u/Why_Hello_hello

As I read answers, I’ve realized what it is I’m ultimately asking: in someone who’s brain dead and on full cardio pulmonary support such as with VA ECMO, and presumably on CRRT, etc., what criteria would define death? Is there a specific change that we’d look for to say, “NOW, this person is deceased,” and if so, what might it be?

Ultimately, what (if any) medical indication would show that this is actually a dead body on an ECMO pump?

There are implications for democracy, what with the special election and etc.

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I’ve been thinking about the possible or probable aftermath of the cardiac arrest and resuscitation efforts of a certain well-known politician.

I’ve been out of the critical care game for several years, but could they just crash someone in arrest onto VA ECMO before ROSC, then keep that person(body) on for … like months and months unless the circuit goes down?

We take people off for quality of life issues or neuro devastation /brain death or terminal underlying condition, but if family (or politicians pulling the puppet strings) didn’t care about those, then could someone feasibly stay on and “alive” as long as the circuit doesn’t go down long enough to preclude it going back up?

What other physiological and medical limitations are there to keeping someone on pump when you don’t care about outcomes after, say Aug 3?

(obviously this would be morally reprehensible. But I don’t put anything morally reprehensible beyond these people.)

My 12-year-old daughter was recently seen by a physical therapist for an initial evaluation. Her father, my husband, was accompanying her. The PT applied some KT tape to her injured glutes/hamstring. All good so far. Then he pulled up her panties until, as she describes, her entire cheek was visible. PT (male, late 60s) asked my husband if he could take a photo on a cell phone to show other staff how to do the KT tape, then he’d show him the photo being deleted thereafter. My husband agreed. Daughter was never asked. The photo was taken, and then the PT showed my husband it being deleted on the cell phone after emailing it to whomever reportedly needed it.

For context, this office is…unusual. Aging tropical theme mixed with posters and decor from both Nightmare on Elm Street and Nightmare Before Christmas. There are pictures of Jason on the walls. I know this sounds impossible but truly, there are. There was mildew or mold on multiple surfaces.

To be clear, we will not be returning to this office for multiple reasons. However, AIO if I report this behavior to his licensing board? Is this typical for a physical therapist office? Or am I just grossed out by the office and it’s translating to the photo?

They use all paper charts, calendar is all on paper and hand written (like the front desk used white out on the calendar when someone had to change an appt). The receipts are hand-written into carbon paper. Seems so strange for an office like this to use email for communicating basic PT procedures that can easily be found online without photographing my minor daughter.

Also, deleting from the phone means zero when he even states it’s already been emailed. Idk. Maybe this is normal! Hubby is supportive but he didn’t think it was at all nefarious in the moment.

***EDIT to clarify: Husband was told the picture was medically necessary. I’m a primary care provider, and I can tell you it was not medically necessary. That’s the concern. How to apply KT tape is commonly found online, commonly taught in schools for physical therapy assistants and PTs. A picture of my daughter’s exposed glutes does not help at all.
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My 12-year-old daughter was recently seen by a physical therapist for an initial evaluation. Her father, my husband, was accompanying her. The PT applied some KT tape to her injured glutes/hamstring. All good so far. Then he pulled up her panties until, as she describes, her entire cheek was visible. PT (male, late 60s) asked my husband if he could take a photo on a cell phone to show other staff how to do the KT tape, then he’d show him the photo being deleted thereafter. My husband agreed. Daughter was never asked. The photo was taken, and then the PT showed my husband it being deleted on the cell phone after emailing it to whomever reportedly needed it.

For context, this office is…unusual. Aging tropical theme mixed with posters and decor from both Nightmare on Elm Street and Nightmare Before Christmas. There are pictures of Jason on the walls. I know this sounds impossible but truly, there are. There was mildew or mold on multiple surfaces.

To be clear, we will not be returning to this office for multiple reasons. However, WIBTAH if I reported this behavior to his licensing board? Is this typical for a physical therapist office? Or am I just grossed out by the office and it’s translating to the photo?

Note: They use all paper charts, calendar is all on paper and hand written (like the front desk used white out on the calendar when someone had to change an appt). The receipts are hand-written into carbon paper. Seems so strange for an office like this to use email for communicating basic PT procedures that can easily be found online without photographing my minor daughter.

Also, deleting from the phone means zero when he even states it’s already been emailed. Idk. Maybe this is normal!