Why I am tired

Got to work, got my room assignment. took report, and all three of my patients seemed easy. After an hour of just sitting there, watching patients who were not really any trouble, I started thinking that I was going to have an easy shift for a change.

I was wrong.

I discharged a patient and wheeled her to the front door. When I returned to my little slice of the ED, there was an EMS crew waiting there for me with a patient. They told me he was normally on oxygen at home, and was coming in because it was taking more effort than usual to breathe. They hadn’t bothered to try for an IV, because they didn’t think it was needed. On 6 liters, his SpO2 was 88%. It got worse from there. So I called a respiratory alert. The respiratory therapist was busy, so never came. The doctor decided that the man was septic and ordered antibiotics. I gave them and went next door to the next patient.

I heard yelling and went back to see what the problem was. The patient was having an anaphylactic reaction to the antibiotics. Yep, turns out that he had an allergy that he didn’t know about. I had to do an emergency override for Epinephrine, steroids, and Benadryl. That was when the patient next door decided to desaturate. Then I had another EMS truck come in with a cardiac emergency. In the middle of that, the charge nurse came in and told me that I was getting a fourth patient.

All while the joint commission was there.

Fourteen straight hours of that. So that’s why I didn’t want to post yesterday.

What’s More Dangerous Than Guns?

Firearms are the mechanism of injury in about 61,000 emergency room visits per year. There are many items in your home that are more dangerous.

  1. Floors: 2.135 million hospital visits
  2. Stairs or steps: 1.027 million hospital visits
  3. Beds or bed frames: 912,000 hospital visits
  4. Bathtubs or showers: 431,000 hospital visits
  5. Tables: 327,000 hospital visits
  6. Chairs: 319,000 hospital visits
  7. Interior ceilings and walls: 293,000 hospital visits
  8. Sofas, couches, davenports, divans, or studio couches: 211,000 hospital visits
  9. Rugs or carpets: 206,000 hospital visits
  10. Toilets: 204,000 hospital visits

Assuming that you don’t want to commit suicide and also assuming that you aren’t a criminal, you are far more likely to be injured in a fall than you are by a firearm. Anecdotally, my hospital only sees about 1 patient a month with injuries from gunshot wounds. Just yesterday, I saw three patients with broken bones from falling in their home.

No Plans

I worked last night and it was quite a busy night. For those of you who are in health care, you will understand- the Joint Commission was in the hospital yesterday, which means that the administrators were everywhere, getting the vapors and micromanaging everything. On top of it, we had an unusually busy night.

So the tank is a bit depleted right now.

Saving Democracy

The left has a plan for saving Democracy- install Biden as dictator for life. Want some entertainment? Click on that link and read the replies.

We apparently have slipped into an alternate timeline, where Heinlein’s “Crazy Years” are happening.

Yet Another Bad Apple

5 days for committing felony battery, and for threatening to arrest the guy under false pretenses? His job is to prevent crime, not commit it. How can you completely violate the purpose of your job and still keep it? Become a cop, then you are above the law. You can even read the arrest reports here. This douchebag cop even tried to find a way to have the guy he punched arrested.

Even better? He is a school resource officer. This unhinged asshole is carrying a firearm around your kids. What happens the next time he loses his cool after a 15 year old kid calls him an asshole?

If I did something like this at work, I would lose my fucking job, and rightfully so. I used to be a HUGE supporter of police. No longer. They, as near as I can tell, are little more than an armed criminal gang with delusions of adequacy. Bolstered in their bravado and tyranny is the fact that cops have qualified immunity and the “thin blue line” bullshit to do whatever they wish and walk away without a concern for legal consequences.

IMO, as soon as he flashed a badge, he was depriving the victim of his rights under color of authority. There should be a law that states any time a city loses a lawsuit or pays a settlement for a cop’s bad behavior, the money to pay it should be deducted from the police pension fund. Then perhaps, with skin in the game, cops will finally clean up their own ranks, instead of covering each other’s asses.

If cops want to change my mind, and the minds of others, they need to clean up their ranks.

Oregon: “Minorities too stupid to learn”

The state of Oregon says that proving proficiency in reading, writing, or math is no longer required to receive a high school diploma, has required it since 2020, and won’t require it at least through 2029. This makes an Oregon High School diploma completely worthless.

A little over a year ago, I put up a post on what the terms ‘licensure’ and ‘certification’ mean.

Certification is where an entity certifies that a person meets certain standards. The entity issuing the certification can be a private business or a government. The value of the certification lies with the reputation of the entity that issues it.

A diploma is a piece of paper that certifies the person named thereon has met the requirements put in place to receive that certification. It is, in this case, a statement from an Oregon school that the high school graduate has met all of the requirements that the state says need to be met in order to receive the diploma. That way a prospective employer can see that you have graduated from high school, knowing that the person named on that diploma has certain abilities and skills.

In Oregon’s case, just what are those requirements?

Higher rates of students of color, students learning English as a second language and students with disabilities ended up having to take intensive senior-year writing and math classes to prove they deserved a diploma. That denied those students the opportunity to take an elective, despite the lack of evidence the extra academic work helped them in the workplace or at college, they said.

Where is the evidence that a high school diploma helps a graduate in the workplace or college?

Board members underscored that state-mandated standardized tests will still be administered to most Oregon high school students – they just won’t be used to determine whether a student has the skills necessary to graduate.

I know high school students. Make them take an exam that doesn’t count as a grade and isn’t required for graduation, and they will not take it seriously, rushing through it so they can get back to interacting with social media on their cell phones.

Oregon lawmakers, however, have mandated that families be told each year that they can opt their student out of taking state tests – and one third of high school juniors didn’t take the tests last spring, meaning they and their families don’t necessarily know how they measure up against statewide academic standards.

Oh, wait. They don’t even have to take them. That’s how you hide your policy failures- simply stop measuring them. So why are they doing this?

Opponents argued that pausing the requirement devalues an Oregon diploma. Giving students with low academic skills extra instruction in writing and math, which most high schools did in response to the graduation rules, helped them, they have argued.

But leaders at the Oregon Department of Education and members of the state school board said requiring all students to pass one of several standardized tests or create an in-depth assignment their teacher judged as meeting state standards was a harmful hurdle for historically marginalized students, a misuse of state tests and did not translate to meaningful improvements in students’ post high school success.

So they are saying that black and Hispanic students are too stupid to learn reading, writing, and math, but then turn around and claim that those who demand that they learn these things are the racists.

But It’s the Guns

A 21 year old meets with some “people known to him” for a meeting “involving firearms” and gets himself shot after an “altercation” develops. Let me put this into my media translator to see if I can decode this article:

A gang member met up with some fellow criminals in an attempt to buy a gun. The criminals tried to rob him, and he was shot in the process.

What do you know- I was wrong. The man who was shot is a convicted felon who was trying to get his firearm back from the 17 year old that he had “loaned” it to. He spent 18 months in prison for shooting someone in 2020, and as soon as he got out, he went right back to being a criminal piece of shit.

Court records show that since his release from prison in October 2022, Couso has been arrested multiple times for battery, battery domestic violence, battery causing bodily harm, failure to appear in court for a felony offense, and possession of marijuana.

Still, let’s demand more gun laws. That will fix things.