mokutou

mokutou t1_jd7ks1d wrote

I couldn’t remember Battle Strawberry so I went and watched it. It brought back the desire to do creative cooking again, something I haven’t felt in ages after the last decade of being the primary cook with a picky partner. It burnt me out on cooking, but now I want to get back in the kitchen. Iron Chef was largely responsible for my initial draw to cooking. It feels like unexpectedly encountering an old friend
feels good. â˜ș

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mokutou t1_jc8kez5 wrote

Yes. I worked in nursing on a critical care unit, and provided care for numerous end-of-life patients. While most families respect the wishes of their dying kin, not all of them do. Two cases stick out in my mind.

One was a woman with widely metastasized cancer who was in unbearable pain, and wanted desperately to be made comfortable and allowed to pass peacefully. Her grown daughter argued with her, then once her mom was asleep from the morphine, she rescinded her mom’s DNR and stop all (yes, all) of her pain medications because she said we forced them on her to make her agree to Comfort Measures Only (our order set for continuously titrated morphine, among other steps, to make patients comfortable and allow them to naturally pass away.) As she was her next of kin, that is very much legal for her to do once her mom was incapacitated. She said it was only God’s decision as to when her mother died. Fortunately her mom prevailed and she passed on her terms, without pain.

The second was a very old woman who literally had half of one lung left after cancer took the rest. She was in horrible pain, unable to come off the vent, was in kidney failure after prolonged mechanical ventilation, and plagued by pressure sores that developed rapidly on her super fragile skin. She wanted to die, and asked to stop all interventions, but her daughter sued to prevent us from enacting CMO (even though her mom requested it.) An injunction prevented us from giving her any narcotics until Ethics and Legal got things handled. Meanwhile, her mom straight up suffered. It really fucks with your head when you are the caregiver in that situation.

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mokutou t1_j6or9u9 wrote

It’s good to be realistic with your own limitations. Being a caregiver for a loved one is hard, even when the more difficult aspects of it wouldn’t bother you in a less personal setting. It wouldn’t serve you or your family if you had to bear the weight of caregiving when it is immensely psychologically taxing, in addition to the emotional aspect of preparing for loss of a loved one. You’d be surprised what you can handle when you’re in such a situation, I will say, but it shouldn’t be expected of you. Good on you for recognizing that your best support would come in other forms.

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mokutou t1_j6opwa5 wrote

Same, only I was in healthcare. I worked at a hospital at the bedside as a nursing assistant. Every year, same continuing education modules. SDS, fire safety, electrical safety, weather preparedness, HIPAA compliance, and avoiding phishing/ransomware scams on the company network. Each one drilled into our heads with quizzes that required 100% correct answers to pass. Our continued employment was directly tied to the completion of these and other medically-relevant modules, yearly. For every single employee, down to the front desk people. Even the volunteers were required to do them.

But then again, when I worked at a nursing home as a CNA, I never had any sort of onboarding like that, and they didn’t even see the need in getting me certified in CPR and Basic Life Support, so I suppose the bar is raised a bit high here. ¯\_(ツ)_/¯

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mokutou t1_j6omr2x wrote

I agree for the most part, but I also want to say that not every family can handle that. Some people need more attention and skilled medical care than a family or even a home health nurse can provide. Some families cannot shoulder the emotional costs of bringing a beloved family member home to die in their care, or do not have the means, particularly low-income families. I’ve been party to some very respectful, peaceful passings in both a skilled nursing facility and a hospital. The availability of hospice facilities and in-hospital end of life care is not necessarily doomed to be an emotionally antiseptic experience.

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mokutou t1_j1f2bud wrote

There is something strange (to say the least) about a woman who randomly opts to jack a vehicle, act weirdly in gas stations while asking for money, then wind up in another state in a crack den. She is likely mentally ill with deep substance abuse issues. Trying to assign reason to her actions is probably going to be disappointing.

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mokutou t1_j0jguqy wrote

The hospital system I worked for set it in policy that workers comp could not be invoked for a serious COVID infection in an employee because they said it was extremely unlikely that employees would pick it up from work if they followed proper transmission-based protocols.

This was when we were using the same N95 masks until they literally fell apart.

We technically got unlimited sick days if it was COVID or suspected COVID, but it wasn’t paid unless we used our vacation time.

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mokutou t1_j0jfw7k wrote

I mean, we do it here too. By the end of 2020, my former facility put out a policy which stated that staff that came up positive but either asymptomatic or had mild symptoms without fever could come back immediately and staff the COVID unit for their required ten days of “quarantine.” So this is far from a new concept.

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