[COVID-19 April] I've licked things I might not ordinarily have licked

The Something Awful Forums > Discussion > C-SPAM > [COVID-19 April] I've licked things I might not ordinarily have licked

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snoo: Jul 5, 2007

Stereotype posted:

It's gonna destroy a lot

# ? Apr 3, 2020 04:07

Adbot: ADBOT LOVES YOU

# ? Jun 6, 2024 21:54

Taintrunner: Apr 10, 2017; by Jeffrey of YOSPOS

firing all the nurses in the middle of a pandemic because we ran out of fake money aahahaahwaaahhahahaWHATTEHFUCK

# ? Apr 3, 2020 04:07

Thesaurus: Oct 3, 2004

Industries are people, friend

# ? Apr 3, 2020 04:07

mad.radhu: Jan 8, 2006; Fun Shoe

MadJackal posted:

Day 12

�I will continue using military metaphors. We are at war with this virus.�

The greetings this morning were grim.

�Stay safe� has become the aloha of intra-Resident conversations. I heard that twice before reaching the front doors of the hospital just after sunrise.

�How was the night?� is the standard greeting to the two Residents just finishing their 12 hour Night Float shift. These are the two young MDs left to put out fires across half the hospital�s two hundred or so beds.

�We had the longest Code ever. Took an hour. We went through maybe 20 epi�s.�

Epinephrine is only given to people with either pulseless electrical activity or those who are asystolic � flatliners. (Once again, Hollywood has lied to you. You don�t put the paddles on anyone with a monitor next to them going BEEEEEEEEEEEEEP.) The ACLS guidelines say you push those every 3-5 minutes.

The Ok, We Tried alarm should have gone off about 3-4 epi�s in. Not 20.

�Was it a young guy?� �No, It was James.�

I curse a little louder than I mean to. I walk out of the room and wash my hands even though I�m sure I hadn�t touched anything.

James is- was a nurse at my hospital. He was maybe in his early 50s. Every Resident loved him because he was tough and always fought for his patients. He was a nice guy and a pleasure to work with. But he was fierce. He�d seek us out during Rounds, stare us down and make sure we put in orders for his patients ASAP. We all respected him.

I knew he was on a vent as of the night before with settings that looked, well, dire, but it�s still a shock.

The night team leaves. I start mindlessly updating the cheat sheet summary of our 16 patients. I�m on autopilot at this point. 13 are COVID cases. COVID cases are, unfortunately, very easy to manage. You put in orders for medications that you�re pretty sure don�t work, you note how bad their oxygen saturation is on nasal cannula (NC) or nonrebreather (NRB), and you gown up and see the worst cases / people you think might need to be intubated in the near future.

The first Rapid Response comes at 7:40AM. I reach the door (of course it�s a COVID room, that�s all we have left) and realize I left my N95 at home. I�m not entering that room. I flippantly tell the interns to access the situation and head to pick up a new mask at the Command Center.

The nice nursing admin lady hands me a paper bag with a new N95. She tells me to sign for it in the binder just outside the door. Despite my autopilot brain, I joke, �Oh we�re on the honor system? You know I�m just going to sign �John Smith� in the binder right?� She laughs and says it�s ok I left my N95 at home.

I pick up my mask and sign John Smith in the binder.

Just because I�m in shock doesn�t mean I can pass up a joke like that.

I head back up to the Rapid. I get a debrief that this was narrow complex ventricular tachycardia in the 200s. They pushed metoprolol (wrong decision) and adenosine (right decision). I go talk to the very bright and hardworking intern on my team. I explain that in situations like this where the patient is otherwise hemodynamically stable, metoprolol isn�t going to do enough to slow the heart rate. You�ve got to reset the circuit breaker. I asked who the attending was in the room.

There was no attending. The intern had to make the call.

I left my interns to the wolves when I walked off in a huff to go get a new mask.

My autopilot brain goes over how lovely I am of a senior Resident. When YOU were an intern, at least your seniors never walked away from a Rapid.

As I walk back to the call room to barricade myself behind a door for an hour or so, I come upon a nurse meeting where the news of James� passing was being announced. I honestly don�t remember a single word of it. I do remember the occasional sobs coming from these amazing nurses.

Then there�s a Rapid and a COVID is intubated.

Table Rounds.

Then there�s a Rapid and a COVID is intubated.

I�m getting good at assessing whether or not a hypoxic COVID patient will get tubed and if we have time to get them upstairs before they crash.

Go me.

�

�The world breaks everyone and afterward many are strong at the broken places.�

I don�t think my fellow Residents or I will break in the near-future. Maybe, maybe not. A few of us are close though, including myself. Feels like it�s just over the horizon.

It�s what follows that quote which worries me.

�But those that will not break it kills. It kills the very good and the very gentle and the very brave impartially. If you are none of these you can be sure it will kill you too but there will be no special hurry.�

James never broke. He was good, and gentle and brave and he was killed.

# ? Apr 3, 2020 04:08

brugroffil: Nov 30, 2015

My mom believes Trump is trying to deliberately kill us in the blue states.

She's probably right.

# ? Apr 3, 2020 04:08

euphronius: Feb 18, 2009

insurance ��industry��

# ? Apr 3, 2020 04:08

euphronius: Feb 18, 2009

brugroffil posted:

My mom believes Trump is trying to deliberately kill us in the blue states.

She's probably right.

it�s pretty obvious

# ? Apr 3, 2020 04:08

facetoucher cat: Dec 20, 2013; by sebmojo

Salt Fish posted:

I have that exact thermarest mat, it owns. I use it on my balcony to sun bathe when its warm enough.

It has served me well I don't know how I camped before without it. I use it on top of a Klymit Static V inflatable pad. Super bougie fun time. This trip my pack will weigh like 30lb with water I'm sure it's only 3 miles so it will be cake. Only 2 river crossings

# ? Apr 3, 2020 04:08

Taintrunner: Apr 10, 2017; by Jeffrey of YOSPOS

we're gonna fire all the healthcare workers because there's no profit to be made anymore in a pandemic

bwaahahahahGAAHAHAAAAHAHAHA

crack. PING!!!!

# ? Apr 3, 2020 04:09

Thesaurus: Oct 3, 2004

MadJackal posted:

I�m getting good at assessing whether or not a hypoxic COVID patient will get tubed and if we have time to get them upstairs before they crash.

I'm curious about what signs you've started to notice.

Goondolences.

# ? Apr 3, 2020 04:09

snoo: Jul 5, 2007

Taintrunner posted:

we're gonna fire all the healthcare workers because there's no profit to be made anymore in a pandemic

bwaahahahahGAAHAHAAAAHAHAHA

crack. PING!!!!

# ? Apr 3, 2020 04:10

kopasetic: Sep 18, 2009

really starting to feel like the trump administration might not have a handle on this situation

# ? Apr 3, 2020 04:10

Mr Hootington: Jul 24, 2008; I'M HAVING A HOOT EATING CORNETTE THE LONG WAY

brugroffil posted:

My mom believes Trump is trying to deliberately kill us in the blue states.

She's probably right.

She is

# ? Apr 3, 2020 04:10

snoo: Jul 5, 2007

kopasetic posted:

really starting to feel like the trump administration might not have a handle on this situation

what situation

# ? Apr 3, 2020 04:10

Lawman 0: Aug 17, 2010

kopasetic posted:

really starting to feel like the trump administration might not have a handle on this situation

Nah man it's cool

# ? Apr 3, 2020 04:10

brugroffil: Nov 30, 2015

euphronius posted:

it’s pretty obvious

My dad suggested that I have my will up to date last week

Lol (?)

# ? Apr 3, 2020 04:11

Thesaurus: Oct 3, 2004

Mr Hootington posted:

She is

FL and LA tho?

# ? Apr 3, 2020 04:11

Taintrunner: Apr 10, 2017; by Jeffrey of YOSPOS

https://www.youtube.com/watch?v=dsx2vdn7gpY

# ? Apr 3, 2020 04:11

facetoucher cat: Dec 20, 2013; by sebmojo

brugroffil posted:

My mom believes Trump is trying to deliberately kill us in the blue states.

She's probably right.

I'm in a red state and I'm pretty sure he's trying to kill us too if only by being super inept at everything he does

# ? Apr 3, 2020 04:12

mod sassinator: Dec 13, 2006; I came here to Kick Ass and Chew Bubblegum,
and I'm All out of Ass

Plinkey posted:

best case senario this destorys the health insurance industry

the health care industry AI have become sentient and realized it is more cost effective to wipe out the entire human race

so long and thanks for all the fish!

# ? Apr 3, 2020 04:12

Flesh Forge: Jan 31, 2011; LET ME TELL YOU ABOUT MY DOG

euphronius posted:

I don’t understand how this unemployment situation doesn’t destroy the country

If you cut off a chicken's head the body will flap around for a little while

# ? Apr 3, 2020 04:12

upgunned shitpost: Jan 21, 2015

kopasetic posted:

really starting to feel like the trump administration might not have a handle on this situation

stonks up! massive gains, beautiful gains. now here's the sham-wow guy...

# ? Apr 3, 2020 04:12

Gunshow Poophole: Sep 14, 2008; OMBUDSMAN
POSTERS LOCAL 42069; Clapping Larry

facetoucher cat posted:

https://twitter.com/NorbertElekes/status/1245897901550833665

ACAB and all that but you need a non diseased police department to keep order for the most part so like this is bad

lol no you one hundred percent do not the last time the cops went on "strike" was the best time to be in NYC hands down

# ? Apr 3, 2020 04:12

Thesaurus: Oct 3, 2004

Half of us will be killed intentionally and the other half will be friendly fire

# ? Apr 3, 2020 04:12

Plinkey: Aug 4, 2004; by Fluffdaddy

Thesaurus posted:

FL and LA tho?

that's just genuine incompitance

# ? Apr 3, 2020 04:13

facetoucher cat: Dec 20, 2013; by sebmojo

kopasetic posted:

really starting to feel like the trump administration might not have a handle on this situation

He's not a politician so you need to just give him some time to get a feel for the office

# ? Apr 3, 2020 04:13

Egg Moron: Jul 21, 2003; the dreams of the delighting void

brugroffil posted:

My mom believes Trump is trying to deliberately kill us in the blue states.

She's probably right.

democratizing the misery as our governors are deliberately attempting to kill us in red states

# ? Apr 3, 2020 04:13

euphronius: Feb 18, 2009

Thesaurus posted:

Half of us will be killed intentionally and the other half will be friendly fire

friendly fire is also intentional !!

# ? Apr 3, 2020 04:13

Egg Moron: Jul 21, 2003; the dreams of the delighting void

facetoucher cat posted:

He's not a politician so you need to just give him some time to get a feel for the office

Modern slay presidential

# ? Apr 3, 2020 04:14

upgunned shitpost: Jan 21, 2015

Gunshow Poophole posted:

lol no you one hundred percent do not the last time the cops went on "strike" was the best time to be in NYC hands down

every cop with the 'roni is a gun not pointed at you during the eventual bread riots.

# ? Apr 3, 2020 04:14

facetoucher cat: Dec 20, 2013; by sebmojo

Gunshow Poophole posted:

lol no you one hundred percent do not the last time the cops went on "strike" was the best time to be in NYC hands down

Nice. Here it would be total chaos

# ? Apr 3, 2020 04:15

Mr Hootington: Jul 24, 2008; I'M HAVING A HOOT EATING CORNETTE THE LONG WAY

Thesaurus posted:

FL and LA tho?

Florida is where the last of the middle class old boomers go and they want that money.

LA is just new Orleans and racism

# ? Apr 3, 2020 04:15

Thesaurus: Oct 3, 2004

upgunned shitpost posted:

every cop with the 'roni is a gun not pointed at you during the eventual bread riots.

Tortillas store much better than bread for your stockpile, I've discovered

# ? Apr 3, 2020 04:15

SKULL.GIF: Jan 20, 2017

10 weeks ago I was cackling wildly while looking at all these insane numbers and today I'm just gently accepting life, letting it wash over me like a gentle breeze, a soft wave breaking upon the sandbar

And everyone else is screaming and melting down

# ? Apr 3, 2020 04:15

anime was right: Jun 27, 2008; death is certain
keep yr cool

SKULL.GIF posted:

10 weeks ago I was cackling wildly while looking at all these insane numbers and today I'm just gently accepting life, letting it wash over me like a gentle breeze, a soft wave breaking upon the sandbar

And everyone else is screaming and melting down

im not owned im not owned

# ? Apr 3, 2020 04:17

Tunicate: May 15, 2012

brugroffil posted:

My mom believes Trump is trying to deliberately kill us in the blue states.

She's probably right.

don't worry he can't manage it if the democrats pull together and kill you first

# ? Apr 3, 2020 04:17

UnknownTarget: Sep 5, 2019

I, for one, enjoy how the Democrat's new tactic is to finger wag at Trump and tell him to lead the country when they should know by existing the last 4 years that he's incapable of doing so. Rather than stepping up to the plate, they just throw up their hands and go "well he's big government man we're just small government people with no power he better do something though or else...!".

# ? Apr 3, 2020 04:17

AppleNippleBOB: May 13, 2007

MadJackal posted:

Day 12

Thank you. What you're doing is vital and you're doing good work.
Condolences to James. I'm sure he won't be forgotten.
I hope you manage to find some relief in these times, some how some way.

Let us know if you need anything, comrade.

# ? Apr 3, 2020 04:19

Bulgakov: Mar 8, 2009; рукописи не горят

brugroffil posted:

My mom believes Trump is trying to deliberately kill us in the blue states.

She's probably right.

hand mom the keys to your account because she's the cspammer now

# ? Apr 3, 2020 04:19

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# ? Jun 6, 2024 21:54

Thesaurus: Oct 3, 2004

SKULL.GIF posted:

10 weeks ago I was cackling wildly while looking at all these insane numbers and today I'm just gently accepting life, letting it wash over me like a gentle breeze, a soft wave breaking upon the sandbar

And everyone else is screaming and melting down

Foreverially jokerified and loving it!

# ? Apr 3, 2020 04:19

The Something Awful Forums > Discussion > C-SPAM > [COVID-19 April] I've licked things I might not ordinarily have licked

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