Should the Government or the Patient Decide What is Medically Necessary

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As a tech.

Not as an RN. Am I correct?

There is a very, very distinct difference.

Actually, a med tech can’t pass narcotic pain meds in the military.

Ever managed vented patients in a progressive care unit? I have. Ever managed them in flight? I have.

There’s a difference. I would never downplay the work you’ve done and the service you’ve given, but your experience is not mine, just as mine is not yours.
 
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Ok…I think you’ve had your time being arrogant for the day. I wish you the best and hope you one day prioritize the wishes of your patients and their family since pain management would be the same in both scenarios. Peace!
 
Monica83 said:
Ok…I think you’ve had your time being arrogant for the day. I wish you the best and hope you one day prioritize the wishes of your patients and their family since pain management would be the same in both scenarios. Peace!
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No it’s not the same. You are categorically incorrect. It flat out is not.

That’s not arrogance. It’s the truth, and my guess is you’re aware it is.
 
Well I didn’t pass narcotic pain meds in the military. I passed narcotic pain meds including fentanyl, oxycodone, oxycontin, and roxanol/morphine as a civilian.
 
Are you an RN/LPN? Because you’re not meant to pass narcs unless you’re licensed.
 
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Of what? Pain management not being the same?

Gee, I thought you knew this.
 
Monica83 said:
I’m a Qualified Medication Aide.
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You are a massive help to the RNs who work with you, and I totally mean that.

But you’re not a licensed RN. You hand off the meds; you’re not the one calculating dosages, calling docs for orders, and pushing IV pain meds to unconscious patients and interpreting the output of monitors and vitals and assessing where the patient is. That’s our job.
 
Suffocating via insufficient oxygenation w/ pain management vs ventilation w/ pain management. Tell me how its different? How suffocating is better?
 
Monica83 said:
Suffocating via insufficient oxygenation w/ pain management vs ventilation w/ pain management. Tell me how its different? How suffocating is better?
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Venting: increased risk of infection, interstitial lung damage long term, larnyx and tracheal damage, long-term detriment to respiratory system. Futility of care. Will not sustain life. Does not stop brain damage or multi system organ dysfunction syndrome. Will not and does not prolong life.

Withdrawal of care (don’t be barbaric - be the professional you are, please): end to suffering. No more high dose pain meds, no more pressors maintaining blood pressure and heart rate, no more powerful antibiotics destroying the liver and kidneys from continued VAP (vent assisted pneumonia).

Let me add - and it is done when no other option exists. It is not a moneymaker, patient killer, or bed-emptier. Not. At. All.
 
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Monica83 said:
I wish you the best and hope you one day prioritize the wishes of your patients and their family since pain management would be the same in both scenarios. Peace!
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This was 150% uncalled for. You have absolutely no idea how I carry out my job and no right to comment on it.

I have yet to cast aspersions on how you conduct yourself at work, and I won’t because that’s not my place nor is it my business.
 
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If death is imminent, venting would not change that. However, that should be the parents choice, not a stranger’s. If death is NOT imminent and a patient could survive on a vent like the unresponsive 26 year old with a neurological disorder I saw on the video, then again-POAs choice. Just because it not our life or our choice for our life, doesn’t mean its undignified.
 
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And as has been said ad nauseam across multiple threads on this topic - not one single soul on this side of the pond has access to charts, lab reports, anything of that nature. No one knows the behind the scenes discussions, no one knows anything other than what the media has shared and our own speculations.

The UK is not the US. And courts in this country can indeed step in for this sort of thing, just like there.

You do NOT know what that 26 year old’s diagnosis was, and if you’ve worked in the medical field as long as you say you have (and I have no reason to doubt you) I can’t imagine why you’d generalize a random article on another person to this situation. There must be hundreds of diagnoses out there - hundreds. Not every patient, disease process, diagnosis, or situation is the same.

You cannot take a random YouTube video and say “oh, well it works for him, so Alder Hey was completely wrong” - because again, you don’t know any more than I do when it comes to details.

That’s like saying every ALL (Acute Lymphocytic Leukemia) patient should survive because Sally Sue did and had no problems during chemo, so why did this other person die during treatment? Or every person with breast cancer should recover because Aunt Carol did or look at Peggy Fleming and Dorothy Hamill. Or every man who has lung cancer should live just fine for several years because Uncle Ned did.

You should realize that that is not how medicine works, and it never has been. It’s a horrible fact, but it’s the way it works. I feel pretty sure in hospice you have seen many patients with the exact same diagnosis who lived for varying times with very different stories. That’s the same everywhere.
 
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I do find this thread interesting in light of another thread:
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Why aren't governments and religious organizations taking a stronger stance on Female Genital Mutilation? Moral Theology
This is a horrid practice almost entirely performed by Islamists. Why hasn’t the UN, the USGOVT, the UK, France, Germany and the Catholic Church taken a far stronger stance on this practice? Have we lost our nerve? Are we, in fact, practicing cowardice? What sort of man would allow this to happen to his daughters? Has all of the testosterone been dissipated in porn? Where are men?
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Forgive me, but this is also the argument of the Pro- Choice… patient, not “government”.
 
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The only smear below “you love abortion because you are not in lockstep with me” is “na na na na boo boo”.

Actually, those of us who work to bring respect from all life, from conception to natural death, we DO want the government to step in and tell parents that they do no have the absolute right over their child’s medical procedures, TYVM
 
Yes, so as long as parent choices are within acceptable, reasonable norms the government does not need to step in. We need more work on acceptable norms. But I suppose there will always be the edges where there is no consensus. And perhaps we will then always have controversy.
 
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