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	<title>Comments on: Healthcare Update &#8212; 09-26-2012</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: Allison</title>
		<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/#comment-100633</link>
		<dc:creator>Allison</dc:creator>
		<pubDate>Mon, 01 Oct 2012 03:57:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8619#comment-100633</guid>
		<description><![CDATA[The best was the only &quot;sign of life&quot; that he mentioned was a patient &quot;jerking&quot; during surgery...nevermind that you can totally jerk as a result of spinal reflexes and still be perfectly brain dead.

The comments section of that article was infuriating...all these people declaring that they will never be donors because doctors will kill them for their organs. Give me a flippin break. If those people had any real information about brain death testing, instead of this sensationalist BS news outlets put out, maybe so many people wouldn&#039;t die while waiting for organs that never come.]]></description>
		<content:encoded><![CDATA[<p>The best was the only &#8220;sign of life&#8221; that he mentioned was a patient &#8220;jerking&#8221; during surgery&#8230;nevermind that you can totally jerk as a result of spinal reflexes and still be perfectly brain dead.</p>
<p>The comments section of that article was infuriating&#8230;all these people declaring that they will never be donors because doctors will kill them for their organs. Give me a flippin break. If those people had any real information about brain death testing, instead of this sensationalist BS news outlets put out, maybe so many people wouldn&#8217;t die while waiting for organs that never come.</p>
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		<title>By: Dina</title>
		<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/#comment-100204</link>
		<dc:creator>Dina</dc:creator>
		<pubDate>Fri, 28 Sep 2012 03:11:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8619#comment-100204</guid>
		<description><![CDATA[Conrad Murray was not acting as a doctor in this case. The only thing doctor-like about him was that he had a license and could prescribe. He was doing a &quot;procedure&quot; that no doctor in the country could justify, AND doing it in a setting (MJ&#039;s home) that also could not be justified. He did not keep records/a chart on what he was doing. He did not have privileges for what he was doing anywhere he actually did have privileges. There was nothing about this was was medical tx. This was not malpractice. It was manslaughter.]]></description>
		<content:encoded><![CDATA[<p>Conrad Murray was not acting as a doctor in this case. The only thing doctor-like about him was that he had a license and could prescribe. He was doing a &#8220;procedure&#8221; that no doctor in the country could justify, AND doing it in a setting (MJ&#8217;s home) that also could not be justified. He did not keep records/a chart on what he was doing. He did not have privileges for what he was doing anywhere he actually did have privileges. There was nothing about this was was medical tx. This was not malpractice. It was manslaughter.</p>
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		<title>By: Nurse K</title>
		<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/#comment-100200</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Fri, 28 Sep 2012 02:50:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8619#comment-100200</guid>
		<description><![CDATA[Typo fart...&quot;Hi, not the same as a z-pack for bronchitis because that is not something that a regular person (not even needing to be a doctor/nurse would say “oh, that’s likely to kill the person”) would think would kill a person. PS Maybe little Lindsay got a touch of aspiration pneumonia. &quot;]]></description>
		<content:encoded><![CDATA[<p>Typo fart&#8230;&#8221;Hi, not the same as a z-pack for bronchitis because that is not something that a regular person (not even needing to be a doctor/nurse would say “oh, that’s likely to kill the person”) would think would kill a person. PS Maybe little Lindsay got a touch of aspiration pneumonia. &#8220;</p>
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		<title>By: Nurse K</title>
		<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/#comment-100198</link>
		<dc:creator>Nurse K</dc:creator>
		<pubDate>Fri, 28 Sep 2012 02:44:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8619#comment-100198</guid>
		<description><![CDATA[Whitecoat, you continue to be wrong about criminal liability for people dying from what physicians do.

Conrad Murray was all about Michael taking &quot;8&quot; Ativans and then injected him with propofol for insomnia.  

Strangely enough, the guy died from this combination.  Someone taking 8 Ativans for sleep should be referred to chemical dependency treatment and/or a sleep study or whatever, not knocked out with an anesthetic.  

When&#039;s the last time you have ever given propofol to someone who has just taken an overdose of Ativan to help them sleep?  

That&#039;s a combination of drugs that could certainly be expected to cause death and, in the hospital setting, would require, if justified for some reason, someone with an airway cart monitoring the airway, a cardiac/BP/oxygen monitor, and frequent checks for level of consciousness.  

Hi, not the same as a z-pack for bronchitis because that is not something that a regular person (not even needing to be a doctor/nurse would say &quot;oh, that&#039;s likely to kill the person&quot;).  PS Maybe little Lindsay got a touch of aspiration pneumonia. 

Conrad Murray killed Michael Jackson.  He stayed with him 6 nights/week and could have helped, but chose to give in to his drug addiction instead.]]></description>
		<content:encoded><![CDATA[<p>Whitecoat, you continue to be wrong about criminal liability for people dying from what physicians do.</p>
<p>Conrad Murray was all about Michael taking &#8220;8&#8243; Ativans and then injected him with propofol for insomnia.  </p>
<p>Strangely enough, the guy died from this combination.  Someone taking 8 Ativans for sleep should be referred to chemical dependency treatment and/or a sleep study or whatever, not knocked out with an anesthetic.  </p>
<p>When&#8217;s the last time you have ever given propofol to someone who has just taken an overdose of Ativan to help them sleep?  </p>
<p>That&#8217;s a combination of drugs that could certainly be expected to cause death and, in the hospital setting, would require, if justified for some reason, someone with an airway cart monitoring the airway, a cardiac/BP/oxygen monitor, and frequent checks for level of consciousness.  </p>
<p>Hi, not the same as a z-pack for bronchitis because that is not something that a regular person (not even needing to be a doctor/nurse would say &#8220;oh, that&#8217;s likely to kill the person&#8221;).  PS Maybe little Lindsay got a touch of aspiration pneumonia. </p>
<p>Conrad Murray killed Michael Jackson.  He stayed with him 6 nights/week and could have helped, but chose to give in to his drug addiction instead.</p>
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		<title>By: Tarl</title>
		<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/#comment-100149</link>
		<dc:creator>Tarl</dc:creator>
		<pubDate>Thu, 27 Sep 2012 19:21:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8619#comment-100149</guid>
		<description><![CDATA[The NY Post article read more like sensationalism than reality to me. To many oddly-vague statements (e.g. &quot;signs of life&quot; without any qualifiers indicating how significant). The POV suggested someone who regards harvesting organs as inherently wrong.

Whereas I&#039;m of the opinion that if I&#039;m so badly injured there&#039;s doubt about whether my brain is even alive, I&#039;d rather my organs get used by someone who will appreciate them than trying to resuscitate what&#039;s left of my brain.]]></description>
		<content:encoded><![CDATA[<p>The NY Post article read more like sensationalism than reality to me. To many oddly-vague statements (e.g. &#8220;signs of life&#8221; without any qualifiers indicating how significant). The POV suggested someone who regards harvesting organs as inherently wrong.</p>
<p>Whereas I&#8217;m of the opinion that if I&#8217;m so badly injured there&#8217;s doubt about whether my brain is even alive, I&#8217;d rather my organs get used by someone who will appreciate them than trying to resuscitate what&#8217;s left of my brain.</p>
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		<title>By: Ted</title>
		<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/#comment-100123</link>
		<dc:creator>Ted</dc:creator>
		<pubDate>Thu, 27 Sep 2012 15:16:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8619#comment-100123</guid>
		<description><![CDATA[What&#039;s more likely, that multiple physicians and associated health care providers across several hospitals are engaged in a conspiracy to harvest organs prematurely, or that this one guy has an unrealistic expectation of when to stop end-of-life care?]]></description>
		<content:encoded><![CDATA[<p>What&#8217;s more likely, that multiple physicians and associated health care providers across several hospitals are engaged in a conspiracy to harvest organs prematurely, or that this one guy has an unrealistic expectation of when to stop end-of-life care?</p>
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		<title>By: ThorMD</title>
		<link>http://www.epmonthly.com/whitecoat/2012/09/healthcare-update-09-26-2012/#comment-100042</link>
		<dc:creator>ThorMD</dc:creator>
		<pubDate>Wed, 26 Sep 2012 20:52:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=8619#comment-100042</guid>
		<description><![CDATA[I&#039;m a little creeped out by the organ transplant story.]]></description>
		<content:encoded><![CDATA[<p>I&#8217;m a little creeped out by the organ transplant story.</p>
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