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[–] Andalusian1 0 points 8 points (+8|-0) ago 

What was the weirdest or scariest thing you've heard from a patient?

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[–] CleatusMaximus [S] 0 points 9 points (+9|-0) ago  (edited ago)

i just had a pt racking the shite out of his bed railing counting backwards. opened his eyes said he was going to buy a Cadillac and then zonked out.

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[–] CleatusMaximus [S] 0 points 9 points (+9|-0) ago  (edited ago)

I cant begin to describe the weird shit, the scariest though was a patient seemingly speaking in tongues and going in and out of seizure activity only to become completely alert moments later. Looking everyone dead in the eye asking whats up.Weird shit like talking in sleep and "nightwalkers" is pretty common and you get used to it.

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[–] suckcoke 0 points 6 points (+6|-0) ago 

I had a question but I forgot it.

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[–] ginx2666 0 points 2 points (+2|-0) ago 

Paging @CleatusMaximus, one of your wards has escaped and obtained an internet device!

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[–] CleatusMaximus [S] 0 points 0 points (+0|-0) ago 

that has happened....not while ive been here

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[–] CleatusMaximus [S] 1 points 6 points (+7|-1) ago  (edited ago)

If there is any thing i can say, make sure you and or your parents have Advanced Directives in place, (like if you want cpr when your 90 yo and withered away), you dont want a mid 20 year old pounding on your chest breaking every rib and blasting your internals to mush. Thats essentially how that works. A lot of people don't understand what palliative care is or a DNR ( do not ressucitate) people think we just let patients die but that is not the case. I imagine they have a good time because they are comfortable on morphine and anxiolytics (ativan,klonopin etc)

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[–] vonHugenbuben 0 points 2 points (+2|-0) ago 

Amen to that. And also choosing a Power of Attorney. Someone who you can trust absolutely to follow your instruction and act in your best interests. Not all states automatically recognize spouses as decision makers.

[–] [deleted] 0 points 4 points (+4|-0) ago 

[Deleted]

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[–] CleatusMaximus [S] 0 points 7 points (+7|-0) ago 

What may surprise lay people is how generally physically healthy these types of pts are. There minds are shot but overall alot of them don't have the physiological ailments others suffer from

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[–] CleatusMaximus [S] 0 points 4 points (+4|-0) ago 

LOL you know it. Sinemet et al.

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[–] DietCokehead1 0 points 3 points (+3|-0) ago 

Ever banged a co-worker?

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[–] CleatusMaximus [S] 0 points 2 points (+2|-0) ago 

hah yes ive been down that road before.

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[–] CleatusMaximus [S] 0 points 4 points (+4|-0) ago 

ive since settled down, have a beautiful wife and viking baby on the way.

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[–] DietCokehead1 0 points 1 points (+1|-0) ago 

Ever banged a patient?

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[–] Runaway-White-Slave 0 points 2 points (+2|-0) ago 

How does it feel knowing so many of these people probably aren't even suffering Dementia/Alzheimer's but have simply grown further and further from meaningful, to them, human interaction and have just went off the deep end like even younger people who've been; abused, neglected, completely ostracized have done?

I used to work at ALF/Group Homes that dealt with everyone from young people who went on drug trips and didn't return enough to suit their loved ones and society, to dementia patients. I know for a fact a percentage of people at the places I worked at weren't that mentally ill, weren't incapable of functioning in society, and could hold some form of meaningful conversation with you if they felt you genuinely cared. I had a couple of them helping me with duties around one of the group homes simply to help maintain their senses of worth.

It upset me and I had to quit, a lot of the people were just simply discarded, rejected by family, rejected by friends, rejected by everyone, and so they started rejecting the world back and all a sudden they "needed" drugged and denied basic human rights? Being that I even saw that in young people, where something had hurt them and caused them to withdraw, caused them to construct some amount of false reality fantasy world they didn't feel obliged to leave, yet were still fully capable of interacting and separating from the fantasy, which often took some coaxing.... Anyway, just knowing that so many of them really weren't all that "gone", yet being coercively drugged into oblivion, I have absolutely no doubt the same thing is going on with the elderly. Which is why I ask how does it feel being in the position of their captors?

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[–] CleatusMaximus [S] 0 points 1 points (+1|-0) ago 

The people here cannot take care of themselves, they need care 24/7, some came from organic disease process others had mechanical accidents that caused their brain to "malfunction".Old people and young people, you can tell from the way people act if its a process like alzheimers or an injury like a TBI or traumatic brain injury.

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[–] vonHugenbuben 0 points 1 points (+1|-0) ago 

I know a lady who is perfectly lovely, charming, and articulate, when she takes her meds. We are not allowed to force her to take meds so she ends up in hospital every couple months. She becomes completely deranged and is a danger to herself and others. Do you want her living next door to you? Regardless of your personal experience, there is a huge number of people who simply do not fit into society through no fault of their own. They need a place to live and be taken care of. Also, you have to be a certain level of functioning to live in ALF. So the people you were working with were more stable than those in LTC. We are not captors, we are caregivers. Thanks.

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[–] Damnpasswords 0 points 1 points (+1|-0) ago  (edited ago)

You're not, the outside doctors that force people in out of laziness are. I was thrice almost institutionalized for losing linguistic cohesiveness with two different psychiatrists (once each) when talking about my month on the brink of death, years of malpractice caused pain, and my rape.

The first was convinced that I was always incapable of forming a coherent thought (because the office was a "safe space" (in the basement of a rec center, hat you had to wade through a crowd of people to get in/out) The second? I had loaned a few grand to my dad and found out that he almost made my mother homeless through what equated to a knife sales job (I'll get you you fuckers, you robbed an old autistic man, I going to print your deaths and send them to your families...in my next life) and the (Patel) doctor thought that me being upset was due to bipolar disorder. (Not fielding collection calls to my mom)

I had to fight tooth and nail to stay free. Why? Laziness and ineptitude

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[–] CleatusMaximus [S] 0 points 0 points (+0|-0) ago 

agreed its not always the fantasy land people want it to be, especially if short staffed and under served it can be quite daunting. For the most part people help others because they want to and like i said in an earlier comment, those that do it for the money dont last long.

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[–] AmaleksHairyAss 0 points 2 points (+2|-0) ago 

How are patients' rights protected in reality as opposed to regulation?

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[–] CleatusMaximus [S] 0 points 4 points (+4|-0) ago 

Depending on where you work, patients rights have at times interfered with medical care. To the point where in some states you have a bureaucratic wall of paperwork and auditors that will happily take your license away for a perceived injustice. For example, a bed being pushed into the corner (so its up against the wall, is considered a "restraint" as it "inhibits pts freedom of movement").There are people out there that will tell you how awful things are, but those people never see all the time and effort and even money we put into taking care of our patients. The aspect of "the customer is always right" has crept into medicine with the use of the internet (dr google) to the point where lay people think they know everything that they need (if they did they wouldn't be at a hospital or MD) but in reality its the worst thing that people can do, people now think they know more then MD and experienced nurses cause they have a smartphone.

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[–] AmaleksHairyAss 0 points 3 points (+3|-0) ago  (edited ago)

I have friends and family who were incarcerated in mental institutions, so don't tell me it's all sunshine and rainbows. When I say "restraint" I usually mean being left without food or water in a cold padded room in a straightjacket for 23 hours per day. So are you jerking my chain or are you honestly claiming patients rights are actually protected?

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[–] 8723111 1 points 2 points (+3|-1) ago 

The aspect of "the customer is always right" has crept into medicine with the use of the internet (dr google) to the point where lay people think they know everything that they need (if they did they wouldn't be at a hospital or MD) but in reality its the worst thing that people can do, people now think they know more then MD and experienced nurses cause they have a smartphone.

Typical practitioner arrogance.

http://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us

"The researchers caution that most of medical errors aren’t due to inherently bad doctors, and that reporting these errors shouldn’t be addressed by punishment or legal action. Rather, they say, most errors represent systemic problems, including poorly coordinated care, fragmented insurance networks, the absence or underuse of safety nets, and other protocols, in addition to unwarranted variation in physician practice patterns that lack accountability."

It also doesn't help the industry does everything it can to jew Medicaid and Medicare for all it can. Maybe people would have more trust if they weren't worried their on-the-ass-end-of-his-30-hour-shift doctor was going to kill them, or let their health suffer so they can run a couple more CT scans because their insurance will cover it.

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[–] obvious-throwaway- 1 points 0 points (+1|-1) ago  (edited ago)

in reality its the worst thing that people can do, people now think they know more then MD and experienced nurses cause they have a smartphone.

Had a sick kid once, doctor just kept prescribing more antibiotics. I implored with the doctor that something else must be wrong and as my kid keeps getting sicker. Ended up taking him to the ER 8 times. The first 7 doctors at the ER said they couldn't find anything wrong with him. 8th doctor asked about his stool sample and learned that neither his primary doctor or the previous 7 doctors had done one. Stool sample showed he had c-diff. Took this information back to primary doctor, he suggested... more antibiotics. He got sicker and again his doctor suggested, you guessed it, more antibiotics.

Finally having enough, I reached out to the Internet and found a large support group of people also finding state licensed drug dealers pretty much useless. Hundreds of them had logged daily diets and created charts on the most favorable diets that had worked on curbing c-diff. I put my kid on the top diet and he was doing so much better after 1 day. Within a month he was retested and completely cured of c-diff without ever taking another antibiotic. The entire ordeal lasted 8 months and could have been taken care of in 2 weeks. Oh, and were he did he even get c-diff in the first place? From going to the hospital with the flu and picking it up there because of their inability to maintain a sterile environment.

Also, I find nurses to be the absolute worst. They have MD envy and like to tell people their "opinion" as opposed to actually going through all the steps to at least become an MD before dispensing medical advice. I think they should STFU and stick to cleaning bed pans or whatever simple tasks they were trained to do so the actual doctors can focus on their job of prescribing medicine for big pharma.

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[–] WyldFyre 0 points 2 points (+2|-0) ago 

How often do the people you care for act "normal"? Most of them can't act bat-shit 24/7 right?

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[–] CleatusMaximus [S] 0 points 2 points (+2|-0) ago 

On this particular unit, theres a lot of crazy...normal is a strange word in medicine/nursing "unremarkable" is the preferred term in some cases. One gentleman has been lapping my desk in a "restrained" (seat belt and lap tray) wheelchair non stop since ive started at 11, hell do this all night until i leave at 7 am and all he says is "NO" called expressive aphasia. Some of them do truley act crazy 24/7, we had one guy who passed recently that was one of them, busting in other peoples room, jumping off furniture etc.

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[–] Lifeofsymmetry2132 0 points 2 points (+2|-0) ago 

Busting into other people's rooms isn't crazy. They probably stole something from him or were involved in black market trading of some sort.

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[–] WyldFyre 0 points 1 points (+1|-0) ago 

Just damn. How high is your turn-over rate for new hires? I can't see a lot of people being able to handle that job for long, even if they think they know what they are in for.

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