Chetzemoka

joined 2 years ago
[–] [email protected] 0 points 1 year ago* (last edited 1 year ago)

Critical care nurse here. The answer is esophageal varices.

It's the same physiological anomaly as hemorrhoids, except in your esophagus. Swollen, fragile veins caused by increased internal pressure. In the case of hemorrhoids, that pressure inside the veins is caused by straining too much when trying to poo. In esophageal varices, the increased pressure inside the esophageal veins comes from blood backing up from a swollen, scarred, and damaged liver. So we often see esophageal varices in end stage alcohol use disorder.

Horror stories abound in emergency departments and ICUs of having to do CPR on a patient massively hemorrhaging out of their mouth from esophageal varices. As soon as nurses I know saw this report, our immediate thought was, "Yep, varices."

https://my.clevelandclinic.org/health/diseases/15429-esophageal-varices

[–] [email protected] 1 points 1 year ago

Damn, what a great reference. I really wish I had this during our 3.5 month unionizing drive because those motherfuckers tried ALL OF THIS.

I'm proud to report that three weeks ago we won our union vote by a margin of 5:1. Our union organizers all said they've never seen a success ratio like that in their careers. We're a very spirited community hospital.

[–] [email protected] 0 points 1 year ago (1 children)

🎵🎶There's an owl in a hole in the log on the floor of the forest over by me 🎶🎵

(Reference for anyone who doesn't know lol: https://youtu.be/uZztvSt4Cp0)

[–] [email protected] 2 points 1 year ago

Bullshit

I'm born and raised in Appalachia, my daddy worked in the coal mines and drove an 18 wheeler. Certified redneck enough that I confuse the shit out of my New England neighbors.

I went out and marched with striking nurses when Bernie put out the call, and I've never voted Republican in my entire fucking life.

OP, you need to learn what a redneck is.

[–] [email protected] 0 points 1 year ago (3 children)

The character's name is Boromir.

What do you think would be the mechanism of death when he gets hit by an arrow? Even bullets rarely kill instantly. Bullets stop people because they hurt and people go into shock. A properly trained soldier absolutely is capable of continuing to fight through this. Short of a head shot, the most likely mechanism of death is blood loss, which takes a little time. When. Boromir dies, he is ashen pale the way a person with catastrophic blood loss would be. I think that death scene is more realistic than you realize.

[–] [email protected] 1 points 1 year ago* (last edited 1 year ago)

As a critical care nurse, the miraculous CPR recoveries are such a horrible disservice to our patients and their families. CPR is not two minutes of some light exercise and then the person wakes up and is ok forever.

It's 20-30 mins of intense, brutal, scary, undignified activity followed by best case scenario, we put you in the ICU, deliberately make you hypothermic for a day or two, and hope you wake up. That increases your chances of surviving the incident to a whopping 64%.

Surviving to discharge and having a meaningful recovery is a whole other ballgame, and depends a lot on the condition you were in when you had cardiac arrest in the first place. Your elderly grandpa with cancer, sepsis, bad kidneys, etc. is probably not going to go home. Your middle-aged wife who came in because she was having a heart attack actually stands a good chance.

Movies like to show people shocking a flatlined patient who just pops up and walks away when in reality presenting fully flatlined means you're 2-3 times less likely to be resuscitated at all.

I'm happy to leave some leeway in fictionalized depictions of medical care for the sake of story progression. But the complete ignorance currently common in fictional resuscitation scenarios feeds a really malignant sort of magical thinking that keeps us torturing elderly people. I'd really appreciate less of that in my job.

[–] [email protected] 1 points 1 year ago

This is the one they were waiting for. There are several live cams trained on the area, and one of them caught the exact moment it erupted:

https://youtu.be/QcxaqCIon_Y

[–] [email protected] 1 points 1 year ago

I'm in the middle of book 7 and holy what a shift. I'm in the part where it's so overwhelming, you can't even begin to imagine how this will get resolved. Very excited to read the last two books.

[–] [email protected] 1 points 1 year ago

Yeah, working on yourself makes you resilient, but it definitely doesn't make you unstoppable. Like Picard said, "It is possible to commit no mistakes and still lose."

[–] [email protected] 0 points 2 years ago* (last edited 2 years ago) (1 children)

In the context of modern times, women are six times more likely to be abandoned by their spouse after receiving a devastating medical diagnosis like cancer than men are.

https://www.sciencedaily.com/releases/2009/11/091110105401.htm#%3A%7E%3Atext=A+woman+is+six+times%2Clonger+the+marriage+the+more

[–] [email protected] 0 points 2 years ago (6 children)

Well, it better have some kind of mechanism in place to keep the grocery stores full or it's going to fail on its face.

[–] [email protected] 0 points 2 years ago* (last edited 2 years ago) (8 children)

Our institutions are not the problem, our policies are the problem. I want to see a transition to UBI, but a dramatic overhaul that dismantled WIC and SNAP before we got UBI in place would be an unmitigated disaster for the very people we were intending to help.

It's not the reform that I'm skeptical of. It's the lust for revolutionary destruction as a path to reform that I'm skeptical of. It's emotionally satisfying without regard to its actual efficacy in accomplishing the proposed reforms. Because history does not show us evidence that this works out well in the short nor the long run.

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