OT: How cold is Barrow?

Discussion in 'Digital Cameras' started by Dudley Hanks, Feb 19, 2014.

  1. The EMT's were EMT I level, and couldn't to an IV. That is not
    uncommon.

    A lot of people, and I am one, are fairly upset that we have
    ambulances staffed only with EMT I, or even with only ETT's on
    board.

    It has been known for decades that there is a direct
    relationship between death rates and the level of care provided
    by an ambulance crew. I believe it was Belgium that years ago
    mandated a physician be on each ambulance, and the effect of
    that on their statistics was great!
    Most people are not that aware, but those who deal with
    "disasters" of any kind tend to do better.
     
    Floyd L. Davidson, Mar 1, 2014
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  2. That is disgusting! "Confirm the following day" means if he was
    wrong she might either die or lose significant functionality.

    At the hint of a possible stroke the only acceptable action is a
    CT and or MRI to determine absolutely if it is, and most
    important to determine if it is the usual ischemic (blocked
    artery) or if it is a hemorrhagic (bleeding artery) stroke.

    Lacking the ability to get a CT scan within two hours, the best
    treatment for an ischemic stroke cannot be given.

    Lacking the ability to get a CT scan at all, the treatment will
    be for an ischemic stroke... which includes blood thinners.

    If the stroke just happens to be hemorrhagic that treatment will
    commonly kill the patient within two days.

    In 2010 I had a stroke. The ER doctor switch my blood thinner
    from asprin to plavix, and sent me home. I personally made an
    appointment with a neurologist in Anchorage, 750 miles away, and
    they had me go straight to a CT and then an MRI. But this was 7
    days after the event. Turns out it was a hemorrhagic stroke,
    and I was immediately taken off plavix for a month.

    I am very lucky to have survived.

    This last September a new hospital was opened here in Barrow,
    and they now have a CT scan. Previously we lost people every
    year because it was impossible to diagnose correctly a
    hemorrhagic stroke. Give them a blood thinner and send 'em home
    to see if they live or die.
    As you and I have both suggested, the health care delivery in this
    country sucks.
     
    Floyd L. Davidson, Mar 1, 2014
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  3. Dudley Hanks

    Eric Stevens Guest

    I never said it would. The danger of atrial fibrillation is stroke
    arising from clots. These can be guarded against by judicious doses of
    warfarin. I thought I could make the simple comment that "My normal
    medication includes warfarin for atrial fibrilation" without having to
    go into details but this thread seems to be cursed. I forget what
    simple statement started us down this path but just imagine what I
    would have had to have written if I were at the beginning to have
    covered all the niggles that have since arisen.
    You will find that most sufferers of atrial fibrilation tgake
    anti-coagulants of one kind or another. I thought you would have known
    that. :-(
    I understand it will ultimately restore normal clotting but the
    process requires hours.
     
    Eric Stevens, Mar 1, 2014
  4. Dudley Hanks

    Eric Stevens Guest

    I wonder where we (you) saw that? Can you give me a quote?
    Listen Ding Dong: before any of this started I already had an
    excessively low blood pressure - measured and documented by a number
    of people on various occasions. It was normally so low that it didn't
    take much of a push to tip it over the edge. The dehydration etc did
    that. About 6 hours ago I had it professionally measured at 120/80.
    This is on the reduced medication and within a few hours of needing
    another dose.
    Teleportation - eh? Nothing was plugged in.
    Agreed.
     
    Eric Stevens, Mar 1, 2014
  5. Dudley Hanks

    Eric Stevens Guest

    You seem to lable my descriptions of what happened as 'assumptions'
    every time they differ from your expectations. It seems to me that
    your expectations are more firmly held assumptions than anything I
    have written about. At least I have the advantage of having been
    there.
     
    Eric Stevens, Mar 1, 2014
  6. Dudley Hanks

    Eric Stevens Guest

    I had about $10,000 worth of gear in the boot of my car and I was able
    to make arrangements with the police for it's safety. Presumably I was
    'aware'.
     
    Eric Stevens, Mar 1, 2014
  7. Dudley Hanks

    Eric Stevens Guest

    Did you read the part where I said they were under instruction from
    the team in hospital? I don't know what went on. I only know the
    result.
     
    Eric Stevens, Mar 1, 2014
  8. Dudley Hanks

    Tony Cooper Guest

    May I point out, once again, that "ER" is a term used in the US and
    not used in all countries? I don't know that "ICU" has the same
    meaning in all hospitals in all countries, but break it down: I for
    "intensive", C for "care", and "U" for unit. One does receive care in
    the room designated for intake of emergency cases, and that care is
    intensive. If the hospitals in NZ choose to call that unit - the one
    we call "ER" - the "ICU", there's nothing wrong with that. It's just
    terminology.

    Labeled "correctly" means "labeled in such a way that the function is
    clear to all who use whatever is labeled". If NZ doctors and staff
    clearly understand what goes on in that unit, it doesn't make any
    difference what term they use.

    I'm not familiar with NZ terminology, but I'm somewhat familiar with
    UK usage. In the UK, they do surgery in the operating "theatre". We
    do it in the "OR". They have theatre sisters, we have OR nurses. They
    have "Casualty", we have ER. They have housemen, we have interns.
    They call surgeons "Mister", we call them "Doctor". The list is
    longer.

    "Correct" is what is correct locally.

    I am absolutely gobsmacked that someone in Alaska is telling someone
    in New Zealand that the doors in the NZ hospitals are labeled
    incorrectly. Is this one of those "I can see Auckland from my
    backyard" things?
     
    Tony Cooper, Mar 1, 2014
  9. Dudley Hanks

    Tony Cooper Guest

    Please put your entire medical history in .pdf form and give Floyd a
    link to it. Include the full names and current contact information
    for all physicians and staff that attended you. Floyd may want to
    bring them in for a bollocking.
     
    Tony Cooper, Mar 1, 2014
  10. Lets hope it was close to time for more meds.

    That 120 is fine for the systolic, but 80 for diastolic is a bit
    high. It's the high diastolic you want to be wary of, as that is
    what causes heart attacts.
     
    Floyd L. Davidson, Mar 1, 2014
  11. Dudley Hanks

    Eric Stevens Guest

    It would be simpler to put him on line to give him access to my entire
    medical history for the last 10 or 15 years. No doubt he would insist
    on reading it through and marking the errors. Nevertheless it would
    keep him quiet for a while and let me get on with my life.
     
    Eric Stevens, Mar 1, 2014
  12. Dudley Hanks

    Eric Stevens Guest

    It may have been unique to Waikato and arose from the position in
    which they (at some time past) had to install the CATscan. It seems to
    be different now.
    More likely 'The whole world works like the USA'.
     
    Eric Stevens, Mar 1, 2014
  13. Have fun making fools of yourselves. The facts are that an ER
    and an ICU in New Zealand refer to exactly the same
    functionality that the terms are used for in the USA.

    I really doubt that the hospital was at all confused, as opposed
    to Eric Stevens just being unable to understand.
     
    Floyd L. Davidson, Mar 1, 2014
  14. Dudley Hanks

    Tony Cooper Guest

    Thinking about this later, I realize that I should add that we don't
    know the *physical* layout of the hospital in question. In a large
    hospital, particularly with one that is a multi-story building, the
    ICU (as we Americans call it) is adjacent to or near the operating
    room. The ER (as we Americans call it) is on the ground floor.

    It could be, at the hospital in question, that the ICU was adjacent to
    the ER - or at least directly accessible through ER - and a patient
    could be admitted to ICU directly without going through the portals of
    the ER but still under the auspices of the ER staff.

    Just a thought. There's no way that I would try to second-guess a
    personal experience in a country that I've not been to or on in which
    I am not familiar with the local terminology and practices.
     
    Tony Cooper, Mar 1, 2014
  15. Dudley Hanks

    PeterN Guest

    I was well aware of that, which is why I told them in no uncertain terms
    that they had three options. Put he in an ambulance for transport; Help
    my put her in my car for transport; or I would do it myself. The asshole
    doctor tried to dissuade me by saying that my insurance would not cover
    the first ER if I took her out without a "proper discharge." I told them
    what they could do with the bill and started to move her myself. They
    took her by ambulance to where I wanted her to go in the first place.
     
    PeterN, Mar 1, 2014
  16. Nice doc, eh... Who cares about the insurance if she is dead or
    seriously disabled! But it seems his ego was the actual problem...
     
    Floyd L. Davidson, Mar 1, 2014
  17. Dudley Hanks

    PeterN Guest

    Thanks, but it's easy to do when you keep you eyes open, and advise
    health car professionals. I have been on the boards of a device
    manufacturing company; a supplemental staffing company; and a charity
    that works with disabled people. Hopfully I learned and contributed
    something.
     
    PeterN, Mar 1, 2014
  18. Dudley Hanks

    PeterN Guest

    I have dived with; played golf with; drank with; played poker with and
    represented a lot of doctors. They don't intimidate me, neither do I put
    up with any ego fits.
     
    PeterN, Mar 1, 2014
  19. Dudley Hanks

    Savageduck Guest

    Savageduck, Mar 1, 2014
  20. Dudley Hanks

    PeterN Guest

    PeterN, Mar 1, 2014
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