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British woman revived after six-hour cardiac arrest

bbc.com

101–110 of 174 posts

Re: British woman revived after six-hour cardiac arrest

#101
post #35

Earlier quoted context omitted.

> easily Because creating a cooling system to use on a body with a central nervous system fighting to keep it warm is just like central HVAC.

> Because creating a cooling system to use on a body with a central nervous system fighting to keep it warm And yet, something as simple as ice cold water seems to work fine for this. You can cool e.g. even a heatstroke victim pretty quickly, without worrying too much about internal thermoregulation.

> a central nervous system fighting to keep it warm

A heat stroke victim the body is fighting to cool itself and failing. You assist. That part is easy.

Getting the body to do the opposite of what you want is the hard part. ie. Cool down below basal body temperature, stop breathing to perform thoracic surgery.

Re: British woman revived after six-hour cardiac arrest

#102
post #89

Earlier quoted context omitted.

Irrational yes. Broken, no just optimized differently than other systems. The system is optimized to serve those who can afford it and those who are very poor and get it for free, but not those in between. It is optimized to generate profit, but also new treatments. Rich people from all over the world come here for surgery and treatment. The pricing system is intentionally designed to be opaque so that everyone excep…

> Furthermore, it is one of the only growing industries that provides many opportunities for women. Not many women want to move to Montana to frack shale oil. Is this supposed to be a good argument to drive desperate people into bankruptcy?

It's not a good argument, but if you want to defend the indefensible, your options are limited.

Re: British woman revived after six-hour cardiac arrest

#103
post #35

Earlier quoted context omitted.

> easily Because creating a cooling system to use on a body with a central nervous system fighting to keep it warm is just like central HVAC.

> Because creating a cooling system to use on a body with a central nervous system fighting to keep it warm And yet, something as simple as ice cold water seems to work fine for this. You can cool e.g. even a heatstroke victim pretty quickly, without worrying too much about internal thermoregulation.

[deleted]

Re: British woman revived after six-hour cardiac arrest

#104
post #89

Earlier quoted context omitted.

Wasn't a joke. I went to the US on business - our corporate insurance means there's a $1000 excess that we pay up front. Went to a hospital for a minor issue. At no point was there any price list shown, at the end I was asked for $390 before been given my prescription. That was the end of it I thought, sickeningly high charge for 2 minutes with a doctor, a 10p tablet, and hours of waiting around. I asked for an itemi…

Irrational yes. Broken, no just optimized differently than other systems. The system is optimized to serve those who can afford it and those who are very poor and get it for free, but not those in between. It is optimized to generate profit, but also new treatments. Rich people from all over the world come here for surgery and treatment. The pricing system is intentionally designed to be opaque so that everyone excep…

Just because the industry is good at generating revenue doesn't necessarily mean that the quality of service is any better. Do you have some data to back up your claim that medical services in the United States are world leading? Are they better than what one would receive in Europe or Japan or South Korea?

Personally, I think it's unethical to keep a process inefficient even if the inefficiencies are profitable. And healthcare in the states is anything but cost-efficient.

Re: British woman revived after six-hour cardiac arrest

#105
post #67
post #63

Earlier quoted context omitted.

How cold is the water? It has to be cold, right?

No the reflex does not depend on temperature. The immersion in water is what initiates the reflex. Though it is true that cooler water prolongs the reflex. I spearfish in the Caribbean so average water temps are 70s-80s. It is the struggling and adrenaline that causes rapid loss of consciousnesses in water, as it rapidly depletes oxygen and works against the reflex. If one calms themselves and uses deliberate movemen…

Spear fishing sounds really nice. Too bad I am VERY afraid of sharks. Yes I saw Jaws when I was a kid.

Re: British woman revived after six-hour cardiac arrest

#106
post #89

Earlier quoted context omitted.

Wasn't a joke. I went to the US on business - our corporate insurance means there's a $1000 excess that we pay up front. Went to a hospital for a minor issue. At no point was there any price list shown, at the end I was asked for $390 before been given my prescription. That was the end of it I thought, sickeningly high charge for 2 minutes with a doctor, a 10p tablet, and hours of waiting around. I asked for an itemi…

Irrational yes. Broken, no just optimized differently than other systems. The system is optimized to serve those who can afford it and those who are very poor and get it for free, but not those in between. It is optimized to generate profit, but also new treatments. Rich people from all over the world come here for surgery and treatment. The pricing system is intentionally designed to be opaque so that everyone excep…

> Start socializing medicine and all that job growth and opportunity disappears.

Pegging growth to systemic inefficiency is monumentally stupid.

This is only a few steps of abstraction away from simply paying those nurses to dig holes then fill them back up, macroeconomically.

Re: British woman revived after six-hour cardiac arrest

#107

Good job it wasn't in america, she'd have woken up, seen the bill, and had another heart attack!

My at the time 8mo daughter was in the ER for breathing issues and had to be life-flighted to a hospital with better facilities to treat her condition. I'm thankful my insurance covered it, because the initial bill was $27,000 for the flight (excluding the hospital and ER visit costs).

Re: British woman revived after six-hour cardiac arrest

#108
post #30

Earlier quoted context omitted.

Because it's hard. I helped out at a company among many that are trying to develop a system that would allow you to do this in ambulance and they started testing prototypes 10 years ago and have yet to progress from that stage.

It's not that hard... you just throw some ice packs in the groin and armpits. You won't get them fully into the TTM range in a 20 minute transport, but you can start the process.

Sounds like a good way to introduce frostbite

Re: British woman revived after six-hour cardiac arrest

#109

Earlier quoted context omitted.

Wasn't a joke. I went to the US on business - our corporate insurance means there's a $1000 excess that we pay up front. Went to a hospital for a minor issue. At no point was there any price list shown, at the end I was asked for $390 before been given my prescription. That was the end of it I thought, sickeningly high charge for 2 minutes with a doctor, a 10p tablet, and hours of waiting around. I asked for an itemi…

In the US, patients should go to urgent care for minor health issues that are unlikely to require a fully outfitted trauma and surgical unit. Conveniently, they’re also much easier to get to in urban areas. Urgent care would have had something closer to a $100 markup than $2,000, because you’re only paying for a few nurses and doctors to be on call, not for having used the resources that are meant for trauma and acut…

Agreed and the real costs support major bloat. A friend of a friend who's previous job was a phone salesperson for a small, local sign shop got a job in the sales department for hospital software. Within months she was being flown across the country to the companies headquarters monthly and traveling around selling a product she clearly had no understanding of but was following the pitch which was taught to her. Not that she isn't a great person, but I cannot think of another industry where I've seen so many resources going to an entry level, zero experience position that could be handled locally or even remotely rather than sending this person out and paying for nicer hotel rooms than my friend who is a major airline captain stays in.

Re: British woman revived after six-hour cardiac arrest

#110
I'm very proud of Spanish healthcare at this moment. We have a terrific team here.

Another recent example of one of our rock star doctors involving the successful reattachment of a severed hand without blood flow for 10 hours.

https://www.thinkspain.com/news-spain/30483/super-surgeon-dr...

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