tag:blogger.com,1999:blog-2760353953251845523.post5892386984552218101..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: It's TimeJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-2760353953251845523.post-7255452561255911382011-04-18T10:22:03.736-04:002011-04-18T10:22:03.736-04:00Thank you for your valuable post. We have decided ...Thank you for your valuable post. We have decided to share it with our global physician audience at PhysicianNexus.com: http://physiciannexus.com/forum/topics/its-time<br /><br />Jaerou Kim<br />Team Member<br />www.PhysicianNexus.com <br />Physicians Comparing Treatments WorldwideJaerou Kimhttp://www.PhysicianNexus.comnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-31225441571423354592011-04-16T01:30:19.817-04:002011-04-16T01:30:19.817-04:00I often find myself in similar situations. I thin...I often find myself in similar situations. I think we've gone a bit too far from the paternalistic model and too much towards the "you choose" one, which invariably leads to expected bad outcomes.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-75527204858715492042011-04-14T12:38:44.959-04:002011-04-14T12:38:44.959-04:00All Frankishness aside...this is a really well wri...All Frankishness aside...this is a really well written post, Buckeye. My mom is 98 and completely well but for her eyes (AMD). You made me envision the day when something gives--those fragile veins or organ walls. She's got all her directives in place, but I hope the last health professional caring for her is someone as rational and empathetic as you. MellyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-33481531966454185442011-04-11T15:56:39.716-04:002011-04-11T15:56:39.716-04:00Nice post Buckeye! And who really cares CT tech. M...Nice post Buckeye! And who really cares CT tech. Move on.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-21534647605265958692011-04-11T14:42:18.545-04:002011-04-11T14:42:18.545-04:00The correct term for most radiographers is "t...The correct term for most radiographers is "technologist" not "technician."<br /><br />Mary<br />Assitant Professor<br />M.S. ARRT (R) (CT)CT techhttps://www.blogger.com/profile/16770771917493778198noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-31458938861685810462011-04-08T14:49:57.685-04:002011-04-08T14:49:57.685-04:00"dickishness"??? I LIKE it...
I've b..."dickishness"??? I LIKE it...<br />I've been usin "asshole-olic" all these years..<br />and I meant to say "perforated" appendix...and while I appreciate the economic stimulus of the Funeral Home/Probate/, and the small(every little bit helps!) improvement in the Social Security/Medicare Lockbox account with your patient leaving this mortal coil couldn't THIS lady have also had a simple perforated ulcer???<br />I know, her abdomen would have been scarier than Nanci Pelosi without Botox, I mean Jim Tressel's deleted emails, and you'd have had to manage those pesky electric lights and probably leave her guts out in the open with one of those baggy things....<br />Ummm come to think of it, that 97 year old lady probably died at 98 or 99 anyway...<br /><br />Frank<br /><br />PS whats with the Cavs??? they don't watch out there gonna lose that #1 Draft Pick...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-90383832812429766252011-04-08T12:52:48.012-04:002011-04-08T12:52:48.012-04:00Frank-
All dickishness aside, you do raise a coupl...Frank-<br />All dickishness aside, you do raise a couple of points that I can actually comment on. Number one, you don't get free air under the diaphragm from an appy. Number two, I have done plenty of 30 min Graham patch/lavage cases for perfed duodenal ulcers and usually the patient does well. But this lady had train tracks across her abdominal wall along with an incarcerated ventral hernia. Moreover, her kidneys were already in failure and she was in respiratory distress. She was tachycardic with marginal BP's. In other words, multiple organ failure had set in. The odds of her pulling through the surgery were extrememly low. Ultimately, she passed away a few hours after deciding not to intervene.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-55227522783493891542011-04-08T12:17:10.422-04:002011-04-08T12:17:10.422-04:00nice post. i like it when the patient gives clear ...nice post. i like it when the patient gives clear directives. makes the decisions easier.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-73885880661029339772011-04-08T08:14:21.090-04:002011-04-08T08:14:21.090-04:00Ummm just an uninterested voice from the dark side...Ummm just an uninterested voice from the dark side of the Brain/A-Hole barrier <br />butttttttttttttttttttttttttt<br />couldn't it have been just a hot appy?(I love sayin "Hot Appy":)??<br />and I know, old people suck, what with there Social Security, and fragile veins, and 82 different medications 1/2 of which weren't even around when I was in med school..<br />Oh yeah, "Free air"(I just love sayin "Free Air":) means there's a hole somewhere there shouldn't be...<br />I remember a case just like this, turned out to be an aspirin-sized hole in the stomach from the 81mg of Aspirin she took everyday so she wouldn't die at age 97 of a heart attack..<br />Surgeon stuck some of that stuff that hangs down from the stomach over the hole and he was done before I'd started my MAXIM article...<br /><br />FrankAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-28388044996666851032011-04-08T08:11:34.703-04:002011-04-08T08:11:34.703-04:00Tough decisions. Nice post, BuckeyeTough decisions. Nice post, Buckeyerlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-55488317740821383022011-04-07T22:00:49.668-04:002011-04-07T22:00:49.668-04:00A very fine post.
I would trust you and would lik...A very fine post.<br /><br />I would trust you and would likely be steered by your recommendations. <br /><br />However, as an actively ill and increasingly disabled middle-aged person, I fear more and more being subject to someone else's opinion of my quality of life.<br /><br />There actually is a slippery slope. I ride up and down it all the time.<br /><br />Thanks for another thoughtful piece.Bianca Castafiore?https://www.blogger.com/profile/07088130255223709497noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-24912741303917608872011-04-07T17:36:46.441-04:002011-04-07T17:36:46.441-04:00Great post! I'm a second year surgery resident...Great post! I'm a second year surgery resident and am often faced with this predicament. I hate to think of people leaving this Earth having spent their last days on a ventilator and struggling through--or even their last DAY. This was heartfelt and real. Appreciate the thought!<br />--Brittney i.e. DrBCulpdrbculphttps://www.blogger.com/profile/01672902448283170452noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-83448054779099636452011-04-07T16:27:04.483-04:002011-04-07T16:27:04.483-04:00Yes, thanks Buckeye.
Since I cannot be sure you w...Yes, thanks Buckeye.<br /><br />Since I cannot be sure you will be around :) I have made a pact with someone (another RN) should I become a "hot mess", as I just can't trust family to keep my wishes of not wanting to linger in half-life. She, a natural born enforcer, just like me, will stand vigil and not hesitate to shoot all specialty scavengers.<br /><br />-SCRNAnonymousnoreply@blogger.com