There are fates worse than death (Part II) (Tales from the CCU)

There's an old joke that states, "You Must Be An ER Nurse/Doc if..." and one of the statements is, "You have ever wanted to hold a seminar entitled 'Suicide: Getting It Right."

My unit has seen three (Yes, THREE) patients who were admitted because of failed suicide attempts this week ALONE. All of them ended up intubated on ventilators. All of them will live, although one of them is seriously maimed for life. All three took pills. The one who is maimed also drank toilet bowl cleaner. Then vomited it back up! Do you know what's in some toilet bowl cleaners? Hydrochloric acid. Acid going down your esophagus, and then back up again. The esophagus and stomach lining have several layers. The patient managed to burn through every single layer, save the very outer one. What's left is bleeding diffusely. It will probably eventually perforate, and he will become septic and die, or he'll have to have an esophagogastrectomy, which means that his esophagus and stomach will be removed and he will need to be fed either through a tube in the small intestine, or will be on TPN for the rest of his life. TPN is food and nutrients/vitamins/glucose that is infused into a large vein.

Even a drug that is considered mostly harmless such as Tylenol can cause serious liver failure when too much is taken. I think some people think they can OD on Tylenol for their little plea for attention and get a big shock when they turn yellow from liver failure or need dialysis for kidney failure.

Now, I'm not advocating that people commit suicide. Not in the least. The purpose of this post is to inform anyone searching the internet for how to kill themselves that if you don't die, you'll either recover, or you'll seriously and irreparably damage vital organs. You might actually live through your attempt, but life as you know it will be altered beyond your wildest dreams nightmares. I'm fairly sure that patient #3 was not thinking about how he would survive his suicide attempt, eventually lose his esophagus and stomach, yet have to live without those very important pieces of his body when he was drinking acid.

But how I wish that he had.

Progress Notes (20)

Progress Notes

Dying from Tylenol OD is long and painful. People think they will just go to sleep and never wake up, but they are wrong. It slowly destrys the liver over many weeks and you slowly deteriorate, end up on dialysis, and eventually die from organ failure. By that time, you are usually very sorry you attempted suicide, but its too late.

added by Doc on June 5, 2004 3:42 AM

Hear, hear! So many people waste our time with failed suicide attempts. Many do it over and over repeatedly. It's our job to save your life and we'll give it our best but all the time we're wondering "why the f*** can't they do it right the first time?". http://ghetropolitan.tripod.com

added by on June 6, 2004 11:01 AM

Hear, hear! So many people waste our time with failed suicide attempts. Many do it over and over repeatedly. It's our job to save your life and we'll give it our best but all the time we're wondering "why the f*** can't they do it right the first time?". http://ghetropolitan.tripod.com

added by Pedro on June 6, 2004 11:01 AM

My DH, who is a medic, has had his full share of Baker Acts/suicide attempts this week. Must be the whole sun-Venus-thing..somethings's strange, and it's not a full moon! First read through of your blog tonight!

added by COL on June 8, 2004 7:42 PM

It just breaks my heart that a person gets to that stage where they want to take their own life. I have been down that road myself. Then, a couple of years ago, a boy at my school took his life. I didn't even know him, but the impact of his death on the school community, and on me, was so great that I have never ever ever taken that road again. I thought of the impact of his death on me, someone who didn't know him, and imagined how hard the death would be on other people who did know me! Someone once said to me, "Suicide is not an solution, it is an end before a solution can be found"

added by AJ on June 10, 2004 12:07 AM

TPN costs approx $1000/day... and eventually the insurance company won't pay anymore.

added by on June 10, 2004 8:48 PM

To my way of thinking acetaminophen is one of the most dangerous drugs on the market. The therapeutic index (how much you take Vs when it damages your body organs) is very small. If I had my way I would probably make it a scheduled medication, a four or five perhaps. I’ve written about this many times as I am sure you have Geena.

Acetaminophen should have a very large warning on it “IF YOU ARE ATTEMPTING TO OVERDOSE ON THIS MEDICATION YOU PROBABLY WON’T DIE IMMEDIATELY. YOU WILL SUFFER SLOWLY FOR WEEKS AS YOUR LIVER COOKS IN ITS OWN JUICES. EVENTUALLY YOU MIGHT DIE OR JUST BE MAIMED FOR LIFE.” Or something like that.

added by Azygos on June 12, 2004 6:22 PM

Great blog. Thanks.

added by Tom on June 19, 2004 6:15 PM

Working with kids, Tylenol is the most common "over-ingested" medication.

No matter how many times I've had to give it, I'll never get used to the smell of acetylcysteine. And the kids who have to take won't ever make the mistake of using Tylenol as a "suicide" drug again.

added by Da Goddess on June 20, 2004 6:17 PM

I worked as a hospital security officer for over 30 years. I have seen a lot of people that attempted suicide.
The young woman that drank industral Draino well that was a bad one. The EMTs that came in had burns from flushing her and the ER staff got it on them and got some burns. The woman had a wonderful family. She was on leave from a mental unit and they were having a BarB-Q in the back yard and she went down to the basement and drank it. She did die but not right away. I saw her up in ICU suctioning herself.
I agree with comments about Tyleno. Funny I would be in ER and the patient or the family would be happy that the person had not died and the Tyleno level had come back and I knew the person was going to be messed up big time for the rest of their life.
I hated the guys, most of all, that would try and kill themself to get their girl friend or wife to stay and not leave them..
Also people do not understand..when you make an attempt and end up in the ER you have not rights..They are going to treat you and you can fight and yell your going to sue and your going to get that tube down you.
I took retirement in November of 1999. I do not miss working hospital security. I do miss the people that I worked with..The ER and ICU staff..are heros..also to see someone do that sort of work day in and day out and to seem they with tears in their eyes or crying..Well it makes you know that there are still very special people in the world today.


added by Jim Howard on June 24, 2004 7:35 AM

My brother committed suicide by taking 600 Tylenol PM's. I wanted to know if he suffered and how long it took for him to fall asleep?

added by Sister on August 16, 2004 11:27 AM

My brother committed suicide by taking 600 Tylenol PM's. I wanted to know if he suffered and how long it took for him to fall asleep?

added by Sister on August 16, 2004 11:28 AM

Hi...I've been searching for awhile on on tylenol PM OD.and i need to know what the proper dosing is,I was suicidal for a few months..and i would off and on take handfulls of Tylenol PM.It got to be i was taking anywhere from 15 to 23 a night...Every single night,And i started suffering some side effects,Weight loss...horrible headaches,shaking my heart rate dropping and speeding,throwing up..sometimes blood...And Now reading the board,I am worried.Im only 18 and i haven't gone to the doctors yet for i feel i will be okay,But im worried that i have done something i can't reverse internally now.The time i took 23 was also with vodka and jose ceurvo,The next day i vomited some blood and had horrible pain in my lower back and around the sides...Thats when i started losing weight.I ahve not taking any in over a week...I cannot without getting sick,and i am worried now.And does being Anemic effect this in any way?

And i can say,When taking in high doses over a period of time,It does cause halucinations at the peak of the high,when your the most drowsy.

As for you're brother sister,im sure he didnt suffer,I'm sorry you lost him,I know his pain...But im sure he felt an intense wave of drowsiness,And maybe he was shaking..But i dont feel he suffered. You do suffer more when you dont pull it off..and lay in bed shaking or the next day when your sick.

added by on October 23, 2004 6:06 AM

Oh and im sure it took him under an hour to reach that..probably 40 minutes.

added by on October 23, 2004 6:07 AM

What then happened to you now? Have you been suffering still awful side effects like throwing up some blood, drowsiness, back pain, etc.? I think you should go to the hospital right now...or some irreversible damage might have been done..

added by Emily on October 29, 2004 5:25 PM

suicide is NOT just a 'little plea for attention' you fucking retard those who attempt it obviously think this life sucks ass which it does for a lot of people in this world, and they know the afterlife is better. Everyone should commit suicide, who doesnt want the eternal peace & calm of death?

added by me on September 6, 2006 2:56 PM

I would like to just let you know that my most recent suicide attempt was with Tylenol PM.. not because it was "little plea for attention" but because I knew exactly what tylenol can do to your liver. Unfortunately, I was found before any irreversible damage was done, but please don't assume that anyone who takes tylenol is not trying to die.

added by a mom on September 28, 2006 3:38 PM

Having life-long severe depression, I must say, numerous comments I have read on this forum disgusted me. Many of you are much too insensitive and naive to understand what a person attempting suicide, or even crying out for help, must be feeling. Instead of cruel, cold comments, try a little compassion.

added by Elizabeth on January 17, 2007 7:53 PM

Thanks to the folks who posted comments against the 'little plea for attention' comment. What a horrible thing to say, it's just the type of thing that BLOCKS a severely stressed, depressed person (for whatever reason) from seeking any help at all BEFORE they get to the point of a suicide attempt. What kind of person would want to say such a thing.

added by patti on November 11, 2007 8:18 AM

Ok, I want to kill myself, because I have many "problems", I am 17 years old, I am gay "dont want to be", I am lonley as I have friends in school but not to go out or anyhting, I moved from another country were I had many many many "good friends" wich came out to be asswholes and forget me, I hate my life, I hate how I treat my mom, and I am a cool person honestly, people like me, But I am just sick of Everything, I was going to take tylenol pm, as I have to because of my sleeping disorder "effect of depression", but after reading this, I do not know what to do!!!!!!

added by Mike on December 7, 2007 8:05 PM

So, what brought you to the hospital today?














Absolutely Not today




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Alltop. I don't know how I got there either.


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