In a first, NASA orders astronauts home after unspecified medical issue

DougF

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Interesting that Isaacman didn’t really answer the question about what he would “like to have” for Lunar and Martian bases’ medical equipment/suite. He just mentioned about they have a lot of equipment and capability and are constantly learning. Has there been a serious proposal for a medical “room” or suite for Lunar or Martian bases? Or, like subs, they convert one of the mess tables to an operating table (at least they did in one of the black/white WWII movies…)?
Second question would be: at what level/number of colonists/residents would it be wise to have medical staff assigned, in that role, to the mission/outpost/colony/etc?
 
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Secondfloor

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I am surprised that NASA has been so closed lipped about the identity of the stricken astronaut and his condition. I understand privacy and all that but they're going to have to release the information eventually.
Please post your current medical conditions.

What’s that, it’s none of our business you say?
 
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wagnerrp

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I am surprised that NASA has been so closed lipped about the identity of the stricken astronaut and his condition. I understand privacy and all that but they're going to have to release the information eventually.
They don’t have to, and they’re not even allowed to without consent.
 
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norton_I

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I am surprised that NASA has been so closed lipped about the identity of the stricken astronaut and his condition. I understand privacy and all that but they're going to have to release the information eventually. It's obviously not an emergency, so let's hope they get him home safely and to a hospital as soon as possible.

This is a pretty dumb take.

There is no reason at all other than satisfying morbid curiosity of internet shitposters to identify the person. Might it come out eventually? Yes, but it's not like anyone has a right or reason to know, much less any element of timeliness.

What there is at least a reason to eventually disclose is the nature of the medical condition and the how the responses were evaluated. That's at least valuable scientific information, but obviously also sensitive and could de facto identify the person. And that is why there are jobs like "medical ethicists" to help figure out what and when that type of information can be responsibly disclosed.
 
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mcm69

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Crew members are trained to perform ultrasounds, defibrillate patients, and start IVs, among other things.
I imagine operating an ultrasound and a defibrillator wouldn't be too different in space. I wonder how IVs are administered though in microgravity? Does the IV equipment come with a pump to ensure consistent flow?
 
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wagnerrp

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Chuckstar

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I imagine operating an ultrasound and a defibrillator wouldn't be too different in space. I wonder how IVs are administered though in microgravity? Does the IV equipment come with a pump to ensure consistent flow?
IV pumps are entirely standard in medical settings. Seems very unlikely that they wouldn’t be using them in space.
 
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Maestro4k

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Unrelated, but now I'm wondering how kidney stones work in space... 😫
As someone who suffers from the dammed things (enough so that Social Security eventually admitted I was disabled due to them) my guess is they don't work much differently in space than they do on Earth. The primary reason they move inside the ureter, causing massive amounts of pain, is due to urine flow. I believe that works the same way in space, or at least I've never heard of it acting significantly different.

As to forming stones in the first place, I don't know if being in space has any impact on that or not. Given how horrifically painful stones are, I'm pretty sure we'd have heard about it long ago if being in space significantly increased the risk of stone formation. Astronauts are tough, but stone pain can cripple the toughest of the tough with ease.
 
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As someone who suffers from the dammed things (enough so that Social Security eventually admitted I was disabled due to them) my guess is they don't work much differently in space than they do on Earth. The primary reason they move inside the ureter, causing massive amounts of pain, is due to urine flow. I believe that works the same way in space, or at least I've never heard of it acting significantly different.

As to forming stones in the first place, I don't know if being in space has any impact on that or not. Given how horrifically painful stones are, I'm pretty sure we'd have heard about it long ago if being in space significantly increased the risk of stone formation. Astronauts are tough, but stone pain can cripple the toughest of the tough with ease.
I'm kinda curious - how do you constantly have kidney stones? I thought they only formed due to poor water intake and/or certain diet, outside of a few rare bone conditions (of which I thought they had medication for)
 
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RushTea

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I'm kinda curious - how do you constantly have kidney stones? I thought they only formed due to poor water intake and/or certain diet, outside of a few rare bone conditions (of which I thought they had medication for)
Not the person in question, but: As someone with constant diet stones, it's tough to specify "absolutely no spinach" as a dietary requirement to others. Essentially I have to drink a glass of milk with every meal to precipitate the oxalate in my intestines rather than my kidneys. I still typically have sediments in my renal pelvises, that I flush with a course of tamsulosin every three months to prevent them turning into problem stones. Seeing sand in the bottom of the toilet bowl is fun.
 
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lsherida

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They don’t have to, and they’re not even allowed to without consent.
Thinking about how I would react if I were the astronaut in question, at first I figured I'd have no issue with people knowing about my medical conditions (in most cases). But then I got to thinking that being that open might put pressure on other astronauts to be similarly open, even if they weren't comfortable doing so.

So even though I'd be cool with being an open book, I'd probably err on the side of preserving the culture of privacy.
 
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lsherida

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When I read about this situation I keep picturing an irritable AI hologram popping up on the spacecraft and saying “Please state the nature of the medical emergency.”
As a volunteer EMT that runs my fair share of 9-1-1 calls, you have no idea how long I've been waiting for the right situation to say that.
 
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FranzJoseph

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I imagine operating an ultrasound and a defibrillator wouldn't be too different in space. I wonder how IVs are administered though in microgravity? Does the IV equipment come with a pump to ensure consistent flow?
Yes, the Crew Health Care Systems (CHeCS) comes with an IV pump (2011 full med equipment list below):

https://ntrs.nasa.gov/citations/20110022379
 
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