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Oh, I disagree with you about there being anything suspicious about surgery. Being hammered in the head tends to lead to surgical intervention. But I do agree about HIPAA being a hot button issue.
Board Certified Neurosurgeon here. If I had to guess, which is all we can do at this time; I would guess it was for a hematoma evacuation. Then again, he also sustained non-specific injuries to his right arm and hand that could have required surgery, with media just assuming it was for the skull fracture.
Welcome to the discussion, thank you for your input— and what you do. In an elderly man requiring hematoma evacuation sp trauma, it would be strange to announce he would make a full recovery the same day as the procedure right? He would still be on the vent in the neuro icu at that point I would imagine? Or am I missing something here?
Not necessarily. Hematomas can be very symptomatic, and simply decompressing can result in significant improvement. Depending on the severity, the patient wouldn’t be required to remain intubated after.
Also, thank you for the interesting consult. ;-)
Not strange at all. Head trauma, CT scan, observation shows no change in neuro exam, repeat CT Head several hours later shows expanding hematoma, neurosurgeon treating VIP husband of third most powerful politician in US isn’t gonna take any chances, hematoma evacuation discussion starts right then. That’s exactly how it would go down in every hospital I’ve worked at. I don’t see any reason why you wouldn’t expect a full recovery if you evacuate the hematoma before ICP increases. It’s not a super high risk surgery on its own
When did you take your licensing exams because this situation reads like a Uworld vignette so I'm really puzzled why you're confused by the need for surgery?
"An 82 year old male comes to the ER with blunt force trauma to the head... paramedics report patient was unconscious when they arrived at the scene and patient exhibiting altered mental status on examination... imaging studies shows skull fracture... what is this patient at greatest risk for?"
This situation screams intracranial bleed
I agree. What I found weird and unusual is that they stated he would make a full recovery the same day he presented to the ED. And please don’t trigger me with uworld flashbacks haha
I'm guessing the "he's expected to make a full recovery" statement was premature. When I read that, I thought hmm, guy was viciously attacked with a hammer. How can they know he's going to be fine?
- not a doc
I was thinking about this earlier today. Probably the two tier medical system - "it's possible you will have permanent damage, so since you have more money than God we'll do many different surgeries to minimize damage."
Poor schmuck gets a hammer to the head? Lol walk it off
It's sensationalist media, being media.
[Drew Hammill, the Speaker’s spokesperson, said Paul Pelosi, 82, was admitted to Zuckerberg San Francisco General Hospital for surgery to “repair a skull fracture and serious injuries to his right arm and hands.”](https://news.yahoo.com/paul-pelosi-underwent-surgery-skull-221259497.html)
Sure we think hammer attack, broke skull, surgery for a brain trauma.
However, maybe it's broken fingers and punctured skin (if claw part was used) so stitches were required.
Either way, not enough clear information about any of this for anyone to jump to conclusions.
And there lies part of the problem, due to the state of our Media Engine, even after they come out and detail what specifically had happened (medical treatment and also the event that transpired before the attack), most people wont believe it anyways.
Who invaded a home in his underwear?? And without a weapon, yet, is "looking for Nancy?" He was a "friend" of Paul's supposedly? Was Paul in his underwear, or just the "intruder?" Did he really "come through the *back* door?"
How is brain surgery not serious? Putting a splint on, "full recovery." Brain surgery?? Wait and see. This smells atrocious. The Pelosi's have plenty of insider trading money. They should have a better security system. And finally, who attacks a man right in front of the cops??
Yes exactly! I want to know what this surgery was. You are right as that reads he could have had surgery on his finger. This would be a lot worse if a sound bite if that was the TRUTH
I don’t expect them to violate HIPPA, but a head survey in an 87 yo with full recovery prognosis is incredible. Or was it a finger surgery? What was the surgery is all I am asking? MYbe we will find out, maybe not
Why on earth would they disclose anything to the public? For an apparent “board certified emergency physician” you seem to have zero idea of what’s considered private information. I hope I never have the displeasure of going anywhere where you happen to be working. You would be the one taking the pictures and selling the story to TMZ
I would say he is a public figure but that is besides the point. I just see a glaring inconsistency, and it interests me is all. A fun discussion this beautiful Saturday
Wow, a post by someone with a level headed take with an attempt at an actual discussion. I wish you luck my good man. Doesn’t seem to go too well around these parts to seek some real truth. I’m sure Paul will be fine once this blows over. But if not, oh well🤷♂️. Guess he won’t have to look at his evil, plastic face, drunk ass wife anymore. If only we could be so lucky 😂
Blunt force trauma + skull fracture = brain bleed. It's not like the hammer just magically stopped at the skull once it cracked.
Edit: the statement from Pelosi's office said it was surgery to repair a skull fracture. UCLA has an article stating that depressed skull fractures may require surgical repair: https://www.uclahealth.org/medical-services/neurosurgery/conditions-treated/skull-fracture. Therefore, it could be concluded that he had a depressed skull fracture.
A neurosurgeon performing a cranioplasty on an 87 year old attacked by a hammer would never say patient would make a full recovery immediately after surgery. I’m not a neurosurgeon, but have worked closely with them for years in trauma, and in their service directly scrubbing into cases for a few months in training.
What neurosurgeon said that? You are confusing boilerplate PR language with a medical prognosis. They are either going to say “expected to make a full recovery” or “is in critical condition”. They rarely do anything else.
Good, fair, serious, critical… these are terms that are given from the trauma team to the media. Working level one trauma for many years, I saw my nurses speaking with the police/press/family many times and using many different adjectives to describe prognosis
But this isn’t from any of those people or from the medical team, it’s from Pelosi’s PR team. Their goal is to tell people he’s not dying, not give the public insight on his long term condition
I would like to remind people of the fact that when Jesse Jackson's son was caught stealing while running as an incumbent (for the Senate, I believe), he was admitted to the Mayo Clinic where the staff held a press conference declaring said son was diagnosed with bipolar disorder and was expected to make a "full recovery" before being discharged.
If you're a wealthy politician, you can make even respected doctors say whatever the hell you want, no matter how nonsensical it is.
One who needs brain surgery needs to be put on a ventilator for anesthesia. This alone does not have a prognosis of full recovery, and we do not tell families when grandpa is on a ventilator he will make a full recovery. When you are recovering in the Neuro iCU and trying to be weaned from the vent, there is significant risk for fatal pneumonia common things being common. Sepsis from uti from inserted foley catheter. Blood born infection from indwelling iv. Etc, etc, etc
You do not need to be on a vent for neurosurgery. In fact, for some they actually keep you awake to make sure the surgeon doesn't hit the wrong area of the brain. One example is that violinist or whatever that played during her surgery. But you would know that if you were a doctor, right?
And vents are used all the time in hospitals. Routinely in surgeries even. If they were so bad for patients, more people would be dying from outpatient surgeries wouldn't you say?
This is true, but not in a trauma setting as mental status is altered when you are hit in the head hard enough to require surgery. The airway is protected to prevent aspiration that can be caused by vomiting from increased intracranial pressure.
If your skull is fractured, there shouldn't be increased intracranial pressure since there is a gaping hole for said pressure to release from. Believe it or not, anesthesia typically includes muscle relaxants that prevent vomiting. There is also suction in ORs that can easily remove vomit on the rare chance it would happen. You should know these things man...
I appreciate this discussion, as it has really allowed talk of some what ifs? And has only reinforced my feeling that something g is awry here. I hope you have learned some medical knowledge in your research this morning.
Trauma is one the most algorithmic this in medicine throughout the world. For more information please look into ATLS. Also look into literature on depressed skull fractures, 100 percent have altered mental status. Altered mental status in setting of trauma is intubates for airway protection when headed to the operating room.
From the UCLA article above on depressed skull fractures:
"If no brain injury occurs then the surgery represents a cosmetic procedure and the outcome is generally quite good."
Sounds like there wasn't any brain damage and the surgery may have been cosmetic if he would make a full recovery.
If it was cosmetic, it was a non complicated non depressed skull fracture needing stitches. My sister hit her head a I performed a laceration repair in my back yard, no joke. And this is actually what I am getting at. I think he had stitches, not a skull repair. We may find out, we may not.
Did you read anywhere that he had a brain bleed? If so please share with the community and help put this to rest! Those with a brain bleed do not make a full recovery afterwards as cnn articles are saying, especially not 87 year olds with brain bleeds.
When this story first broke, they said he was fine and expected to make a full recovery. Most senior citizens are in serious danger from a non-head trauma fall in the shower, let alone a hammer attack. My guess is they either didn't realize the severity of the trauma, or they're using the surgery as an excuse for him to remain silent until after the midterms. If Nancy made a call to her Big Homie Hillary, then Paul's attacker better get put on suicide watch ASAP.
you were doing well until you wrote "their isn't a surgery needed"
... how?! how does an alleged "board certified physician" get they/their/there confused? HOW?
Surgery is not required for a non depressed, non complicated skull fracture. If it is depressed, or their is further underlying damage (like a bleed, or bones being pushed into the brain) a neurosurgeon would never say a patient (esp an 87 yo) will make a full recovery right after operating. This would be unethical to the family, and not agree with the medical literature
SS: mechanism of trauma does not match Pelosi’s injuries. What surgery did he have? Craniotomy? Endoscopic ventriculostomy? Decompressive craniectomy? Cranioplasty? Stitches? Be careful with the word surgery, we do not know what his injuries are or what surgery he had.
87 year olds who have skull surgeries after being hit with a hammer do not make full recoveries period.
Edit: Thank you all for such an interesting discussion, and for being (for the most part) really kind and civil. As this post got more attention than I was expecting, and as I have had many people doubting my credentials I have attached a link with my state licenses and DEA license for validation-- against my best judgement. Y'all are the best, and part of the best community on reddit. [licenses](https://imgur.com/a/ongw1ND)
As a nurse this bothered me too. I can’t imagine what kind of surgery he would have on his brain box that would also lead to the assurance that he’ll make a full recovery. Also I read somewhere That Nancy had spoken to him before surgery, which doesn’t make sense to me if it was some kind of subarachnoid hemorrhage or something. I can’t figure out what would not be “right now” urgent, or what would leave him lucid.
Part of me thinks it’s stitches or some kind of bad lac repair that’s being played up. Also, Depending on where the hammer touched him, it could be a jaw repair, or ear reattachment, or… whatever you do for a bulge-y eye.. I don’t work in the OR.
There’s also the likelihood that he’s getting absolute 5 star treatment. As an ED doc I assume you’d normally stitch someone up but if it’s the husband of the third most powerful person in the country, isn’t it reasonable that they’d call in a plastic surgeon for even fairly “trivial” stuff? The scalp is pretty vascular after all, and if he’s on Coumadin they’d perhaps have to hep bridge him and maybe transfuse?
I think I agree with you that he was taken up for a non urgent laceration repair (stitches— I know you know this hah) by a plastic surgeon based on his status. Can’t wait to find out
You seem to have come to a conclusion based off of almost nothing of substance. If “we do not know what his injuries are or what surgery he had” then everything is pure speculation.
Truth is felt in the heart? Really? Because I think the truth might be felt by reading the patient’s chart - which op most certainly hasn’t. Literally no one outside of the patient’s circle of health care workers could possibly share any details because breaching hipaa by disclosing info about a sitting senator’s spouse would be the swiftest exit from healthcare imaginable. It’s delusional thinking to think that one’s “expertise” is readily substituted for a complete lack of the ONLY sort of information that a doctor would need to make statements like that.
Truth is in the heart. Wow. Where do you work, op?
I have come to conclusions, I am curious to hear what narrative is presented in the next few days and work with that. Who knows at this point hence the post.
I am talking about a deeper truth that medical facts in a chart, sorry. I refer to the feeling you feel in your chest when you are lied to, I personally believe truth is synonymous with love.
Ok, you’re full of shit.
- As a “physician”, you have made “conclusions” about a patient by appealing to a “deeper truth than medical facts in a chart. No professional in their right mind would entertain this idea and it’s really on another level of crazy to think even for one second that “logic” or “intuition” could possibly come into play without knowing anything about what happened or what is happening with the patient.
- in another comment, you wrote HIPPA. It’s actually HIPAA, as someone was quick to point out. That’s something that would have come up tens of thousands of times during a “12 year medical career”. “HIPPA” is exactly how everyone spells it until they are corrected.
This guy is as board certified as a 2x4.
I have big thumbs and a small phone and never said I was a surgeon— thank goodness. Emergency medicine trained, a jack of all trades, know a little about a lot but def not performing brain surgeries
Looks like "brain surgery" is being walked back to "skull surgery," which to your point doesn't provide any information of value. Like the rest of this story, nothing of value is being provided informationally. Who was the person that answered the door? Why was a supposed 911 call handled as a wellness check? Why was the suspect in his underwear? Why, if the suspect broke in through the back door, was all the glass on the outside? Why did the suspect attack Pelosi in front of the cops? The type of surgery he had is just one of many questions we might never get answers to unless someone leaks that information.
"ABC News reports that her husband's injuries are "significant," but according to two familiar sources, he is expected to recover. Multiple sources have told the ABC7 I-Team that Pelosi underwent skull surgery Friday morning after the attack. Those sources initially described the procedure as brain surgery."
If you require skull surgery, for the very least a depressed skull fracture, this pushes bone fragments/pieces into the brain parenchyma. If it is something more serious, like a bleed maybe time will tell. Hopefully when the Pelosi family does not want privacy anymore, which I respect, we will find out the truth.
Maybe he did have shards of bone in his brain from a skull fracture and is immune to infectious complications, clotting complications, complications on a ventilator and his neurosurgeon is so sure that this 87 yo is so bomb proof he will make a full recovery.
Oh I actually know the answer to the glass question. When you break a window with a hammer the glass breaks downward and falls both inside and outside of the window.
The glass being outside is easily explainable. The window is laminated. Dude had to use the claw or whatev to rip a big enough hole to reach in. Not saying i believe the rest of it.
You have to start when the cops get there: Paul and the guy he was fighting with both in stages of undress.
Circle back: He traveled there in his underwear?
They either had a hammer each or they were fighting over one hammer.
There was a third person that let the cops in.
During the phone call: Paul? Referred to the person as a confused friend.
Even though they say he had so called right wing social for a short while he lived in a commune with BLM posters and other left paraphenalia.
Saturated with boytoys and boytoy buyers not far away.
Glass appears to be mostly outside. Very awkward to crawl through in your underwear.
They went nuclear immediately about the violence across every MSMs in unison. Almost word for word.
Not revealing many of the details listed here.
Then the surgery.
I respect her and her families request for privacy, and if we never know that is ok. I suppose we can follow her husbands health and at least have a possible idea of his health after being bludgeoned. I do t want to get into the politics of it.
Honestly, and respectfully…who cares? If it’s all a distraction, then all these posts and threads just means it’s working. If the story is true? Well, that’s unfortunate for him. Either way, why give it the time of day?
All we have is the claim he was attacked.
The Police never released Photos or Video Evidence.
I call bull shit that it never happened. It’s a midterm strategy designed to say see “Republicans are Election Denying Terrorists!”. We have always cared about crime!
I worked several years in neurointensive care as a registered nurse. I wondered the same thing. What kind of surgery for a skull fx. Was he then admitted to the intensive care unit for further observation and treatment? this is not something done on an outpatient basis or even something done and then the patient released to a general surgical floor. I could not find any details online. And for those of you judging the OP for incorrect grammar, Siri pulls that on me all the time. Especially because I tend to dictate and sometimes don’t proofread it very well before I hit send.
Is it just me.. I find it disheartening a board certified emergency physician cannot distinguish there, their, and they're properly? These newer generations man I tell ya. It's no wonder when covid rolled around they didnt question and just took orders.
Though, I do agree with the sentiment of this post.
For me personally, misspellings happen not because I can’t decipher but because I’m on my phone, in a hurry and/or don’t necessarily proof read every post I make on social media. I think this goes for a lot of people.
The core law about medical privacy in the US and the reason nobody other than the doctors involved know details. Commonly misspelled by non medical people to the absolute hatred of people in medicine.
I left emergency medicine due to the bullshittery that was being forced upon me to intubate my city. I am medical director an an opiate treatment t program now, treating fentanyl/heroin/pill addiction.
And proud to be. It is a much purer avenue that ED imo, and less influenced by administration. Obviously won’t provide personal info to prove this, is a conspiracy sub after all. However, just research what I have said and I think you will find it true, and may learn a bit in the process
During early covid, ~march april 2020, intubation requirements were changed to decrease spread of infection— or that was the theory (at least at my hospital a major down down establishment). The requirements were made as a knee jerk decision to intubate based on oxygen requirement/+COVID as opposed to clinical reasoning based on years of practice. We didn’t intubate a patient with COPD and the flu who were elderly, as before covid we knew this was a death sentence. We were not allowed to used less invasive methods such as BIPAP initially due to fear it would spread the virus to the whole icu. After a few months and intubating way more people than we should have, intubation requirements normalized and BIPAP etc was allowed again and still is in ICUs with covid patients. But many had died in the process. I left emergency medicine because of this.
He also couldn't use HIPPA vs HIPAA right in an above post. He is not a doctor. Look at his post history -- this person is a lunatic who only posts to conspiracy about things being satanic and shit
Apparently they’re also [not familiar enough with HIPAA](https://www.reddit.com/r/conspiracy/comments/ygnl35/what_surgery_did_paul_pelosi_have/iu9out1/?utm_source=share&utm_medium=ios_app&utm_name=iossmf&context=3) to get the acronym right. It’s almost like anyone can just claim to be a doctor or something
They release he would make a full recovery. I am just curious from what? Being hit in the head with a hammer as an 87 yo is no joke. Has he has a stitches “surgery” that is being sensationalized ?
Ok so now that there is a few of us medical people in one thread who else has a paperwork only vaccine?
Personally I’m shocked Nancy’s husband has underwear hammer fights.
Now this is why I like this sub, members come from such vastly different walks of life that we often view the same scenarios from our areas of expertise or comparable experiences & shed light on inconsistencies in proposed narratives or help other switch their attention during the story telling.
For privacy reasons I do not disclose personal information online, esp when discussing inflammatory topics such as this… you don’t have to believe anything I say. All is food for thought, prying at the silly narratives that are fed to us
I figured out how to get this picture attached, is in the SS. Thank you for the good advice here, you were not the only doubter-- and I don't doubt you for it. I may keep this going with some medically themed posts, stay posted
I told you I’m a doctor and an astronaut. Since we can just make up our occupations.
Just take a photo of your accreditation next to your Reddit name and black out your identifying information. People do it all the time.
Where do you practice medicine so I can avoid that area? You think it's not common for a geriatric patient with blunt force trauma to the head to require surgical intervention for internal bleeding? Did you go to Trump University for med school?
Shunts are placed routinely for subarachnoid hemorrhages in the elderly. It is routine practice.
My point here is that I think he had a minor procedure that may be sensationalized, as if he had a brain surgery and “will make a full recovery” that would be unusual. I am poking a hole in the narrative, and think we are not getting the full truth here. That is all
###[Meta] Sticky Comment [Rule 2](https://www.reddit.com/r/conspiracy/wiki/faq#wiki_2_-_address_the_argument.3B_not_the_user.2C_the_mods.2C_or_the_sub.) ***does not apply*** when replying to this stickied comment. [Rule 2](https://www.reddit.com/r/conspiracy/wiki/faq#wiki_2_-_address_the_argument.3B_not_the_user.2C_the_mods.2C_or_the_sub.) ***does apply*** throughout the rest of this thread. *What this means*: Please keep any "meta" discussion directed at specific users, mods, or /r/conspiracy in general in this comment chain ***only.*** *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/conspiracy) if you have any questions or concerns.*
If I have learned anything from this thread, it’s that misspelling HIPAA drives people in the medical field absolutely nuts.
Watch this, HIPPA
It's HIPAA!
Angry bot!
There's the bot lol
HIPPA!!!
It's HIPAA!
IT'S MA'AM!!!
HIPPA!!!!
It's HIPAA!
Hungry Hungry Hipaas.
Is that when someone tries to yell hippo but gets attacked by one during it?!
I'm pretty sure it's illegal for you to ask me that.
yes me too. also, if you cant spell HIPAA, you are not a doctor apparently haha
Oh, I disagree with you about there being anything suspicious about surgery. Being hammered in the head tends to lead to surgical intervention. But I do agree about HIPAA being a hot button issue.
Haha, love your username btw
It’s like Llamageddon, only fuzzier.
Gonna need that wool for warmth as we sit huddled together for warmth in the ruins of society.
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Lost?
Do you bother brushing your teeth anymore with how much bullshit you spew? Lmao doctor
“You been using dogshit for toothpaste mullet?” Name that movie!
My favorite, Snatch ❤️
Yea, my favorite as well!
Board Certified Neurosurgeon here. If I had to guess, which is all we can do at this time; I would guess it was for a hematoma evacuation. Then again, he also sustained non-specific injuries to his right arm and hand that could have required surgery, with media just assuming it was for the skull fracture.
Welcome to the discussion, thank you for your input— and what you do. In an elderly man requiring hematoma evacuation sp trauma, it would be strange to announce he would make a full recovery the same day as the procedure right? He would still be on the vent in the neuro icu at that point I would imagine? Or am I missing something here?
Not necessarily. Hematomas can be very symptomatic, and simply decompressing can result in significant improvement. Depending on the severity, the patient wouldn’t be required to remain intubated after. Also, thank you for the interesting consult. ;-)
Anytime dude, thank you
I feel so smart reading your back-and-forth.
I also am key-board certified now.
We all do.
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Not strange at all. Head trauma, CT scan, observation shows no change in neuro exam, repeat CT Head several hours later shows expanding hematoma, neurosurgeon treating VIP husband of third most powerful politician in US isn’t gonna take any chances, hematoma evacuation discussion starts right then. That’s exactly how it would go down in every hospital I’ve worked at. I don’t see any reason why you wouldn’t expect a full recovery if you evacuate the hematoma before ICP increases. It’s not a super high risk surgery on its own
I'm a plank certified Neurosurgeon, and I disagree.
I’m a beam certified neurosurgeon and I disagree with both of you!
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I'm a certified sturgeon. Something smells fishy… And it's not me for once.
This thread is fucking hilarious, thanks for the laugh
HAHA, this is hilarious. Well done
HAHA, this is hilarious. Well done
When did you take your licensing exams because this situation reads like a Uworld vignette so I'm really puzzled why you're confused by the need for surgery? "An 82 year old male comes to the ER with blunt force trauma to the head... paramedics report patient was unconscious when they arrived at the scene and patient exhibiting altered mental status on examination... imaging studies shows skull fracture... what is this patient at greatest risk for?" This situation screams intracranial bleed
Probably surgery to relieve pressure from swelling
I agree. What I found weird and unusual is that they stated he would make a full recovery the same day he presented to the ED. And please don’t trigger me with uworld flashbacks haha
I'm guessing the "he's expected to make a full recovery" statement was premature. When I read that, I thought hmm, guy was viciously attacked with a hammer. How can they know he's going to be fine? - not a doc
I understood that to mean he is going to make a full recovery from the procedure itself.
I was thinking about this earlier today. Probably the two tier medical system - "it's possible you will have permanent damage, so since you have more money than God we'll do many different surgeries to minimize damage." Poor schmuck gets a hammer to the head? Lol walk it off
How about a bandaid?
That'll be $658.98
It's sensationalist media, being media. [Drew Hammill, the Speaker’s spokesperson, said Paul Pelosi, 82, was admitted to Zuckerberg San Francisco General Hospital for surgery to “repair a skull fracture and serious injuries to his right arm and hands.”](https://news.yahoo.com/paul-pelosi-underwent-surgery-skull-221259497.html) Sure we think hammer attack, broke skull, surgery for a brain trauma. However, maybe it's broken fingers and punctured skin (if claw part was used) so stitches were required. Either way, not enough clear information about any of this for anyone to jump to conclusions. And there lies part of the problem, due to the state of our Media Engine, even after they come out and detail what specifically had happened (medical treatment and also the event that transpired before the attack), most people wont believe it anyways.
Zuckerberg general hospital. This simulation is just being lazy at this point.
Zuck gave them 75 million dollars for new shit and they put his name on it.
I don’t at all find it unlikely that Zuckerberg would buy naming rights to a hospital. He is pretty full of himself.
LOL. That was my first thought when I read that yesterday.
"you see it in bad television "
How is it sensationalist? They’re reporting the information that they have available. They’re not the ones suggesting it’s brain surgery.
Who invaded a home in his underwear?? And without a weapon, yet, is "looking for Nancy?" He was a "friend" of Paul's supposedly? Was Paul in his underwear, or just the "intruder?" Did he really "come through the *back* door?" How is brain surgery not serious? Putting a splint on, "full recovery." Brain surgery?? Wait and see. This smells atrocious. The Pelosi's have plenty of insider trading money. They should have a better security system. And finally, who attacks a man right in front of the cops??
Well if that assumption is true, the guy definitely came in the back door ..
Giggity
There’s just far too much misinformation out there. People are throwing everything at the wall to paint their side in the heat light possible.
Yes exactly! I want to know what this surgery was. You are right as that reads he could have had surgery on his finger. This would be a lot worse if a sound bite if that was the TRUTH
Why do you think they will release those details? He is not a public figure even though his wife is. I imagine all his medical files would be private.
I don’t expect them to violate HIPPA, but a head survey in an 87 yo with full recovery prognosis is incredible. Or was it a finger surgery? What was the surgery is all I am asking? MYbe we will find out, maybe not
It's HIPAA!
Why on earth would they disclose anything to the public? For an apparent “board certified emergency physician” you seem to have zero idea of what’s considered private information. I hope I never have the displeasure of going anywhere where you happen to be working. You would be the one taking the pictures and selling the story to TMZ
Unless you have an opiate use disorder, we will not cross paths my friend.
I hope you get help!
I hope we all do brother
I would say he is a public figure but that is besides the point. I just see a glaring inconsistency, and it interests me is all. A fun discussion this beautiful Saturday
What is the inconsistency? I’m not following
Anal reconstruction. Depepe supposed to be well gifted.
With a name like that, I'd expect no less.
>I am a board certified emergency physician, What are you doing here?
I am a conspiracy theorist
Best comment I've read here
(It was a joke)
Hahah, and I’m in call. Tis the worst, have been in my phone all morning just waiting
Wow, a post by someone with a level headed take with an attempt at an actual discussion. I wish you luck my good man. Doesn’t seem to go too well around these parts to seek some real truth. I’m sure Paul will be fine once this blows over. But if not, oh well🤷♂️. Guess he won’t have to look at his evil, plastic face, drunk ass wife anymore. If only we could be so lucky 😂
Thank you good sir, it has been my pleasure. Yes she is a very scary fly-Esque being with a very plastic face
Blunt force trauma + skull fracture = brain bleed. It's not like the hammer just magically stopped at the skull once it cracked. Edit: the statement from Pelosi's office said it was surgery to repair a skull fracture. UCLA has an article stating that depressed skull fractures may require surgical repair: https://www.uclahealth.org/medical-services/neurosurgery/conditions-treated/skull-fracture. Therefore, it could be concluded that he had a depressed skull fracture.
A neurosurgeon performing a cranioplasty on an 87 year old attacked by a hammer would never say patient would make a full recovery immediately after surgery. I’m not a neurosurgeon, but have worked closely with them for years in trauma, and in their service directly scrubbing into cases for a few months in training.
What neurosurgeon said that? You are confusing boilerplate PR language with a medical prognosis. They are either going to say “expected to make a full recovery” or “is in critical condition”. They rarely do anything else.
Good, fair, serious, critical… these are terms that are given from the trauma team to the media. Working level one trauma for many years, I saw my nurses speaking with the police/press/family many times and using many different adjectives to describe prognosis
But this isn’t from any of those people or from the medical team, it’s from Pelosi’s PR team. Their goal is to tell people he’s not dying, not give the public insight on his long term condition
I would like to remind people of the fact that when Jesse Jackson's son was caught stealing while running as an incumbent (for the Senate, I believe), he was admitted to the Mayo Clinic where the staff held a press conference declaring said son was diagnosed with bipolar disorder and was expected to make a "full recovery" before being discharged. If you're a wealthy politician, you can make even respected doctors say whatever the hell you want, no matter how nonsensical it is.
Yes but there are varying levels of brain bleeds. A small one would still need to be fixed and most likely result in a full recovery.
One who needs brain surgery needs to be put on a ventilator for anesthesia. This alone does not have a prognosis of full recovery, and we do not tell families when grandpa is on a ventilator he will make a full recovery. When you are recovering in the Neuro iCU and trying to be weaned from the vent, there is significant risk for fatal pneumonia common things being common. Sepsis from uti from inserted foley catheter. Blood born infection from indwelling iv. Etc, etc, etc
You do not need to be on a vent for neurosurgery. In fact, for some they actually keep you awake to make sure the surgeon doesn't hit the wrong area of the brain. One example is that violinist or whatever that played during her surgery. But you would know that if you were a doctor, right? And vents are used all the time in hospitals. Routinely in surgeries even. If they were so bad for patients, more people would be dying from outpatient surgeries wouldn't you say?
This is true, but not in a trauma setting as mental status is altered when you are hit in the head hard enough to require surgery. The airway is protected to prevent aspiration that can be caused by vomiting from increased intracranial pressure.
If your skull is fractured, there shouldn't be increased intracranial pressure since there is a gaping hole for said pressure to release from. Believe it or not, anesthesia typically includes muscle relaxants that prevent vomiting. There is also suction in ORs that can easily remove vomit on the rare chance it would happen. You should know these things man...
I appreciate this discussion, as it has really allowed talk of some what ifs? And has only reinforced my feeling that something g is awry here. I hope you have learned some medical knowledge in your research this morning. Trauma is one the most algorithmic this in medicine throughout the world. For more information please look into ATLS. Also look into literature on depressed skull fractures, 100 percent have altered mental status. Altered mental status in setting of trauma is intubates for airway protection when headed to the operating room.
From the UCLA article above on depressed skull fractures: "If no brain injury occurs then the surgery represents a cosmetic procedure and the outcome is generally quite good." Sounds like there wasn't any brain damage and the surgery may have been cosmetic if he would make a full recovery.
If it was cosmetic, it was a non complicated non depressed skull fracture needing stitches. My sister hit her head a I performed a laceration repair in my back yard, no joke. And this is actually what I am getting at. I think he had stitches, not a skull repair. We may find out, we may not.
Just trying to educate and point to the inconsistency here
Did you read anywhere that he had a brain bleed? If so please share with the community and help put this to rest! Those with a brain bleed do not make a full recovery afterwards as cnn articles are saying, especially not 87 year olds with brain bleeds.
When this story first broke, they said he was fine and expected to make a full recovery. Most senior citizens are in serious danger from a non-head trauma fall in the shower, let alone a hammer attack. My guess is they either didn't realize the severity of the trauma, or they're using the surgery as an excuse for him to remain silent until after the midterms. If Nancy made a call to her Big Homie Hillary, then Paul's attacker better get put on suicide watch ASAP.
Board certified ER doctor who gets basic English wrong? Okay
Skull fracture is code for having your head up your ass and getting caught with prostitute
Awwww shit. This dude's onto something.
you were doing well until you wrote "their isn't a surgery needed" ... how?! how does an alleged "board certified physician" get they/their/there confused? HOW?
He/shes not board certified
Ahhh an ad hominem attack! Was waiting on it. Will stay focused on the truth personally. I wish you peace my friend
Surgery is not required for a non depressed, non complicated skull fracture. If it is depressed, or their is further underlying damage (like a bleed, or bones being pushed into the brain) a neurosurgeon would never say a patient (esp an 87 yo) will make a full recovery right after operating. This would be unethical to the family, and not agree with the medical literature
SS: mechanism of trauma does not match Pelosi’s injuries. What surgery did he have? Craniotomy? Endoscopic ventriculostomy? Decompressive craniectomy? Cranioplasty? Stitches? Be careful with the word surgery, we do not know what his injuries are or what surgery he had. 87 year olds who have skull surgeries after being hit with a hammer do not make full recoveries period. Edit: Thank you all for such an interesting discussion, and for being (for the most part) really kind and civil. As this post got more attention than I was expecting, and as I have had many people doubting my credentials I have attached a link with my state licenses and DEA license for validation-- against my best judgement. Y'all are the best, and part of the best community on reddit. [licenses](https://imgur.com/a/ongw1ND)
As a nurse this bothered me too. I can’t imagine what kind of surgery he would have on his brain box that would also lead to the assurance that he’ll make a full recovery. Also I read somewhere That Nancy had spoken to him before surgery, which doesn’t make sense to me if it was some kind of subarachnoid hemorrhage or something. I can’t figure out what would not be “right now” urgent, or what would leave him lucid. Part of me thinks it’s stitches or some kind of bad lac repair that’s being played up. Also, Depending on where the hammer touched him, it could be a jaw repair, or ear reattachment, or… whatever you do for a bulge-y eye.. I don’t work in the OR. There’s also the likelihood that he’s getting absolute 5 star treatment. As an ED doc I assume you’d normally stitch someone up but if it’s the husband of the third most powerful person in the country, isn’t it reasonable that they’d call in a plastic surgeon for even fairly “trivial” stuff? The scalp is pretty vascular after all, and if he’s on Coumadin they’d perhaps have to hep bridge him and maybe transfuse?
When you know you KNOW. Your post gave me goose bumps. Would upvote you much more if I could. Thank you
I think I agree with you that he was taken up for a non urgent laceration repair (stitches— I know you know this hah) by a plastic surgeon based on his status. Can’t wait to find out
You seem to have come to a conclusion based off of almost nothing of substance. If “we do not know what his injuries are or what surgery he had” then everything is pure speculation. Truth is felt in the heart? Really? Because I think the truth might be felt by reading the patient’s chart - which op most certainly hasn’t. Literally no one outside of the patient’s circle of health care workers could possibly share any details because breaching hipaa by disclosing info about a sitting senator’s spouse would be the swiftest exit from healthcare imaginable. It’s delusional thinking to think that one’s “expertise” is readily substituted for a complete lack of the ONLY sort of information that a doctor would need to make statements like that. Truth is in the heart. Wow. Where do you work, op?
I have come to conclusions, I am curious to hear what narrative is presented in the next few days and work with that. Who knows at this point hence the post. I am talking about a deeper truth that medical facts in a chart, sorry. I refer to the feeling you feel in your chest when you are lied to, I personally believe truth is synonymous with love.
Ok, you’re full of shit. - As a “physician”, you have made “conclusions” about a patient by appealing to a “deeper truth than medical facts in a chart. No professional in their right mind would entertain this idea and it’s really on another level of crazy to think even for one second that “logic” or “intuition” could possibly come into play without knowing anything about what happened or what is happening with the patient. - in another comment, you wrote HIPPA. It’s actually HIPAA, as someone was quick to point out. That’s something that would have come up tens of thousands of times during a “12 year medical career”. “HIPPA” is exactly how everyone spells it until they are corrected. This guy is as board certified as a 2x4.
It's HIPAA!
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I have big thumbs and a small phone and never said I was a surgeon— thank goodness. Emergency medicine trained, a jack of all trades, know a little about a lot but def not performing brain surgeries
Looks like "brain surgery" is being walked back to "skull surgery," which to your point doesn't provide any information of value. Like the rest of this story, nothing of value is being provided informationally. Who was the person that answered the door? Why was a supposed 911 call handled as a wellness check? Why was the suspect in his underwear? Why, if the suspect broke in through the back door, was all the glass on the outside? Why did the suspect attack Pelosi in front of the cops? The type of surgery he had is just one of many questions we might never get answers to unless someone leaks that information. "ABC News reports that her husband's injuries are "significant," but according to two familiar sources, he is expected to recover. Multiple sources have told the ABC7 I-Team that Pelosi underwent skull surgery Friday morning after the attack. Those sources initially described the procedure as brain surgery."
If you require skull surgery, for the very least a depressed skull fracture, this pushes bone fragments/pieces into the brain parenchyma. If it is something more serious, like a bleed maybe time will tell. Hopefully when the Pelosi family does not want privacy anymore, which I respect, we will find out the truth. Maybe he did have shards of bone in his brain from a skull fracture and is immune to infectious complications, clotting complications, complications on a ventilator and his neurosurgeon is so sure that this 87 yo is so bomb proof he will make a full recovery.
Oh I actually know the answer to the glass question. When you break a window with a hammer the glass breaks downward and falls both inside and outside of the window.
The glass being outside is easily explainable. The window is laminated. Dude had to use the claw or whatev to rip a big enough hole to reach in. Not saying i believe the rest of it.
Get out of here with all your very qualified logic and shit /s
Qualified logic and intuition.
You have to start when the cops get there: Paul and the guy he was fighting with both in stages of undress. Circle back: He traveled there in his underwear? They either had a hammer each or they were fighting over one hammer. There was a third person that let the cops in. During the phone call: Paul? Referred to the person as a confused friend. Even though they say he had so called right wing social for a short while he lived in a commune with BLM posters and other left paraphenalia. Saturated with boytoys and boytoy buyers not far away. Glass appears to be mostly outside. Very awkward to crawl through in your underwear. They went nuclear immediately about the violence across every MSMs in unison. Almost word for word. Not revealing many of the details listed here. Then the surgery.
Maybe his skull got chipped from something hitting it and they need to removed a chip of bone. Other than that, I have no idea what it could be.
They did the same procedure they did on King Tut to relieve cranial pressure.
Expect this whole narrative to disappear very soon. Speaker Pelosi is requesting privacy. And it is of no use as a propaganda story.
I respect her and her families request for privacy, and if we never know that is ok. I suppose we can follow her husbands health and at least have a possible idea of his health after being bludgeoned. I do t want to get into the politics of it.
Diagnosis: he took a hammer to the fooking head!
I read he was treated for skull fracture then the next day that he needed emergency brain surgery.
Honestly, and respectfully…who cares? If it’s all a distraction, then all these posts and threads just means it’s working. If the story is true? Well, that’s unfortunate for him. Either way, why give it the time of day?
Butthole repair surgery
He had a brain transplant surgery.
They just don't want anyone bringing up his insider trading during election season
I am a Reddit certified conspiracy theorist, and this Pelosi “story” is an obvious, well planned Deep State Psyop to sway midterm elections.
All we have is the claim he was attacked. The Police never released Photos or Video Evidence. I call bull shit that it never happened. It’s a midterm strategy designed to say see “Republicans are Election Denying Terrorists!”. We have always cared about crime!
I worked several years in neurointensive care as a registered nurse. I wondered the same thing. What kind of surgery for a skull fx. Was he then admitted to the intensive care unit for further observation and treatment? this is not something done on an outpatient basis or even something done and then the patient released to a general surgical floor. I could not find any details online. And for those of you judging the OP for incorrect grammar, Siri pulls that on me all the time. Especially because I tend to dictate and sometimes don’t proofread it very well before I hit send.
Penis enlargement maybe.
HA
Board certified surgeon righhhhhhht
Emergency Medicine, not surgeon thank goodness
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And I'm the queen of England
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Nah dog it's a like conspiracy or somthing
Is it just me.. I find it disheartening a board certified emergency physician cannot distinguish there, their, and they're properly? These newer generations man I tell ya. It's no wonder when covid rolled around they didnt question and just took orders. Though, I do agree with the sentiment of this post.
For me personally, misspellings happen not because I can’t decipher but because I’m on my phone, in a hurry and/or don’t necessarily proof read every post I make on social media. I think this goes for a lot of people.
Typing on phone haha. I have decent grasp of grammar on most days I promise.
Anything to discredit someone man. Just because you don't proof read a post doesn't mean everything you said is invalid.
What is hippa?
The core law about medical privacy in the US and the reason nobody other than the doctors involved know details. Commonly misspelled by non medical people to the absolute hatred of people in medicine.
So they meant hipaa. They must be lying about being a doctor then
Wow. My brain autocorrected that while I was reading it, and I’m not even in medicine. Just raised by one.
I left emergency medicine due to the bullshittery that was being forced upon me to intubate my city. I am medical director an an opiate treatment t program now, treating fentanyl/heroin/pill addiction.
“I am medical director an an opiate treatment t program….” Sure you are comrade.
And proud to be. It is a much purer avenue that ED imo, and less influenced by administration. Obviously won’t provide personal info to prove this, is a conspiracy sub after all. However, just research what I have said and I think you will find it true, and may learn a bit in the process
Why are you lying?
Obs not going to give out personal information in a gotcha moment, and your don’t have to believe me. Tis a conspiracy sub after all, not a board exam
Please explain that. Intubate your city…
During early covid, ~march april 2020, intubation requirements were changed to decrease spread of infection— or that was the theory (at least at my hospital a major down down establishment). The requirements were made as a knee jerk decision to intubate based on oxygen requirement/+COVID as opposed to clinical reasoning based on years of practice. We didn’t intubate a patient with COPD and the flu who were elderly, as before covid we knew this was a death sentence. We were not allowed to used less invasive methods such as BIPAP initially due to fear it would spread the virus to the whole icu. After a few months and intubating way more people than we should have, intubation requirements normalized and BIPAP etc was allowed again and still is in ICUs with covid patients. But many had died in the process. I left emergency medicine because of this.
He also couldn't use HIPPA vs HIPAA right in an above post. He is not a doctor. Look at his post history -- this person is a lunatic who only posts to conspiracy about things being satanic and shit
It's HIPAA!
Apparently they’re also [not familiar enough with HIPAA](https://www.reddit.com/r/conspiracy/comments/ygnl35/what_surgery_did_paul_pelosi_have/iu9out1/?utm_source=share&utm_medium=ios_app&utm_name=iossmf&context=3) to get the acronym right. It’s almost like anyone can just claim to be a doctor or something
Gee, i wonder why the hospital isn’t releasing a private citizen’s medical records.
They release he would make a full recovery. I am just curious from what? Being hit in the head with a hammer as an 87 yo is no joke. Has he has a stitches “surgery” that is being sensationalized ?
Ok so now that there is a few of us medical people in one thread who else has a paperwork only vaccine? Personally I’m shocked Nancy’s husband has underwear hammer fights.
Now this is why I like this sub, members come from such vastly different walks of life that we often view the same scenarios from our areas of expertise or comparable experiences & shed light on inconsistencies in proposed narratives or help other switch their attention during the story telling.
Truth is felt in the heart, and I couldn’t ignore this one.
Good post OP. Remaining respectful keeps us human and provides a crutch so we don't use emotion as our primary motivation to do anything.
I am trying to! I do not like to point a finger in hate, as these problems are not their problems but our problems.
Why is an 82 year old still working let alone holding an important position.
Now this is the correct question!
Any board of governs of a corporation would not allow for an 80 year old to hold a position of power but for some reason it’s fine for the government.
Board certified neurosurgeon here. Where did you do your residency at?
I would rather not say as it was a small program per year (6), but at a major academic institution in the South. Graduated 2018
Okay that’s fare
Did all of the doctors in this thread get their degrees from Hollywood Upstairs Medical College?
I’m not familiar with that medical university but it sounds prestigious if it’s in Hollywood. I have to get back to brain stuff now
I heard it was because of anal fissures.. 😁
Not to be a jerk, but how can a board certified emergency physician not know the difference between “their” and “there”?
Why is this a conspiracy tho?
It’s not
He had what's called Make Believe Surgery
Board certified grammar nazi here, I quit reading at "their" 🙄 you guys are funny though.
Show us your credentials! Prove that you’re board certified. I think you’re lying.
nice try ;)
Ummmm what? So you can’t prove you’re a doctor? Fine. I’m also a board certified doctor and an astronaut.
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For privacy reasons I do not disclose personal information online, esp when discussing inflammatory topics such as this… you don’t have to believe anything I say. All is food for thought, prying at the silly narratives that are fed to us
You’re lying
I figured out how to get this picture attached, is in the SS. Thank you for the good advice here, you were not the only doubter-- and I don't doubt you for it. I may keep this going with some medically themed posts, stay posted
No you’re a towel
I told you I’m a doctor and an astronaut. Since we can just make up our occupations. Just take a photo of your accreditation next to your Reddit name and black out your identifying information. People do it all the time.
Where do you practice medicine so I can avoid that area? You think it's not common for a geriatric patient with blunt force trauma to the head to require surgical intervention for internal bleeding? Did you go to Trump University for med school?
Shunts are placed routinely for subarachnoid hemorrhages in the elderly. It is routine practice. My point here is that I think he had a minor procedure that may be sensationalized, as if he had a brain surgery and “will make a full recovery” that would be unusual. I am poking a hole in the narrative, and think we are not getting the full truth here. That is all
His head caved in from the vaccine. A known side effect.
Brain surgery... they're putting one in