Regardless of what any of us feel about the death penalty, we should all oppose use of medicines in executions—a practice that impersonates a complicated medical procedure in a poorly monitored setting.
6/ This too often results in botched executions (~8%) and simultaneously imposes psychological harm for the healthcare professionals and others involved.
7/ The drugs listed in different state’s lethal injection protocols, and the quantities used in an execution, are based upon experimentation and speculation—not the art and practice of medicine.
8/ A string of horrific scenes in execution chambers, in Tennessee, Alabama, and other states, have made clear that condemned prisoners often experience agonizing deaths.
10/ The burden placed on those involved in performing executions is immense.
Correctional staff are charged with carrying out an execution by lethal injection for which they are medically ill-equipped.
11/ Just last month, Joe James Jr was repeatedly cut with a scalpel as Alabama Department of Corrections staff tried to establish an IV line for three hours—the longest lethal injection execution in American history.
13/ When I graduated from medical school, I took an oath of primum non nocere (first, do no harm), and I would be breaking my oath to you or anyone else if I ever intentionally used medications to harm someone.
🔸Do you think your doctor should be involved in the act of lethal injection?
15/fin
My Thoughts:
📌 Regardless of one’s opinion about capital punishment, lethal injection is a flawed construct
📌 More tinkering will not fix it
📌 It is wrong for those in the medical profession to be involved
📌 It’s forced impersonation
📌 We must be left out of it
It’s about intent. Intent to heal vs intent to harm. @eji_org see thread and thanks for your advocacy
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1/🧵What do ICU survivors tell me about PICS…(post intensive care syndrome)⁉️
Former ICU patient: “I’m angry. I’m furious because the doctors who injured me aren’t willing to help me recover.”
Is this fair?
I think so.
Why?
Read on…(perm to share)
2/ I just got off the phone w a patient who has had PICS for 12 years since nearly dying in the ICU. His story is included in #EDDB…he granted permission to share some thoughts today that I think are eye opening…in terms of how poorly we’re doing w Chronic Disease management
3/ people who never had PTSD before critical illness, leave with inexplicable experiences of road rage, rejecting their spouse, acting in ways that are so foreign to them that they don’t recognize themselves.
They also have tremendous problems with lack of self worth because…
2/ It’s one thing to concede that Long COVID exists as a societal problem for those w vulnerabilities like advanced age, pre-existing health conditions, or nearly dying in ICU.
What about nationally ranked D-1 long-distance runners⁉️
3/ Alex Schell is 21 & based his life decisions on making the 2024 Olympic trials.
“Not only can I not run due to #LongCOVID, I’ve also lost everything I hoped for. Who I envisioned myself to be is a past idea. It’s a monumental loss.” (story w perm)
1/🧵🎥 How do “Dominoes of life” fall in critical illness⁉️
A pt arrives awake & talking but vomiting. In just 8 hrs he nearly dies of sepsis 🤯
Lung & kidney failure, heart attack, coma.
How can this happen & can we save him?
This🧵can help us understand the “arc of illness”
2/ His disease is Ascending Cholangitis
A gall stone lands in his common bile duct
📍Pain & vomiting
📍He’s admitted to the ICU
📍GI performs an ERCP to place a stent, bypass the stone, drain pus & control the source of sepsis
📍Add fluids & antibiotics
📍But he gets worse
Why?
3/ We bypassed the septic source (stone) & drain the pus, but dominoes were already falling.
Bacteria had gotten into his blood.
Too much inflammation & capillary blood clotting occurred, just like in COVID.
What happens when “cellular” dominoes start to fall uncontrollably?
🔸Large study of 4k treated pts vs. 105k not on Pax
🔸Robust 80% ⬇️ in death prevention in elderly
🔸Hospitalization 70% lower if >65 y/o
🔸No help in young?
2/ Mild Covid is biologically dangerous long after initial viral infection.
81 mild COVID pts:
Study revealed:
✔️Astrocytes (🧠 support cells for neurons) get infected
✔️Neurotransmitters are altered
✔️Neurons die indirectly
✔️Then we lose brain power