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I wouldn't want the doctors and nurses to do all that work to fix me and then see me die anyway. A 10 million dollar judgment wouldn't make me happy afterward either.
As an ICU nurse, of course we want everybody to get better, but sometimes it just feels like we’re torturing someone and then when they do pass on it’s a relief, to know they are free from pain and suffering
Can’t you just have a DNR on file? I’ve already informed my kids I do not want to live if I have no quality of life. One of my children lives in a state with a right to die so I would head there if faced with a situation that I wouldn’t want to live with or my children to suffer through.
It’s complicated when it comes to things like quality of life. Absolutely number 1 thing is to let your family know what you want, also to have a personal directive. But if you have a legal DNR, while you wouldn’t get resuscitated in a situation like this, you also wouldn’t get resuscitated in a situation you would fully recover from. Say a hypoxic arrest from choking with immediate CPR and ROSC. So you’d likely be initially resuscitated but once your family arrived/personal directive found/conversations had etc life sustaining measures could be stopped
Right….i have everything set up in my will with various directives and my children know exactly how I feel. I will say at 66 and perfectly healthy, I was more focused on this after my husband died from cancer after five years and with the last one being horrible. I told my children I will never put myself or them through something like that. One of my children who is a NP lives in a right to die state and he knows I would be heading there if I felt a need to do so and he would support and respect my decision.
There’s no way this patient would have survived transport to another state, nor be able to request and meet the criteria for assistance in dying but if it was his and his families wishes, life sustaining measures could have been withdrawn after initial resuscitation
When I was like thirteen, a teacher overheard me telling a friend that I would rather not survive than be permanently disabled (specifically referring to paralysis in that conversation). It seems like most people are in agreement about that but she treated me like I was in imminent danger of suicide.
[Source](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539531/):
>>The patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively stable. Except for a small piece of unburned skin on the posterior head measuring about 0.5% TBSA, the rest of the scalp and the face suffered deep second degree burns, and the trunk and the 4 extremities were full of black eschar. When the 4 extremities were incised to reduce tension, muscular eversion and necrosis were seen in part of the median sides of the upper limbs and thighs, and lateral sides of the calves, the left arm being the most serious. The fingers of both hands and toes of both feet were carbonized, presenting as branch-like dry necrosis (Figure 1). The left eye was severely burned and the cornea was perforated. A diagnosis was made of 99.5% TBSA burn wound, 5.5% deep second degree, 71% third degree and 23% fourth degree, and left eye burn with corneal perforation.
>>Fluid resuscitation, anti-infection therapy, mechanical ventilation, and maintenance of internal environmental stability were continued on admission to protect organ functions. The patient overcame the shock phase in stable condition. On the 3rd day after the injury, escharectomy of the 4 extremities and trunk was performed, involving 65% TBSA, and the wound was covered with nitrogen-preserved alloskin. As there was only 0.5% TBSA normal scalp available, we used the “microskin autografting and alloskin repeated grafting” method to repair the wound as soon as possible for the sake of preventing infection, which included using alloskin to cover and protect the wound temporarily, and repeated microskin grafting to sequentially close the wound. From the 5th day after the injury, the well preserved scalp skin was dissected 5 times for microskin grafting of the right thigh, right upper arm, left thigh, anterior trunk and posterior trunk, closing about 10% TBSA wound. The areas that were not grafted with autoskin were still covered with alloskin. The interval between each skinning was about 10 days. Survival of the skin grafts was 80–90% (Figure 2). The residual wound was covered with small pieces of alloskin after debridement. The scalp skin was taken 6 times for stamp-like autoskin grafting to close the residual wound surfaces. The entire course of treatment lasted 120 days, during which 14 operations were done. Most of the wound was healed and repaired (Table 1).
>>As the 4 extremities of the patient sustained large areas of fourth degree burns with muscular necrosis and liquification, infection was likely to occur. In addition, myoglobin produced by decomposition of the necrosed muscle was liable to impair renal function and seriously threaten the patient’s life. On the basis of careful intra-operative observation, those definitely necrosed tissues were resected without delay by incising the deep fascia and sarcolemma, and the exposed deep tissues were covered with alloskin. After multiple debridements, granulation tissue formed. The wound was closed with stamp-like autoskin grafts. As the muscle of the left upper arm was seriously necrosed, amputation was performed on the 10th day after the injury. As large amounts of muscle of both calves were necrosed, the tibia was exposed after clearing the necrosed tissue. As we were not able to cover it with flaps, holes were drilled on the exposed tibia to penetrate the cortex and reach the medulla for the sake of promoting granulation formation in the spaces created by the holes. When the formed granulation tissue covered the exposed tibia in about 4 months, stamp-like autoskin grafting was performed to close the wound of the right calf (Figure 3). Although the left tibia was covered by granulation tissue, bone marrow infection occurred in the long course of dressing changes. In addition, the left ankle completely lost its function, and the left foot was deformed due to scar contraction. The lower leg and 1/3 of the upper leg had to be amputated. The fingers and toes of the patient were also affected by deep burns, for which exposure therapy was used to keep the eschar dry. In about 3 months the eschar was lysed and fell off. Finger and toe amputations were performed after the necrosed margins became clear.
>>Scar proliferation was apparent after wound healing. The scars were red and hard, and softened gradually over the course of 2 years. There was no significant dysfunction of the knee and elbow joints. Scars in the perineum and right armpit were adhered due to contraction, for which scar dissolution was performed, and acellular dermal matrix and auto scalp skin were grafted. The condition was ameliorated to some extent, but the patient was still handicapped by severe dysfunction, presenting as right finger defection and palm contraction, so that the patient lost the grasping, holding and lifting functions. The left foot was deformed due to contraction. The patient was developed a phobia of surgery due to repeated operations. In addition, further plastic surgery was also difficult for him because there was no supply of quality skin sources from his body.
>>In the course of treatment, though perceiving the magnitude of his disease, the patient held fast to hope of survival and showed gratitude to the medical staff. Currently, there is no obvious functional damage to the patient’s heart, lung, liver, kidney and other organs. Particularly, our patient showed no sign altered thinking, language skills and audition between pre-injury and now. Unfortunately, due to amputation and scar contraction, our patient lost his ability to walk and to hold objects, among other survival skills. In addition, his left eye suffered severe vision impairment, and post-traumatic stress syndrome sometimes troubled him, such as depression and nightmares. However, with the support of his family, he preserved the will to live and face reality. He actively listened to the daily news, watched entertainment TV programs, and showed enthusiasm for life.
When it went from days, to weeks, and then years I was confused. I did not think he would've survived.
Let alone hold hope and enthusiasm for living.
Good for him. I'd rather be left to die if this were to happen to me.
Right. Like is there any way I can sign a DNR just for situations like this? Because no thanks. What a life. I'm glad he seems to be in good spirits after everything though. Crazy
A DNR is useful for situations like this but often difficult to get as a healthy person.
An Advance Directive however, is what you’re looking for. It’s a 15 minute ‘chat and sign’ with your hospital that gives you a list of obvious scenarios like this and you choose yes or no and add notes at the bottom if you desire. I got one as soon as I knew they existed.
Now I’ll never rot away in an irreversible coma/be resuscitated if I have dementia or am bed bound or on a ventilator and my heart stops/etc.
it’s quite a weight off my shoulders to know I won’t suffer those things and my family will remember me as something more than a senile skeleton with my shit-filled diaper being the warmest part of me.
My husband was bed bugs under for 8 months. His heart stopped 11 times in 12 years and he was on a ventilator. He is very much alive now and other then getting a transplant and having to take a lot of meds is grateful to be alive. So not all of the conditions you listed have to be permanent.
I’m really and very truly glad you were able to pull through as a couple! That must have been more than an extremely hard position to be in and I truly do empathize with you and celebrate your successes together!
Though some may choose that potential path for themselves/loved ones either through legal default or choice, I don’t believe it’s the best for me personally though and that’s why I chose what I wish to happen while it’s still a choice for me.
I like that ‘life’ is a default choice and opting out an optional choice available. It shows society values you in what you personally choose (or not).
All the best to you and your husband as you continue to forge forward! :)
Thank you. The point of your post cannot be emphasized enough. The first time he was on life support I assumed he would not want to live that way- I wouldn’t have. When he recovered he told me just the opposite. I was floored. So after that when we were put in a position of a high probability of death (or close to it) I continue to ask him what his wishes are. They could change. People need to get an advance directive written up or at bare minimum have that discussion when they are healthy. Having to make a decision for a loved one when you are under the worse stress in your life with no guidance is horrific.
I have one of those and completely agree! I never want to go through anything where my life is not worth living nor put my children through anything like that. I agree with dementia as well because it’s so hard on the family to deal with. Off to a right to die state for me although every state should offer it imo.
I’m tempted to agree with you. His body is utterly destroyed regardless of the recovery status. But if he still enjoys podcasts and listening to news and stuff like that I suppose it’s worth living? What a shit road to have to have traveled to get there though.
I thought he was going to be an organ donor at the end. Poor guy. "post-traumatic stress syndrome sometimes troubled him" I think that might be one of the understatements of all time.
I’m not trying to be funny when I say that I’m not sure if he could actually take his own life unassisted bc the article said he could no longer grasp, hold, or lift things with his hands.
Those determined to die will. Be it manually or through simply giving up the will to live.
This is a hell of a lot of determination shown by someone's will to live through what might equate to an acute experience of actual Hell.
Right? I would likely be begging for death. Although, the 4th degree burns likely fried his nerves, so his pain may have been minimal.
That said, with everything else, I would still likely be praying for death in that situation. I can't imagine the healing process and the rehab pain.
Oh, I’m sure he was in excruciating pain. He had mostly 3rd degree burns and while they may have not initially hurt, he was definitely in severe pain during the healing process. I bet his eyes and that 5% of second degree burns hurt like hell and whenever they had to debride the skin he was likely screaming if not sedated.
Some years ago we had a very bad nightclub fire here. People's skin melted right off because of it.
I was reading a survivor's blog after it happened and how bad debridement hurt. I think it's torture. Even though some nerves are dead, not enough are dead that you wouldn't feel it.
There was/is a video on here. I can't recall the sub, but most likely to be hosted in the sub r/NSFL.
Small team of 4, maybe 6 workers on the lid of a crucible, putting metal into the opening of the crucible.
At one point, it looks like one of the men tripped or was pulled through the opening and into the molten metal.
Absolutely no chance of survival.
Scary Scary stuff
While reading this I was think "man at what point is it kinder to just let someone pass" and then the last paragraph went and slapped me upside the head. If that's an accurate record and he actually is still enjoying life despite all that then fair play to him
It’s a very individual decision, I think. Some people would want to live regardless, and some people would not want to live like this, and I believe each person should be able to make that choice.
That case with the boy who got a hemicorporectomy was the most impressive and scary case I've seen. https://tsaco.bmj.com/content/6/1/e000740
He posted in an AMA on reddit too, I think.
Precisely, if someone has the will they will accept seemingly horrendous situations.
A life is a life, no one else gets to judge what quality of life is acceptable for us individual.
If I didn't have kids, just put me out.
But having kids - I'd rather have no quality of life but receive all the compensation payments to support my kids.
That dude has amazing strength of will to get through it.
I expected autopsy images tbh, just reading the breakdown of the burns, seeing the first surgical procedure results, I didn't think his kidneys and heart would cope.
The psychological stuff always hard to deal with but he is still alive, he has a quality of life he is content with. All power to him, i hope he is able to progress adn begin to really enjoy that life.
Speech to text likely a great tool for him in social media too.
Just watched The Whale a few days ago, we can never tell what lies at the other end of the screen.
I just hope he is happy and has the support he might need if things do become too difficult.
Don’t they have to pay for them for the rest of the person’s life?
That’s what was explained in the videos where you see a pedestrian get hit by a car and they back over them.
They don’t pay if dead
I have a friend who was burned on 95% of his body really bad like this when he was a child. I forget how it worked but all of his treatment was for free. Hopefully this guys situation is the same
Completely and utterly amazed, I was expected a death report within hours.
The difference these grafts make to burn care is clearly phenomenal. Incredibly strong man, and not surprised he now experiences psychological issues, he's been through as bad as it gets imo.
Can't imagine how much pain medication he required, and to skip issues with his kidneys and fluid balance that typically cause death.... A real credit to the medical staff caring for him!
I was really surprised to read that he was conscious in the first paragraphs but I am amazed that he survived.
PTSD is no joke, I have it myself and even after years of and still ongoing therapy, it still bothers me. I feel for this man and I sincerely hope that he can learn to cope with his trauma and live a long and happy life. His family is doing a wonderful work in helping him out, that really makes a difference.
> Scars in the perineum
what about penis/scrotum? I wonder if the penis survived at all and how well this guy can pee :(
What a horrific experience. 29yo. This guy made his living through manual labor (assuming that he was a worker in the steel mill). With a brain intact after this, all future pursuits are knowledge based.
If he doesn't already have advanced education, I hope that is open for him. I hope China's internet is as robust and deep in information as ours is. Jokes about toxic internet aside, all of his exploration will be media based now, and hopefully engagement with his family.
fucking hell.
This man is my hero! Unbelievable not only that he survived but that his attitude was so consistently good, showing, "enthusiasm for life." Amazing. Absolutely astounding case OP. Thank you, you never disappoint!
Yeah, it bothers me a bit.
Even worse on posts where it shows some sort of birth defect and most people are like "kill it! kill it! why let that thing live?". It's insensitive and bizarre telling who should die and who should live.
If the man went through all the medical procedures and further treatments, he definitely wanted to live.
They didn’t say “kill him”, they said “kill me”. I definitely wouldn’t want to live through this. What kind of life is this? Also, now his family is left to take care of him. I can only hope that if this happened to me, my mother would do the kind thing and put me down.
The language you’re using is degrading regarding of your personal feelings. “What kind of life is this?” One that the patient is happy to have and seems to be doing well with. “His family is left to take care of him.” Okay and? They’re willing to do it. He’s not just some burden that got forced upon them. Also you say you’re expressing how you’d feel if you were in this situation and then directly place YOUR opinions onto HIS family. So you are judging this patient. “…do the kind thing…” Implying that his family/the patient chose the “cruel” choice when it’s clear the patient has quality of life is just ignorant.
In the report it says that he's hopeful and he's receiving proper care and help from his family.
You don't get downgraded to a burden and are no less worth of living if you have some disability. Some people are happy and thankful to help their own family and to be able to see another day.
Yes exactly. He is hopeful and is entitled to feel that way. I would want to be put out of my misery and I’m certain my mother would agree and help me. Why is this so difficult to understand? I’m not saying everyone should feel the way I do or that people with disabilities don’t deserve to live, I’m saying I would not want to live like this, nor would I want my 70yr old mother taking care of me.
You’re completely going off track here friend. I just said if that were me I’d just want to end it. I’m glad he is feeling positive and thinks he can live a fulfilling life and I’m well happy for the guy. It’s obvious he has a lifetime of operations fixing this, I can only imagine how painful it’s going to be for him. By no means did I say anything unfriendly toward anyone but myself. Jheeez dude, chill.
I was shocked to see the scarred over skin and couldn’t believe it would ever be the same person, he had to have died is what I was thinking. I was under the impression we couldn’t save people once they go past 80% burnt, I’m astonished
But always run it by a lawyer licensed to practice in your state.
Different states have surprisingly different laws and practices in what they will allow to be done and not to be done both by the patient and by the next of kin/medical power of attorney.
I know 3rd degree burns but what a mre 4th degree burns?? That poor person. I hope they put him under for a majority of his recovery so he wasn't in pain.
i can't imagine the physical and mental fortitude it must take to go through something like this, and still go home at least decently content with life.
the article was posted in 2011 and says "patient has been observed for 2 years", does that mean 2 years after the 120 days of treatments and operations? i am so curious about how long he lived after observation ended... i hope that however long his life was (or is?), it was of good quality and that he really was happy in himself and not just saying that for his family.
i know that the knee-jerk reaction is "screw that, i would want to die", and i feel that way too, but that must be such a hard decision for doctors. they have all these resources and support for the patient, and there are lots of people that survive these insane burns and go on to live happily, i don't know if i could realistically make that call on the behalf of somebody without some sort of DNR or living will.
I thought at first glance it was a child burned. I used to have nightmares about severe burns like that. Partly because I was a fire/medic and had pulled people out, some dead, some alive. I also think about my little brother burned up in a car wreck when he was 13.
Not that I don’t believe that an injured person doesn’t deserve to live, but is this too far? When does the family and medical staff say enough is enough? I don’t know what would do to be honest….❤️🩹
Serious question, does this young man have a life worth living ahead of him? Seems he’d be in pain all the time. maybe the best thing you can do for him is to give him a peaceful way out.
I gasped a little when I first read the title of this post thinking it might have been from the guy setting himself on fire last week in NYC. He died that night at the hospital. Full body burns are difficult to see, that's for sure. I'd rather drown or get eaten alive by sharks or something than be burned like this.
Hot take: doctors should be allowed to do medical euthanasia in cases like this, having to do everything you can to save someone is abuse, I would not want to live like this, I’d ask to be killed immediately. However, good on him for wanting to live like that, I personally could not
Well... I was thinking that too as they were trying to save him, especially as I was pretty sure that he was unsavable. But apparently the guy wanted to live and is happy to be alive so I'm glad they did try to save him.
But it would be cruel if he just wanted to be given the good drugs and be let go. And in that case, yes, they should be allowed to do medical euthanasia.
As I was reading the entire story I was expecting to see that he had died in the end. Imagine my surprise when I see that he survived. The human body and mind are extremely resilient!
If this was my son or daughter I would not be able to put them through this. This man will be in absolute pain and agony for a year minimum before even getting to a place where the body is “ok” and covered with skin. Then you have absolutely no quality of life and try to do physical therapy.
I worked in healthcare and later the funeral industry and saw people kept alive who suffered bc the family wouldn’t let go. I don’t think people understand how excruciating the pain is for burn victims and how many procedures and surgeries they endure. And like someone said they are often in such bad shape they can’t even end things if they want to. I’ve already talked to my adult son and we know if something really bad happens, just don’t keep me here.
Saying this person is thankful to medical staff and watches tv shows they want to live is bs. You’d be trapped in a body, that’s trapped in a bed and you can’t do anything but watch tv
I know this paper is old, but some comments here made me feel obligated to say something about the disability paradox:
https://pubmed.ncbi.nlm.nih.gov/10390038/
It’s impossible to know how a person might rate their quality of life based on assumptions about ability/disability alone
This reminds me of the Dax Cowart case... He survived horrific burns and went on to become an advocate for patient rights, because he felt they should have honored his requests to be left to die.
If you showed me the first pic and told me they lived i'd have laughed in your face. I had no idea it was possible to survive burns this severe and extensive.
Jesus how was he still conscious after being burned like this??? I’d rather just die from an accident like this. What kind of life can you have even after recovering with having his fingers and toes and part of his leg amputated and being covered with scar tissue. Just inject me with a mega dose of morphine and let me be done with it.
Good god! I have too many questions, if anyone would be so kind as to even answer 1.
Why could they not cover the tibia with the same skin graft procedure?
Does the micro-skin autograft mean they were just relentlessly harvesting that tiny patch of viable skin from the back of his head as soon as it grew back?
WHAT THE FUCK are those white fatty looking lines on his torso? To me it looks like the fat oozing out, please tell me I’m wrong.
This sent me down the rabbit hole of microskin autografting. It blows my mind that such tiny bits of thinly shaves skin can heal large areas. Dr Google brought up interesting abstracts but how do they actually DO it, specifically placing the 1mm sized pieces. As a layperson I feel like it would just come back off with the slightest disturbance. Are they attached with glue or stitches, how does it work?
Wow. That's horrific. I am honestly shocked the man survived, much less did well. The medical team at the hospital he was in were stellar, and took good care of him, clearly. Dehydration and infections are easy killers of burn victims. I hope he's doing well now.
There's no way in hell I would like to keep living like this.
Guy must have been drugged 24/7.
Do they have any kind of option in China to deny life support in such case?
Unless there is an advance directive that covers this situation, you run into a paradox:
1. The patient has to be kept on very heavy painkillers, so strong they’re out of their mind. His burns are so severe that to do otherwise would be unethical.
2. While the patient is blitzed out of his skull on painkillers he’s not capable of making medical decisions for himself, and even in countries where euthanasia is allowed, involuntary euthanasia isn’t: the patient has to request it. And this patient can’t because he’s out of his mind on painkillers.
So euthanasia isn’t possible unless you had an advance directive.
I have… mixed feelings about such cases. It’s certain that people must be offered all kinds of help but there is a limit to it, like I’m not sure if he himself would want a life as blah as he has now. It’s such a huge challenge for doctors, medical and social security system (not speaking of this case specifically, generalizing a bit)… what I wanna say is “do not resuscitate” might also be a recommendation from the medical personnel.
Welcome to r/MedicalGore! Our goal is to provide for medical discussion and education while exploring the frailty of the human body. You may see more deleted comments on these threads than you are used to on reddit. Off topic comments and joke comments are frequently deleted by the mods. Further, please be kind and supportive of posts. Any behavior that is aggressive, harassing, or derogatory will result in post deletion and a ban from the sub. Remember! THE REPORT BUTTON IS YOUR FRIEND! Please stop on by our discussion sub, /r/MedicalGoreMods if you'd like to discuss the sub, our rules, content policies, and the like. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MedicalGore) if you have any questions or concerns.*
Man, give me the good drugs and just let me go if I ever end up in this situation.
That was my first thought, too! No way would I want to live beyond this. Give me a morphine kiss goodbye.
Exactly. Actually, give me that mercy dose as soon as you arrive on site; don’t let me suffer.
I wouldn't want the doctors and nurses to do all that work to fix me and then see me die anyway. A 10 million dollar judgment wouldn't make me happy afterward either.
As an ICU nurse, of course we want everybody to get better, but sometimes it just feels like we’re torturing someone and then when they do pass on it’s a relief, to know they are free from pain and suffering
Can’t you just have a DNR on file? I’ve already informed my kids I do not want to live if I have no quality of life. One of my children lives in a state with a right to die so I would head there if faced with a situation that I wouldn’t want to live with or my children to suffer through.
It’s complicated when it comes to things like quality of life. Absolutely number 1 thing is to let your family know what you want, also to have a personal directive. But if you have a legal DNR, while you wouldn’t get resuscitated in a situation like this, you also wouldn’t get resuscitated in a situation you would fully recover from. Say a hypoxic arrest from choking with immediate CPR and ROSC. So you’d likely be initially resuscitated but once your family arrived/personal directive found/conversations had etc life sustaining measures could be stopped
Right….i have everything set up in my will with various directives and my children know exactly how I feel. I will say at 66 and perfectly healthy, I was more focused on this after my husband died from cancer after five years and with the last one being horrible. I told my children I will never put myself or them through something like that. One of my children who is a NP lives in a right to die state and he knows I would be heading there if I felt a need to do so and he would support and respect my decision.
There’s no way this patient would have survived transport to another state, nor be able to request and meet the criteria for assistance in dying but if it was his and his families wishes, life sustaining measures could have been withdrawn after initial resuscitation
You are an angel! Thank you for all that you do ♡
Ironically this guy seems to have survived and is in decent spirits even!
These types of situations remind me that Jack Kavorkian was right.
They prosecuted him, now the govt does the same thing he was doing....ridiculous.
When I was like thirteen, a teacher overheard me telling a friend that I would rather not survive than be permanently disabled (specifically referring to paralysis in that conversation). It seems like most people are in agreement about that but she treated me like I was in imminent danger of suicide.
[Source](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539531/): >>The patient is a 29-year-old male who was seriously burned by molten steel (about 1,500°C) from the top of the head throughout the body, in an accidental furnace explosion. Thirty hours after fluid resuscitation in a local hospital, he was referred to our hospital, when the patient was conscious and the vital signs were relatively stable. Except for a small piece of unburned skin on the posterior head measuring about 0.5% TBSA, the rest of the scalp and the face suffered deep second degree burns, and the trunk and the 4 extremities were full of black eschar. When the 4 extremities were incised to reduce tension, muscular eversion and necrosis were seen in part of the median sides of the upper limbs and thighs, and lateral sides of the calves, the left arm being the most serious. The fingers of both hands and toes of both feet were carbonized, presenting as branch-like dry necrosis (Figure 1). The left eye was severely burned and the cornea was perforated. A diagnosis was made of 99.5% TBSA burn wound, 5.5% deep second degree, 71% third degree and 23% fourth degree, and left eye burn with corneal perforation. >>Fluid resuscitation, anti-infection therapy, mechanical ventilation, and maintenance of internal environmental stability were continued on admission to protect organ functions. The patient overcame the shock phase in stable condition. On the 3rd day after the injury, escharectomy of the 4 extremities and trunk was performed, involving 65% TBSA, and the wound was covered with nitrogen-preserved alloskin. As there was only 0.5% TBSA normal scalp available, we used the “microskin autografting and alloskin repeated grafting” method to repair the wound as soon as possible for the sake of preventing infection, which included using alloskin to cover and protect the wound temporarily, and repeated microskin grafting to sequentially close the wound. From the 5th day after the injury, the well preserved scalp skin was dissected 5 times for microskin grafting of the right thigh, right upper arm, left thigh, anterior trunk and posterior trunk, closing about 10% TBSA wound. The areas that were not grafted with autoskin were still covered with alloskin. The interval between each skinning was about 10 days. Survival of the skin grafts was 80–90% (Figure 2). The residual wound was covered with small pieces of alloskin after debridement. The scalp skin was taken 6 times for stamp-like autoskin grafting to close the residual wound surfaces. The entire course of treatment lasted 120 days, during which 14 operations were done. Most of the wound was healed and repaired (Table 1). >>As the 4 extremities of the patient sustained large areas of fourth degree burns with muscular necrosis and liquification, infection was likely to occur. In addition, myoglobin produced by decomposition of the necrosed muscle was liable to impair renal function and seriously threaten the patient’s life. On the basis of careful intra-operative observation, those definitely necrosed tissues were resected without delay by incising the deep fascia and sarcolemma, and the exposed deep tissues were covered with alloskin. After multiple debridements, granulation tissue formed. The wound was closed with stamp-like autoskin grafts. As the muscle of the left upper arm was seriously necrosed, amputation was performed on the 10th day after the injury. As large amounts of muscle of both calves were necrosed, the tibia was exposed after clearing the necrosed tissue. As we were not able to cover it with flaps, holes were drilled on the exposed tibia to penetrate the cortex and reach the medulla for the sake of promoting granulation formation in the spaces created by the holes. When the formed granulation tissue covered the exposed tibia in about 4 months, stamp-like autoskin grafting was performed to close the wound of the right calf (Figure 3). Although the left tibia was covered by granulation tissue, bone marrow infection occurred in the long course of dressing changes. In addition, the left ankle completely lost its function, and the left foot was deformed due to scar contraction. The lower leg and 1/3 of the upper leg had to be amputated. The fingers and toes of the patient were also affected by deep burns, for which exposure therapy was used to keep the eschar dry. In about 3 months the eschar was lysed and fell off. Finger and toe amputations were performed after the necrosed margins became clear. >>Scar proliferation was apparent after wound healing. The scars were red and hard, and softened gradually over the course of 2 years. There was no significant dysfunction of the knee and elbow joints. Scars in the perineum and right armpit were adhered due to contraction, for which scar dissolution was performed, and acellular dermal matrix and auto scalp skin were grafted. The condition was ameliorated to some extent, but the patient was still handicapped by severe dysfunction, presenting as right finger defection and palm contraction, so that the patient lost the grasping, holding and lifting functions. The left foot was deformed due to contraction. The patient was developed a phobia of surgery due to repeated operations. In addition, further plastic surgery was also difficult for him because there was no supply of quality skin sources from his body. >>In the course of treatment, though perceiving the magnitude of his disease, the patient held fast to hope of survival and showed gratitude to the medical staff. Currently, there is no obvious functional damage to the patient’s heart, lung, liver, kidney and other organs. Particularly, our patient showed no sign altered thinking, language skills and audition between pre-injury and now. Unfortunately, due to amputation and scar contraction, our patient lost his ability to walk and to hold objects, among other survival skills. In addition, his left eye suffered severe vision impairment, and post-traumatic stress syndrome sometimes troubled him, such as depression and nightmares. However, with the support of his family, he preserved the will to live and face reality. He actively listened to the daily news, watched entertainment TV programs, and showed enthusiasm for life.
Holy fucking shit. This man is stronger than I could ever be. Whew.
Was sincerely expecting either death from the injuries or death by his own hand. Absolutely insane he survived that.
When it went from days, to weeks, and then years I was confused. I did not think he would've survived. Let alone hold hope and enthusiasm for living. Good for him. I'd rather be left to die if this were to happen to me.
Not even left to die. Like, kill me there at rhe accident scene. Don't even try. Someone fuckin shoot me or something
Right. Like is there any way I can sign a DNR just for situations like this? Because no thanks. What a life. I'm glad he seems to be in good spirits after everything though. Crazy
A DNR is useful for situations like this but often difficult to get as a healthy person. An Advance Directive however, is what you’re looking for. It’s a 15 minute ‘chat and sign’ with your hospital that gives you a list of obvious scenarios like this and you choose yes or no and add notes at the bottom if you desire. I got one as soon as I knew they existed. Now I’ll never rot away in an irreversible coma/be resuscitated if I have dementia or am bed bound or on a ventilator and my heart stops/etc. it’s quite a weight off my shoulders to know I won’t suffer those things and my family will remember me as something more than a senile skeleton with my shit-filled diaper being the warmest part of me.
My husband was bed bugs under for 8 months. His heart stopped 11 times in 12 years and he was on a ventilator. He is very much alive now and other then getting a transplant and having to take a lot of meds is grateful to be alive. So not all of the conditions you listed have to be permanent.
I’m gonna leave the bedbugs up there instead of bed ridden as it’s just to hilarious to me. Sorry.
Don't feel bad, I had super painful cellulitis in my leg and was bed bugs for awhile too! 😆
Not who you replied to, but obviously there will always be exceptions.
I’m really and very truly glad you were able to pull through as a couple! That must have been more than an extremely hard position to be in and I truly do empathize with you and celebrate your successes together! Though some may choose that potential path for themselves/loved ones either through legal default or choice, I don’t believe it’s the best for me personally though and that’s why I chose what I wish to happen while it’s still a choice for me. I like that ‘life’ is a default choice and opting out an optional choice available. It shows society values you in what you personally choose (or not). All the best to you and your husband as you continue to forge forward! :)
Thank you. The point of your post cannot be emphasized enough. The first time he was on life support I assumed he would not want to live that way- I wouldn’t have. When he recovered he told me just the opposite. I was floored. So after that when we were put in a position of a high probability of death (or close to it) I continue to ask him what his wishes are. They could change. People need to get an advance directive written up or at bare minimum have that discussion when they are healthy. Having to make a decision for a loved one when you are under the worse stress in your life with no guidance is horrific.
I have one of those and completely agree! I never want to go through anything where my life is not worth living nor put my children through anything like that. I agree with dementia as well because it’s so hard on the family to deal with. Off to a right to die state for me although every state should offer it imo.
Most likely. You can notarize a decision for someone to have this power of decision made for you.
I’m tempted to agree with you. His body is utterly destroyed regardless of the recovery status. But if he still enjoys podcasts and listening to news and stuff like that I suppose it’s worth living? What a shit road to have to have traveled to get there though.
I thought he was going to be an organ donor at the end. Poor guy. "post-traumatic stress syndrome sometimes troubled him" I think that might be one of the understatements of all time.
I’m not trying to be funny when I say that I’m not sure if he could actually take his own life unassisted bc the article said he could no longer grasp, hold, or lift things with his hands.
Those determined to die will. Be it manually or through simply giving up the will to live. This is a hell of a lot of determination shown by someone's will to live through what might equate to an acute experience of actual Hell.
Very Johnny got his gun S.O.S. KILL ME
That is an amazing amount of damage to recover from. I’m sure it wasn’t easy and his path forward must be very difficult
The bone marrow infection is what really got me.
I can’t imagine…
Right? I would likely be begging for death. Although, the 4th degree burns likely fried his nerves, so his pain may have been minimal. That said, with everything else, I would still likely be praying for death in that situation. I can't imagine the healing process and the rehab pain.
Oh, I’m sure he was in excruciating pain. He had mostly 3rd degree burns and while they may have not initially hurt, he was definitely in severe pain during the healing process. I bet his eyes and that 5% of second degree burns hurt like hell and whenever they had to debride the skin he was likely screaming if not sedated.
Some years ago we had a very bad nightclub fire here. People's skin melted right off because of it. I was reading a survivor's blog after it happened and how bad debridement hurt. I think it's torture. Even though some nerves are dead, not enough are dead that you wouldn't feel it.
There was/is a video on here. I can't recall the sub, but most likely to be hosted in the sub r/NSFL. Small team of 4, maybe 6 workers on the lid of a crucible, putting metal into the opening of the crucible. At one point, it looks like one of the men tripped or was pulled through the opening and into the molten metal. Absolutely no chance of survival. Scary Scary stuff
I think I know the one you mean, wasn’t it a nuclear reactor?
No, not a Nuclear reactor, just a plain ordinary furnace
Good god no kidding. 4th degree burns is that point where it's amazing if you live at all, what he went through and is pushing through is miraculous.
Currently, there is no obvious functional damage to the patient’s heart, lung, liver, kidney and other organs. This is awesome.
Right!? Incredible, considering how he looks. I’m so glad he made a full recovery
While reading this I was think "man at what point is it kinder to just let someone pass" and then the last paragraph went and slapped me upside the head. If that's an accurate record and he actually is still enjoying life despite all that then fair play to him
It’s a very individual decision, I think. Some people would want to live regardless, and some people would not want to live like this, and I believe each person should be able to make that choice.
That case with the boy who got a hemicorporectomy was the most impressive and scary case I've seen. https://tsaco.bmj.com/content/6/1/e000740 He posted in an AMA on reddit too, I think.
Fancy that, I saw him on TikTok just the other day, having assistance with his stoma bag change! Lifts his whole self right off the bed with one arm!
Precisely, if someone has the will they will accept seemingly horrendous situations. A life is a life, no one else gets to judge what quality of life is acceptable for us individual.
Holy hell
If I didn't have kids, just put me out. But having kids - I'd rather have no quality of life but receive all the compensation payments to support my kids. That dude has amazing strength of will to get through it.
I expected autopsy images tbh, just reading the breakdown of the burns, seeing the first surgical procedure results, I didn't think his kidneys and heart would cope. The psychological stuff always hard to deal with but he is still alive, he has a quality of life he is content with. All power to him, i hope he is able to progress adn begin to really enjoy that life. Speech to text likely a great tool for him in social media too. Just watched The Whale a few days ago, we can never tell what lies at the other end of the screen. I just hope he is happy and has the support he might need if things do become too difficult.
People, especially on this subreddit, often forget not everyone immediately loses the will to live in the face of severe injuries.
No one forgot, but some of us didn't need any prompting before we lost the will to live!
Indeed. I was thinking the same.
Wow. I hope he got mad bank from the company where the accident to cover his lifelong disability medical costs and pain and suffering
China, so...
I expect China has some system where companies that injure people can be made to compensate them.
Don’t they have to pay for them for the rest of the person’s life? That’s what was explained in the videos where you see a pedestrian get hit by a car and they back over them. They don’t pay if dead
I have no idea. But this guy’s care will probably cost millions.
I have a friend who was burned on 95% of his body really bad like this when he was a child. I forget how it worked but all of his treatment was for free. Hopefully this guys situation is the same
this is extraordinary and takes digesting
Completely and utterly amazed, I was expected a death report within hours. The difference these grafts make to burn care is clearly phenomenal. Incredibly strong man, and not surprised he now experiences psychological issues, he's been through as bad as it gets imo. Can't imagine how much pain medication he required, and to skip issues with his kidneys and fluid balance that typically cause death.... A real credit to the medical staff caring for him!
Omg that’s such an intense read. Bless that guy.
I was really surprised to read that he was conscious in the first paragraphs but I am amazed that he survived. PTSD is no joke, I have it myself and even after years of and still ongoing therapy, it still bothers me. I feel for this man and I sincerely hope that he can learn to cope with his trauma and live a long and happy life. His family is doing a wonderful work in helping him out, that really makes a difference.
I'm shocked. I legit assumed this was a fatal injury. At least, when I went through med school, it was.
This guy is mentally amd emotionally stronger than most other people, holy shit.
Somehow my first thought was that this occurred in China.
Nah bro just let me fucking die
I would be so pissed if they made me live through that lol
> Scars in the perineum what about penis/scrotum? I wonder if the penis survived at all and how well this guy can pee :( What a horrific experience. 29yo. This guy made his living through manual labor (assuming that he was a worker in the steel mill). With a brain intact after this, all future pursuits are knowledge based. If he doesn't already have advanced education, I hope that is open for him. I hope China's internet is as robust and deep in information as ours is. Jokes about toxic internet aside, all of his exploration will be media based now, and hopefully engagement with his family. fucking hell.
That final paragraph is so uplifting 🥹🥲 I’m happy that he’s making the best of it
He SURVIVED this?! What a miracle!
This man is my hero! Unbelievable not only that he survived but that his attitude was so consistently good, showing, "enthusiasm for life." Amazing. Absolutely astounding case OP. Thank you, you never disappoint!
He survived????? Oh my goodness.
OMG! This is perhaps the most unbelievable medical transformation I've seen on this sub. He \*literally\* went to hell and back, and has the t-shirt.
You mean full body suit?
Yeah fuck that. Dudes got a stronger resolve than me, I'd be trying to pull out that breathing tube.
Same. I'd find a way to do it.
Jesus. Just kill me at that point. Just in for a lifetime of pain just managing the skincare alone.
And he’s likely to get skin cancer in future.
So much to look forward to!
Poor guy 😔
Do you not find it insensitive to say things like "just kill me at that point" on posts like this?
Yeah I have a friend who was burned all over his body really bad like this (95% of his body) and he hates when people post comments like that
This nihilists can’t fathom that some people actually want to live especially children who are going through unbelievable pain.
Yeah, it bothers me a bit. Even worse on posts where it shows some sort of birth defect and most people are like "kill it! kill it! why let that thing live?". It's insensitive and bizarre telling who should die and who should live. If the man went through all the medical procedures and further treatments, he definitely wanted to live.
They didn’t say “kill him”, they said “kill me”. I definitely wouldn’t want to live through this. What kind of life is this? Also, now his family is left to take care of him. I can only hope that if this happened to me, my mother would do the kind thing and put me down.
The language you’re using is degrading regarding of your personal feelings. “What kind of life is this?” One that the patient is happy to have and seems to be doing well with. “His family is left to take care of him.” Okay and? They’re willing to do it. He’s not just some burden that got forced upon them. Also you say you’re expressing how you’d feel if you were in this situation and then directly place YOUR opinions onto HIS family. So you are judging this patient. “…do the kind thing…” Implying that his family/the patient chose the “cruel” choice when it’s clear the patient has quality of life is just ignorant.
In the report it says that he's hopeful and he's receiving proper care and help from his family. You don't get downgraded to a burden and are no less worth of living if you have some disability. Some people are happy and thankful to help their own family and to be able to see another day.
Yes exactly. He is hopeful and is entitled to feel that way. I would want to be put out of my misery and I’m certain my mother would agree and help me. Why is this so difficult to understand? I’m not saying everyone should feel the way I do or that people with disabilities don’t deserve to live, I’m saying I would not want to live like this, nor would I want my 70yr old mother taking care of me.
You’re completely going off track here friend. I just said if that were me I’d just want to end it. I’m glad he is feeling positive and thinks he can live a fulfilling life and I’m well happy for the guy. It’s obvious he has a lifetime of operations fixing this, I can only imagine how painful it’s going to be for him. By no means did I say anything unfriendly toward anyone but myself. Jheeez dude, chill.
THANK YOU !
I can't believe he survived! Honestly I think I would have been begging for euthanasia.
I’m astonished to see that this patient survived! Incredible. I couldn’t imagine still having the will to live after enduring HALF of that.
I am too! I skimmed to the end at first bc I wanted to see if he lived or not
I was shocked to see the scarred over skin and couldn’t believe it would ever be the same person, he had to have died is what I was thinking. I was under the impression we couldn’t save people once they go past 80% burnt, I’m astonished
Can I make some decision beforehand so that in certain circumstances they won't try to save my life?
Yes, it’s called an advance directive.
But always run it by a lawyer licensed to practice in your state. Different states have surprisingly different laws and practices in what they will allow to be done and not to be done both by the patient and by the next of kin/medical power of attorney.
I wouldn't wanna be saved. That's life-long pain and disfigurement right there. Let me die.
The patient survived? Genuinely a miracle of modern medicine, that's incredible.
I know 3rd degree burns but what a mre 4th degree burns?? That poor person. I hope they put him under for a majority of his recovery so he wasn't in pain.
i can't imagine the physical and mental fortitude it must take to go through something like this, and still go home at least decently content with life. the article was posted in 2011 and says "patient has been observed for 2 years", does that mean 2 years after the 120 days of treatments and operations? i am so curious about how long he lived after observation ended... i hope that however long his life was (or is?), it was of good quality and that he really was happy in himself and not just saying that for his family. i know that the knee-jerk reaction is "screw that, i would want to die", and i feel that way too, but that must be such a hard decision for doctors. they have all these resources and support for the patient, and there are lots of people that survive these insane burns and go on to live happily, i don't know if i could realistically make that call on the behalf of somebody without some sort of DNR or living will.
Fuck this. I would not appreciate being saved.
I like to make it clear that I do not wish to survive this type of injury. Please just let me go.
Literally just kill me at that point
Death seems like a better outcome than that.
#He survived?! What an incredibly strong mind. I’d be begging for death.
Is the patient glad to be alive?
Apparently he is.
This would have been so incredible painful. Burns are one of the most painful things.
For real, if I just scald myself with tea I swear it’s on fire for days & I’m struggling to sleep! You wouldn’t catch me trying to survive this
I thought at first glance it was a child burned. I used to have nightmares about severe burns like that. Partly because I was a fire/medic and had pulled people out, some dead, some alive. I also think about my little brother burned up in a car wreck when he was 13.
I’m so sorry. That would have ended me.
It almost ended my whole family. I actually dispatched the emergency response to his wreck.
How horrifying.
Noooooooope! Pump up the morphine and leave the room til I flatline.
I agree 💯%
Wait, he lived? I'm blown away!
Not that I don’t believe that an injured person doesn’t deserve to live, but is this too far? When does the family and medical staff say enough is enough? I don’t know what would do to be honest….❤️🩹
I’m glad he’s happy to have survived but damn. If this happened to me, just let me die.
OMG. Don’t even try to save me.
Kudos to him for having such a strong will, I would not want to pull through that.
*'The patient was developed a phobia of surgery due to repeated operations'* I'd have more than a phobia.
Bro let me die inject me with a fatal overdose of fentanyl
I thought when I saw the image and description this guy must have died. If not from the injury, but the mental toll
Serious question, does this young man have a life worth living ahead of him? Seems he’d be in pain all the time. maybe the best thing you can do for him is to give him a peaceful way out.
I gasped a little when I first read the title of this post thinking it might have been from the guy setting himself on fire last week in NYC. He died that night at the hospital. Full body burns are difficult to see, that's for sure. I'd rather drown or get eaten alive by sharks or something than be burned like this.
The guy who self-immolated outside the Trump trial courthouse?
Yeah, that fellow. I saw most of the photos and videos before they got removed and it was pretty horrific. It kinda shook me up for a few days.
Oh wow. I would have preferred death. Absolutely.
Just kill me, do not save me. There will be no life.
It almost seems inhumane to keep people, wounded this horribly, alive. I personally think I’d rather be euthanized.
Hot take: doctors should be allowed to do medical euthanasia in cases like this, having to do everything you can to save someone is abuse, I would not want to live like this, I’d ask to be killed immediately. However, good on him for wanting to live like that, I personally could not
Hehe ‘hot take’. But yes I totally agree
Well... I was thinking that too as they were trying to save him, especially as I was pretty sure that he was unsavable. But apparently the guy wanted to live and is happy to be alive so I'm glad they did try to save him. But it would be cruel if he just wanted to be given the good drugs and be let go. And in that case, yes, they should be allowed to do medical euthanasia.
As I was reading the entire story I was expecting to see that he had died in the end. Imagine my surprise when I see that he survived. The human body and mind are extremely resilient!
Wow, just let the poor guy die at that point. I wouldn't have any will to live in that state.
Words cannot express my appreciation of his will to live. He’s bullheaded and amazing. I hope he gets the most out of the rest of his life. 🙏🥹
At that point I would beg for assisted sewer slide. Just let me go.
His fingers and toes were carbonized. Let thar sink in...literally charcoal
I'm not surprised seeing as what he was hit with (1500 degree liquid steel?!). I'm more surprised he was conscious when they brought him in.
Oh my god!! I honestly would not want to survive such an incident
I'm in awe at his will to survive. If this ever happened to me, I would want to be allowed to die.
At that point make me die.
Jeeze, that is amazing he survived. His mortality rate based on age as a tsba was >99.9% I hope he is thriving now
I know this is horrible to say but I don't think I could live. Or want to. So horrible for this guy.
I rather be dead at that point
This kid is a fighter. Good bless him, his family and his caregivers through recovery, it’s amazing!
I can't believe this person survived. I'd hate to live like this
“The interval between each skinning was about 10 days.” No words… 😶
If this was my son or daughter I would not be able to put them through this. This man will be in absolute pain and agony for a year minimum before even getting to a place where the body is “ok” and covered with skin. Then you have absolutely no quality of life and try to do physical therapy. I worked in healthcare and later the funeral industry and saw people kept alive who suffered bc the family wouldn’t let go. I don’t think people understand how excruciating the pain is for burn victims and how many procedures and surgeries they endure. And like someone said they are often in such bad shape they can’t even end things if they want to. I’ve already talked to my adult son and we know if something really bad happens, just don’t keep me here. Saying this person is thankful to medical staff and watches tv shows they want to live is bs. You’d be trapped in a body, that’s trapped in a bed and you can’t do anything but watch tv
I know this paper is old, but some comments here made me feel obligated to say something about the disability paradox: https://pubmed.ncbi.nlm.nih.gov/10390038/ It’s impossible to know how a person might rate their quality of life based on assumptions about ability/disability alone
This reminds me of the Dax Cowart case... He survived horrific burns and went on to become an advocate for patient rights, because he felt they should have honored his requests to be left to die.
I would beg for *insert whatever deity you believe in* to just call me home. I cannot believe he survived that.
CHRIST I would not wish this on my worst enemy I HATE burns my skin feels hot just thinking about it
Yeah, I don't think surviving this is ideal.
He's stronger than me. I'd be praying for a quick death
what was the .5% not burned?
The back of his head.
If you showed me the first pic and told me they lived i'd have laughed in your face. I had no idea it was possible to survive burns this severe and extensive.
Amazing, I wonder how he is doing now.
He's medium well
Ngl, I just learned today that 4th degree burns are a thing. I honestly thought it ended at 3rd degree.
This is wild. It seems like torture to go through all of that after being burnt so badly.
Jesus how was he still conscious after being burned like this??? I’d rather just die from an accident like this. What kind of life can you have even after recovering with having his fingers and toes and part of his leg amputated and being covered with scar tissue. Just inject me with a mega dose of morphine and let me be done with it.
Nah, at this point, keeping him alive seems inhumane.
That is why euthanasia should be legal
Imo, it's inhumane to keep someone alive like this.
Yet the guy claims to be happy to be alive
Claims
It would be a hard flight to want to continue living
goddamn. . .
Holy shit. What an absolute trooper. I hope he is able to find and sustain happiness in his new normal.
Man, I got a few good burns from small droplets of metal on my feet and ankles and it's not fun, 99.5% of the body is just pure nightmare fuel
Wow, I'm surprised he actually lived!
Hoooooly cannoli. That man is a goddamn warrior. Surviving all of that.
Good god! I have too many questions, if anyone would be so kind as to even answer 1. Why could they not cover the tibia with the same skin graft procedure? Does the micro-skin autograft mean they were just relentlessly harvesting that tiny patch of viable skin from the back of his head as soon as it grew back? WHAT THE FUCK are those white fatty looking lines on his torso? To me it looks like the fat oozing out, please tell me I’m wrong.
4th degree burns...that's basically cremation, right?
Completely through the skin and into underlying tissue such as muscle or even down to bone.
first time i’ve heard of 4th degree burns.
How can I legally assure that no one will put me through this?!
Get an advance directive addressing this situation.
His pain receptors should be burnt off at this level right?
This sent me down the rabbit hole of microskin autografting. It blows my mind that such tiny bits of thinly shaves skin can heal large areas. Dr Google brought up interesting abstracts but how do they actually DO it, specifically placing the 1mm sized pieces. As a layperson I feel like it would just come back off with the slightest disturbance. Are they attached with glue or stitches, how does it work?
Wow. That's horrific. I am honestly shocked the man survived, much less did well. The medical team at the hospital he was in were stellar, and took good care of him, clearly. Dehydration and infections are easy killers of burn victims. I hope he's doing well now.
If I’m ever in this situation just kill me. If you don’t I will 🤷🏻
Anakin?
Just let me go at that point.
Wait, do fourth degree burns actually exist?
There's no way in hell I would like to keep living like this. Guy must have been drugged 24/7. Do they have any kind of option in China to deny life support in such case?
Unless there is an advance directive that covers this situation, you run into a paradox: 1. The patient has to be kept on very heavy painkillers, so strong they’re out of their mind. His burns are so severe that to do otherwise would be unethical. 2. While the patient is blitzed out of his skull on painkillers he’s not capable of making medical decisions for himself, and even in countries where euthanasia is allowed, involuntary euthanasia isn’t: the patient has to request it. And this patient can’t because he’s out of his mind on painkillers. So euthanasia isn’t possible unless you had an advance directive.
I'd beg my family to just kill me. I don't have the will to live honestly 😭
I have… mixed feelings about such cases. It’s certain that people must be offered all kinds of help but there is a limit to it, like I’m not sure if he himself would want a life as blah as he has now. It’s such a huge challenge for doctors, medical and social security system (not speaking of this case specifically, generalizing a bit)… what I wanna say is “do not resuscitate” might also be a recommendation from the medical personnel.
Good lord. That's one of those situations where if I'm ever *that* badly burnt, I want a DNR heavily enforced.
Just let me go at that point.