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Falling five storeys from a New York rooftop changed my life

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Re: Falling five storeys from a New York rooftop changed my life

#2
The most pressing issue for the orthopaedic team was my left shoulder, which was visibly dislocated. Before attempting to reattach it, the doctor told me I would be given a dose of fentanyl: an opioid that is up to 100 times more potent than morphine. He went away, returned and started using a bed sheet to try to pop the shoulder back into the socket. Alarmed, I told him that I had not been given any pain medication. He didn’t believe me and kept using the bed sheet to try to yank my shoulder back into place. I was howling in pain as I underwent what felt like an excruciating form of medieval torture. When a nurse walked by, the doctor asked her how much fentanyl she had given me. She said she had not given it to me yet.

Horrifying.

Re: Falling five storeys from a New York rooftop changed my life

#3
post #2

The most pressing issue for the orthopaedic team was my left shoulder, which was visibly dislocated. Before attempting to reattach it, the doctor told me I would be given a dose of fentanyl: an opioid that is up to 100 times more potent than morphine. He went away, returned and started using a bed sheet to try to pop the shoulder back into the socket. Alarmed, I told him that I had not been given any pain medication.…

Really seems like a "hey nurse did this patient have their fentanyl yet?" would have resolved this issue. Anyway if it's really 100x more potent than morphine you'd think any person that did have it in their bloodstream would not be all that capable of stating that they have not had their medication yet.

Re: Falling five storeys from a New York rooftop changed my life

#4
From the end of the article:

> To come so close to death does not provide a shortcut to wisdom or contentment. It doesn’t answer all your questions or eliminate your weaknesses. I’m fundamentally the same person I was before, but with one big difference. I’m viscerally aware how tenuous our existence is. How you can be walking on solid ground only to find it suddenly disappear from beneath you. The meaning comes in what I do from this point on. I have been given a second chance at life – and it’s up to me to make the most of it.

The article is clear that there was nothing intentional about this fall, but as a tangent, this excerpt does make me think about people who jump intentionally.

This line of thought is a bit ghoulish, but as far as I know about 90% of people who make an "unsuccessful" suicide attempt never commit suicide [1]. There are confounding variables galore here --- maybe it's the toughest cases who pick the most reliable methods; 10% is still way above the population risk for suicide --- but I've wondered if there's some way to give people that "oh, I'm going to die, and I don't actually want that" feeling that is apparently not uncommon [2] without actually hurting them.

[1] https://www.hsph.harvard.edu/means-matter/means-matter/survi...

[2] https://www.newyorker.com/magazine/2003/10/13/jumpers

Re: Falling five storeys from a New York rooftop changed my life

#6
post #2

The most pressing issue for the orthopaedic team was my left shoulder, which was visibly dislocated. Before attempting to reattach it, the doctor told me I would be given a dose of fentanyl: an opioid that is up to 100 times more potent than morphine. He went away, returned and started using a bed sheet to try to pop the shoulder back into the socket. Alarmed, I told him that I had not been given any pain medication.…

Ehh. Not the worst thing. People with Ehlers Danlos have to pop visibly dislocated joints back into place daily (and yes, it's very much painful as fuck)

Arguably the most horrifying is when a male dislocates their hip and one of their testicles falls back into that area. You can imagine what happens when somebody attempts or succeeds in shoving the bone back into it's socket when there's a testicle also sitting in the socket. May be more traumatizing for the nurse that shoves it back in once they realize what they've done :D

Re: Falling five storeys from a New York rooftop changed my life

#7
post #2

The most pressing issue for the orthopaedic team was my left shoulder, which was visibly dislocated. Before attempting to reattach it, the doctor told me I would be given a dose of fentanyl: an opioid that is up to 100 times more potent than morphine. He went away, returned and started using a bed sheet to try to pop the shoulder back into the socket. Alarmed, I told him that I had not been given any pain medication.…

This is an incident that desperately needs an application of the Five Whys.

Re: Falling five storeys from a New York rooftop changed my life

#8
post #3
post #2

The most pressing issue for the orthopaedic team was my left shoulder, which was visibly dislocated. Before attempting to reattach it, the doctor told me I would be given a dose of fentanyl: an opioid that is up to 100 times more potent than morphine. He went away, returned and started using a bed sheet to try to pop the shoulder back into the socket. Alarmed, I told him that I had not been given any pain medication.…

Really seems like a "hey nurse did this patient have their fentanyl yet?" would have resolved this issue. Anyway if it's really 100x more potent than morphine you'd think any person that did have it in their bloodstream would not be all that capable of stating that they have not had their medication yet.

This is one of the most pernicious aspects of the opioid crisis. Doctors are taught to be hypervigilant regarding "drug seeking behavior" which is pretty much a 1:1 list of behaviors of people whose suffering is "genuine." Number one criteria seems to be that the patient is requesting medication. In so many cases, the patient is the most reliable source of information... but when it comes to pain management, the patient is not to be trusted.

Re: Falling five storeys from a New York rooftop changed my life

#9
post #6
post #2

The most pressing issue for the orthopaedic team was my left shoulder, which was visibly dislocated. Before attempting to reattach it, the doctor told me I would be given a dose of fentanyl: an opioid that is up to 100 times more potent than morphine. He went away, returned and started using a bed sheet to try to pop the shoulder back into the socket. Alarmed, I told him that I had not been given any pain medication.…

Ehh. Not the worst thing. People with Ehlers Danlos have to pop visibly dislocated joints back into place daily (and yes, it's very much painful as fuck) Arguably the most horrifying is when a male dislocates their hip and one of their testicles falls back into that area. You can imagine what happens when somebody attempts or succeeds in shoving the bone back into it's socket when there's a testicle also sitting in t…

I'm sure you would agree that it is gross negligence nonetheless.
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