Community Chat

[sophiamarie]

On 9/3/2014 Complicated said:

They moved my dad out of ICU after he was removed from life support. He was kept comfortable by Hospice until his body shut down a week later.

This is just my experience.

I had the same experience with my mother too, years ago. I think this is what's happening with Joan unfortunately.

[Photo Donna]

On 9/3/2014 Complicated said:

They moved my dad out of ICU after he was removed from life support. He was kept comfortable by Hospice until his body shut down a week later.

This is just my experience.

I had a friend moved out of ICU while still on life support. He remained on support for weeks until the family came to grips with it and then they moved him to hospice. In between hospice and ICU he was in the long-term care section at the medical center.

[garmer]

Sounds like comfort measures (only), MO, and that could go on for a while. I hope she's not in pain or otherwise suffering.

[ROMARY]

Let's hope for the very best. I still can't believe what happened to Joan. Very upsetting to many of us. I believe Melissa is giving her mom a chance for a good recovery. And, basically, it's a good idea, as long as Mom is comfortable. I know several nurses, and I have seen 'miracles' happen with friends' moms, dads. Continuing wishes and prayers for Joan, Melissa, Cooper, family, and dear friends.

[Suziepeach]

Joan Rivers has been moved out of intensive care.

A family source exclusively tells ET that doctors are continuing to bring the comedienne out of her medically induced coma very slowly but that it's still very much a waiting game. But there is some good news.

"Preliminary tests appear to rule out brain dead," the source says. "There seems to be some function."

This comes just after Melissa Rivers confirmed that her mother has been moved out of intensive care and into a private room. In a statement Wednesday morning, Melissa said: My mother has been moved out of intensive care and into a private room where she is being kept comfortable. Thank you for your continued support."

PHOTOS: Joan Rivers' 16 Best Quotes

On Sunday, doctors started the process of bringing Joan out of a medically induced coma.

She remains on life support.

Melissa, 46, is staying positive throughout Joan's medical emergency ET learned Tuesday.

"There is only one outlook Melissa is looking at now -- She's like, 'When my mother wakes up…,' 'When my mother see this and that …' There is only one trajectory she sees this going in the direction of, which is positive," a family source told ET. "She refuses to acknowledge any other outcome than Joan coming out of this.”

VIDEO: Exclusive -- Melissa Rivers Only Sees One Outcome for Joan

"I know my mother would be overwhelmed by the continued outpouring of kindness and I want to thank everyone for keeping us in their prayers," Melissa said Tuesday

[pitdakota]

On 9/2/2014 happy housewife said:

I can't say about anywhere but the places where I have worked - however, in my career, CRNAs do not work alone - they work under the supervision of an anesthesiologist. Anytime i have ever had surgery the anesthesiologist gave me the first med and put me under - then they intubate you and the CRNA takes over. As I said I can't say about places other than Pa - but that is how it is here.

Here in the state of Ky, the AA stands by as the CRNA induces anesthesia and gets the patient intubated (if they are going to be intubated). After the induction is complete, the AA leaves the OR. But the CRNA does it all. Just how it is done here.

[scotttie]

I'm not sure why all the discussion about CRNA's and anasthesiologists. This is not deep anasthesia like for surgery. It is sedation such as for a colonoscopy. Sometimes people have a reaction for which the medical personnel are trained.

Now if they messed up, I don't know; but this is routine procedure with what is often referred to as "twilight sleep". It's not the same type of anasthesia as for surgery.

[Jig Saw]

People like to go off topic here don't they?

[pitdakota]

On 9/3/2014 Yazova said:

On 9/3/2014 happy housewife said:

On 9/3/2014 Ford1224 said:

On 9/2/2014 Yazova said:

Talent has nothing to do with it. It takes skill.

What's the difference between talent and skill?

I think talent is something you are born with - skill is a learned ability. For instance - I can not sing but some people are just born with a great ear for music - that is a talent. However, I worked as a nurse and had to start a lot of IVs - I was great at starting IVs - that was a learned skill.

Good explanation. There is a difference. I thought her choice of the use of the word talent to be very odd.

Interesting discussion. I don't see a skill being something someone is necessarily born with per se. Completing a sterile dressing change is a psychomotor skill that is taught in nursing and medical school. However, we teach all kinds of lay people in the home health setting how to do a sterile dressing change. A skill is something that can be taught.

I see talent as having exceptional ability with a particular skill. At least when referring to it in the health care arena.

And those talents come into play with both CRNAs and anesthesiologists in the OR. Intubation is a skill. But there are many that have extraordinary talent of being able to intubate in the most difficult patients under the most difficult circumstances. They are just able to read the situation & respond with extraordinary finesse in carrying out that skill that others just wouldn't be as adept at doing.

In the OR, this is really evidenced when doing crash anesthesia. It is an art when you see a talented anesthesiologist or CRNA do it. Their performance & outcome performing the skill far outweighs ordinary, standard practice.

[pitdakota]

On 9/3/2014 Jig Saw said:

People like to go off topic here don't they?

It is off topic a little isn't it! But it ended up evolving from post 25 and 26.

But such is the nature of ViewPoints!!