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this is the highest complement Trump can give someone
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Apr 1, 2020 23:39
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Harry Potter on Ice posted:Yakima Valley cant feed Seattle alone not to mention the rest of Washington, it ain't happening There's that coalition that wants to split eastern Washington and western Idaho into Jesusland. Also most of Oregon is California expats that want to build a wall on the state line, so Pacifica probably not happening.
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Apr 1, 2020 23:40
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Day 9 “You want to push another epi?” “Sure, why not.” Overhead on the hospital PA: “As you know, today is National Doctor’s Day. Let’s conclude this quiet moment by standing where you are and applauding our heroic physicians.” As that played, half a dozen nurses and I were frantically getting into our PPEs outside a suspected COVID room to rush into a Code Blue. Surprisingly, no one stopped to applaud. Inside, the calming voice was drowned out by the hiss of a nonrebreather, the labored expiratory moans of the patient, and the warning dings of the bedside monitor. The bedside monitor was not happy that the patient’s heart rate was somewhere in the high 160s and was letting the room know its opinion on the matter. Narrow complex ventricular tachycardia. But the patient isn’t hypotensive or otherwise unstable. You don’t lay on the paddles of a defibrillator for that. “You’re going to feel a little funny for a second,” is what the nurse says to reassure the patient. What she really meant was, “We’re going to stop your heart for a second or two to reset your circuit breaker, so if it feels like you’re dying briefly, it’s because you are.” The nurse draws up some adenosine, the other MD in the room slams the bolus into the patient’s veins, and everybody gets to watch the monitor flatline for a held breath before a heart rate returns. Takes two boluses for it to take. Problem solved. For 73 minutes. Nothing was playing overhead for the second Code Blue. Thankfully, an intensivist was already inside running the show. I guess the Residents haven’t been left out to fend for ourselves yet. This time around the bedside monitor was simply furious that the patient stopped breathing. Pulseless electrical activity, PEA. The heart’s wires are firing but the pump isn’t working. You don’t lay on the paddles of a defibrillator for that either. Hollywood has lied to you your whole life. “Do you think we’re going to be able to resuscitate him?” “He’s full Code.” “But do you think we’re going to be able to resuscitate him?” “No, but…” “Right, so it doesn’t matter. We’re running the Code.” I get my exercise for the day by pressing on the patient’s chest for a couple minutes. “I don’t really want to intubate him.” The patient gets intubated anyway. A few people cycle through pushing on the patient’s chest. We haven’t felt a pulse since the Code began. “How long has it been?” I suspect there’s a countdown timer in the intensivist’s brain that’s ticking towards an alarm labeled Ok, We Tried. More compressions. Pretty sure I feel a rib break under my palms. That sensation never ceases to make me wince. Another epi. Still no pulse. The Doppler to check for a pulse is silent. The timer goes off. “That’s it.” Time of death called. … Feels like COVID is eroding the edges off everyone’s souls in the hospital. The initial novelty of sharp fear and apprehension standing outside COVID rooms before entering is giving way to a constant background dull dread as we gown up for the tenth or twentieth time that day. I see my incredibly sharp attending boss distracted, needing to be reminded two or three times whose room he’s about to enter. The lack of success in curing our patients is also taking its toll. “Successes” have mostly been defined as sending a patient home with personal oxygen tanks and explicit instructions on when to return if they get worse. We’ve had some milder cases that got sent home without oxygen, but they seem fewer than the number we send to get tubed. I feel very bitter about this. It makes the sign out front, a sign that expresses nothing but pure gratitude and love, seem somehow mocking.
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Apr 1, 2020 23:41
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Imagine trying to live in a small nation state with the rising white hoard around Spokane
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Apr 1, 2020 23:42
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Made a re-do of Day 9 since that update turned into a standalone short fiction-ish thing.
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Apr 1, 2020 23:42
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Squizzle posted:that is a p standard “beep boop law robot” judge perspective tbh 
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Apr 1, 2020 23:42
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A Gnarlacious Bro posted:Imagine trying to live in a small nation state with the rising white hoard around Spokane Imagine trying to watch that horde march anywhere lmao Charge of the light rascal brigade
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Apr 1, 2020 23:43
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MadJackal posted:Made a re-do of Day 9 since that update turned into a standalone short fiction-ish thing. Love these posts, sounds like truly mild cases are a myth or from bcg or something lmao we're hosed
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Apr 1, 2020 23:44
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i think dr. fauci is bad and his alignment with the administration is hurting the situation more than he's helping it edit: I also think this will end with him probably taking his life when the death rates is an order of magnitude higher than the admins expect
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Apr 1, 2020 23:45
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Is Washington State cooking the books or have the deaths really gone down? No deaths there in 24hrs.
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Apr 1, 2020 23:45
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Mokelumne Trekka posted:Is Washington State cooking the books or have the deaths really gone down? No deaths there in 24hrs. search ur heart and you will find the truth
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Apr 1, 2020 23:46
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Mokelumne Trekka posted:Is Washington State cooking the books or have the deaths really gone down? No deaths there in 24hrs. Inslee is actually good at his job, though they are probably still undercounting
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Apr 1, 2020 23:46
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Shageletic posted:Crime in NYC dropped like 50% so crime is up then
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Apr 1, 2020 23:46
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mod sassinator posted:i think dr. fauci is bad and his alignment with the administration is hurting the situation more than he's helping it Yah he’s got weepy suicide written all over him
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Apr 1, 2020 23:46
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Mokelumne Trekka posted:Is Washington State cooking the books or have the deaths really gone down? No deaths there in 24hrs. no they're having a problem with reporting: https://komonews.com/news/coronavirus/virus-deaths-hit-223-in-wash-as-glitches-plague-statewide-reporting-system basically a contractor built their system years ago for 5 million bucks and it can't cope with a few thousand cases in it all at once
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Apr 1, 2020 23:47
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wasn't WA reporting that the system they use to track and report was having issues? I'd believe the rate is dropping but wouldn't believe they're down to 0/day
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Apr 1, 2020 23:47
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Mokelumne Trekka posted:Is Washington State cooking the books or have the deaths really gone down? No deaths there in 24hrs. probably both, Washington was at the start of things in a lot of ways and is handling things alright but also almost certainly is under counting
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Apr 1, 2020 23:47
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A Gnarlacious Bro posted:Yah he’s got weepy suicide written all over him I hope he does it on tv during a presser
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Apr 1, 2020 23:47
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https://twitter.com/PhilipRucker/status/1245475224604246018
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Apr 1, 2020 23:48
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MadJackal posted:
I'm guessing you cant get those good Cuba Recombinant Interferon Alpha 2B anti-virals? have they discontinued the trumpdrug cocktails?
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Apr 1, 2020 23:49
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Squizzle posted:that is a p standard “beep boop law robot” judge perspective tbh Rip. Plotted a coup or something
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Apr 1, 2020 23:49
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two beautifully made hospital ships
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Apr 1, 2020 23:50
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Lawman 0 posted:Inslee is actually good at his job, though they are probably still undercounting Not reporting right now due to technical difficulties, I think. Edit- beaten: Epic High Five posted:wasn't WA reporting that the system they use to track and report was having issues?
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Apr 1, 2020 23:50
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MadJackal posted:
Why weren't they on a vent? And is this more the cardiac aspects killing people?
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Apr 1, 2020 23:50
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Hospital ships are of questionable utility bc if you can fly planes you can just fly everyone out of the war zone and if you can't then the enemy can just use their planes to take out your hospital ship
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Apr 1, 2020 23:50
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got any sevens posted:so crime is up then add in 'overall' and it makes sense - more domestic abuse, but fewer overall calls
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Apr 1, 2020 23:50
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A Gnarlacious Bro posted:Be cool if the next American nuke used kills only Americans I'll be that scene from terminator shaking a chain link fence, except im lollin
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Apr 1, 2020 23:50
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shovelbum posted:Love these posts, sounds like truly mild cases are a myth or from bcg or something lmao we're hosed MadJackal isn't working in the mild cases sitting at home Care Unit. Their posts are absolutely important to remember and point to the hard work and sacrifice going on in hospitals around the globe, and the lives forever changed or lost from the Roni; but realize that the "mild" cases aren't the ones making it to the doors of the I(ntensive) Care Unit (ICU). I have to remind myself of this regularly lest I go insane.
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Apr 1, 2020 23:50
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Squizzle posted:that is a p standard “beep boop law robot” judge perspective tbh you are fake post
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Apr 1, 2020 23:51
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like if you're already building something couldn't you just build something on land or eminent domain some old buildings or that loving hospital that some jackass bought because he wants to profiteer on a goddamn pandemic or something
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Apr 1, 2020 23:51
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Schnorkles posted:listen you maroon do yuo think I just land near the landlord and pay the rent?? well you are the landlord so
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Apr 1, 2020 23:52
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how bout instead of hospital ships you build actual hospitals
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Apr 1, 2020 23:52
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Dang  squizzle, went at the king and missed
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Apr 1, 2020 23:52
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MadJackal thank you so much btw they've cancelled rotations currently so im just sitting here with a thumb up my rear end wishing i was back in pulm crit care
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Apr 1, 2020 23:52
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eric ciaramella posted:how bout instead of hospital ships you build actual hospitals sure thing *fills stadium with folding cots for people to die on*
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Apr 1, 2020 23:53
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eric ciaramella posted:how bout instead of hospital ships you build actual hospitals or stop closing them lol
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Apr 1, 2020 23:53
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loving lol I just talked to somebody whose going on the USS Mercy. No active testing of inflow, they're being told to bring two weeks of clothing and will be locked into the wards/rooms or w/e for that duration. Where members have their areas and they can't travel around. They didn't mention any ppe and said they'd have to wash clothes in sinks lmfao.
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Apr 1, 2020 23:54
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Avoiding the topic and just making us look like poo poo
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Apr 1, 2020 23:54
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I’ve always liked madjackle
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Apr 1, 2020 23:54
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Homeless Friend posted:loving lol I just talked to somebody whose going on the USS Mercy. No active testing of inflow, they're being told to bring two weeks of clothing and will be locked into the wards or w/e for that duration. They didn't mention any ppe and said they'd have to wash clothes in sinks lmfao lol we made death ships
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Apr 1, 2020 23:54
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