healthcare, social media, viral

“A time to be born… a time to die…”

It’s Monday again, and I’m sitting here pondering a discussion I got into yesterday after a nursing friend shared a viral meme about cardiopulmonary resuscitation (CPR). Right now, people are talking about CPR. Professional football player, Damar Hamlin, collapsed on the field and received CPR, which saved his life. I don’t watch football, so even if I had been in the United States when it happened, I probably would not have seen it happen live. But a number of people on my friends list saw it.

CPR saved Damar Hamlin’s life. There’s no doubt about it.

Damar Hamlin is reportedly now doing much better. He will have to recover from this incident, but as a young athlete, he’ll probably be fine. However, as one nurse pointed out, CPR doesn’t always end well for every patient. She made a meme, and it went viral.

A fair point.

I saw this meme because one of my nursing friends shared it. It made me remember a blog post I wrote in 2013. Back then, it was in the news that an 87 year old woman, who lived at an independent living facility in Bakersfield, California, had collapsed. No one rendered CPR to her. Instead, a supposed nurse at the facility called 911. The nurse explained to the 911 dispatcher that it was against the facility’s policy for employees to perform CPR on residents. A lot of people seemed shocked that this was a policy at a place where it seemed like there would be emergency medical assistance available for residents.

The dispatcher, upset that the “nurse” wasn’t acting, reportedly pleaded:

“Anybody there can do CPR. Give them the phone please. I understand if your facility is not willing to do that. Give the phone to that passerby,” the dispatcher said. “This woman is not breathing enough. She is going to die if we don’t get this started.”

But the nurse refused to render aid, and followed the protocol set by her employer. An ambulance arrived a few minutes later, but the woman died at the hospital.

It outraged a lot of readers that the nurse simply let this 87 year old woman die without a fight. Many people posted that the woman’s family should sue. Some felt the “nurse” should be fired and lose her nursing license. Some seemed to think police should arrest the “nurse”.

Inspired by some of the more vitriolic comments, I decided to blog about the situation. In that post, I wrote:

As someone who has studied public health and social work, and lived abroad several times, I was amused and amazed by the comments that came with that article.  There’s quite cultural statement made about this situation.  Look at it.  The woman was 87 years old.  That’s an impressive life span.  CPR is a very traumatic thing to do to another person.  Even if you’re young, CPR can cause cracked or broken ribs, a broken sternum, and internal bleeding.  At 87 years old, I would imagine this woman was a lot more fragile than your average adult is.  Moreover, CPR done to elderly patients doesn’t actually have an impressive success rate.  It’s an emergency intervention and doesn’t usually turn out the way it does on TV shows like ER.

CPR done correctly might have saved her… just in time for her to spend days or weeks in the hospital, hooked up to machines and running up big medical bills that perhaps she had no means to pay.  At age 87, she was likely on Medicare.  She might have made a full recovery… or she might have suffered brain damage, because the CPR wasn’t done correctly and she went without oxygen for too long. She might have lapsed into a coma, where doctors and relatives would have to decide when the appropriate time to let her go would be.  But here in America, we are taught from a young age that we should spare no expense to save a life, even a life that has been well lived and is about finished.  You are seen as a criminal if you opt for death.

I remember posting about the case on my Facebook page. At the time, I had a lot more “friends”, and some of them were argumentative types. The thread about this case got heated, fueling the post even more. I continued:

…there are many places around the world where no one would have raised an eyebrow at what happened to this lady.  In many places around the world, family members or neighbors care for the elderly.  And when death comes, it’s not always seen as something that has to be fought.  Death is a part of life, and it will happen to everyone at some point.

While I can see why it’s distressing to think of a person just watching someone die while on the phone with 911, I can also understand why that assisted living facility has the policy they have.  You can bet it has a lot to do with litigation and insurance. 

It’s hard to think of sitting on your hands in a situation like this.  It is a little unnerving to think about when a person’s life is no longer worth saving due to advanced age.  But I think in this case, it’s likely that this woman had a better death than she might have.  I wish we could come to some kind of consensus as to how we can let people die with dignity.  We can’t have everyone living until they’re 100, though.  The system can’t and won’t support it. 

So… there I was yesterday, looking at that viral meme, and remembering that 2013 case. When I looked at the comments on the original thread, I found out people still seem to think CPR is always justified, no matter what. The person who originally shared the meme is apparently a nurse, and she’s run many codes on people. A lot of the codes she’s run have been on people who are clearly at the end of their lives. They either didn’t have a “do not resuscitate” order or a living will, or their distraught family members feel compelled to keep them alive at all costs. Family members don’t always realize what goes into a “code”, and how violent and aggressive it can be.

Some commenters were profane in their responses, “bravely” stating that they don’t care about broken ribs if it means another day with a loved one. It’s easy to say that when you’re not in severe pain, or dealing with chronic health issues that make life torture. The fact is, everyone dies. And in every life, there will come an opportunity to make an exit. Sometimes, when a very elderly person collapses, it’s simply their time to go.

Later that day in March 2013, I wrote more about the case. I identified the woman who collapsed. Her name was Lorraine Bayless. She lived at an independent living facility, as opposed to a nursing home or even an assisted living facility. The stories referred to the woman who called 911 as a nurse, but it wasn’t clear if she actually was a nurse. It wasn’t clear if she’d had a DNR, either. Some sources reported that she didn’t have a DNR, but at least one other reported that she did. Experts at the time were talking about how “morally wrong” it was not to render aid to Ms. Bayless. But other people in the know were discussing what happens to a person when they get CPR.

I’m 50 years old, and I live with aches and discomfort every day. I’m not in terrible pain yet. A lot of what ails me is helped with over the counter pain medications, or even a glass or two of wine. Unfortunately, as people age, they tend to hurt more. They become more fragile, and develop health conditions that make it more difficult to recover from illnesses and injuries. And, it’s always sad to bring this up, but healthcare is very expensive, especially in the United States. A very elderly person who is nearing the natural end of their life will run up huge bills, even if they survive another day or two.

As many of my healthcare friends pointed out, it’s uncommon for very elderly people to fully recover from CPR interventions. I’m not saying it never happens, but that it’s rare. And that kind of intervention, which almost always involves broken ribs and severe bruising, will mean significant pain in addition to whatever the condition was that caused the collapse in the first place. The whole point of the viral meme I read yesterday was that people often suffer when they get CPR, along with the suggestion that people talk to their loved ones about what they would like to have done to them if they collapse. One would also hope that they put their wishes in writing, so that medical personnel can honor their wishes without risking their careers or their freedom.

On another note…

One thing I noticed and want to comment about is another one of my “pet peeves”. So many people seemed to be deliberately obtuse about the meme’s message. It was as if people thought the nurse was saying that CPR is never justified. That’s not what she was conveying. She was saying that CPR is brutal to bodies. Some people won’t recover from the physical or mental trauma of the violence and aggression of CPR. People should consider that reality before demanding that medical staff resuscitate their very elderly and frail loved ones who suffer from chronic illnesses.

And also… I wish to God that people would read things before commenting. So many people mentioned cracked ribs and other injuries that come from CPR. I think it’s inconsiderate to post comments without reading the post in question or other people’s comments. Why should I read what someone writes when they haven’t taken the time to read what others have written?

In essence, people who comment before reading are telling everyone that their comments are more important than other people’s comments are. That is quite an arrogant and self-centered statement, in my opinion. Reading before commenting saves time in the long run, because you might find that your comment is unnecessary or, perhaps, inapplicable to the situation. I know that making this statement might make me look “mean” or “rude”, but honestly, I think it’s rude to waste people’s time by making statements that are irrelevant or have already been made umpteen times. Just my opinion.

Anyway…

I hope you have a good Monday. I’ll be watching for new inspirations, as I continue to read my latest book. See you tomorrow.

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controversies, disasters, technology, the environment

The latest viral post…

Yesterday, I noticed a couple of my friends shared the post that serves as today’s featured photo. The quote has been attributed to the author, Marguerite Quantaine. Although I am an avid reader, I’m not familiar with Marguerite Quantaine’s work, so I’m not sure why I would be influenced by her over anyone else. Nevertheless, she (or her social media “person”) makes a pretty good point about individual choices most of us have the power to make as the costs of gas and other products rise. I saw her post being shared by different people on my friends list, who had also seen it shared by their own friends. In reading the comments on her original post, I noticed that Quantaine’s comments were actually made by a “cyber-liaison”, as Marguerite herself has been “indisposed” since October 2021.

However, while I agree with Quantaine’s statement about what we can do to mitigate high gas prices, I’m not so sure the higher gas prices can only be attributed to the war in Ukraine, at least not in the United States. Gas in the US mostly comes from sources other than Russia. Now, here in the European Union, it’s a different story. A lot more of the gas supply comes from Russia. But people over here are used to paying a lot for gas. That’s not to say they like to pay so much for gas, but at least there’s a trade off. For instance, generally speaking, it costs much less over here to get medical treatment than it does in the United States.

I clicked on one the posts that was shared by someone who apparently shared from Marguerite Quantaine’s page. There were a few dozen comments there. The very first one came from a man who is clearly a conservative voter. I just went back to the original post to re-read what the guy wrote, only to find that the post was apparently “cleaned up”. The “hater” comments were deleted. So I decided to visit Quantaine’s page, to see if there were any similar comments. There were, but none that made the statement that inspired me to write this post today. I’m going to have to rely on my memory. Fortunately, my memory is still pretty awesome, in spite of my wine habit.

So this guy, who appeared to be a “boomer”, basically wrote that all he cares about is being able to buy affordable gas. And he thinks that we should just exploit all of the resources we have in the United States. Another poster shamed him, reminding him that fracking and drilling will ruin what little is left of the natural beauty in our environment. The guy came back and wrote that the damage would be “minimal”, and he would be able to run his car.

I had a look at the guy’s profile picture and noticed that he appeared to have a family. There was a woman with him who appeared to be his age, and several attractive adults and kids. It looked like he loves his family very much. Unfortunately, the first thought that came into my mind, was that he must not actually love them that much, if he’s not concerned about the state of the environment and our dependence on fossil fuels. He’s only concerned about what’s happening right now. He probably won’t be around for that much longer, so the lasting damage to the environment likely won’t affect him too much. But it will definitely affect those grandchildren of his. He seems to love his grandchildren, yet he’s not concerned about what lies ahead for them.

I’m going to turn 50 in June. As winter is ending here in Germany, I’ve thought a lot about how different the climate is in 2022 compared to what it was like in the 80s, when I was a teenager. I remember back in the 80s, some people were concerned about the environment. I even remember there was a 1989 episode on this topic on the hit NBC sitcom, Family Ties. In the episode, “Rain Forests Keep Fallin’ on My Head”, the character, Jennifer (Tina Yothers), is studying ecology in school and gets fixated on making changes that would protect the environment. She encourages her family to adopt more Earth friendly lifestyle choices, to the point of being very annoying. But ultimately, she gets very depressed and has to see a counselor. I watched that episode maybe a year or two ago, and remembered how Jennifer’s family tried to console her. Now, 33 years later, that episode seems very prescient.

A couple of days ago, I noticed a picture an acquaintance posted on Facebook of her little daughter. The girl was wearing shorts and a t-shirt. It’s not even mid March yet. I remember when I was a child, March was still a pretty cold month, even in Virginia. I asked her what the temperatures were in North Carolina, where they now live. She said it was in the 80s.

Here in Germany, I’ve noticed there’s less snow that there was even fifteen years ago. The winter in Wiesbaden was rainy and chilly, but not particularly cold. When we lived here the first time, I would not have dared go outside with bare feet in the winter. I could and did go out barefoot sometimes over this past winter. Granted, I don’t think Wiesbaden gets as much snow as Stuttgart gets, since it’s not as elevated. But I would have expected at least one good snow in which there wasn’t immediate melting. We really didn’t get any of that this year… or since we’ve been here. I’m pretty sure this is global warming in action. The guy who made that comment about not caring about anything but gas prices probably denies it exists. But how else can we explain why the weather has been so much warmer in recent years?

I do understand that Quantaine’s suggestions in her viral Facebook post might not be feasible for everyone. I’ve had the experience of living in parts of the United States where public transportation is scarce. I’ve worked at jobs that required lengthy commutes. Moreover, I am not a fan of “preachy” Facebook posts in the form of memes that can be passed around like a plate of stale hors d’oeuvres. I guess it just shocks me that so many people are self-centered to the point at which they brazenly state it outright. The guy who was enthusiastically responding in that post really came off as a selfish asshole. And yet, it’s easy to see that he’s a much beloved person, with many family members who evidently appreciate him.

In another example, I noticed a thread by a friend who is also former fellow Epinions writer. This person has a lot of people on his friends list that are no longer on mine, for whatever reason. He posted a statement about how the United States can be more energy independent by encouraging people to buy fuel efficient vehicles and vote for using more renewable resources. He got a lot of responses from other former Epinions members. One response came from a guy I used to have a lot more respect for than I do today. This guy is one of those “me and mine” types– as in, “I’ve got mine, and that’s all that matters to me.” I unfriended him several years ago after his relentless pushing of his conservative views became too obnoxious on my page. This guy had a habit of shaming me for being pro-choice or having opinions that were progressive. I used to refer to him as “Papa Smurf”, because he often tried to act like everyone’s daddy and lecture them when their views didn’t align with his. It got to be very annoying. In fact, I believe my parting words to him were, “Fuck off, Phil.”

Anyway, I noticed that Papa Smurf posted a response to my friend’s suggestion that everyone should use more Earth sustaining vehicles and adopt practices that preserve the environment. Below are his comments, which I think kind of echo the entitled “fuck you all” attitude I noticed the “boomer” stranger had shared on Marguerite Quantaine’s post.

We used to have a RAV4 ourselves. It was a good car, and we kept it for 13 years. But I wouldn’t say it was particularly fuel efficient.

The above comment isn’t as bad as others I’ve seen him make. Like I said, there was a time when I didn’t see the conservative “boomer” side to his personality. I liked him fine when we could just talk about travel. I got a first inkling that he was kind of a jerk when we happened to be at an Epinions social event and he was openly talking about undertipping the wait staff because he had to wait for his dinner. Then years later, we’d clash on Facebook when I would be snarky and “tasteless” (in his opinion) in my comments about certain current events and political ideals. He would chastise me on my own page, which is a “no no”. You ain’t my daddy, Papa Smurf.

Anyway… to me it’s just a reflection of a tragic attitude some people have regarding the environment. They don’t seem too concerned about how today’s practices and policies might be paid for by tomorrow’s adults. Once again, I’m glad I didn’t manage to have children. I look at my husband’s daughter’s adorable son and daughter, and think about the little boy who will soon join them. I worry about what it might be like for them… and I’m glad my life is likely at least halfway over. This war in Ukraine, coupled with the coronavirus, are probably going to change life as we know it… and likely not for the better. Not unless we work together to come up with ways to mitigate the damages done. I think humans are technically capable of adapting our practices for the better… but unfortunately, selfishness and greed often get in the way.

I’ve noticed that electric cars are increasingly popular in Europe. There are a lot of places where one can plug in their vehicles. When we bought our Volvo in 2019, we were told that very soon, Volvo will stop making gas powered cars. I have been giving some serious thought to making my next car a hybrid or an electric. But I rarely drive much anymore, anyway. Unfortunately, I think it will take more time for electric cars to catch on in the United States. They are expensive, and it’s a concept that may be hard for some people to embrace. People tend to like to stick with what they know. For instance, it took me a long time to switch from Windows to a Mac. 😉

I do think, though, that if our species is to survive in relative comfort, we’re going to have to make some changes. And while I don’t think the higher gas prices are entirely caused by the war in Ukraine (the pandemic also contributed), I do agree that at this point, those of us who aren’t in Ukraine are lucky… for now. However, I also think that this thing could actually turn into yet another global event very soon if something lasting is not done about Putin. He’s gone much further than people thought he would… perhaps he sees this stunt as a way to ride out of this world in a blaze of glory. Frankly, I wouldn’t be averse to that… as long as he makes an exit from the world stage soon.

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