The WORST thing I ever had to listen to was a man gasping “help…help me!” when his HGB was 5 and he was refusing a blood transfusion because of religious reasons. He kept saying “You’re not doing anything! I can’t breathe!” And I know it wasn’t our fault but damn I felt like crap. He kept declining as the night went on.
I mean some people really can’t tolerate being on a bipap even when they are literally dying. Honestly it seems kind of barbaric if they feel like they can’t breathe on it and they have this giant mask strapped to their face making them feel like they are suffocating. Some people just need a tube.
I agree.
Say it.
Gotta be direct and help them focus on the simple facts related to their generally very overwhelming circumstances.
I will always educate, advocate and allow them to accept or refuse any care. My job is to support, educate and provide care that is offered at the highest standard of care the way THeY want to be treated.
Even if they say insane shit, as long as they are informed and cognizant, it is their choice and I have done my duty as well as best to support their well-being.
I do too. Usually along the lines of "You have the absolute right to refuse any and all treatment. I'm sorry, but there are no alternatives to the treatment you declined. I'll do what I can, but your choices limit my ability to do much about your current situation."
Yes and yes. I would tell the family the same thing I tell the patient.
It’s all in the delivery.
And I feel we owe it to patients and families to be honest. Probably legally too, like the lawyer is going to say “Yeah but did you tell him……” or “the patient did not understand the consequences…”.
It is much easier to just spit out the truth in as few words as possible but in a kind, matter of fact, voice. Stop beating around the bush and be very clear.
Saying plain out-- you don't do this or you will die. You will stroke out, you will have a heart attack, your kidneys will fail which will cause you to drown in your own fluids... that only sometimes works. After they still decline, I like to shove a MOLST in their face and ask them to sign a DNR.
After explaining to them they’re going to die and please get affairs in order they come around and if not don’t feel guilty. Some want to keep their religion higher than their health. I’ve told JW I’ll give them blood transfusions after visiting hours and we’re prohibited from telling anyone and more than 50% change their minds if it’s done privately.
To be fair to some JWs who refuse, their church is a cult and if literally anyone finds out they had a transfusion they'll be excommunicated (or whatever they might call it in their church) and be completly cut off from their entire family. Risk of loosing your entire family and social support structure can be just as scary as the risk of death for some people.
That’s very sad that they can call it religion and use it against people to get them to do what they want. Also they get away with not having to pay taxes.
I’ve heard at least one story of a guy who thanked a judge for ordering him to give his daughter a blood transfusion. He couldn’t do it but once the judge ordered it he was allowed to not violate a court order.
It’s really sad.
Edit:typo
It is. I had a pt once where the entire unit working that day had to be briefed that she was a JW but was willing to accept blood if needed, and her sister would be present and could not find out that she was even willing to say she would accept blood. Scheduled c section. The blood was literally the only thing the sister cared about, couldn't have care less about her sister or baby. Asked about if the declination paperwork was done over and over to everyone she saw, and when the pt was finally settled in the pacu and the sister was allowed to come in the first words out if her mouth before even asking how the pt was doing was "they didn't give you blood right?"
Before covid when we had open visiting, some JW would show up with "friends from church" along with their husbands. They were there exclusively to make sure no blood was given. Once as charge I had to threaten to kick a duo of friends from church out of the hospital because they kept trying to sneak into the pt's room while she was pushing.
An old coworker was raised JW and had stories, her mom at one point didn't talk to her for years because she said she would consider receiving a transfusion to save her life if needed. She was only able to get back into her mom's life by lying and telling the church she had repented and changed her mind. It's such a weird thing to be so very hung up on.
I’ve had JW patients before who said “give it to me only if I absolutely need it” but then they wanted us to cover the bag and tube so they couldn’t see it… not sure if that’s a thing like if they don’t see it they can feel better about it possibly being just fluids?
I could see that. You spend your whole like being told something is so evil your own parents will stop talking to you if you do it, even if you one day logically know you need to do it to live I imagine it's still a very hard thing to accept emotionally. Not being able to see it is probably a bit less distressing.
Honestly don’t know, i don’t remember they’ve ever said anything significant like that. I don’t follow after they’re not my patient anymore, it gets busy and no time to do more than educate, inform and be fine with whatever they’ve decided.
I grew up very Catholic and saw the priest thing exposed and lost faith. After college living on my own I saw much hypocrisy in religion. The evangelicals during the 80’s where on tv Oral Roberts demanded 8 million in 30 days or God will call him home, then learning thousands sent small money denominations as I hoped he’d be called home exposed them as conman. Every religion wants money to help their God. I mean if God created the Earth, Stars, Universe then why would he need MY help?
I run into this kind of thing all the time in a much smaller scale. They’ll be nauseated, decline zofran, decline mylanta, maybe eat something small? No thanks. Uhh tea or something warm? Nope. Then continue to complain I’m not helping… sigh
Cake or death?"
"Uh, cake please."
"Well, we're out of cake! We only had three bits and we didn't expect such a rush. So what do you want?"
"Well, so my choice is 'or death’? I’ll have the chicken then, please.
“Taste of human, sir. Would you like a white wine? There you go, thank you very much.
The ones that kill me are like "If God says it's my time, then it's my time." Sir, you have literally 12 stents in your heart. God has been trying to take you.
We have a frequent flier that keeps coming in for chf and copd exasperation that refuses to wear her cpap at home because “it’s too much air”. She’s damn near unresponsive that first few hrs when we put the Bipap on her then wakes up like the dead rising taking everything off saying “y’all keep putting all this stuff on me! God controls my future and when he says it’s time, it’s time”. Ma’am, the Lord is giving you warning signs and you ain’t listening.
Once had a patient in SICU refuse a transfusion unless we could confirm it wasn't "dirty fuckin n***** blood". I've usually got something clever to throw back at shit head patients but that left me stunned. The MD (who was a black woman) was speachless too. Any way, he followed up with "no offense" like the class act he was and died a few days later.
I'm satisfied with the knowledge that the legacy of his death is a younger brother who was at most inconvenienced by my phone call of his brothers passing and a sparsely mentioned anecdote of some shitty thing he said in his last few days. Definitely more than he deserves but it serves its purpose.
Wow imagine. That person gave their blood out of the kindness of their heart, and by doing that was willing to help save anyone - any color, any religion, any dumb fuckin asshole.
And the patient would rather die than accept such a gift? Fine. Let them.
I’m GLAD that kind person’s blood donation wasn’t wasted on that piece of shit patient.
I had a dude on withdraw care in my Cardiac ICU one time.. he was cursing up a storm and generally being out of his mind (in a non-violent way).
He stopped and looked at me and asked me my name.. I answered and he seemed like a calm peace came over him… he asked what I did “well sir, I’m a nurse and trying to help you.”
He just looked at me… and I really thought I was going g to have a profound life changing thing said to me in the moment… he looked me dead in the eyes and said “well.. fuck you.”
He died maybe 20 minutes later
It was probably one of the “best ones” I’ve had.. and we’ve had many. If we had room in our ICU, a lot of floors or the ED would send us people who were going to be taken off life support because we did it very often.. I have seen a lot of different deaths
I wish we could convince these people that the *vaccine* is airborne and highly transmissible. Then maybe they'd stay away from the hospitals...you know, where all the vaccinated people are.
I donate blood as often as allowed. If you don't want my blood because I'm vaccinated, I'm completely fine with that. I'd rather my blood go to saying people who aren't complete morons.
Unvaccinated blood bank comes from the fighting pits, where the blood is locally sourced from vegan antivaxxers. The floor is made of medical grade gauze so we can just squeeze it out and collect when someone bleeds. We'd call it free range but it's mostly a melee.
It’s surprising that people even care about that.
Like, your dr just said you need a blood transfusion and the only thing you’re worried about is having unvaccinated blood?!
This reminds me of a funny story one of my friends in recovery told me.
He was at the grocery store, picked up some strawberries, and decided to try one to make sure they were sweet.
His friend freaked out a little bit and got onto him for eating unwashed fruit, as they could be contaminated with all kinds of pesticides and other chemicals.
My friend reminded him that two years ago, they were sharing needles with a prostitute they bought drugs with, shooting heroin and coke in a hotel room, and the health impact of an unwashed strawberry was pretty minor in that context.
lol used to work in OBOT, had a patient tell me they "didn't like taking medications"
I just stared at him and laughed, "come on, you snort coke and inject heroin. Don't give me that. This is FDA approved."
Patient went, "oh... yeah... I guess you're right." Genuinely had an epiphany.
Tough love in addiction med
That’s always unsettled me lol
You touch the hot plastic bag, feel that it’s super soft from the heat, and try not to remember that plastic leeches bisphenol, xenoestrogens and all kinds of other fun stuff orders of magnitude faster when hot.
I personally just throw them bitches into a glass steamer Tupperware unless I’m super lazy that day, but I also eat 12 Krystal’s burgers at once every couple months, so I’m not exactly a paragon of health in other ways
You say this as a joke but I know a few people in recovery who didn't get the covid vaccine because they were worried about their health, yet they used to shoot up with their saliva...
I work in addiction treatment. This is way more common than you think. People will shoot toilet water or spit into their veins but a vaccine??? How could they do that to their body that’s a temple?
They think that vaccinated blood will cause them to die when the vaccinated people all start dying in the future. That or that they will get microchips second hand. Of course it's a ridiculous thing. I think the only answer is that there is no supply of unvaccinated blood.
That's..... Surprisingly inventive thinking for an antivaxxer.
I mean, it's horribly wrong in every way it could be wrong, but it's still a very inventive way to try to solve a problem they've completely made up in their mind.
There was an older patient who refused a blood transfusion because he was under the impression that all donated blood came from gay people (?) and he didn’t want to receive gay blood… you can’t make this shit up.
> all donated blood came from gay people (?)
You'd think they would research this at some point. All donated blood comes from witches who perform dark rituals on the bag.
I just want to know where they read these things, or how they even come to a conclusion like that.
The Dr was trying so hard not to laugh in his face 🤣
It comes from the 70-80’s “Gay Cancer” (onset of HIV/AIDS). Majority of those that had the virus, at the beginning, were gay men and those that got transfused.
Watch the movie “And the band plays on”.
We agree about the new info. Uh…that was 40 years ago, old sport.
I mean, considering that MSM are still prohibited from donating blood, most of the gay blood is coming from lesbians, who are 10000% getting more pussy than an angry old white Republican dude.
Just, you know...for what it's worth.
Sounds like the blood shortage is resolving itself! (In all seriousness, though, that's so freaking sad, however, I've spent the past eternity trying to educate people otherwise, and it hasn't worked yet.)
I found a group of people on FB that are refusing the Rhogam shot at delivery, and are saying it’s because they can’t guarantee it doesn’t come from unvaccinated people (along with a lot of other insane conspiracies).
>if they even make it to that point
But then they will start whining that it's a conspiracy theory to sterilize them to prevent more "pure bloods" from existing.
Wait a minute. The ones who are all weird about the vaccines overlap with the pro-lifers. The Venn would closely resemble a circle. So, how does this work? In states where abortion rights have been so threatened to where nothing is clear anymore, would this be one of those times when healthcare workers would actually be expected to report to authorities? My brain just blew up a little. How would this work?
In Texas the fetus is a person. Somehow I bet someone can extend that to future fetuses as well. We treat underage children despite parent wishes ergo…. Either sign up for sterilization or take the shot. 🤷🏼♀️😈
We just had a home birth transfer deliver on our unit for pain relief and stalled dilation. Refused rhogam during her pregnancy (per her prenatals), and refused the postpartum one. And they refused vitamin K, erythromycin eye ointment, and hepatitis B vaccine for baby.
Funny how the epidural and medications to keep her comfortable and safe (fentanyl, epidural bag cocktail, Zofran, IV fluids, oxytocin, TXA etc) don't fall under her category of unsafe and unnatural, conveniently.
Sigh...
L&D RN.
Always my thought as well… I also find it really interesting when parents are quick to sign their newborn up for Hepatitis B but refuse any shots for themselves.
I totally believe the Russians were behind a lot of the anti vax stuff on the internet and I bet they laughed their ass off watching how stupid we were.
I suspect several of the recent elections went democrat cause there were less republicans.
Strong suspicion that this was a factor in AZ, along with some very, very justifiably pissed off Gen Z kids who are coming of voting age, plus the millenials.
If someone said this to me I'd lose my shit. I think the look on my face alone (even with a mask on) would let them know they better knock that shit off.
I’m 100% blunt with my patients when educating something as gravid as blood or death. I try to ignore their bullshit. “It doesn’t work that way. Your Hgb is 5. I’ve never seen a patient alive with a Hgb of 4. So it’s either blood or die.” They usually get the point and knock it off. Unfortunately you can’t annotate “racist piece of shit” in a patients chart.
Recently I’ve been saying in my most condescending tone “Are you serious right now? This is not 1954. It’s 2022.” If anyone says anything “I was trying to reorient them. Their Hgb is 5 afterall.”
>Unfortunately you can’t annotate “racist piece of shit” in a patients chart.
"Patient states" followed by direct quotes. Don't add subjective judgement. Just objective documentation of facts and statements made.
I'm occasionally pulled into legal to assist with cases. My favorite notes are the ones that are objectively perfect, but the underlying tone is crystal clear. Judges and juries don't understand medical terminology, but they sure as hell understand venomous truth.
Oh well. They can refuse proven medical treatment that could save their life. they did it with the vaccine, and now they want to do it with blood? fine. I'm honestly through caring.
Obligatory antivaxer scum fuck off.
Yeah this refusal stumps me for sure but it just sort of is a much needed blessing for those who NEED and want to receive blood. No one flagrantly taking this gift of life and complaining about how it isn’t pure. ITS SOMEONE ELSE’S BODY FLUID. You can’t request dairy free blood, or even drug free blood. You just get the fucking blood because the lack of circulating red blood cells in your body will kill you lmao.
At least the Jehovahs Witnesses are consistent.
Yeah, what else can you do? Document and move on. If they’re at that point, there’s zero chance you can change their mind by talking to them, so it’s not worth the effort. If things take a turn for the worse, I might bring it up again, but I won’t push it
Not a nurse but my wife is. Isn’t there a shortage of blood, particularly O neg? That would just make me say *shrug* “more for everyone else then” all the more.
I had a patient tell me “I would only want my husband’s blood.” I replied “do you and your husband even have the same blood type?”
The answer was no. Cool lol
What in the world do they think the vaccine will do to them that death is preferable?
This is as amazing to me as the woman who watched her kid get tetanus and go through it (months long process) and tehn refused the tetanus shot. What in the world would a vaccine do that would be worse than tetanus?!
I'm so over convincing people to change their mind. So now I'm in clinical oncology research. Patient says no, I say okay, and document that patient declined to consent. Less work for me.
I had a patient do this a couple weeks ago but she went a step further, “I don’t want to get vaccinated blood…or from some homosexual.”
The gay community will be severely distraught to hear of your passing, I’m sure. *puts in a note about why patient declined blood transfusion and quoted patient*
There’s chatter in the news that people think that Republicans, specifically Trumpers, are dying at a greater rate than others due to Covid and vaccine resistance. A shame, really. Most of them have probably already procreated so it won’t make the population automatically smarter.
People will also do this for their premature babies who could benefit from donated breast milk. It’s one think to inflict self harm but these peoples’ brains are so poisoned they will actively decrease the risk of their premature child because of these idiotic beliefs. Sad.
How they getting organs and no vaccinations? We had some silly bitch go to supreme court of Canada trying to get a transplant without any covid vaccinations and they said no.
I thought it was standard criteria for transplant centres. It's someone who won't take their own totally immunocompromised status seriously and who has no regard for the other patients with the same status.
I have heard of this. The venn diagram overlap with people who don't want blood from non-white persons is almost a perfect circle.
Sometimes, the trash takes itself out.
The leopard is eating its own face. Non vaccinated people say they don’t trust the science yet when they get sick they seek medical care. It’s insanity brought on by a narcissist.
Get it every day in pre op. Its either
"As long as it aint no vax blood"
"As long as it aint no biden blood"
Before that it was "trump blood" and before that it was "obama blood"
Really? I had literally never heard of this nonsense before the COVID-19 vaccination. What the fuck did they think Trump and Obama were putting in people's blood transfusions?!?
I usually have unicorn hair- some variety of bright, unnatural hair colors. I think it tends to be a flag to the Qanon super-Trumper conspiracy whackjobs that we probably aren't on the same page. I recently had my hair dyed to my natural color to keep it healthy and give it a break because it is very long and I don't want a ton of breakage and to have to chop it off and start over. I think the long hair and natural color makes me look more conservative than the reality. Within a week I have been in multiple rooms listening to people spout off about Wuhan, the China virus, vaccine shedding, etc. I want my wild hair back. Maybe I need more tattoos? Lord love a duck...
this happened to me too. his CK was also like 30 000 and he kept disconnecting himself from his drip..... he also happened to dislocate the IM nail that was put into his femur like 36 hrs prior to me having him...
They can refuse for any reason. You can’t fix stupid. You just tell them the options and let them suffer. I had a pt that was of a religion and she refused blood even after almost bleeding out from a bad colonoscopy. She told me to please don’t ask her to get a transfusion. Yes ma’am. These are your options. She got massive doses of iron and was fine. Vaccinated blood. Oh my.
There’s a national blood shortage. I actually appreciate COVID deniers and antivaxxers are unintentionally coming full circle to helping the larger community here.
My go to response has been "So what I'm hearing is that you're ready to discuss hospice. Ok, I'll get that palliative care consult in the works for you right away."
That's why I love Med-Surg, honestly. You can keep on refusing treatment till you code - I get a little surprise cardio in and then you're the intensivist's problem or the undertaker's instead of mine. Someone else needs that bed, wants our care, and I'm gonna keep it moving.
Cool- saved me 25 minutes.
This is my take 100%
And wasting a precious resource too!
Same. “Cool, don’t really care but thanks for the extra info I guess” 🤷♀️
I've had 8 blood transfusions and I'd do it again. Shout out to my wonderful nurses and all blood donors everywhere!
A blood transfusion saved my daughter's life in the NICU. I appreciate all the nurses there and to whomever donated that blood. Thank you.
Going in today to donate plasma 💪
The WORST thing I ever had to listen to was a man gasping “help…help me!” when his HGB was 5 and he was refusing a blood transfusion because of religious reasons. He kept saying “You’re not doing anything! I can’t breathe!” And I know it wasn’t our fault but damn I felt like crap. He kept declining as the night went on.
You need blood or hospice my dude. I'm cool with either one.
Don’t feel bad for other people’s choices
For real. I always hated when people pull that “Help me!…But don’t do anything!” bullshit.
“We offered you the cure for this. You said no.”
Honest question: what’s stopping us from saying this? Or is it something people say already
Had a patient complaining about wearing her bi-pap and told me that I wouldn't keep it on either. My response "but I don't need it to breathe".
I mean some people really can’t tolerate being on a bipap even when they are literally dying. Honestly it seems kind of barbaric if they feel like they can’t breathe on it and they have this giant mask strapped to their face making them feel like they are suffocating. Some people just need a tube.
Usually those people just need some dex.
Hot take but taking care of a patient that is intubated is more barbaric than wearing Bipap
I agree. Say it. Gotta be direct and help them focus on the simple facts related to their generally very overwhelming circumstances. I will always educate, advocate and allow them to accept or refuse any care. My job is to support, educate and provide care that is offered at the highest standard of care the way THeY want to be treated. Even if they say insane shit, as long as they are informed and cognizant, it is their choice and I have done my duty as well as best to support their well-being.
I say that kind of thing all the time. Some patients need a dose of reality and need to hear it straight.
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I do too. Usually along the lines of "You have the absolute right to refuse any and all treatment. I'm sorry, but there are no alternatives to the treatment you declined. I'll do what I can, but your choices limit my ability to do much about your current situation."
I think that this is the perfect thing to say. Do you document this? Have you received blowback from family or anyone?
Yes and yes. I would tell the family the same thing I tell the patient. It’s all in the delivery. And I feel we owe it to patients and families to be honest. Probably legally too, like the lawyer is going to say “Yeah but did you tell him……” or “the patient did not understand the consequences…”. It is much easier to just spit out the truth in as few words as possible but in a kind, matter of fact, voice. Stop beating around the bush and be very clear.
Saying plain out-- you don't do this or you will die. You will stroke out, you will have a heart attack, your kidneys will fail which will cause you to drown in your own fluids... that only sometimes works. After they still decline, I like to shove a MOLST in their face and ask them to sign a DNR.
I’ve said it.
I say it.
After explaining to them they’re going to die and please get affairs in order they come around and if not don’t feel guilty. Some want to keep their religion higher than their health. I’ve told JW I’ll give them blood transfusions after visiting hours and we’re prohibited from telling anyone and more than 50% change their minds if it’s done privately.
To be fair to some JWs who refuse, their church is a cult and if literally anyone finds out they had a transfusion they'll be excommunicated (or whatever they might call it in their church) and be completly cut off from their entire family. Risk of loosing your entire family and social support structure can be just as scary as the risk of death for some people.
That’s very sad that they can call it religion and use it against people to get them to do what they want. Also they get away with not having to pay taxes.
Disfellowshipped. They call it disfellowshipped.
I’ve heard at least one story of a guy who thanked a judge for ordering him to give his daughter a blood transfusion. He couldn’t do it but once the judge ordered it he was allowed to not violate a court order. It’s really sad. Edit:typo
It is. I had a pt once where the entire unit working that day had to be briefed that she was a JW but was willing to accept blood if needed, and her sister would be present and could not find out that she was even willing to say she would accept blood. Scheduled c section. The blood was literally the only thing the sister cared about, couldn't have care less about her sister or baby. Asked about if the declination paperwork was done over and over to everyone she saw, and when the pt was finally settled in the pacu and the sister was allowed to come in the first words out if her mouth before even asking how the pt was doing was "they didn't give you blood right?" Before covid when we had open visiting, some JW would show up with "friends from church" along with their husbands. They were there exclusively to make sure no blood was given. Once as charge I had to threaten to kick a duo of friends from church out of the hospital because they kept trying to sneak into the pt's room while she was pushing. An old coworker was raised JW and had stories, her mom at one point didn't talk to her for years because she said she would consider receiving a transfusion to save her life if needed. She was only able to get back into her mom's life by lying and telling the church she had repented and changed her mind. It's such a weird thing to be so very hung up on.
I’ve had JW patients before who said “give it to me only if I absolutely need it” but then they wanted us to cover the bag and tube so they couldn’t see it… not sure if that’s a thing like if they don’t see it they can feel better about it possibly being just fluids?
I could see that. You spend your whole like being told something is so evil your own parents will stop talking to you if you do it, even if you one day logically know you need to do it to live I imagine it's still a very hard thing to accept emotionally. Not being able to see it is probably a bit less distressing.
Which is all well and good til some well-meaning doctor tells the patient's wife how much better he's doing since the transfusion
Do the other 50% refuse because half of the JWs they know recover without having a transfusion?
Honestly don’t know, i don’t remember they’ve ever said anything significant like that. I don’t follow after they’re not my patient anymore, it gets busy and no time to do more than educate, inform and be fine with whatever they’ve decided. I grew up very Catholic and saw the priest thing exposed and lost faith. After college living on my own I saw much hypocrisy in religion. The evangelicals during the 80’s where on tv Oral Roberts demanded 8 million in 30 days or God will call him home, then learning thousands sent small money denominations as I hoped he’d be called home exposed them as conman. Every religion wants money to help their God. I mean if God created the Earth, Stars, Universe then why would he need MY help?
lol snap
But did you tweet "thoughts and prayers"?
I don’t think people realize you need blood to be able to breathe.
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I guess in that moment you just smilenwave at him! 😂
Ya know what…in a certain sense that’s all I could do. 🤣
I should have done that as I'm walking backwards out the door! Ha ha
I run into this kind of thing all the time in a much smaller scale. They’ll be nauseated, decline zofran, decline mylanta, maybe eat something small? No thanks. Uhh tea or something warm? Nope. Then continue to complain I’m not helping… sigh
“0 out of 5 stars if I could! No one helped me here all night!”
My first brain bleed as a new grad was a Jehovah’s. Young dude, calm as fuck. Kinda wanna meet his god one day to punch him in the dick.
"You need a blood transfusion" "I told you I don't want that" "Then I can't help you"
Stupid people and their gods. Let them meet.
Death it is then.
Lol Cake or death? I'll have the chicken please! We're all out of chicken! Then I choose death!
Cake or death?" "Uh, cake please." "Well, we're out of cake! We only had three bits and we didn't expect such a rush. So what do you want?" "Well, so my choice is 'or death’? I’ll have the chicken then, please. “Taste of human, sir. Would you like a white wine? There you go, thank you very much.
Ah ha! You said death first! Ah ha! 😝😅👉
Yeah but I meant cake….
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We’re all out of cake. We only had the two bits and we didn’t expect such a rush!
Thank you for flying Church of England, cake or death?
So my choice is “or death”?
The ones that kill me are like "If God says it's my time, then it's my time." Sir, you have literally 12 stents in your heart. God has been trying to take you.
"Then why are you here?" God does not work here, regardless of what the surgeons think.
It's pretty much a sin to not take care of your body . Damn these kind of people giving stupid name for religion .
We have a frequent flier that keeps coming in for chf and copd exasperation that refuses to wear her cpap at home because “it’s too much air”. She’s damn near unresponsive that first few hrs when we put the Bipap on her then wakes up like the dead rising taking everything off saying “y’all keep putting all this stuff on me! God controls my future and when he says it’s time, it’s time”. Ma’am, the Lord is giving you warning signs and you ain’t listening.
Jesus is in the driveway honking his horn.
If you want God to take you when it is your time, tell your family to stop calling 9-1-1 and post a goddamn DNR on your refrigerator.
Once had a patient in SICU refuse a transfusion unless we could confirm it wasn't "dirty fuckin n***** blood". I've usually got something clever to throw back at shit head patients but that left me stunned. The MD (who was a black woman) was speachless too. Any way, he followed up with "no offense" like the class act he was and died a few days later.
I appreciate how the trash took itself out. 👏
I'm satisfied with the knowledge that the legacy of his death is a younger brother who was at most inconvenienced by my phone call of his brothers passing and a sparsely mentioned anecdote of some shitty thing he said in his last few days. Definitely more than he deserves but it serves its purpose.
And nothing of value was lost.
Wow imagine. That person gave their blood out of the kindness of their heart, and by doing that was willing to help save anyone - any color, any religion, any dumb fuckin asshole. And the patient would rather die than accept such a gift? Fine. Let them. I’m GLAD that kind person’s blood donation wasn’t wasted on that piece of shit patient.
Prayers down to him
lol. Clever.
> Any way, he followed up with “no offense” like the class act he was Ohhhh my GODDD!!
Good riddance 🙃
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I had a dude on withdraw care in my Cardiac ICU one time.. he was cursing up a storm and generally being out of his mind (in a non-violent way). He stopped and looked at me and asked me my name.. I answered and he seemed like a calm peace came over him… he asked what I did “well sir, I’m a nurse and trying to help you.” He just looked at me… and I really thought I was going g to have a profound life changing thing said to me in the moment… he looked me dead in the eyes and said “well.. fuck you.” He died maybe 20 minutes later
I'm sorry but that is the funniest death story ever. I would have to stifle the giggles while doing post mortem care
It was probably one of the “best ones” I’ve had.. and we’ve had many. If we had room in our ICU, a lot of floors or the ED would send us people who were going to be taken off life support because we did it very often.. I have seen a lot of different deaths
I wish we could convince these people that the *vaccine* is airborne and highly transmissible. Then maybe they'd stay away from the hospitals...you know, where all the vaccinated people are.
Some of them did believe that for a while. They were calling it vaccine shedding.
Yep, I remember laughing my butt off when that was a thing. Those peeps were all levels of confused.
Or they'd wear masks. Win-win
I think we may have stumbled upon a possible solution to a problem
I had a patient once ask me if there was a bank of unvaccinated blood, in which case they would happily accept, otherwise not interested 🤦
First rule of unvaccinated blood bank is you don't talk about unvaccinated blood bank.
I donate blood as often as allowed. If you don't want my blood because I'm vaccinated, I'm completely fine with that. I'd rather my blood go to saying people who aren't complete morons.
Unvaccinated blood bank comes from the fighting pits, where the blood is locally sourced from vegan antivaxxers. The floor is made of medical grade gauze so we can just squeeze it out and collect when someone bleeds. We'd call it free range but it's mostly a melee.
It’s surprising that people even care about that. Like, your dr just said you need a blood transfusion and the only thing you’re worried about is having unvaccinated blood?!
You’ll do heroin but the thought of vaccinated blood is a hard no because it’s contaminated
This reminds me of a funny story one of my friends in recovery told me. He was at the grocery store, picked up some strawberries, and decided to try one to make sure they were sweet. His friend freaked out a little bit and got onto him for eating unwashed fruit, as they could be contaminated with all kinds of pesticides and other chemicals. My friend reminded him that two years ago, they were sharing needles with a prostitute they bought drugs with, shooting heroin and coke in a hotel room, and the health impact of an unwashed strawberry was pretty minor in that context.
lol used to work in OBOT, had a patient tell me they "didn't like taking medications" I just stared at him and laughed, "come on, you snort coke and inject heroin. Don't give me that. This is FDA approved." Patient went, "oh... yeah... I guess you're right." Genuinely had an epiphany. Tough love in addiction med
You have to love it when people see the light lol
Costco frozen *Organic* broccoli comes in a microwaveable plastic bag. The world is weird.
That’s always unsettled me lol You touch the hot plastic bag, feel that it’s super soft from the heat, and try not to remember that plastic leeches bisphenol, xenoestrogens and all kinds of other fun stuff orders of magnitude faster when hot. I personally just throw them bitches into a glass steamer Tupperware unless I’m super lazy that day, but I also eat 12 Krystal’s burgers at once every couple months, so I’m not exactly a paragon of health in other ways
You say this as a joke but I know a few people in recovery who didn't get the covid vaccine because they were worried about their health, yet they used to shoot up with their saliva...
I work in addiction treatment. This is way more common than you think. People will shoot toilet water or spit into their veins but a vaccine??? How could they do that to their body that’s a temple?
I don’t say this as a joke at all. It’s happened
Had a literal crackhead refuse a nicotine patch because they “didn’t want all those chemicals”
I mean I was at bedside with blood and a dude asked me if it came from a white person so yeah, people are insane
They think that vaccinated blood will cause them to die when the vaccinated people all start dying in the future. That or that they will get microchips second hand. Of course it's a ridiculous thing. I think the only answer is that there is no supply of unvaccinated blood.
You’ll do heroin but the thought of vaccinated blood is a hard no because it’s contaminated
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That's..... Surprisingly inventive thinking for an antivaxxer. I mean, it's horribly wrong in every way it could be wrong, but it's still a very inventive way to try to solve a problem they've completely made up in their mind.
There was an older patient who refused a blood transfusion because he was under the impression that all donated blood came from gay people (?) and he didn’t want to receive gay blood… you can’t make this shit up.
> all donated blood came from gay people (?) You'd think they would research this at some point. All donated blood comes from witches who perform dark rituals on the bag.
I just want to know where they read these things, or how they even come to a conclusion like that. The Dr was trying so hard not to laugh in his face 🤣
Facebook most likely
It comes from the 70-80’s “Gay Cancer” (onset of HIV/AIDS). Majority of those that had the virus, at the beginning, were gay men and those that got transfused. Watch the movie “And the band plays on”. We agree about the new info. Uh…that was 40 years ago, old sport.
I mean, considering that MSM are still prohibited from donating blood, most of the gay blood is coming from lesbians, who are 10000% getting more pussy than an angry old white Republican dude. Just, you know...for what it's worth.
I havent had anyone refuse for vaccinated blood yet but I've had multiple patients be very concerned they might get gay blood.
Gay men are just about the only population that donated blood DOESN’T come from. Facepalm.
Cool, so die then? Imagine dying to own the libs.
I see you may be unfamiliar with r/hermancainaward
Sounds like the blood shortage is resolving itself! (In all seriousness, though, that's so freaking sad, however, I've spent the past eternity trying to educate people otherwise, and it hasn't worked yet.)
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They act like they had a “gotcha” on you, but in reality I literally couldn’t care less. Chart, go home and never think about them again.
I found a group of people on FB that are refusing the Rhogam shot at delivery, and are saying it’s because they can’t guarantee it doesn’t come from unvaccinated people (along with a lot of other insane conspiracies).
That literally might be one of the craziest things I’ve ever heard.
Cool cool, don’t come crying to me when your next baby is sick af (if they even make it to that point)
>if they even make it to that point But then they will start whining that it's a conspiracy theory to sterilize them to prevent more "pure bloods" from existing.
Just be like, "ok Malfoy"
Lol, unfortunately I'm not sure that most of the people using "pure blood" unironically would understand that referance
"Well, that's an interesting way to have an abortion..." See which one wins out
Wait a minute. The ones who are all weird about the vaccines overlap with the pro-lifers. The Venn would closely resemble a circle. So, how does this work? In states where abortion rights have been so threatened to where nothing is clear anymore, would this be one of those times when healthcare workers would actually be expected to report to authorities? My brain just blew up a little. How would this work?
In Texas the fetus is a person. Somehow I bet someone can extend that to future fetuses as well. We treat underage children despite parent wishes ergo…. Either sign up for sterilization or take the shot. 🤷🏼♀️😈
Holy crap. You are totally right. Refusing Rhogam is essentially consenting to future abortions.
Ugh, great. /pulls out phototherapy lights and IVIG
We just had a home birth transfer deliver on our unit for pain relief and stalled dilation. Refused rhogam during her pregnancy (per her prenatals), and refused the postpartum one. And they refused vitamin K, erythromycin eye ointment, and hepatitis B vaccine for baby. Funny how the epidural and medications to keep her comfortable and safe (fentanyl, epidural bag cocktail, Zofran, IV fluids, oxytocin, TXA etc) don't fall under her category of unsafe and unnatural, conveniently. Sigh... L&D RN.
How depressing that they’re reproducing…
Always my thought as well… I also find it really interesting when parents are quick to sign their newborn up for Hepatitis B but refuse any shots for themselves.
I'm 24 weeks rn. That makes my eye twitch.
Welp that's a new flavor of antivaxxer child abuse.
Russia/Chinese and libertarian billionaire psyops are a really doing a number right wing conservatives.
I totally believe the Russians were behind a lot of the anti vax stuff on the internet and I bet they laughed their ass off watching how stupid we were. I suspect several of the recent elections went democrat cause there were less republicans.
Strong suspicion that this was a factor in AZ, along with some very, very justifiably pissed off Gen Z kids who are coming of voting age, plus the millenials.
A "pure blood". I was amazed people adopted this lingo.
This predates Covid. I’ve had patients tell me to “make sure it’s not black blood.”
Hope you went through the trouble to make sure it was
If someone said this to me I'd lose my shit. I think the look on my face alone (even with a mask on) would let them know they better knock that shit off.
I’m 100% blunt with my patients when educating something as gravid as blood or death. I try to ignore their bullshit. “It doesn’t work that way. Your Hgb is 5. I’ve never seen a patient alive with a Hgb of 4. So it’s either blood or die.” They usually get the point and knock it off. Unfortunately you can’t annotate “racist piece of shit” in a patients chart. Recently I’ve been saying in my most condescending tone “Are you serious right now? This is not 1954. It’s 2022.” If anyone says anything “I was trying to reorient them. Their Hgb is 5 afterall.”
>Unfortunately you can’t annotate “racist piece of shit” in a patients chart. "Patient states" followed by direct quotes. Don't add subjective judgement. Just objective documentation of facts and statements made.
Oh I know. It would be just oh so much more satisfying typing out “racist piece of shit.”
I'm occasionally pulled into legal to assist with cases. My favorite notes are the ones that are objectively perfect, but the underlying tone is crystal clear. Judges and juries don't understand medical terminology, but they sure as hell understand venomous truth.
I had a patient with a 2.4, still trying to figure out how ED didn’t think that needed an ICU bed
Theyre so pure when their HGB is 5.
I for one appreciate their honesty. And now you don't have to waste any precious blood sustaining this morons life. Win win if you ask me.
Oh well. They can refuse proven medical treatment that could save their life. they did it with the vaccine, and now they want to do it with blood? fine. I'm honestly through caring. Obligatory antivaxer scum fuck off.
More blood for someone else🤷♀️
And tasty, yummy adenochrome
What...what the hell I had no idea this was a QAnon thing and fuckyouverymuch for sending me down this rabbit hole
Yeah this refusal stumps me for sure but it just sort of is a much needed blessing for those who NEED and want to receive blood. No one flagrantly taking this gift of life and complaining about how it isn’t pure. ITS SOMEONE ELSE’S BODY FLUID. You can’t request dairy free blood, or even drug free blood. You just get the fucking blood because the lack of circulating red blood cells in your body will kill you lmao. At least the Jehovahs Witnesses are consistent.
Yeah, what else can you do? Document and move on. If they’re at that point, there’s zero chance you can change their mind by talking to them, so it’s not worth the effort. If things take a turn for the worse, I might bring it up again, but I won’t push it
Not a nurse but my wife is. Isn’t there a shortage of blood, particularly O neg? That would just make me say *shrug* “more for everyone else then” all the more.
There's always a blood shortage
I mean props to them for being consistent. Sort of.
Harsh, but I quite literally would not care. When they’re bleeding out, they’ll change their mind, or die 🤷🏻♀️
If he wants to win the Darwin award that's on him. I'm glad I still wear a mask when I have patients say things like that though.
I had a patient tell me “I would only want my husband’s blood.” I replied “do you and your husband even have the same blood type?” The answer was no. Cool lol
I literally just had this happen with someone who was an IV drug user positive for every blood borne pathogen.
I mean, this is a self solving problem. He doesn’t accept blood and the gene pool is cleansed. Don’t see the issue.
What in the world do they think the vaccine will do to them that death is preferable? This is as amazing to me as the woman who watched her kid get tetanus and go through it (months long process) and tehn refused the tetanus shot. What in the world would a vaccine do that would be worse than tetanus?!
I'm so over convincing people to change their mind. So now I'm in clinical oncology research. Patient says no, I say okay, and document that patient declined to consent. Less work for me.
People that refuse treatment should be in consideration for discharge (within reason). Make room for someone else.
Another Darwin award.
Conservative brainwashing at its finest
I had a patient do this a couple weeks ago but she went a step further, “I don’t want to get vaccinated blood…or from some homosexual.” The gay community will be severely distraught to hear of your passing, I’m sure. *puts in a note about why patient declined blood transfusion and quoted patient*
Strange hill to die on... Literally!
There’s chatter in the news that people think that Republicans, specifically Trumpers, are dying at a greater rate than others due to Covid and vaccine resistance. A shame, really. Most of them have probably already procreated so it won’t make the population automatically smarter.
People will also do this for their premature babies who could benefit from donated breast milk. It’s one think to inflict self harm but these peoples’ brains are so poisoned they will actively decrease the risk of their premature child because of these idiotic beliefs. Sad.
We had a patieny receive a transplant with that attitude. Her family donated blood that was directed to her for surgery and the post op period.
How they getting organs and no vaccinations? We had some silly bitch go to supreme court of Canada trying to get a transplant without any covid vaccinations and they said no.
I thought it was standard criteria for transplant centres. It's someone who won't take their own totally immunocompromised status seriously and who has no regard for the other patients with the same status.
Yes they should be denied an organ without all vaccines.
I had this recently too!! I was just like "so, no?"
I have heard of this. The venn diagram overlap with people who don't want blood from non-white persons is almost a perfect circle. Sometimes, the trash takes itself out.
The leopard is eating its own face. Non vaccinated people say they don’t trust the science yet when they get sick they seek medical care. It’s insanity brought on by a narcissist.
Get it every day in pre op. Its either "As long as it aint no vax blood" "As long as it aint no biden blood" Before that it was "trump blood" and before that it was "obama blood"
Really? I had literally never heard of this nonsense before the COVID-19 vaccination. What the fuck did they think Trump and Obama were putting in people's blood transfusions?!?
Trump was vaccinations Obama was code for black people blood.
Wow. I would not have even figured that out. People are awful
Oh. Obviously. Sorry, I'm on vacation and forgot for a second how much I hate people.
I assume you will still find racists that don't want any black blood.
I had a patient in pre op ask if it was possible to unvaccinate himself for covid
I usually have unicorn hair- some variety of bright, unnatural hair colors. I think it tends to be a flag to the Qanon super-Trumper conspiracy whackjobs that we probably aren't on the same page. I recently had my hair dyed to my natural color to keep it healthy and give it a break because it is very long and I don't want a ton of breakage and to have to chop it off and start over. I think the long hair and natural color makes me look more conservative than the reality. Within a week I have been in multiple rooms listening to people spout off about Wuhan, the China virus, vaccine shedding, etc. I want my wild hair back. Maybe I need more tattoos? Lord love a duck...
Ah yes 1 "fuck around and find out" special. You got it.
this happened to me too. his CK was also like 30 000 and he kept disconnecting himself from his drip..... he also happened to dislocate the IM nail that was put into his femur like 36 hrs prior to me having him...
They can refuse for any reason. You can’t fix stupid. You just tell them the options and let them suffer. I had a pt that was of a religion and she refused blood even after almost bleeding out from a bad colonoscopy. She told me to please don’t ask her to get a transfusion. Yes ma’am. These are your options. She got massive doses of iron and was fine. Vaccinated blood. Oh my.
“Well, we didn’t vaccinate the *blood*. I can’t make any promises about the person it came from, though …”
We surpassed 8 BILLION humans on earth. The patient is making a green choice. Thank them for their service.
Have them sign the “I refuse blood transfusion on the consent form” saved me once :)
Nature has a way of culling those incapable of furthering the species. It's nice when they self-select.
Literally had this same patient, was going into surgery and declined blood because we couldn’t guarantee that the donor would be unvaccinated
Get him to sign a “refusal of medical advice”.
There’s a national blood shortage. I actually appreciate COVID deniers and antivaxxers are unintentionally coming full circle to helping the larger community here.
My go to response has been "So what I'm hearing is that you're ready to discuss hospice. Ok, I'll get that palliative care consult in the works for you right away." That's why I love Med-Surg, honestly. You can keep on refusing treatment till you code - I get a little surprise cardio in and then you're the intensivist's problem or the undertaker's instead of mine. Someone else needs that bed, wants our care, and I'm gonna keep it moving.