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trauma babe

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  1. You are too straight to appreciate Showgirls. Nothing personal.
  2. Also the notion that you have to honor source material for adaptation into another medium is crazy.
  3. I think your opinion is incorrect. I also believe in the death of the author, but here is what the film's director, Paul Verhoeven (Robocop, Showgirls, Total Recall, Basic Instinct, Hollow Man—all very serious films) had to say. https://www.theguardian.com/culture/2018/jan/22/how-we-made-starship-troopers-paul-verhoeven-nazis-leni-riefenstahl To call him a "colossal failure of a filmmaker" would be a really silly thing to say.
  4. Did they open? Anyone know? Google is still saying temporarily closed.
  5. What a life one must have to be able to just check out and not have to worry about things. I feel like there's a good word for that.
  6. Not that it's the same as a presidential election ballot, but a package of mine was "on the truck" here in Austin for three days before it was delivered.
  7. With neurological injury, yes, it's very common. It can also just happen sometimes in older people.
  8. The American public as a whole does not understand how awful and debilitating it can be to require ICU-level care for more than a couple of days. COVID amplifies every negative aspect of ICU-level care, both for the patients and nurses. Barring the unlikely rapid development and deployment of an effective vaccine, something in the way we are handling this pandemic as a country must change. We cannot continue on this path.
  9. I agree that we can't hide away in a cave either, but we can take the situation with the gravity it demands and at least try to not actively encourage the spread of the virus. We are sadly failing even that in a significant portion of our population. For some additional perspective (and this is not directed at you,[mention=20]Sawbonz[/mention] ) while I type this on my lunch break through the plastic bag I keep my phone in, the patient in the ICU room next to one of mine tonight is an otherwise healthy 19-22yo who is on high flow nasal cannula at 60L/min with an FiO2 of 80%, while also requiring a vasopressor to maintain blood pressure at an acceptable level (which will slowly destroy their kidneys). Not too much more room to maneuver before intubation. They are currently too weak to even lift their butt onto a bedpan. You know, typical flu shit.
  10. Most teens will be fine. Most isn't all, especially when it's your family member that is the exception. I don't have links to any science of a high level of evidence for my feelings on this, just a lot of personal experience and anecdotal evidence from other nurses and former patients who have kept in touch with our COVID unit. I will also say that I have not had a COVID patient in their teens yet (most go to DCMC), but I have taken care of patients in their early-mid twenties with no pre-existing medical issues that would normally hamper their bodies' ability to heal. The amount of damage and that COVID does to your lungs and the time it takes for a healthy person to recuperate seems to be closely correlated with how much oxygen support you require, and how early you started receiving oxygen therapy. There are many different methods for use to give you oxygen, but after the first one (nasal cannula, what you've all seen in medical TV shows/movies), they become quickly and increasingly uncomfortable to cooperate with. Max rate for a basic nasal cannula is 6L/min. After that, we may try a simple mask, or a non-rebreather mask (depending on your respiratory rate) to increase that to 10L/min. If you still can't maintain your oxygen saturation but your breathing pattern is acceptable, we'll put you on what's called high-flow nasal cannula. This lets us push up to 60L/min of up to 100% FiO2 through your nostrils. We heat and moisturize the oxygen, but it's still dries the fuck out of your nostril mucosa, is loud, and limits your movement. If all of that doesn't start to help, we may try BiPAP, which is a full face mask that forces air into your lungs at high pressure. Some people can tolerate it okay, some can't. There's also evidence that BiPAP should be contraindicated in COVID patients. I haven't seen a COVID pt on BiPAP in a long while. Failing all of those options, you will be intubated, and with COVID there's a good chance you will not be coming off of that ventilator with our current treatment standards. You might, but we will do our best to arrange virtual communications with family members before we tube you, because there's a significant chance it will be the last time you see or speak with them. We might not be able to do so, because you might be decompensating too quickly. If we are unable to get you off of the ventilator, you will receive a tracheostomy (and possibly a PEG tube) as an additional step to help that process. If you have made it this far, your kidneys are almost certainly failing. Your skin is swollen with extravascular fluid, leading to your skin tearing and sores forming in places where skin is stretched tightly over bony parts of your body. We try our best, but they are not 100% preventable. Your blood looks almost black and is quite thick. You might throw a clot and it might give you a stroke or end up being a PE, both of which, when you're a COVID patient, will result in either death or even more serious impairment because we cannot treat you as quickly as we otherwise would. There is no emergency in a pandemic. Not even for CPR. You are stuck in a nightmare of delirium (and possibly chemically paralyzed), where maybe every time we have to catheterize you (if you aren't on dialysis already) your mind compensates for the sedated experience in your brain and tells you you are being raped. Or that we're skinning you while bathing you. Your lungs probably look like rotting raisins at this point. Most teens will not require intubation. Most isn't all. Some will require just nasal cannula, and some will require every intervention up to a vent and trach/PEG. From what patients and nurses have told me, even having minor respiratory issues (requiring no oxygen or just a spit of it) has left them unable to function at their previous levels. One of my close friends at one of my gigs is a long-distance runner, and following her minor case of COVID (no O2 required), she is no longer able to jog more than a block at a time. She can no longer work three shifts in a row. She is in her mid twenties and the (formerly) healthiest person I know. Imagine what is being done to your lungs by the disease when you require 60L/min of oxygen at 30% FiO2, much less 100%. Everyone will be affected by COVID in some way, but there will be a generation of young people with complicated respiratory issues as they age. A minor symptomatic case of COVID is much more dangerous for anyone than a minor case of the flu.
  11. Love to see pics like that the day before I go back to the plaguelands.
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