My extensive experience as a patient in hospitals has taught me that doctors there have very broad but thin medical knowledge. Years ago I had an anaphylactic reaction to a drug and was told I needed intubation to help me breathe. I shook my head, negative. Absolutely not.
Spouse was horrified, children urged compliance. I blinked the le…
My extensive experience as a patient in hospitals has taught me that doctors there have very broad but thin medical knowledge. Years ago I had an anaphylactic reaction to a drug and was told I needed intubation to help me breathe. I shook my head, negative. Absolutely not.
Spouse was horrified, children urged compliance. I blinked the letters for “Zyrtec.” Kids ran to CVS and got it. They drizzled the liquid into my mouth and I was breathing in minutes. The attending asked why I was “so uncooperative?” I told him that 25% of people who are intubated never take an unassisted breath again.
He had “no idea” that was the case.
I said “shame on you buddy. What are you doing in an ED??”
They're so quick to use things like intubation, but I would wager a bet that there has never been a clinical trial proving intubation helps ("ethical" reasons) and natural experiments would probably prove it often does not (if any doctor would think to even ask the question).
My extensive experience as a patient in hospitals has taught me that doctors there have very broad but thin medical knowledge. Years ago I had an anaphylactic reaction to a drug and was told I needed intubation to help me breathe. I shook my head, negative. Absolutely not.
Spouse was horrified, children urged compliance. I blinked the letters for “Zyrtec.” Kids ran to CVS and got it. They drizzled the liquid into my mouth and I was breathing in minutes. The attending asked why I was “so uncooperative?” I told him that 25% of people who are intubated never take an unassisted breath again.
He had “no idea” that was the case.
I said “shame on you buddy. What are you doing in an ED??”
This was at Medstar GEORGETOWN in DC.
They're so quick to use things like intubation, but I would wager a bet that there has never been a clinical trial proving intubation helps ("ethical" reasons) and natural experiments would probably prove it often does not (if any doctor would think to even ask the question).
Basically the same for CPR. Essentially impossible to prove it improves outcomes.
For those who want to know more.
https://litfl.com/ventilator-associated-lung-injury/