I am not the OP, this is a repost sub. submitted by
Mood spoiler: Happy ending for OOP, but mysterious
All times listed are in PST (where this takes place)
- Sitter Won't Let Me Help Pick Up/Retrieve Cat
posted in RoverPetSitting
on November 27, 2022 (1am)
Hey all, posting for a friend (owner) because as a sitter, I could not fathom this type of response or this situation.
Her pickup for her cat was supposed to occur at 10 PM last night (Saturday PST), but she arrived early at 7 PM. When she arrived, the sitter grabbed her cat's carrier, but he supposedly ran away and hid under the sitter's bed. The sitter can't retrieve him, and after trying for a while, claimed she needed to get to bed. She asked my friend to return tomorrow at 5 AM to pick him up, and changed the pickup time. She won't let my friend into the house to assist with his retrieval, even as a last resort. My friend was able to drop off food and litter for the extra night, but that was the extent of it. The strange excuse she keeps giving my friend is that she has company over, and there isn't enough... room? for everyone in the house.
I asked if she got photographic proof of the cat under the bed, but she didn't get any. The sitter only sent a picture of the food already eaten. My main concern is that her cat is missing/hurt, and this is a strange way of buying time. Any advice as to how to proceed? Not too concerned about being charged extra, as we can always dispute, but worried about how to deal with this sitter.
Update: Hi all, my friend is in the thread now, but she's currently dealing with law enforcement. Lots in the air--thanks for all your support. She'll update when she can.
on November 27, 2022 (4am)
Hi everybody, I’m the friend of the person who posted this (the post is about my cat). She hasn’t let me in at all (not during the meet and greet as she said she was dog sitting so we had to meet in a public place) and not when I went to drop him off either (I asked if I could go in to help him get settled, which would also allow me to see the house, but she said I wouldn’t be able to go in because the house was not “set up” or something super vague). I’m going to leave in an hour to try and get him (haven’t slept at all due to anxiety from this situation) and I’m not sure what to do if she still doesn’t let me get him. I’m ready to get the police involved at this point if she still doesn’t let me get him today.
Also, just to clarify, yes, the pickup was a few hours earlier than scheduled, but since the original booking (which took place 3 weeks before the trip) I made it clear that I wasn’t sure what time I would be returning to the area so I could pick up my cat, which she said was fine. I also kept the sitter extremely updated with the pickup times and let her know the ETA as well as any updates on the ETA due to traffic, stops, etc. so her not letting me in had nothing to do with the fact that I got there earlier than scheduled.
on November 27, 2022 4am:
Hi, it’s my cat in the post (I’m the kitty mama). The one thing that’s keeping me calm is that he is a scared little guy that is TERRIFIED of the outside world. The few times I have tried to take him outside he has refused and has gone to hide in my closet, so I’m fairly certain he wouldn’t have ran away. He’s also microchipped as well and his collar has my contact info on it. 5am:
She did send lots of pictures and let me know every time she fed him so i’m really hoping it’s just a little awkward too. I’m currently outside her house waiting for her to bring him out. Will do my best to keep everybody updated!! 10am:
Sorry for not updating sooner. I haven’t yet. She said he went to hide under the bed again and she refused to let me in because she “doesn’t let anybody into her personal space” and she refused to wait for longer because she had to go to work at 7am. She said when she gets back in the afternoon she would try and lure him out again with her friend.
She told me her strategy was to basically open the door and let him run out and have me catch him because this “silliness is not worth getting clawed over”.
The ONLY reason I haven’t gotten Rover involved yet is that I’m afraid that if they contact her she will be even less likely to give him back and she’ll fully stop replying to me altogether.
She did call me when we were supposed to meet and she told me she was trying to put his leash on, which I’m holding on to for hope because if SHE reached out to me then maybe he’s safe and ok and she WANTS to give him back but she’s just extremely selfish and unprofessional. 10am:
For everybody waiting on an update:
It is now 10am. I went to pick him up at 5am and was there outside her place until 7am trying to get him back. I haven’t gotten him back yet. She said he went to hide under the bed again and she refused to let me in because she “doesn’t let anybody into her personal space” and she refused to wait for longer because she had to go to work at 7am. She also repeatedly kept slamming the door in my face in the middle of my sentences. She said when she gets back in the afternoon she would try and lure him out again with her friend.
She told me her strategy was to basically open the door and let him run out and have me catch him because this “silliness is not worth getting clawed over”.
I just called Rover to find out what I can do and they’re going to contact her to find out what these “privacy concerns” are and why she won’t let me in to get him, and to ask if I can just go in really quick to grab him and then go right back out.
She did call me when we were supposed to meet and she told me she was trying to put his leash on, which I’m holding on to for hope because if SHE reached out to me then maybe he’s safe and ok and she WANTS to give him back but she’s just extremely selfish and unprofessional.
IF I haven’t gotten him back by tonight, I’ll getting the police involved. Additional ~10am comments:
Just called [Rover]. They said the best they can do is call her to find out what the privacy issues are in terms of why she won’t let me in, and if there’s any way she could just let me in for a few seconds to grab my boy. They said they’ll call me back shortly.
Nope, she’s at home, I’ve seen her and she’s come out and talked to me multiple times when I went to drop off more supplies last night because she said she had to go to bed and this morning when I was supposed to pick him up she was there but she said she had to “go to the store so she could be back in time for work” so she left her apartment, I waited for her to get back (she said she would try and lure him out again when she got back from the store), and when she got back she basically slammed the door in my face.
She knows exactly where he is, she just says she can’t get him out because he won’t come when she calls him, and refuses to let me in despite me saying he is much more likely to come when I, as his mom, call him 11am:
Yes. [Rover] reached out to the sitter to find out why she isn’t letting me in. No response. I’m on the phone with them again to speak to their Trust and Visibility team because she told me the app “records everything” which is why she isn’t too bothered with pictures so I’m going to ask for a recording of him from today or preferably right now. And then as soon as I get off the phone with them I’m going to the police.
Also, his collar has a tag with my phone number on it, so hopefully they would call me first. 12pm:
I just got off the phone with the cops, they’re going to go with me to get my cat.
- Petsitter won't let owner retrieve cat
posted in legaladvice
on November 27, 2022 (4pm)
Hi all, please view this
on the Rover subreddit for adtl context.
My friend's cat was boarded overnight from Wednesday, 11/23, and was set for pickup last night on Saturday, 11/26 at 10 PM PST. She arrived early for pickup at 7 PM, but the sitter had issues retrieving the cat, and wouldn't let her in to assist as a last resort. The sitter asked her to return at 5 AM today (11/27) to retrieve him, as she had to sleep early for work. Strange, being that the initial pickup time was 10 PM.
At 5 AM, the cat was again unable to be retrieved. As of last night, there has been no proof of life--no live photos, videos, etc. to prove the cat is actually in her care still. There were photos earlier in the booking, though. At 7 AM, the owner contacted Rover's support, who also couldn't get in contact with the sitter (their own contractor). They could not determine what privacy reasons prevented the sitter from letting the owner in.
Around noon, she called the non-emergency line, who would only send a mediator to talk to both parties, and convince the sitter to let her in. The sitter, now at work, is unreachable. The emergency line/911 is then called, and the sheriff is sent to the owner's house. The police have now remarked that nothing can be done because there is no reasonable suspicion that the sitter is withholding the cat intentionally. They again can only send a mediatocivic officer to the house, IF the sitter is able to provide them with an availability. The sitter is unreachable still, so they cannot arrange for anyone to visit the house.
The only course of action they suggest is pressing criminal charges, which would then allow a judge to issue a subpoena. Animal Control is on holiday at the moment, and is out of office until Tuesday. What is the next available course of action at the moment? We are fearful for the safety and well-being of a live animal, but I am more suspicious that the cat is not well/missing, and the sitter is buying time. Does she press charges, or is there another way to insist the police check on the wellfare of the sitteanimal?
The sitter has been "at work" since 7/8 AM PST, and it is now 4 PM PST. She has been unreachable, even after the owner has communicated that law enforcement has been involved. This pertains to NorCal/San Jose area.
November 27, 2022 (4pm)
Law enforcement has been contacted, but there is nothing in place that allows them to entedemand entry. The sitter is apparently still at work, and has been unreachable, even after she has communicated that law enforcement needs to work with her.
Unfortunately, there is no substantial update I can give because the civil/non-emergency officers won't stick around for longer than 20-30 minutes, and we cannot get in touch with the sitter to get an estimate of when she'll be home. She's not being treated as a criminal, so all we're waiting on is an opportunity for mediation. I haven't had the best input on the legal advice sub either, as we're looking for "loopholes" to get the officers to revisit her house without a warrant. All this to say, law enforcement came and went.
Please visit the post on legaladvice here
if you have any further advice or wish for an update. Sorry this isn't more positive. We are hoping for the best for Cheese.
November 27, 2022 6pm:
Thank you, we'll look into filing a report with Animal Control ASAP. I also feel like he's missing at this point, if not long before. It will probably be a separate legal issue entirely then regarding the sitter's liability. 7pm:
She tried to contact Animal Control, but they're closed until Tuesday. I might suggest calling 911 if they have an emergency line though. 7:30pm:
Nope, we cannot be sure of the sitter's whereabouts at all anymore. We know she left the house in the morning, and has been unreachable by the owner AND Rover since then.
I believe she has been back to snoop around the house, but there are blinds that prevent you from looking in.
I asked to see the sitter's profile immediately yesterday, and it's glowing. 15 or so verified stays, 5-star reviews commending her for her communication and skill.
November 27, 2022 (8pm)
Another update (I’m the owner):
- called the cops. They can’t physically open the door or anything and they just recommended I press criminal charges.
- it is 8:24pm. I am currently waiting near her house for a pair of Civil Standby officers to escort me to her house to try and get him back. They cannot FORCE anything but they can mediate to make sure the situation doesn’t escalate and get violent. Additionally, this is one of the most unsafe streets in the area so I am very scared to be here at night, so I will have to leave around 9:30 if the officers haven’t arrived by then. The dispatcher was unable to give me an ETA but said that the officers will try to be here ASAP.
- she FINALLY replied to me around 7:30pm. She was very angry that I “lied to Rover” by telling them she wasn’t giving me an ETA. She said I need to come through NOW because if I’m not here by the time she “gets too comfortable and falls asleep” she’s not opening the door for me and I’ll have to “try again another time”. She’s also “extending the stay” on Rover so this could def be an attempt to extort money from me.
- if I don’t get him back TONIGHT I’m filing charges first thing tomorrow morning.
- Several people have been asking where this is all happening. This situation is taking place in San Jose, CA.
I understand that everybody is eager for an update and I am extremely grateful for the support. But there really hasn’t been an update in that I STILL don’t have him back yet. I was supposed to have him back 24 hours ago. Also, I’ll do my best to keep everybody updated but I am trying to just hold myself together enough to get him back. I haven’t slept in like 2 days and I haven’t been able to eat at all today because I’m too nauseous and anxious to get anything down so please be patient with me.
I’d like to also give a GINORMOUS hug to my friend that posted this thread. She’s been constantly there for me the entire day and checking in and doing everything she can to help me out. She’s also been posting updates on my behalf when I was too emotionally messed up to.
November 27, 2022 (9pm)
Cops are currently knocking at her door. My dad and I are waiting in my car nearby for an update. They’ve been up there for some time so I’m hoping they made progress.
November 27, 2022 (10pm)
UPDATE 2 11/27 10 PM: The police have entered the sitter's house, while the owner observed from outside. Legally, they could not force the sitter to allow entry. CHEESE WAS SPOTTED! Unfortunately, they again had issues retrieving him, as he was under furniture. The sitter did ask police to leave her house, and communicated to them that she will contact the owner tomorrow for another pickup. It's infuriating that there is this much red tape, but at least he's safe and located. If she does not allow the owner in again tomorrow, then the police will return.
on November 28, 2022 (10am)
One more update morning of 11/28 10AM:
- sitter told me to come back at 1pm and she told me to call animal control (she’s willing to let animal control inside) because they’ll have the tools to trap him but no animal control in my area is available today. However, all the animal control 3rd party agencies I called said all they would do is trap Cheese (my cat) in a cage that they would lure him into using sardines. Given how motivated he is by food, I’m thinking if I can make the cage look like his cave bed, especially if I use my blanket that he loves, he might be more likely to go in.
- I’m going to be going with civil standby officers to her house again today because she let them in yesterday. Unfortunately because he is considered property, the emergency cops say they can’t do anything because it would be civil jurisdiction and not criminal (which is BULLSHIT and I am honestly LIVID about it but there still isn’t anything I can do about it) but the civil standby officers yesterday were able to go inside her home and spot Cheese (they told me he is safe and uninjured, just extremely scared) so I’m assuming she’ll let them in today as well.
Hopefully with the combination of the cops and the trap, I’ll be able to get him home today.
Honestly I’m just fucking exhausted and sad and I’m doing everything I possibly can to get my poor baby back. I just hate everything right now and I’m so stressed but I’m trying so hard to think positively; the cops said she was pretty adamant on getting him back to me because she’s fed up about the situation (even though she STILL won’t let me into her residence??) and I talked on the phone with the sitter this morning and she was relatively cooperative. I’m just so so tired and I just want him back.
ALSO, I saw that some people have found the sitter on Rover. If you have, PLEASE PLEASE PLEASE PLEASE PLEASE DO NOT LEAVE ANY NEGATIVE REVIEWS UNTIL I HAVE CHEESE BACK. DO NOT ATTEMPT TO CONTACT HER. PLEASE. SHE IS ALREADY EXTREMELY ANGRY AND WE DO NOT NEED HER TO BE ANY LESS COOPERATIVE THAN SHE IS AT THIS MOMENT.
on November 28, 2022 (10pm)
Update 11/28 10PM:
- STILL haven’t gotten him back.
- police really cannot do anything to force her to let me in so I decided my ONLY option to get him soon would be to work with her and try to figure out what can be done without going inside
- I bought and set up a Havahart cat trap (they are humane) and placed sardines inside. around 3pm today, I gave it to her and she took it inside but he still isn’t getting in. She hasn’t fed him today because we are hoping that when he gets hungry enough he will go into the cage by himself.
- if he isn’t inside the cage by the time she wakes up tomorrow I’m calling a local Animal Trapper because she is willing to let animal control in. This trapper has been extremely helpful and optimistic; she really believes that eventually Cheese WILL get hungry and curious enough to go inside the cage to get the sardines. But apparently domesticated cats usually take longer to get in because they’re not AS hungry. However, if he doesn’t, she will use her catchpoke (stick with loop at the end she can use to drag him into the trap) to force him into the trap. It sucks because he’ll be terrified and will hate it but at this point since the sitter is STILL not letting me in and I have no fucking laws that are on my side here that would force her to let me in so that is my only option
- will update when I can tomorrow.
I REALLY REALLY need success stories about trapping cats. I need to hear about ANY AND ALL times you guys have been successful in trapping cats. My anxiety is going haywire and I’m so beyond worried he won’t get into the trap or that the animal trapper won’t be able to reach him if he goes under the bed. I just need reassurance that we’ll be able to trap him. I need to be able to breathe through tonight.
Please also send any positive stories about owners being reunited with their pets. PLEASE no stories that ended without a reunion, I really don’t need to hear that right now.
Thank you 💞
EDIT 11/29 6:30AM:
- HE IS SUCCESSFULLY TRAPPED IN THE CAGE!!!! I AM SO FUCKING HAPPYYYYY!!!
- the sitter told me to go pick him up at 8:30am. I double checked that she’s able to pick up and move the cage as she previously stated she’s not physical enough to move the bed and I just really don’t want any more obstacles (he’s a big cat around 15lbs) and she said she’s sure she can. I am so happy right now.
EDIT 11/29 9AM:
THE UPDATE YOU’VE ALL BEEN WAITING FOR!! HE IS SAFELY AT HOME WITH HIS FAMILY!!! Will write more later but rn just spending time with him!!
November 29, 2022 (9am)
FINAL UPDATE 11/29 9 AM: CHEESE IS HOME! The owner will make an update at some point, but thanks for all your support and care for Cheese. See her update here.
November 29, 2022 (9:30am)
11/29 9:30AM- (SEMI) FINAL UPDATE THAT YOU HAVE ALL BEEN WAITING FOR:
CHEESE IS FINALLY BACK HOME WITH HIS FAMILY!!
WE ARE SO FUCKIMG HAPPY RIGHT WE MISSED HIM SO MUCH AND WE WERE SO WORRIED!!! I picked him up about an hour ago.
I’m gonna spend today just chilling with him and then tomorrow I’m gonna start figuring out what to do to make sure nobody else goes through this.
thank you to everybody for the support!!! knowing that so many people were looking out for my baby was so helpful in keeping my morale up. ESPECIALLY thankful for OP (my homegirl and also former housemate in college <3) for everything she has done for me, from making this post to checking in on me regularly to posting in the legal advice subreddit to find out what all options I had in this situation.
Idk how to post pics in a Reddit comment, but here is a link to one of my previous posts with some pictures of my silly boy <3 https://www.reddit.com/CatsCalledFood/comments/x64bun/my_cat_cheese_just_adopted_him_last_month_and_we/?utm_source=share&utm_medium=ios_app&utm_name=iossmf Comments
November 29, 2022 1pm:
He is his normal silly snuggly self!! He hid in the closet for a few minutes but was immediately in my lap after that. And of course loudly meowing for breakfast which I missed 💞 I had to go to work so I don’t know how he’s doing at the moment but I’ll be home in about 2 hours so I’ll do my best to update one more time on his behavior then!!
edit: another update about his behavior- He’s a little bit shier than he was before I dropped him off at the sitter (he sat in the closet a few times today whenever there were unexpected noises in the house, such as the roomba that my parents auto set to turn on at 4pm every day and also my brother doing burpees in his room LOL but him being a little scared is to be expected given what a stressful situation he was just in) but overall he is doing well!! He is currently lying on my tummy enjoying butt scratches.
I am still recovering from the experience as well, I still get somewhat nervous that I’m gonna wake up and it was just a dream that I got him back or something and I’m not fully back to my normal self but both Cheese and I will be healed soon 💞 Various all around 11pm:
It definitely didn’t make sense.
She said she was too afraid to pick him up because he “had his claws out” (because he was scared) and “it isn’t worth getting scratched over such silliness”. She also said if he scratches her she WOULD go to the hospital and I would have to pay her hospital bills (I told Rover support about this and they said that according to the business contract sitters have with Rover that’s simply not true).
My cat allows me to put him into his carrier. He’s not thrilled about it, but he doesn’t let his claws out and he just gives in to the fact that he’s gonna get into the carrier. But even when I told her that she refused to let me in. She was upset that the situation hadn’t been resolved but refused to let me in even though I’d be the most likely to be able to resolve it.
She refused to even open her front door enough for me to properly see Cheese. I was able to see him after he had turned around, but he wouldn’t have been able to see me because I wasn’t even in the doorway yet before he turned around and walked away. But she said the fact that he “turned around after seeing me” made it clear that even if I went inside to call him that wouldn’t work because he “doesn’t like me”. It was absolute bullshit that made NO sense at all but he’s back home with me now which is all that matters.
Idk what sitter you found but if it’s the same one that others found (not sure who they found either tho) but I’m p sure y’all have found the correct one.
Haven’t had the energy to leave a review today but I plan to leave a review and a written statement tomorrow !!
I most definitely didn’t accept [an extension of the booking]!! Rover also told me not to accept it and they said they’re giving me a full refund too
(via edit) from u/guccigrandma_
November 30, 2022 (10am) Edit
- Just spoke to Rover, they want to get my written statement about the situation so that they can do a safety evaluation on the sitter. They also have copies of our correspondence since almost all of it was via text, and she has sent me some extremely rude messages that clearly show she has no empathy/concern for either me or Cheese, so I will definitely tell them to look through our messages as well.
November 30, 2022 (11am)
All of those messages were before I got Cheese back. There has been no correspondence since I got him back and I plan to keep it that way.
I have no idea if she actually attempted, to be honest, as she refused to even let me GLANCE inside to see how she was trying to put Cheese inside the carrier.
She DID extend the stay (she modified the booking to reflect the added time) but of course I did not accept it. So it definitely looks like she was trying to extort me or something.
But on the other hand, she kept saying she was angry this was going on so long because she has other bookings coming up so she needs him out, but was doing pretty much nothing to actually facilitate getting him out of her apartment and back to me.
Yep, he was a rescue!! I adopted him a few months ago and he is 4 years old, and I have no idea what he went through before I adopted him, but it’s clear it’s hard for him to trust others. This was my first time using a cat sitter (apart from really soon after I adopted him which is a long story, but the sitter allowed me inside to put him in his carrier).
The cops basically stated that I have no right to know anything about her room/apartment and her life if she does not give consent. They refused to tell me ANYTHING and just said that they don’t fault her for not letting a stranger in, despite me repeatedly saying that she has my CAT (my property) and they said they couldn’t do anything about it unless I pressed criminal charges, in which case a judge might be willing to issue a warrant to search and seize my cat back, but then they told me that this would be a civil case because he is my property, not criminal, so there’s nothing I could do to get my cat back through a legal approach.
The cop then shamed me for using Rover in the first place and said she doesn’t let anybody other than friends and family sit her dog. Obviously I would’ve preferred that too, but none of my friends nor family was available to catsit.
It was a COMMENTER that ultimately told me I might be able to go through a magistrate to get a search warrant even on a civil case. I’m really grateful for that advice but by the time I saw it I’m pretty sure he was already in the cat trap.
And Cheese is doing very well now. He’s eating a bit less than before, but he’s already back to refusing to get off my lap which I missed. It’s hilarious because the sitter literally called Rover in FRONT of me and tried to tell them that she thought Cheese is scared of me and that’s why he wouldn’t get into the carrier (which again doesn’t make sense but nothing about this situation does).
Just to clarify- she never let me in for anything. She didn’t even let me get within a foot of her doorway and refused to open the door more than just the space needed for her to look outside the door.
I felt so guilty at first for leaving my cat with a sitter rather than friends or family until I remembered that she had really good reviews so this wasn’t my fault.
The cops seemed so apathetic to my situation, but I didn’t have a good view of them to begin with. I only called them because I felt like maybe when she saw them she would be intimidated enough to let me in.
I haven’t left a review on her account yet, and here’s why-
- I’m not sure how rover reviews work and if sitters can respond to reviews, because if they can I have NO DOUBT that if she can, she would do everything possible to make ME look bad and she’s a pro at adding in false details. I’m worried that somebody would see her response to me, believe her over me, and book with her anyway. IF somebody confirms to me that sitters cannot respond to reviews, I will absolutely leave a review.
- THAT BEING SAID, I am going to give a written statement to Rover (currently just waiting for their email with the sheet where I can write the statement) that goes into very close little details. Hopefully they will ban her. Either way, as long as I get confirmation that sitters can’t respond to reviews, I will leave a negative review.
| || |As the Fed begins their journey into a deflationary blizzard, they are beginning to break markets across the globe. As the World Reserve Currency, over 60% of all international trade is done in Dollars, and USDs are the largest Foreign Exchange (Forex) holdings by far for global central banks. Now all foreign currencies are crashing against the Dollar as the vicious feedback loops of Triffin’s Dilemma come home to roost. The Dollar Milkshake has begun. The Fed, knowingly or unknowingly, has walked into this trap- and now they find themselves caught underneath the Sword of Damocles, with no way out… submitted by peruvian_bull to Superstonk [link] [comments]
Sword Of Damocles
“The famed “sword of Damocles” dates back to an ancient moral parable popularized by the Roman philosopher Cicero in his 45 B.C. book “Tusculan Disputations.” Cicero’s version of the tale centers on Dionysius II, a tyrannical king who once ruled over the Sicilian city of Syracuse during the fourth and fifth centuries B.C.
Though rich and powerful, Dionysius was supremely unhappy. His iron-fisted rule had made him many enemies, and he was tormented by fears of assassination—so much so that he slept in a bedchamber surrounded by a moat and only trusted his daughters to shave his beard with a razor.
As Cicero tells it, the king’s dissatisfaction came to a head one day after a court flatterer named Damocles showered him with compliments and remarked how blissful his life must be. “Since this life delights you,” an annoyed Dionysius replied, “do you wish to taste it yourself and make a trial of my good fortune?” When Damocles agreed, Dionysius seated him on a golden couch and ordered a host of servants wait on him. He was treated to succulent cuts of meat and lavished with scented perfumes and ointments. Damocles couldn’t believe his luck, but just as he was starting to enjoy the life of a king, he noticed that Dionysius had also hung a razor-sharp sword from the ceiling. It was positioned over Damocles’ head, suspended only by a single strand of horsehair. From then on, the courtier’s fear for his life made it impossible for him to savor the opulence of the feast or enjoy the servants. After casting several nervous glances at the blade dangling above him, he asked to be excused, saying he no longer wished to be so fortunate.”
Damocles’ story is a cautionary tale of being careful of what you wish for- Those who strive for power often unknowingly create the very systems that lead to their own eventual downfall. The Sword is often used as a metaphor for a looming danger; a hidden trap that can obliterate those unaware of the great risk that hegemony brings. Heavy lies the head which wears the crown.
There are several Swords of Damocles hanging over the world today, but the one least understood and least believed until now is Triffin’s Dilemma, which lays the bedrock for the Dollar Milkshake Theory. I’ve already written extensively about Triffin’s Dilemma around a year ago in Part 1.5 and Part 4.3 of my Dollar Endgame Series, but let’s recap again.
Here’s a great summary- read both sides of the dilemma:
Triffin's Dilemma Summarized
(Seriously, stop here and go back and read Part 1.5 and Part 4.3 Do it!)
Essentially, Triffin noted that there was a fundamental flaw in the system: by virtue of the fact that the United States is a World Reserve Currency holder, the global financial system has built in GLOBAL demand for Dollars. No other fiat currency has this.
How is this demand remedied? With supply of course! The United States thus is forced to run current account deficits
- meaning it must send more dollars out into the world than it receives on a net basis. This has several implications, which again, I already outlined- but I will list in summary format below:
- The United States has to be a net importer, ie it must run trade deficits, in order to supply the world with dollars. Remember, dollars and goods are opposite sides of the same equation, so a greater trade deficits means that more dollars are flowing out to the world.
- (This will devastate US domestic manufacturing, causing political/social/economic issues at home.)
- These dollars flow outwards into the global economy, and are picked up by institutions in a variety of ways.
- First, foreign central banks will have to hold dollars as Foreign Exchange Reserves to defend their currency in case of attack on the Forex markets. This was demonstrated during the Asian Financial Crisis of 1997-98, when the Thai Baht, Malaysian Ringgit, and Philippine Peso (among other East Asian currencies) plunged against the Dollar. Their central banks attempted to defend the pegs but they failed.
- Second, companies will need Dollars for trade- as the USD makes up over 60% of global trade volume, and has the deepest and most liquid forex market by far, even small firms that need to transact cross border trade will have to acquire USDs in order to operate. When South Africa and Chile trade, they don’t want to use Mexican Pesos or Korean Won- they want Dollars.
- Foreign governments need dollars. There are several countries already who have adopted the Dollar as a replacement for their own currency- Ecuador and Zimbabwe being prime examples. There’s a full list here.
- Third world governments that don’t fully adopt dollars as their own currencies will still use them to borrow. Argentina has 70% of it’s debt denominated in dollars and Indonesia has 30%, for example. Dollar-denominated debt will build up overseas.
The example I gave in Part 1.5 was that of Liberia, a small West African Nation looking to enter global trade. Needing to hold dollars as part of their exchange reserves, the Liberian Central Bank begins buying USDs on the open market. The process works in a similar fashion for large Liberian export companies.
Essentially, they print their own currency to buy Dollars. Wanting to earn interest on this massive cash hoard when it isn’t being used, they buy Treasuries and other US debt securities to get a yield.
As their domestic economy grows, their need and dependence on the Dollar grows as well. Their Central Bank builds up larger and larger hoards of Treasuries and Dollars. The entire thesis is that during times of crisis, they can sell the Treasuries for USD, and use the USDs to buy back their own currency on the market- supporting its value and therefore defending the peg.
This buying pressure on USDs and Treasuries confers a massive benefit to the United States-
The Exorbitant Privilege
This buildup of excess dollars ends up circulating overseas in banks, trade brokers, central banks, governments and companies. These overseas dollars are called the Eurodollar
system- a 2016 research paper
estimated the size to be around $13.8 Trillion USD. This system is not under official Federal Reserve jurisdiction so it is difficult to get accurate numbers on its size.
This means the Dollar is always artificially stronger than it should be- and during financial calamity, the dollar is a safe haven as there are guaranteed bidders. All this dollar denominated debt paired with the global need for dollars in trade creates strong and persistent dollar demand. Demand that MUST be satisfied. This creates systemic risk on a worldwide scale- an unforeseen Sword of Damocles that hangs above the global financial system. I’ve been trying to foreshadow this in my Dollar Endgame Series. Triffin’s Dilemma is the basis for the Dollar Milkshake Theory posited by Brent Johnson.
The Dollar Milkshake
Milkshake of Liquidity In 2021, Brent worked with RealVision to create a short summary of his thesis- the video can be found here. I should note that Brent has had this theory for years, dating back to 2018, when he first came on podcasts and interviews and laid out his theory (like this video, for example).
Here’s the summary below:
----- “A giant milkshake of liquidity has been created by global central banks with the dollar as its key ingredient - but if the dollar moves higher this milkshake will be sucked into the US creating a vicious spiral that could quickly destabilize financial markets. The US dollar is the bedrock of the world's financial system. It greases the wheels of global commerce and exchange- the availability of dollars, cost of dollars, and the level of the dollar itself each can have an outsized impact on economies and investment opportunities.
But more important than the absolute level or availability of dollars is the rate of change in the level of the dollar. If the level of the dollar moves too quickly and particularly if the level rises too fast then problems start popping up all over the place (foreign countries begin defaulting).
Today however many people are convinced that both the role of the Dollar is diminishing and the level of the dollar will only decline. People think that the US is printing so many dollars that the world will be awash with the greenback causing the value of the dollar to fall.
Now it's true that the US is printing a lot of dollars – but other countries are also printing their own currencies in similar amounts so in theory it should even out in terms of value. But the hidden issue is the difference in demand. Remember the global financial system is built on the US dollar which means even if they don't want them everybody still needs them and if you need something you don't really have much choice. (See DXY Index):
Although many countries like China are trying to reduce their reliance on dollar transactions this will be a very slow transition. In the meantime the risks of a currency or sovereign debt crisis continue to rise.
But now countries like China and Japan need dollars to buy copper from Australia so the Chinese and the Japanese owe dollars and Australia is getting paid in dollars.
Europe and Asia currently doing very limited amount of non-dollar transactions for oil so they still need dollars to buy oil from saudi and again dollars get hoovered up on both sides
Asia and Europe need dollars to buy soybeans from Brazil. This pulls in yet more dollars - everybody needs dollars for trade invoices, central bank currency reserves and servicing massive cross-border dollar denominated debts of governments and corporations outside the USA.
And the dollar-denominated debt is key- if they don't service their debts or walk away from their dollar debts their funding costs rise putting great financial pressure on their domestic economies. Not only that, it can lead to a credit contraction and a rapid tightening of dollar supply.
The US is happy with the reliance on the greenback they own the settlement system which benefits the US banks who process all the dollars and act as gatekeepers to the Dollar system they police and control the access to the system which benefits the US military machine where defense spending is in excess of any other country so naturally the US benefits from the massive volumes of dollar usage.
Other countries have naturally been grumbling about being held hostage to the situation but the choices are limited. What it does mean is that dollars need to be constantly sucked out of the USA because other countries all over the world need them to do business and of course the more people there are who need and want those dollars the more is the pressure on the price of dollars to go up. In fact, global demand is so high that the supply of dollars is just not enough to keep up, even with the US continually printing money. This is why we haven't seen consistently rising US inflation despite so many QE and stimulus programs since the global financial crisis in 2008.
But, the real risk comes when other economies start to slow down or when the US starts to grow relative to the other economies. If there is relatively less economic activity elsewhere in the world then there are fewer dollars in global circulation for others to use in their daily business and of course if there are fewer in circulation then the price goes up as people chase that dwindling source of dollars.
Which is terrible for countries that are slowing down because just when they are suffering economically they still need to pay for many goods in dollars and they still need to service their debts which of course are often in dollars too.
So the vortex begins or as we like to say the dollar milkshake- As the level of the dollar rises the rest of the world needs to print more and more of its own currency to then convert to dollars to pay for goods and to service its dollar debt this means the dollar just keeps on rising in response many countries will be forced to devalue their own currencies so of course the dollar rises again and this puts a huge strain on the global system.
(see the charts below:) JPY/USD
To make matters worse in this environment the US looks like an attractive safe haven so the US ends up sucking in the capital from the rest of the world-the dollar rises again. Pretty soon you have a full-scale sovereign bond and currency crisis.
We're now into that final napalm run that sees the dollar and dollar assets accelerate even higher and this completely undermines global markets. Central banks try to prevent disorderly moves, but the global markets are bigger and the momentum unstoppable once it takes hold. And that is the risk that very few people see coming but that everyone should have a hedge against - when the US sucks up the dollar milkshake, bad things are going to happen.
Worst of all there's no alternatives- what are you going to use-- Chinese Yuan? Japanese Yen? the Euro?? Now, like it or not we're stuck with a dollar underpinning the global financial system.” —------------- Why is it playing out now, in real time?? It all leads back to a tweet I made in a thread on September 16th.
Tweet Thread about the Yuan
The Fed, rushing to avoid a financial crisis in March 2020, printed trillions. This spurred inflation, which they then swore to fight. Thus they began hiking interest rates on March 16th, and began Quantitative Tightening this summer. QE had stopped- No new dollars were flowing out into a system which has a constant demand for them. Worse yet, they were hiking completely blind- Although the Fed is very far behind the curve, (meaning they are hiking far too late to really combat inflation)- other countries are even farther behind!
Japan has rates currently at 0.00- 0.25%, and the Eurozone is at 1.25%. These central banks have barely begun hiking, and some even swear to keep them at the zero-bound. By hiking domestic interest rates above foreign ones, the Fed is incentivizing what are called carry trades.
Since there is a spread between the Yen and the Dollar in terms of interest rates, it thus is profitable for traders to borrow in Yen (shorting it essentially) and buy Dollars, which can earn 2.25% interest. The spread would be around 2%.
DXY rises, and the Yen falls, in a vicious feedback loop.
Thus capital flows out of Japan, and into the US. The US sucks up the Dollar Milkshake, draining global liquidity. As I’ve stated before, this has seriously dangerous implications for the global financial system.
For those of you who don’t believe this could be foreseen, check out the ending paragraphs of Dollar Endgame Part 4.3 - “Economic Warfare and the End of Bretton Woods
” published February 16, 2022:
Triffin's Dilemma is the Final Nail
What I’ve been attempting to do in my work is restate Triffins’ Dilemma, and by extension the Dollar Milkshake, in other terms- to come at the issue from different angles.
Currently the Fed is not printing money. Which is thus causing havoc in global trade (seen in the currency markets) because not enough dollars are flowing out to satisfy demand. The Fed must therefore restart QE unless it wants to spur a collapse on a global scale. Remember, all these foreign countries NEED to buy, borrow and trade in a currency that THEY CANNOT PRINT!
We do not have enough time here to go in depth on the Yen, Yuan, Pound or the Euro- all these currencies have different macro factors and trade factors which affect their currencies to a large degree. But the largest factor by FAR is Triffin’s Dilemma + the Dollar Milkshake, and their desperate need for dollars. That is why basically every fiat currency is collapsing versus the Dollar.
The Fed, knowingly or not, is basically in charge of the global financial system. They may shout, “We raise rates in the US to fight inflation, global consequences be damned!!” - But that’s a hell of a lot more difficult to follow when large G7 countries are in the early stages of a full blown currency crisis. The most serious implication is that the Fed is responsible for supplying dollars to everyone. When they raise rates, they trigger a margin call on the entire world. They need to bail them out by supplying them with fresh dollars to stabilize their currencies. In other words, the Fed has to run the loosest and most accommodative monetary policy worldwide- they must keep rates as low as possible, and print as much as possible, in order to keep the global financial system running.
If they don’t do that, sovereigns begin to blow up, like Japan did last week
and like England did on Wednesday
. And if the world’s financial system implodes, they must bail out not only the United States, but virtually every global central bank. This is the Sword of Damocles.
The money needed for this would be well in the dozens of trillions.
The Dollar Endgame Approaches…
(Many of you have been messaging me with questions, rebuttals or comments. I’ll do my best to answer some of the more poignant ones here.)
—----- Q: I’ve been reading your work, you keep saying the dollar is going to fall in value, and be inflated away. Now you’re switching sides and joining the dollar bull faction. Seems like you don’t know what you’re talking about!
A: You’re mixing up my statements. When I discuss the dollar losing value, I am referring to it falling in ABSOLUTE value, against goods and services produced in the real economy. This is what is called inflation. I made this call in 2021, and so far, it has proven right as inflation has accelerated.
The dollar gaining strength ONLY applies to foreign currency exchange markets (Forex)- remember, DXY, JPYUSD, and other currency pairs are RELATIVE indicators of value. Therefore, both JPY and USD can be falling in real terms (inflation) but if one is falling faster, then that one will lose value relative to the other. Also, Forex markets are correlated with, but not an exact match, for inflation.
I attempted to foreshadow the entire dollar bull thesis in the conclusion of Part 1 of the Dollar Endgame, posted well over a year ago-
Unraveling of the Currency Markets
I did not give an estimate on when this would happen, or how long DXY would be whipsawed upwards, because I truly do not know.
I do know that eventually the Fed will likely open up swap lines, flooding the Eurodollar market with fresh greenbacks and easing the dollar short squeeze. Then selling pressure will resume on the dollar. They would only likely do this when things get truly calamitous- and we are on our way towards getting there.
The US bond market is currently in dire straits, which matches the prediction of spiking interest rates. The 2yr Treasury is at 4.1%, it was at 3.9% just a few days ago. Only a matter of time until the selloff gets worse.
—------ Q: Foreign Central banks can find a way out. They can just use their reserves to buy back their own currency.
Sure, they can try that. It’ll work for a while- but what happens once they run out of reserves, which basically always happens? I can’t think of a time in financial history that a country has been able to defend a currency peg against a sustained attack.
Global Forex Reserves
They’ll run out of bullets, like they always do, and basically the only option left will be to hike interest rates, to attract capital to flow back into their country. But how will they do that with global debt to GDP at 356%? If all these countries do that, they will cause a global depression on a scale never seen before.
Britain, for example, has a bit over $100B of reserves. That provides maybe a few months of cover in the Forex markets until they’re done. Furthermore, you are ignoring another vicious feedback loop. When the foreign banks sell US Treasuries, this drives up yields in the US, which makes even more capital flow to the US! This weakens their currency even further.
FX Feedback Loop
To add insult to injury, this increases US Treasury borrowing costs, which means even if the Fed completely ignores the global economy imploding, the US will pay much more in interest. We will reach insolvency even faster than anyone believes. The 2yr Treasury bond is above 4%- with $31T of debt, that means when we refinance we will pay $1.24 Trillion in interest alone. Who's going to buy that debt? The only entity with a balance sheet large enough to absorb that is the Fed. Restarting QE in 3...2…1… —---- Q: I live in England. With the Pound collapsing, what can I do? What will happen from here? How will the governments respond?
England, and Europe in general, is in serious trouble. You guys are currently facing a severe energy crisis stemming from Russia cutting off Nord Stream 1 in early September and now with Nord Stream 2 offline due to a mysterious leak, energy supplies will be even more tight.
Not to mention, you have a pretty high debt to GDP at 95
%. Britain is a net importer, and is still running government deficits of £15.8 billion (recorded in Q1 2022). Basically, you guys are the United States without your own large scale energy and defense sector, and without Empire status and a World Reserve Currency that you once had.
The Pound will almost certainly continue falling against the Dollar. The Bank of England panicked on Wednesday in reaction to a $100M margin call on British pension funds
, and now has begun buying long dated (10yr) gilts, or government bonds.
They’re doing this as inflation is spiking there even worse than the US, and the nation faces a currency crisis as the Pound is nearing parity with the Dollar.
BOE announces bond-buying scheme (9/28/22)
I will not sugarcoat it, things will get rough. You need to hold cash, make sure your job, business, or investments are secure (ie you have cashflow) and hunker down. Eliminate any unnecessary purchases. If you can, buy USDs as they will likely continue to rise and will hold value better than your own currency.
If Parliament goes through with more tax cuts, that will only make the fiscal situation worse and result in more borrowing, and thus more money printing in the end.
—---- Q: What does this mean for Gamestop? For the domestic US economy?
Gamestop will continue to operate as I am sure they have been- investing in growth and expanding their Web3 platform.
Fiat is fundamentally broken. This much is clear- we need a new financial system not based on flawed 16th fractional banking principles or “trust me bro” financial intermediaries.
My hope is that they are at the forefront of a new financial system which does not require centralized authorities or custodians- one where you truly own your assets, and debasement is impossible.
I haven’t really written about GME extensively because it’s been covered so well by others, and I don’t feel I have that much to add.
As for the US economy, we are still in a deep recession, no matter what the politicians say- and it will get worse. But our economic troubles, at least in the short term (6 months) will not be as severe as the rest of the world due to the aforementioned Dollar Milkshake.
The debt crisis is still looming, midterms are approaching, and the government continues to deficit spend as if there’s no tomorrow.
As the global monetary system unravels, yields will spike, the deleveraging will get worse, and our dollar will get stronger. The fundamental factors continue to deteriorate.
I’ve covered the US enough so I'll leave it there.
—------ Q: Did you know about the Dollar Milkshake Theory before recently? What did you think of it?
Of course I knew about it, I’ve been following Brent Johnson since he appeared on RealVision and Macrovoices. He laid out the entire theory in 2018 in a long form interview here
. I listened to it maybe a couple times, and at the time I thought he was right- I just didn’t know how right he was.
Brent and I have followed each other and been chatting a little on Twitter- his handle is SantiagoAuFund
, I highly recommend you give him a follow.
I’ve never met him in person, but from what I can see, his predictions are more accurate than almost anyone else in finance. Again, all credit to him- he truly understands the global monetary system on a fundamental level.
I believed him when he said the dollar would rally- but the speed and strength of the rally has surprised me. I’ve heard him predict DXY could go to 150, mirroring the massive DXY squeeze post the 1970s stagflation. He could very easily be right- and the absolute chaos this would mean for global trade and finance are unfathomable.
History of DXY
—---------- Q: The Pound and Euro are falling just because of the energy crisis there. That's it!
Why is the Yen falling then? How about the Yuan? Those countries are not currently undergoing an energy crisis. Let’s review the year to date performance of most fiat currencies vs the dollar:
Japanese Yen: -20.31%
Chinese Yuan: -10.79%
South African Rand: -10.95%
English Pound: -18.18%
Swiss Franc: -6.89%
South Korean Won: -16.73%
Indian Rupee: -8.60%
Turkish Lira: -27.95%
There are only a handful of currencies positive against the dollar, the most notable being the Russian Ruble and the Brazilian Real- two countries which have massive commodity resources and are strong exporters. In an inflationary environment, hard assets do best, so this is no surprise.
—------ Q: What can the average person do to prepare? What are you doing?
Obligatory this is NOT financial advice
This is an extremely difficult question, as there are so many factors. You need to ask yourself, what is your financial situation like? How much disposable income do you have? What things could you cut back on? I can’t give you specific ideas without knowing your situation.
Personally, I am building up savings and cutting down on expenses. I’m getting ready for a severe recession/depression in the US and trying to find ways to increase my income, maybe a side hustle or switching jobs.
I am holding my GME and not selling- I still have some shares in Fidelity that I need to DRS (I know, sorry, I was procrastinating).
For the next few months, I believe there will be accelerating deflation as interest rates spike and the debt cycle begins to unwind. But like I’ve stated before, this will lead us towards a second Great Depression very rapidly, and to avoid the deflationary blizzard the Fed will restart QE on a scale never seen before.
QE Infinity. This will be the impetus for even worse inflation- 25%+ by this time next year. It’s hard to prepare for this, and easy to feel hopeless. It’s important to know that we have been through monetary crises before, and society did not devolve into a zombie apocalypse. You are not alone, and we will get through this together.
It’s also important to note that we are holding the most lopsided investment opportunity of a generation. Any money you put in there can be grown by orders of magnitude.
We are at the end of the Central Bankers game- and although it will be painful, we will rid the world of them, I believe, and build a new financial system based on blockchains which will disintermediate the institutions. They have everything to lose.
—------ Q: I want to learn more, where can I do? What can I do to keep up to date with everything?
You can start by reading books, listening to podcasts, and checking the news to stay abreast of developments. I have a book list linked at the end of the Dollar Endgame posts.
I’ll be covering the central bank clown show on Twitter, you can follow me there if you like. I’ll also include links to some of my favorite macro people below:
I’m still finishing up the finale for Dollar Endgame
- I should have it out soon. I’m also writing an addendum to the series which is purely Q&A to answer questions and concerns. Sorry for the wait.
—------------------- Nothing on this Post constitutes investment advice, performance data or any recommendation that any security, portfolio of securities, investment product, transaction or investment strategy is suitable for any specific person.
Although the general consensus on UK based subs appears to be that most support NHS strikes I have seen some pushback. People are concerned about the impact of elective surgeries being cancelled which could potentially causing more harm/deaths. I am basically writing putting this out into the world as my perspective as a nurse working in a surgical HDU (which mostly takes cardiac and vascular patients) at a London Centre for Excellence on why we need this short-term disruption to have any hope of making the system better in the long-term.
At the end of the day, the outcome of an elective surgery being cancelled due to strike action is no different from the surgery being cancelled and pushed back on the day of the operation because there are no beds or staff to adequately care for the patient. This is something that is already happening every single day. Now say you are an elective CABG patient and your surgery is scheduled on a strike day and it is cancelled ahead of time. This will be extremely frustrating of course, particularly if you booked the time off work already, but at least you have due warning so you didn't waste your day packing/fasting/traveling to the hospital.
Now imagine that this doesn’t happen, and you come in first thing in the morning on the ward or the surgical admission lounge/unit, etc. You haven’t eaten since supper yesterday and you last had a drink of water at 06:00 as your pre-op booklet instructed you to. The nurse sees you and maybe takes some blood you’re your observations and gets you into a hospital gown. She doesn’t know what time you’ll be taken to the theatre exactly as this depends on the list/theatre coordinatotime the porters arrive etc. The surgeon and anaesthetist came to see you to take your consent for the operation. They tell you you’re currently second on the list so you should hopefully be heading down to theatres a bit after midday – I am now naming “you” in this scenario Patient B. Patient A is a simple case that will be ‘quickly’ done before you. You understand but the wait starts to make you increasingly anxious to get going and your hunger eventually starts giving way to nausea which makes you feel worse while you wait.
Eventually, it’s 14:00 and you’re absolutely starving. You find yourself getting into an argument with one of the nurses about what is taking so long because you were led to believe that you will be going down at 12:00 and you can’t be expected to carry on like this. The nurse tells you she’ll do her best to find out what is going on and then she flits off again. Maybe you follow her out to check that she’s doing what she says she will. You stand over her at the nurse’s station and don’t see her calling the surgical team, she is “just typing at the computer”. She tells you that she bleeped the team but is waiting for a callback, they’re busy in theatre and she doesn’t know what time they’ll be done with their current case.
Multiple other patients start confronting her about the wait time too. What could possibly be taking so long? Your appointment letter said to be here at 08:00 and that’s exactly what you did.
Suddenly it’s 17:30 and you hear that you might be cancelled as there’s “no bed” for you or there’s no staff to do the op or recover you or your surgeon has left the theatres. You’re furious because you’re parched and hangry and upset enough at being made to wait all day as it is. You’ve held up your end of the bargain and done everything right.? How could this happen? Well….
First of all, I don’t know why but the approximate time of “after midday” always seems to become an ironclad promise in the minds of any patient that that is when they are getting whatever said treatment. It is a guideline rather than a guarantee, please remember that.
Surgeons, their assistants, and scrub nurses are human too and might be taken ill throughout the course of the day, having come in when they really shouldn’t have in the first place. These healthcare professionals must often stand in one position whilst wearing very heavy and extensive PPE with 100% focus on a single series of tasks for hours at a time with no opportunity for breaks and drinks of water etc. They need to break for lunch and to use the toilets as much as any other person and often do not have the opportunity to do so without a significant personal toll. I would like all who are unconvinced by this to please watch a couple of minutes of the following video which features a surgical registrar that was being followed around his work as part of a docu-series on the challenges faced by junior doctors in the NHS who was taken ill with kidney stones due to not being able to stop to drink enough water during work hours.
(I would also recommend the series in general if you have the time it's eye-opening stufff) Now on a well-staffed day there are circulating members of staff around who can scrub in and relieve the original nurse/surgeon to allow them to take a comfort break but of course, this is not always possible, particularly in the winter due to sickness absence and the summer months due to annual leave.
None of the above even begins to account for any serious intraoperative complications that extend Patient As operating time. They can’t exactly ditch Patient A who is bleeding out to die just so that they can crack on with Patient Bs surgery. There is also no accounting for post-operative patients on the ward becoming very unwell and needing the surgeon’s attention and advice. Perhaps the surgeon had to leave theatres because there was a cardiac arrest on HDU and they had to go and do an emergency re-sternotomy on the patient in an attempt to resuscitate them.
Now the process of moving through the hospital according to levels of care during the elective cardiac surgery goes something like this (in my hospital at least) : Admission ward or unit to be prepped -> Down to theatres and into anaesthetic room -> the operating theatre -> theatres recovery -> either ICU or an overnight intensive recovery unit/post-anaesthetic recovery unit/whatever the hospital calls it -> HDU -> Ward. At every single step of the process a patient needs to be moved out of the bed you’re going to go into first.
Both Patient A and Patient B can be stuck on the admission unit at the start of the day before they even go down to surgery because there’s no beds in recovery and/or not enough nurses to open them all for patients. Eventually, THAT problem is rectified by the Site Nurse Practitioner sending nurses from ICU to go to work in recovery - this, of course, has the knock-on effect of making the remaining ICU nurses double up on Level 3 patients which is unsafe but hey the elective surgery didn’t get cancelled and THAT’S more important for the Trust metrics!
So there’s now a sufficiently qualified nurse manning that theatres recovery bed for Patient A so they can go ahead and have their surgery because there is somewhere to send them afterward. Patient B is therefore waiting for Patient A’s surgery to be complete and for them to have vacated the operating room (and for everything to be cleaned) before Patient B can go down and be anaesthetised. Now in an ideal world, we would wait for Patient A to have vacated the theatre's recovery bed before we start surgery on Patient B, just in case Patient A has any complications. That would be the safe thing to do. Only bed pressures exist and they don’t want to cancel Patient B (or Patient C after them etc) so sometimes they just crack on anyway. This puts an unholy amount of pressure on the nurse in charge of recovery to get Patient A out of the recovery bed and send them up to Overnight Intensive Recovery/Post Anaesthesia Care Unit/ICU whichever they require. This involves a tonne of phone calls and pushing the nurse in charge of that unit, who in turn pushes the bedside nurse on that unit to hurry up and make themselves available for the new admission. This usually means discharging a patient from the OIPACU downstream to HDU so that Patient A can be moved into that empty bedspace. The problem is there’s no HDU bed available and the HDU nurses need to discharge the HDU patient to the ward and . . . there’s no ward bed, we been knew.
Now imagine anybody trying to get a coffee or lunch break amongst all this chaos and you can see why nurses are constantly getting UTIs and the Reg I linked to above got a kidney stone.
Meanwhile, Patient B is still sat on the admission unit waiting for his surgery and borderline harassing the poor nurse about what is taking so long. Now, this nurse either doesn’t know all the complexities that need to occur for the stars to align for Patient B to go down to theatres because they’re just not privy to all the bed management conversations going on, or they do know but literally do not have the capacity to explain all of this in a way to make the patient understand. I have apologised and tried to explain this type of thing until I am blue in the face but am then accused of “making excuses for our own incompetence” – I don’t bother any more and just tell them “sorry, no bed for you yet, trying our best”.
Now it is important to note that all of this is happening in a very highly regarded hospital that is a centre of excellence. Part of that “excellence” in my opinion relies on people like me and my colleagues being forced to give it their all every single day to facilitate all of these transfers which undoubtedly comes at the cost of safe care. My feet barely touch the ground for how many jobs I am doing and I am still falling short of being able to adhere to “best practice” guidelines. The whole system is. There is a PROFOUND nationwide capacity issue. This is happening in every single hospital up and down the country to varying degrees. This is what happens when you starve a healthcare system of its resources for 12 years.
I’m going to use the analogy of a factory assembly line for a minute. Imagine that half the staff on the assembly line are absent but the product they’re trying to assemble keeps coming in at the same rate as normal. The staff literally cannot keep up with the demand and half the products must be discarded at the end of the day because they are incomplete or not up to spec, this is through no fault of the staff that WERE present and just trying to do their jobs. Now imagine that the ‘absent staff’ in this situation is the lack of beds and the discarded products are the patients who get cancelled as a result of the lack of beds. (This can also be applied to GP appointments FYI)
Now imagine again that you are Patient B and the stars have aligned and you get the surgery after all. (Although you’re still pissed off you had to wait so long and you tell everybody who will listen about how bad your experience was and complain to PALS etc – tying up a poor ward manageyour consultant up in writing a response, wasting their time that could be spent with patients in the process) When you eventually come out of the surgery you go to theatres recovery because the bed is free. You feel like hell while a nurse dances about you taking your blood pressure and other observations every fifteen minutes for what feels like forever. They keep waking you up but the anaesthetic is in full effect and you just want to sleep for a month. You get irritated being woken up all the time and just want to move on already so you can get away from this annoying nurse. You eventually get transferred to OIPACU/ICU where you stay for the first day or two while you stabilise enough to step down to Level 2 care on HDU. You’re being woken up all night by various alarms going off, including your own, and are then woken up extremely early and are forced to sit out of bed before you feel ready. You have drains that are paining you but you’re still being asked to mobilise by the nursing staff. You don’t understand it and you just want to rest all the time to recover from your surgery. What you might not realise is how important it is to get out of bed to ensure that you don’t decondition post-surgery and to prevent things like constipation and pneumonia which can be complications of prolonged bedrest post-op and extend your recovery period, keeping you in hospital for longer.
You want your belongings that you brought in because you feel bored and understimulated and getting anxious about their whereabouts so you keep asking for somebody to get them but you’re told no because you’re in an intensive unit and there’s no space to put anything. You’re promised that you can get them “once you go to HDU”. Of course, the moment you get into HDU you then start pestering the HDU nurses to go get the bags because this is what you were promised, even though they have about a million and one jobs to do for you as their new admission as well as her other patient and so collecting belongings from off the ward isn’t something that she can even think about right now. You get irritated because they’re spending most of their time on the computer and don’t understand why she can’t just pop upstairs. You don’t realise the sheer volume of things she is legally required to document about her assessment of you and how time-consuming this is, even for experienced nurses. This has to be done as close as possible to the time of the assessment as possible to prevent legal trouble for the nurse. If she documents in retrospect she could be accused of falsification of records if something were to go wrong.
Whilst in HDU there are still a tonne of monitors alarming all the time and a constant flurry of activity. You’re starting to get overstimulated by the constant light and noise and the time that has elapsed since your surgery is growing and you are starting to wake up from your post-anaesthetic cloud. Pain might be kicking in and becoming more and more of a problem for you yet you are still pushed to mobilise when you just want to rest. After a day or two, you are told that you can step down to the ward today by the surgeon and you feel a surge of relief. Thank god! Now you can get out of this hellhole with all of the alarms and confused delirious patients shouting out at the nursing staff and actually get some sleep to recover. If you don't make it to the ward that day after all you might get angry at the nursing staff for not facilitating the surgeon's wishes and if you are nasty enough you might even berate them the entire fucking night and make them cry from how unpleasant you are when the only reason you didn't go was that there were no ward beds for you to move to.
If there ARE ward beds available then the most manic process starts. As the surgeons come to see you at 09:15 the HDU nurse in charge is in a bed meeting and comes back to immediately start putting pressure on the HDU nurse to get you out before 11:00 for the new admission from OIPACU/ICU to come in to your bed. This is so that the patient that is currently in theatres recovery can be transferred into OIPACU/ICU and a patient waiting on the surgical admissions unit can now go down to theatres for their operation etc.
Problem is the HDU nurse now needs to not only complete some discharge paperwork that documents all of your invasive devices/lines etc but also the plan and her assessment of the following:
Your Airway - were you a difficult intubation during your surgery and what is your airway plan in the event of an emergency?
Breathing – breath sounds on auscultation, respiratory rate, oxygen saturations, whether your lungs are expanding equally, if your gas exchange on your last arterial blood gas was sufficient, if you have a cough with any sputum and if this was sent to the lab to target your antibiotic therapy
Circulation – your temperature, your heart rate and rhythm, blood pressure and whatever target your doctors may have for this, your capillary refill time, the temperature of your skin, whether you require any intravenous fluids, your last ECG and what it showed, your blood count results and clotting etc and any action that needs to be taken to correct these
Disability – your Glasgow coma scale, any confusion they have noted and what kind of funny things you may have said, any erratic behaviour, whether your pupils are equal and reactive, if you are able to move all of your limbs equally and with equal power, what your blood glucose is and any actions to correct all of the above,
Exposure- Pressure areas and skin condition, your mobility level and support required, how much you have eaten, drank, if you’ve taken a shit or had a piss and if you are continent/independent in doing this, what is the plan if you haven't been able to poo yet? We also need to document any wounds that you may have. We are expected to document every scab, every mark, every mottling lest we are blamed for failing as a nurse and allowing skin damage to occur on our watch and causing patient harm. We are even expected to even document any individual bruises you may have, even if these are just from phlebotomy because if we don’t there could even be an accusation made about us – a friend of mine was accused of assault by a former patient (who had actually punched my friend) and had submitted photos of bruising on her arm to the police which were actually caused by a blood pressure cuff. These were used against my friends as evidence in a criminal investigation. Due to patient confidentiality, my friend COULD NOT ADEQUATELY DEFEND HERSELF FROM CRIMINAL CHARGES because she wasn’t allowed to tell the police that the patient had mental health problems that she hadn’t been declared to them. My friend was eventually cleared of the charges but now no longer works as a nurse due to her unmanageable anxiety surrounding the situation. Had my friend had the time and forethought to document “minor bruising noted to bicep from blood pressure cough” maybe it could have been avoided. As it was she didn't have the time nor the presence of mind due to the stress of the job to document such minute details, she did moving forward though.
The HDU nurse also has to do all of the above on the computer before printing it but then ALSO has to start writing paper charts because the wards use not only a different (poor) computer system but also a mix of computerised and paper notes. They have to ensure that the doctors have prescribed certain things (like variable rate insulin infusions, for example) by hand and that she puts in the observations and actions that have been taken since midnight that day. They also need to do a paper fluid balance chart, again from midnight, and total intake and output from all sources and manually calculate your 'net body balance' from midnight. The nurse can’t use the total that was calculated by the electronic notes system because the electronic notes system does it from 06:00 to 06:00 so the balance would be ‘wrong’ for the ward nurses who do it from 00:00-00:00. To top all of this off they not only has to enter all of this onto any observation chart, but she also has to summarise it in long form in her notes. Because that is super efficient for already overburdened staff of course.
Meanwhile, they might well have to put a new peripheral cannula in place if you’re having your central line taken out (likely) which can take some time if you have difficult veins and also needs to do the usual 1-2 hourly observations of both yourself and her other patient at 10:00, including heart rate, blood pressure, respiratory rate, oxygen saturations, PCA obs, urine/drain output. They're also still responsible for facilitating all the care and requests for her other patient even though they're being told to prioritise the discharge.
Suddenly it’s somehow 10:30 and they still need to remove your cathetecentral line/arterial line/temporary pacing wires/chest drains/whatever that were kept in until today to be reviewed. This is because the ward won’t accept patients with such devices due to nursing skill mix and inadequate supervision of such devices due to the higher patient ratio. Now, this removal process is often something that requires you to be still/lying flat for > 30 minutes so the nurse need to get you back to bed …… only you suddenly need to take a shit and won’t use the commode due to lack of dignity at the bedside. Because you still need to be on a cardiac monitor or supplementary oxygen the nurse can’t just walk you out to the bathroom and leave you! They have to walk you down there and hover outside the bathroom, not getting on with his/her documentation, so they can listen out for any alarm on your monitor indicating a low/high heart/respiratory rate/oxygen saturation that could indicate an emergency. Every nurse has a story about how they/someone they knew had a patient that arrested in the toilet. This happened to Heather at my old job and Anna at my new job.
Eventually, you get back to bed and your belongings/supplies are unceremoniously dumped on your bed around you and you are carted out. It’s a while until you see any members of staff on the ward and it’s a bit intimidating to go from having a nurse at your bedside almost all the time to having to use a call buzzer (which may not even work!) to get some attention. What you don’t see is that the nurse about to take over your care is still stuck doing the morning observation round or finishing off 08:00 meds because not all of them had been delivered by pharmacy on time and she had to chase them. She also has like 7 other patients, sometimes more, to divide her attention between. You also don’t see the stressed-as-shit HDU nurse pressuring the equally stressed-as-shit ward nurse into coming over to take handover because the HDU nurse is about to get a new admission from OIPACU etc and they need to rush back to clean the HDU bedspace or finish off the discharge paperwork that they hadn’t even had time to finish. They must also then spend forever trying to get it to print because we’re using fucking computers from the 90s which take an age to load and then randomly disconnect from the printer without reason (and then IT are usually patronising and unhelpful on the phone).
Meanwhile, there is one poor junior doctor who is getting paid absolute peanuts for their skills to cover the entire HDU. They have the consulant to call for advice and who does a quick round with them in the morning but they're single handedly responsible for getting all the jobs done and everything is urgent. They have to write the medical discharge summary for you and the 7 other patients being discharged to the ward today and also re-prescribe all these medication regimes onto the different system that the ward uses, including any changes suggested by the surgeons from that very morning, before the transfer at 11:00 as well as doing all of the “doctor jobs” like referrals, imaging requests etc and just….you know… general medical reviews/putting hands on the patients for their assessments. Not only do they have to do all of the above but they also have to stop what they’re doing at any given moment and shift their focus to nurses, pharmacists etc who have come to ask them for some advice and to report any issues.
The same thing happens on wards too. People often take to social media to fume about having to "wait all day for a letter and a few tablets" because they just wanted to go home already. While I understand the frustration, what these people fail to understand is that when you have ONE doctor doing the work that could only be safely managed by FIVE doctors less urgent tasks like this get pushed down and down a never-ending jobs list. It might seem counterintuitive to have to wait so long for something small but they have to see the sick patients first and can't even think about discharge letters and take away prescriptions until they’re sure the sick patient has an appropriate plan in place.
Let’s say we have one or two doctors to a 40 patient surgical ward. 30 of the patients are staying in the hospital for at least another day with jobs that need to be done that day to adjust their care or to help make a diagnosi to come up with a plan. Then you have ten patients that are well enough to be discharged home. The 10 patients simply are just going to have to wait while the one-two overloaded doctors attempt to finish all the jobs for the sicky patients first. If we were to put a sufficient level of staffing like 5 doctors to 40 patients then they suddenly go from 20-40 patients each to 8 patients each and are able to divide up the discharge summaries and take away medication prescriptions so that they are doing 2 each. Badda bing badda bom, medically fit patient gets discharged home quicker and we can use the bed for the delayed transfer patient in A+E. But we need more doctors and safer staffing levels to do that so it ain’t gonna happen.
You see the same thing in A+E complaints. “Waited seven hours for a five minute interaction with the doctor who sent me for an Xray, told me it wasn't broken, got given paracetamol and a crutch and told to fuck off home” – it’s because that the five minute review was all you needed that you had to wait 7 hours!!
From a HDU nursing perspective, a lot of the transfedischarge to the ward jobs are two man jobs. Unfortunately, because there are so many nurses are leaving critical care after covid there is very often a lot of novice nurses that are recruited to fill the gaps with barely any time invested in them to get them up to speed. I am currently working on a unit with 17 band 5 nurses. I have been here for 8 months and I am already the 5th most experienced band 5. Four relatively experienced band 5s have left in the time that I’ve been here and another one is working out his notice. This is how bad the skill mix can be sometimes. A lot of skills are unfortunately not taught to you as a student nurse and you need post-graduate training and competencies being signed off after x number of observed attempts in order to be allowed to do them at your workplace. This leads to situations where you could have say 6 nurses working on one shift but only 2 of the 6 are ‘competent’ in a necessary skill. Now sometimes nurse A needs help form nurse B to do a discharge dependent skill but nurse B is also the only “transfer trained” nurse working that shift (ie. she has passed another form of higher competency training and is able to escort unwell patients to other areas of the hospital where the other nurses are not yet able to do so) and has to go with an unstable patient to CT or MRI/interventional radiology department for a procedure/back to theatre for a revision of their surgery etc. That leaves nurse A up shits creek but with bed management still breathing down their neck because the patient needs to be transferred NOW. There is literally nothing that nurse A can do about the situation and yet s/he needs to be resilient and soak up all of the bad vibes and literally be blamed for something outside of their control because it disrupts patient flow.
That is all hospitals are about anymore. Patient flow. As many discharges from the ward as possible – even if the patient isn’t actually ready to go home yet – so that we can move patients down the stream and get as many patients out of A+E or admissions units as possible… yet somehow, despite all our efforts, it is still never enough.
Meanwhile, any relatives that come to the ward for visiting are getting increasingly anxious or aggravated that they have not been given a timely update. They start to to feel neglected and some take an oppositional/accusatory communication style with the nursing/medical staff. Staff are then forced to take a bunch of time they don’t have in order to reassure the relative/patient of any concerns that they may have and attempt to foster a better relationship.
Any abusive language or confrontational behaviour also needs to be documented by medics/nurses in detail and a time-consuming incident form should also be completed to have a contemporaneous note of the event and to make management aware of the incident. We have to do this so no inaccurate complaints can be made about us that can send us to the NMC for judgement.
Amongst all of this, nurses are constantly accused of not CARING anymore. Of being “too posh to wash” and lacking the basic skills requisite to call themselves a nurse. Many vilify nurses in opposition to the angel health care assistant who “does all the dirty work for the lazy nurses who are just on the computer the whole time”. I can literally count on one hand the number of shifts that I have managed in the last 8 years (5 as an RN and 3 as a student) to avoid wiping an arse or doing another ‘dirty job’ (unlike many of the HCAs I have worked with in that time who manage to hide themselves to avoid doing anything and choose which of the jobs I have attempted to delegate to them they will get on with). Junior band 5s usually do way more work than the HCAs because a lot of them abuse their inexperience. Of course, this is not universal, of course, there are some incredible HCAs out there, my colleague Linda is a superstar. I have just unfortunately seen this type of behavior way too often.
Sometimes I feel like if I hear about my patient’s wife who was a nurse back in the 60s when they ‘actually cared about their patients’ or ‘had proper standards’ or ‘did hospital corners' one more time I might just fucking scream. As if the role hasn’t changed a thousand times over since then and that band 5 nurses in units like mine are expected to be able to titrate fucking inotropes independently while the wife he’s talking about was working at the equivalent of a fucking HCA back when the NHS was much more forgiving to nursing staff. As if I am capable of interpreting arterial blood gases and am going to go for my dialysis training soon but I can’t fucking fold a hospital sheet in a certain way. I always want to tell them I'm perfectly capable of doing hospital corners I just have a million other things more worthy to do in those two extra minutes it would take me. You can’t even do hospital corners on a pressure-relieving mattress they’re just too thick and the sheets aren’t big enough.
Back in the day his wife would be giving tablets, doing washes, and serving food to patients that could mobilise independently and that were about 20 years younger than the average hospital patient now. The doctors would manage all invasive devices and give all the IVs etc. A far cry from the expectations of your average nurse now. Most of our hospital patients now would have died back in the so-called golden age of nursing. The surgery or procedure of the patient saying all of this might not have even existed back then!
Unfortunately, nurses are fighting an uphill battle against the many developments in healthcare vs staffing capacity never increasing. There are now so many increasingly complex expectations placed on nursing staff but there has been absolutely no increase in staffing numbers to facilitate this. We are truly always being asked to do more with less and many live in fear of the impossible standards of the Nursing and Midwifery Council who strike nurses off for relatively minor indiscretions. We are held to a truly impossible standard with little consideration made by the NMC for the appalling working conditions we must endure, especially when compared to the General Medical Council. Doctors that make a mistake seem to be held to account of what their peers in that stage of their training would do, with consideration taken for things short staffing and other adverse events that had an impact on the individual’s decision making*. The NMC is much more likely to ignore all of these factors and hold nurses to a neigh-unattainable standard of perfection. If you do not follow best practice guidelines to the fucking letter you can be dismissed. For example a pediatric nurse documenting a set of “15 minute observations” 17 minutes after the previous set on a poorly child, ignoring the fact that said nurse was likely doing other things like mixing/giving medications, applying oxygen and encouraging the distressed child to keep it on, generally reassuring the patient and parents etc.
*Although they are clearly institutionally racist and come down much harder on BAME doctors than their white counterparts, but that is a conversation for another day.
To top it all off if we fuck up enough and make a grand enough mistake that contributes to a patient’s death, not only do we have to live with that guilt for the rest of our lives but we could also go to PRISON. The general public do not realise this. As a nurse, you can do everything within your ability in good faith and try your absolute hardest for your patients (and sacrifice your own health in the process for years or even decades) but mess up enough on one shift and you will be ruminating about it from behind bars. JUST GOING INTO WORK is taking this risk and said work pays a measly £27-32K (post 2022 pay rise salary for a band 5).
In general it’s pretty shit to be a nurse these days. We are shat on by the government, the media, our seniors, our regulating body and our patients. The breaks we miss are not paid. Nor are the hours we stay late. The latest that I have stayed after a day shift that started at 07:30 was until 23:45. I routinely stay half an hour after the end of my shift because I literally cannot complete my handover any quicker due to the complexity of information required. This time is never paid back in any way and I am seen as troublesome and demanding by my seniors for asking about it. The other day I did an extra shift on a ward because I needed the extra money. On this shift I felt so overwhelmed by trying to meet all of my patient's needs that I dissolved into tears multiple times. I was so terrified of making a medication error. I didn’t have the chance to sit down to start writing my notes until the very end of the day. My shift ended at 20:00 and I went home at 21:30 AND I WAS THE FIRST NURSE FROM THE DAY SHIFT TO DO SO. God knows what time the other nurses went home. As stressful as everything I’ve described in this thread is I actually do enjoy this job more than any of the other five I’ve had since starting as a nurse THAT IS HOW BAD MOST PLACES ARE.
Now I appreciate that there are plenty of terribly nasty nurses our there who don't appear to give a damn about their patients or doing their job well. I just complained about one and am routinely frustrated by then myself. I have been bullied to the point of suicidal ideation by one in the past. Having said this, I do implore that those of you who have read this far to try to exercise some empathy. The vast majority of these types of nurses came into the profession ready to do good and burned themselves out working in a broken system that never rewarded their hard work and actually punished them for things outside of their control. They have no more to give than the bare minimum. That is all they are capable of. I was so cripplingly depressed in the final days of my last job that by the end of the day it was taking me every ounce of energy had in me to just to hold my upper body up while I sat down writing my notes.
Please also bear in mind that the vast majority of nurses are still female and thus may be working an incredibly physically taxing job through horrendous period pain or while struggling with menopause. It is a quiet day for me if I only manage 12,000 steps (Most days in my current place are 15,000-20,000.) My personal record for one shift was 27,321 steps in a previous job) We may also be working without having eaten or drank in many hours and are just as parched and hangry as our fasting patients quite frankly but are expected to be emotional sponges and absorb all of their mean spirited behaviour. This does not entirely absolve people of personal responsibility for their behaviour, but it does make it more difficult to manage oneself when coupled with a million competing demands on our attention and a stressful environment.
I’m 29 now and my back hurts all the time. I have varicose veins. I have eye bags for days. I’m fat as shit and none of my clothes fit me because I don’t have the energy anymoreany more, something I once enjoyed, and live off processed shit. and my flat is a perpetual mess because I spend my days off watching Netflix in bed. I have lost touch with non-work friends. I never call my mum enough. I have missed the last four Christmases which really upsets her. I’m struggling to cut down on alcohol to a healthy level after developing the maladaptive coping mechanism of downing a bottle of wine after work to get to sleep. I’m pretty much a shell of the person I was once was and I think my story is pretty typical of other nurses that qualified around the same time as me.
It’s not all bad and I don’t always hate my job. Sometimes I’m moved to tears by the connection I have forged with a patient and the difference that I am able to make in some of the darkest moments of their life. I’m not always “saving lives”, I’m mostly just stopping people from getting sicker than they already are, but I have saved a couple along the way from being on the ball enough. I have also helped people die with dignity which I’m very proud of. I’ve done a lot to be proud of within the last five years and I’m grateful for the growth that I have experienced. I have acquired a lot of skills and knowledge along the way and my conscience mostly rests easy because I know I’m doing my best. I’m also grateful to have steady employment in times like these. It can just be so damn hard to remember all of this when 98% of any given day is unmanageable stress and about 2% is a rewarding moment of some kind.
I’m not sure why I wrote this all out. I suppose that I do find it cathartic just to put everything down like this even if nobody reads it….but I do want people to read this one. At least the top bit. I want people to try to get what we're up against.
I want people to know that we are tired. We are at the absolute limit of our resilience. We have been for YEARS. I have been since before I even qualified. This should not be allowed to continue.
If you made it this far and are still unconvinced about strike action being necessary for the future of this country’s healthcare delivery, then I don’t even know what to tell you. The NHS has already collapsed. It collapsed years ago. Death figures won’t suddenly explode or whatever, but we will slowly sink into yet higher and higher preventable levels of morbidity and mortality while access to healthcare gets harder and harder. The few days of electives being cancelled will not kill more people than the system already has.
Thank you for reading, I really appreciate it.
P.S. ALL OF THE ABOVE DOES NOT EVEN BEGIN TO COVER THE IMPACT THAT COVID HAS HAD ON OUR WORKFORCE. MY GOD. I don’t even have it in me to talk about how bad that was. I truly don’t. This post is literally about December 2022 only. Imagine all of the above times a hundred for a glimpse of the pressure that we were under during covid. Only instead of elective surgeries, it was covid admission followed by more covid admissions etc. The WORST. I had four patients die on one shift. I had to wash and wrap four patients in their shrouds and then clean the bedspace for the next admission. Absolutely brutal man.
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