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My dad could still be alive, but he's not

jenn.site

251–260 of 328 posts

Re: My dad could still be alive, but he's not

#251
post #39

Earlier quoted context omitted.

Short supply, high demand

And imagine if we had the same requirements to write software as we do to perform surgery! Things would be very different.

On the flip side, if/when I ever go for surgery I'm pretty damn glad we don't have the same requirements to perform surgery as we do to write software.

Re: My dad could still be alive, but he's not

#252
post #76

[flagged]

And people wonder why Luigi Mangione had such wide appeal for so many people. It's not that what he chose to do was morally right (personally I dont condone it at all), more that he represented someone trying to do something about the disease you mention.

Y'all are aware that this took place in Canada, right?

Re: My dad could still be alive, but he's not

#253
post #207
post #191

Earlier quoted context omitted.

Melbourne has an excellent ambulance response time (defined from the moment 000 call is received to when the first ambulance resource arrives on scene): * Average Code 1 response time: 12 minutes 47 seconds * Code 1 responses within 15 minutes: 77.2% * Number of Code 1 first responses: 12,375 This places Melbourne among the faster councils in the state, and well ahead of the statewide average response time. Source: T…

Perhaps my understanding here is lacking, but that doesn't sound good at all. Feels like if someone has some sort of cardiac event, or, worse, isn't breathing, by the time the ambulance gets there, they'll be dead, with too much brain death for any resuscitation effort to be worth it.

As my medico wife explained it to me, you have about 1 minute after your heart stops before you start having permanent brain damage. Unless you live inside a hospital your risk of surviving a major heart attack at home is less than 20% at the best of times (and in fact seems to be about 10% or less in USA on average on some quick research).

Re: My dad could still be alive, but he's not

#254
post #48

I can speak to this. I recently joined a community first responder association (I've always wanted to know what to do in case of a medical emergency) and was shocked to hear the members' horror stories of how long it can take an ambulance to arrive. Like the author, I grew up with the narrative "in trouble, call the ambulance, they'll scream through the streets to get to you in moments". That might still be true wher…

Even in the US, response times can really vary. As an extreme example, in Jersey City (population ~300k) there were a bunch of incidents a couple years ago where residents called 911 in an emergency and no one answered .

E911 (location information sharing) also doesn't work consistently.

The advantages of coming in an ambulance are traffic priority, priority attention in the ER, and medical triaging and coordination. The disadvantages in the US can be extremely expensive to some people if they don't have the correct insurance and inconsistent timeliness.

The advantage of coming in a private vehicle are speed (usually), but at the disadvantage of having to get past ER gatekeepers and lack of information and preparedness. It is probably wise if possible to have a third person in the vehicle call the ER at the destination hospital to let them know what generally should be expected.

Another issue is that it's inherently risky to live more than 30 minutes driving distance from a major city hospital. To do so basically necessitates a life flight which is extremely expensive and not necessarily quick either.

The for-profit, gotcha capitalism monopolization of hospitals and medical services by private equity also results in worse, deadlier patient outcomes, hospital closures, and more expenses. Medicare for all (m4a) isn't a fix because of the Medicare Advantage scam, the medigap scam, the part D scam, and the lack of long-term care, skilled nursing, dental, vision/glasses, mental healthcare, and hearing aid coverage that doesn't provide true comprehensive single-payer healthcare at a sane cost per patient and with better outcomes.

Re: My dad could still be alive, but he's not

#255
post #48

I can speak to this. I recently joined a community first responder association (I've always wanted to know what to do in case of a medical emergency) and was shocked to hear the members' horror stories of how long it can take an ambulance to arrive. Like the author, I grew up with the narrative "in trouble, call the ambulance, they'll scream through the streets to get to you in moments". That might still be true wher…

> how long it can take an ambulance to arrive

When everything is far apart, or you live away from a city, that is definitely true. This is one of the cons of living outside the city. There are many perks, but this one is a con for me for sure. Especially because I have MS and I do not drive nor have a car.

Re: My dad could still be alive, but he's not

#256

First, I want to offer my condolences to the author. I lost my father suddenly at a similar age—it's terrible. Sending positive energy. Former Firefighter-EMT here — I did this a long time ago in a rural setting). Now to the practical matter. I want to offer some frameworks for thinking about this in rural or exurban transport situations. This is not risk-free or even optimal, and can put you in worse position, but i…

It depends on where you are, obviously.

Here nor the ambulances nor the cops carry Narcan. We do not have opioid overdoses around here.

Re: My dad could still be alive, but he's not

#258
post #155

Earlier quoted context omitted.

> But let’s not pretend that many of the precautions and policies weren’t performative. Mask mandates were always dumb. Most people didn’t wear effective masks and many didn’t cover their noses. We have specific evidence that not masking and not distancing caused superspreader events . Before there were too many cases, contact tracing backwards showed that specific parties, weddings, etc. were responsible for acceler…

I didn’t say that properly worn N95 masks don’t work. I said it was stupid to have a mask mandate when most people wore ineffective cloth masks and even then didn’t cover their nose. I said it was equally dumb to require masks on airplanes and then everyone take them off at the same time while eating.

Deflection and obfuscation when told to produce evidence. As always. Standard anti-vax. Sigh.

> I said it was stupid to have a mask mandate when most people wore ineffective cloth masks and even then didn’t cover their nose.

This was mostly true because "wearing a mask" became a partisan political issue so half the country wouldn't even try to be responsible.

Even if you didn't want to wear a mask, not getting together in gigantic gatherings like churches and weddings as well as quarantining yourself after such gatherings or travel was also effective. The fact that I quarantined after air travel prevented my in-laws from catching the Covid that someone gave to me.

Alas, this also became a partisan issue.

And, as I pointed out, the burden of proof is on the anti-mask, anti-quarantine crowd. We actually have analyzed the tracking and spread after the fact and have the appropriate evidence.

But that doesn't matter to people like you. It was never about evidence and facts anyway.

Re: My dad could still be alive, but he's not

#259

I won't call clickbait on this as it is a personal site and the headline is accurate. I saw another article recently with the same issues. He is dead from a heart attack. If dispatch, EMS, hospitals, etc. didn't exist doesn't mean he would be alive. They didn't kill him, they failed to save him. The other article I saw was how the hospital "killed" a drowning victim. Water was never mentioned. There are many failures…

> I won't call clickbait on this

But you are going to imply it by bringing it up at all.

> They didn't kill him, they failed to save him.

The post does not say otherwise.

Please give this, of all topics, the respect it deserves, respond to the article as it is actually written, and don't use this, of all things, as an opportunity to get on your high horse about some other article you have problems with.

Re: My dad could still be alive, but he's not

#260
post #231

Earlier quoted context omitted.

Australia.

In this post alone there's at least one other comment from someone very familiar with Melbourne's emergency response system deriding its shortcomings. I think it's clear there's always gonna be a ton of variation

It's not so much about the amount of variation in experiences - it's more that even 1 bad experience reflects harshly on the entire system.
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