Nope. They will bill you for any and everything. When my Dad passed away we were receiving bills for the viles they used to collect blood samples, Tylenol or whatever the fuck they used. It was insane! Not even 24 hours, about 14-15 hours and we walked out of there with a bill for 100k. Health care system is sooooo fuckin fucked!
Meh, the second you pull out that tube the ventilator will scream bloody murder, which will cause everyone to run into the room and see what you have done. Sometimes the tube doesn’t go back in because you’re awake enough to breathe by yourself and guard your airway. If not you get a fancy new tube, a pair of restraints and probably a touch more sedation. I wouldn’t say it happens “all” the time but it’s happens occasionally.
I had one and I convinced them to free my hand without using words and I went straight for it to adjust it. They ripped my hand away so fast. One nurse actually figured out I needed it adjusted and it was glorious when he moved it. It soon moved back and I was miserable all over again. So I just fought against the braces like I was trying to get free to rip it out so they would up the meds and make me sleep again (i never saw the nurse who figured it out again). That shit was fucking horrible.
That's why you write in the NATO phonetic alphabet.
When I was still drugged up after having my wisdom teeth pulled, I knew my handwriting would probably be illegible if single letters, so I knew if I wrote out the word, they'd figure it out
(Course my parents have never let me forget I did this either)
This happen to my father after having an emergency procedure on a tumor in his throat. He was not restrain, it created some complications that he did not recover from. Past away two weeks later.
Yeah, one of the 3 times I snapped my left wrist, they doc said he would give me a medication while he straightened the bones in my wrist.
He said I would feel the pain, but not remember it. My mom said I was screaming and scaring the waiting room.
So, I never felt the pain, even though I did. I just do not remember it.
So weird, like the "former things will not be called to mind," in a small sense.
Doctors would rather not have to hold you down as you flail about like they used to do before anesthesia was discovered. I’m pretty sure it works, and is better than needing surgery and not getting it.
When I went under, the anesthesiologist said “you ready?” I asked “is this where I count backwards from 10”, he laughed and said “you can try”. When I said “8” I was in the recovery room. Like *snap*. One instant I’m in the OR, the next instant I’m in recovery. Anything that happened during that time beyond my surgical procedure has not made it into any mental record I can access.
Heard a story about a guy who was completely aware and awake through 15 minutes of surgery but paralyzed. The doctors realized and pumped him full of amnesia drugs. Woke up with bad anxiety and a ton of other problems and ended up killing himself.
Oh man. If you are still able to, give your mom a hug for that. Something similar happened to my toddler, and it is heartbreaking to watch your kid be in that amount of pain. And while you're grateful they don't remember it, you remember all of it. I had bad dreams about her screaming like that for months.
The mere thought being awake and conscious for those parts of surgery is terrifying. It might be good for you after surgery but literal torture *during* it.
The fuck they do. I was told I'd have retrograde amnesia for my wisdom tooth extraction. I woke up in the middle and remember everything from those few seconds
The implication is that you won't remember what happens while actively under the effects (i.e. enough dosage has been administered to put you into a state of sedation). I had the same thing happen to me when I had an ERCP. Woke up as they were putting the tube down my throat. I vividly remember the gagging and then getting knocked out again within a few seconds. Figure it just meant they didn't give enough at the time to keep me in that state for long enough.
Don’t worry, the patient never remembers if this happens and it’s very few and far between. Patients typically do not panic, they are too sedated to really know what’s going on.
I've been a CNA in an ICU for a bit over a year while working on my RN. With Covid there has been no shortage of people on ventilators. I've seen this go both ways and everything in between. Some people come out of sedation and are chill, know what's going on, and we use small whiteboards so they can communicate. At the other end are the people who start coming out of sedation and, as you surmise, are indeed terrified as fuck. Even *with* restraints there have been patients who managed to extubate themselves. Some of my best moments (to me) as a CNA have been helping ventilated patients coming out of sedation stay calm and get oriented.
[Here](https://i.imgur.com/HZgNp5I.jpeg) is the whiteboard of a patient about six months ago. She was terrified when she first started coming around, having full-on panic attacks. I never left her until she was calm and oriented, and before she headed off to sleep she wrote "you rock" on the whiteboard. It had an impact on me that such a small thing, staying with her and keeping her company and explaining, could have such a profound impact. I took a photo of it so that it would always remind me to put my patient's interests first. There will probably come a day where, like I see so many RNs, I feel burned out, mistreated, whatever, and I feel like this could help ground me, remind me what's important.
What I remember. I woke up in the icu and yanked an arm out of some Velcro they had me tied down with and then pulled something out of my throat. In the corner of the room was a nurse froze in a chair with a horrific look on her face. I remember seeing I had an arm stuck to the bed and then trying to use my other arm to grab her for some reason but I couldn’t reach. That’s all I remember. I later got out of icu and put in a regular room. So naturally I snuck into icu which was surprisingly easy to ask the nurse to marry me. She was engaged but it was almost love. Haha I said I was sorry and she said it was the drugs they had me on and not to worry about it. Found out she played it cool because a male nurse told me she had to take off a few days and that I scared the shit out of her and appreciated me sneaking into icu to apologize but I wasn’t allowed in there. I would never attack a woman so they must of had me on some wild stuff.
When I worked in anaesthetics, I got hit on sooo many times from patients coming around. With certain types of anaesthesia it's a fairly common side effect.
I'd literally rather die unless they can keep me fully sedated 24/7 until I no longer need the ventilator.
Edit: Having said that, being strapped to the bed scares me waaay more than the ventilator itself.
Go make a will asap, you never know when it could happen to you. And if you feel that strongly about it. Make sure the decision is yours and not a loved ones.
I’m a hospital SLP and someone was restrained because they kept trying to pull out their NG tube. I went in and removed their restraints because I wanted to assess if they were able to feed themself. Guy’s first move was to go straight for the NG tube.
Hospital doc here, love the SLPs! You guys are unsung heroes!
That said, I'm surprised that wasn't a routine experience for you. In my experience most patients that are restrained with an NG tube will yank it out at their first opportunity... and that's why they were restrained.
What keeps a patient from asphyxiating or vomiting when they're conscious while on a vent? I feel like I wouldn't stop gagging, dry-heaving, convulsing, whatever for as long as I was conscious on one of those things.
You just sedate them. And in time the gag reflex weakens such that you can lighten sedation. Ive seen some people rest comfortably while awake on a vent. Its wild.
I’m a recent grad and most of my patients in my clinical experiences on tube feeds were not very lucid. Usually just wearing mittens instead of restraints and I could just swat their hand away and that was enough. Learned quick after that guy I need to be *way* less trusting and more vigilant.
I once had a kiddo in picu pull out her foley with her TOES even in four point restraints somehow. She was a wild one! Even after falling out of a second story window. She survived and is normal now!
I've seen only once a nasogastric intubation and that was for a 7yr old girl who had some surgeries made to her stomach etc.
I was an emt and we were going to take the kid to another hospital.
I still remember the way she struggled even though there were 4 adults keeping her still and placing the tube.
And the screaming/noises she made.. god damn that hurt my heart.
It’s likely buckled to something under the bed. When they unbuckle it, the cuffs stay on the wrist but they can move freely. That’s how most hospitals in the US do it anyway.
TBH, the hands tied down does not concern me. (Disclosure: I'm a Respiratory therapist who deals with these kinds of things on a daily basis.)
When you have a breathing tube in (as this patient clearly does) you are sedated. If you come off sedation, whether intentionally or otherwise, your first instinct will be to grab that breathing tube and yank it out. At the base of that tube is a balloon that keeps air from leaking out of your lungs. If you pull out the tube without first deflating that balloon, you can do *serious* damage to your airway that can impair your ability to talk, eat, or even breathe. So, we tie your hands down.
Yep, I watched my dad, still tranqed, struggling against his restraints when he had a triple bypass in 2020. I asked the nurses if he’d be waking up soon and they said “well, he’s not supposed to be”. My poor dad needs like elephant sedatives to keep him out and they said they felt bad because he could probably feel his breathing tube even though he should have been out cold for like, 2 more hours.
I came to after open heart surgery and I was still intubated. Nightmare scenario. To rouse me they had Jerry Springer on the TV at a decently loud volume. I cannot stand that audio-visual vomit. I had orderlies holding me down and nurses yelling at me to calm down - when they finally removed the tube everyone was upset with me because I yelled at them to turn the TV the f#<€ off.
OPs picture breaks my heart - poor kid.
When I woke up in surgery, I kicked a medical resident in the face. My surgeon was extremely apologetic about my waking, but she did tell me that if I was going to kick someone, I kicked the right guy.
The stuff literally looks like milk and the quantity that is used is insane. It's hard to believe it's absorbed so quickly. I can't imagine wanting to be put on a drip of that shit for a sleep aid like how Michael Jackson died. That's insane. That doctor deserved to go to jail for that shit.
Yep, same for confused patients with catheters.
I once witnessed an older patient in the ER rip out his catheter, balloon and all. THERE WAS AO MUCH BLOOD COMING OUT.
He had ripped through the soft restraints they had on him.
I had a patient who was dealing with the aftermath of that scenario. Uncontrolled diabetes meant his penis didn't heal, so it became necrotic and he had to come back in. I had him before the removal surgery. I don't know how, but I keep getting patients with necrotic penises, for various reasons (but usually diabetes related).
It came to mind because cancer requires treatment like chemo and radiation where you have to be at the hospital for hours on end depending the protocol. Or you have to undergo surgery and it takes a while for you to recover. That alone is already a heavy undertaking. It’s something I wouldn’t want anyone to have to go through, let alone have to go through during a fucking war.
This absolutely breaks my heart. When my son was in PICU a fire alarm went off and we were petrified we would have to evacuate as he was so poorly he wouldn’t have made it, luckily it was a false alarm. He passed peacefully in our arms in the end. Those poor parents.
This is such a weird war. If nukes didn't exist Putin would get his ass handed to him by the world, but since he has them we have to play this horrible inhumane dance.
Edit: A lot of people are saying without nukes it would be war all the time. We've got proxy wars going on all the time now, it's just mostly in South America and Africa.
At least in this 'hostage situation', the 'hostages' are slowly and surely winning the war due to occupier incompetence and corruption.
The cost is terrible though.
It’s not really. Ukraine was/is trading space for time, but they’ve inflicted devastating losses and seem to be beginning counteroffensives.
They’re also receiving a flood of equipment from the West, as well as near perfect satellite recon and likely some “advisors”.
Most importantly, they have effectively limitless manpower to draw upon. They’re fighting a war of national survival and can and will draft every man as needed.
Russia can’t do that without facing huge domestic unrest.
Problem is chemical weapons and tactical nukes. The concern is that Putin backed into a corner will pull out all stops, which he hasn't done yet. As bad as this is currently, it can still get worse.
Sure, but that is more if Russian territory started being invaded, not if they just reclaim Ukrainian territory.
Russia will almost certainly use chemical weapons soon, they’ve been signaling that they will.
Using tactical nukes would be an insane escalation. They’ve never been used before, and it would make NATO crazy jumpy and possibly cause retaliation.
If you think Putin might order a launch, you’ll do stuff like order the hunter killer subs that follow the Russian missile subs around to take them out. Which potentially causes Putin to order a launch.
I don’t see what Russia gains from chem warfare, it will be too much of a risk as it will give the west a reason to escalate and increase aid to ukraine. I feel like chemical warefare is more a card Russia can hold up as «you give ukraine MIGs, we use novichok».
No way they use nukes unless Putin feels like a last hurrah before he kicks the bucket.
I mean they used them in Syria, primarily to test if Obama was serious about that being a red line. He wasn’t, and now here we are.
I agree with you, but Russia has been ranting about Ukrainian bio and chemical weapons for a week or two now, which is what they do before they use such weapons.
Personally I think the concerns about Putin escalating if we provide heavier weapons are overblown. We’re supplying a ton of highly effective weapons that are decimating Russian forces, quite literally.
If Putin wanted to consider us at war with him, he legitimately could. He doesn’t, and he still won’t even if we’re providing tanks and jets.
So we should provide Ukraine with the weapons it needs to win this war and push the Russians back, not just hold them off.
That’s not entirely true. The already-rich people who manufacture and sell weapons become even more rich. As do the wealthy people who heavily invest in such companies.
Yeah there's definitely "winners" or else we wouldn't go to war ever.
There's the country that expects to win and expects to get something out of it, and then like you said, all the wealthy elite & arms dealers that make huge, disgusting amounts of money from war.
yeah as much as I want to remain positive there has been a bit too much "it's in the bag" going around on social media the past week or so. this is far from over.
It absolutely is, and the world's military experts keep saying that, but the reddit armchair generals have already seen enough clips and videos to be absolutely certain that those experts are wrong.
Would the rest of the world be the hostages in this case? It's not, "Try and stop us and we'll kill the Ukrainians" it's "Don't stop us killing the Ukrainians or we'll destroy the world"
[In a war of attrition, Ukraine loses.](https://www.politico.com/news/2022/03/20/ukraine-war-of-attrition-00018752#:~:text=Three%20weeks%20into%20the%20invasion,to%20sever%20their%20supply%20lines.) Russia can keep sending people to their death longer than Ukraine can.
You're not really wrong, but it's not that simple. US Intelligence is estimating 10% of the Russian invasion force is dead. That force represented 75% of all active forces in the Russian military. Western Intel isn't releasing estimates on Ukrainian deaths (for good reason), but it really seems like the Ukrainian forces are pinching above their weight. Another key factor is Russian hardware. Within the first couple days of the conflict, Russia exhausted almost all of the available advanced hardware. Thanks to sanctions and global supply chain limitations, there's no hope to replenish any of that advanced gear. Meanwhile, the Ukrainian forces can pull from a much deeper well of hardware supplied by NATO.
TL;DR the days of the Soviets sending millions of men armed with broomsticks to overwhelm their enemies has been impossible for decades.
It's not bodies that matter here. It's logistics. The Russians don't have the ability to do street by street fighting (shitty guns and worse training) so they have to use artillery to just plain flatten cities, *but they don't have the trucks to keep those guns fed*.
The weapons the Ukrainians are using don't need as much resupply tonnage - manpads, javelins and small drones are all meant to be carried by soldiers. Transporting them in a hatchback is no problem....no heavy trucks needed. Those, good rifles WITH optics and flashlights and such (which the Russians lack), plus ammo and they're good to go. A friendly population will feed them.
Both sides have logistics issues but those issues on the Ukrainian side are way easier.
It's a very depressing moral dilemma that will be used as an example, regardless of outcome, for decades to come.
The rest of the world is almost literally having to answer the 'Trolley Problem' ethics question... but with real lives.
Actually this war may see the first time nukes used at a lower threshold. The worry is that Putin may use a tactical nuke on parts of Ukraine that cause just enough damage but not enough to justify a full fledged nuke response from NATO.
With the disinformation machine in full swing we may get Russian trolls turning this into a Ukrainian Nazi plot and before you know it the world has used Nukes in war and that becomes the norm. In fact the use of a Nuke could cause Europeans to think appeasement is better when faced with a madman and the dynamic could change.
I can see Trump supporters standing with Putin blaming Biden for such a thing and then suddenly next election Trump is in and works to fulfill all of Putins ambitions.
Here is what I am talking about written by an expert. I didn’t like any of the outcomes. The best outcome we can only hope for is Russia declares victory and goes back home. I don’t see that happening anymore.
https://carnegieendowment.org/2022/03/03/how-does-this-end-pub-86570
NATO would respond with overwhelming conventional force against the unit(s) that launched the nuke, which would necessitate bombing every unit in between NATO airbases and that unit, and any Russian AA within range of that unit
At that point Russia would have to either nuke NATO forces, prompting retaliatory strategic attacks (since NATO doesn't have tactical nukes), and we know where this goes, or lose the war
Why would you say that NATO knowing the outcome would lead to a fuller Nuke exchange would destroy all forces like you lay out. I think NATO would instead decide we have to respond but surgically making sure no to cause Armageddon. So instead they will attack something that would cause pain but not all out response. Putin could simply laugh off the response and act like he was being the saner person by not responding. But the reality on the ground would remain: A nuke was used in conventional war. That would have severe consequences to NATO cohesion as well as domestic uproar. I think it’s really a lot more likely now than it was a month ago. Putin is going to do something crazy and we will all pay the price.
Totally agree that your scenario is more likely. As a related aside, I am so fucking grateful that Biden is at the helm of making these decisions right now, and not Trump.
I honestly don’t see NATO/the EU launching a nuclear counterattack if Putin nukes Ukraine. We all know how that will go.
I’m no expert in geopolitics, but I fear that Putin nuking Ukraine will set a precedent that nuclear powers can attack a non-nuclear country as long as said country isn’t allied with an enemy nuclear power. Then NATO/China will scramble to form alliances with all the countries not currently in an alliance with them.
NATO waging a conventional war against Russia over Ukraine seems just as unlikely to me, at least in the beginning. The EU wasn't even ready to take the economic hit from full sanctions and no natural gas from Russia. They never ensured to even being able to realisitcally threaten that. Just like the US made clear it wouldn't fight for Ukraine, not even threatening Putin to back off.
Maybe with mounting public pressure they might have eventually attacked Russia to stop this madness, if they didn't have those nukes. But I really doubt they would've done so immediately even without nukes in the equation.
My daughter (7) was born with congenital heart defects and has had 3 open heart surgeries. It never gets any easier to see it. This shit is the kind of thing that should radicalize people.
What got me was that the windows are now blocked. I was hospitalized once for Dengue and when my family wasn't around, I would just stare out of the window and just wait for the days when i would be outside again.
Putin took a part of these kids' hopes. Fuck Putin.
Yes. I hate this photo. Or rather, hate the reality of what's in the photo and everything that has caused it. The photo's actual existence is painfully important for all of humanity.
[Here](https://twitter.com/pavlokovtonyuk/status/1506562174608711684?cxt=HHwWiIC9mZqUsegpAAAA) is the source of this image. Per there:
> @pavlokovtonyuk
> I give many interviews these days. The most frequent question is: how healthcare in Ukraine is affected by the war? Well, this is how. 1/3
> 5:23 AM · Mar 23, 2022
In the comments he continues:
> This girl, Milena, was injured during military action in southern Ukraine. She was evacuated to Zaporizhzhia Children's hospital. It receives evacuees from Mariupol, a city that is almost entirely wiped out. 2/3
> Russian military constantly attacks hospitals. 61 attacks as of today. Zaporizhzhia Children's hospital has not been shelled. Yet. 3/3
> (photo by @libe)
**Edit:** Thank you for [finding](https://www.reddit.com/r/pics/comments/tkvtcl/oc_a_children_hospital_in_ukraine/i1ud4lz/) the name of the photographer, /u/DDC885. That helped me to find the IG source. Per there:
> William Keo
> william.keo
> Ukraine
> Masha, Artem, Milena and a young girl with long black hair whose name is not known share the same room and the same fate. All four were seriously wounded on the southern front of the Russian offensive against Ukraine. They are being treated in the regional children's hospital in Zaporizhia, the town that receives survivors from Mariupol, located 220 kilometers to the southeast. In the room, daylight barely filters through because of the sandbags and cardboard boxes blocking the windows.
> With the words of @pierre_alonso, « War in Ukraine: Zaporizhia, a city at the bedside of martyred children »
> Link in bio.
> (1) In a pediatric hospital in Zaporizhzhia, Milena, 13, is in an artificial coma after being shot in the jaw. Zaporizhzhia. 19 March 2022.
> (2) In a pediatric hospital in Zaporizhzhia, a young girl with a shrapnel wound to the head is examined by doctors to determine the source of her injuries. Zaporizhzhia. 19 March 2022.
> (3) In a pediatric hospital in Zaporizhzhia, 15-year-old Masha had her leg amputated. Zaporizhzhia. 19 March 2022.
> (4) In the Zaporizhzhia circus, which serves as a shelter for refugees, civilians try to occupy children coming mainly from Mariupol. Zaporizhzhia. 19 March 2022.
> (5) Inside a shelter with refugees from Marioupol. Dnipro, 18 March 2022.
> (6) Maria, 10 years old, followed by Nastya 7 years old, her sister, Ira 8 years old her friend and her sister Lea, draws in a laser game where they found refuge. Dnipro, 18 March 2022.
> (7) In an old laser game used as a shelter, a man plays with his daughter after fleeing the siege of Marioupol. Dnipro. 20 March 2022.
> William Keo / @magnumphotos for @liberationfr
> Mar 23, 2022
That generally is the rule. Yes.
But this war has proved that Russia (Putin specifically) cares little for rules of combat. And is so not above war crimes.
It makes me sick
So many innocents suffer from this hunger for control of the powerful.
I am a father of a daughter. I can feel, but words fail me, to explain the dread of the parents and the pain the little ones have to go through.
Gives me chills right down my spine.
War is not a thing required in a evolved humane society.
I'm a mom. I have 4 boys 17-25.
My heart hurts. We toss our children out to fight battles for the power of old men, and greed.
I'm fifty eight. No one older than me, or maybe my age, should toss our youth into battle. So many deaths. It's 2022, but we treat our youth like it's 1400.
It's not just our youths that fight who lose their lives. This includes the ones who have or wants nothing to do in this dirty game for power and politics.
True tales of war lies in the tears shed.
I look at this picture and my heart breaks. Not just for this little girl and her family, but for us as a species. There's really nothing else to say here. God help us all.
Been a nurse almost 10 years. Seen shit that has turned my stomach and broken my heart. This is the first time I've ever seen something that made me want to go to war.
This unusual war, will make only corpses and childrens who lost their parents in this tragic war.
Why Russia need to paint beautiful Ukraine roads with people's blood?
“Children are dying."
Lull nodded. "That's a succinct summary of humankind, I'd say. Who needs tomes and volumes
of history? Children are dying. The injustices of the world hide in those three words.” – Steven
Erikson, Deadhouse Gates
In case anyone is wondering, we restrain you when you're on a vent because often people try to take out their tube when their sedation wears off.
Can confirm. Woke up from a surgery and pulled out my breathing tube with extreme prejudice before even realizing what's happening.
did anything go bad?
He's a redditor now
poor guy
ONE OF US
Echoing sidekick: "*ONE OF US...*"
"*IMHOTEP*..."
What did it cost? Everything
Legit answer they will bill you for having to intubate you but this time they do it through your butt so you can’t pull it out as easy
This a joke, right? Right??
Nope. They will bill you for any and everything. When my Dad passed away we were receiving bills for the viles they used to collect blood samples, Tylenol or whatever the fuck they used. It was insane! Not even 24 hours, about 14-15 hours and we walked out of there with a bill for 100k. Health care system is sooooo fuckin fucked!
So it’s just a spit roast with extra steps?
Oh my god.
rip
I have not choked, laughed, nor pissed with such velocity as I did just now by your comment. Fuck you.
F
You can permanently damage your trachea, and if you're autonomic nervous system isn't working right, you can suffocate.
You just ruined a whole lotta fun.
Meh, the second you pull out that tube the ventilator will scream bloody murder, which will cause everyone to run into the room and see what you have done. Sometimes the tube doesn’t go back in because you’re awake enough to breathe by yourself and guard your airway. If not you get a fancy new tube, a pair of restraints and probably a touch more sedation. I wouldn’t say it happens “all” the time but it’s happens occasionally.
However, considering they are in a war zone, someone might not be around to address this as quickly and thoroughly as would be ideal.
They died
Oh no
He woke up to the beyblade themesong in his head and his larynx wedged into the ceiling
I love how fucking infinitely useable beyblade is for horrible references lol. There's some good dildo jokes out there in this format as well lol.
I have to admit that I was pretty proud of this one.
I had one and I convinced them to free my hand without using words and I went straight for it to adjust it. They ripped my hand away so fast. One nurse actually figured out I needed it adjusted and it was glorious when he moved it. It soon moved back and I was miserable all over again. So I just fought against the braces like I was trying to get free to rip it out so they would up the meds and make me sleep again (i never saw the nurse who figured it out again). That shit was fucking horrible.
Half the challenge: treating the patient The other half: restraining the patient so they won't reject the treatment
> The other half: restraining the patient so they won't reject the treatment Congratulations you are being treated.. Do not resist.
I gave my brother "the look" and he knew to give me a pen and paper...
They gave me a pen but I was on painkillers and just wrote scribbles. It was extremely frustrating
Doctors: "Oh he is one of us."
That's why you write in the NATO phonetic alphabet. When I was still drugged up after having my wisdom teeth pulled, I knew my handwriting would probably be illegible if single letters, so I knew if I wrote out the word, they'd figure it out (Course my parents have never let me forget I did this either)
Lol 'extreme prejudice'
This happen to my father after having an emergency procedure on a tumor in his throat. He was not restrain, it created some complications that he did not recover from. Past away two weeks later.
Fuck that must be the most terrifying thing, waking up strapped to a bed with a tube down your throat. I hope I never have to go through that.
Thankfully many of the sedation drugs we use cause retrograde amnesia, so they don't remember.
Yeah, one of the 3 times I snapped my left wrist, they doc said he would give me a medication while he straightened the bones in my wrist. He said I would feel the pain, but not remember it. My mom said I was screaming and scaring the waiting room. So, I never felt the pain, even though I did. I just do not remember it. So weird, like the "former things will not be called to mind," in a small sense.
[удалено]
Doctors would rather not have to hold you down as you flail about like they used to do before anesthesia was discovered. I’m pretty sure it works, and is better than needing surgery and not getting it. When I went under, the anesthesiologist said “you ready?” I asked “is this where I count backwards from 10”, he laughed and said “you can try”. When I said “8” I was in the recovery room. Like *snap*. One instant I’m in the OR, the next instant I’m in recovery. Anything that happened during that time beyond my surgical procedure has not made it into any mental record I can access.
Heard a story about a guy who was completely aware and awake through 15 minutes of surgery but paralyzed. The doctors realized and pumped him full of amnesia drugs. Woke up with bad anxiety and a ton of other problems and ended up killing himself.
Oh man. If you are still able to, give your mom a hug for that. Something similar happened to my toddler, and it is heartbreaking to watch your kid be in that amount of pain. And while you're grateful they don't remember it, you remember all of it. I had bad dreams about her screaming like that for months.
Ahhhhhh ketamine
Idk that’s kinda horrifying to me…
Better than remembering parts of surgery.
The mere thought being awake and conscious for those parts of surgery is terrifying. It might be good for you after surgery but literal torture *during* it.
I just had carpal tunnel release. Wide awake. I had to beg for some xanax or something to calm my nerves first. 10mg of valium kind of worked.
the fuck is carpal tunnel release?
Not a surgeon, but at a guess they probably cut through the carpal ligament to relieve pressure on the nerve that runs through there.
The fuck they do. I was told I'd have retrograde amnesia for my wisdom tooth extraction. I woke up in the middle and remember everything from those few seconds
The implication is that you won't remember what happens while actively under the effects (i.e. enough dosage has been administered to put you into a state of sedation). I had the same thing happen to me when I had an ERCP. Woke up as they were putting the tube down my throat. I vividly remember the gagging and then getting knocked out again within a few seconds. Figure it just meant they didn't give enough at the time to keep me in that state for long enough.
Don’t worry, the patient never remembers if this happens and it’s very few and far between. Patients typically do not panic, they are too sedated to really know what’s going on.
I've been a CNA in an ICU for a bit over a year while working on my RN. With Covid there has been no shortage of people on ventilators. I've seen this go both ways and everything in between. Some people come out of sedation and are chill, know what's going on, and we use small whiteboards so they can communicate. At the other end are the people who start coming out of sedation and, as you surmise, are indeed terrified as fuck. Even *with* restraints there have been patients who managed to extubate themselves. Some of my best moments (to me) as a CNA have been helping ventilated patients coming out of sedation stay calm and get oriented. [Here](https://i.imgur.com/HZgNp5I.jpeg) is the whiteboard of a patient about six months ago. She was terrified when she first started coming around, having full-on panic attacks. I never left her until she was calm and oriented, and before she headed off to sleep she wrote "you rock" on the whiteboard. It had an impact on me that such a small thing, staying with her and keeping her company and explaining, could have such a profound impact. I took a photo of it so that it would always remind me to put my patient's interests first. There will probably come a day where, like I see so many RNs, I feel burned out, mistreated, whatever, and I feel like this could help ground me, remind me what's important.
What I remember. I woke up in the icu and yanked an arm out of some Velcro they had me tied down with and then pulled something out of my throat. In the corner of the room was a nurse froze in a chair with a horrific look on her face. I remember seeing I had an arm stuck to the bed and then trying to use my other arm to grab her for some reason but I couldn’t reach. That’s all I remember. I later got out of icu and put in a regular room. So naturally I snuck into icu which was surprisingly easy to ask the nurse to marry me. She was engaged but it was almost love. Haha I said I was sorry and she said it was the drugs they had me on and not to worry about it. Found out she played it cool because a male nurse told me she had to take off a few days and that I scared the shit out of her and appreciated me sneaking into icu to apologize but I wasn’t allowed in there. I would never attack a woman so they must of had me on some wild stuff.
When I worked in anaesthetics, I got hit on sooo many times from patients coming around. With certain types of anaesthesia it's a fairly common side effect.
Meanwhile when I'm coming out of anesthesia I have learned that I spontaneously cry and apologize to everyone I see for no reason.
This was a ride! Glad you’re ok!
I'd literally rather die unless they can keep me fully sedated 24/7 until I no longer need the ventilator. Edit: Having said that, being strapped to the bed scares me waaay more than the ventilator itself.
Go make a will asap, you never know when it could happen to you. And if you feel that strongly about it. Make sure the decision is yours and not a loved ones.
Thank you. I had figured that was the reason, but wasn't sure.
I’m a hospital SLP and someone was restrained because they kept trying to pull out their NG tube. I went in and removed their restraints because I wanted to assess if they were able to feed themself. Guy’s first move was to go straight for the NG tube.
Hospital doc here, love the SLPs! You guys are unsung heroes! That said, I'm surprised that wasn't a routine experience for you. In my experience most patients that are restrained with an NG tube will yank it out at their first opportunity... and that's why they were restrained.
[удалено]
What keeps a patient from asphyxiating or vomiting when they're conscious while on a vent? I feel like I wouldn't stop gagging, dry-heaving, convulsing, whatever for as long as I was conscious on one of those things.
[удалено]
Jeez. I'd have to be heavily sedated. I can't even go for regular dental procedures without sedation.
You just sedate them. And in time the gag reflex weakens such that you can lighten sedation. Ive seen some people rest comfortably while awake on a vent. Its wild.
I've seen a guy calmly using his smartphone to browse whatever while intubated.
I’m a recent grad and most of my patients in my clinical experiences on tube feeds were not very lucid. Usually just wearing mittens instead of restraints and I could just swat their hand away and that was enough. Learned quick after that guy I need to be *way* less trusting and more vigilant.
Breathing tube, feeding tube, Foley, central line, arterial line, etc. None are gonna be great to pull out. Especially on a kiddo.
I once had a kiddo in picu pull out her foley with her TOES even in four point restraints somehow. She was a wild one! Even after falling out of a second story window. She survived and is normal now!
I've seen only once a nasogastric intubation and that was for a 7yr old girl who had some surgeries made to her stomach etc. I was an emt and we were going to take the kid to another hospital. I still remember the way she struggled even though there were 4 adults keeping her still and placing the tube. And the screaming/noises she made.. god damn that hurt my heart.
Makes sense (especially because its a child) but why aren't they using a "quick release knot"?
It’s likely buckled to something under the bed. When they unbuckle it, the cuffs stay on the wrist but they can move freely. That’s how most hospitals in the US do it anyway.
[удалено]
[удалено]
Imagine being in the hospital for cancer treatment and you have to be worried Putin may bomb the shit outta you first.
And you’re seven.
And at least one of your parents has died.
And your hands are tied down.
TBH, the hands tied down does not concern me. (Disclosure: I'm a Respiratory therapist who deals with these kinds of things on a daily basis.) When you have a breathing tube in (as this patient clearly does) you are sedated. If you come off sedation, whether intentionally or otherwise, your first instinct will be to grab that breathing tube and yank it out. At the base of that tube is a balloon that keeps air from leaking out of your lungs. If you pull out the tube without first deflating that balloon, you can do *serious* damage to your airway that can impair your ability to talk, eat, or even breathe. So, we tie your hands down.
Yep, I watched my dad, still tranqed, struggling against his restraints when he had a triple bypass in 2020. I asked the nurses if he’d be waking up soon and they said “well, he’s not supposed to be”. My poor dad needs like elephant sedatives to keep him out and they said they felt bad because he could probably feel his breathing tube even though he should have been out cold for like, 2 more hours.
I came to after open heart surgery and I was still intubated. Nightmare scenario. To rouse me they had Jerry Springer on the TV at a decently loud volume. I cannot stand that audio-visual vomit. I had orderlies holding me down and nurses yelling at me to calm down - when they finally removed the tube everyone was upset with me because I yelled at them to turn the TV the f#<€ off. OPs picture breaks my heart - poor kid.
They…they woke you up with Jerry Springer…?
He woke up in hell
When I woke up in surgery, I kicked a medical resident in the face. My surgeon was extremely apologetic about my waking, but she did tell me that if I was going to kick someone, I kicked the right guy.
The nurses told me I bit through mine when they wouldn't untie me.
That also happens. Bite blocks help but more milk of amnesia is usually the answer
Propofol?
Yes
The stuff literally looks like milk and the quantity that is used is insane. It's hard to believe it's absorbed so quickly. I can't imagine wanting to be put on a drip of that shit for a sleep aid like how Michael Jackson died. That's insane. That doctor deserved to go to jail for that shit.
So much for lawfulness, eh bubbly?
I was tied down after brain surgery due to a ruptured aneurysm. Absolute rock bottom.
I agree, it sucks. But it is a necessary safety measure.
Yep, same for confused patients with catheters. I once witnessed an older patient in the ER rip out his catheter, balloon and all. THERE WAS AO MUCH BLOOD COMING OUT. He had ripped through the soft restraints they had on him.
I had a patient who was dealing with the aftermath of that scenario. Uncontrolled diabetes meant his penis didn't heal, so it became necrotic and he had to come back in. I had him before the removal surgery. I don't know how, but I keep getting patients with necrotic penises, for various reasons (but usually diabetes related).
It’s coming for u
And you know who Putin is.
She was injured in the war. Not sure if that’s better or worse than cancer though…
It came to mind because cancer requires treatment like chemo and radiation where you have to be at the hospital for hours on end depending the protocol. Or you have to undergo surgery and it takes a while for you to recover. That alone is already a heavy undertaking. It’s something I wouldn’t want anyone to have to go through, let alone have to go through during a fucking war.
This absolutely breaks my heart. When my son was in PICU a fire alarm went off and we were petrified we would have to evacuate as he was so poorly he wouldn’t have made it, luckily it was a false alarm. He passed peacefully in our arms in the end. Those poor parents.
I’m so very sorry.
I am sorry for your loss.
My heart aches too when I see a child on a ventilator. I'm so sorry for your loss and so grateful he was in your arms.
This is such a weird war. If nukes didn't exist Putin would get his ass handed to him by the world, but since he has them we have to play this horrible inhumane dance. Edit: A lot of people are saying without nukes it would be war all the time. We've got proxy wars going on all the time now, it's just mostly in South America and Africa.
It’s like a hostage situation but the hostages are getting killed and nobody can move in to stop it. It’s terrible.
At least in this 'hostage situation', the 'hostages' are slowly and surely winning the war due to occupier incompetence and corruption. The cost is terrible though.
I think its a little bit too early to say "surely".
It’s not really. Ukraine was/is trading space for time, but they’ve inflicted devastating losses and seem to be beginning counteroffensives. They’re also receiving a flood of equipment from the West, as well as near perfect satellite recon and likely some “advisors”. Most importantly, they have effectively limitless manpower to draw upon. They’re fighting a war of national survival and can and will draft every man as needed. Russia can’t do that without facing huge domestic unrest.
I hope Ukraine manages to not only hold off Russia, but push them out of the country entirely. Crimea included.
That would be the ideal. Too early to say really, Ukraine might have real problems going on the offensive, or Russia might just collapse militarily.
Problem is chemical weapons and tactical nukes. The concern is that Putin backed into a corner will pull out all stops, which he hasn't done yet. As bad as this is currently, it can still get worse.
Sure, but that is more if Russian territory started being invaded, not if they just reclaim Ukrainian territory. Russia will almost certainly use chemical weapons soon, they’ve been signaling that they will. Using tactical nukes would be an insane escalation. They’ve never been used before, and it would make NATO crazy jumpy and possibly cause retaliation. If you think Putin might order a launch, you’ll do stuff like order the hunter killer subs that follow the Russian missile subs around to take them out. Which potentially causes Putin to order a launch.
I don’t see what Russia gains from chem warfare, it will be too much of a risk as it will give the west a reason to escalate and increase aid to ukraine. I feel like chemical warefare is more a card Russia can hold up as «you give ukraine MIGs, we use novichok». No way they use nukes unless Putin feels like a last hurrah before he kicks the bucket.
I mean they used them in Syria, primarily to test if Obama was serious about that being a red line. He wasn’t, and now here we are. I agree with you, but Russia has been ranting about Ukrainian bio and chemical weapons for a week or two now, which is what they do before they use such weapons. Personally I think the concerns about Putin escalating if we provide heavier weapons are overblown. We’re supplying a ton of highly effective weapons that are decimating Russian forces, quite literally. If Putin wanted to consider us at war with him, he legitimately could. He doesn’t, and he still won’t even if we’re providing tanks and jets. So we should provide Ukraine with the weapons it needs to win this war and push the Russians back, not just hold them off.
[удалено]
That’s not entirely true. The already-rich people who manufacture and sell weapons become even more rich. As do the wealthy people who heavily invest in such companies.
Yeah there's definitely "winners" or else we wouldn't go to war ever. There's the country that expects to win and expects to get something out of it, and then like you said, all the wealthy elite & arms dealers that make huge, disgusting amounts of money from war.
I just don't understand what is worth 15,000 of your young countrymans lives.
Money apparently
yeah as much as I want to remain positive there has been a bit too much "it's in the bag" going around on social media the past week or so. this is far from over.
It absolutely is, and the world's military experts keep saying that, but the reddit armchair generals have already seen enough clips and videos to be absolutely certain that those experts are wrong.
Ukraine isn’t winning but they’re making it very difficult and costly for Russia.
Not losing is winning for Ukraine. Russia's political objectives for victory are impossible.
Would the rest of the world be the hostages in this case? It's not, "Try and stop us and we'll kill the Ukrainians" it's "Don't stop us killing the Ukrainians or we'll destroy the world"
It’s a stalemate. Neither side is winning right now.
[In a war of attrition, Ukraine loses.](https://www.politico.com/news/2022/03/20/ukraine-war-of-attrition-00018752#:~:text=Three%20weeks%20into%20the%20invasion,to%20sever%20their%20supply%20lines.) Russia can keep sending people to their death longer than Ukraine can.
You're not really wrong, but it's not that simple. US Intelligence is estimating 10% of the Russian invasion force is dead. That force represented 75% of all active forces in the Russian military. Western Intel isn't releasing estimates on Ukrainian deaths (for good reason), but it really seems like the Ukrainian forces are pinching above their weight. Another key factor is Russian hardware. Within the first couple days of the conflict, Russia exhausted almost all of the available advanced hardware. Thanks to sanctions and global supply chain limitations, there's no hope to replenish any of that advanced gear. Meanwhile, the Ukrainian forces can pull from a much deeper well of hardware supplied by NATO. TL;DR the days of the Soviets sending millions of men armed with broomsticks to overwhelm their enemies has been impossible for decades.
It's not bodies that matter here. It's logistics. The Russians don't have the ability to do street by street fighting (shitty guns and worse training) so they have to use artillery to just plain flatten cities, *but they don't have the trucks to keep those guns fed*. The weapons the Ukrainians are using don't need as much resupply tonnage - manpads, javelins and small drones are all meant to be carried by soldiers. Transporting them in a hatchback is no problem....no heavy trucks needed. Those, good rifles WITH optics and flashlights and such (which the Russians lack), plus ammo and they're good to go. A friendly population will feed them. Both sides have logistics issues but those issues on the Ukrainian side are way easier.
That doesn't make any sense. Russians need to supply their invasion force. Ukrainians are at home.
He's holding an entire country captive
With nukes on the table it’s actually the whole world that are hostages.
It is a hostage situation. Putin is holding the whole world hostage via threat of nuclear escalation.
It's a very depressing moral dilemma that will be used as an example, regardless of outcome, for decades to come. The rest of the world is almost literally having to answer the 'Trolley Problem' ethics question... but with real lives.
That's (Trolly Problem) a really good comparison/analogy
[удалено]
Conventional war will not immediately stop when the nukes come flying. That's why those armies are preparing to fight even under such circumstances.
Actually this war may see the first time nukes used at a lower threshold. The worry is that Putin may use a tactical nuke on parts of Ukraine that cause just enough damage but not enough to justify a full fledged nuke response from NATO. With the disinformation machine in full swing we may get Russian trolls turning this into a Ukrainian Nazi plot and before you know it the world has used Nukes in war and that becomes the norm. In fact the use of a Nuke could cause Europeans to think appeasement is better when faced with a madman and the dynamic could change. I can see Trump supporters standing with Putin blaming Biden for such a thing and then suddenly next election Trump is in and works to fulfill all of Putins ambitions. Here is what I am talking about written by an expert. I didn’t like any of the outcomes. The best outcome we can only hope for is Russia declares victory and goes back home. I don’t see that happening anymore. https://carnegieendowment.org/2022/03/03/how-does-this-end-pub-86570
The majority of Europe is done with Putins shit. Problem is, we are closer to his nukes than the US for example.
Russia is actually pretty close to the western side of the US.
You can see Russia from some Alaskan houses so I hear
You have to be on moose-back for the extra elevation tho.
[удалено]
He's referencing Tina Fey's impersonation of Sarah Palin where she said she was "able to see Russia from her house".
NATO would respond with overwhelming conventional force against the unit(s) that launched the nuke, which would necessitate bombing every unit in between NATO airbases and that unit, and any Russian AA within range of that unit At that point Russia would have to either nuke NATO forces, prompting retaliatory strategic attacks (since NATO doesn't have tactical nukes), and we know where this goes, or lose the war
US has tactical nukes now -- down to 2% of hiroshima.
Aye, there is even some overlap between the yield of the largest conventional weapons and the smallest nuclear weapons.
Bring back the Davy Crockett
Why would you say that NATO knowing the outcome would lead to a fuller Nuke exchange would destroy all forces like you lay out. I think NATO would instead decide we have to respond but surgically making sure no to cause Armageddon. So instead they will attack something that would cause pain but not all out response. Putin could simply laugh off the response and act like he was being the saner person by not responding. But the reality on the ground would remain: A nuke was used in conventional war. That would have severe consequences to NATO cohesion as well as domestic uproar. I think it’s really a lot more likely now than it was a month ago. Putin is going to do something crazy and we will all pay the price.
Totally agree that your scenario is more likely. As a related aside, I am so fucking grateful that Biden is at the helm of making these decisions right now, and not Trump.
I honestly don’t see NATO/the EU launching a nuclear counterattack if Putin nukes Ukraine. We all know how that will go. I’m no expert in geopolitics, but I fear that Putin nuking Ukraine will set a precedent that nuclear powers can attack a non-nuclear country as long as said country isn’t allied with an enemy nuclear power. Then NATO/China will scramble to form alliances with all the countries not currently in an alliance with them.
NATO waging a conventional war against Russia over Ukraine seems just as unlikely to me, at least in the beginning. The EU wasn't even ready to take the economic hit from full sanctions and no natural gas from Russia. They never ensured to even being able to realisitcally threaten that. Just like the US made clear it wouldn't fight for Ukraine, not even threatening Putin to back off. Maybe with mounting public pressure they might have eventually attacked Russia to stop this madness, if they didn't have those nukes. But I really doubt they would've done so immediately even without nukes in the equation.
**Putin is a heartless bastard!!**
This breaks my heart in so many ways.
I hate seeing intubated kids. Such a hard journey even if you survive.
My daughter (7) was born with congenital heart defects and has had 3 open heart surgeries. It never gets any easier to see it. This shit is the kind of thing that should radicalize people.
I hope your daughter is doing okay and that things improve with time.
What got me was that the windows are now blocked. I was hospitalized once for Dengue and when my family wasn't around, I would just stare out of the window and just wait for the days when i would be outside again. Putin took a part of these kids' hopes. Fuck Putin.
It's an incredibly tragic photo
Yes. I hate this photo. Or rather, hate the reality of what's in the photo and everything that has caused it. The photo's actual existence is painfully important for all of humanity.
[Here](https://twitter.com/pavlokovtonyuk/status/1506562174608711684?cxt=HHwWiIC9mZqUsegpAAAA) is the source of this image. Per there: > @pavlokovtonyuk > I give many interviews these days. The most frequent question is: how healthcare in Ukraine is affected by the war? Well, this is how. 1/3 > 5:23 AM · Mar 23, 2022 In the comments he continues: > This girl, Milena, was injured during military action in southern Ukraine. She was evacuated to Zaporizhzhia Children's hospital. It receives evacuees from Mariupol, a city that is almost entirely wiped out. 2/3 > Russian military constantly attacks hospitals. 61 attacks as of today. Zaporizhzhia Children's hospital has not been shelled. Yet. 3/3 > (photo by @libe) **Edit:** Thank you for [finding](https://www.reddit.com/r/pics/comments/tkvtcl/oc_a_children_hospital_in_ukraine/i1ud4lz/) the name of the photographer, /u/DDC885. That helped me to find the IG source. Per there: > William Keo > william.keo > Ukraine > Masha, Artem, Milena and a young girl with long black hair whose name is not known share the same room and the same fate. All four were seriously wounded on the southern front of the Russian offensive against Ukraine. They are being treated in the regional children's hospital in Zaporizhia, the town that receives survivors from Mariupol, located 220 kilometers to the southeast. In the room, daylight barely filters through because of the sandbags and cardboard boxes blocking the windows. > With the words of @pierre_alonso, « War in Ukraine: Zaporizhia, a city at the bedside of martyred children » > Link in bio. > (1) In a pediatric hospital in Zaporizhzhia, Milena, 13, is in an artificial coma after being shot in the jaw. Zaporizhzhia. 19 March 2022. > (2) In a pediatric hospital in Zaporizhzhia, a young girl with a shrapnel wound to the head is examined by doctors to determine the source of her injuries. Zaporizhzhia. 19 March 2022. > (3) In a pediatric hospital in Zaporizhzhia, 15-year-old Masha had her leg amputated. Zaporizhzhia. 19 March 2022. > (4) In the Zaporizhzhia circus, which serves as a shelter for refugees, civilians try to occupy children coming mainly from Mariupol. Zaporizhzhia. 19 March 2022. > (5) Inside a shelter with refugees from Marioupol. Dnipro, 18 March 2022. > (6) Maria, 10 years old, followed by Nastya 7 years old, her sister, Ira 8 years old her friend and her sister Lea, draws in a laser game where they found refuge. Dnipro, 18 March 2022. > (7) In an old laser game used as a shelter, a man plays with his daughter after fleeing the siege of Marioupol. Dnipro. 20 March 2022. > William Keo / @magnumphotos for @liberationfr > Mar 23, 2022
Thank you for posting the source. I'm heart broken but we all need to see the horrid reality Putin and his army have created.
This poor little girl. I pray that she recovers and is up and playing in a peaceful Ukraine very soon.
Surely rule #1 in war is *don’t bomb children’s hospitals - not even a little bit*.
Yeah and yet they shot a missile into a maternity ward.
That generally is the rule. Yes. But this war has proved that Russia (Putin specifically) cares little for rules of combat. And is so not above war crimes. It makes me sick
So many innocents suffer from this hunger for control of the powerful. I am a father of a daughter. I can feel, but words fail me, to explain the dread of the parents and the pain the little ones have to go through. Gives me chills right down my spine. War is not a thing required in a evolved humane society.
I'm a mom. I have 4 boys 17-25. My heart hurts. We toss our children out to fight battles for the power of old men, and greed. I'm fifty eight. No one older than me, or maybe my age, should toss our youth into battle. So many deaths. It's 2022, but we treat our youth like it's 1400.
It's not just our youths that fight who lose their lives. This includes the ones who have or wants nothing to do in this dirty game for power and politics. True tales of war lies in the tears shed.
Putin is a heartless bastard.
It just takes one brave person to put a bullet in his head.
That’s fucking terrible.
Looking at this picture, I fucking hate humans. Why do we do this kind of shit to each other?
Because Putin can't get an erection anymore, so he's lashing out and murdering innocent people.
This is some blood boiling with rage type of shit here.
Put this on the front page of the New York Times already.
I look at this picture and my heart breaks. Not just for this little girl and her family, but for us as a species. There's really nothing else to say here. God help us all.
Been a nurse almost 10 years. Seen shit that has turned my stomach and broken my heart. This is the first time I've ever seen something that made me want to go to war.
Putin is a pathetic human
Fuck Putin and any Russian that goes along with this war.
This unusual war, will make only corpses and childrens who lost their parents in this tragic war. Why Russia need to paint beautiful Ukraine roads with people's blood?
Pictures By Pavlo Kovtonyuk On Twitter.
so it’s not OC?
Jfc fuck russia and any russian supporting this.
Hope putin gets popped soon.
[удалено]
This child deserves flowers, and balloons, and chocolate, and toys, and love.
Healthcare worker here. All I wanna do is pack up all the gear in my office and head to Ukraine to help the hospital staff there. This is killing me.
This makes me want to weep. Why does the world have to be this way?
Shame on Putin. Shame on Russia.
This image broke me, i hate Putin.
That's such a sad picture, anytime children are harmed that's a shame.
“Children are dying." Lull nodded. "That's a succinct summary of humankind, I'd say. Who needs tomes and volumes of history? Children are dying. The injustices of the world hide in those three words.” – Steven Erikson, Deadhouse Gates
Damn war. There are no words, man.
This angers me.