Rudynate

Not so long ago, it was seen as a kindness to lie to the terminally ill about their prognosis. Better not to burden them with the truth.

I don't keep track either, but when unpleasant interactions with a particular person are so frequent, one tends to remember them.

You have this reflexive tendency to make unwarranted assumptions. I never said that his providers refused to answer questions he asked them about his prognosis. In situations like this, which were commonplace, I assumed that the patient hand't asked and the professonals taking care of him hadn't initiated the conversation. I will say that it was commonplace for patients to wait until very late in the game before they asked any questions, if they did at all. It was also commonplace for patients to figure it out on there own. A lot of guys would tell me that they knew they didn't have long to live. Occasionally, there was rare doctor who initiated an appropriate conversation and didn't bullshit the patient. Occasionally, a patient would tell me,"Well, he was straight with me. Gotta respect him for that," or something like that. I probably would have been counseled if the administration had found out about the conversation, but who would tell them? The dead patient?

Unicorn and I have always had a contentious relationship.

Deep wisdom here.

An escort is entitled to charge whatever he wants. As a prospective client, I'm entitled to move on if I can't or won't pay what he's charging. A smart escort will guage the effect on his cash flow of a rate increase, irrespective of what he thinks he's worth. The market rules.

And much like our president you make careless ststements and then say you never made them even though the evidence is there for all to see. You DID say that as an orderly, I couldn't have had access to his chart. And you seem to be assuming that I told him he was going to die within a particular time period. I told him he would die "probably very soon." That could be three hours or three weeks. Compared to an entire life span either period is very soon. And "probably" makes the statement even more indefinite. And who told me he was going to die? The charge nurse relayed that information during the report. She wouldn't have pulled that out of her ass. It would have been in the admission orders or the physician's notes written by the admitting physician. You also again are speculating about the patient, the course of his illness, his treatment, his condition on admission. Hospice was a brand new concept and hadn't been widely implemented. Now he would have been admitted specifically for hospice care. At that time, he was admitted with the explicit understanding that he was there to die. You allowed a bunch of unwarranted assumptiobs to color your statements and ended up looking like a fool. But then, that's what you do. It's curious, the passion you're expending on litigating an event that occurred nearly 50 years ago. Kind of like Trump and the hurricane.

Youve obviously never been a hospitalist and have very little notion of how inpatient units are run. The nursing staff knows all of that. It is extensively discussed during the report at change of shift. You think they keep information like a patient's prognosis secret from certain of the staff? How could they care for their patient's effectively if they didn't know everything about the patient? How do you know that I didn't have access to the patient's chart? Bear in mind that this was 45 years ago, long before HIPAA. In fact I could go in the nurse's station and look at any chart I wanted to. In fact, In made entries in the nursing notes which became part of the patient's chart. Another example of you speculating about something you know nothing about and looking like an idiot because of it. I think in some quarters those people are called know-it-all's. I call them people with poor self-esteem. And you seem to have interpreted this as me "stepping out of line" when, in fact it was me dealing the best I could with a difficult situation created by the professionals caring for the guy who hadn't done their job. But that was common then. Dr's. were loathe to discuss death and dying with their terminal patients. They preferred spending untold amounts of money delaying the patient's last breath as long as they could, with no thought to the patient's quality of life. You seem like a Dr. in the old mold.

That always puzzled me about doctors. They spent seconds, maybe minutes per day with their patients. The nursing staff spent literal hours with them every day, in intimate contact. Of course we knew more about their patients than they did. And you're right @nycman. In a setting like the VA, death is pretty common. Even a moron learns to read the signs of impending death pretty quickly.

Unicorn has a weakness for empty speculation and it always just makes him look silly.

My lumbar spine is full of titanium hardware and it has never triggered a scanner.

I didn't say that it was the best way for it to have been handled or the most appropriate way to have been handled. It was what occurred to me in the pressure of the moment. As you tend to do, you are speculating about something you have no actual knowledge of.

Why? That would be like someone who feels self-conscious buying toilet paper.

I tried to schedule with him but he wouldn't commit to a day and time. It was as though he wanted to say no, but couldnt.

I was an orderly at the Denver VA for my first job after military service. A guy who was incredibly I'll with lung cancer and who probably had no more than a few days to live was admitted. I was taking care of him and he asked me out of the blue, "Am I going to (long pause) die?" I was amazed that he was that close to death and hadn't faced it. I searched for the best answer but just didn't know what to say. Very gently, I finally said, "Yes, you are, probably very soon." His only reaction was to nod his head a little. He died that night.

I'm honest, but I keep things close to the vest. I don't offer opinions or advice that haven't been asked for. When I offer a compliment, it's because I found something positive to say, even though it might have been a challenge. I belive in allowing people in difficult spots to save face.

I was at a party the other night, talking with a bodybuilder. This gay was extremely muscular. He had on really tight jeans and his big calves were straining against the jeans. It was such a sexy look that I've discarded any considerations I've had about tight jeans. I'm going to take the risk of looking silly and get a pair. or two.

On 20 mg of cialis, I get very firm boners. It all feels very natural, like when you were an adolescent. You see a good looking man and you pop a boner. You think about sex and you pop a boner. I think erections are longer lasting with viagra than with cialis.

Im sure you'll enjoy it.

I don't know about exotic, but loads of fun when you wanna power top.

The best Indian brand of sildenafil I have encountered is NIZAGARA. Its like jet fuel.

A dentist once told me that there is a high bum out rate among dentists because the day-to-day work is so routine. He dropped out to become a Catholic priest.

I dont know. I'm careful paying with Venmo because I've heard it's tricky getting the money back if you pay the wrong person. It's better if they send you a request for payment.

I had a mad crush on my spine surgeon. I wouldn't call him handsome, but he was great to look at none the less and he was a triathlete, so he had a great build. He was very focused and seemed just rock-solid. I felt like a junior high-age girl whenever I was around him.