Thursday, November 6, 2008

Charles Bukowski - Born Into This

7 comments:

Σφιγξ said...

Nice little reverie before hitting the track.

Σφιγξ said...

All totally indispensible things.

Σφιγξ said...

When my mind doesn't get in the way...

Σφιγξ said...

Yes, we are trapped thinking this.

Σφιγξ said...

It makes me laugh thinking that someone's identity is completely fractured today because of the news. What a shallow way to live in the self-reinforcing news cycle.

On a related note: "hospitals where it is cheaper to die"

Of course. Knowing that these are the circumstances, do not live recklessly and expect everything to be done.

I had a respiratory therapist come out of the coronary care unit to confess that three of the ten beds were meth/fentanyl overdoses. She said, it would hurt your conscience how cursorily they classify someone as brain dead after a prolonged rescusitation, and one is left to interpret every flicker of the eyelids. Earning a living in a shameful way is like this. They are always rolling catering and visits from the charlatan chaplain to ease the moral distress.

Σφιγξ said...

https://torah.org/torah-portion/rabbis-notebook-5760-kisavo/

Σφιγξ said...

"A recent study by Braksick et al. examined individual practice variations in brain death examination across three separate institutions [14•]. Despite the vast majority of respondents reporting competency in performing brain death testing, only 25% reported conducting the testing in accordance with current practice guidelines. Ten percent of the providers did not perform an apnea test, the omission of which would be an incomplete (and incorrect) performance of brain death examination. Even more problematic, of the providers that obtained ancillary tests on an as-needed basis, more than a quarter ordered them if the patient breathed during apnea testing, a finding inconsistent with brain death. These survey results are troubling and suggestive that misdiagnosis of brain death may be more common than previously assumed."

https://pmc.ncbi.nlm.nih.gov/articles/PMC7223748/

https://pmc.ncbi.nlm.nih.gov/articles/PMC8435074/