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Joined 9 months ago
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Cake day: January 13th, 2024

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  • I end up going to the ER way more than I want to. It’s really annoying; if you walk into an urgent care or a regular doctor’s office (besides my regular care providers, they’re used to me now) and say you think you have a kidney infection or other kidney problems and you just need antibiotics, they just go “NOPE” and yeet you out the door to go to the ER. So far, I have been successful in preventing them from calling an ambulance for me.






  • The article specifically describes the housing options that are single-occupant with doors that lock and accommodation for pets. They are also working on solutions for couples to help keep them together where possible. It’s not ideal, and it’s not a permanent fix, but they interviewed someone that’s staying in the safe, clean, cabins while attending a 2 year college program to get a better paying job.

    There is definitely more that the state could be doing as a whole, but they are investing a lot of money into programs and housing with free or heavily subsidized rent to help people get back on their feet. The article specifically mentioned a model where “rent” costs 30% of the resident’s income and the rest is covered by a rental assistance program.




  • I have done CPR on people before, and it is astonishingly brutal. To do it correctly, you have to cave their sternum in to be able to apply enough pressure to the heart to actually move blood around. For “Out of Hospital Cardiac Arrest” patients that receive bystander CPR, the survival to discharge is around 10%, give or take. The most common outcome of CPR (if it is successful and you get a pulse back) is days to weeks of dying slowly and painfully in the ICU. The older someone is, or the more health problems they have, the much lower the chance of recovery is.

    CPR is absolutely reasonable for a younger person that stands a good chance of walking out of the hospital at the end of it, but 90 pound 90-year-old is extremely unlikely to survive in a meaningful way. It is very reasonable to request to not be put through that massive amount of suffering for a very low chance of any meaningful benefit.

    There’s also degrees of DNR. There’s separate options for CPR, intubation, supportive care, active treatment, palliative care, etc. It’s a lot more nuanced than CPR yes/no in most situations.




  • The ones I observed with my attending physician were using twilight sedation with propofol, and I think they got small doses of fentanyl to manage discomfort/pain during and right after the procedure. The propofol lets them knock you out for a while without putting you under so much that they have to intubate. (That is anesthesia’s job though, so it might be recorded differently on your records)