Given ALL that’s going on right now, you know, that whole “worst case it’s the end of the world” sort of thing, it’s often a serious roller coaster of emotions. It’s also tough to tell when you’ve come up with a truly funny idea or if you’re just borderline hysterical. (And about to slip over the border.)
Tonight, talking to a dear friend (as opposed to a “deaf rriend”) on social media I mentioned the new NEJM ethical guidelines that came out today. In short, when this COVID shit hits the proverbial health care fan in a few days (see Italy and Spain for example) there are going to be X number of ICU beds and respirators and X*Y dying patients, where Y could be a very, very large number.
It’s called “triage” and it means that the doctors and nurses will literally have to decide on the spot who lives and who dies. You. Can’t. Save. Everyone. So you have to figure out how to best utilize your available resources (time, ICU beds, respirators, drugs, medications) to save as many as possible as efficiently as possible.
It’s horrible. It’s not fair. It’s obscene. And it’s coming soon to an emergency room near you.
Having reached a certain middle age, I’m in a gray area at best when those decisions get made. To be blunt, if I’m a 64 year old with grown kids and I’m in a bed next to an otherwise healthy 24 year old who has young kids, the 24 year old is going to get a respirator and I’m going to get morphine to make me feel better, or not care.
(Time to really hop on that old hand washing routine with some enthusiasm, eh?!)
These thoughts and discussions in turn lead to filling out advance directives “just in case.”
So my thought was, “Where’s the box that says ‘either give me a fucking respirator and drugs or aerosolize me and spritz me into the HVAC system at the White House’?”
Maybe it’s the word “spritz.” Maybe it’s just been a really long couple of days. But that line is hilarious!
I’m not planning on going anywhere. But if I get dragged off by fate, I’m going to go kicking, screaming, and (hopefully) laughing. And wishing I could take a few of those evil GOP MFers with me.
No more fucks to give.
One response to “Planning Ahead”
Good one dear