Medical Deposition Goes Horribly Wrong 

Not quite a good analogy, a criminal lawyer will still be able to advise you on contracts better than just about anyone that hasnt studied law

@@verybarebones They wouldn't, though (wouldn't give advice). They wouldn't have the case knowledge or familiarity with the precedents in that field.

​@@verybarebones I agree with @ConstantlyDamaged. They wouldn't give advice even though they could, also to save their own ass.

@@verybarebones I mean the same way that a doctor who hasn’t studied something in years would have more familiarity than someone who hasn’t studied it at all right?

@@verybarebones We're not comparing them to someone that hasn't studied law or medicine, we're comparing them to someone that does work in that field.

Maybe it’s those “greater than” and “lesser than” arrows. From the time I got out of nursing school until the time I started working with “newer” grads I felt like I didn’t know anything about nursing. It was unbelievable the difference between what I was taught and what they’re being taught now!

@@user-vm5ud4xw6n I think it might be the arrows on the ABG results showing the pCO2 is high and pH low. Most lab results will show when a result is out of norm. I wasn't taught respiratory opposite metobolic equal when I trained just after the last ice age; those crazy kids come up with the wildest things!

…and that’s why poor penmanship a) gets people killed (literally) and b) why they are more easily sured. Notes (and accurate legible ones) matter. 🤷‍♀️. But in saying that, I’ll make the, I think, reasonable assumption that you’re joking 😊

@@tellem372 Yeah, I was. But some doctors out there write their notes in some variant of Sumerian cuneiform, and it's bugging me.

@@masterofdesaster8 oh I’m absolutely with you!!! Plus notes in different departments use different acronyms and arghhh! I must say though this and simply bad charting isn’t only limited to doctors but it has been something I have gone on and on and on about for two decades!! So yep!! (My best friend who HAS heard my rants, is finishing her degree in social work…. I think for the majority of our friendship she assumed I was exaggerating and simply humoured me….. then she did placement and now she understands!) 😊

@@tellem372 Physically writing notes is archaic and should have been phased out like 30 years ago, along with fax machines. Even written prescriptions have other options that keep fonts consistent and legible. Handwriting can't be blamed, it's the system at fault

@@EveTater hmm, okay now see I was the very first person in my health centre to get permission to type notes. I can type much faster then write but two things… 1. Since how does the at actually not impact the fact that almost all health professionals I know cannot “write” (or type) accurate notes (and hey I can go on about more then notes but this is the point)… secondly, what are you gonna do when the EMS systems OR they’re in use or unhelpful or not working that day or you’re in a setting that does not currently use them (often for good reason)…. But that’s fine you can blame the system instead the individuals who don’t get why this important and are happy to harm while thinking they’re helping while patting themselves on the back. Im not saying there aren’t systemic issues as there absolutely are. Gosh five minutes ago I wrote one out that is going to a commissioner. But that does NOT detract from personal responsibility. Shifting the blame doesn’t help anyone. And there are somethings that are nearly impossible to win (although it doesn’t automatically mean we shouldn’t try) but handwriting? That’ll be your hill for this conversation? Not accurate and readable (in any form) note taking? Not being good communicators and listeners which result in good notes and good treatment with intervention/non-intervention. You think handwriting is archaic? And yes, that is the argument you’re trying to make. I do hope at least now, you’re thinking about it differently then when you left your other comment. Think about what your actual argument is, because handwriting and good notes aren’t archaic and and EMS won’t solve either issue for you (actually in many instances it can cause problems but I’m in no way opposed to them). I could seem harsh and I get that. I have been on both sides of this as clinician and patient and I’ve seen the harm done and it’s bad and it IS deadly. Remember a “machine” (software in that case) only gives out what clinicians put in. So my issue remains the same, especially as the very initial comment and my response to that was about penmanship.

Welll technically they don’t need to with a low pH and high CO2; even if bicarbonate was also low, this would metabolic or some kind of mixed acid-base disorder

how would a bicarb level confirm it?

@@ImitationKrab99 although very uncommon, it is possible to have concomitant respiratory and metabolic acidosis. In this case, I would agree this is respiratory, however, I would still like to have the bicarb for completeness sake.

@@humski9 it would just rule out the additional component of metabolic acidosis driving the pH to be this low. Although uncommon, it is not impossible to have both metabolic and respiratory acidosis. DKA patient can still go into respiratory failure

@@swimfan3588 Ah, I know but from a legal point of view, mixed respiratory and metabolic acidosis does NOT equal respiratory acidosis; two separate identities in a medical deposition

Watching legal side of RU-vid will help with that. Emily D Baker, The lawyer you know, etc are lawyers that help explain it all.

@@Alisha_79 Oh I know I follow Steve Lehto thanks

how so

@@humski9 bicarb would tell us if there's a metabolic component to the acidosis or not.

@@humski9 and how acute this is, or whether the bicard is starting to compensate.

The patient might normally have a raised CO2 due to something like COPD and his bicarb or chloride could be way out, meaning it could be more likely to be metabolic. Or it could be a combination.

Only if the witness is too reluctant to say "I don't know". If the attorney is so foolish as to ask why the witness doesn't know, his line of questioning can be exposed as weak.

I don’t work as a physician but don’t rotations involve multiple specialties and wouldn’t that involve charting? So at the time most likely they were familiar with the topic but 3 years after that specialization has ended you no longer recall the subject matter that well.