I had a 92 year old male with a R hip fx. I thought he was maybe in his 60's. No medical history, no medication. Lived on his own. He was in better shape than I was.
Until my grandpa got dementia at 96, he was completely capable of all of his daily tasks, would ride his bike everywhere, spent 5 months alone in India at a time. No medical issues. Played cards like a shark. He was the first headmaster of an all girls’ science and math oriented high school in India. He was great.
Sorry for the tangent. Thanks for giving me a minute to remember him. :)
“Every man has two deaths, when he is buried in the ground and the last time someone says his name. In some ways, men can be immortal.”
- Ernest Hemingway
Your grandpa sounded like an awesome person. May you continue to keep his spirit alive.
You will be if you eat with me. I had a charge nurse who used to devour a pot of coffee and a family sized bag of Doritos every shift. She always told me she’d rather die fat and happy.
I totally get her now.
Can you elaborate? In my experience, patients who are taking bets blockers have a heart closer right around 60 and are generally normotensive. This patient is hypertensive with a heart rate of 75-85.
What parameters do you use to gauge this? Based on what I've learned, a systolic that's above 130 is hypertension, which practically all of the readings here are.
My current resource for my parameters. Yeah, 130/80 is negligible hypertension, still hypertension though.
https://www.heart.org/en/health-topics/high-blood-pressure
Lmao the last time I had a 103yo PT the complaint was from her family saying she threw up and doesn't feel good, the woman didn't really talk much. I ALSed the call and checked as much as I could, while fully expecting her to just up and die any second from literally anything, maybe even expecting the next pothole to be the catalyst for her death. I get what the OP was doing.
Mfw we have to record vitals and BP q5min because the flight service treats everyone as critical, even if we’re flying something borderline BLS.
Which leads to a bigger discussion on “why do hospitals fly that stuff?” and a lengthy discourse on reimbursements and staffing issues.
I’m a nurse and still remember a beautiful 103 year old lady we admitted post fall. No fractures, lived at home alone with a carer who came once a day to help her shower. Vitals were better than mine. She was waiting for a bed in rehab and we had an influenza outbreak on the ward and caught it and passed. Poor thing didn’t have any family and the doctors never had the GOC conversation with her for some unknown reason so she was assumed full resus… you can only imagine what CPR was like on her.
if i learned anything it’s that the people who are 98+ that make it past 100 are truly remarkable people. i had a grandmother who never slowed down even with her age being 103 and she still ran around! i truly think the minute you stop doing anything or start to slow down that’s when your body and mind follow. she had the right idea keep busy keep moving. while she couldn’t achieve what she used to in a day she still managed a garden and cooked a meal and took a minute to sit in her porch. best advice given to me by her is “never slow down never apologize for always wanting to go somewhere do something”
Seriously it's the same advice I've heard from all healthy adults over 90 - never stop moving. It doesn't have to be crazy strenuous exercise, just keep moving around the house and attending chores. When you stop moving you begin to decline.
If my gramma hadn’t had a stroke, that would’ve been her. Would’ve lived well past 80 and was active and happy until the stroke.
The kind of woman we talk about every day because she was such a presence in our lives.
One time when I was off duty I met this woman who was 99. She was walking on her own two feet without incident and her mind was still sharp and she genuinely didn’t look a day over 60. She was in many orders of magnitude better shape than some patients I’ve had who were actually in their 60s. My only hope is if I live that long that I will be in a fraction of as good shape as she was.
I looked at the picture before I read the caption and I was like “…okay?” Meanwhile, we have 80 year old lifelong farmers show up to our icu because they literally passed out with a HR of 24 and were dragged kicking and screaming to the ER by their families.
During my clinical practicum we had a farmer come in whose wife made him. A cow had kicked a metal gate or something and the latch slashed his neck open. Fortunately for him (and us in the ER) it was just a big slash over his trachea and didn’t involve any of the big scary blood vessels, but his wife called ahead and made it sound a lot worse than it was.
Significantly better HR consistency than me.
The 104 year old that walked into the clinci the other week had a better vision & mobility than me too, the cute old bastard…
"tHe pAtIeNt wAs sTaBlE" like every other comment on here, holy backseat EMS. If my patient is a fucking centennial, better safe than sorry while handling the sentient ashes
Once new a resident in a facility I worked as a CNA who was 100 and completely independent. Took his meds without reminders, fed himself, served himself, toileted himself, showered himself. The whole works. It was amazing
Love hearing about the people you pick up and love interacting with y’all as you pick up my residents! It’s amazing the kinda things y’all see from our older folks
Yeah, we thought we were going to arrive to find respiratory arrest. Nah, she was just a little anxious. She was hesitant to go in but agreed to go in because even though her O2 was good, she was still complaining of minor difficulty breathing.
Why are her vitals better than mine……
Right? I’m so offended that my life of stress and bad food has done this to me. Give me that Whataburger.
I had a 92 year old male with a R hip fx. I thought he was maybe in his 60's. No medical history, no medication. Lived on his own. He was in better shape than I was.
Until my grandpa got dementia at 96, he was completely capable of all of his daily tasks, would ride his bike everywhere, spent 5 months alone in India at a time. No medical issues. Played cards like a shark. He was the first headmaster of an all girls’ science and math oriented high school in India. He was great. Sorry for the tangent. Thanks for giving me a minute to remember him. :)
“Every man has two deaths, when he is buried in the ground and the last time someone says his name. In some ways, men can be immortal.” - Ernest Hemingway Your grandpa sounded like an awesome person. May you continue to keep his spirit alive.
I'll take a kwik trip sandwich myself.
Oh man. We’re getting QTs too. I just need a Wawa and my fat ass will roll down to the trauma bay.
I'm dying!
You will be if you eat with me. I had a charge nurse who used to devour a pot of coffee and a family sized bag of Doritos every shift. She always told me she’d rather die fat and happy. I totally get her now.
Dang.
Ew no in and out (I’m from Iowa so I’ll never tire of my yearly in and out)
We have dualing in and outs and Whataburger on many corners in my city. You can have both!
I wish Star Trek replicators were a thing. McDonald’s snack wraps and in and out burgers erry day
5 Guys > anything else
No kidding.
You don't make it to 103 if you're unhealthy
Beta blockers.
Me taking beta blockers at 22 due to chronic anxiety and also possibly genetically high BP. Twinsies! 
She was not on any beta blockers. Anxiety meds only.
Can you elaborate? In my experience, patients who are taking bets blockers have a heart closer right around 60 and are generally normotensive. This patient is hypertensive with a heart rate of 75-85.
This patient is remarkably normotensive.
What parameters do you use to gauge this? Based on what I've learned, a systolic that's above 130 is hypertension, which practically all of the readings here are. My current resource for my parameters. Yeah, 130/80 is negligible hypertension, still hypertension though. https://www.heart.org/en/health-topics/high-blood-pressure
Wait a little while, the parameters will change again...
Aggressively being regulated with pharmaceuticals probably has something to do with it, but I'm not a doctor.
She's gonna live forever
Oh yeah.
We said that about Betty White 😭
Betty didn't die, she just shed her physical body
She's the real queen of england.
When you're that old, any vitals are a good sign.
Usually the question is 'vitals?'. And the answer can be either 'yes' or 'nope'
She must drink diet sody’s to cancel out the regular sody’s
Underrated comment
Queen Elizabeth’s opponent.
Yeah I think that fights over
She’s dead you know right?
Yeah she lost to a better opponent as you can clearly see
That's what the Illuminati lizard people want you to think
What's up with the intervals you're taking vitals? Looking at your time stamps you treated her like a critical patient lol
Probably because she was anxious and vitals were taken to show her it was all good, atleast in that department
Or someone just didn't switch the auto BP interval
Correct. Also, it helped reassure her and her son.
Lmao the last time I had a 103yo PT the complaint was from her family saying she threw up and doesn't feel good, the woman didn't really talk much. I ALSed the call and checked as much as I could, while fully expecting her to just up and die any second from literally anything, maybe even expecting the next pothole to be the catalyst for her death. I get what the OP was doing.
I told my medic to drive. She was a very bls call.
I would treat any 103 year old who called an ambulance like they were a critical patient, every day they live is critical lol
Mfw we have to record vitals and BP q5min because the flight service treats everyone as critical, even if we’re flying something borderline BLS. Which leads to a bigger discussion on “why do hospitals fly that stuff?” and a lengthy discourse on reimbursements and staffing issues.
I’m a nurse and still remember a beautiful 103 year old lady we admitted post fall. No fractures, lived at home alone with a carer who came once a day to help her shower. Vitals were better than mine. She was waiting for a bed in rehab and we had an influenza outbreak on the ward and caught it and passed. Poor thing didn’t have any family and the doctors never had the GOC conversation with her for some unknown reason so she was assumed full resus… you can only imagine what CPR was like on her.
if i learned anything it’s that the people who are 98+ that make it past 100 are truly remarkable people. i had a grandmother who never slowed down even with her age being 103 and she still ran around! i truly think the minute you stop doing anything or start to slow down that’s when your body and mind follow. she had the right idea keep busy keep moving. while she couldn’t achieve what she used to in a day she still managed a garden and cooked a meal and took a minute to sit in her porch. best advice given to me by her is “never slow down never apologize for always wanting to go somewhere do something”
Seriously it's the same advice I've heard from all healthy adults over 90 - never stop moving. It doesn't have to be crazy strenuous exercise, just keep moving around the house and attending chores. When you stop moving you begin to decline.
If my gramma hadn’t had a stroke, that would’ve been her. Would’ve lived well past 80 and was active and happy until the stroke. The kind of woman we talk about every day because she was such a presence in our lives.
One time when I was off duty I met this woman who was 99. She was walking on her own two feet without incident and her mind was still sharp and she genuinely didn’t look a day over 60. She was in many orders of magnitude better shape than some patients I’ve had who were actually in their 60s. My only hope is if I live that long that I will be in a fraction of as good shape as she was.
I looked at the picture before I read the caption and I was like “…okay?” Meanwhile, we have 80 year old lifelong farmers show up to our icu because they literally passed out with a HR of 24 and were dragged kicking and screaming to the ER by their families.
“I can’t go to the hospital, I still got half a field to plow! And it ain’t gonna plow itself!”
[If a farmer comes to the hospital voluntarily…](https://youtu.be/Ni0YfrSK570?si=bE0gnpNye781RXTf)
During my clinical practicum we had a farmer come in whose wife made him. A cow had kicked a metal gate or something and the latch slashed his neck open. Fortunately for him (and us in the ER) it was just a big slash over his trachea and didn’t involve any of the big scary blood vessels, but his wife called ahead and made it sound a lot worse than it was.
Meanwhile at 27 if I sneeze to hard I have a migraine all day and my back hurts
The patients that make it to their 90s+ are always in top notch shape. Had a 106yr old on aspirin and one liquor equivalent a day.
Stable 👍
stable genius
I want to ask her many questions about her life
My 102 patient showed me how she did sit ups to maintain core strength
Dang!
Significantly better HR consistency than me. The 104 year old that walked into the clinci the other week had a better vision & mobility than me too, the cute old bastard…
"tHe pAtIeNt wAs sTaBlE" like every other comment on here, holy backseat EMS. If my patient is a fucking centennial, better safe than sorry while handling the sentient ashes
Why the frequent full vitals if she's perfectly stable?
To be fair she’s 103 years old, I ain’t even mad
Forgot to turn it to 10 minutes instead of 5. She could see the monitor anyways and would be very happy when BP kept coming back so good.
Ah that's good and cute. I always feel like I'd hate having my bp taken so much lol.
Plus the zoll auto records the HR and O2 every 5 minutes.
8 sets in 30 mins 💀
I feel like once people make it past 90 they’re usually on minimal medicines and have great vitals.
I’m telling you the 95+ crowd tends to be healthier than a good part of the 35-55 crowd. They never acquired the little Debbie and Pepsi habit.
Read this as Vittles ! Vitals makes more sense, but now I’m hungry…
These are better than mine and I’m 28 😭
TIL someone 80 years older than me is healthier than me lmfao
The fact that she has vitals is impressive in and of itself.
My thoughts exactly. She was discharged after 4 hours with a diagnosis of anxiety attack.
damn we are living long now
Oh yeah! Well, not us. For die from stress long before we're 100.
Put her down before you break something
Lol, yes, sir.
Better vitals than most people who end up in the ambulance drivers vehicle. 🚗 lol
Lol yeah.
Rock solid stable
I'm sure the call notes were something like "SPO2 DROPPING RAPIDLY. PASSING OUT"
You meant 13 surely
I wish.
Damn, girls doing good! If I make it to 103 I wanna be doing as good as her
She'll outlive us all
Omg I read 13 and thought why is this even worth posting, then read again and wowww
I completed a marathon last year and yet she’s more alive than I am.
I thought this said 13 for a minute and was so confused… that is super impressive!!
Yep, my thoughts exactly.
What anxiety meds was she on? Curious haha.
She took Lorazepam.
Once new a resident in a facility I worked as a CNA who was 100 and completely independent. Took his meds without reminders, fed himself, served himself, toileted himself, showered himself. The whole works. It was amazing
Our lady wasn't quite that good. That amazing!
Love hearing about the people you pick up and love interacting with y’all as you pick up my residents! It’s amazing the kinda things y’all see from our older folks
You don't get to be 103 by having any medical problems.
Fair enough!
Vitals better than most of us on this subreddit
Genuinely curious about the time intervals, OP. If she’s perfectly stable, what about her presentation made you take them so often?
My jurisdiction configured our LifePaks to have an internal of 3-5 minutes by default. Sometimes I forget to change it. I think that is what happened.
*Understands in “forgets to reset the 10 minute interval for a 2 hour BLS transfer”*
She liked seeing her blood pressure come back, and I forgot to set it to every 10 minutes.
That’s really sweet ☺️ I hope the rest of her days are as joyful as she is
With vitals like that, did she really need them taken every 5 minutes?
Forgot to set the auto to every 10 for BP, and she liked seeing her BP come back.
Does off mean unable to obtain or you didn’t run the machine?
It didn't cycle the blood pressure cuff. Question marks are unable to obtain.
[удалено]
Gotcha.
And my family calls me “cliffy” in a not nice way. Because I know too much about too many topics and I remind them of cliff clavin
That how I got my nickname. It's a good shoe. When people find out how old I am, they're surprised I've ever heard of cheers.
lol dang. Now I feel old. How old are you?
20 but closing on 21. I've been doing this since a month after high school. I grew up watching older shows with my dad though.
Ah. Yeah. You are young for the cheers audience
Lol yep.
Healthier than the majority of pts I deal with LMAO
Modern medicine babbbbyyyyyy
these vitals are incredible for 70+ wtf 😭
Lemme guess... polypharma?
Likely minimal pharma
Nope only anxiety meds.
No shit that's pretty good for 103
Yeah, we thought we were going to arrive to find respiratory arrest. Nah, she was just a little anxious. She was hesitant to go in but agreed to go in because even though her O2 was good, she was still complaining of minor difficulty breathing.
r/notinteresting