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Posted: 4/24/2023 10:18:00 PM EDT
[#1]
My grandmother got sepsis after a knee surgery. Started talking French all of a sudden and acting loopy. She recovered but was in pretty bad shape for a while.
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Posted: 4/24/2023 10:23:05 PM EDT
[#2]
Quote HistoryQuoted: it's as bad as you think it is |
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Posted: 4/24/2023 10:28:48 PM EDT
[#3]
Quote HistoryQuoted: I never heard of someone that young getting it. Modern medicine let’s people destroy themselves and we keep them alive, until we don’t. |
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Posted: 4/24/2023 10:30:30 PM EDT
[#4]
Buddy of mine had it due to some complications that spiraled out of control. He was 35 at the time.
He ended up on an ECMO machine and some other contraptions. He wasn’t expected to survive so family stayed close. Thankfully he ended up pulling through by some miracle but there are long term cognitive effects. |
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Posted: 4/24/2023 10:31:11 PM EDT
[#5]
Sepsis and infection is probably one of the top killers in hospitalized patients.
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Posted: 4/24/2023 10:31:52 PM EDT
[#6]
Quote HistoryQuoted: latest word, insurance wont pay for remaining 12 days of iv antibiotic therapy at hospital, talking about sending them home with 12 days of oral antibiotics. obviously thats much less effective, decent chance of bad outcome on iv antibiotics, much less chance of surviving on oral antibiotics, their family members making a fuss at hospital, so see what happens. See if they can do a pic line and IV at home. |
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Posted: 4/24/2023 11:42:41 PM EDT
[#7]
Quote HistoryQuoted: ICU doctors will literally follow the standards of care whether it’s a hobo found in a ditch or your rich uncle. Specialists might decline certain interventions based on statistical likelihood of success and insurance considerations(if you don't take care of your transplant they probably won’t give you a second) This isn’t a guy with bad luck after a surgery or unexpected trauma. Advocate all you want the patient(per op) doesn’t give a shit about their own health and with that list of chronic health issues their life expectancy is short even if they survived this and then followed all the doctors orders, which we all know they won’t. 25% EF and they just had their pacer(presumably an ICD) removed? There’s literally no good outcome here unless he gets a heart transplant, which it sounds like he’s not a candidate for anyway. Patients families going nuts with the ‘advocacy’ for patients like this is always frustrating. Where were they with the advocacy when the patient was busy killing themselves and not taking their meds? Quote HistoryQuoted: Quoted: The family members might make the difference in this fellow's survival. Doctors are driven by insurance and will do the bare minimum. If the family keeps themselves informed and presses the docs, the level of care can increase dramatically. I know this: a lone patient in ICU without an advocate, who does not improve, will be shunted to progressively lower levels of care and will likely die. A patient with a strong family support structure is more likely to survive. ICU doctors will literally follow the standards of care whether it’s a hobo found in a ditch or your rich uncle. Specialists might decline certain interventions based on statistical likelihood of success and insurance considerations(if you don't take care of your transplant they probably won’t give you a second) This isn’t a guy with bad luck after a surgery or unexpected trauma. Advocate all you want the patient(per op) doesn’t give a shit about their own health and with that list of chronic health issues their life expectancy is short even if they survived this and then followed all the doctors orders, which we all know they won’t. 25% EF and they just had their pacer(presumably an ICD) removed? There’s literally no good outcome here unless he gets a heart transplant, which it sounds like he’s not a candidate for anyway. Patients families going nuts with the ‘advocacy’ for patients like this is always frustrating. Where were they with the advocacy when the patient was busy killing themselves and not taking their meds? I watched a family member receive spectacular care in ICU. Then as soon as he was deemed healthy enough he was moved to a regular room where he was largely ignored, including falling one night when he tried getting up to go to the bathroom. He was discharged a few days later to a nursing home where the standard of care was nearly nonexistent. Family members care for him at home to this day. So get on your high horse and fuck right off with your indignant bullshit. I'm sure you and your colleagues are saints and every patient is treated above and beyond what the insurance companies will pay for. But that is far from the typical standard of care. |
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Posted: 4/25/2023 1:41:24 AM EDT
[#8]
My speech on sepsis is the following:
“The government in their infinite wisdom has created a system of check boxes and if you check enough boxes the government thinks you might be septic. So if you have a fever and your heart is beating over 90 times a minute because you have a fever and you have a source of infection that is enough to meet criteria. Back in the day that used to mean you were really sick and might be in my ICU on medications to maintain your blood pressure but now it means you checked enough boxes. What does that mean to you? It means we are going to treat you more aggressively and do some frequent testing to make sure you are responding appropriately.” Now there is still real sepsis and people who are really sick but we over identify it in many people Now blood cultures being positive, meaning you are growing bacteria in your blood is something else and called bacteremia. With it you may or may not actually be septic. |
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Posted: 4/25/2023 2:03:08 AM EDT
[#9]
For the most part, sepsis means you are going to die. Maybe not, but probably.
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Posted: 4/25/2023 2:54:05 AM EDT
[#10]
I got septic when I was 31. Strep throat that got into my sinus then spread. Was in the hospital for 3 weeks and 2 of those were my death bed. Highly recommended not going through it.
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Posted: 4/25/2023 4:10:30 AM EDT
[#11]
My father died from it.
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Posted: 4/25/2023 4:46:58 AM EDT
[#12]
I went into septic shock last spring after developing severe pneumonia after being intubated for a heart attack. About all I can tell you about it is they kept me dosed up with IV mega-antibiotics for two weeks, and I made it. A lot of folks aren't as lucky.
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Posted: 4/25/2023 12:02:05 PM EDT
[#13]
Quote HistoryQuoted: I got septic when I was 31. Strep throat that got into my sinus then spread. Was in the hospital for 3 weeks and 2 of those were my death bed. Highly recommended not going through it. Strep pyogenes is very very bad when it's not in your throat. We called all group A streps as a critical result regardless of where it was at. It is never part of the normal flora. |
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Posted: 4/25/2023 2:23:28 PM EDT
[#14]
Quote HistoryQuoted: See if they can do a pic line and IV at home. Quote HistoryQuoted: Quoted: latest word, insurance wont pay for remaining 12 days of iv antibiotic therapy at hospital, talking about sending them home with 12 days of oral antibiotics. obviously thats much less effective, decent chance of bad outcome on iv antibiotics, much less chance of surviving on oral antibiotics, their family members making a fuss at hospital, so see what happens. See if they can do a pic line and IV at home. Infectious disease dude put a hold on things, keeping them at hospital while they try to find source of the infection. |
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Posted: 4/25/2023 11:49:25 PM EDT
[#15]
Here's a local news article about a man who had been in mostly healthy condition until sepsis did what it does, to him:
https://www.wyff4.com/article/south-carolina-man-foot-wound-sepsis-infection/43700285 |
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