Lmao, I'm your age and literally inhaled a bag of Werther's while I had Covid because Paxlovid tastes so bad. And I'm about to buy a cane for those days when it would be very helpful to make my invisible disability more visible to all those people trying to rush around me in the grocery store. I old.
Doctors don't work FOR WAGES meaning they are not hourly wage employees. Their pay structure is completely different, which means their LABOR MODEL is completely different. Of course they work for money.
Your hypothetical does not accurately reflect anything about how the healthcare system works.
No transplant surgeon is getting a surprise shift. This is exactly why on-call shifts exist. There is already someone available who knows they need to be ready to go at a moment's notice.
And nurses don't function the same as doctors. We are regular wage employees, just like anyone working retail. We absolutely do not have to be available whenever and wherever. They can (and do, constantly) ask us to pick up shifts. But we're not obligated to come in on our scheduled days off.
Healthcare corporations need to get their fucking staffing models together.
"I'll fight through the gates of hell and back for my nurses"*
*Except to advocate that our cheap ass private equity owned facility hire actual full time staff with benefits instead of outsourcing to a temp agency.
Those agency nurses aren't your enemy. They aren't the reason you end up taking an assignment. That's the fault of the corporation that owns you. And in all sincerity, good for those agency nurses demanding the working conditions that they want and refusing to accept whatever the facility wants to push on them.
Sincerely, a hospital nurse having our union election on Jan 10
(And I have stories too, you know. Like my supervisor who tonight simply lied to the overnight sup about our staffing situation and tried to leave two nurses alone to care for NINE patients on our critical care stepdown unit overnight.)
The nursing shortage is at least partially artificial. There is a shortage of nurses who are willing to work in abusive conditions that exploit our legal, moral, and professional obligations to our patients to make their profit. Fight these corporations for safe working conditions and watch how many nurses return to the bedside.
It's meant to acknowledge intersectionality. The ways that minority identities can overlap, creating more complex lived experiences for some individuals.
Happy New Year to you and everyone in the community!
Honestly, I had NO idea there were so many different kinds of owls before I started seeing your information posts. It's been a joy reading them. Thank you and can't wait to see what shenanigans we get up to this year.
Yeah, they provide a ton of transport services that are not emergency-related. If a person is completely bedbound, then any and all trips to the doctor need to be handled by an ambulance service that can provide a transport stretcher (a heavy duty collapsible stretcher with straps on it like a seatbelt) and personnel to transfer the person between their bed and the stretcher.
And we call the ambulance service when we discharge any patient from our hospital to a short term rehab facility, even if the person can move themselves from the bed to the stretcher. Just because it's transfer between medical facilities.
And if we transfer someone to another hospital with a higher level of care, we have to specifically request an emergency ambulance instead of a transport ambulance.
So those services are a lot more complicated than people realize. But in any of these situations, the patient shouldn't get an exorbitant bill because of some insurance company shenanigans, which is all in- vs. out-network stuff is.
Iirc, it was like $0.10/message? So yeah, the brats were costing me money lol. And I was definitely on a T9 flip phone, none of this internet nonsense.
Yeah but I didn't get my first cell phone until 2003 cause all these young kids I hung out with at work wouldn't stop bothering me about it lol. "We want to text you!" Brats.
Likely underlying neuroinflammation. We're learning more and more about the role of neuroinflammation in psychiatric conditions. It's well-known that a lot of psychiatric medications have anti-inflammatory effects, and there have always been competing hypotheses to the monoamine hypothesis.
You are correct, and we actually also use them on people who are not actively dead, but are having a bad heart rhythm that is causing intolerable symptoms.
The shocking dead people to resuscitate them thing, the part that everyone is familiar with, is when the ventricles of someone's heart have started quivering in a chaotic rhythm called ventricular fibrillation or vfib. If someone is experiencing vfib, they're actually dead because vfib invariably degrades into full stop flatline very quickly. Shocking someone in vfib briefly stops their heart in hopes that it will reboot itself into a rhythm that is compatible with life.
But the right atrium can also fall into fibrillation. You've heard about this on TV (if you're in the US); we call that afib. Afib is compatible with life, because the ventricles are the main part of the pump and can continue to beat even if the right atrium goes a little haywire. But often that beating isn't very effective and people will experience low blood pressure and shortness of breath. And the right atrium isn't clearing blood out of itself effectively in afib, which can cause the blood to clot in the heart and lead to a stroke if a piece of clot breaks off.
So, you may be thinking to yourself, wait, ventricular fibrillation we use a defibrillator, so what about atrial fibrillation, and that is correct, we can use a defibrillator to shock someone in afib, reboot their heart, and hope they go back into a normal, more effective rhythm. (We do mildly sedate people before doing that lol.) Sometimes that works, sometimes we have to just control afib with meds and we have to keep them on blood thinners to prevent a clot in the heart.
And lastly, there's a more complicated heart rhythm called Supraventricular Tachycardia or SVT that sometimes also responds to being shocked. We try a couple of other treatments first for SVT, but shocking can work. And again, people are mildly sedated for that.
Lmao, I'm your age and literally inhaled a bag of Werther's while I had Covid because Paxlovid tastes so bad. And I'm about to buy a cane for those days when it would be very helpful to make my invisible disability more visible to all those people trying to rush around me in the grocery store. I old.