Author Topic: Medical Malpractice?  (Read 1790 times)

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Offline Lestat

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Re: Medical Malpractice?
« Reply #30 on: December 27, 2018, 03:42:12 PM »
Probably not likely to be a problem with weed.

And its 'propofol' not 'protocol' :P  (also known colloquially to anaesthetists as 'milk of amnesia', a humorous pun on milk of magnesia, the antacid. I find it odd that they say no antiinflammatory drugs 36 hours before, but ibuprofen listed specifically 24 hours before...surely if diclofenac (voltarol and similar brands), indomethacin (indocid is likely this, going from the name), all non-steroidal antiinflammatories, do the same thing, odd they single one out particularly for a different time.)

I've had propofol used on me to put me under after I asked them specifically not to use any of the short-duration barbiturates (thiopental, etc. [aka sodium pentothal, stuff they sometimes call 'truth serum'] due to it's rather odd receptor binding kinetics, with an unusual 'trapping' effect on AMPA type glutamate receptors. Got me a few rather odd looks, but no problem, and propofol was used instead. Stuff works damn fast, thats for sure, though)

Although fucking christ, kicking someone out of a hospital bed a mere 30 minutes after any operation...fuck me. That's major-league screwed up.

But the way they'd literally leave people to die just because their insurance wouldn't pay out....and good people too, an autie (Rett's) activist lass who I love very much, they left her to go without her ESSENTIAL seizure meds, AFAIK steroids too, and that could have easily killed her. Would have broke my heart if that had happened, hell, it did just to hear that she got shafted by her boss like that (obligated to pay insurance on her behalf, fucked her over because he was a complete and utter prick.) Unfortunately too far from me for me to get there and....convince him with a firm, but fair arrangement....

Something like 'you start paying her insurance again, along with the backlog owed her, and I won't ram a rusty screwdriver up into your brainstem and out through your eyesockets; oh, and you're going to compensate her too. Because I've no problem going after your family too if I have to'

Firm, but fair. Pay up, and nothing bad happens to him and his family don't get their house torched while they sleep. I'd call that fair. Ball is entirely in his court there.

For the constipation thing, just use something like movicol or laxido (same medicament, just one of them has a lime flavour option, barely any flavour in either of them but one tastes better than the other), basically a softening, bulk-forming type laxative that doesn't force the shits, or anything like that, just makes sure they don't become hardened and difficult to drop one. Based on a non-digestible polymer, which the body doesn't become habituated to. SMALL amounts of a stimulant laxative, could be of use too, like senna, on a temporary basis, but I'd keep the doses small.
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Offline Jesse

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Re: Medical Malpractice?
« Reply #31 on: December 27, 2018, 04:54:34 PM »
It's a good thing we have a resident chemist, doctor uhhh well encyclopedia on drugs here,  :laugh:
Thanks Lestat I wasn't gonna take anything on that list.. I will also probably have to discontinue my Blood pressure medication, (Lisinopril) too. I'm sure of it just haven't talked to the nurse yet, her call will be sometime mid month next month. I guess that's why they call it medical practice or practicing medicine? I don't think these people know what they are doing.

Propofol, right. Well I was close, hah. One thing I will agree with you is wow is it fast acting. I mean less than 5 seconds I was unconscious, I actually wouldn't mind that feeling in a pill form it was wild :laugh:

I could get  hooked. It seems like it almost wipes away your memory, problems and almost who you are.  :popcorn: :santa:

Thanks for the advice Les. Give yourself credit, you know a lot about drugs, Chemicals and interactions and such, so cool I think.

And yeah it does suck being kicked out after a surgery like that, I would have preferred to stay at least overnight but welcome to healthcare in the good ol US of A. Where Insurance companies tell you what you're gonna do


Here is a pic of my hernia repair, if the file isn't too big. From Facebook.
« Last Edit: December 27, 2018, 04:57:40 PM by Jesse »
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Offline Queen Victoria

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Re: Medical Malpractice?
« Reply #32 on: December 27, 2018, 05:20:30 PM »
FWIW I think conventional medical practice is to chemically shrink a tumour before removal.  I would want any tumour out ASAP.  Hit me with the drugs later.
Right? The doctor was all, well we can leave it in and watch it. I'm all how about "no" lol

I want it out. It's already a tumor. It's already diseased. I don't want harmful radiation and chemicals to get rid of it just take it the fuck out,  :laugh:

You may need some radiation treament afterwards.  But my g'friends daughter only had to have one treatment, which is pretty standard for thyroid cancer.
« Last Edit: December 27, 2018, 05:24:26 PM by Queen Victoria »
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Offline rock hound

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Re: Medical Malpractice?
« Reply #33 on: December 27, 2018, 05:49:29 PM »
I had arthroscopic or micro surgery for mine.  3  tiny incisions, one for the camera, one for the robot arm and one for the mesh to be placed in thru.  Faster healing, then conventional hernia surgery incisions.  They even took pictures which they gave me after.  Pretty cool to see the insides of my abdominal cavity.   8)
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Offline Jesse

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Re: Medical Malpractice?
« Reply #34 on: December 27, 2018, 06:01:31 PM »
Coolness. I had to have an open repair because the doctor wanted to see just how long the tear was, vs how much mesh to put in. Mine was super long he said, kinda bad but he put in the mesh sewed it in I believe, and now we wait.  :laugh:

Good news is I went and did my business just literally 5 minutes ago, so I am happy. Nothing feels better in this world than taking a shit. And I mean nothing!  :laugh: :laugh:

Minimum pain doing so, Happy happy happy.  :2thumbsup:

I wanted to get the robot to do mine but the surgeon had other plans, and it's all good. Will take more time to heal but that's awesome you got to see your insides how radical.

Queen, you maybe right. I'll just have to wait and see whatever the Endocrinologist wants is what I will do, just want this tumor out
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Offline Lestat

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Re: Medical Malpractice?
« Reply #35 on: December 27, 2018, 08:01:39 PM »
And if you end up not using the whassits, we don't use that one at all here, it isn't available in this country, so if you get all healed up and they are still there, PM me.

As for pill form, I very much doubt propofol would be compatible with oral use, it is so short acting, it's just not a drug that could be worked into a tablet form, it'd be absorbed slower, and chances are, either all, or almost all gone by the time it'd be absorbed. As for getting used to it, would be a bad idea, a physical dependency on the stuff would be a DISASTER, GABAa agonists have hellish withdrawals, benzos, barbiturates, etc. People say even a moderate benzo WD is worse than severe H withdrawal. And I believe that, they say given the choice, they'd take opiate WD any day, if they had to go through one or the other.

And the ultrashort duration of propofol would necessitate continual IV infusion, similar to say, remifentanil (a fentanyl derivative with an ester linkage critical to activity, lasts literally minutes, if an IV bolus dose were given, so it's used only in surgery, since the moment the IV is discontinued, it continues to act for perhaps 2-3 minutes, 5 minutes at the most extreme optimistic end. )

And anaesthetists who abuse the stuff/use it recreationally, there is an ultra-fine line between them getting off, and a lethal OD; propofol use recreationally by anaesthetists who decide to have some fun with it very often have ended up dead.

Surprisingly simple structure though, it's just 2,6-diisopropylphenol. Has to be used in an injectable emulsion formation, in intralipid, which causes allergic reactions in some people, not the propofol, but the intralipid delivery vehicle. A newer derivative, fospropofol, a phosphate ester of propofol which is hydrolyzed in-vivo rapidly, allows it to be used in aqueous solution is now available and avoids reactions to intralipid.

Quite astonishingly, propofol itself (under the name '2,6-diisopropylphenol') can often be bought on ebay in half kilo to 1kg lots! Not, mind you that I'll ever actually buy any, unless I need some to create something else in the lab using it as a starting block to build from, but damn.....if ebay actually KNEW what it was, they'd have a shitfit. Not that anyone need contact them, I doubt most people would know it for being propofol, and those who do know their pharmacological chemistry well enough to realize, realize how damn dangerous trying to use it/make fospropofol with it and use that would be and wouldn't do it for that very reason.

Can't say the same for some of those volatile anaesthetics though, at sub-knockout concentrations, though, I've always really enjoyed diethyl ether, either inhaled or used to make some rather unique cocktails of my own invention (like the manhattan project. A variant on the jagerbomb theme, needs a couple of special ingredients, rather hard to find these days here, care+ brand codeine cough linctus, it used to be preserved/flavoured with chloroform, although of recent years its been taken out, so 3-4 drops of CHCl3 need to be added, and it HAS to be care+ brand, no other will do, with a few drops of chloroform added back in, to recreate the original flavour, this is layered thickly in a tall glass, then tesco own brand lime fizzy pop, the cheap stuff from tesco, again, got to be JUST that specific kind, this is mixed to taste with the right amount of vodka, and after putting the back of a spoon at the top of the thick cough mixture, the lime pop/vodka blend (and make it a GOOD vodka, and it should be nicely chilled, fresh from the fridge) before layering it, using the back of the spoon to make sure it stays as two distinct layers, the sugary syrup being far denser helps in this, but it has to be done with care to stop them mixing) and at the top, a mixture of sugared lime juice, fresh-squeezed, a little bit of vodka to help solubilize the ether, in a small, lightweight shot glass, and a teaspoon and a half or so of diethyl ether mixed in, some lime zest grated over the top, and then, two slices of lime, freshly cut, with a knife cut made into each to allow them to be fixed at the top of the glass, and one of lemon with two cuts made in it, then the cuts used to create a lock-gate kind of structure,  around the shot glass full of the ether/sugared lime juice/lime zest floated on the top of it) that keeps it in place.

One shots that down, and then drinks down the rest. The nice cold middle part has a nice kick to it, and then the thick, sugary codeine linctus, flavoured with a few drops of chloroform as it ought always to have been in and of itself, damn changing the fucking recipe, it coats the throat, tastes great, AND gives one a nice codeine buzz at the end, after a little while, the alcohol wears off, leaving one with a nice ether high (where alcohol is very sedative, with a little bit of dissociative effects, with diethyl ether, the two are reversed; plus EtOEt, unlike EtOH, doesn't give one a foul hangover. Has a fair history of being consumed by mouth, the irish did it, as did the polish during alcohol prohibitions, the americans might have, not sure on that, often as a 'kropka' (polish, meaning 'dot'), a little bit, floated on ice cold milk, and was very popular, especially in poland, where it became so common, ether drinking, that apparently almost all school kids would arrive stinking of ether, and fucked out of their faces, LMAO. Apparently it became so problematic in terms of schoolkids drinking it, and adults drinking it, that it was banned, and smuggled over the border, strapped to people's chests, along with all manner of other tricks to hide it from customs inspectors.)

So  I invented that cocktail, the manhattan project using it as inspiration, has a REAL hefty kick to it, and then a delayed second kick when the codeine takes effect. Nicely relaxing. The   name being a portmanteau of the manhattan cocktail and manhattan project US nuclear program :autism:

Not that I'd drink them, but I find those fluorinated ether volatile anaesthetics they use for inhalational anaesthesia rather pleasant, sevoflurane for example. Smells/tastes great too when going under.
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Offline Phoenix

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Re: Medical Malpractice?
« Reply #36 on: January 01, 2019, 11:43:30 AM »
The nurse practitioner had no business telling you those results, unless she works in this area specifically day in and day out and reads the biopsy results of these kinds of surgeries on the regular. Sounds like you're far better off with the ENT specialist.
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Offline Lestat

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Re: Medical Malpractice?
« Reply #37 on: January 01, 2019, 12:35:15 PM »
It was a nurse practitioner, not a doctor?

This is sounding more and more like you need to sue the shit out of the bugger.
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Offline Jesse

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Re: Medical Malpractice?
« Reply #38 on: January 02, 2019, 02:55:09 PM »
It was indeed a nurse practitioner. I'm going to give it until my surgery if my Tumor is Cancerous I'm going to drop her and get an actual doctor. I've got about less than a month until my surgery. They will biopsy the Tumor right there in the OR and go from there, I'm definitely getting a partial thyriodectomy on the right side. This damn Tumor is getting bigger, feels bigger than golf ball size now


I'm really freaked out about the drainage tube they put in because they have to remove it usually 2 to 5 days later. I can't tell you how ungodly painful that is going to be removed. And they do nothing for you, except pull it the fuck out. No pain meds, Lidocaine shot to numb the area nothing. I am not looking forward to it because it's going to be pure hell
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Offline Phoenix

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Re: Medical Malpractice?
« Reply #39 on: January 02, 2019, 03:25:38 PM »
It was indeed a nurse practitioner. I'm going to give it until my surgery if my Tumor is Cancerous I'm going to drop her and get an actual doctor. I've got about less than a month until my surgery. They will biopsy the Tumor right there in the OR and go from there, I'm definitely getting a partial thyriodectomy on the right side. This damn Tumor is getting bigger, feels bigger than golf ball size now


I'm really freaked out about the drainage tube they put in because they have to remove it usually 2 to 5 days later. I can't tell you how ungodly painful that is going to be removed. And they do nothing for you, except pull it the fuck out. No pain meds, Lidocaine shot to numb the area nothing. I am not looking forward to it because it's going to be pure hell

Can you ask for a Xanax or something of the like? Fight for it. I've had that done and it's brutal. Even before the surgery, fight for that and if you have someone you trust that you can bring with you to advocate on your behalf, do it.
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Offline Jesse

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Re: Medical Malpractice?
« Reply #40 on: January 02, 2019, 04:31:21 PM »
I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that
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Offline rock hound

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Re: Medical Malpractice?
« Reply #41 on: January 02, 2019, 04:48:01 PM »
I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that

Please do not do that, they will cancel the surgery....get drunk after..not before...PLEASE!
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Offline Lestat

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Re: Medical Malpractice?
« Reply #42 on: January 02, 2019, 04:49:43 PM »
Is it going to be done under a local or a general? if the latter, DON'T go in drunk!

And do make sure you actually get pain meds mate, you'll need them for something like that, and definitely analgesia during the actual procedure itself.

There are ways around the opioid related constipation that aren't as unhealthy as people relying on stimulant/irritant type laxatives. And I'm happy to give all I know in that respect.
« Last Edit: January 02, 2019, 04:53:43 PM by Lestat »
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Offline Jesse

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Re: Medical Malpractice?
« Reply #43 on: January 02, 2019, 04:50:42 PM »
I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that

Please do not do that, they will cancel the surgery....get drunk after..not before...PLEASE!
for the drainage tube removal? What if I chew gum and hardly speak, immiting alcohol breath :laugh:

I'm not going drunk for the Thyriod removal. That would be bad, as alcohol and general anesthesia don't mix,  :trollskull:
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Offline Jesse

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Re: Medical Malpractice?
« Reply #44 on: January 02, 2019, 04:52:41 PM »
Is it going to be done under a local or a general? if the latter, DON'T go in drunk!

And do make sure you actually get pain meds mate, you'll need them for something like that, and definitely analgesia during the actual procedure itself.
the later. I'm not going drunk for the surgery just thinking about it for the Drainage tube removal after surgery.. They do it awake, urgh.


I'm definitely getting their finest examples of pain meds for the thyriodectomy.  :2thumbsup:
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