Penny Smith

I imagine they medicated her. Like we don't extubate people before medicating them. Hospice does compassionate extubation.

We medicate people before we would pull that tube out. I say we, the doctor pulls it out. And I've never seen it done. I know that we do it, but I've never seen it done. They usually extubate them before they send them to the care center. But people gasp at the end of life. That's very, very normal breathing pattern. We call it agonal breathing, fish out of water breathing, where they look like,

We medicate people before we would pull that tube out. I say we, the doctor pulls it out. And I've never seen it done. I know that we do it, but I've never seen it done. They usually extubate them before they send them to the care center. But people gasp at the end of life. That's very, very normal breathing pattern. We call it agonal breathing, fish out of water breathing, where they look like,

We medicate people before we would pull that tube out. I say we, the doctor pulls it out. And I've never seen it done. I know that we do it, but I've never seen it done. They usually extubate them before they send them to the care center. But people gasp at the end of life. That's very, very normal breathing pattern. We call it agonal breathing, fish out of water breathing, where they look like,

And people, this is one of the things I educate about because people are thinking, oh my God, they can't breathe. They're suffocating. It's awful. But really, they're not experiencing that anymore. It's an autonomic breathing pattern that they're doing. Everybody, almost everybody does that at the end of life when they die a natural death.

And people, this is one of the things I educate about because people are thinking, oh my God, they can't breathe. They're suffocating. It's awful. But really, they're not experiencing that anymore. It's an autonomic breathing pattern that they're doing. Everybody, almost everybody does that at the end of life when they die a natural death.

And people, this is one of the things I educate about because people are thinking, oh my God, they can't breathe. They're suffocating. It's awful. But really, they're not experiencing that anymore. It's an autonomic breathing pattern that they're doing. Everybody, almost everybody does that at the end of life when they die a natural death.

Yeah, that's not normal. Normally they get morphine as the gold standard for that, and Versed would sedate somebody. How long ago was that?

Yeah, that's not normal. Normally they get morphine as the gold standard for that, and Versed would sedate somebody. How long ago was that?

Yeah, that's not normal. Normally they get morphine as the gold standard for that, and Versed would sedate somebody. How long ago was that?

Yeah, I guess hopefully they're better at it now, but compassionate extubation.

Yeah, I guess hopefully they're better at it now, but compassionate extubation.

Yeah, I guess hopefully they're better at it now, but compassionate extubation.

yeah they medicate them first they don't just pull out the right yeah they don't do that i thought that she was you know just totally gone yeah so she you know but uh as it turned out she was i guess not quite there yeah and even if they thought she was gone they should still be medicating yeah right yeah we still medicate people who are actively dying you know we assess for discomfort on and we can tell when people are uncomfortable we look at their face you know they're

yeah they medicate them first they don't just pull out the right yeah they don't do that i thought that she was you know just totally gone yeah so she you know but uh as it turned out she was i guess not quite there yeah and even if they thought she was gone they should still be medicating yeah right yeah we still medicate people who are actively dying you know we assess for discomfort on and we can tell when people are uncomfortable we look at their face you know they're

yeah they medicate them first they don't just pull out the right yeah they don't do that i thought that she was you know just totally gone yeah so she you know but uh as it turned out she was i guess not quite there yeah and even if they thought she was gone they should still be medicating yeah right yeah we still medicate people who are actively dying you know we assess for discomfort on and we can tell when people are uncomfortable we look at their face you know they're

They get furrowed forehead, and you can tell when they're uncomfortable. So even when someone's actively dying, we will medicate them just to make sure. Morphine is the gold standard. So it's what we've used for decades successfully, and it's cheap. And hospice doesn't really get paid a lot of money. Hospice is paid a daily flat rate for every patient, no matter what we're doing for that person.

They get furrowed forehead, and you can tell when they're uncomfortable. So even when someone's actively dying, we will medicate them just to make sure. Morphine is the gold standard. So it's what we've used for decades successfully, and it's cheap. And hospice doesn't really get paid a lot of money. Hospice is paid a daily flat rate for every patient, no matter what we're doing for that person.

They get furrowed forehead, and you can tell when they're uncomfortable. So even when someone's actively dying, we will medicate them just to make sure. Morphine is the gold standard. So it's what we've used for decades successfully, and it's cheap. And hospice doesn't really get paid a lot of money. Hospice is paid a daily flat rate for every patient, no matter what we're doing for that person.

It's not like if you go to the ER and they give you a little basin to puke in, there's a yellow ticket on there, they stick it on your chart. And everything that you get in the ER, they have a yellow label on it and they put it on your chart and they bill you for each thing that they give you. Hospice is a flat rate. So whatever we do for our patients, we get paid the same no matter what it is.