If You Ink It You Better Mean It

This happened in Florida, but it isn’t your usual Florida Man story:

There’s  a letter in The New England Journal of Medicine, faccompanied by this photograph of the ink in question (h/t Ars Technica):

What would you do, faced with an unconscious, unaccompanied and unidentified person with this on their chest?

(ETA: I guess the tattooed signature is an identifier.  But I’m guessing they mean formal ID, and one that might lead them in a timely fashion to the necessary records.)

The Florida hospital staff seems to me to have got it right this time.  Here’s how the patient came to them:

Paramedics brought an unconscious 70-year-old man with a history of chronic obstructive pulmonary disease, diabetes mellitus, and atrial fibrillation to the emergency department, where he was found to have an elevated blood alcohol level. The staff of the medical intensive care unit evaluated him several hours later when hypotension and an anion-gap metabolic acidosis with a pH of 6.81 developed.

Remember: no ID, no family to ask, and a patient unable to speak on his own behalf.  The ER tried to get him to the point where he could tell them his intentions, but he never reached that point. What to do?

We initially decided not to honor the tattoo, invoking the principle of not choosing an irreversible path when faced with uncertainty. This decision left us conflicted owing to the patient’s extraordinary effort to make his presumed advance directive known; therefore, an ethics consultation was requested.

While they deliberated, the patient received not-terribly intrusive treatment, but treatment.  Then…

After reviewing the patient’s case, the ethics consultants advised us to honor the patient’s do not resuscitate (DNR) tattoo. They suggested that it was most reasonable to infer that the tattoo expressed an authentic preference, that what might be seen as caution could also be seen as standing on ceremony, and that the law is sometimes not nimble enough to support patient-centered care and respect for patients’ best interests. A DNR order was written.

The patient died that night.  Later (after his death, I think, though the letter isn’t entirely clear) the patient was identified and his written DNR order was found in Florida Dept. of Health files.  The takeaway?

This patient’s tattooed DNR request produced more confusion than clarity, given concerns about its legality and likely unfounded beliefs1 that tattoos might represent permanent reminders of regretted decisions made while the person was intoxicated. We were relieved to find his written DNR request, especially because a review of the literature identified a case report of a person whose DNR tattoo did not reflect his current wishes.2

In other words:  Don’t Get The Tat If It Ain’t Where You’re At!

Open thread.

Washington Man: Getting Freaky On the Highway Edition!

ELBE, Wash. (KOMO) – A naked man and woman were having sex in their car, while driving on State Route 7 with their baby in the back seat, when they crashed Wednesday night near La Grande, according to the State Patrol.

The crash happened around 6 p.m. in the 48400 block of Mountain Highway.

Troopers said the man was driving when he missed a curve, went off the road and crashed into a tree.

Witnesses told troopers both the man and woman were naked when they got out of the car. Troopers said they were also both impaired.

You’d expect this type of behavior to take place in Florida, and, historically, you’d be correct:

A couple seen having sex while driving on Interstate 95 followed a couple in another car who was watching them, eventually pulling a gun during a confrontation at a business, according to the Nassau County Sheriff’s Office.

Deputies said Louis Carr was in a car with his girlfriend and 3-year-old son driving north on I-95 at the Airport Road exit about 3:30 p.m. Sunday. They had left the Jaguars game early, and that’s when they say they saw Suzanne Welker giving Ernest Gonzales oral sex while Gonzales was driving a SUV.

“I pointed to my old lady. She looked across me about that time, she jumped up in the seat bare butt, mooned us through the window,” Carr said of the suspect.

While the couple was watching the suspects, they said Welker was trying to climb Gonzales’ lap, and she was naked and could be seen clearly by everyone in the area, deputies said.

Also, Wisconsin, wait, what?

A Wisconsin couple wasn’t going to let anything get in the way of their good time. Not even the beam of a police flashlight.

The man and woman were arrested Monday after being caught having sex in their car — and then refusing to stop.

According to the police report, Officer A. Westpfahl was called to Adams St. to investigate a report of someone suspiciously looking into cars. He didn’t find anyone, and began walking up to the home of the person who’d called 911 to talk to her.

As he approached her home, he said suddenly heard “what sounded like someone moaning.” Suddenly, the 911 caller called out from an open window on the second floor and said there were two people in front of her home having sex in a car.

At least the couple in Wisconsin were in a parked, though obviously not completely stationary, car.

Anyone else? Chicago, IL come on down! So to speak.

This whole thing gives new meaning to the term double airbags, 5th gear, and cruise control!

Floriduh Man to Ohio Man: Hold My Beer!

In a clear attempt to maintain Florida’s well earned status as the home of turning the crazy up to 11, a Florida Democratic Party Official has turned to his Ohio Man counterpart and said hold me beer!

From The Tampa Bay Times:

Stephen Bittel’s rocky tenure as Florida Democratic Party chairman ended in disgrace Friday after he resigned following accusations from women that he leered at them, made suggestive comments and created an unprofessional work environment.

Bittel said he is working with party leaders to set a date to elect his successor.
Elected in January after a contentious internal campaign, Bittel lasted less than a year on the job.  His departure marks the latest case of sexual impropriety shaking the state Capitol.

Bittel’s position became untenable after all four major Democratic candidates for Florida governor urged his ouster following a Politico Florida report late Thursday in which six women anonymously complained about Bittel’s behavior. They said he was “creepy” and “demeaning.” Bittel apologized, but it was not enough.

Bittel appears to have gone all out in his attempt to earn his Floriduh Man! card and keep Florida much, much stranger than Ohio.

Floriduh Man: offensive and educational!

Open thread!

Balloon Juice Public Service Announcement: Immigrant Integration Event in Denver on November 14th, 2017

TaMara emailed and asked me to do a PSA post on the immigrant integration event tomorrow night in Denver. Here are the details from one of our lurkers:

I’m a BJ lurker in Denver, and my partner and I are putting on an immigrant integration event sponsored by the city’s Office of Immigrant and Refugee Affairs, designed to support and integrate immigrant populations with receiving community members. Last year, TaMara was kind enough to promote our event Night of Arabic Comedy on Balloon Juice. This year, we’re hosting a Mexican comedy focused event, featuring an immigrant stand-up comic, Miriam Moreno, who will perform in English & Spanish followed by a subtitled Cantinflas film, Gran Hotel. Cantinflas is a beloved Mexican comedian who has been called the Mexican Groucho Marx – and Charlie Chaplin called Cantinflas “the world’s greatest comedian”. It’s a completely free event at the Buntport Theater tomorrow night, Tuesday November 14th,  starting at 7:30. Hopefully it’s something that the politically-minded readership at Balloon Juice would find interesting, as our goal is to foster stronger connections with immigrants and the receiving community.

So those of you readers, commenters, and/or lurkers in the greater Denver area, if you’re free tomorrow night, please consider taking in a free show.

Open thread!

The Wreck of the Edmund Fitzgerald

Forty-two years ago tonight the Edmund Fitzgerald was lost with all hands on Lake Superior. Most of us know the tragic story from the Gordon Lightfoot song about the wreck. In 2001 a documentary about the Fitzgerald debuted. One of the things that always stayed with me from the documentary, as both a testament to the men serving aboard her and as a potential counterfactual, is that Captain McSorley, the master of the Fitzgerald, slowed his vessel to buddy with the smaller, slower Arthur Anderson. This was done to increase the chances they’d both make port even though the Edmund Fitzgerald had the ability to make better speed to reach safe anchorage had she gone it alone. This part of the history is recounted in the documentary below beginning at the 15:3o mark (should be set to play from that point). Captain Cooper, the master of the Anderson, and his crew showed as much valor when they went back out to search for the Fitzgerald after they’d made it safely to port.

And, of course, the obligatory:

For Tonight is Halloween and the Faerie Folk Ride!

At midnight tonight the Seelie and Unseelie Courts of the Faerie Folk will troop to their winter demesnes. It’s moving day, or night if you prefer! Tonight will be the last wild hunt of the season. So take care, the King of the Unseelie Court, the Fool of the Forth, Amadan na Briona rides to the hunt this night. If you are seen by him and his court you will be lost forever!

And finally:

If we shadows have offended,
 Think but this, and all is mended—
 That you have but slumbered here
 While these visions did appear.
 And this weak and idle theme,
 No more yielding but a dream,
 Gentles, do not reprehend.
 If you pardon, we will mend.
 And, as I am an honest Puck,
 If we have unearnèd luck
 Now to ’scape the serpent’s tongue,
 We will make amends ere long.
 Else the Puck a liar call.
 So good night unto you all.
 Give me your hands if we be friends,
 And Robin shall restore amends.
A Midsummer Night’s Dream, Act 5, Scene 1
Open thread!

NYPD Press Conference Live Stream

Here’s the live stream of the NYPD Press Conference regarding the attack/incident on the lower west side earlier this afternoon.

The information regarding today’s attack will likely change over the next 24-36 hours, so keep that in mind.

Open thread.