Quizzes & Puzzles6 mins ago
This Nearly Happened To Me Last Year, Without Consent.
While I was in a state of semi conciousness in A&E, two doctors told me that if they have to put me on a breathing apparatus in critical care, they wont resuscitate if I don't respond.
My daughter was in Hong Kong, my son in London, so a good friend of the Family came, notified my daughter who wouldn't give them permission.
I spent 2 weeks in hospital, OK-ish now, and enjoying life. It could have been so different!
http:// www.the guardia n.com/s ociety/ 2016/ma y/02/do -not-re suscita te-orde rs-plac ed-on-p atients -withou t-conse nt-says -study
My daughter was in Hong Kong, my son in London, so a good friend of the Family came, notified my daughter who wouldn't give them permission.
I spent 2 weeks in hospital, OK-ish now, and enjoying life. It could have been so different!
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http:// metro.c o.uk/20 16/05/0 2/patie nt-catc hes-fir e-durin g-opera tion-58 53608/
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I am shocked by this. TRT I am genuinely sorry to hear this and you should have gotten them to give you that in writing because the only person who can request a DNR is the recipient.
It is the duty of any doctor or qualified health professional to preserve life. I would seek advice on what you can do because if you need to go back you should feel confident knowing that every measure should be taken to give you the best possible care.
I am certain that doctors have to swear an oath...
It is the duty of any doctor or qualified health professional to preserve life. I would seek advice on what you can do because if you need to go back you should feel confident knowing that every measure should be taken to give you the best possible care.
I am certain that doctors have to swear an oath...
One tends to lose one's confidence at times within the NHS.Two weeks ago I had a procedure postponed for the 2nd time.It was at the 11th hour.All prepped up and just waiting for the anaethetist prior to surgery.
Last week I got my patient's copy from the hospital that is sent to my GP for their follow up and information.
It stated all my details,date of admittance and discharge (2 days). It outlined the procedure,aortic stent,what drugs and anaesthetics used.No significant blood loss.The consultant who I never met has told my GP all this information when the reality is I never got on the theatre trolley and didn't see the theatre but he concluded the operation was successful.
Now I start to worry because I have given me a new date in two weeks for the third attempt. I shall ensure they all know what the procedure is supposed to be.I wish an addition to my bodily functions not an amputation!!! :-(
Last week I got my patient's copy from the hospital that is sent to my GP for their follow up and information.
It stated all my details,date of admittance and discharge (2 days). It outlined the procedure,aortic stent,what drugs and anaesthetics used.No significant blood loss.The consultant who I never met has told my GP all this information when the reality is I never got on the theatre trolley and didn't see the theatre but he concluded the operation was successful.
Now I start to worry because I have given me a new date in two weeks for the third attempt. I shall ensure they all know what the procedure is supposed to be.I wish an addition to my bodily functions not an amputation!!! :-(
Hell's bells, Retro......that's bad!.....But I don't doubt you for a minute. I had some tests done not so long ago and at my appointment for the results I was told all was fine....no treatment needed.....discharged.
The letter to my GP said the problem was severe...needing treatment possible surgery..........So.....which do I believe?...
And some may recall that my aftercare info following the grommet insertion said I had to insert two paracetamol into both eyes four times daily........... I didn't......☺
The letter to my GP said the problem was severe...needing treatment possible surgery..........So.....which do I believe?...
And some may recall that my aftercare info following the grommet insertion said I had to insert two paracetamol into both eyes four times daily........... I didn't......☺
Makes me think about moving back to France. We've certainly noticed a huge difference. We've told people about the waste, duplication, time-wasting and lack of communication here and explained how to overcome it. No-one is really interested enough to do anything to change the systems. I'm about to go on the warpath over my L (v. arthritic) wrist - and when I think the time is right it will be a warpath - they'll know about it. :(
yes indeed what does sqad think .....
anyway boys and girls in his absence you have my opinion
let us first consider if resuscitation works ...
and let us also remember that doctors may well do things that dont work ( =futile treatment )
the results of resuscitation are different according to the cirmcumstanes and this raises the possibility that one may be able to predict the group in which it will work - scientific huh ?
cardiac arrest on the street used to have a walk out of hospital rate of 5%.
1 in twenty of those having a cardiac arrest in the street walked out of the hospiral they were taken to - whcih raised the possibility that they were the ones who had fainted and been misdiagnosed.
cardiac arrest on an open ward had a better mortaility but was still terrible - that is had a terrible outcome on resuscitation
and the results of cardiac arrest on the intensive care unit was best of all ( but pretty terrible) . Remember that 30% of those adults going into an intensive care unit come out in a box anyway. 15% of children - so it is better to be intensively ill if you are a kid ! parents of course dont agree .....
the difficulty is that
if someone has become more and more ill
and you cant do anything about the illness - you are perhaps assisting breathing and doing the kidneys job for it - then finally when the heart stops .... why jump on the chest ? since you havent been able to stop the inevitable down hill course ?
I am not sure if trt had the same disease as myself PCP pneumonia - I spent 14 d on ITU and knew if I were ventilated that death was inevitable.
I would not expect to have been "resuscitated" .... it would be undignified and futile
the OP on this thread are treating resuscitation as 100 % successful
it isnt - the walk out of hospital rate is much lower ...
it has a much lower success rate
and the doctors are rightly asking themselves 'why are we doing this ?' if they know it doesnt work ....
you cant even tell what is the right way of doing it .... well would you be a volunteer ?
Guidelines are enforced - 'you are a bad doctor if you dont follow the ALS guidelines' and you can compare rates to fifteen years ago ... BUT
the guidelines change... yippee ! to make things better ? erm yeah....
so in 1995 you were a bad doctor if you DIDN'T use atroping but that went out so you are a bad doctor in 2015 if you do ! ( atropine not in the guidelines now, you didnt follow the guidelines if you gave atropine so you are a bad doctor... hmm does it really work like that ? )
and retro you wont like me saying your delays in getting your operation are completely irrelevant to a discussion on DNR
good luck on the day - go no 3 is coming up innit ?
anyway just some evidence based thoughts
anyway boys and girls in his absence you have my opinion
let us first consider if resuscitation works ...
and let us also remember that doctors may well do things that dont work ( =futile treatment )
the results of resuscitation are different according to the cirmcumstanes and this raises the possibility that one may be able to predict the group in which it will work - scientific huh ?
cardiac arrest on the street used to have a walk out of hospital rate of 5%.
1 in twenty of those having a cardiac arrest in the street walked out of the hospiral they were taken to - whcih raised the possibility that they were the ones who had fainted and been misdiagnosed.
cardiac arrest on an open ward had a better mortaility but was still terrible - that is had a terrible outcome on resuscitation
and the results of cardiac arrest on the intensive care unit was best of all ( but pretty terrible) . Remember that 30% of those adults going into an intensive care unit come out in a box anyway. 15% of children - so it is better to be intensively ill if you are a kid ! parents of course dont agree .....
the difficulty is that
if someone has become more and more ill
and you cant do anything about the illness - you are perhaps assisting breathing and doing the kidneys job for it - then finally when the heart stops .... why jump on the chest ? since you havent been able to stop the inevitable down hill course ?
I am not sure if trt had the same disease as myself PCP pneumonia - I spent 14 d on ITU and knew if I were ventilated that death was inevitable.
I would not expect to have been "resuscitated" .... it would be undignified and futile
the OP on this thread are treating resuscitation as 100 % successful
it isnt - the walk out of hospital rate is much lower ...
it has a much lower success rate
and the doctors are rightly asking themselves 'why are we doing this ?' if they know it doesnt work ....
you cant even tell what is the right way of doing it .... well would you be a volunteer ?
Guidelines are enforced - 'you are a bad doctor if you dont follow the ALS guidelines' and you can compare rates to fifteen years ago ... BUT
the guidelines change... yippee ! to make things better ? erm yeah....
so in 1995 you were a bad doctor if you DIDN'T use atroping but that went out so you are a bad doctor in 2015 if you do ! ( atropine not in the guidelines now, you didnt follow the guidelines if you gave atropine so you are a bad doctor... hmm does it really work like that ? )
and retro you wont like me saying your delays in getting your operation are completely irrelevant to a discussion on DNR
good luck on the day - go no 3 is coming up innit ?
anyway just some evidence based thoughts
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