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NofrikinfuN
Apr 23, 2009



the president has mush brains

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MadJackal
Apr 30, 2004

Day 12

“I will continue using military metaphors. We are at war with this virus.”


The greetings this morning were grim.

“Stay safe” has become the aloha of intra-Resident conversations. I heard that twice before reaching the front doors of the hospital just after sunrise.

“How was the night?” is the standard greeting to the two Residents just finishing their 12 hour Night Float shift. These are the two young MDs left to put out fires across half the hospital’s two hundred or so beds.

“We had the longest Code ever. Took an hour. We went through maybe 20 epi’s.”

Epinephrine is only given to people with either pulseless electrical activity or those who are asystolic – flatliners. (Once again, Hollywood has lied to you. You don’t put the paddles on anyone with a monitor next to them going BEEEEEEEEEEEEEP.) The ACLS guidelines say you push those every 3-5 minutes.

The Ok, We Tried alarm should have gone off about 3-4 epi’s in. Not 20.

“Was it a young guy?” “No, It was James.”

I curse a little louder than I mean to. I walk out of the room and wash my hands even though I’m sure I hadn’t touched anything.

James is- was a nurse at my hospital. He was maybe in his early 50s. Every Resident loved him because he was tough and always fought for his patients. He was a nice guy and a pleasure to work with. But he was fierce. He’d seek us out during Rounds, stare us down and make sure we put in orders for his patients ASAP. We all respected him.

I knew he was on a vent as of the night before with settings that looked, well, dire, but it’s still a shock.

The night team leaves. I start mindlessly updating the cheat sheet summary of our 16 patients. I’m on autopilot at this point. 13 are COVID cases. COVID cases are, unfortunately, very easy to manage. You put in orders for medications that you’re pretty sure don’t work, you note how bad their oxygen saturation is on nasal cannula (NC) or nonrebreather (NRB), and you gown up and see the worst cases / people you think might need to be intubated in the near future.

The first Rapid Response comes at 7:40AM. I reach the door (of course it’s a COVID room, that’s all we have left) and realize I left my N95 at home. I’m not entering that room. I flippantly tell the interns to access the situation and head to pick up a new mask at the Command Center.

The nice nursing admin lady hands me a paper bag with a new N95. She tells me to sign for it in the binder just outside the door. Despite my autopilot brain, I joke, “Oh we’re on the honor system? You know I’m just going to sign ‘John Smith’ in the binder right?” She laughs and says it’s ok I left my N95 at home.

I pick up my mask and sign John Smith in the binder.

Just because I’m in shock doesn’t mean I can pass up a joke like that.

I head back up to the Rapid. I get a debrief that this was narrow complex ventricular tachycardia in the 200s. They pushed metoprolol (wrong decision) and adenosine (right decision). I go talk to the very bright and hardworking intern on my team. I explain that in situations like this where the patient is otherwise hemodynamically stable, metoprolol isn’t going to do enough to slow the heart rate. You’ve got to reset the circuit breaker. I asked who the attending was in the room.

There was no attending. The intern had to make the call.

I left my interns to the wolves when I walked off in a huff to go get a new mask.

My autopilot brain goes over how lovely I am of a senior Resident. When YOU were an intern, at least your seniors never walked away from a Rapid.

As I walk back to the call room to barricade myself behind a door for an hour or so, I come upon a nurse meeting where the news of James’ passing was being announced. I honestly don’t remember a single word of it. I do remember the occasional sobs coming from these amazing nurses.

Then there’s a Rapid and a COVID is intubated.

Table Rounds.

Then there’s a Rapid and a COVID is intubated.

I’m getting good at assessing whether or not a hypoxic COVID patient will get tubed and if we have time to get them upstairs before they crash.

Go me.



“The world breaks everyone and afterward many are strong at the broken places.”

I don’t think my fellow Residents or I will break in the near-future. Maybe, maybe not. A few of us are close though, including myself. Feels like it’s just over the horizon.

It’s what follows that quote which worries me.

“But those that will not break it kills. It kills the very good and the very gentle and the very brave impartially. If you are none of these you can be sure it will kill you too but there will be no special hurry.”

James never broke. He was good, and gentle and brave and he was killed.

facetoucher cat
Dec 20, 2013

by sebmojo

Bulgakov posted:

if covid 19 doesn't hurry im going to die from a fatal case of slow burn chronic anxiety (over not having covid 19) before i have a chance to get infected and experience the rona myself!!

sad

I'm packed and ready and debating on if I'm going to go backcountry camping or not. There's no real area on the trail I can't get 6ft or more away from another person if I see one and I don't expect to. I'm scared but I can't stop existing because I'm going to eventually die and I want to LIVE as long as possible. I have to play it smart

Nonsense
Jan 26, 2007


JOE!

euphronius
Feb 18, 2009

I don’t understand how this unemployment situation doesn’t destroy the country

got any sevens
Feb 9, 2013

by Cyrano4747

:thunk:
one might almost crackping over something like this

Nonsense
Jan 26, 2007


destruction to the libs.

TMMadman
Sep 9, 2003

by Fluffdaddy

euphronius posted:

I don’t understand how this unemployment situation doesn’t destroy the country

Because number must go up.

Also it's entirely stupid because there is literally nothing being lost or destroyed. Businesses aren't burning to the ground, they just can't have people come in to work.

FUCK COREY PERRY
Apr 19, 2008




dang dude :smith:

euphronius
Feb 18, 2009

TMMadman posted:

Because number must go up.

Also it's entirely stupid because there is literally nothing being lost or destroyed. Businesses aren't burning to the ground, they just can't have people come in to work.

material conditions might be changing for lots of people

Shalebridge Cradle
Apr 23, 2008


euphronius posted:

I don’t understand how this unemployment situation doesn’t destroy the country

apparently unemployment got as high as 25% during the great depression, and spent a couple years above 20%

But we also got the New Deal to actually deal with poo poo eventually. And unemployment might spike even higher this time around.

So who knows.

euphronius
Feb 18, 2009

Shalebridge Cradle posted:

apparently unemployment got as high as 25% during the great depression, and spent a couple years above 20%

But we also got the New Deal to actually deal with poo poo eventually. And unemployment might spike even higher this time around.

So who knows.

that qualifies as destroying the county imho

the new deal gov was nothing like what came before

Stereotype
Apr 24, 2010

College Slice

euphronius posted:

material conditions might be changing for lots of people

Money isn't real

Nitrousoxide
May 30, 2011

do not buy a oneplus phone



Nonsense posted:

destruction to the libs.

We'd be able to treat the entire population after about 10 years, assuming we don't go over the medical capacity. Faster if we exceed it or ramp up our treatment ability or if therapeutics are developed which shorten the disease progression. Also assuming immunity isn't lost or mutations which evade our immunity.

If a successful and safe vaccine is developed then that also cuts it off early as well.

Happy Thread
Jul 10, 2005

by Fluffdaddy
Plaster Town Cop

rip, condolences

Your writing on this is great

Epic High Five
Jun 5, 2004



Farm Frenzy posted:

didnt all the uniformed nypd go on strike a few years ago and nothing happened

everybody felt a lot safer and happier so they all rushed back to work lol

TMMadman
Sep 9, 2003

by Fluffdaddy
Also, I wonder what the DNC is thinking about Biden right now since his whole response the past couple of weeks has been utterly loving useless. Even more so than Trump.

euphronius
Feb 18, 2009

TMMadman posted:

Also, I wonder what the DNC is thinking about Biden right now since his whole response the past couple of weeks has been utterly loving useless. Even more so than Trump.

he literally said truml was a hero

Taintrunner
Apr 10, 2017

by Jeffrey of YOSPOS

facetoucher cat posted:

I'm packed and ready and debating on if I'm going to go backcountry camping or not. There's no real area on the trail I can't get 6ft or more away from another person if I see one and I don't expect to. I'm scared but I can't stop existing because I'm going to eventually die and I want to LIVE as long as possible. I have to play it smart



Don't forget the catte

Winkie01
Nov 28, 2004

facetoucher cat posted:

https://twitter.com/NorbertElekes/status/1245897901550833665

ACAB and all that but you need a non diseased police department to keep order for the most part so like this is bad

I guess it's NYPD's turn to wear I can't breathe t - shirts.

snoo
Jul 5, 2007




I really do like that, if they do everything "perfectly", they predict only 200,000 would die

you know, just two hundred thousand. no biggie. that's the best we could have and can do, folks, good luck

pancake rabbit
Feb 21, 2011




upgunned shitpost posted:

fifty state landslide. tromp now, tromp eternal.

in the piss dark future, there is only tornk

upgunned shitpost
Jan 21, 2015

euphronius posted:

I don’t understand how this unemployment situation doesn’t destroy the country

'muricans are tremendous pussies. they'll take it and they'll like it.

TMMadman
Sep 9, 2003

by Fluffdaddy

euphronius posted:

he literally said truml was a hero

I am flat out not voting for Biden in November.

I don't give a poo poo. I won't vote for Trump either, but I'm not going to vote Biden.

Crusader
Apr 11, 2002

MadJackal posted:

Day 12

“I will continue using military metaphors. We are at war with this virus.”


The greetings this morning were grim.

“Stay safe” has become the aloha of intra-Resident conversations. I heard that twice before reaching the front doors of the hospital just after sunrise.

“How was the night?” is the standard greeting to the two Residents just finishing their 12 hour Night Float shift. These are the two young MDs left to put out fires across half the hospital’s two hundred or so beds.

“We had the longest Code ever. Took an hour. We went through maybe 20 epi’s.”

Epinephrine is only given to people with either pulseless electrical activity or those who are asystolic – flatliners. (Once again, Hollywood has lied to you. You don’t put the paddles on anyone with a monitor next to them going BEEEEEEEEEEEEEP.) The ACLS guidelines say you push those every 3-5 minutes.

The Ok, We Tried alarm should have gone off about 3-4 epi’s in. Not 20.

“Was it a young guy?” “No, It was James.”

I curse a little louder than I mean to. I walk out of the room and wash my hands even though I’m sure I hadn’t touched anything.

James is- was a nurse at my hospital. He was maybe in his early 50s. Every Resident loved him because he was tough and always fought for his patients. He was a nice guy and a pleasure to work with. But he was fierce. He’d seek us out during Rounds, stare us down and make sure we put in orders for his patients ASAP. We all respected him.

I knew he was on a vent as of the night before with settings that looked, well, dire, but it’s still a shock.

The night team leaves. I start mindlessly updating the cheat sheet summary of our 16 patients. I’m on autopilot at this point. 13 are COVID cases. COVID cases are, unfortunately, very easy to manage. You put in orders for medications that you’re pretty sure don’t work, you note how bad their oxygen saturation is on nasal cannula (NC) or nonrebreather (NRB), and you gown up and see the worst cases / people you think might need to be intubated in the near future.

The first Rapid Response comes at 7:40AM. I reach the door (of course it’s a COVID room, that’s all we have left) and realize I left my N95 at home. I’m not entering that room. I flippantly tell the interns to access the situation and head to pick up a new mask at the Command Center.

The nice nursing admin lady hands me a paper bag with a new N95. She tells me to sign for it in the binder just outside the door. Despite my autopilot brain, I joke, “Oh we’re on the honor system? You know I’m just going to sign ‘John Smith’ in the binder right?” She laughs and says it’s ok I left my N95 at home.

I pick up my mask and sign John Smith in the binder.

Just because I’m in shock doesn’t mean I can pass up a joke like that.

I head back up to the Rapid. I get a debrief that this was narrow complex ventricular tachycardia in the 200s. They pushed metoprolol (wrong decision) and adenosine (right decision). I go talk to the very bright and hardworking intern on my team. I explain that in situations like this where the patient is otherwise hemodynamically stable, metoprolol isn’t going to do enough to slow the heart rate. You’ve got to reset the circuit breaker. I asked who the attending was in the room.

There was no attending. The intern had to make the call.

I left my interns to the wolves when I walked off in a huff to go get a new mask.

My autopilot brain goes over how lovely I am of a senior Resident. When YOU were an intern, at least your seniors never walked away from a Rapid.

As I walk back to the call room to barricade myself behind a door for an hour or so, I come upon a nurse meeting where the news of James’ passing was being announced. I honestly don’t remember a single word of it. I do remember the occasional sobs coming from these amazing nurses.

Then there’s a Rapid and a COVID is intubated.

Table Rounds.

Then there’s a Rapid and a COVID is intubated.

I’m getting good at assessing whether or not a hypoxic COVID patient will get tubed and if we have time to get them upstairs before they crash.

Go me.



“The world breaks everyone and afterward many are strong at the broken places.”

I don’t think my fellow Residents or I will break in the near-future. Maybe, maybe not. A few of us are close though, including myself. Feels like it’s just over the horizon.

It’s what follows that quote which worries me.

“But those that will not break it kills. It kills the very good and the very gentle and the very brave impartially. If you are none of these you can be sure it will kill you too but there will be no special hurry.”

James never broke. He was good, and gentle and brave and he was killed.

condolences, and thank you again for sharing

Bulgakov
Mar 8, 2009


рукописи не горят


god drat america

Stereotype
Apr 24, 2010

College Slice

Thank you for posting these.

Modest Mao
Feb 11, 2011

by Cyrano4747

euphronius posted:

I don’t understand how this unemployment situation doesn’t destroy the country

it will

Jonny 290
May 5, 2005



[ASK] me about OS/2 Warp

Bulgakov posted:

god drat america

this sermon (and the manufactured outrage against it) popped in my head yesterday. More like Reverend Jeremiah Right

Burn Zone
May 22, 2004



MadJackal posted:

Day 12

“I will continue using military metaphors. We are at war with this virus.”


The greetings this morning were grim.

“Stay safe” has become the aloha of intra-Resident conversations. I heard that twice before reaching the front doors of the hospital just after sunrise.

“How was the night?” is the standard greeting to the two Residents just finishing their 12 hour Night Float shift. These are the two young MDs left to put out fires across half the hospital’s two hundred or so beds.

“We had the longest Code ever. Took an hour. We went through maybe 20 epi’s.”

Epinephrine is only given to people with either pulseless electrical activity or those who are asystolic – flatliners. (Once again, Hollywood has lied to you. You don’t put the paddles on anyone with a monitor next to them going BEEEEEEEEEEEEEP.) The ACLS guidelines say you push those every 3-5 minutes.

The Ok, We Tried alarm should have gone off about 3-4 epi’s in. Not 20.

“Was it a young guy?” “No, It was James.”

I curse a little louder than I mean to. I walk out of the room and wash my hands even though I’m sure I hadn’t touched anything.

James is- was a nurse at my hospital. He was maybe in his early 50s. Every Resident loved him because he was tough and always fought for his patients. He was a nice guy and a pleasure to work with. But he was fierce. He’d seek us out during Rounds, stare us down and make sure we put in orders for his patients ASAP. We all respected him.

I knew he was on a vent as of the night before with settings that looked, well, dire, but it’s still a shock.

The night team leaves. I start mindlessly updating the cheat sheet summary of our 16 patients. I’m on autopilot at this point. 13 are COVID cases. COVID cases are, unfortunately, very easy to manage. You put in orders for medications that you’re pretty sure don’t work, you note how bad their oxygen saturation is on nasal cannula (NC) or nonrebreather (NRB), and you gown up and see the worst cases / people you think might need to be intubated in the near future.

The first Rapid Response comes at 7:40AM. I reach the door (of course it’s a COVID room, that’s all we have left) and realize I left my N95 at home. I’m not entering that room. I flippantly tell the interns to access the situation and head to pick up a new mask at the Command Center.

The nice nursing admin lady hands me a paper bag with a new N95. She tells me to sign for it in the binder just outside the door. Despite my autopilot brain, I joke, “Oh we’re on the honor system? You know I’m just going to sign ‘John Smith’ in the binder right?” She laughs and says it’s ok I left my N95 at home.

I pick up my mask and sign John Smith in the binder.

Just because I’m in shock doesn’t mean I can pass up a joke like that.

I head back up to the Rapid. I get a debrief that this was narrow complex ventricular tachycardia in the 200s. They pushed metoprolol (wrong decision) and adenosine (right decision). I go talk to the very bright and hardworking intern on my team. I explain that in situations like this where the patient is otherwise hemodynamically stable, metoprolol isn’t going to do enough to slow the heart rate. You’ve got to reset the circuit breaker. I asked who the attending was in the room.

There was no attending. The intern had to make the call.

I left my interns to the wolves when I walked off in a huff to go get a new mask.

My autopilot brain goes over how lovely I am of a senior Resident. When YOU were an intern, at least your seniors never walked away from a Rapid.

As I walk back to the call room to barricade myself behind a door for an hour or so, I come upon a nurse meeting where the news of James’ passing was being announced. I honestly don’t remember a single word of it. I do remember the occasional sobs coming from these amazing nurses.

Then there’s a Rapid and a COVID is intubated.

Table Rounds.

Then there’s a Rapid and a COVID is intubated.

I’m getting good at assessing whether or not a hypoxic COVID patient will get tubed and if we have time to get them upstairs before they crash.

Go me.



“The world breaks everyone and afterward many are strong at the broken places.”

I don’t think my fellow Residents or I will break in the near-future. Maybe, maybe not. A few of us are close though, including myself. Feels like it’s just over the horizon.

It’s what follows that quote which worries me.

“But those that will not break it kills. It kills the very good and the very gentle and the very brave impartially. If you are none of these you can be sure it will kill you too but there will be no special hurry.”

James never broke. He was good, and gentle and brave and he was killed.

I appreciate you writing these and for the work you’re doing

El Pipila
Dec 30, 2006
I am invincible; I have a stone on my back!

got any sevens posted:

:thunk:
one might almost crackping over something like this

yup, that's me

facetoucher cat
Dec 20, 2013

by sebmojo

Taintrunner posted:

Don't forget the catte

He's lurking in the shadows under my backpack waiting

Salt Fish
Sep 11, 2003

Cybernetic Crumb

facetoucher cat posted:

He's lurking in the shadows under my backpack waiting



I have that exact thermarest mat, it owns. I use it on my balcony to sun bathe when its warm enough.

upgunned shitpost
Jan 21, 2015

Jonny 290 posted:

this sermon (and the manufactured outrage against it) popped in my head yesterday. More like Reverend Jeremiah Right

https://www.youtube.com/watch?v=vzQ3yjpYZis

Bulgakov
Mar 8, 2009


рукописи не горят

Jonny 290 posted:

this sermon (and the manufactured outrage against it) popped in my head yesterday. More like Reverend Jeremiah Right

i feel obama backing down and changing churches or whatever because of that outrage was a strong sign that it was part of the end

brugroffil
Nov 30, 2015


MadJackal posted:

Day 12

“I will continue using military metaphors. We are at war with this virus.”


The greetings this morning were grim.

“Stay safe” has become the aloha of intra-Resident conversations. I heard that twice before reaching the front doors of the hospital just after sunrise.

“How was the night?” is the standard greeting to the two Residents just finishing their 12 hour Night Float shift. These are the two young MDs left to put out fires across half the hospital’s two hundred or so beds.

“We had the longest Code ever. Took an hour. We went through maybe 20 epi’s.”

Epinephrine is only given to people with either pulseless electrical activity or those who are asystolic – flatliners. (Once again, Hollywood has lied to you. You don’t put the paddles on anyone with a monitor next to them going BEEEEEEEEEEEEEP.) The ACLS guidelines say you push those every 3-5 minutes.

The Ok, We Tried alarm should have gone off about 3-4 epi’s in. Not 20.

“Was it a young guy?” “No, It was James.”

I curse a little louder than I mean to. I walk out of the room and wash my hands even though I’m sure I hadn’t touched anything.

James is- was a nurse at my hospital. He was maybe in his early 50s. Every Resident loved him because he was tough and always fought for his patients. He was a nice guy and a pleasure to work with. But he was fierce. He’d seek us out during Rounds, stare us down and make sure we put in orders for his patients ASAP. We all respected him.

I knew he was on a vent as of the night before with settings that looked, well, dire, but it’s still a shock.

The night team leaves. I start mindlessly updating the cheat sheet summary of our 16 patients. I’m on autopilot at this point. 13 are COVID cases. COVID cases are, unfortunately, very easy to manage. You put in orders for medications that you’re pretty sure don’t work, you note how bad their oxygen saturation is on nasal cannula (NC) or nonrebreather (NRB), and you gown up and see the worst cases / people you think might need to be intubated in the near future.

The first Rapid Response comes at 7:40AM. I reach the door (of course it’s a COVID room, that’s all we have left) and realize I left my N95 at home. I’m not entering that room. I flippantly tell the interns to access the situation and head to pick up a new mask at the Command Center.

The nice nursing admin lady hands me a paper bag with a new N95. She tells me to sign for it in the binder just outside the door. Despite my autopilot brain, I joke, “Oh we’re on the honor system? You know I’m just going to sign ‘John Smith’ in the binder right?” She laughs and says it’s ok I left my N95 at home.

I pick up my mask and sign John Smith in the binder.

Just because I’m in shock doesn’t mean I can pass up a joke like that.

I head back up to the Rapid. I get a debrief that this was narrow complex ventricular tachycardia in the 200s. They pushed metoprolol (wrong decision) and adenosine (right decision). I go talk to the very bright and hardworking intern on my team. I explain that in situations like this where the patient is otherwise hemodynamically stable, metoprolol isn’t going to do enough to slow the heart rate. You’ve got to reset the circuit breaker. I asked who the attending was in the room.

There was no attending. The intern had to make the call.

I left my interns to the wolves when I walked off in a huff to go get a new mask.

My autopilot brain goes over how lovely I am of a senior Resident. When YOU were an intern, at least your seniors never walked away from a Rapid.

As I walk back to the call room to barricade myself behind a door for an hour or so, I come upon a nurse meeting where the news of James’ passing was being announced. I honestly don’t remember a single word of it. I do remember the occasional sobs coming from these amazing nurses.

Then there’s a Rapid and a COVID is intubated.

Table Rounds.

Then there’s a Rapid and a COVID is intubated.

I’m getting good at assessing whether or not a hypoxic COVID patient will get tubed and if we have time to get them upstairs before they crash.

Go me.



“The world breaks everyone and afterward many are strong at the broken places.”

I don’t think my fellow Residents or I will break in the near-future. Maybe, maybe not. A few of us are close though, including myself. Feels like it’s just over the horizon.

It’s what follows that quote which worries me.

“But those that will not break it kills. It kills the very good and the very gentle and the very brave impartially. If you are none of these you can be sure it will kill you too but there will be no special hurry.”

James never broke. He was good, and gentle and brave and he was killed.
Thanks, again. So much.

Taintrunner
Apr 10, 2017

by Jeffrey of YOSPOS
https://twitter.com/jeffrey_ventre/status/1245752703516430336

HaaahahahahahahaawwaahhhaHAAAAHAHAHHAAAHAHBWAAAHAHAHAHAHAHAAAAWWHAAAHAHA

Egg Moron
Jul 21, 2003

the dreams of the delighting void

drat, madjackal

I am doing preschool teaching for kids with parents who are nurses and doctors right now and I see some pretty grim looks on the faces of parents every day, you writing this poo poo helps me contextualize and attempt to understand what they're grappling with every shift

Plinkey
Aug 4, 2004

by Fluffdaddy
best case senario this destorys the health insurance industry

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Stereotype
Apr 24, 2010

College Slice

Plinkey posted:

best case senario this destorys the health insurance industry

It's gonna destroy a lot of industries

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