 6:59 am to Rip N Lip
Can I mark you down in the absolutely no vent column if you get sick?
Posted on 4/10/20 at 7:01 am to Adam Banks
quote:
Can I mark you down in the absolutely no vent column if you get sick?
I’m sure his living will is fresh off the printer, and has a plan drawn up for his advanced directives ...
This post was edited on 4/10/20 at 7:06 am
Posted on 4/10/20 at 7:05 am to Hangover Haven
It’s crazy how this anti Obamacare board is trying to ration the care and advocating possibly getting into a situation where care would have to be rationed and arbitrarily pulling granny off a vent
Posted on 4/10/20 at 7:09 am to Hangover Haven
quote:
You do realize that patients are put on vents everyday that are not coding right...
Ever see a by-pass pt right out of surgery..?
Of course...ermmm...I'll amend my previous response here by saying that surgery patients require temporary ventilation...I should not have assumed that everyone knew that.
Posted on 4/10/20 at 7:11 am to DMAN1968
quote:
Cuomo's crying for 30-40k ventilators was his having a panic attack when he thought what it would look like, and what it would do for his political career
Yeah - up to that point (I had been paying attention to him for a about a week) I thought he was a calming voice and admired his delivery of the facts.
When he went full scale = "What good is 400 vents when I need 40,000" that just make no sense to my layman's mind and I quit singing his praises - that put an entirely different image of his ultimate objectives in my mind. Still he is better than some.
Posted on 4/10/20 at 7:12 am to Adam Banks
Well to start, Obamacare sucked arse....
My POV is as a Respiratory Therapist... and what I’ve experienced in hospitals..
I’ve seen 90 something y/os placed on vents which I think is the craziest shite ever... My parents are in their 80’s and both have living wills. In no way I would have them intubated and place on a vent...
It’s their choice...
Problem is, the average Joe is ignorant when it comes to medical stuff and how it works. Most think the shite they see on tv and movies are actually how it works.
I place a lot of blame on Doctors for not educating families on palliative care for elderly and chronically ill pt’s..
I was speaking to a pt’s son a while back. His dad had terminal cancer, he basically arrested and was tubed and put on a vent. The family decided to make him a DNR, always after the fact, anyway, he was having trouble coming to terms with his dad dying. I told him what I tell a lot of families, that the vent sometimes just prolongs his death not so much his life...
Then a light went off and he got it... The family actually decided to terminate the vent and the man passed away peacefully...
My POV is as a Respiratory Therapist... and what I’ve experienced in hospitals..
I’ve seen 90 something y/os placed on vents which I think is the craziest shite ever... My parents are in their 80’s and both have living wills. In no way I would have them intubated and place on a vent...
It’s their choice...
Problem is, the average Joe is ignorant when it comes to medical stuff and how it works. Most think the shite they see on tv and movies are actually how it works.
I place a lot of blame on Doctors for not educating families on palliative care for elderly and chronically ill pt’s..
I was speaking to a pt’s son a while back. His dad had terminal cancer, he basically arrested and was tubed and put on a vent. The family decided to make him a DNR, always after the fact, anyway, he was having trouble coming to terms with his dad dying. I told him what I tell a lot of families, that the vent sometimes just prolongs his death not so much his life...
Then a light went off and he got it... The family actually decided to terminate the vent and the man passed away peacefully...
This post was edited on 4/10/20 at 7:32 am
Posted on 4/10/20 at 7:15 am to DMAN1968
quote:
I should not have assumed that everyone knew that.
yeah - for the DEM-bots here, every phrase you utter has to contain all imagined interpretations from demented minds - You have to talk so that is sounds like a real estate transaction, where every single word or phrase is pre-defined and absolutely stated as to its historical or future interpretation.
Meanwhile, THEY get to wax eloquent with - "TRUMP SUCKS!!!" with no explanation provided, or even expected.
Posted on 4/10/20 at 7:19 am to Hangover Haven
quote:
Well to start, Obamacare sucked arse....
Never said it didn’t. Just find it funny we all of the sudden have a board of pulmonologists and death panels
I think the biggest fear of any hospital in all of this was to have a 30 or 40 year old come in and temporarily need a vent and have to arbitrarily take a 85 year old off the vent against their wishes but it seems like many on this board such as OP seem to have a philosophy of vent for me no vent for thee.
Posted on 4/10/20 at 7:20 am to Hangover Haven
quote:and you think that wouldn't have happened if they had let her die sooner?
Poor woman basically rotted from the inside out.
Posted on 4/10/20 at 7:25 am to ChineseBandit58
quote:
"What good is 400 vents when I need 40,000"
Yeah...that did seem to be his "Oh shite" moment...not a good look.
Posted on 4/10/20 at 7:26 am to Adam Banks
quote:
I think the biggest fear of any hospital in all of this was to have a 30 or 40 year old come in and temporarily need a vent and have to arbitrarily take a 85 year old off the vent against their wishes but it seems like many on this board such as OP seem to have a philosophy of vent for me no vent for thee.
This seemed like a legitimate fear for a short time, but thankfully it has proven statistically unfounded. So, what exactly are you arguing here?
Posted on 4/10/20 at 7:29 am to Adam Banks
quote:
it seems like many on this board such as OP seem to have a philosophy of vent for me no vent for thee.
you seem to read a lot into motives of people who posit their raw opinions of fast developing crises on here.
How about you answering a different hypothetical and see which side of the "death panel" accusation you fall on.
There is one ventilator left = it is being used on an 83 yr old advanced cancer patient who has been in a coma for three years and the best prognosis available is that he may live another 2 months if the ventilator is kept running on him.
Meanwhile, a young woman suffering from acute respiratory failure is presented to the staff. She will die within the next 2 hours if not treated with the ventilator.
what do YOU do - Mr "death panel" antoginst??
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