Here I reminisce about my evolution in cooling comatose patients, making groundbreaking protocols, and the unforgettable day a “code brown” changed everything in the ICU.
“medicine just isn't like that anymore - the freedom and autonomy and ability to innovate and try things new... is dead...” as a practicing nurse of 39 years (24 of those in ICU) you are right..there is no thinking outside of the box, it’s protocols and algorithms to follow.
It has occurred to me that many improvements to our current medical treatment and therapies will vastly improve thanks to doctors who are able to work and treat outside "conventional" medicine. All thanks to the creepy gruesome creatures who call themselves philanthropists. Thank you ASSHOLES!
Oh! How fun! I actually really enjoyed caring for therapeutic hypothermia patients! Watching the lytes, huge forests, bradycardia-starting dobutamine, counter warming, rewarming-slowly! All so fun to an adrenaline junkie. Now it’s more OHS pts with narrowed pulse pressures, increasing PA and CVPs taken back to OR-returned with the declaration “nothing wrong”, but somehow they are now stable….🤷♀️
Code Brown is probably the real reason that men were kept out of the delivery rooms, and nothing else. Silly prudish women didn't want them to see that giving birth also produced a bowel movement on the table. So what. You're bearing down really hard to push the baby out.
In the summer or fall of Covid 2020 there was a lengthy article in I believe the Washington Post about Dr. Varón. They mentioned his “controversial” use of cold immersion for an unconscious near drowning patient.
Deep into the article he mentions Ivermectin showing promise for treating Covid patients…
I tell you what has been Code Brown is our official response to Covid. A real shit show
Looking forward to hearing you in September! Boom!
On the inflammation noted . I have had un diagnosed Lupus for a lifetime.,despite telling so many GPs and Specialists I get fevers and joint pains followed by a ,"lupus like butterfly rash."
all to no avail until I found a wonderful GP with my horrific wrist and hand pains after contracting a covid variant. She ran multiple blood tests which came back from the labs as positive for Lupus.
The inflammation from the covid variant sent me into a "Crisis Lupus flare " over a year ago accompanied by severe anemia / It took 11 months before i could feel the hydroxychloroquine kicking in. I am receiving B12 shots once a week and B6 once a month along with folate tabs daily.
Interestingly I found I feel so much better after taking a cool shower before bed.
I wonder why i fall under the recommended mRNA covid shots ( which I never had) as one of the categorized "vulnerable" with an autoimmune disease when in fact these shots cause a huge increase in inflammation and am now convinced would have killed me if I had taken any. Also the variant of covid itself resulted in no respiratory or gastric issues .Both my husband and I just slept for a day while the multi covid jabbed man from whom we know caught the variant made multiple trips to Urgent Care because he, "thought he was going to die." We also have been on our GPs Spike Detox protocols for over a year now. My immune system is looking bad in more recent blood tests.
An old roommate of mine was a cardiopulmonary perfusionist on an open heart surgical team at a major hospital. He once told me how they used his "bypass machine" to warm up the blood/body of a man that had severe hyperthermia, kind of the reverse of what Pierre is talking about in this post.
I like the story Doc... and it brings to mind your penchant for improvisation. It has been my observation that the best doctors to have looking after one's critical care are doctors that have mechanical aptitudes, engineering skills, and quick minds on weighing alternatives. A good choice for a family physician would be one who has hobbies like auto mechanics, jewelry making, machinist skills, and farming.
All nurses have code brown stories. This one is from the 1960s when we didn’t have bathrooms in every room. We would empty the bedpan in what was called a hopper, where you slid the bedpan in with the open side away from you, closed the door and flushed. Water was sprayed into the bedpan to wash everything away. In a hurry I flushed before the door was fully closed. The water sprayed everything right back at me. Needless to say, I was covered with the mess. I never did live that one down!!!
Before I retired I was a bowel routine RN for quads and paras for several years .
After that, a Hospice nurse for a private agency which was the most fulfilling job I ever had.
I recommend never using the hospital trained hospice people, from what I heard from nurses about the care which was given to covid patients by the hospital hospice staffers .
Pierre. I will have to say that time is precious and I like others pick and choose what to read. While I read many of your substacks I do miss a few. But, I’ll have to say that the title of this substack really caught my attention. Any physician knows that the most dreaded Code in medicine is the CODE BROWN! This anecdote gave me a good laugh in this sometimes all too serious world.
It is just poop, no big deal. At some point we will all shart in or out of hospital and there will be a call for clean up on aisle 11 or ICU room 2. No fecalphobia allowed in medicine!
It never ceases to amaze! Just look at the Bristol Chart, lol! Pet poop is fun when they pass foreign bodies and you see what they get into and ingest....good grief.
Sounds like the body needs to naturally execute a code brown, maybe this reaction should be helped along in a more controlled manner? Is there a benefit, other than just less messy?
“medicine just isn't like that anymore - the freedom and autonomy and ability to innovate and try things new... is dead...” as a practicing nurse of 39 years (24 of those in ICU) you are right..there is no thinking outside of the box, it’s protocols and algorithms to follow.
It has occurred to me that many improvements to our current medical treatment and therapies will vastly improve thanks to doctors who are able to work and treat outside "conventional" medicine. All thanks to the creepy gruesome creatures who call themselves philanthropists. Thank you ASSHOLES!
Oh! How fun! I actually really enjoyed caring for therapeutic hypothermia patients! Watching the lytes, huge forests, bradycardia-starting dobutamine, counter warming, rewarming-slowly! All so fun to an adrenaline junkie. Now it’s more OHS pts with narrowed pulse pressures, increasing PA and CVPs taken back to OR-returned with the declaration “nothing wrong”, but somehow they are now stable….🤷♀️
Ha! Too funny! Or “it was just a little bleeder” after autotransfusing and giving blood products for hours.
Diuresis auto corrected to forests 🙄
Code Brown is probably the real reason that men were kept out of the delivery rooms, and nothing else. Silly prudish women didn't want them to see that giving birth also produced a bowel movement on the table. So what. You're bearing down really hard to push the baby out.
In the summer or fall of Covid 2020 there was a lengthy article in I believe the Washington Post about Dr. Varón. They mentioned his “controversial” use of cold immersion for an unconscious near drowning patient.
Deep into the article he mentions Ivermectin showing promise for treating Covid patients…
I tell you what has been Code Brown is our official response to Covid. A real shit show
Looking forward to hearing you in September! Boom!
On the inflammation noted . I have had un diagnosed Lupus for a lifetime.,despite telling so many GPs and Specialists I get fevers and joint pains followed by a ,"lupus like butterfly rash."
all to no avail until I found a wonderful GP with my horrific wrist and hand pains after contracting a covid variant. She ran multiple blood tests which came back from the labs as positive for Lupus.
The inflammation from the covid variant sent me into a "Crisis Lupus flare " over a year ago accompanied by severe anemia / It took 11 months before i could feel the hydroxychloroquine kicking in. I am receiving B12 shots once a week and B6 once a month along with folate tabs daily.
Interestingly I found I feel so much better after taking a cool shower before bed.
I wonder why i fall under the recommended mRNA covid shots ( which I never had) as one of the categorized "vulnerable" with an autoimmune disease when in fact these shots cause a huge increase in inflammation and am now convinced would have killed me if I had taken any. Also the variant of covid itself resulted in no respiratory or gastric issues .Both my husband and I just slept for a day while the multi covid jabbed man from whom we know caught the variant made multiple trips to Urgent Care because he, "thought he was going to die." We also have been on our GPs Spike Detox protocols for over a year now. My immune system is looking bad in more recent blood tests.
An old roommate of mine was a cardiopulmonary perfusionist on an open heart surgical team at a major hospital. He once told me how they used his "bypass machine" to warm up the blood/body of a man that had severe hyperthermia, kind of the reverse of what Pierre is talking about in this post.
thank you Dr Kory!
And off topic but we are waiting eagerly for your new book about chlorine dioxide etc.
Lol. As a lay person, code brown refers to the area in airplane that I never want to be seated in!
I like the story Doc... and it brings to mind your penchant for improvisation. It has been my observation that the best doctors to have looking after one's critical care are doctors that have mechanical aptitudes, engineering skills, and quick minds on weighing alternatives. A good choice for a family physician would be one who has hobbies like auto mechanics, jewelry making, machinist skills, and farming.
All nurses have code brown stories. This one is from the 1960s when we didn’t have bathrooms in every room. We would empty the bedpan in what was called a hopper, where you slid the bedpan in with the open side away from you, closed the door and flushed. Water was sprayed into the bedpan to wash everything away. In a hurry I flushed before the door was fully closed. The water sprayed everything right back at me. Needless to say, I was covered with the mess. I never did live that one down!!!
Thanks for the hypothermia stories.
speaking of code brown......
It's all part of medical experience.
Before I retired I was a bowel routine RN for quads and paras for several years .
After that, a Hospice nurse for a private agency which was the most fulfilling job I ever had.
I recommend never using the hospital trained hospice people, from what I heard from nurses about the care which was given to covid patients by the hospital hospice staffers .
We now have ice baths that didn't exist when you were innovating. I co-invented the first in teh world that makes its own ice.
The science of cold plunge therapy has advanced, too
https://www.morozkoforge.com/product-page/uncommon-cold-the-science-experience-of-cold-plunge-therapy
Pierre. I will have to say that time is precious and I like others pick and choose what to read. While I read many of your substacks I do miss a few. But, I’ll have to say that the title of this substack really caught my attention. Any physician knows that the most dreaded Code in medicine is the CODE BROWN! This anecdote gave me a good laugh in this sometimes all too serious world.
Hey Brooke! So funny
It is just poop, no big deal. At some point we will all shart in or out of hospital and there will be a call for clean up on aisle 11 or ICU room 2. No fecalphobia allowed in medicine!
Some poop is especially memorable with respect to texture, or C. Diff, or exciting parasites. 😎
It never ceases to amaze! Just look at the Bristol Chart, lol! Pet poop is fun when they pass foreign bodies and you see what they get into and ingest....good grief.
Yaaa, I have seen some really wormy poo, and tapeworm segment races. 🤣
I have seen coins, sock, underwear, toys being passed by dogs..absolutely gobsmacking!
Underwear!! Bet that was some work. Those urban dogs. 🤣 We see the hair and the chunks of animals they catch, or roadkill.
Sounds like the body needs to naturally execute a code brown, maybe this reaction should be helped along in a more controlled manner? Is there a benefit, other than just less messy?
the body knows what to do.
Code Brown has long been my family's term for dirty diapers. On children. Mainly...