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[-] Mulligrubs@lemmy.world 51 points 2 weeks ago* (last edited 2 weeks ago)

I've been waiting for this since the 1990s, surprised it took so long.

Starting in the 90s, much of the administrative duties of a hospital are now done overseas, including chart notes.

The doctors being overseas? Worst case scenario is just starting.

Why would a hospital pay a US physician 200K a year when they can get a doctor from Pakistan to do the same work for 50K a year? They even have surgical robots that can be remotely piloted from anywhere.

It's not prevalent yet, but it will be.

[-] AcidiclyBasicGlitch@sh.itjust.works 23 points 2 weeks ago* (last edited 2 weeks ago)

This should have been such a straightforward case too.

Mr. Hylton's condition deteriorated in the ICU, and despite orders, there are no CIWA assessments, no intake/output monitoring, and no MD assessments for pain and/or change in mental status despite the RN's non-contemporaneous note indicating mental status change in a patient diagnosed with alcohol withdrawal and a history of alcohol withdrawal seizures for which he had "previously been given Keppra."

Hylton, who was admitted around 11 a.m., became unresponsive early the next morning around 4:30 a.m., the complaint says.

"Mr. Hylton slid down in bed, his eyes rolled back and he … exhibited seizure-like activity, vomited, became bradycardic and code was called," the complaint alleges. "He was intubated, but he could not be resuscitated, and he was pronounced dead."

What the fuck were they even trying to do? Some kind of tough love/cold turkey approach? Honestly wouldn't be surprised bc I've heard a lot of ignorant pieces of shit suggest that should be standard protocol for opiate withdrawal.

Aside from that being intentionally and unnecessarily cruel, there's this tricky thing about alcohol withdrawal vs withdrawal from other "more serious" substances, where you can literally fucking die. That's exactly what happened.

[-] BygoneNeutrino@lemmy.world 4 points 2 weeks ago* (last edited 2 weeks ago)

...the designer benzodiazapines are taking the symptoms your describing to a whole new level.

The equivalent of thousands of alprazolam tablets can be acquired for a few hundred bucks. Addicts think they hit the jackpot when they get access to them, but they can be outright killed by the withdrawal. There is no ceiling for GABA A tolerance, so there is no ceiling for the withdrawal.

[-] Washedupcynic@lemmy.ca 1 points 1 week ago* (last edited 1 week ago)

He wasn't going through opioid withdraw, he was going through alcohol withdrawl, which can be just as dangerous cold turkey quitting. Alcohol has non specific effects in the brain, inhibiting excitatory neurotransmission by acting on NMDA receptors, and accentuating inhibitory transmission by acting on GABA receptors. Stopping cold turkey causes hallucinations and seizures due to the jump in excitatory neurotransmission. Keppra is an anticonvulsant that blocks high voltage gated calcium channels, which I sort of feel is an inappropriate medication on it's own, might have been better to pair it with a low does of memantine/ketamine or a benzodiazapine class drug.

[-] AA5B@lemmy.world 1 points 2 weeks ago

It’s simpler to believe he just got lost in the system - no treatment is similar to intentionally not treat

[-] Crozekiel@lemmy.zip 5 points 2 weeks ago

I shudder to think about my surgeon having to deal with a 400ms ping to the fucking robot cutting me open and how badly that could go...

[-] normalentrance@lemmy.zip 3 points 2 weeks ago

I think now as things advance with AI and the US government is completely corrupt/dysfunctional some company is going to make a med bed with an array of sensors and AI.

One of the oligarchs will bless us with this technology and they will get a shit ton of money from the government, so long as the big guy gets his cut.

[-] Crozekiel@lemmy.zip 2 points 2 weeks ago

Didn't he already put out a fluff video with ai generated images of basically that, like almost a year ago?

[-] normalentrance@lemmy.zip 2 points 1 week ago

Yes that's exactly what I was thinking about!

[-] UnderpantsWeevil@lemmy.world 2 points 2 weeks ago

Why would a hospital pay a US physician 200K a year when they can get a doctor from Pakistan to do the same work for 50K a year?

Liability to the hospital if a remote doctor fucks up? Just for starters.

It's also very difficult to manage remote workers. As a result, that $50k Pakistani doctor needs another $50k Pakistani contract manager and a Pakistani HR manager and a nurse who can communicate fluently with both patient and doctor and software that an IT firm needs to maintain and a lawyer to sort out all the messy details of licensing and practice.

At the end of the day, it isn't nearly the cost savings you're promised.

Every outsourcing gambit plays out this way. Which makes it more of a negotiating ploy against local workers. Threatening to outsource is far more profitable than actual outsourcing.

this post was submitted on 06 Apr 2026
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