Chetzemoka

joined 2 years ago
[–] Chetzemoka@startrek.website 6 points 2 years ago* (last edited 2 years ago)

I'm a nurse on a cardiac critical care unit. Let me provide some insight here.

There's a reason I joke to my patients that reading a telemetry monitor is a little bit like reading tea leaves. It's WAY less precise than members of the general public assume.

First though, there seems to be a little confusion in the comments on exactly what kind of monitoring we're talking about. This is specifically continuous monitoring of heart rhythms via cardiac electrical activity. Telemetry monitoring does provide a heart rate, but these technicians are not also monitoring other vitals like blood pressure, temperature, and oxygen saturation. Outside of a critical care unit, we don't leave patients continuously hooked up to those things because it's unnecessary and it's annoying and inconvenient for the patient.

So this is specifically about technicians who are not physically near a patient noticing changes in a patient's heart rhythm.

Which brings me to my dear friend: MOTION ARTIFACT

Pop quiz - what is this heart rhythm?

Answer: It's not. This is what we in the industry like to refer to as "a buncha bullshit." THIS is a patient who is moving - eating lunch, talking on the phone, etc. Or a patient where one of the heart monitor stickers fell off their chest. Or a really skinny patient without enough subcutaneous tissue to properly conduct the electrical signals from their heart to the telemetry stickers.

This is why - not even exaggerating - around 90% of the times that there's a scary alarm on the central monitor on our unit, you'll hear it quickly followed by one of us loudly proclaiming, "Trash wave!" "It's nothing!" "Lies again! They're fine."

And this happens ALL DAY on a legit critical care unit.

You can't just read and react to what's happening on these monitors. You have to be able to correlate it to what's happening with the real, actual human being in the bed.

Now imagine this process with EIGHTY monitors on people you can't even see. Your whole day would be nothing but ignoring alarms and probably hyperfocusing on a handful of people you knew were having legitimate problems.

Hospitals using this system are relying on one of the truisms I've developed over the course of my career: Most of the time people don't die. Most of the time people are pretty shockingly resilient and most of the time you get a lot of warning when things are starting to turn south. Most of the time, people don't just up and die. Until that one person who does just that.

The simple fact is that no matter how much an American corporation might wish it were true, you will never be able to automate and replace the most basic and most expensive part of healthcare: One human being directly looking at another to make sure they're ok.

[–] Chetzemoka@startrek.website 36 points 2 years ago (1 children)

In real life, a restaurant can and will kick you out and ban you from the premises for wearing a swastika and saying you think minorities don't deserve to live.

Ergo, being kicked off a company's privately owned server for hate speech is EXACTLY the same amount of freedom they would have in real life.

Everyone loves censorship. Even you.

[–] Chetzemoka@startrek.website 19 points 2 years ago (1 children)

Yeah isn't this the part of the movie where he gets recruited from jail by James Bond or something? That's literally a plot point in at least one Mission Impossible movie, isn't it? Lol

[–] Chetzemoka@startrek.website 5 points 2 years ago (1 children)

"moist owlette" 🤣

[–] Chetzemoka@startrek.website 5 points 2 years ago

My hospital bought us pizza. Yesterday. On my day off.

[–] Chetzemoka@startrek.website 2 points 2 years ago

I don't find this sensationalist. I find it narrative for members of the public who don't know about this kind of medical care.

[–] Chetzemoka@startrek.website 2 points 2 years ago* (last edited 2 years ago) (2 children)

I'm just quoting what's actually in the news article, which I didn't find to be sensationalist at all.

[–] Chetzemoka@startrek.website 9 points 2 years ago (1 children)
  1. Lmao NO. Disabled people work. We have this whole law about it and everything in the United States where employers have to provide reasonable accommodations and allow you time off work without compromising your job status.

I'm disabled. I work full time. I could not fulfill these exercise requirements, but I can hold down a job. That is not a rare category of human being.

We should have universal healthcare, not this nonsense from a private employer.

[–] Chetzemoka@startrek.website 2 points 2 years ago* (last edited 2 years ago) (4 children)

We know for a fact that around 50% of people with RA will not respond to TNF inhibitors and there's a blood test that can identify those people with about a 60% success rate, except insurance companies won't cover it?

That's not a non-story. That's clinically significant.

And the article mentions two other drugs in addition to Orencia, which are not t-cell signalling inhibitors. This is not an ad for a drug. It's a good article.

The patients were forced to take a drug that had a high likelihood of being ineffective without being permitted access to a test that has a high likelihood of detecting that ineffectiveness.

[–] Chetzemoka@startrek.website 3 points 2 years ago

Yes, it was too short! Important plot moments had no room to breathe. It got confusing a couple of times, and the really good emotional moments went by too fast.

That's the kind of decision making that just mystifies me. I have no idea how the studio can screen that movie and think pushing it out with such a short runtime was a successful strategy.

[–] Chetzemoka@startrek.website 5 points 2 years ago (2 children)

I agree with others that I don't think superhero fatigue is real. Through this whole bad quality slog, I've still watched every MCU movie...once.

I've kept hoping for them to stop and reassess the production problems the pandemic caused, and I was shocked they just kept pushing out all those half-assed projects even though they clearly knew the problems.

I really had high hopes for The Marvels. It had the look, it had all the pieces in place to finally be the return to greatness, and it just wasn't.

So I really hope this break is the full reassessment and readjustment of how they want to handle diversifying creative styles with new directors and things like The Eternals while still maintaining the level of story and character engagement we got through the Infinity Saga.

I still completely believe they have it in them to do something else great. They just need to stop and make an actual plan before steamrolling ahead. It's not all just gonna take care of itself and I hope they know that now.

[–] Chetzemoka@startrek.website 8 points 2 years ago

"Self-medication" is a synonym for maladjusted coping mechanisms. It's a euphemism. They used the term correctly.

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