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Ice water drowning survival of young patient (2025)

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Re: Ice water drowning survival of young patient (2025)

#62

Earlier quoted context omitted.

I have a similar view on general anesthesia now, everyone i know(including myself) that has had operations have been permanently affected by anesthesia. Turning yourself off breaks far more than doctors realize i fear.

Anesthesiologist here: what you are referring to exists, but is rare and is not related to general anesthesia (equally likely in operations performed while patients are awake with regional anesthesia or under general anesthesia). It is more people with pre-existing cognitive dysfunction that are elderly do not handle the inflammatory milieu generated by surgery. You can Google “postoperative cognitive dysfunction” fo…

If I'm understanding the "inflammatory milieu generated by surgery" part correctly, does this imply that the cognitive effects would be equally likely if surgery were performed without any kind of anesthesia? (Or to put it another way: the anesthesia isn't directly implicated, it's just that anesthesia and surgery tend to go hand in hand...?)

Re: Ice water drowning survival of young patient (2025)

#63

I am sceptical about the 147 minutes, the child could have still clinging onto the ice and just drowned a minute before the parents reached the pond.

Ice-cold water won't let you have enough strength to cling to ice for two hours. Ten to fifteen minutes at most.

Survivors of Titanic would say that the shouts of people clinging to something in the water died off pretty fast.

Re: Ice water drowning survival of young patient (2025)

#64

Earlier quoted context omitted.

I feel you, I also unfortunately have experiences with that. It has profoundly changed my view on living, especially how I want to be treated when someday I'm heavily sick. A family member in a coma takes a heavy toll on you, emotionally and financially. They are simultaneously there and not there. If they did not write down how they want to be treated you can never make a decision where you are sure what's right, or…

> For me, the decision is clear: when I'm not able to make my own decisions turn everything off and let me die. And what if you might be able to make decisions again tomorrow. Or the day after? Or in two weeks time.. ? These things are never all that 'clear'.

The underlying idea here seems to be that if there's some chance of full recovery, one should not wish to be let go.

Is it better for 100 families to live for years with a vegetative loved one with the most realistic hope being that a few to emerge profoundly affected and never their full selves again, or is it better for those hundred families to get to grieve?

The pain of a loved one's continued quasi-existence, plus the difficulty of their life if they ever are to recover, make it so that the compassionate personal choice is to say "once the best estimated probability of my recovering robustly is clearly below P%, let me go". The value of P is a decision to be made carefully, and with deep consideration for ourselves, our loved ones, and for all of humanity.

Re: Ice water drowning survival of young patient (2025)

#65
post #33

Earlier quoted context omitted.

Wim hof has a lot of stories, hard to tell which ones are true or not unfortunately.

I believe the stories of him being convicted of domestic abuse since that was in a court

i did a search for this:

"It includes claims that Hof was sentenced in 2012 by the Amsterdam magistrates court to community service and a fine for assaulting Caroline’s oldest son, then 18. The Amsterdam court confirmed that Hof went before the magistrates court in 2012 and was given a sentence of 40 hours of community service and fined €350.

Enahm Hof said the domestic violence conviction related to “a single incident involving Caroline’s son, adult at the time, for which Wim Hof expressed regret and offered an apology. Wim clarifies that no physical violence occurred, but a struggle, which nonetheless should not have happened.”

that "no physical violence occurred, but a struggle" is an oxymoron for me. maybe no physical injury...

Re: Ice water drowning survival of young patient (2025)

#66
As a layman, it’s kind of surprising that they attempted to CPR someone that long in this situation. If I pulled someone out of the water 2h after they went missing and they were cold to the touch, I would probably call the police and wouldn’t even ask for an ambulance.

Re: Ice water drowning survival of young patient (2025)

#68

Something similar happened recently in Norway. A tourist was found severely cold in the mountains, in a storm where extracting him took hours. After a while hypothermia got to him, his heart stopped, and only 8 hours later they got it starting again, was technically dead for 20 hours. In this case, it looks to have gone well with the person afterwards. They say you're not dead until you're warm and dead. News article…

Wonder at which point we'll start adding PLB / airtags to clothing themselves. Decent jacket already cost way more than electronics. Satellite communications approaching cost of 0. If you venturing somewhere risky - kinda makes sense to have PLB built in.

Re: Ice water drowning survival of young patient (2025)

#69

I'd be curious to read about 1, 2, 5, 10, 20 year follow-up. Party pooper warning. I'm afraid I don't have rose tinted glasses, due to personal experience with a family member with TBI (accident at age 16, 3 weeks in a coma). The aftereffects are profoundly destabilizing to his environment. I sometimes have quite a dark view of people's need to be a rescuer and celebrate the "alive!", when they don't have to deal wit…

> profoundly destabilizing to his environment

This is such a dark and dehumanizing take. I am disabled. I definitely had "destabilizing" effects on my environment when I grew up. These days, am as independant as possible. People from your train of thought would have aborted me. Your train of thought leads to what nazi germany already did. Yeah, an extreme example, I know, but following your attitude inevitably leads to very dehumanizing and egotistical takes. In fact, if you consider a family member a burden, please leave, you're the problem, not them.

Re: Ice water drowning survival of young patient (2025)

#70
post #32

Earlier quoted context omitted.

Conscious sedation, which is not the same thing as general anesthesia, is often used for endoscopy: https://www.northerncarealliance.nhs.uk/patient-information/...

And sometimes it doesn't work. Patients are then given the option of going ahead without sedation, or rescheduling for general anaesthesia.

Hmm, I got one and they used ketamine and an amnesiatic. Not considered general anesthesia but I don't remember a thing. This was in the US.
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