MakeItBackAlright
120509
3019
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Sorry for the read but it is devastating and infuriating. From r/residency
Apr 7, 2020 4:04 PM
MakeItBackAlright
120509
3019
76
Sorry for the read but it is devastating and infuriating. From r/residency
EdwardEH
Well that's pretty dark.
ThailandExpress
Guess who likes this system? Still time to vote for Bernie
Meteodrive
Bernie Sanders NOW
forgetthisnoise
I saw my mother, father, and sister intubated. Not for me, thanks. Make me comfortable and leave me die thanks
ChiLLeCheeze
I'm just tired of the lip service paid to people. Lip service, like exposure does fuck all.
KaJuN
The fact that healthcare workers have to go anonymous to avoid termination to report the horrible conditions forced upon them is sickening.
Meteodrive
Bernie Sanders NOW
xsogxgrim07
I'm proud of you O.P. Your selfless contribution to this society shows we still have one. Thank you for your risks and sacrifices.
xsogxgrim07
Your routines and decisions give someone's loved one a fighting chance. You are the hero right now, and will be remembered as one.
surkinglosnfbfichdbbf
I got fired at the gas station for calling in sick with a really bad cough , my bosses are both in their 60s
surkinglosnfbfichdbbf
The cough lasted for over 10 days
clamdriver
Sorry to read this Doc I can't help but wonder about all those souls you can and do save Your skills return people to their families. Thanks
FireCrotchSingleMaltScotch
Reminds me of Sanderson's Way of Kings, when the Radiants walked away from their oaths. I'd hate to see it happen here irl.
DonnaSelf
I am so sorry OP.
LorindaLogan
Except for that last line. Everybody will remember. And everyone will have their own story.
ADDGirl
Everyone will remember, just like 9/11. How well did the 9/11 first responders get taken care of after that? Remind me.
LorindaLogan
Don't disagree with you on that, but I sure as hell remember 9/11 and I don't think this is going to leave my memory any time soon.
ADDGirl
That's my point. People will remember, but the front line workers will get nothing in compensation except PTSD.
AlmightyElephant
80%? I didn't think it was that bad. Is this specifically like, the at risk people or is it regardless?
MakeItBackAlright
If you reach the point of needing ventilation with a COVID infection, the lowest estimate I've heard is 50-50. This dude in in NYC right now
MakeItBackAlright
and I'm not at all surprised by an 80% number.
Terayon
There was another post earlier about a UK nurse or doctor saying 84% in their hospital
rkhargosh
Same here at Cleveland clinic. Empty promises
Kimona007
Aren't med professionals unionized? Hospitals couldn't run without them...they need doctors and nurses for the bldgs and storerooms of 1/2
Kimona007
Medication and equip they cannot administer or use. 2/2
MakeItBackAlright
Nope. Nurses, sometimes. Doctors are governed by another separate body and haven't as far as I know ever unionized.
ElbowDeep
Intubation means an 80% chance you'll never come off of it?
brannana
For COVID patients, that’s about the mortality rate. “Normal” intubation has a much better prognosis.
ElbowDeep
Oh alright I was gonna say all those house episodes I watched and my own medical training lied to me lol
Terayon
For cases like this where non-invasive ventilation is used first it's still a 42% mortality rate which is still horrifying, source below 1/2
Terayon
https://jamanetwork.com/journals/jama/fullarticle/194560
TrapsAreIllegal
Unionize you fools
HPCmonkey
And what, walk out while all the patients just die because you aren't getting paid enough? The resources aren't there.
MakeItBackAlright
Nah the way to unionize for doctors is to just stop coding. Providing care but make it billable.
MakeItBackAlright
*unbillable
HPCmonkey
And how do they expect to get paid that way? "Let's unionize, but also let's stop taking in earnings and at the same time spend resources."
HPCmonkey
You're pretty smart, aren't you?
jargonmon
That makes no difference. The union is obligated to follow executive orders (governor cuomo) during states of emergency. I'm union. I tried.
sadurdaynight
US Cumulative Death Estimates ... 20k by Thursday. 40k by Sunday. 80k by next Wed.
sadurdaynight
Before someone asks "source" .. deaths are doubling about every 3 days so far. https://www.worldometers.info/coronavirus/country/us/
pilomotor
And yet some churches still want everyone to come in on Easter Sunday.
EroticZombiePants
1690 death so far in the US today, and that's with multiple states not reporting in yet.
GrumpyOldMillennial
We are essential workers in a wire factory. Our CEO sent out am inspirational video for us, filmed from his mansion....#Motivated
SienRaak
For real? Talk about tone deaf.
GrumpyOldMillennial
Yep. We had 2 workers test positive. They just shut those lines down, kept the plant running despite the policy being a 24hr closure if
GrumpyOldMillennial
Anyone tested positive. They totally abandoned their own policies. Employee morale is garbage currently.
SienRaak
Shit. Write it all down. Keep a record for historical purposes. Record things so that it can’t be disputed later. There’s gonna be a fight.
Zahnradfee
This might be of interest to you and your coworkers: https.//www.genstrike.org
ChunkOfJuice
Holy shit is that true about intubation? 80% chance?
you8mycracker
Yes
ComradeZoidberg
https://www.physiciansweekly.com/mortality-rate-of-covid-19-patients-on-ventilators/
ChunkOfJuice
See i thought we were saying if you get intubated with covid and survive then theres an 80% chance youll need to stay on a ventilator
ShawnS4362
That’s my biggest fear about this whole thing. If you go on a vent you might as well say your goodbyes.
Babyshartmcgeezax
Not all intubation. Just intubation+Covid.
Terayon
Intubated ventilation is still a shitty prognosis, I think it averages around a 30% mortality rate, nothing like 80% but still
ChunkOfJuice
How do we even know that conclusively yet?
brannana
We don’t, but we do have a fair amount of data from the thousands who’ve already died.
alsoAzrael
After more than 10,000 deaths we have a pretty good idea of how things go.
istoleyourleftsock
I'm an elevator mechanic in NYC, and I'm still in the field doing maintenance and handling shutdowns. Thank you, please stay safe!!
you8mycracker
No, thank you! Please keep yourself safe too!
oshastandard
Local 3 or local 1?
istoleyourleftsock
Local 3
oshastandard
Nice I’m local 3 electrician though I’ve been on a temp lay-off since last Monday
SternoTesticularLigament
US health care cost: 75% administrative, 8% doctors, 100% fucked up
DiminishingCapacity
Is it real numbers or /s? I am really curious how much administration takes.
SternoTesticularLigament
https://annals.org/aim/article-abstract/2758511/health-care-administrative-costs-united-states-canada-2017 (1)
SternoTesticularLigament
U.S. insurers and providers spent $812 billion on administration, amounting to $2497 per capita (34.2% of national health expenditures) (2)
SternoTesticularLigament
versus $551 per capita (17.0%) in Canada: $844 versus $146 on insurers' overhead; $933 versus $196 for hospital administration (3)
SternoTesticularLigament
$255 versus $123 for nursing home, home care, and hospice administration; and $465 versus $87 for physicians' insurance-related costs. (4)
CooCooCaChew
I worry about the long term psychological impact this situation is going to have on health care workers.
SienRaak
?
you8mycracker
A new version of PTSD to call their own
PhailRaptor
Ask a soldier. Same problems, different context.
Zahnradfee
I really hope there will be wide-spread protests along with patients after the pandemic is over. Gotta put pressure on the ones responsible.
Stuffedfox
?
ThomasCornett10
Live in NYC and shit is serious, but how this is written is suspicious.
Gpilot
Can’t say if they’re FOS but pretty close to what I’m experiencing as a resident. We don’t do high flow before intubation, otherwise same.
elfpower
How so?
ThomasCornett10
Situation is bad and Healthcare workers are badasses, but this seems very dramatized. Real professionals don't write like this
ArcticFudgeHorns
Agreed. For one thing, I doubt an intern would misuse "they're" vs. "their".
lionel1024
How about an overly stressed, sleep deprived person overwhelmed by what they're living through?
ArcticFudgeHorns
I'm emotionally attached to my opinion now. Don't try to change it with reason.
ADDGirl
I would totally write like that. Been an RN for 9 years. There is a lot of drama in hospitals that the public doesn't usually see.
Blueriverbaby
I know it won’t help you now, but keep recording this. All of you nurses and doctors out there. Take pics, write it down.
LookHarder80085
It's not OC bub
nitehaBeast
Why?
iReleaseEndorphins
History
Blueriverbaby
Why? Because people tend to forget quickly and to prevent in the near future, that government or media say that this never happened, 1/3
Blueriverbaby
that people exaggerate and the evidence there is is anecdotal. If everyone in critical positions writes down, 2/3
Blueriverbaby
and record what they see, nobody can say "it wasn't that bad" 3/3
ADDGirl
I started a journal, just a day by day blurb of what it's like at the hospital, at the stores and at home. It's mostly for the 3 year old.
Zahnradfee
I believe documents like these are treasure for historians too.
CaptHollyShort1
I'm doing a three year journal so hopefully next year i can look at the lines above and be grateful!
beatingoffinfrontofapegasus
my covid-19 journal for my 3yo. would suck. today- look at memes. answer phone. help customer. bleach everything. repeat.
SienRaak
?
ADDGirl
You can still document what's happening even if it's not directly happening to you. What measures your state and work took, if any... etc
beatingoffinfrontofapegasus
ah, very good point!
theresgarlicinthatnebula
Taking pics and writing it down are largely illegal thanks to HIPPA.
SienRaak
??
eggsterminate
Taking pics can be tricky, but describing the situation is absolutely allowed under HIPAA, so long as no specific patients are identified.
theresgarlicinthatnebula
Describing a situation in any meaningful way can violate hippa if you can potentially id someone from it.
ADDGirl
Taking pics OF PEOPLE and writing down IDENTIFYING INFO is illegal. Taking pics of empty supply rooms and writing down events is fine.
pandro
and a corridor of supposed body bags. but not a dumpster of black bags that are on close inspection trash bags. We need real info not hype.
ADDGirl
Have you not seen the video of them loading bodies onto a semi truck? This isn't hype. Nurses know what the fuck body bags look like.
pandro
I did see the body bags and did see the truck. but the video I saw also stopped to film a stack of black plastic trash bags crammed into 1/
DiarmuidRyan
When the time comes use your vote.
GuardsmanMiku
yeh like thats gonna do anything. If your ballot does nothing, your gonna need a gun
JohnnyDS60
And vote for??? Why do governors get a pass? How about the money trail? We are sheep but we want to post that we are wolves baaaahhhhhh
darxide
Except this is exactly what was voted for. Reaping what was sewn.
jrfhoutx
*sown
darxide
Thunks Speeling Natzi.
snozzleburt
Just vote lol
U03A6
I don't see a chance for Mr. Biden. Mr. Trump will get his second term like he got his first, on abuse and lies.
Datsinginguy
blobtoss
You can't vote out a corruption like this. This is world war three,rich vs poor It has to be thrown out and our rightful leaders installed.
bravecatgaming
1 vote = 1 like = 1 prayer. All it does is perpetuate the system, and even if everyone voted for "lesser evils" the evil still has the money
limbodog
So what then?
SunBrolem
If voting did anything, they wouldn't let us do it.
Ezzybells
They try not to let people do it though. 5 locations for 600k people...
GuardsmanMiku
like what they literally did with the democratic primaries
Iputthebestinbestiality
If this is gonna last long enough then Americans have a tendency to rush to the flag during crisises = Trump's gonna win ?
Fastjack2056
If the Dems grow a pair and go on the attack, this could be the end for him. He f'd up - again - and got thousands of Americans killed.
BHPaperstacks
Republicans are in a fucking cult. None of it matters.
Fastjack2056
By the time this is over I expect it will be a higher bodycount than 9/11. I really want to see Liz Warren take him to school for that.
Fastjack2056
Her takedown of Bloomberg was awesome. Even if she's not the nominee, can we let her yell at Trump for 10 minutes on TV? I'd pay to see it.
Winter23
We are already waaaay beyond 911 in terms of death. By about 10k I think.
bonly89
I don't getbto vote in New York elections
rwb813
Why not
kevinallover
Look, it would be nice if NY could vote someone who'll make a difference, but the fact is Biden's gonna win here because as loud as our >>
kevinallover
>> progressives are, we're center-right masquerading as democrats. So, what you CAN do, at the very least is vote in a state where >>
kevinallover
>> someone better has a chance of winning. Swing states are a thing, and it'd be great if voters would make them useful.
yeaaadude
I wanna use a rock. We need to reshape how our government works from the bottom. Voting this year is like a bandaid on a carcinoma
bdoverflow101
What was it like in 2016?
Chefroy
Why tf do people keep bringing up that election? Its over. Who cares. Focus on the next one
bdoverflow101
Don't learn from history. Doomed to repeat it.
Chefroy
Do you think people just forgot? If they didnt learn from their mistake your halfhearted comment isnt gonna do shit.
MakeItBackAlright
Yeah. The dude who drafted the first version of the Patriot Act vs a child-minded narcissist is not a place I wanted to be.
Zahnradfee
Don't you have this option to write people in?
ellgramar
Yes, but if the vote is split, the other side is basically guaranteed to win.
WoeToHice
Can someone explain the bit about "80% chance you will never be taken off the breathing machine"? Does that mean there's 80% chance (1/2)
movielover154
No, it means you have a 20% chance. This is not a good prognosis.
tankmayvin
The papers we have seen so far suggest that survival post-ventillator is the minority. Anywhere from 10% to 30% make it. From small samples.
pandro
not being a dick but do you have a source? I found out from the anecdote from the doctor's letters here, but people don't believe me. :-(
tankmayvin
If you want actual papers, I'll go back and dig more but this is a start:
tankmayvin
https://www.npr.org/sections/health-shots/2020/04/02/826105278/ventilators-are-no-panacea-for-critically-ill-covid-19-patients
pandro
Wow. So it's like he said, but the background explaining why people don't get off them makes it worse. Tysm for link.
RF2019
it means there is an 80% chance its the last thing you'll do before you die.
WoeToHice
the patient will die? Or does it mean there's 80% chance they will need some kind of a machine for the rest of their lives? Or what? (2/2)
LoodGookin
Supposedly there is only 20% chance the person will live once they reach the stage of needing the ventilator.
Terayon
Ventilators have a bad prognosis to begin with, if you go on one you're almost guaranteed to have lung damage after
theresgarlicinthatnebula
We have the technology to keep corpses "alive" on machines forever essentially. Most people die when we reach a point where we just (1/2)
theresgarlicinthatnebula
(2/2) don't think you'll have any more meaningful life left. So both. -ICU nurse.
picksock
These guys definitely declare themselves.... unless you are swimming in ecmo services....
theresgarlicinthatnebula
Haha I suppose we are... we have 6 covid's on ecmo on my last count...
WoeToHice
Thank you.
you8mycracker
It means you will either die or need a machine to breathe the rest of your life, 80% of the time.
you8mycracker
Because of the high rate the ventilator has to be run, it causes severe damage to the little trees in your lungs. They don't grow back.
Terayon
And the waitlist for a lung transplant is already long
MYNAMEBEMAX
Just quit my psych hospital job because the whole hospital has covid now because administration did nothing
wackochango1
Same
ILostIt
Bruh. I worked as a psych tech in a psych hospital for 3 years...I count my blessings every day I’m not there now. Good job getting out ??
MakeItBackAlright
Jesus. That's miserable. I'm sorry.
TheBlackKaiser
I live in Stockholm, I do not get what the Swedish gov is thinking. We don't have the pop density of NYC, but things are going to get bad.
Megvilla
Where is this?
Zukka
There are hospitals in Mumbai that have had to shut down to deal with Covid spread. India is a ticking time bomb and I'm concerned
SienRaak
?
sadurdaynight
God damn. Wife is an OT. They cut off elective surgeries and such like a month ago. Was a ghost town for ~2 weeks until COVID cases hit.
mousezoey
This is my hospital system right now. Calm before the storm. I’m terrified.
SienRaak
?
ZOMGNO
AliExpress sells PPE if you're short. Pay for the faster shipping. Good luck
Sm9yCg
POTUS will just have the Feds seize it and distribute them to the company they installed to auction them off to the highest bidder. USA!!!!1
ZOMGNO
I'm mighty glad I don't live in your country.