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How Doctors die. It’s not like the rest of us (2016)

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61–70 of 170 posts

Re: How Doctors die. It’s not like the rest of us (2016)

#61
post #35

Earlier quoted context omitted.

Open secret. Cowardice of the system, society, that doesn’t allow practitioners to discuss this. Leads to scary grey areas, actually.

> Cowardice of the system, society, that doesn’t allow practitioners to discuss this. This depends on where one lives. Where I am (New Zeland), the arguments getting it into law were pretty grim.

Serious stuff is serious!

Ignoring addressing it doesn’t make it go away - just forces it into the shadows.

Re: How Doctors die. It’s not like the rest of us (2016)

#62
post #22
post #3

Earlier quoted context omitted.

Totally misleading. Early CPR (+AED if available) absolutely saves lives. Article is from 2011 by a family med doctor. Overly aggressive resuscitation attempts are definitely a problem but context matters

100%. CPR initiated within 2 minutes of cardiac arrest increases survival rate by 81%. The fact that CPR is rarely initiated so quickly (and thus survival rates are extremely low), says nothing about the efficacy of CPR. In the best cases where CPR is initiated https://newsroom.heart.org/news/bystander-cpr-up-to-10-minut...

I struggle square those numbers with the ones below, showing 11% survival (22% making it to hospital alive).

I can’t find a source for it, but I’m told that survival after an arrest in hospital is actually lower, due to the co-morbidities that patients have.

https://www.resus.org.nz/assets/OHCA_All_NZ_Feb23.pdf

Re: How Doctors die. It’s not like the rest of us (2016)

#63
post #61

Earlier quoted context omitted.

> Cowardice of the system, society, that doesn’t allow practitioners to discuss this. This depends on where one lives. Where I am (New Zeland), the arguments getting it into law were pretty grim.

Serious stuff is serious! Ignoring addressing it doesn’t make it go away - just forces it into the shadows.

Exactly. Abortion being the example that immediately comes to mind.

Re: How Doctors die. It’s not like the rest of us (2016)

#65

Earlier quoted context omitted.

I've never heard the term "load-bearing" used outside of the civil engineering world until the more recent versions of Claude suddenly decided everything was "load-bearing". Did you internalize Claude terminology, use Claude to write/translate your post, or lead Claude into temptation by being the OG? Asking out of genuine curiosity and not at all trying to throw shade.

I have heard it in the way that Claude uses it going way back. Since I have to use Anthropic models for work, and they use that term prodigiously, it's been added to the list of "perfectly fine phrases that have been ruined" to me. It's really frustrating too because I don't know what other phrase I would use.

"does some heavy lifting"

Re: How Doctors die. It’s not like the rest of us (2016)

#66
post #42
post #2

> Many people think of CPR as a reliable lifesaver when, in fact, the results are usually poor. I’ve had hundreds of people brought to me in the emergency room after getting CPR. Exactly one, a healthy man who’d had no heart troubles (for those who want specifics, he had a ‘tension pneumothorax’), walked out of the hospital. This point has been made by many medically trained people over decades. It's a very energetic…

Do you know what is happening with McConnell? Because the news is everywhere from he's fine to he's dead. Edit: this is not meant to be snarky. This is a real question.

No I have no more information than anyone else. But, even at normal response times he was incapacitated for more than 2-3 minutes before CPR and after that, reportage is divergent with frankly bizarre variances around talking to somebody and talking with somebody.

Re: How Doctors die. It’s not like the rest of us (2016)

#67

Earlier quoted context omitted.

I've never heard the term "load-bearing" used outside of the civil engineering world until the more recent versions of Claude suddenly decided everything was "load-bearing". Did you internalize Claude terminology, use Claude to write/translate your post, or lead Claude into temptation by being the OG? Asking out of genuine curiosity and not at all trying to throw shade.

I have heard it in the way that Claude uses it going way back. Since I have to use Anthropic models for work, and they use that term prodigiously, it's been added to the list of "perfectly fine phrases that have been ruined" to me. It's really frustrating too because I don't know what other phrase I would use.

You could use the word "important"

Re: How Doctors die. It’s not like the rest of us (2016)

#68

Earlier quoted context omitted.

I have heard it in the way that Claude uses it going way back. Since I have to use Anthropic models for work, and they use that term prodigiously, it's been added to the list of "perfectly fine phrases that have been ruined" to me. It's really frustrating too because I don't know what other phrase I would use.

I don't suppose you recall where you picked it up? I really am curious on this, regardless what all the downvoters happen to think. The linguistics that surface in the training mixed with the system prompts is really interesting. Annoying as well, but still interesting.

Technically not civil engineering but similarly enough in the home-reno space. You can knock down a retaining wall relatively willy-nilly but a load-bearing wall needs a replacement thought out ahead of time.

So extended to concepts it always seemed a natural fit. I think where I picked it up in this regard was when used to describe Religion, in that you don't necessarily need the religions we have to "fill the god hole" but you need something of similar fortitude in order to maintain balance. The idea is that you can't just remove religion and then not replace it because it bears so much weight.

Re: How Doctors die. It’s not like the rest of us (2016)

#69
Last week one of my patients with preterminal NYHA Stage IV cardiac failure looked into euthanasia.

He found predictably that it is now legal in my country but takes months and formidable legal resources to obtain it. Legalisation of euthanasia has, as everyone in the field warned multiple times, made it much harder to obtain and now requires a lot of time, effort and money.

The well meaning, naive proponents of legalisation of euthanasia have actually made things a lot harder for those who want it. The potential legal penalties for not getting the paperwork right, include loss of employment, deregistration and homicide charges. So now virtually no doctor wants to be involved for any amount of money.

So I told him how to contact the local palliative care unit when he decides to die, gave him documentation attesting to his preterminal , incurable status and taught him the magic words to almost instantly access that terminal, euthanising, life ending dose of mist. morphine...

"I have breathlessness and bone pain"

Also told him never again to say the word "euthanasia" to anyone, unless he wants a ride on the endless merry-go-round of legal paperwork.

Placing the hands in the abhaya mudra is optional...

Re: How Doctors die. It’s not like the rest of us (2016)

#70

Earlier quoted context omitted.

"Early" is load-bearing. Even brief delays, just mere minutes, significantly decrease survival or positive outcomes. https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.123.010... It's important to get people to realize the benefits of early CPR and more people should be trained on how to do it, or else it won't be prompt and the outcomes will be worse. That's what the Red Cross and AHA promulgate to the public, in…

I've never heard the term "load-bearing" used outside of the civil engineering world until the more recent versions of Claude suddenly decided everything was "load-bearing". Did you internalize Claude terminology, use Claude to write/translate your post, or lead Claude into temptation by being the OG? Asking out of genuine curiosity and not at all trying to throw shade.

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