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Medical things you didn’t know?

738 replies

Emptychairdoasolo · 04/07/2023 21:09

Just watching a medical drama and wondered what happens if you die on the operating table? Do they just sew you back up without repairing anything inside?

but also had me thinking what other medical things didn’t you know until you maybe experienced them or learned?

OP posts:
Thread gallery
8
MerelyPlaying · 05/07/2023 08:15

Fascinating thread. And I wish I'd known about the gastroscopy - the literature made it sound as if they really didn't recommend sedation. A hideous experience.

DontGoBreakingMyHeart · 05/07/2023 08:20

Moranguinho · 05/07/2023 08:07

In what way os donor transplant brutal? And what type of transplant you are talking here?

in every way. Transplant surgery is major surgery, so e.g. in the case of a heart transplant, the chest is cut open, the patient is placed on bypass, the old heart is removed so to all intents and purposes the patient is dead. And then the new heart is stitched in, and as the heart lung machine is reduced the heart hopefully starts beating on its own. Except there’s a 10% chance of not coming through the surgery.

And post surgery with any kind of transplant surgery, the patient is on immunesuppressents for the rest of their life. Essentially, a transplant is not a cure, it is swapping one set of medical problems for another, but with the hope of a greater quality of life.

Moranguinho · 05/07/2023 08:22

DontGoBreakingMyHeart · 05/07/2023 08:20

in every way. Transplant surgery is major surgery, so e.g. in the case of a heart transplant, the chest is cut open, the patient is placed on bypass, the old heart is removed so to all intents and purposes the patient is dead. And then the new heart is stitched in, and as the heart lung machine is reduced the heart hopefully starts beating on its own. Except there’s a 10% chance of not coming through the surgery.

And post surgery with any kind of transplant surgery, the patient is on immunesuppressents for the rest of their life. Essentially, a transplant is not a cure, it is swapping one set of medical problems for another, but with the hope of a greater quality of life.

A better set of problems, with the promise of a better 🙏

DontGoBreakingMyHeart · 05/07/2023 08:25

It’s not that simple. They will avoid transplant surgery at all costs. Transplant is a last resort.

I need a heart transplant. Currently I’m stable enough not to be on that list but it’s a fine line, and the surgeon explained it to me like this. She said that while you’re living relatively normally it would be a bad idea to put you through a transplant which had a fairly high rate of you not surviving, plus the added issues afterwards, increased risk of cancer for instance, rejection, etc. It’s not plain sailing, and if they can avoid transplant, then they do.

CaptainMyCaptain · 05/07/2023 08:36

GlitterDragon · 04/07/2023 23:34

Another window opening nurse here. I’ve seen this practice occur in many hospitals, without even being discussed. I think it’s more of a respectful gesture to the person, rather than a religious one. It does originally stem from setting the soul free though.
I have seen many examples of some level of autonomy in passing away as PP said. Either waiting for someone to turn up and visit, or waiting to be alone. I’ve had a notable hand squeeze, a heartfelt ‘thank you’ or a specific ‘look’ from many EOL patients that lead me to believe they knew they wouldn’t see me again. Always gives me chills.

My father was in hospital but not expected to die there. He had been delirious and having hallucinations but then, at afternoon visiting time, my daughter said she had to go because she was going on holiday in the morning. He suddenly seemed to come round and wished her a lovely holiday and said Goodbye. At evening visiting time he told me he wasn't getting better. I told him he was in the best place and they were doing their best etc. but he insisted he wasn't getting better. He said similar to my sister and then died unexpectedly that night. We all think he willed himself to die and it was certainly in line with his character to do that.

We were phoned in the morning but I have no idea if the window was opened. He was in a ward of 6 and not near the window.

Topseyt123 · 05/07/2023 08:38

VaccineSticker · 05/07/2023 07:59

It is not tripe. What other mumbo jumbo are they asking nurses to do?
This makes a mockery of the system who is meant to rely on science based treatments.

It is tripe.

badger2005 · 05/07/2023 08:39

FelicityBeedle · 04/07/2023 23:25

Not a nurse but a healthcare, I was taught in my training to open the window, it’s not a superstition so much as a ritual.

For anyone interested, when someone dies (expected) this is what tends to happen in my hospital.
We’ll lay them flat in the bed, arms by their sides and a pillow under their head with the window open. We gently close their eyes and mouths with a bit of gentle pressure.
Family can visit in this time.
After half an hour or so (minimum) to let them settle we go to them, we remind them who we are and let them know what we’re going to do.
We get warm water and soap and give them a good wash, taking out any needles or catheters and some sorts of dressings, chatting all the way. We clean their teeth or dentures, and if they’ve got perfume give them a squirt of that
We dress them in the nicest of their own clothes they have with them, or a shroud if they don’t.
They then get put in something to be transferred to the mortuary, and before they go, pretty much everyone I’ve worked with has given their hand a last squeeze and said goodbye.

This brought tears to my eyes - thank you, thank you, thank you!

CaptainMyCaptain · 05/07/2023 08:39

Naillig222 · 05/07/2023 04:48

People with red hair require more anaesthetic.

Interesting. I distinctly remember having gas for a tooth extraction as a child and, to this day, I can remember the conversation the dentist was having with the dental nurse - it was about her having just bought a car, it was a Wolsey (around 1965).

CaptainMyCaptain · 05/07/2023 08:41

VaccineSticker · 05/07/2023 05:46

It is pretty offensive to think that the NHS is wasting time and money on teaching nurses mumbo jumbo. Where is the science in this? this is a thread that is meant to be about medicine and science…

On the other hand- Wish more people opened their windows during covid and followed the science.

Exactly how much time and money do you think is wasted even if it is a superstition?

Agapornis · 05/07/2023 08:42

TheChippendenSpook · 05/07/2023 08:08

As usual, you get an interesting thread and some idiot comes along and derails it. It's tedious.

Indeed.
Nursing isn't medical. I'm surprised how many posters think opening a window falls under 'medical things you didn’t know'.

gemstoneju · 05/07/2023 08:43

Lochia, the excessive shedding of blood/womb lining after birth, took me unaware, for some reason very few women seem to talk about it. It's quite heavy in the first days of breastfeeding. You need about four packs of towels in your hospital bag if there's a chance you stay in, the NHS were I was didn't give them out beyond a handful.

Plentiful · 05/07/2023 08:45

Agapornis · 05/07/2023 08:42

Indeed.
Nursing isn't medical. I'm surprised how many posters think opening a window falls under 'medical things you didn’t know'.

I think a lot of nurses would disagree that ‘nursing isn’t medical’.

And that some posters don’t get why inflicting your own superstitious beliefs about souls flying out of windows on someone dead is offensive to many.

TomAllenWife · 05/07/2023 08:45

@Moranguinho sorry I wasn't clear. When they take an organ donor to theatre there will be teams of people waiting from all over the country for individual organs

It is not a pleasant experience to watch

However I am still down to be a donor

badger2005 · 05/07/2023 08:45

sashh · 05/07/2023 05:54

One of the units I used to teach was 'equality and diversity', it can bring a lot of comfort to a family if the recently deceased is treated with respect.

Just as it does to understand culture when the patient is alive, so I would teach things like not cutting a string round a Hindu patient's wrist.

Don't worry if the Vietnamese couple seem to be ignoring their baby.

There is nothing wrong with a bit of compassion when people are vulnerable.

When my mum was in the hospice I don't know how many times a priest visited her and gave her, what is commonly called 'the last rites'. I think it's superstition but she and my father got a lot of comfort from it.

I love this!

user1469908686 · 05/07/2023 08:47

MaggyNoodles · 05/07/2023 02:57

When I woke up after having my wisdom teeth out under GA, I had a lot of bruising on my shoulders and chest.

My poor DC had two baby molars out that were growing wonky and stopping adult teeth coming through. Dentist was practically sat on them leaning all her weight on shoulders and chest. Was brutal to watch. But DC insists they couldn’t feel anything! They’ve a pretty hardcore pain tolerance though.

CaptainMyCaptain · 05/07/2023 08:47

Plentiful · 05/07/2023 08:45

I think a lot of nurses would disagree that ‘nursing isn’t medical’.

And that some posters don’t get why inflicting your own superstitious beliefs about souls flying out of windows on someone dead is offensive to many.

Who would find opening a window offensive even if they didn't believe in the soul?

Kelpi · 05/07/2023 08:48

Bogofftosomewherehot · 04/07/2023 23:33

@Kelpi
"Hang on a minute... So someone can be alive but brainstem dead, and they get taken to surgery and just... Carved up? In what order? Does that kind of make the person who takes out the organs feel like a murderer?! "

I'm sure it's not intentional, but please think about the sensitivity of your wording. For those of us that have made the decision to donate our loved ones organs rather than just switching off the machine this is a hard process. You know they're going to theatre, you hope there is no semblance of pain in the dark depths of medicine we don't yet understand, you wonder with each passing minute if their heart has now stopped. I'm going to bed now with the image of my family member (who was only 44) being 'carved up' instead of her being treated with dignity as she passed the gift of life to 3 others.

@bog Sorry to hear about your loved one and sorry about using the words I did - I wasn't intentionally trying to upset, I was being flippant as a sort of defence/distance because I'm kind of horrified that that is the process. Your loved one did a wonderful thing in donating.

Argh, tag fail! Trying to tag @Bogofftosomewherehot

Daffodilsandtuplips · 05/07/2023 08:48

Some one upthread mentioned some patients hanging on for loved ones. When my lovely Mil was dying I’m convinced she hung on for my dh to get there, he was 160 miles away when I got the call from the hospital, he was already at the heliport and walking to the car to come home, after he’d finished his two week stint offshore.
Mil was in a side ward and her face lit up when she heard his voice, she turned to us and gave us the most beautiful smile. She died about an hour later, the nurse who’d been coming in and out of the room was lovely, she opened the window said she’s at peace now. She let us have some time alone with MIL and then told us she needed to prepare Mil “I need to do some things for her”, she pointed to little family room where she’d made us tea and coffee with an assortment of biscuits and a cheese and ham sandwich for DH as knew he’d just finished work.
When she called us back in to the room, MIL had a new nightie on, her hair had been brushed, she’d been washed, her hands were on her chest and she looked serene, the syringe driver, IV, monitors all gone.
the blinds on the windows to the main ward were down and the curtains closed. That same nurse came to MIL’s funeral.

Kelpi · 05/07/2023 08:49

And I don't mean horrified in a bad way, mostly just shocked!

Moranguinho · 05/07/2023 08:49

TomAllenWife · 05/07/2023 08:45

@Moranguinho sorry I wasn't clear. When they take an organ donor to theatre there will be teams of people waiting from all over the country for individual organs

It is not a pleasant experience to watch

However I am still down to be a donor

I can imagine the stress of it! I dream of a future with 3D printing machines for organs.

Whokilledrogerrabit · 05/07/2023 08:49

Zimunya · 05/07/2023 08:07

This is a super interesting thread! It has also reminded me (yet again) of the incredible work people in the NHS do. Thank you for your care, and especially for treating dead people with such courtesy. As a family member, I would appreciate that. Thank you for all you do.

Good luck with your fight for better salaries and conditions - you deserve both.

Well said! 🌈👏🏻

smilesup · 05/07/2023 08:50

Delia123 · 05/07/2023 00:12

Yes, especially if someone becomes confused over a short space of time. Always rule out uti before thinking about dementia.

The cervix changes shape and dips into the top of the vagina during an orgasm. It's possibly why it's harder for women to orgasm so they do it after the man.

Kiwiandstrawberries · 05/07/2023 08:53

Stravaig · 05/07/2023 08:07

Death rituals vary by country and culture, of course. Opening a window to let the soul out is usual in Scotland, in the Highlands. Or was - and someone better do it for me!

I am interested to know where this strange window opening ritual happens? Never heard of this in the hospitals I have worked in ,in England or Australia .

mondaytosunday · 05/07/2023 08:55

@Snowpaw yes I knew that but it was lovely that my mother got a letter after my father died explaining who benefitted from his organ donations, including his corneas. He was a doctor and it just felt right that even in death he was helping others.
My daughter and I have watched a lot of medical dramas (ER, Greys Anatomy, House, and now The Good Doctor) to the point she almost feels she has a medical degree! I hope they are accurate!
And watching West Wing when she was diagnosed with MS earlier this year made her feel better about it.
I didn't know that low blood pressure made you nauseous until just before my c- section - I really felt like I was going to throw up. And that they tilt you to the left to prevent aortocaval compression.

Honks · 05/07/2023 08:56

Spidey66 · 04/07/2023 21:30

When you die most nurses will open a window to allow your soul out

I doubt that's the reason. I think it's more likely to prevent any smell.

As a young nurse I was taught to do this by a qualified nurse. It is nothing to do with smell.