Vacationing in gun restricted Dominican Republic

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philip964
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Vacationing in gun restricted Dominican Republic

#1

Post by philip964 » Mon Jun 10, 2019 8:56 am

https://www.bostonglobe.com/sports/reds ... wr5Ta4UeAA

The Dominican Republic has very restrictive gun laws.

David Ortiz was shot by an assassin while sitting at a table near the street with friends.

He was a Boston Red Sox star retiring in 2016. He is from the Dominican Republic.
Last edited by philip964 on Thu Jun 27, 2019 10:06 am, edited 3 times in total.


Rob72
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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#2

Post by Rob72 » Mon Jun 10, 2019 9:01 am

This follows, I believe, 6 suspected poisonings of Americans in DR all-inclusive resorts. The FBI is investigating those...

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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#3

Post by Liberty » Mon Jun 10, 2019 1:30 pm

The crowd at the bar responded to the shooting.

"The gunman was captured and beaten by a crowd of people at the bar, Bautista said, according to the AP. Police were waiting until the man underwent treatment for his injuries before questioning him."

Good work on their part.
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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#4

Post by philip964 » Wed Jun 12, 2019 9:36 pm



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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#5

Post by philip964 » Wed Jun 12, 2019 10:27 pm

https://www.foxnews.com/entertainment/b ... oom-report

Shark Tank star’s brother dies in D. R.

Happened in April, don’t know if he is included in the 6 dead.


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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#6

Post by philip964 » Fri Jun 21, 2019 12:50 pm

https://nypost.com/2019/06/21/two-more- ... vacations/

They are dieing from heart attacks just every day now.

Pressure to cremate the bodies.

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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#7

Post by 03Lightningrocks » Fri Jun 21, 2019 2:25 pm

Note to self: Dominican Republic is off the vacation possibilities list.

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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#8

Post by tbrown » Fri Jun 21, 2019 4:52 pm

Some dude from the Dominican Republic gets shot in the Dominican Republic.

The Dominican Republic has strict gun laws.

:yawn
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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#9

Post by philip964 » Wed Jun 26, 2019 2:44 pm

https://nypost.com/2019/06/25/teen-tour ... ip-report/

15 year old goes into a diabetic coma while in DR.

No previous diabetic condition.

Could be this is a young girl having her first experience with this disease.

Traveling back to Argentina in a coma.

Looks pretty healthy a few days ago from the photos.

People get sick on vacation.


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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#10

Post by crazy2medic » Wed Jun 26, 2019 5:29 pm

I have treated plenty of diabetic emergencies in the past 20yrs, I have never heard of sudden onset diabetes, typically it's discovered after months or years of ongoing and worsening symptoms! I'd like to know more of the medical results of this!
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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#11

Post by Rob72 » Thu Jun 27, 2019 9:09 am

philip964 wrote:
Wed Jun 26, 2019 2:44 pm
https://nypost.com/2019/06/25/teen-tour ... ip-report/

15 year old goes into a diabetic coma while in DR.

No previous diabetic condition.

Could be this is a young girl having her first experience with this disease.

Traveling back to Argentina in a coma.

Looks pretty healthy a few days ago from the photos.

People get sick on vacation.
As a type I diabetic, x 45 years, that's a load of poop. UNLESS, she ingested something causing pancreatic failure. Pictures of her are fairly developmentally consistent, no appearance of sudden weight loss (typical of non-weight/food intake, "obesity related" DKA), and no reported hx of diabetes, so missing insulin dosings or inadequate compensation while on vacation are off the table.

The two extremes of diabetic crisis are DKA (diabetic keto-acidosis) caused by pancreatic failure/insufficiency, leading to elevated blood sugar than coma/death, if untreated, and acute hypoglycemia (low blood sugar) where the diabetic has insufficient glucose to support bodily function (hence the symptoms of shaking fine motor movement, stumbling/falling, crossed eyes/double vision, insensate communication, etc.,)leading to hypoglycemic stroke/brain death or cardiac arrest, if untreated. DKA onset depends on the rate and degree of pancreatic failure, anywhere from several years to a week or so. Hypoglycemia is critically acute, and death is possible in under an hour.

A sore throat is the last thing you'd complain of with DKA. Stomach upset, muscle aches and fatigue, like running a 2K in 100 degree weather, would be typical.

The suspicion in all of the other cases is organophosphate poisoning (insecticide, or a processed derivative to intentionally poison). Does organophosphate poisoning fit this case? Yup.
https://ovidsp.dc2.ovid.com/sp-3.33.0b/ ... 742e272a8d


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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#12

Post by Rob72 » Thu Jun 27, 2019 9:18 am

Sorry, just realized that article is in Ovid, and may not be easy to access. Short version:
Author Information
Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune, India,
rangrajsetlur@hotmail.com
To the Editor:
We wish to present a case of metabolic acidosis after organophosphate insecticide poisoning and briefly discuss the literature of this poorly referenced complication. A 35-yr-old male was admitted with a history of dichlorvos ingestion with suicidal intent. In the emergency room he vomited, aspirated, and developed respiratory arrest. His trachea was intubated, and he was transferred to the intensive care unit for further management. Treatment was started, including gastric lavage, atropine, pralidoxime, and mechanical ventilation. After 20 h he became hypotensive with heart rate of 150 bpm and arterial blood pressure 60/40 mm Hg. Intravascular fluid administration to a central venous pressure of 12 cm H2O and infusion of norepinephrine, dobutamine, and low-dose vasopressin did not increase arterial blood pressure. Arterial blood gas analysis revealed pH 7.013, Paco2 38.0 mm Hg, Pao2 92 mm Hg, base excess 18, and HCO3 12 mEq/L, suggesting severe metabolic acidosis. Sodium bicarbonate, 80 mEq/L, was given IV over 30 min. The patient showed dramatic improvement with arterial blood pressure 120/80 mm Hg and heart rate 124 bpm. Vasopressors were gradually decreased over the next 6 h. pHa and base excess returned to normal. The patient became acidotic again after 2 days with pH 7.12, a base deficit of -13.7 mEq/L, and an HCO3 of 16 mEq/L; arterial blood pressure decreased to 80/50 mm Hg. Sodium bicarbonate as a bolus of 50 mEq and continuous infusion 25 mEq/h was successful in reversing his hypotension over the next 4 h. Lactic acid levels were not available. Other treatment and supportive care was continued. On the sixth day the patient developed combined metabolic and respiratory acidosis that was resistant to IV sodium bicarbonate therapy and ventilatory manipulation and was ultimately fatal.
The sore throat complaint DOES make sense with the poisoning, as it is being absorbed by the mucous membranes in the throat.


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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#13

Post by Rob72 » Thu Jun 27, 2019 9:25 am



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Re: David Ortiz shot in the back in a bar in the Dominican Republic

#14

Post by philip964 » Thu Jun 27, 2019 9:57 am

https://nypost.com/2019/06/26/denver-da ... -vacation/

Worse than getting sick in the DR, getting kicked off the plane and not being allowed to leave unless you charter an air ambulance.

Denver man made it on the plane, but they kicked him off when he vomited in the bathroom.

In hospital dieing. Kidney failure.


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Re: Vacationing in gun restricted Dominican Republic

#15

Post by rotor » Thu Jun 27, 2019 11:55 am

Two million Americans visit each year. Is this a statistical deviation or a real thing? Why though does it take the FBI a month to do toxicology? This shouldn’t take more than 48 hours.

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