[Magdalen] 50 - 50

[Jon Egger]

Thank you, Jay!  I hope the patient in question had a feeding tube that was
placed directly into the stomach.  (Sadly, I cannot remember the name of
them.)  Someone with a NG tube for feedings needs a gastric tube ASAP, lest
they aspirate feedings into their lungs.  I strongly agree about not
feeding people 24/7.  The gut needs a rest!  Our ICU nurses always
preferred giving feeds q6h to q8h so the guts does rest and gives the
nurses more of a predictable bowel movement.

YM, as they say, MV

+++
Grace & peace,
Deacon Jon Egger



*“In every age it has been the tyrant, the oppressor and the exploiter who
has wrapped himself in the cloak of patriotism, or religion, or both to
deceive and overawe the People."(Eugene V. Debs, Anti-War Speech, June 16,
1918) *


On Sun, Jun 7, 2015 at 6:01 PM, Jay Weigel <jay.weigel at gmail.com> wrote:

> Explanation of above post for those who don't know: We could only lay the
> patient flat if we turned off the feeding, but the dietitian had determined
> that she needed X calories per day. This was figured out by calories per cc
> and then divided into cc/hr. Except this is frequently set up on a 24 hour
> cycle, which if you think about it is a little ridiculous. Who eats 24/7?
>
> On Sun, Jun 7, 2015 at 6:53 PM, Jay Weigel <jay.weigel at gmail.com> wrote:
>
> > Hospitals need to stop this ridiculous business of requiring
> > "interpreters" rather than the patient's family (when they are available)
> > to interpret for the patient. First of all, who knows the patient better
> > than family? Second, when it comes down to dialect, frequently the
> > interpreter does not know the various dialects! No interpreter, no matter
> > how good, can be expected to know them all! I did a travel assignment in
> > the DC area in a hospital where all the signage was in 6 languages (not
> > nearly enough!) and the staff in the unit where I worked represented 14
> > different countries. We managed *fairly* well with our patient base,
> > although we got stuck often enough. For instance, our Spanish-speaking
> > nurses were sometimes confounded by a dialect or accent they weren't
> > familiar with, and you'd even hear them pleading "Mas despacho, por
> favor!"
> > ("Slower, please!) But usually it was more like, "Don't worry if no one
> on
> > this shift speaks your language, someone on the next shift probably
> will."
> > The only time we got totally stuck was with a patient from a really
> > isolated area of Afghanistan. Nobody could understand her. Finally a
> niece
> > came in and was able to untangle a number of mysteries for us, including
> > the fact that she was in so much pain with her back that she could only
> > sleep flat, but because she was being tube fed, we had been keeping her
> at
> > a 40 degree angle or more 24/7. She happened to be my patient that night
> > and I did the math and figured out that we could let her lie flat and
> sleep
> > 8 hours simply by increasing her feeding rate 8 cc an hour. After the dr.
> > and the dietitian agreed, we did that and she started to get better much
> > faster. If it hadn't been for the niece we might never have learned why
> she
> > was so miserable.
> >
> > On Sun, Jun 7, 2015 at 6:32 PM, James Oppenheimer-Crawford <
> > oppenheimerjw at gmail.com> wrote:
> >
> >> I suspect that often the language spoken is not spoken in the best sense
> >> of
> >> the word too.
> >>
> >> I've heard that often when Spanish-speaking kids study Spanish, the
> >> formality of the language throws them, as the language they learned in
> the
> >> home is a bare-bones version of the best the parents know anyway.
> >>
> >> I was a linguist on call for my hospital, and was asked to help with a
> >> Russian-speaking person.
> >> I was a bit embarrassed when I could not make much sense of ANYTHING
> this
> >> older lady was saying.
> >> Then I finally heard what I could sort of understand.
> >> "Nye vyshla v shkolye."  ("I did not go to school.")
> >>
> >> We had a person at our hospital who was obviously Chinese, but nobody
> >> could
> >> communicate with him (remember that incredible installation of "Barney
> >> Miller"?). We got linguists to come in, and finally one guy said, "I
> can't
> >> understand him, but he SOUNDS like the people in a village sort of near
> us
> >> talk." So, they search for someone from that village. Finally the person
> >> came. At first, nothing, but then he opened up and they talked.
> >>
> >> We were able to find his elderly parents and they were brought up to
> visit
> >> him. He had a long history of mental illness and wandering off and
> living
> >> on the street, and they had assumed that he was dead.  We kept a closer
> >> than usual eye on him, knowing he would wander again.  He at least was
> >> being kept safe.
> >>
> >> In any case, or as some of the savvy would put it, "IAE", just putting
> >> material in to a known target language is not always all that useful.
> >>
> >> Best to place a very high priority on gaining English proficiency,
> >> reading,
> >> writing and speaking.
> >>
> >> James W. Oppenheimer-Crawford
> >> *“A life is like a garden. Perfect moments can be had, but not
> preserved,
> >> except in memory. LLAP**”  -- *Leonard Nimoy
> >>
> >> On Sun, Jun 7, 2015 at 5:42 PM, Roger Stokes <
> >> roger.stokes65 at btinternet.com>
> >> wrote:
> >>
> >> > On 07/06/2015 22:30, Cantor03--- via Magdalen wrote:
> >> >
> >> >> On the front page of the local (Hazleton, PA) Sunday paper there was
> >> an
> >> >> article about the current state of languages dominating the school
> >> >> system.
> >> >>   Though the city primary schools had up and down percentages based
> >> >> on their location, the local high school is now 50 - 50 Spanish -
> >> >> English.
> >> >>   That is, 50% of students said their first language was Spanish, and
> >> >> 50% said English.  Those who spoke both languages were included
> among
> >> >> the Spanish totals.
> >> >>   There are a lot of services available in English and Spanish, and
> the
> >> >> going
> >> >> rate for bilingual interpreters is $31/hour.
> >> >>   As I understand it, the teaching continues to be primarily in
> >> English.
> >> >>
> >> >
> >> > This is a very real problem here in England.  For a time there was an
> >> > attempt to offer hospitality by providing forms in numerous foreign
> >> > languages.  The problem is that the number of languages has
> >> nushroomed.  In
> >> > this relatively small town it is estimated that there are over 100
> >> native
> >> > alnguages.  Certainly I know in one small (roll 140) school there are
> 20
> >> > mother tongues.  In such a situation there has to be a single language
> >> for
> >> > teaching and English is the obvious one.
> >> >
> >> > Roger
> >> >
> >>
> >
> >
>