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Link Posted: 4/24/2023 5:02:33 PM EDT
[#1]
This, my father passed with complications of sepsis and heart attacks.
Link Posted: 4/24/2023 5:08:36 PM EDT
[#2]
How bad is death?
Link Posted: 4/24/2023 5:12:07 PM EDT
[#3]
It will kill you
Link Posted: 4/24/2023 5:13:54 PM EDT
[#4]
They might get past this but that sounds like a typical patient in their final days.

They will suffer some complication and nothing anyone can do can prevent that, only delay it.

If they remain non compliant with their meds and dietary restrictions,  it will happen sooner rather than later.

They should really consider making themselves DNR so they don't wind up rotting on a ventilator and getting their ribs crunched.
Link Posted: 4/24/2023 5:15:53 PM EDT
[#5]
I would say sepsis is bad, it killed my Fiancée. She did home dialysis, developed it suddenly and was gone in less than a week. So yeah, it's pretty serious.
Link Posted: 4/24/2023 5:17:54 PM EDT
[#6]
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Quoted:


We got a bot up in here.
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Quoted:
Cesarean section increases the risk of postoperative infection, which can then develop into sepsis. The results of many previous studies [8–10] have shown that the occurrence of postoperative sepsis can significantly increase the risk of death in patients.


We got a bot up in here.

I'm a sleeper bot!
Link Posted: 4/24/2023 5:25:41 PM EDT
[#7]
If your friend has children you should talk them into filling out a will
Link Posted: 4/24/2023 5:31:22 PM EDT
[#8]
It’s never good, but it’s not end of life stuff if this person isn’t requiring multiple vasopressors and going into multi-organ failure.

It could lead to that, but it’s not there yet.  People survive sepsis all the time.  Septic shock is the killer.
Link Posted: 4/24/2023 5:32:10 PM EDT
[#9]
Link Posted: 4/24/2023 5:33:02 PM EDT
[#10]
They are getting put in death watehousing, sepsis? No icu for you, you're gonna die.
Link Posted: 4/24/2023 5:34:37 PM EDT
[#11]
I got it in January and somehow survived it's been a long road to recovery
Link Posted: 4/24/2023 5:37:49 PM EDT
[#12]
I knew two people that had it, they only lasted a few days even with hard hitting IV administered antibiotics.  It's uglier than you think it is.
Link Posted: 4/24/2023 5:40:07 PM EDT
[#13]
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Quoted:
Calling dibs counts for nothing, drive over and start taking their shit now
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We have fallen so far as a society.

But what's the address?

Kharn
Link Posted: 4/24/2023 5:47:35 PM EDT
[#14]
I've had two friends that were under 40 that died from it.   One started from a stick jabbed into his leg on the bike trail starting an infection,  they other one was a compound clavicle fracture.   RIP Josh and Sammy.
Link Posted: 4/24/2023 5:48:30 PM EDT
[#15]
Quoted:
This as bad as I think it is ?
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It's bad.  As in it kills a LOT of people.  And once you hit a particular stage in sepsis, no matter what treatment they get, there's at best a 50:50 chance they'll live.  The problem isn't the infection itself, it's that their body is mounting such an outrageously over-active response to the infection.

Also, once it's hit the stage where their cognitive ability is impaired, they will never get back 100% of their cognitive function.  I had a family member that had 4 or 5 bouts with sepsis, each time to the point of delirium.  Each time it took weeks to months to get *most* of their cognitive ability back, but they never got *all* of it back, so they slowly got worse and worse after each bout.

I also used to have a friend whose kids came home and found her in sepsis to the point where she had the purple spots on her body.  Ambulance was called, she went to the ER, but still died.   Sepsis is bad stuff.
Link Posted: 4/24/2023 5:52:36 PM EDT
[#16]
OP… my mom died 3 weeks ago from it.

It’s pretty fucking bad.

Especially for elderly patients who are have compromised immune systems and limited mobility. My wife, an RN, was more concerned with sepsis than the underlying reasons for hospitalization in not only in my mom’s case but her own patients.
Link Posted: 4/24/2023 5:59:15 PM EDT
[#17]
Bad juju. Got a staph infection in the privates, went to DR that specialized in bacteria and stuff. Flat out told me if it got in the bloodstream I would be a goner.

Diabetes is a real bad thing for infections.
Link Posted: 4/24/2023 6:03:01 PM EDT
[#18]
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.
Link Posted: 4/24/2023 6:31:08 PM EDT
[#19]
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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.
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My insurance pulled the same crap last fall.  They would pay for me to stay in the hospital another two weeks and get the IV antibiotics, but not for me to do it at home.

The hospital had a foundation that decided to cover my meds so I could leave.  Home health came and showed me how to do the IVs and checked on me a couple of times.  I got pretty good at it, doing it 3x a day.
Link Posted: 4/24/2023 6:46:19 PM EDT
[#20]
My dad had heart surgery at 81 years old to repair a valve. The surgery went fine, but he developed sepsis and died three days later. And this was a well-respected heart surgery hospital. Yeah, it's serious.
Link Posted: 4/24/2023 6:46:54 PM EDT
[#21]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
They might get past this but that sounds like a typical patient in their final days.

They will suffer some complication and nothing anyone can do can prevent that, only delay it.

If they remain non compliant with their meds and dietary restrictions,  it will happen sooner rather than later.

They should really consider making themselves DNR so they don't wind up rotting on a ventilator and getting their ribs crunched.
View Quote
THIS!!!!  

My friend spent five and a half weeks strapped to a bed, on a ventilator, before he passed.  He told me he had a DNR, which I 100% believe, and he told me it got lost when he transferred from a regional medical center to a major hospital.  I don't know if that was true or if it was the sedation speaking.
Link Posted: 4/24/2023 6:49:37 PM EDT
[#22]
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Quoted:
THIS!!!!  

My friend spent five and a half weeks strapped to a bed, on a ventilator, before he passed.  He told me he had a DNR, which I 100% believe, and he told me it got lost when he transferred from a regional medical center to a major hospital.  I don't know if that was true or if it was the sedation speaking.
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A DNR order only prevents initiation of BLS/ACLS in the event of cardiac arrest.

People that want to avoid languishing on a vent and tube feed need to make sure they have a “Do not intubate” order as well.
Link Posted: 4/24/2023 6:55:08 PM EDT
[#23]
Had an otherwise healthy friend in his early 40s die from it in a very short amount of time.
Link Posted: 4/24/2023 7:09:09 PM EDT
[#24]
The move to a nursing home could very well be because things are really bad...I am not gonna deny that possibility.  

However, it could also be due to insurance.   Let me explain...

In many cases, the treatment for such things involves 6 weeks of wide spectrum IV antibiotics like Vancomycin.  The insurance isn't about to cover someone sitting in a hospital that long.  Which leaves several options... one being the patient is moved to a skilled care facility (ie Nursing home) to have the antibiotics administered. The other is the patient is moved to home health and the antibiotics are administered in the home with a nurse making stops several times a week to support.  In this scenerio, a compounding pharmacy ships the medicine every few days to the home.

Unfortunately, a 6 week regiment of these antibiotics can cost thousands of dollars.  Some insurance companies will not cover the cost of in-home administration, so a patient can either pay out of pocket for them, or remain in a skilled care facility where they are covered.  

Not to get too far into the details, but I know this from extensive personal experience.  I chose to pay out of pocket because I have a job that afforded me the ability to do so without going bankrupt.


 
Link Posted: 4/24/2023 7:09:58 PM EDT
[#25]
Its potenitaly fatal.
Link Posted: 4/24/2023 7:14:18 PM EDT
[#26]
Life/threatening/fatal.

Often requires abx and pressors via central access in a MICU.

Good luck to your friend. 30 is young, but it can happen at any age.
Link Posted: 4/24/2023 7:14:58 PM EDT
[#27]
One of our local sheriffs died from sepsis a few years ago.  Don't underestimate it.  
Link Posted: 4/24/2023 7:15:33 PM EDT
[#28]
It is very bad.
Link Posted: 4/24/2023 7:21:00 PM EDT
[#29]
Take care of your bodies, you only have one. 30 is mind blowing. At 30 I was the top of my physical abilities and littering the hillsides of Kunar with dead muj. Call out enablers to unhealthy behavior, 30 should be an amazing year, not the end.
Link Posted: 4/24/2023 7:39:23 PM EDT
[#30]
Discussion ForumsJump to Quoted PostQuote History
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.
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Look up the resale value of unused oral antibiotics and start the countdown
Link Posted: 4/24/2023 7:41:06 PM EDT
[#31]
Very. I lost my mom too it. The bacteria lodged in her heart valve and ate through pretty much, while her body over reacted to the infection and ended up doing little to stop it...it is very serious.
Link Posted: 4/24/2023 7:59:40 PM EDT
[#32]
Yes - a major reason why people's fairly minor surgeries end up a trip out of the hospital in a bag.
Link Posted: 4/24/2023 8:14:14 PM EDT
[#33]
Link Posted: 4/24/2023 8:15:58 PM EDT
[#34]
Quoted:

This as bad as I think it is ?

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not to be overly grim, but they're probably going to die.
Link Posted: 4/24/2023 8:35:00 PM EDT
[#35]
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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.
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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?
Link Posted: 4/24/2023 8:42:27 PM EDT
[#36]
They are being move into hospices care regards of what they are calling it.
Link Posted: 4/24/2023 8:45:17 PM EDT
[#37]
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Quoted:
Jesus Christ reading this thread has brought on the cold sweats and my hypochondria.
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If you spend any time around older members of the population, you will see it.  

It's a gruesome, but usually fairly quick way to go if it takes hold.
Link Posted: 4/24/2023 8:50:04 PM EDT
[#38]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


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?
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I hear a lot of pain, and experience in your statement DuBri.

I've been there too, buried two parents early (both were 50) because they just didn't give a shit.
Link Posted: 4/24/2023 8:51:18 PM EDT
[#39]
I went septic once and spend a week in the ICU. It's not a joke it will kill you.

I could barely walk into the ER my body hurt so bad and it came on very fast! I was walking like a hunchback and could barely stand it hurt so bad. in 22 years of having Crohn's I've never felt worse. It kicked the shit out of me and I'm lucky to have survived.
Link Posted: 4/24/2023 8:52:25 PM EDT
[#40]
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Quoted:
I never heard of someone that young getting it.
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I got it at 25. Fistula between my bladder and descending colon totally fucked me.
Link Posted: 4/24/2023 8:58:23 PM EDT
[#41]
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Quoted:
it's as bad as you think it is
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...and frequently worse.
Link Posted: 4/24/2023 8:58:42 PM EDT
[#42]
I transported a patient with sepsis to be treated by a specialist, I think it was in Cincinnati. The ride cost around $20k in a King Air 90, I don't know if it was paid by family or insurance but I suspect family. He was unconscious the entire trip.
Link Posted: 4/24/2023 9:00:19 PM EDT
[#43]
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Quoted:



This persons been near death a dozen times in last 18 months.

Little background.  Zero impulse control, ALWAYS has to be " their way", they get an urge, they do it. Eat, smoke, drink, no exercise, ignores serious shit until it's catastrophic. Still ignore it, until symptoms get too bad to ignore. For example.  ( ignored cancer diagnosis until physical pain could not be ignored anymore, only then sought surgery / relief )

Bad dental health at least last 5 years, constant infections, pain, seeks help,  ER orders over night antibiotics. 2 hours in, hospital makes them mad, they stomp out, go home. antibiotics stop pain, totally ignore dental issues until it repeats every 2 months or so. On and on for years.

Then about 13 months ago.

Suddenly can't breath a year ago, thought they were dying. turns out heart functioning at 20%, fluid build up. Of course this persons a gigantic pain in the ass, second they ease breathing, gets pissed over something, stomps out.

Back 2 days later, rinse repeat for months.

Eats bad shit / salty stuff, retains fluid, LASIK's can't keep up, Iv lasiks work, spends a day in hospital each week.

LASIKs screwing up kidney functions. Still eating, smoking, won't take meds.

Think they are dying, back in hospital, get slight relief, angry, stomp out, rinse repeat.

Basic attitude  " I'm dying anyway, might as well enjoy life, eating smoking".

Now year later, still alive, barely, but if had been working on things, probably much improved by now, but no, gotten worse.

Pacemaker installed, gets zapped, keeps it 10 days, leads come loose, remove it, now septic. I think blood related ? Probably combination dental infections, surgery infection maybe.

Just a all round goat fuck of no impulse control, OCD issues, and probably low level mental issues,  at 30 years old.
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This person is dead.  They are just too stupid to realize it yet.  Nothing you can do to help.  NOTHING.
Link Posted: 4/24/2023 9:02:02 PM EDT
[#44]
Link Posted: 4/24/2023 9:32:07 PM EDT
[#45]
Ask Christopher Reeve.
Link Posted: 4/24/2023 9:34:14 PM EDT
[#46]
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Quoted:
How bad is death?
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Depends on who is doing the dying.
Link Posted: 4/24/2023 9:39:26 PM EDT
[#47]
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This was caught early-ish I think. Surgery to remove pacemaker and caught during routine labs.  Person is stable, but going to be in Iv antibiotics for next 2 weeks.

But won’t make any difference unless teeth get pulled to remove problem imho. But like I said, second symptoms go away, person pretends they never existed to begin with, until it returns worse than before.

I won’t be surprised if they pass at anytime to be honest, short of swallowing poison they are doing everything possible to kill themself .
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I’m an expert in nothing, but this sounds like someone who is literally committing suicide the slow way. I hope they find peace.
Link Posted: 4/24/2023 9:51:50 PM EDT
[#48]
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Quoted:
If you spend any time around older members of the population, you will see it.  

It's a gruesome, but usually fairly quick way to go if it takes hold.
View Quote View All Quotes
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Quoted:
Quoted:
Jesus Christ reading this thread has brought on the cold sweats and my hypochondria.
If you spend any time around older members of the population, you will see it.  

It's a gruesome, but usually fairly quick way to go if it takes hold.


And it's not necessarily a BAD way to go.

My mother would go into delirium with sepsis, she'd see us, and be as happy as could be.  And start speaking completely incoherent babbling nonsense.  And couldn't understand a word we said.  But she was happy as could be.
Link Posted: 4/24/2023 10:04:51 PM EDT
[#49]
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Quoted:
Sepsis is bad. If I'm reading right sepsis after 14 days of antibiotic therapy is very bad. It usually means they didn't get source control (i.e. there's a site of infection that needs drained or cut out) or the bug is resistant to the antibiotics they're using.

A 30 year old with 25% ejection fraction and pacemaker lead infection really sounds like endocarditis
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english for us retards
Link Posted: 4/24/2023 10:10:50 PM EDT
[#50]
Saw a docu about sepsis and gunshot wounds.

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