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the president has mush brains
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# ? Apr 3, 2020 03:33 |
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# ? Jun 3, 2024 23:40 |
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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.
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# ? Apr 3, 2020 03:33 |
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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!! 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
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# ? Apr 3, 2020 03:35 |
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JOE!
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# ? Apr 3, 2020 03:38 |
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I don’t understand how this unemployment situation doesn’t destroy the country
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# ? Apr 3, 2020 03:38 |
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Crusader posted:wow presdient trampl one might almost crackping over something like this
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# ? Apr 3, 2020 03:39 |
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destruction to the libs.
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# ? Apr 3, 2020 03:39 |
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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.
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# ? Apr 3, 2020 03:40 |
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MadJackal posted:Day 12 dang dude
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# ? Apr 3, 2020 03:41 |
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TMMadman posted:Because number must go up. material conditions might be changing for lots of people
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# ? Apr 3, 2020 03:42 |
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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.
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# ? Apr 3, 2020 03:42 |
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Shalebridge Cradle posted:apparently unemployment got as high as 25% during the great depression, and spent a couple years above 20% that qualifies as destroying the county imho the new deal gov was nothing like what came before
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# ? Apr 3, 2020 03:43 |
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euphronius posted:material conditions might be changing for lots of people Money isn't real
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# ? Apr 3, 2020 03:43 |
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.
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# ? Apr 3, 2020 03:44 |
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MadJackal posted:Day 12 rip, condolences Your writing on this is great
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# ? Apr 3, 2020 03:44 |
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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
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# ? Apr 3, 2020 03:45 |
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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.
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# ? Apr 3, 2020 03:45 |
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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
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# ? Apr 3, 2020 03:45 |
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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
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# ? Apr 3, 2020 03:46 |
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facetoucher cat posted:https://twitter.com/NorbertElekes/status/1245897901550833665 I guess it's NYPD's turn to wear I can't breathe t - shirts.
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# ? Apr 3, 2020 03:47 |
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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
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# ? Apr 3, 2020 03:47 |
upgunned shitpost posted:fifty state landslide. tromp now, tromp eternal. in the piss dark future, there is only tornk
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# ? Apr 3, 2020 03:47 |
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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.
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# ? Apr 3, 2020 03:47 |
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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.
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# ? Apr 3, 2020 03:47 |
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MadJackal posted:Day 12 condolences, and thank you again for sharing
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# ? Apr 3, 2020 03:48 |
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god drat america
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# ? Apr 3, 2020 03:49 |
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MadJackal posted:Day 12 Thank you for posting these.
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# ? Apr 3, 2020 03:50 |
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euphronius posted:I don’t understand how this unemployment situation doesn’t destroy the country it will
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# ? Apr 3, 2020 03:51 |
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Bulgakov posted:god drat america this sermon (and the manufactured outrage against it) popped in my head yesterday. More like Reverend Jeremiah Right
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# ? Apr 3, 2020 03:52 |
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MadJackal posted:Day 12 I appreciate you writing these and for the work you’re doing
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# ? Apr 3, 2020 03:52 |
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got any sevens posted:
yup, that's me
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# ? Apr 3, 2020 03:55 |
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Taintrunner posted:Don't forget the catte He's lurking in the shadows under my backpack waiting
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# ? Apr 3, 2020 03:59 |
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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.
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# ? Apr 3, 2020 04:00 |
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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
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# ? Apr 3, 2020 04:01 |
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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
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# ? Apr 3, 2020 04:03 |
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MadJackal posted:Day 12
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# ? Apr 3, 2020 04:04 |
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https://twitter.com/jeffrey_ventre/status/1245752703516430336 HaaahahahahahahaawwaahhhaHAAAAHAHAHHAAAHAHBWAAAHAHAHAHAHAHAAAAWWHAAAHAHA
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# ? Apr 3, 2020 04:05 |
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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
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# ? Apr 3, 2020 04:06 |
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best case senario this destorys the health insurance industry
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# ? Apr 3, 2020 04:06 |
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# ? Jun 3, 2024 23:40 |
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Plinkey posted:best case senario this destorys the health insurance industry It's gonna destroy a lot of industries
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# ? Apr 3, 2020 04:07 |