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The same thing happened to my mom in her 50s after 6 hour quadruple bypass surgery. They basically kept her awake for two days doing tests every hour after her

The same thing happened to my mom in her 50s after 6 hour quadruple bypass surgery. They basically kept her awake for two days doing tests every hour after her surgery. She eventually started hallucinating from lack of sleep. It just seems so inhumane.

swayvil 2y ago
Doctors are a unique type. So excruciatingly educated. So utterly disconnected.
- rsyring 2y ago
  They have different priorities, especially with major interventions. First priority, make sure you don't die. Sleep and recovery are down the list a bit. Disconnected? Probably. But I think that's intended and part of the current medical model. It's not necessarily a bad thing when focusing on long term positive outcomes in aggregate. But it certainly feels inhumane at times to the individual and their loved ones.
  - derefr 2y ago
    > First priority, make sure you don't die. Sleep and recovery are down the list a bit. But lack of sleep can impair immunity and disturb blood pressure and heart rhythm. Keeping someone with major trauma under stress (like being constantly awake) can make them more likely to die.
    - adrianN 2y ago
      Everything in medicine is a tradeoff
  - jvanderbot 2y ago
    We never once saw a doctor. It was all nurses, mandatory education, paperwork, blood tests, vital checks, moving rooms, etc. At one point we were trying to sleep and a breastfeeding assistant stopped by. Super helpful that they can stop by, but jeez just coordinate for a 4 hour block where we're not disturbed.
- gyomu 2y ago
  It's a weird state of affairs. I spent a lot of time around doctors through family and an (ex) significant other, and my take is that you just can’t absorb the quantity of material they have to, and do the quantity of things that is required of them, without becoming a bit disconnected as a result. The fact that med school + residency means you basically have to put your life on hold throughout all of your 20s while other people are figuring out the whole “being a young adult in the world” thing leads to very… particular emotional development. Medical school doesn’t particularly encourage questioning the status quo or established practices. Some of them can recalibrate after a few years in the real world, but many never really escape that bubble. It’s hard to radically change your outlook on life in your 30s (let alone when you now have to repay huge debt, in the case of many American doctors)
  - parpfish 2y ago
    a lot of doctors were a bit “off” before med school starts. Many of premed kids I knew in undergrad (or the high schoolers aspiring to premed) weren’t motivated by scientific pursuits or an altruistic desires - they just had to be the best. They needed to ace every test (and would argue incessantly with the teachers about it), they had to be in the hardest classes, etc. they became doctors because somebody told them it was hard and well respected. I imagine that those people become doctors that are disconnected from their patients.
    - thimkerbell 2y ago
      There used to be fewer clear paths to excelling. Lawyer, doctor, professor.
      - parpfish 2y ago
        Do you want to be: - Rich and respected -> doctor - Rich but not respected -> lawyer, software - Not rich but respected -> professor
        matheusmoreira 2y ago
- vbezhenar 2y ago
  They encounter a lot of suffering and some of them encounter deaths. Disconnecting themselves from the patients is one way of staying sane.
  - swayvil 2y ago
    Hey I watched that tv show too. With the charismatic head doctor and the brilliant yet quirky interns. Small world.
  - bityard 2y ago
    Parent meant disconnecting from the big picture of what it means to heal and be healthy, not specifically emotional connections with patients.
Rinzler89 2y ago
>She eventually started hallucinating from lack of sleep. When sleep deprived, the brain enters REM sleep even while awake. That's what those hallucinations are.
- rramadass 2y ago
  Not just hallucinations but lack of sleep can change your very character and behaviour. The executive part of the brain in the frontal cortex becomes inhibited and you have less conscious self-control over the expression of emotions/feelings. You will become very noticeably irritable, angry, petty, quarrelsome and even sometimes violent. I have had the misfortune of experiencing this twice in my life so far; the first on a month-long car trip with my buddy and the second while i was the caregiver/caretaker for my Mother. In both cases it was my lack of sleep which made me very difficult to be around. 1) Sleep Deprivation - https://en.wikipedia.org/wiki/Sleep_deprivation https://en.wikipedia.org/wiki/Sleep_deprivation 2) Also Related; The medications that change who we are - https://www.bbc.com/future/article/20200108-the-medications-that-change-who-we-are https://www.bbc.com/future/article/20200108-the-medications-... So whenever you note that somebody's behaviour has abruptly changed, always ask two questions; a) Are you sleeping well? b) What medications are you taking and what diet are you on?
- agumonkey 2y ago
  While being partially conscious and losing a lot of cognitive function (spatial sensing, balance, short term memory)
jimbokun 2y ago
Seems like the modern equivalent of doctors treating illness with leeches.
themaninthedark 2y ago
It is inhumane and lawsuit avoidance as well. When someone dies in the hospital what happens in the inquiry? Examine the symptoms of the person who died and how to detect them. Add another check. If they left someone alone for 2 hours or 4 hours and they passed away during that time, what would the headlines read? "General Healthcare left the patient alone for X hours and didn't even bother to check on their well being."
- fennecbutt 2y ago
  This is most likely why. American lawsuit culture is cray

swayvil 2y ago

Doctors are a unique type. So excruciatingly educated. So utterly disconnected.

rsyring 2y ago
They have different priorities, especially with major interventions. First priority, make sure you don't die. Sleep and recovery are down the list a bit. Disconnected? Probably. But I think that's intended and part of the current medical model. It's not necessarily a bad thing when focusing on long term positive outcomes in aggregate. But it certainly feels inhumane at times to the individual and their loved ones.
- derefr 2y ago
  > First priority, make sure you don't die. Sleep and recovery are down the list a bit. But lack of sleep can impair immunity and disturb blood pressure and heart rhythm. Keeping someone with major trauma under stress (like being constantly awake) can make them more likely to die.
  - adrianN 2y ago
    Everything in medicine is a tradeoff
- jvanderbot 2y ago
  We never once saw a doctor. It was all nurses, mandatory education, paperwork, blood tests, vital checks, moving rooms, etc. At one point we were trying to sleep and a breastfeeding assistant stopped by. Super helpful that they can stop by, but jeez just coordinate for a 4 hour block where we're not disturbed.
gyomu 2y ago
It's a weird state of affairs. I spent a lot of time around doctors through family and an (ex) significant other, and my take is that you just can’t absorb the quantity of material they have to, and do the quantity of things that is required of them, without becoming a bit disconnected as a result. The fact that med school + residency means you basically have to put your life on hold throughout all of your 20s while other people are figuring out the whole “being a young adult in the world” thing leads to very… particular emotional development. Medical school doesn’t particularly encourage questioning the status quo or established practices. Some of them can recalibrate after a few years in the real world, but many never really escape that bubble. It’s hard to radically change your outlook on life in your 30s (let alone when you now have to repay huge debt, in the case of many American doctors)
- parpfish 2y ago
  a lot of doctors were a bit “off” before med school starts. Many of premed kids I knew in undergrad (or the high schoolers aspiring to premed) weren’t motivated by scientific pursuits or an altruistic desires - they just had to be the best. They needed to ace every test (and would argue incessantly with the teachers about it), they had to be in the hardest classes, etc. they became doctors because somebody told them it was hard and well respected. I imagine that those people become doctors that are disconnected from their patients.
  - thimkerbell 2y ago
    There used to be fewer clear paths to excelling. Lawyer, doctor, professor.
    - parpfish 2y ago
      Do you want to be: - Rich and respected -> doctor - Rich but not respected -> lawyer, software - Not rich but respected -> professor
      - matheusmoreira 2y ago
vbezhenar 2y ago
They encounter a lot of suffering and some of them encounter deaths. Disconnecting themselves from the patients is one way of staying sane.
- swayvil 2y ago
  Hey I watched that tv show too. With the charismatic head doctor and the brilliant yet quirky interns. Small world.
- bityard 2y ago
  Parent meant disconnecting from the big picture of what it means to heal and be healthy, not specifically emotional connections with patients.

Rinzler89 2y ago

>She eventually started hallucinating from lack of sleep. When sleep deprived, the brain enters REM sleep even while awake. That's what those hallucinations are.

rramadass 2y ago
Not just hallucinations but lack of sleep can change your very character and behaviour. The executive part of the brain in the frontal cortex becomes inhibited and you have less conscious self-control over the expression of emotions/feelings. You will become very noticeably irritable, angry, petty, quarrelsome and even sometimes violent. I have had the misfortune of experiencing this twice in my life so far; the first on a month-long car trip with my buddy and the second while i was the caregiver/caretaker for my Mother. In both cases it was my lack of sleep which made me very difficult to be around. 1) Sleep Deprivation - https://en.wikipedia.org/wiki/Sleep_deprivation https://en.wikipedia.org/wiki/Sleep_deprivation 2) Also Related; The medications that change who we are - https://www.bbc.com/future/article/20200108-the-medications-that-change-who-we-are https://www.bbc.com/future/article/20200108-the-medications-... So whenever you note that somebody's behaviour has abruptly changed, always ask two questions; a) Are you sleeping well? b) What medications are you taking and what diet are you on?
agumonkey 2y ago
While being partially conscious and losing a lot of cognitive function (spatial sensing, balance, short term memory)

jimbokun 2y ago

Seems like the modern equivalent of doctors treating illness with leeches.

themaninthedark 2y ago

It is inhumane and lawsuit avoidance as well. When someone dies in the hospital what happens in the inquiry? Examine the symptoms of the person who died and how to detect them. Add another check. If they left someone alone for 2 hours or 4 hours and they passed away during that time, what would the headlines read? "General Healthcare left the patient alone for X hours and didn't even bother to check on their well being."

fennecbutt 2y ago
This is most likely why. American lawsuit culture is cray