coffeecatsyarn

As an ER doctor who trained in California, I disagree about your ED ratios. This is so highly dependent on the ED patient. A fast track area? This can easily be a 1:6 or 7 ratio with a nurse and tech. This is just basic IV meds like fluids or antibiotics, mostly PO meds, and other basic things. Caveat that the patients are not very sick. The multi system trauma or the NSTEMI with persistent chest pain or the septic shock? They need much more care and should be 1:1 or 1:2 depending on how stable they are. For the ED, you have to think of the disposition. If the patient is going to the ICU, then while in the ED and completely unstabilized, the patient should be at the same ratio as they would be in the ICU. The stable psych patients waiting for a bed in a psych unit? We often had 10 patients with 1 RN and 2 LPTs. But an unstable, decompensated psych patient? Needs more nursing care.

I had one at 25 because I had a strange appendicitis presentation and my grandma had right sided colon cancer in her mid 30s. It sucks but you just have to get over it. I’m a doctor now, and I see people telling me they avoided it for so long because they thought it was gross or annoying, and now they have colostomy bags or liver Mets and/or are dying. Doctors and nurses are professionals. We see genitals, butts, breasts, etc everyday. It’s really nothing to any of us, and we don’t even think about you after the fact. I’m an ER doctor, and I put my finger in a butt every day. I move on, wash my hands, eat my lunch, and go to the next patient. Like we really do not even think about it at all.

Do you think Brazilian butt lifts or a similar technique will be perfected so it can be performed safely?

There is no good evidence yet. We do not have enough statistically significant evidence about COVID yet. So we are using what we know and trying to apply it to COVID and using our knowledge, expertise, experience, and some hail marys to apply other stuff to COVID. Lots of the papers coming out about COVID causing VTE or acting like a hemoglobinopathy are statistically insignificant.

Since this is novel, there's a lot of unknown but medical professionals are doing their best with what they know. Are you a medical professional?

https://rebelem.com/covid-19-thrombosis-and-hemoglobin/