this post was submitted on 06 Apr 2026
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A Boring Dystopia

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[–] jimonthony@lemmy.zip 236 points 6 days ago (5 children)

How is it legal to have an ICU that isn’t staffed by a single doctor?

[–] null@lemmy.org 81 points 6 days ago (1 children)

This would never happen to people who write the laws so it's not a priority.

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[–] faythofdragons@slrpnk.net 71 points 6 days ago (3 children)

It's probably staffed by Nurse Practitioners. They do a lot of stuff that used to be handled by doctors, even my primary care provider is a NP and not a Dr.

[–] MonkderVierte@lemmy.zip 38 points 6 days ago* (last edited 6 days ago) (1 children)
[–] StaticFalconar@lemmy.world 20 points 6 days ago (1 children)

More like dr make twice the pay than np because dr requires 10x more hours to be certified over a np. Also the family will be sueing the dr not the np for medical malpractice here.

[–] MonkderVierte@lemmy.zip 26 points 6 days ago* (last edited 6 days ago)

Oh, not that a doctors pay isn't justified (and still too less, for the requirements). But this here seems a saving money on the cost of quality, only the patient suffers from case.

[–] ColeSloth@discuss.tchncs.de 11 points 6 days ago (15 children)

You consider that you may be getting fucked, then?

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[–] Tollana1234567@lemmy.today 22 points 6 days ago (2 children)

teledocs, and equity firms have been snatching up doctors all over the place, this hospital is likely part of a firm that does this, they can just staff 1 or few doctors in a hospital, and use teledoc soley.

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[–] plz1@lemmy.world 138 points 6 days ago (1 children)

....wow

That timeline reads to me like he was in withdrawal, vomited, and likely aspirated on his own vomit. All due to lack of actual human care in a supposed ICU. I say "supposed", because that shit shouldn't even be legal for tele-health in the first place.

Marketing be like "this service pairs expert remote monitoring with skilled bedside care" and I translate that bullshit as "we farm monitoring jobs to cheaper labor markets and they watch people die, on Zoom".

[–] arrow74@lemmy.zip 12 points 6 days ago* (last edited 6 days ago) (2 children)

I'm willing to bet his family can likely win their lawsuit . Hopefully that will be costly enough to reverse this bullshit.

[–] plz1@lemmy.world 13 points 6 days ago

Unlikely, without regulation against this. Fines are just a cost of business, since they are never, ever costly enough. Either a true penalty fine, or executives in prison, or both, are the only response to ensure change, here.

[–] p03locke@lemmy.dbzer0.com 10 points 6 days ago (1 children)

You mean five percent of the money they make when they decide these immoral choices? Which then gets appealed to a high court and reduced to one-tenth of one percent?

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[–] Fmstrat@lemmy.world 81 points 6 days ago (2 children)

Fun story:

I once got blocked from a flight by TSA because the inspector said my portable hard drive was an explosive device by looking at it via Facetime over an iPad while they were at an Arnold Schwarzenegger's body building conference instead of at work in the airport.

[–] Gates9@sh.itjust.works 20 points 6 days ago (1 children)

It’s a body building and strong man contest.

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[–] Mulligrubs@lemmy.world 48 points 6 days ago* (last edited 6 days ago) (7 children)

I've been waiting for this since the 1990s, surprised it took so long.

Starting in the 90s, much of the administrative duties of a hospital are now done overseas, including chart notes.

The doctors being overseas? Worst case scenario is just starting.

Why would a hospital pay a US physician 200K a year when they can get a doctor from Pakistan to do the same work for 50K a year? They even have surgical robots that can be remotely piloted from anywhere.

It's not prevalent yet, but it will be.

[–] AcidiclyBasicGlitch@sh.itjust.works 24 points 6 days ago* (last edited 6 days ago) (3 children)

This should have been such a straightforward case too.

Mr. Hylton's condition deteriorated in the ICU, and despite orders, there are no CIWA assessments, no intake/output monitoring, and no MD assessments for pain and/or change in mental status despite the RN's non-contemporaneous note indicating mental status change in a patient diagnosed with alcohol withdrawal and a history of alcohol withdrawal seizures for which he had "previously been given Keppra."

Hylton, who was admitted around 11 a.m., became unresponsive early the next morning around 4:30 a.m., the complaint says.

"Mr. Hylton slid down in bed, his eyes rolled back and he … exhibited seizure-like activity, vomited, became bradycardic and code was called," the complaint alleges. "He was intubated, but he could not be resuscitated, and he was pronounced dead."

What the fuck were they even trying to do? Some kind of tough love/cold turkey approach? Honestly wouldn't be surprised bc I've heard a lot of ignorant pieces of shit suggest that should be standard protocol for opiate withdrawal.

Aside from that being intentionally and unnecessarily cruel, there's this tricky thing about alcohol withdrawal vs withdrawal from other "more serious" substances, where you can literally fucking die. That's exactly what happened.

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[–] captain_aggravated@sh.itjust.works 20 points 6 days ago (2 children)

See, when I first started hearing of those remote control surgical robots, it was sold to me like "They're for remote places where you can't quickly get to a metropolitan hospital, like the South Pole research station, or Nome Alaska, or the space station. Someone in Nome goes down with gallstones in the winter, getting them to Anchorage may be a problem, this would allow a doctor to remote in care that wouldn't otherwise be available."

That was, of course, bullshit.

[–] deathbird@mander.xyz 10 points 6 days ago (1 children)

See you're just thinking of pro-social applications for tech. Nothing wrong with that. One day the world will be better and we'll need creativity and positivity rather than nihilism. In the meantime, some cynicism is warranted.

[–] captain_aggravated@sh.itjust.works 9 points 6 days ago (2 children)

Wasn't me doing the thinking, that's what I was told this tech was developed for.

It wasn't. It was designed to kill a dental student in an ICU devoid of actual medical professionals.

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[–] SuspciousCarrot78@lemmy.world 6 points 5 days ago (1 children)

No, that was the pitch. I remember it just like you do.

It just...isn't working like that right now.

Doesn't mean the technology can't do that. Just means there's capitalism in the way.

"This is the song that never ends...it just goes on and on my friend"

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[–] Crozekiel@lemmy.zip 5 points 5 days ago

I shudder to think about my surgeon having to deal with a 400ms ping to the fucking robot cutting me open and how badly that could go...

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[–] SaharaMaleikuhm@feddit.org 87 points 6 days ago (1 children)

The US is such a dumb fucking nation, I just cannot believe half this shit

[–] AceOnTrack@lemmy.blahaj.zone 26 points 6 days ago (1 children)

It's like an ongoing slow motion trainwreck and I can't help but stare

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[–] phoenixz@lemmy.ca 50 points 6 days ago

People need to be jailed over this

As in the CEO, leadership, management, all involved in setting up and authorizing these procedures, should be jailed

If not, this will just become the norm

And of course it will just become the norm because again, somebody died needlessly and we're not doing shit about it because all the other CEO's still need a gold plated bathtub

[–] RememberTheApollo_@lemmy.world 78 points 6 days ago* (last edited 6 days ago) (3 children)

Great. We pay into health care that doesn’t offer physical care anymore.

[–] Tollana1234567@lemmy.today 29 points 6 days ago

taxes are mostly subsidizing the companies too, and patients never see it being used for them.

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[–] Phil_in_here@lemmy.ca 11 points 5 days ago

Meanwhile in in the rest of the world we've got conservatives telling us how much more efficient it would be and how much quicker you'd see a doctor if we adopted America's for-profit healthcare system.

[–] MushroomsEverywhere@lemmy.world 11 points 5 days ago (1 children)

I know this is fucked up in general, but am I the only one who's slightly bothered by the description of him as a "dental student"? Maybe I'm overthinking things, but I worry that reporting would look different if it didn't happen to a person of high status.

[–] AnUnusualRelic@lemmy.world 5 points 5 days ago (2 children)

While you were dicking around, he was studying the tooth!

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[–] roofuskit@lemmy.world 47 points 6 days ago (8 children)

"But people fly here from other countries for healthcare."

[–] krashmo@lemmy.world 18 points 6 days ago

If tele-healthcare was the same as in person then no one would need to go to a doctor, much less fly anywhere

[–] Fedizen@lemmy.world 15 points 6 days ago

People get travel warnings about american "healthcare".

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[–] TwilitSky@lemmy.world 44 points 6 days ago (3 children)

How is is legal to pronounce death without directly checking their pulse in person?

[–] roguetrick@lemmy.world 37 points 6 days ago

RNs can get the vitals that allows a pronouncement. I do it regularly for hospice folks and it certainly ain't my name on the death certificate. Having an RN verify vitals for an active code is a bit weird though. But so is running a code through telehealth.

[–] Dozzi92@lemmy.world 13 points 6 days ago* (last edited 6 days ago) (2 children)

Paramedics (at least in NJ) aren't allowed to pronounce, but they're what's called online care (maybe, it's online something), and so they feed vitals to a doc over the phone, and the doc says okay call it.

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[–] Gates9@sh.itjust.works 25 points 6 days ago (7 children)

Boomers will die this way en masse in nursing homes and even the regular hospital system. They are about to learn first hand the correlation between their precious tax cuts and nursing ratios/turnover.

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[–] CaptDust@sh.itjust.works 29 points 6 days ago

That is fucking horrifying.

[–] SnarkoPolo@lemmy.world 18 points 6 days ago

Once again the Bigly Beautiful Bill encourages survival of the fittest, puh-raise JEE-zuz-ah!

[–] redlemace@lemmy.world 12 points 6 days ago

First thought: "Must be USA". opened the link just to check and was not ~~dissapointed~~ wrong

[–] roguetrick@lemmy.world 21 points 6 days ago (1 children)

Non contemporus notes don't really matter (ICU nurse isn't going to write a note while they're peeling this guy off the ceiling) and I'm not familiar with ICU level withdrawal care but I doubt CIWA is helpful in someone like this who's in full blown withdrawal already and going brady with current interventions. CIWA is good for preventing him from getting where he already obviously was.

[–] catbum@lemmy.world 15 points 6 days ago* (last edited 6 days ago) (1 children)

What does "peeling this guy off the ceiling" mean in this context?

[–] roguetrick@lemmy.world 18 points 6 days ago* (last edited 6 days ago)

Before he started precedex he would've been essentially highly anxious and fighting everybody. When he wasn't having seizures that is.

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