[-] chaos@lemmy.world 122 points 9 months ago* (last edited 9 months ago)

A story from a type 1 diabetic:

I had what we will call "an incident" where I took pretty close to this scale of extra insulin. I'm a much heavier insulin user but it varies greatly between people and the kind of person who is dosing fractions of a unit like 0.15 turning into 15 would be a massive problem. It took about an hour for me to get to the hospital and I seemed just fine at that point. I don't know why because usually the type of insulin I use hits it's peak within an hour for me. My only guess is that my body was overwhelmed and somehow delayed my reaction to it, which I've never seen before.

I got into the ER and they were very casual about it. From my past experience in medicine I'm guessing they weren't sure if it really happened and wanted to see how it played out. My blood sugar was somewhere around 100 when they first tested me. 5 minutes later it was in the 40s. At that point the nurse said "oh fuck!" and sprinted to grab D50 (basically a sugar infusion) from where they keep their meds. I have been a paramedic (not just an EMT) and I can count the number of times I've seen a nurse run on my fingers.

They started an IV in both arms and were pumping sugar in to keep me alive. My memory gets kinda hazy after that. They kept checking my blood for potassium levels because burning through that much insulin + glucose uses it up and can stop your heart. Eventually they had to start a central line (like an IV but straight into your heart) in my neck to deliver insulin because they were worried all the sugar they were giving in both arms would burn my arm veins. I remember the feeling when they started it and used a probe to see if it was in the right place the "tickling" feeling literally in my heart. I ended up in the ICU on 1-to-1 with a nurse because they had to monitor me so closely. If I had been later to the ER by 10-15 minutes I wouldn't be telling you this story. I also had the benefit of knowing what happened ahead of time, which you would not if your pump magically multiplied your dose by 100 and you didn't notice.

All this to say, this is pretty fucking serious.

[-] chaos@lemmy.world 9 points 10 months ago

Oh, fuck. This would have been nice to know sooner.

[-] chaos@lemmy.world 6 points 1 year ago* (last edited 1 year ago)

White House fireplaces

One of my favorite West Wing episodes

Mr. President, you know how you told me not to wake you unless the building is on fire?

[-] chaos@lemmy.world 18 points 1 year ago

I prefer to call it the generation formerly known as Twitter

[-] chaos@lemmy.world 4 points 1 year ago

I read this in Arnold's voice

[-] chaos@lemmy.world 7 points 1 year ago

There's a bot here for that... I just don't remember how to use it.

[-] chaos@lemmy.world 3 points 1 year ago

That makes a lot more sense. I dunno how I didn't see it

[-] chaos@lemmy.world 7 points 1 year ago

No kidding, I stared at it for a minute going "is this going to set it off?" and when my brain finally decided it couldn't come up with an explanation it launched hard into the skin crawling, scalp itching and nausea. It's like visual kryptonite.

[-] chaos@lemmy.world 5 points 1 year ago

I read hippos as hippies and was thoroughly confused by the time I read the whole thing

[-] chaos@lemmy.world 5 points 1 year ago

On the 83rd day of January in 1942?

[-] chaos@lemmy.world 4 points 1 year ago

Thank you YudgeHolden

[-] chaos@lemmy.world 18 points 1 year ago

Holy fuck 200k workers!? I'm not familiar with lemmy internals but I've literally never seen any program run anything close to well at levels that high. Want some help from someone who is a DevOps engineer by day? I think I remember you said you were a psql dba professionally so maybe my experience could help out?

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chaos

joined 1 year ago