Vox Populi – 10-21-2016

Already here…..working elsewhere on line but will be back at 9!

MurphTheSurf3

OH! You are actually here…in person!

MurphTheSurf3

See ya at 9. P.S. I did not push Vox at Yabberz in the last two days. I will do so for next Friday. I think we made a good impression on most.

MurphTheSurf3

I have been working hospitals all day….I need to catch up.

MurphTheSurf3

Yes, I have taken up another job as a Health Care Advocate (a spin off of my Navigator days) and I was battling hospitalists about extended care for a client.

MurphTheSurf3

Thank you. I got really interested in the workings of the system and have become quite good at naming reality.

MurphTheSurf3

Oh yes…I usually put them back on their heels.

MurphTheSurf3

Here is todays battle. I had to wrestle with a hospitalist today who seemed to be pushing to cut off XXX’s nutrition because he pulled out his nose feeding tube (nasogastric tube). I pointed out that for him in every other area, neurology, cardiac, hematology, oncology, pulmonology things are status quo. His current feeding problem is not an end of life issue and his advanced directive does not state that sustenance be withheld unless he is terminal. She told me that unless they can keep the nasogastic tube in place they will not be able to provide sustenance. I asked why a PEG Tube (Percutaneous endoscopic gastrostomy ) could not be implanted (like another of our guys has). She said that given his risk factors this would be inadvisable. I pointed out that he had just had neurosurgery under general anesthetic and the PEG Tube procedures require only a local and a general light sedative. She then said that we should try the nasogastic tube again tonight with better restraints and a more careful watch to keep him from pulling it out. Failing that, she said, a PEG insertion should be considered. I am going to be sure that is in his notes tomorrow. So I am going back to the hospital tomorrow morning to be sure his orders reflect this.

MurphTheSurf3

I had this ready to print because it was in my log.

MurphTheSurf3

Hospitalist are basically Primary Care Physicians who are meant to serve as your family doctor while you are in the hospital, overseeing care, and coordinating treatment plans. What they also do (but do not admit) is provide medical reasons for pushing people out of hospitals it their homes, to nursing homes, to hospice. You can block them if you know what to say and how to say it. What I posted to you is now in three e mail boxes at the hospital in question..a major medical center with a fine rep.

MurphTheSurf3

The email makes it clear that I will challenge them on ethical grounds. The emails went to the chief of hospitalist practice; to the neurosurgeon and anesthesiologist who led the brain surgery team that worked on him last week (very successfully), and to chief of neurology. There are several more steps.

MurphTheSurf3

I represent people from my area who need to be represented. I ask that they name me in an advanced directive as a health care representative and spokesman AND appoint someone who they (and I) trust as their medical power of attorney using an instrument that was created by the Mercy Health Care Systems.

MurphTheSurf3

What she, and a nurse were trying to do was to get the family to consider the idea “as the best course of action for the comfort of the patient.” It is an easy argument to put forward since the patient does appear to be distressed and that often flattens the familyy.

MurphTheSurf3

As rep, I have no power…only the medical power of attorney holder does….but I have influence and that is the lever.

MurphTheSurf3

The thing is that I also make it clear that I understand the good reasons for difficult decisions to both the family and to the doctors and nurses. Last week I had someone who was moved from ICU and the family did not want this done but it was time and the space was badly needed for others with more critical needs. The hospital was happy for my support in this.

MurphTheSurf3

Hi guys n gals. Sorry, won’t be much use today, was diagnosed with AMG macular degeneration yesterday, got an injection and am flying oon one ocular wing right now.

pinkpantheroz

Ad….this person is in pain, largely emotional and the quality of life right now is for shit….but if he begins to take nutrition that will pass….I have seen it.

MurphTheSurf3

Hi PPO…AMG macular degeneration…..long term prognosis.

MurphTheSurf3

Only one eye has it. DG, Ad, and Ive been toild there is long term treatment to keep it where it is now and not get worse, so I’ll be doing that

pinkpantheroz

PPO Good.

MurphTheSurf3

than ks, Mutph. Monthly in jections, and after tests, may go out to 6-weekly or even 2-monthly. Not vey pleaseant, but do-able.

pinkpantheroz

Ad: agree. Give nutrition a chance.

MurphTheSurf3

PPO…sounds like a good care plan. With you all the way.

MurphTheSurf3

Stepping out for a few minutes. Back at 9

MurphTheSurf3

Ad, I’s our Anniversary today 33 years! God Love Her, she’s a mess worrying about ME! She’s doing fine herself, though.

pinkpantheroz

THANK YOU!

pinkpantheroz

BRB

pinkpantheroz

Ad…one of the comments from a Yabberz about Vox is that the chat room “feels like a nice neighborhood with the neighbors chatting over their fences. I liked that a lot.”

MurphTheSurf3

Your convo with PPO and me exemplifies that.

MurphTheSurf3

Ad…we need to reestablish that image with a new generation of Planeteers…

MurphTheSurf3

I think that Planet/Vox and Yabberz might be a good partnership, even if informally.

MurphTheSurf3

Greetings KT….

MurphTheSurf3

Hey Ad, Murph!

KillgoreTrout

LOL!

KillgoreTrout

AD…say more about this speech…as you know I missed the whole day in news fighting hospital dragons.

MurphTheSurf3

get ready for Trump TV!

KillgoreTrout

oh, he knows he toast. If he didn’t know it after the last debate, he surely knows it after that dinner last night in NYC. The annual Al Smith dinner.

KillgoreTrout

once again he made a complete ass of himself, and got heavily booed.

KillgoreTrout

wouldn’t surprise me Ad. Maybe Ailes will save the day for him.

KillgoreTrout

Someone said earlier today that it was Rodger Stone who wrote it. Samey same, really. RWers just don’t know, “funny.”

KillgoreTrout

Oh that’s right, I forgot about that.

KillgoreTrout

Trump has absolutely 0 self awareness.

KillgoreTrout

Awwwww! Thanks Ad.

pinkpantheroz

Hey P!

KillgoreTrout

Hey KT Who on earth would want to advertise on Grope – er Trump TV?

pinkpantheroz

Last night I went to a neighborhood bar/tavern/saloon to watch the Al Smith coverage. Mostly red neighbors, heavily Trump. At the bar….the first 15 minutes of Trump was marked by laughter across the room….from the majority Trump crowd and the minority Clinton crowd. That happened again when Clinton spoke. But Clinton never got booed…she got laughed at but not booed. To my surprise when he turned that corner nearly everyone reacted negatively….even his supporters wondered what the hell he was doing. A good friend who is an adamant Trump supporter had this comment: “Look, the guy frustrates me too. It’s like he doesn’t know the rules about how the game is played but until he makes the rules because he owns the game he has to learn to go along to get along.”

MurphTheSurf3

TRue dat. HIllary got a few light hearted zingers in there. She nailed gouliani. The camera cut to him and Nosferatu was not pleased!n

KillgoreTrout

New movie out. Michael Moore in Trumpland! Gotta see it.

KillgoreTrout

Ad, Polar Bear Fur Coats, perhaps?

pinkpantheroz

Manatee skin handbag?

KillgoreTrout

Something tells me that Trump Steaks would be very touch, chewy and Orange colored.

pinkpantheroz

tough!

pinkpantheroz

Whoever wrote it, it was dripping with alt right nonsense.

KillgoreTrout

Nosferatu!

KillgoreTrout

Rudi’s totally lost it and gone walkabout.

pinkpantheroz

or Max Shreck!

KillgoreTrout

back soon. My love awakes!

pinkpantheroz

Right P. I think rudy is on a long, long walkabout.

KillgoreTrout

HAHAHAHAHAAAAA! Yeah I saw that too. How TRumpish!

KillgoreTrout

Eric Trump sent out an e mail tonight to donors that lays out the first 100 days of the Trump admin. NO mention of the Wall, of Immigration, of Muslims…..not a word.

MurphTheSurf3

Trump’s con man Murph. His supporters just got took!

KillgoreTrout

Trump Chumps.

KillgoreTrout

Ad…the bill is in the e-mail.

MurphTheSurf3

I wonder if Kellyann Conway is going to get paid.

KillgoreTrout

Ad….Hillary? Hillary who? Not a word.

MurphTheSurf3

She should. Lying really takes it out of a person!

KillgoreTrout

Ad…Kellyanne deserves it…she was well paid to prostitute her integrity.

MurphTheSurf3

she’s a long time Clinton hater too.

KillgoreTrout

The MSM, smooching Trump’s butt, by proxy!

KillgoreTrout

Sure, they’re weak attempts to legitimize a monster. Before they realized just what a monster Trump really is.

KillgoreTrout

doing their corporate masters’ bidding.

KillgoreTrout

That’s pretty amazing.

KillgoreTrout

what a traitor.

KillgoreTrout

America for sale folks. Get it right here. America for sale! (slightly used)

KillgoreTrout

I did like HIllary’s joke about the Statue of Liberty. Trump sees her as a 4! LOL!

KillgoreTrout

In a nation where most do not read anything serious about politics, economy, social policy, or philosophy…the media are grabbing for audiences any way they can…..to keep the doors open in many cases.

MurphTheSurf3

Really! How incredibly blind.

KillgoreTrout

Infotainment!

KillgoreTrout

That’s what I meant. Moonves is blind, not you!

KillgoreTrout

pinkpantheroz

The love of money is the root of all evil!

KillgoreTrout

KillgoreTrout

Ad Lib…the fate of small newspapers, is becoming the fate of larger and larger ones….the same with serious talk radio like Air America……and with news magazines……how to keep one’s head above water.

MurphTheSurf3

Ad…if the Dem electorate shows up…..I will not assume.

MurphTheSurf3

We got the senate for sure, I believe.

KillgoreTrout

it really would, but the big boys might try pretty hard to wreck it, or not let it get a good start.

KillgoreTrout

Ad…is there enough public interested in that kind of news to keep it afloat?

MurphTheSurf3

you know minorities are not going to stay home. Plus, there is early voting.

KillgoreTrout

I think turn out may be phenomenal this year.

KillgoreTrout

That’s what I’m hoping for. I heard the GOP is now thinking about confirming Garland to the SC.

KillgoreTrout

I think so many people are tired of the 24/7 cable news nonsense. I think they hurt themselves with all the Trump worship.

KillgoreTrout

I bet they do too. He’s not a liberal.

KillgoreTrout

Ad …. I agree about the GOTV efforts – but we have to push to get the most out of this including down ballot. Here in Mo. I am pushing for Koster and Kander. In Ill for Duckworth.

MurphTheSurf3

CU is one of HIllary’s top priorities, so she says.

KillgoreTrout

Ad…..you are energized by the details and a desire for integrity in fact finding….too few share your interest.

MurphTheSurf3

I don’t believe that Murph. I see a lot of complaints about our MSM these days. More than ever.

KillgoreTrout

or the hospital for Trump poisoning. OD!

KillgoreTrout

trump has poisoned this election.

KillgoreTrout

ad….the honeymoon….I don’t think Hillary is going to be as willing to play nice with the GOP as Obama was. I think she will be very tough and give them a narrow time period to get on board or face her efforts to dump them out the door. To do to them in her midterm what they did to Obama in his.

MurphTheSurf3

obama was pretty naive his first year. Hillary is anything but naive.

KillgoreTrout

KT…there may be complaints about the MSM but my point is that too few are interested in serious reporting to make it profitable.

MurphTheSurf3

Maybe profit won’t be as big a motivator. That would be a change.

KillgoreTrout

I know that left wing radio doesn’t have a big audience. Maybe TV would be better.

KillgoreTrout

I think Obama’s great respect for the constitution made him seek bipartisanship longer than was expedient.

KillgoreTrout

Ad….I think here, “let’s be friends, or at least allies” period will be very short…she will not squander her first 100 days…..she has learned what you have about the Obama early days.

MurphTheSurf3

Ad…..the viewing, listening, reading habits of the American public are pretty well documented and “serious” is not high on the list of defining characteristics.

MurphTheSurf3

speculation time. Who would Trump TV hire for anchors?

KillgoreTrout

MSNBC only has three good hours a day.

KillgoreTrout

quick question. Does anyone know how the house and senate races are going/

pinkpantheroz

Ad….supports my vision of a House led by a Ryan who elected with Dem support to begin the process in the GOP in getting their party back under control. Isolate the 50 or so as a small minority caucus.

MurphTheSurf3

LOL! Christie may have to do his show from prison.

KillgoreTrout

Ad….I think that most of the public who are angry with the MSM have no idea why and if given an alternative with integrity would be bored by it…aka Al Jazeera.

MurphTheSurf3

I still like Hayes, Maddow and O’Donnel.

KillgoreTrout

Well, my friends. Calling it a night..long, long day and another one tomorrow. Ta!

MurphTheSurf3

Murph, I reckon that the only decent news now and which I watch,is the CBS with Charlie, Nolrah and Gayle

pinkpantheroz

Later Murph.

KillgoreTrout

see ya murph

pinkpantheroz

Like Seth Myers said about Ryan, when he has to be somewher, they carry him is a bucket, because he has no spine.

KillgoreTrout

Well, gotta go and ‘celebrate’ my Anniversary. We’ve had to postpone for a few days until my eye settles down. Cheers and thanks to all

pinkpantheroz

In a bucket.

KillgoreTrout

Take it easy P, say hi to Fergie.

KillgoreTrout

ta, KT and will do

pinkpantheroz

cheers all

pinkpantheroz

I agree. Ryan has no stones.

KillgoreTrout

I think so to, especially considering he would not denounce Trump, but just gave a show of it.

KillgoreTrout

Too much to hope for Ad. But man, we’d see a better and stronger nation.

KillgoreTrout

I think between college educated men and women, and minorities, the alt right crowd will slowly be pushed aside and they will fade away.

KillgoreTrout

those republicans that pandered to them will fade away also.

KillgoreTrout

it’s beginning to look good. I told my daughter last week, that I hold a ray of hope for America. Her friends are mostly scared shitless of Trump!

KillgoreTrout

I don’t believe it will either. Trump really exposed the GOP…BIGLY!

KillgoreTrout

i wold love to see the GOP disintegrate completely. split in to two parties?

KillgoreTrout

The Crazicans and Not so Crazicans?

KillgoreTrout

The GOP needs to be utterly humiliated!

KillgoreTrout

Trump doesn’t want to work at anything but making Trump richer.

KillgoreTrout

oh I can’t stand that puke. I guess his internet was cut off. I love it.

KillgoreTrout

If he can screw up a Casino, he can screw up anything.

KillgoreTrout

Well, I think I’m going to call it a night. Have a great weekend Ad!

KillgoreTrout

See ya there.

KillgoreTrout