Donny, are you ok?

[GoCubsGo]

What could necessitate multiple IV starts?

Some repeat medications, chemotherapy, pain management, blood products, dehydration, etc.

I did an edit from ChatGPT.

[Vrede too]

What could necessitate multiple IV starts?

Some repeat medications, chemotherapy, pain management, blood products, dehydration, etc.

I did an edit from ChatGPT.

Ah. My answer is for multiple IV starts over time. ChatGPT's answer is for multiple IV starts at the same time.

[GoCubsGo]

Ah. My answer is for multiple IV starts over time. ChatGPT's answer is for multiple IV starts at the same time.

Thx, rephrased the question to ChatGPT.

Surprising he wouldn't have a port inserted if needed for multiple treatments, he's certainly spent enough time in the hospital. We'd never know.

Multiple IV starts over time are needed when treatments are repeated, long-term, vein-damaging, or intermittent, or when different therapies can’t safely share the same line. Common examples include:
1. Chemotherapy
Many chemo drugs irritate or damage veins (vesicants).
IVs are often replaced every visit unless a port, PICC, or central line is placed.
Some regimens require separate IVs for hydration, chemo, and rescue meds.
2. Long-Term IV Antibiotics
Used for:
Osteomyelitis (bone infection)
Endocarditis
Chronic Lyme disease
Severe resistant infections
Treatment may last weeks to months, leading to:
Frequent IV restarts
Eventual PICC or midline placement
3. Dialysis (temporary access)
Early or emergency dialysis may require repeated IV or catheter placements.
Patients often transition to permanent access (fistula or graft).
4. IVIG (Intravenous Immunoglobulin)
Used for:
Autoimmune diseases
Immunodeficiency
Neurologic disorders
Often given monthly or periodically, leading to repeated IV starts unless a port is placed.
5. Biologic Infusions
Examples:
Remicade (infliximab)
Rituxan (rituximab)
Entyvio
Given every weeks to months, usually via peripheral IVs that are restarted each visit.
6. Blood Transfusions
Chronic anemia
Sickle cell disease
Cancer-related anemia
Frequent transfusions → repeated IV access.
7. Total Parenteral Nutrition (TPN)
Long-term IV nutrition damages peripheral veins
Usually progresses from repeated IVs to central line access
8. Frequent Emergency Treatments
Patients with:
Severe asthma
Sickle cell pain crises
Migraines requiring IV meds
Often receive new IVs each visit, sometimes several in one encounter if access fails.
9. Recurrent IV Hydration Therapy
Common in:
Severe GI disorders
Dysautonomia / POTS
Chronic vomiting or dehydration
Regular IV therapy leads to multiple IV starts unless long-term access is placed.
10. Clinical Trials or Experimental Therapies
Multiple infusions, blood draws, and contrast studies
Often require separate IVs for medication vs labs
Why patients eventually get ports or PICCs
Repeated IV starts can cause:
Scarred veins
Infiltration and extravasation
Pain and anxiety
Providers often switch to:
PICC lines
Implanted ports
Tunneled central lines
If you’re asking because of a specific condition, job role (EMS/nursing), or personal experience, I can tailor this more precisely—just let me know.

[O Really]

Well, we can always hope.

[GoCubsGo]

Well, we can always hope.

[GoCubsGo]

[GoCubsGo]

Guessing he didn't have the best time in Switzerland.


Donald Trump spent two hours on Truth Social attacking his enemies and reposting praise after world leaders ignored his “Board of Peace” ceremony in Davos.

The 79-year-old president shared almost a post a minute on Thursday, hours after his “Board of Peace” initiative at the World Economic Forum attracted a motley crew of Trump-allied leaders from the Middle East and South America.

[Whack9]

He disinvited Canada to his "board of peace" after Canada had already snubbed his invite

[Vrede too]

Guessing he didn't have the best time in Switzerland.

The spiteful obsessive will still use his BOP to justify future stupidity and abominations.

He disinvited Canada to his "board of peace" after Canada had already snubbed his invite

No BOP for Canada.


https://www.youtube.com/watch?v=KFq4E9XTueY

[GoCubsGo]

Tasteless and classless.

[Vrede too]

Tasteless and classless.

https://x.com/patriottakes/status/2014803263472742582

Yep. Does it have a point?

[Vrede too]

[GoCubsGo]

He is so not okay.

And quite a rant it is.


Trump Goes Off On Wild Truth Social Rant About His New Ballroom — Amid Devastating Winter Storms and Fallout from Latest Shooting

[GoCubsGo]

[GoCubsGo]

Ummm....okay?

[GoCubsGo]

Anyone gonna tell him?

[GoCubsGo]

Anyone gonna tell him?

[Whack9]

Old man Diddlin' Don hangs a portrait of himself and Putin in the white house

https://www.independent.co.uk/news/worl ... eradlayout

Donald Trump has hung a picture of himself with Russian president Vladimir Putin in the White House, a move that will likely raise eyebrows among U.S. allies

The framed image has been placed in a vestibule area connecting the West Wing to the residence, according to White House correspondent for PBS News Elizabeth Landers, who shared a photo of it on X.

[Vrede too]

Old man Diddlin' Don hangs a portrait of himself and Putin in the white house

https://www.independent.co.uk/news/worl ... eradlayout

Donald Trump has hung a picture of himself with Russian president Vladimir Putin in the White House, a move that will likely raise eyebrows among U.S. allies

The framed image has been placed in a vestibule area connecting the West Wing to the residence, according to White House correspondent for PBS News Elizabeth Landers, who shared a photo of it on X.

Which one is POTUS?

[O Really]

Yeah, apparently both.