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Frog Act
Feb 10, 2012



so my girlfriend teaches at my old high school. today one of her coworkers got married via zoom so I got to attend a lesbian teleconference wedding with a bunch of my old high school teachers. I’m kinda high and on the couch watching all these white boomers toast their laptops and it’s just bizarre

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Bip Roberts
Mar 29, 2005

OhFunny posted:

https://twitter.com/BNODesk/status/1246497851133362182?s=19

The French are finding a lot of dead in their nursing homes.

sounds like a normal August

MadJackal
Apr 30, 2004

Playing catch up today.


Day 11
“…unless it’s ’visibly soiled.’ Like we could see Corona.”

I’ve been known to flirt with the LD50 of caffeine, but this morning I’m slipping it some tongue.

I’m status post two pieces of 100mg caffeine gum and a cup of coffee by 6:30AM. I hit 70 on the back roads heading towards the hospital in the minutes just after sunrise. There’s practically no other cars around. My AirPods stream Andrew W.K.’s “Ready to Die.” A tasteless choice, sure, but it fits the energy of the day so far.

The 73M with multiple comorbidities who developed an NSTEMI, and who tested positive for COVID 4 days after testing negative has steadily been declining in the SICU. He’s refusing his medications despite his seasoned ICU nurse using the full spectrum of asking, demanding, and sternly admonishing him on his nonadherence. She even broke out the fake tears, she told me.
She doesn’t do that for everyone. But no dice.

More importantly he’s doing poorly on a nonrebreather (NRB). If he takes the mask off, his sats drop to the 70s, a value you might guess correctly to be incompatible with life. He’s a little altered and he’s been put on dilaudid and a wrist restraint. Just the one, a CVA left the left arm safely useless.

One of the interns asks me what the plan was for our patient here.

“Palliative has a Goals of Care meeting with his family today. Our only plan is to keep him alive long enough for them to sign the DNI/DNR.”

I can blame the caffeine, I can justify it by saying his prognosis was dire and it’s reasonable to think Ok, We Tried, but I scare myself a little with how low my empathy’s dimmer switch is set.

But I don’t know how else to deal with this. The recommended treatment guidelines changed, yet again. Azithromycin is now actively counter-indicted for COVID patients. We take him off it. Steroids, which as of yesterday were counter-indicated for COVID are now the standard of treatment for all patients on NRB. We start him on Solu-Medrol 1.5mg/kg divided BID. For all the good that will do.

He’s also well past the 5 days of Plaquenil / hydroxychloroquine. You know, that drug that was supposed to solve this whole crisis?

We all remember that right? I’ve got photographic proof we used to believe it would work.

Look up the March 17th (or Day -5, if you’d like) National Enquirer cover.

CORONAVIRUS
CURES
FINALLY
FOUND!


Warning! Surgical masks SPREAD INFECTION!


Take a look at every single intubated patient’s medical orders and you’ll see they either completed or are on Plaquenil and azithromycin.

And people still think we have any handle on this other than jamming tubes down throats and waiting.

No one will believe the history of this thing when it’s over.

The patient passed that afternoon.

His daughters had signed a DNI/DNR right before.



I’m reminded of an intro Stephen King wrote for one of his books, where he writes about fear:

"The shape is there, and most of us come to realize what it is sooner or later: it is the shape of a body under a sheet. All our fears add up to one great fear, all our fears are part of that great fear - an arm, a leg, a finger, an ear. We're afraid of the body under the sheet. It's our body.

And [the writer] takes your hand and he enfolds it in his own and he takes you into the room and he puts your hands on the shape under the sheet… and he tells you to touch it here… here… and here…"


A quarter million Americans (at least) are going to become bodies under sheets in the span of one or two months. And we’re talking about returning to work and a “miracle” ending to this in nine days.

Wake up and feel the corpses.

(PS: Yes, I owe Stephen King a royalty check given how much I crib his writing style.)

anime was right
Jun 27, 2008

death is certain
keep yr cool

KaptainKrunk posted:

we are never, ever going to count the deaths in our nursing homes

this is why i think we're seeing more "young people die" in the south. they're going to hospitals. the rural olds are very isolated and very likely dying in their homes and the problem is just overall much worse than whats being recorded there.

kopasetic
Sep 18, 2009
louisiana has 60 nursing homes with cases but the dept of health isn’t saying which ones anymore thanks to lobbying by the nursing home industry

Basic Poster
May 11, 2015

Those who can make you believe absurdities can make you commit atrocities.

On Facebook

Man Musk posted:

responding to old post to update that his fiancée probably has it:

https://twitter.com/BBCNews/status/1246489352542334983

If he was going to bed someone young enough to be his granddaughter, you'd think he'd go for someone that looked a bit less like a Smithsonian mags digital recreation of a Neolithic person.

Man Musk
Jan 13, 2010

Dreylad posted:

my uncle survived plagueship 2020 and is home in self-quarantine, all thanks to TRUMP

this is the final update of plagueship uncle

goongrats :patriot:

KaptainKrunk
Feb 6, 2006


Basic Poster posted:

If he was going to bed someone young enough to be his granddaughter, you'd think he'd go for someone that looked a bit less like a Smithsonian mags digital recreation of a Neolithic person.

that's just your average britbonger

SKULL.GIF
Jan 20, 2017


Quetzadilla posted:

"You're not going to beat the meanness out of a mean dog. You start beating a mean dog, it's gonna become more mean. You start beating racists, they're gonna become more racist."
- Daryl Davis, a black musician who convinced 200+ klanners to leave the Klan and dissolved entire chapters by: talking to them.

you're changing the context of the discussion

karen is dead. there's no more convincing or cajoling to be done. she died after actively spreading deathplague.

a whole lot more chuds are going to follow her into the grave doing the exact same thing she did.

BIG FLUFFY DOG
Feb 16, 2011

On the internet, nobody knows you're a dog.


https://twitter.com/CaucasianJames/status/1246248372627013633?s=19

Woofer
Mar 2, 2020

https://twitter.com/tiffstevenson/status/1246495303538262016?s=21

D1E
Nov 25, 2001


MadJackal posted:

Playing catch up today.


Day 11
“…unless it’s ’visibly soiled.’ Like we could see Corona.”

I’ve been known to flirt with the LD50 of caffeine, but this morning I’m slipping it some tongue.

I’m status post two pieces of 100mg caffeine gum and a cup of coffee by 6:30AM. I hit 70 on the back roads heading towards the hospital in the minutes just after sunrise. There’s practically no other cars around. My AirPods stream Andrew W.K.’s “Ready to Die.” A tasteless choice, sure, but it fits the energy of the day so far.

The 73M with multiple comorbidities who developed an NSTEMI, and who tested positive for COVID 4 days after testing negative has steadily been declining in the SICU. He’s refusing his medications despite his seasoned ICU nurse using the full spectrum of asking, demanding, and sternly admonishing him on his nonadherence. She even broke out the fake tears, she told me.
She doesn’t do that for everyone. But no dice.

More importantly he’s doing poorly on a nonrebreather (NRB). If he takes the mask off, his sats drop to the 70s, a value you might guess correctly to be incompatible with life. He’s a little altered and he’s been put on dilaudid and a wrist restraint. Just the one, a CVA left the left arm safely useless.

One of the interns asks me what the plan was for our patient here.

“Palliative has a Goals of Care meeting with his family today. Our only plan is to keep him alive long enough for them to sign the DNI/DNR.”

I can blame the caffeine, I can justify it by saying his prognosis was dire and it’s reasonable to think Ok, We Tried, but I scare myself a little with how low my empathy’s dimmer switch is set.

But I don’t know how else to deal with this. The recommended treatment guidelines changed, yet again. Azithromycin is now actively counter-indicted for COVID patients. We take him off it. Steroids, which as of yesterday were counter-indicated for COVID are now the standard of treatment for all patients on NRB. We start him on Solu-Medrol 1.5mg/kg divided BID. For all the good that will do.

He’s also well past the 5 days of Plaquenil / hydroxychloroquine. You know, that drug that was supposed to solve this whole crisis?

We all remember that right? I’ve got photographic proof we used to believe it would work.

Look up the March 17th (or Day -5, if you’d like) National Enquirer cover.

CORONAVIRUS
CURES
FINALLY
FOUND!


Warning! Surgical masks SPREAD INFECTION!


Take a look at every single intubated patient’s medical orders and you’ll see they either completed or are on Plaquenil and azithromycin.

And people still think we have any handle on this other than jamming tubes down throats and waiting.

No one will believe the history of this thing when it’s over.

The patient passed that afternoon.

His daughters had signed a DNI/DNR right before.



I’m reminded of an intro Stephen King wrote for one of his books, where he writes about fear:

"The shape is there, and most of us come to realize what it is sooner or later: it is the shape of a body under a sheet. All our fears add up to one great fear, all our fears are part of that great fear - an arm, a leg, a finger, an ear. We're afraid of the body under the sheet. It's our body.

And [the writer] takes your hand and he enfolds it in his own and he takes you into the room and he puts your hands on the shape under the sheet… and he tells you to touch it here… here… and here…"


A quarter million Americans (at least) are going to become bodies under sheets in the span of one or two months. And we’re talking about returning to work and a “miracle” ending to this in nine days.

Wake up and feel the corpses.

(PS: Yes, I owe Stephen King a royalty check given how much I crib his writing style.)


This can't be right - just today the President of the United States again tweeted about the efficacy of hydroxychloroquine. Are you sure you went to medical school?

Comfy Fleece Sweater
Apr 2, 2013

You see, but you do not observe.

Rotacixe posted:

All this has made me appreciate the smallest things in life more. Things like viruses.

underrated post lol

Salt Fish
Sep 11, 2003

Cybernetic Crumb

MadJackal posted:

Wake up and feel the corpses.

Every time I read one of these I want to post something supportive or comforting or like... giving you some positive energy or reassurance. What actually ends up happening is I try to find words and type something... erase it, type something erase it. I feel dumb as hell and totally unequipped and unqualified to reply to what you're putting out.

Trainee PornStar
Jul 20, 2006

I'm just an inbetweener

Frog Act posted:

so my girlfriend teaches at my old high school. today one of her coworkers got married via zoom so I got to attend a lesbian teleconference wedding with a bunch of my old high school teachers. I’m kinda high and on the couch watching all these white boomers toast their laptops and it’s just bizarre

Married via zoom LOL!! you do realise how hosed up that is right?
Just to be clear, I'm not talking about same sex weddings.

Man Musk
Jan 13, 2010


:crnasickos:

CODChimera
Jan 29, 2009

If it was possible to convert people over then surely we'd be doing it?

twoday
May 4, 2005



C-SPAM Times best-selling author

Salt Fish posted:

Every time I read one of these I want to post something supportive or comforting or like... giving you some positive energy or reassurance. What actually ends up happening is I try to find words and type something... erase it, type something erase it. I feel dumb as hell and totally unequipped and unqualified to reply to what you're putting out.

twoday
May 4, 2005



C-SPAM Times best-selling author
https://twitter.com/alfonslopeztena/status/1246504510727618561?s=19

Bert Roberge
Nov 28, 2003

https://twitter.com/NYGovCuomo/status/1246459583964602370

fits my needs
Jan 1, 2011

Grimey Drawer
https://twitter.com/nwarikoo/status/1246503777231941638?s=20

Actual Satan
Mar 14, 2017

Keep on partying!

You'll NEVER regret it!

Trust ME!


Deathcrew has gone mainstream, it's not cool anymore

ChipNDip
Sep 6, 2010

How many deaths are prevented by an executive order that prevents big box stores from selling seeds, furniture, and paint?

SKULL.GIF posted:

excess mortalities are hard to count right now since a huuuuuuuge portion of our deaths are from car culture

and traffic is way down because of the lockdowns and stay-at-home orders

Most of out deaths from car culture are long-term effects that lead to chornic illnesses, most of which coincidentally also make someone more likely to die from coronavirus. Nobody driving for 2 weeks doesn't solve obesity or make up for decades of breathing in noxious fumes.

Atrocious Joe
Sep 2, 2011


thanks again for writing up all this

Jazerus
May 24, 2011



i am given to understand that for the average alabaman this is equivalent to prophesying the end of days

Lawman 0
Aug 17, 2010

Actual Satan posted:

Deathcrew has gone mainstream, it's not cool anymore

Lifekrews time to shine baby

Sharkie
Feb 4, 2013

by Fluffdaddy

Atrocious Joe posted:

thanks again for writing up all this

fits my needs
Jan 1, 2011

Grimey Drawer
https://twitter.com/nwarikoo/status/1246508918446186503?s=20

Azathoth
Apr 3, 2001

Atrocious Joe posted:

thanks again for writing up all this

Grapplejack
Nov 27, 2007


my god the nuclear option has been unleashed

Trainee PornStar
Jul 20, 2006

I'm just an inbetweener

Time for them to ask for a pay rise.....

gently caress!! silly me.... they are now classed as essential workers & will have to suck poo poo up.

Homeless Friend
Jul 16, 2007

thats losertalk right there

Dreylad
Jun 19, 2001
learned a fun fact about the pulp mill that supplies 3M in the states with the pulp needed for the N95 masks: they're worker owned after the employees and local investors bought out the previous owners when after 2008.

https://www.timescolonist.com/business/harmac-mill-is-thriving-decade-after-rescue-by-its-employees-1.23426829

Gio
Jun 20, 2005



judging by her feed i think her post was sarcastic

Atrocious Joe
Sep 2, 2011

https://twitter.com/ScottAdamsSays/status/1246427442358521857?s=20
https://twitter.com/julie_kelly2/status/1246503027802062848?s=20
https://twitter.com/MattWalshBlog/status/1246488482215796739?s=20

Can;t let the cure be worst then the disease

rump buttman
Feb 14, 2018

I just wish I had time for one more bowl of chili



Frog Act posted:

so my girlfriend teaches at my old high school. today one of her coworkers got married via zoom so I got to attend a lesbian teleconference wedding with a bunch of my old high school teachers. I’m kinda high and on the couch watching all these white boomers toast their laptops and it’s just bizarre

lmbo

Sharkie
Feb 4, 2013

by Fluffdaddy
i shall befriend scott adams and gently teach him the error of his ways

Gio
Jun 20, 2005


derra posted:

Those are bison

http://www.todayifoundout.com/index.php/2011/12/american-buffalo-are-not-actually-buffalo/

Man Musk
Jan 13, 2010



CODChimera posted:

If it was possible to convert people over then surely we'd be doing it?

we're incorrigible

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MoaM
Dec 1, 2009

Joyous.

The two seconds when u remember u have leftover takeout in the fridge.

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