#do not intubate

[krislivesheresometimes]

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

[redheadgleek]

The medicine/science stuff wasn't as bad as Fringe, but WTF is with these depictions of placing your own IV? The angle is wrong, even with the plumpest of veins.

[bugbuoyx]

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.

[catkin-morgs-kookaburralover]

"yes im so fine"

*researches whether i can get my hands on ipecac*

[bucksboobs]

ER on in the break room, we are ROASTING it.

[doctorweebmd]

i don't think i'll ever get over the comedic timing of being prepared to intubate an obtunded patient going into worse and worse shock on three pressors code cart in room pads on having like six people all staring at the vitals anxiously as this person might code at ANY MOMENT, me standing at the head of the bed ready to tube the second we have a safe BP and the nurse from two doors down comes into the room and says, 'hey doc, room x is in asystole' and just. walks away.

i'm just. standing there. peri-coding this patient. and i'm calling after him 'uh.... are they supposed to be?!'

absolutely insane delivery. no context no info just 'hey, btw this person's heart stopped. :) bye ' HELLO!?!

[purple-dahlias]

sometimes it’s a monday morning and you’re in theatres and they’re playing cindy lauper while the anaesthetist asks you to push propofol

[onycho]

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

[nautilusopus]

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"

[hergrandplan]

oooooo i have made it to the 911 episode where they say they have to intubate a guy who is very much still breathing!

[lisa-and-shadow]

I had some really good pizza last night and now I want pizza again. There is no pizza. There won't be any pizza.

[clownboy-yeehonk]

.

[madigoround]

Death and medically triggering stuff in tags I don’t have the brain power for specifications

[kuro-tsuki-san]

Not if they have a DNR/DNI

[euroclydonn]

Cigarettes are for when you watch a pulmonary embolism kill your patient over the course of 6 hours.

[amplexadversary]

Those old negative-pressure ventilators (like the famous/infamous Iron Lung) are pretty fascinating in a number of ways.

We favor positive pressure, pumping air into the lungs, via intubation in extreme cases, but that approach has a lot of drawbacks. The emergence of covid increased demand, especially for the kind of extended use that can lead to lung damage. I wonder how fast we could have moved out new negative pressure ventilators (wikipedia page linked to one kind) if we had better public health funding (both in general and not having been fucking gutted right before we ended up needing it.)

The negative pressure machines make it harder to examine a patient, but the relative expense (including training of medical personnel), non-invasive method (and lack of associated side effects, discomfort, and distress), and general quality of life seem like they would have been good to have earlier on (hell, modern technology arguably removes some of the restriction problems that older models had; theoretically you could wire a keyboard or a video game controller in there that could be used to operate a computer, tv, e-reader, and whatnot, which would probably improve prognoses from just the psychological condition of being not in pain and not bored.)

Not a lot of old ventilators like that are still in functional condition, and people who genuinely have needed them indefinitely eventually started having trouble sourcing parts to keep the things working. They do restrict movement but as an alternative to intubation in cases extreme enough to need it, they still seem by far the more comfortable option. Since positive pressure ventilators are so resource-intensive and invasive, I wonder if keeping both kinds around and transferring people to a newer model of negative pressure chamber if extended use is needed would be the ideal protocol. Covid is still a problem even though we're largely ignoring it, we could probably still use a respectable reserve of negative pressure chambers for all their benefits.