#do not intubate
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Now, I don’t know what dni stands for to the OP, but to me (specifically in my job) dni stands for Do Not Intubate (do not place a breathing tube into this person and place them on long or short term ventilator for any reason)… so …
time for my oddly specific dni that is a joke and not real. ofc tag how many apply to you. dni if you:
like ranch dressing
think you “Get” the movie inception
are an only child
were/are into supernatural AND sherlock but NOT doctor who
were born after st patricks day 2002
dont like fruit or vegetables
took german in high school
have happily married parents
have a strong preference for the xbox over other consoles
have a name that was one of the top 100 in your country the year you were born
have or want more than two dogs
are a libra
are against writing/highlighting in books (like morally against it, even other people doing it in books that arent yours and have nothing to do with you)
have never worked customer service
like thunderstorms
are a man who works in tech
dont remember your dreams
dont have a favorite color
regularly wear jeans to bed
look good in hats
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"yes im so fine"
*researches whether i can get my hands on ipecac*
#tw ed#obligatory MASSIVE do not do this#straight up poison that can kill you from one (1) time#used to be used to induce vomiting#directly the cause of death of karen carpenter and countless others#i wont i swear i wont#but i still researched it bc i was curious#tbh there are easier ways of poisoing oneself than semi illegal drugs#also if yall remember the post about a poison i own: i did more reseach and while that amount would probably kill me w no medical#intervention; it would take just under three times as much to be absolutely certain of hitting the toxic dose (calculated quantity per kg#of the top end of a given range. so it could kill me but if i was gonna go out that way id want about three times as much to be sure.)#honestly surprised ive never heard of any deaths from it. the most likely way to survive would be to throw it up i think#(or present to hospital and take charcoal or smth)#honestly though. my research says loss of consciousness and required intubation within half an hour in case studies#hence if you werent in reach of medical attention youd probably collapse an die#and i am very deliberately NOT mentioning what it is bc of how toxic it is#ive thought of combining it and another method to be absolutely sure but eh#honestly if it DIDNT work it sounds straight up embarrassing to admit to people tho thats one of the things stopping me#but literally a dose in a child requiring intubation and kid ended up in a coma recovered w no ill effects.#thats the dream yk. try and succeed and youre free; try and fail and you see no ill effects.#but yeah i wouldnt try w only the amount i have.#so im safe#....rereading the above. okay i might be a little mentally ill lol#but i am safe and absolutely nobody call the cops on me.#im fine.#tw suicide#puddleglum hours#nobody worry abt me ok. im fine.#just thinking silly lil thoughts like usual :)#EDIT: just occurred to me that using this poison could make it not look like a suicide
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CW: Suicide, graphic description of hospitalization
I know this shouldn't have to be said and you'd think people would know better in this day and age and this fucking community but apparently fucking not.
If you encourage, support, or engage in suicide baiting, even as small as "kys", block me or respond so I can block you. Suicide is not a fucking joke, it's not a punchline, it's not a "gotcha" or a catchy comeback it causes real actual fucking harm.
Do you know what it feels like to have a tube put down your throat? It's been 7 fucking years and I still viscerally remember being told to hold my breath and the awful pressure of the tube. I remember looking over and seeing my heartrate at 300, both my parents crying. The nurses reassuring me that it was gonna be okay.
You know what else I remember? The name and face of a kid who once told me to kill myself, I doubt he remembers, we were only 14, but I do.
Also, for obvious reasons, I don't support any threats of violence, especially over fucking internet discourse.
#suicide#hospitalization#discourse#transmasc#transandrophobia#transmisandry#(adding those tags bc i know anti-transmasc folks engage in this and this is about them)#also joking threats against ur friends is fine conversations between friends are v different from strangers#i also doubt this will do anything people who engage like this are young and dont actually care about others to them “discourse” is just#- a fun game and it can be! debating can be fun! until youre telling someone to end their life.#i think the intubation was the most traumatizing thing ive ever been through theres a reason its usually done under anaesthesia
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ER on in the break room, we are ROASTING it.
#the patient is getting a LapChole and#she is NOT intubated#there is NO oxygen source connected to her#no WONDER she woke up!!!!#I’m sorry but no doctor would do a laparoscopic procedure without intubation because then you can’t paralyze them!!!
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Decided today that I’m not too old to go to med school and fuck it yeah I’m gonna have like $400k in debt but I’m gonna be an MD because that’s what I’ve always really wanted to be
#I love being an RN but it feels like I’m only able to do like 50% of what I actually wanna do#I want to place lines and suture and intubate and as a bedside rn those are all inaccessible to me
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Alex & Friends Part 26-Deterioration
thanks to @jaydiann and @whumpy-daydreams for helping with the medical stuff
Aaron belongs to @pigeonwhumps
cw: medical whump, intubation, medicinal drug use, general suffering and misery
Joseph watched as the ketamine took hold on Alex and she drifted off. Once Aaron was satisfied that the drugs had worked, he slid his hands under the blanket that was laid over her chest. He couldn’t actually hold her neck because of the collar, so this was the next best option.
He watched as Aaron closed his eyes, then slowly exhaled. She whimpered as the healing started, but it quickly grew into a pained howl. Even though he knew that the drugs would prevent her from remembering it or feeling it, that didn’t make fun to watch. Listening to someone wailing in pain was always going to be uncomfortable. It was worse when you were just watching. At least when you were treating you had something to block it out.
Aaron kept going, face furrowed in concentration. Necks were difficult places to heal, and the spinal cord made it especially agonizing. Most healers wouldn’t heal spinal stuff without pretty strong analgesia, even though it made it harder to. Her screams were half-panting now, and her legs were twitching and kicking with the pain. She slowly started to quiet after Aaron pulled his hands away.
“Alright, let’s get going,” he said as he stretched his fingers out. There was nothing he could do about her chest for the time being, not until they got to the hospital. One of the paramedics went around to the front, and Joseph checked to make sure Alex was secure. The ambulance was carefully backed out of the lot, and they were off.
Alex fully came too several minutes later, accompanied by a wearily mumbled curse. Her eyes flickered around as she searched the back of the ambulance, unable to turn her head. “…oseph?” she murmured quietly.
“I’m right here, Alex.” He leaned forward so that he was more in her line of sight. “How’re you feeling?”
“ ‘s hard to breathe,” she groaned.
“We’re nearly to the hospital.” Joseph said, patting her hand. He looked over at the monitor, and Aaron did the same, turning away from Phoenix to check. She was satting high enough to avoid intubation, and she’d been protecting her airway so far, but it still wasn't great.
Aaron grabbed his stethoscope and carefully rose to standing. “I’m just gonna listen to your chest, okay?” He started to pull the blankets away as he spoke.
Alex whimpered as she tried to draw more air in. There was a hint of panic behind her eyes.
She flinched a little when the cold bell of the stethoscope made contact with her chest. Then, she reached out for Joseph’s hand. He took it, letting her squeeze it while he rubbed his thumb on the back of it.
“We’re gonna take good care of you,” he assured her.
While the look on Aaron’s face remained mostly stoic, Joseph had known him long enough to tell that her lungs hadn’t sounded good. Their eyes flickered to the monitor again. Her saturation had dipped even lower, down to the low nineties.
“How far are we out?” Aaron asked.
Joseph peered out the window. “We’re on the hospital side of the river. What are you thinking?”
“I would prefer CPAP, but HAL has been HAL and our ambulances don’t carry those.” Aaron mentally cursed the damn cheapscapes that ran the alliance.
“RSI?” Joseph suggested.
“Not yet.” He wasn’t happy with her sats, but she was holding for now, and the c-collar would make intubation significantly harder.
Alex’s eyes nervously filtered around, breaths increasingly labored.
“It's alright, I know it’s scary.” Joseph rubbed his thumb on the back of her hand. “Just keep breathing for me.”
Aaron sat back down, but he was still watching his patient like a hawk, eyes moving between her and the monitor.
Joseph kept a hold of her hand, reassuring her with a soft voice. The fear in her eyes was no longer subtle. She mumbled something from behind the mask, but he couldn’t hear it. “What was that?” he asked, leaning in closer.
“ ‘m sorry.” Her voice was whisper quiet, and Joseph pushed certain memories out of his brain.
“You don’t need to be sorry.” He smiled, continuing to brush her hand with his thumb. “We’re taking good care of you, yeah?”
“I-” she gasped for air, eyes growing wide, “-cn’t..mmh..breathe.” Her saturation took a nosedive into the eighties as she tried to heave enough air in. “..elp.”
It didn’t come back up.
Aaron jumped into action. “We’re gonna have to RSI.” He quickly started setting out his supplies. “Tell Cole to pull the ambulance over.”
Alex was obviously distressed now, frantically pounding her arm on the side of the stretcher as she fought to breathe. The vehicle came to a stop while Aaron was drawing up his medications, Joseph helping him set out his supplies.
Joseph spoke to Alex as he worked, explaining what was going to happen. “We’re going to put a tube down your throat to help you breathe easier, okay?” She whimpered, coughing violently. “We’ll give you drugs so you can’t feel it, you’re doing great, just keep breathing for me.” He kept talking to her as Aaron sat down behind her head.
“You ready?” Aaron asked while he started to preoxygenate her. “Any questions?”
Joseph shook his head. “I’ve got 7.5 tube with stylet, laryngoscope with a mac 3, bougie, ket and roc already drawn up, cric kit’s up here just in case.”
“Alright, let’s go.” Aaron said.
“We gotcha, Alex,” Joseph said as he pushed the ket. She was still too panicked to acknowledge it, but the drug took hold, and she slowly started to relax. Her breathing wasn’t great, still, even though she looked less distressed.
Once Alex was out, the procedure commenced quickly from there. He pushed the paralytic next, grabbing his laryngoscope while he waited for it to take effect. Aaron had to use more force than he would’ve liked because of the c-collar, but he was able to visualize what he needed to and get the ET tube in easily enough. Joseph secured the tube while Aaron attached it to the ventilator.
The intubation had helped, and even though her sats were still not great, they were higher then they’d been. The ambulance continued towards the hospital, and Joseph found himself holding her hand again. They turned into the hospital, and Joseph gave it a squeeze before letting go so he could get ready to unload her.
Even though she’d made it to the hospital, she still had a long way to go.
Taglist: @/pigeonwhump @rainydaywhump
#worlds babbles#whump#medical whump#intubation#drugs ment tw#whump writing#alex oc#jospeh oc#aaron not my oc#is Phoenix being in the back of the bus probably some superhero HIPPA violation?#yes#but I’ve sworn myself of from medical worldbuilding so y’all can suffer with me#also yay! Aaron gets to do his job
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people in the tags of that post once again like "what do you mean i can't drive my car into oncoming traffic? look i've made a PERSONAL CHOICE to drive in whatever lane i like and i'm not forcing YOU to do it :) don't be a cop respect my decision"
#genuinely THIS IS WHY I DO NOT LIKE STONERS I STG#(people with regular cigarettes are usually like this too these days actually but stoners are worse about it)#did you do it? did you fight the man by sending me into respiratory arrest again?#is it selling out of you to pay my medical bills after i said 'hey you know that's going to make me sick' and you blow smoke in my face?#are you helping to legalise it by telling me i don't have a personality while i have to be intubated for the third time in as many months?#cunt.#smoking weed might not be a personality trait but not giving a shit about other people if it inconveniences you sure is!#i'll end friendships over this i don't give a damn. they still owe me hundreds in icu stays so fuck 'em#also tbh you shouldn't be friends with someone that says 'ugh you're so boring because you won't smoke/drink with me' anyway
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oooooo i have made it to the 911 episode where they say they have to intubate a guy who is very much still breathing!
#saw this clip on insta like weeks ago#i like the characters in this show. i like the storylines#but the accuracy??? holy shit man#the dude's BREATHING what do you mean you have to intubate#also cause they say it right after seeing ostomy bag#like.... where's the correlation
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I had some really good pizza last night and now I want pizza again. There is no pizza. There won't be any pizza.
#i live in the middle of nowhere#i do not have readily available take out#hence my excitement#also i had surgery last week and had to be intubated and was all fukked up for a few days#so yesterday was the first day i felt half way decent#probably a factor in the overall experience#but please someone send me pizza 🍕 😔
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.
#last night at work i had a really sick baby intubated with 2 chest tubes#and he started decompensating bad so i had to trouble shoot all sorts of equipment and the baby himself#and i figured out that one of his chest tubes was obstructed#based on the vent readings and the the chest tube drainage system#and got the np to fix it and he immediately improved#and it was one of those great shifts where you get to leave a baby doing objectively so much better than you found them#and i felt so goddamn smart!#like i was right!#my assessment was correct and allowed us to fix things quickly!#i have awful imposter syndrome but i really walked out feeling smart and good at my job and full of critical thinking skills!#which is great bc theyre giving me an orientee soon which is just buckwild to me#but yeah i think i did a really good job last night#just bc the dickhead asshole douchbag resident talks to me like i got my degree in a cracker jack box doesnt mean i dont know things#i know some stuff
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All I'm saying—as an older person who only has come across the DNI tag in recent years is that the first thought I ALWAYS have is
huh
that's weird
DNI without DNR?
And then I remember fandom discourse. 🫣
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Death and medically triggering stuff in tags I don’t have the brain power for specifications
#she looks dead we got here and she’s still alive like her body is still here but her eyes are bulging and bloodshot and her mouth is black#from where the intubation tube has been and basically the only thing keeping her body pumping is a ton of Machines#and I care about her so much but it also makes me want to vomit with how terrifying it looks and that makes me feel bad#like I should just be grateful to be here but it doesn’t feel like she’s here it feels like I’m talking to a body#and they’re like it’s possible she hears you I would keep talking to her telling her nice things and I am and I will continue to do so#but they think her body will be gone too by the end of the day or sooner and she looks terrifying and I feel like I’m going to vomit#I just need to tell someone and I’m not telling my family how I feel because I’m there to be their support system I think it’ll be easier#now that I’ve got it out of my head#I’m scared#I don’t even know what specifically I’m scared of I just am
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boy i have had A Day lol.
#went to help with a mobile ICU chest xray#and for some fucking reason this hospital makes unconscious intubated pts erect for chest xrays#instead of just doing them supine like every other hospital#which is dangerous for the patient and staff#anyway had to help put the x-ray board behind the pt who kept slipping sideways and whose ET tube kept disconnecting#(yknow. the tube helping him BREATHE)#and on the third time it flung spit into my eyes#which. gross. and also holy fuck how is this allowed this is so dangerous for the patient#anyway got back to the radiology department and casually mentioned it#and bc i got exposed to bodily fluids i had to go to ED to have an eye wash#but it took fuckign. half an hour for that to happen which is useless bc it needed to be irrigated ASAP#bc apparently they dont have eye wash stations in this hospital for some fuckign reason#so i had to sit awkwardly next to a sink and hold a saline drip above my eyes for like half an hour then an eye test#then fill in a tonne of paperwork for like an incident report and blood test and everything#then get a blood test as a baseline and i have to get another in 6wks and 3mnth time#to check for exposure to hep B/C and HIV#and my poor left arm had literally Only Just finished healing from my last blood draw#so the doc had to get the ultrasound out and everything bc the 1st vein rolled#and even tho he got it the second time i still bled everywhere#then had to keep waiting in ED until he could track down the infectious control nurse#and i had to fill out MORE paperwork#then they had to track down some post-exposure HIV drugs for me to take just in case#bc they need to ask the next of kin of the pt permission to get bloods to check for any infectious diseases etc#and they didnt even have any of said drugs in stock and had to taxi them up from a town ~1hr away#so i'll get them tomorrow#and then finally. after like 4 fuckign hours. i got discharged#oh and through most of this i didnt have my phone or my book on me so i was Bored Shitless™ waiting#bc obviously i was very low priority compared to most other ED patients#christ on a fucking cracker that was an Ordeal#holy personal post batman
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me discovering thru talking with other people who have been intubated for longer stretches of time (like a day+) that it’s very common that after spending that time you get really depressed and/or get a bit of a psychotic break with really delusional symptoms and actually in doing a bit of research finding out it’s very common and well documented but ppl still don’t know precisely why it happens and definitely do not discuss it with you before or after your hospital stay
#like i’m just finding out about this and it’s like. a public health problem#mind you. in addition to being a wannabe med student (so i do read a lot abt medicine) and also crazy so i’ve been to hospitals and#met many people who’ve been intubated#i have NEVER heard of this
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I’m just gonna do a wee ramble in the tags. You can ignore me if you want.
#katie is rambling 2k22#so mom is back in the ICU and intubated again#she has some internal bleeding that became very apparent and dangerous#while my brother and I were in the hospital#we left for their quiet time and grabbed something to eat#and came back to mayhem as they were trying to move her#while there was more than a little blood on the bed because the GI docs needed to see#they found one source of bleeding but there’s another one they haven’t sorted yet#but seeing her so freaked out about having to be intubated again was rough#and everyone kept apologizing to us#and I know they were just doing their job and trying to be thoughtful#but it was not helping#also I’m breaking out like really really bad and it’s pissing me off#which is like small fries#but the stress is making me so much more prone to picking#that I am going to turn my entire chin into an open wound#anyway life sucks but I’m chugging along I guess
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I don’t have polls but I need help with general opinion, if you were experimenting on a vampire and needed a convenient way to give them blood, what would you pick
Gastrointestinal intubation/feeding tube, for science reasons
Gastrointestinal intubation/feeding tube, for horny reasons
Iv/direct to bloodstream, for science reasons
Iv/direct to bloodstream, for horny reasons
#writing#fanfic#vampire#poll#but not really#if you can guess who and what this is about then I love you but don’t speak to me#or do#anyway#I have one I’m leaning towards#please note that intubation does inhibit speech by virtue of going through the vocal chords
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