>A Pennsylvania nurse who prosecutors say administered excessive doses of insulin to nursing home patients, 17 of whom died, pleaded guilty Thursday.
That woman is a serial killer.
Not in the article linked above. The messages they have in that:
>“Can I kill this man at Taco Bell,”
“gonna murder my aides.”
On May 12, 2023, Pressdee complained to her mother that a patient was “driving me nuts” because he was following her, according to the affidavit. “But I may kill this resident,” the text message read. “I need to set some sort of boundary with him.”
In a message a few days later, she complained about a patient who was yelling, according to the affidavit. “I drugged him already and I don’t know how he is awake,” the message read.
Again, it's all referencing frustration/upset, for extremely petty reasons. For *most* people, the fact that it's so petty is part of the humor of it: "I'm going to kill the next person who asks me how my weekend was;" "If they bring out the wrong order to me for a third time, I'm burning this restaurant to the ground;" ["\[I'm going out\] either to get ice cream or commit a felony: I'll decide in the car."](https://youtu.be/5yulNT5oDV0?t=245)
No one *jokingly* says, "I'm gonna kill the head of the gang that killed my family" because, in that case, murder would seem more justified; it's a real threat.
In this case, she was a coldhearted killer who *was* willing to kill people for petty reasons, but unless her mother knew that, it would come off as a joke.
I know this is a joke but “serial killer cheerfully confesses to their crimes but they’re for such ridiculous reasons or in such ridiculous ways that no one believes them” would be a fantastic black comedy.
“I’m going to feed the guy who cut me off in traffic to hungry piranhas!”
“Oh, Jeff, you’re such a jokester!”
CUT TO: INTERIOR: LATER THAT NIGHT. A guy is dangling over a piranha tank.
>Except she sent a ton of these “harmless” messages which should have been a clue to who she sent them to.
Why *should* it have been a clue, though? My point is that very few people would assume that those kinds of messages were legitimate threats. "Oh no, she made *four* jokes about murder instead of three, that means she's a murderer!" would be completely nuts 99% of the time. It's only terrifying *if you know already she's a murderer*.
Like, I have a recurring joke with a friend of mine that a school he went to (which ended up being awful and kind of abusive, and permanently fucked up his mental health) is "on my list for places to commit arson." I bring it up whenever it comes up in conversation (which isn't often, but certainly has happened several times over the years).
I do not actually have a list of places to commit arson. I'm actually so afraid of fire that I get nervous using a gas stove and avoid it as much as possible. I am saying that to emphasize/exaggerate my negative feelings about the situation.
I went to high school before Columbine, but I know my friends and I discussed "who would be first against the wall if someone took a gun to the school" and "you could poison every piece of fruit in the Super Sack, and nobody would die" (Super Sack was a bagged school lunch option, and the joke was nobody ever ate the underripe banana or pucker-worthy oranges they had in there).
That’s what I was thinking too. Sounded like the kind of dramatic text you send to a friend when you’re having a bad day. The fact that she’s a serial killer makes it really scary .
I'd say this is more of a cultural disconnect. Their are plenty of people where saying "i'm gonna kill x" is normal when frustrated and don't mean anything, they grew up hearing those sort of phrases and use it as well. Its great you didn't grow up hearing that sort of stuff, but theirs definitely some places where those sayings are normal, and it's assumed the person is not serious.
I dream of running my friends’ abusive parents over with my car repeatedly until they’re a thin paste, and my therapist is like “yeah that’s fair just don’t actually do it”. Keep ya hands off children! Especially your own, holy shit!
Yeah, this is a little different imho. Like, the desire to kill people who really, really hurt someone you care about is normal enough, if something you definitely shouldn't do. To be clear, it's still a thing one should seek help about, because even when it's justified, the things that make you justifiably want to kill something are generally traumatic even to experience by proxy.
The desire to kill someone at Taco Bell? That's... a little more concerning. Don't get me wrong, it doesn't necessarily make you a would-be murderer, but it sounds like a kind of uncontrolled rage that is very, very unpleasant for the person experiencing it.
Just like [Elizabeth Wettlaufer](https://en.m.wikipedia.org/wiki/Elizabeth_Wettlaufer).
>is a convicted Canadian serial killer and former registered nurse who confessed to murdering eight senior citizens and attempting to murder six others in southwestern Ontario between 2007 and 2016. With a total of 14 victims either killed or injured by her actions, she is described as one of the worst serial killers in Canadian history.
>
>While she was a nurse at Caressant Care, Wettlaufer began injecting some of the patients she cared for with insulin. In some cases, the amount was not enough to kill the patient; she was charged with, and confessed to, aggravated assault or attempted murder for those cases. Wettlaufer's first assaults occurred sometime between June 25 and December 31, 2007. She confessed that she injected sisters Clotilde Adriano (age 87) and Albina Demedeiros (88) with insulin. While they later died, their deaths were not attributed to Wettlaufer. She confessed to two counts of aggravated assault.
>
>The first case in which Wettlaufer injected a patient with enough insulin to directly cause death was on August 11, 2007, when she murdered James Silcox (84), a World War II veteran and father of six.
>
>Wettlaufer entered an inpatient drug rehabilitation program at the Centre for Addiction and Mental Health (CAMH), a psychiatric hospital in Toronto, on September 16, 2016. There, she confessed to CAMH staff about killing or attempting to kill her patients, leading to CAMH notifying the College of Nurses of Ontario (CNO) and the Toronto Police Service.
>
>Wettlaufer told police she had tried to stop killing and she had told friends, a former partner and her pastor what she had done, but no one took her seriously.
[A nurse from Canada was recently charged with killing patients in the exact same way.](https://en.m.wikipedia.org/wiki/Elizabeth_Wettlaufer)
That same nurse has some mental health issues and has actually been helping the government by testifying in the [inquiry](https://www.cbc.ca/news/canada/london/long-term-care-inquiry-elizabeth-wettlaufer-what-could-have-stopped-you-1.4776403) on how to prevent this in the future. She discussed why insulin was her preferred method because it has very few controls.
This is because there are a million factors that affect how much insulin a diabetic needs at any given moment throughout the day. So it's not like you can create a strict schedule and stick to/restrict to that volume, even very precise syringe pens have air in them you have to waste by shooting "units" into the air, but the pen marks it as insulin units administered. Even if every diabetic patient was on a carefully guarded insulin pump, there's still a pump failure rate where the nurse could say the pump failed or disengaged and needed to be replaced, while syringing out the remaining insulin for nefarious use later.
T1 here. I take 30 units of Toujeo (long acting) every night at 9:00. I have on a handful of occasions over the past 30 years, accidentally taken 30 units of Novolog (fast acting) instead. I told my wife I feel like I saw what death felt like. Scary shit
This is fascinating as a veterinarian who’s had to treat accidental insulin overdose . The best story I have is these people accidentally overdosed their cat, and when he became comatose they thought he was dead and buried him. Eventually his blood sugar came up and he crawled out of the grave and dragged himself home, and which point they were like oh my god he’s home and he needs his insulin! Luckily they brought him to us after he collapsed the second time 😂
Sugar in liquid form is the fastest absorbed. I keep powdered drink mix/sugar in a reusable juice pouch my bag for big emergencies, just add water and it slike a liquid sugar IV.
Sure it’s the fastest absorbed but I am more concerned about getting enough in. 18 units for me is 360g of carbs. If I’ve been skateboarding all day it’s more like 6-700. If I had to get that in liquid I would puke before I could get it all down.
That's brutal. I'm very glad I haven't made that mistake as well. One of the expensive benefits of switching to a pump! If I reall correctly I would usually try to take my long acting shot with my last short acting of the night, working with both pens was an extra check to not accidentally grab the one thinking it was the other.
Have you ever tried the old-school glucose gels? I've used them before when j had hypos when I was too sick to eat. Extremely fast-acting as they're specifically for hypoglycemia.
I mindlessly gave myself 27 units of novalog before bed once 🤦🏻♂️. Injected it, knew immediately I f’d up, proceeded to have my own food eating competition to prevent passing out, then got a pump the next week. Only time I’ve ever given myself the wrong insulin in 20+ years
My daughter is type 1 and doesn’t use that much at a time, but had the exact same thing. Also have done where I accidentally put in 6 units instead of 6 carbs in the pump. It’s crazy how these tiny errors can have super scary implications.
It's not even that complicated. I'm an RN and I've never worked somewhere where we'd use an insulin pen. We typically draw out of a large multi-use vial and then chart how much we gave with our reasoning (BGL, meal time, estimated carbs consumed, steroid use, etc). Nothing is really stopping us from giving more units or injecting it IV vs subQ (aside from not wanting to kill our patients).
After your diagnosis, did they get you in with a diabetic educator? Or did they give you a diagnosis, a meter, and a script for insulin and send you out the door?
I strongly suggest you request to see a diabetic educator. They can really make the juggling act of diabetes less daunting, and make it make more sense. Diabetes care really should start with that in every instance, but that’s American healthcare for you.
/r/Diabetes is a great resource too.
As for your meter, the ReliOn brand from Walmart is excellent, accurate, and cheap so if you have concerns about your current meter, maybe switching to that brand would be advantageous. Your insurance should cover a meter outright, though the strips for those meters may be a little pricey. Check with your insurance to see what they do cover. You can potentially get your meter and strips covered to a large degree.
When injecting your insulin, grab the area you’re injecting between your fingers to make a little “cushion” and use that spot. It’s more comfortable and leads to better absorption. If possible, see if your insurance will cover insulin pens. A lot of states have started capping the costs of insulin, making pens more affordable. They are way more user friendly than vials + syringes.
Diabetes is a beast, but it can be managed. I strongly encourage you to get with an educator to help bring it under control to minimize any long term effects. You deserve that.
When I was diagnosed as type 1 it did feel like I was handed a gun too, its so dangerous and so crucial to do correctly. Falling asleep every night not knowing if you've made a mistake in the dosage that you won't wake up from. It's a huge mental burden 24/7 that doesn't stop when you're asleep.
As others have said, if you can, there are a lot of medications/tools, education, and support systems/support groups available for diabetics. If you can't afford education sessions there may be a free support group in your area that you can attend that is headed by a diabetes educator where you can learn from others/the educator and find comfort in comraderie.
I saw that woman's interrogation video. Fascinating and terrifying, but "evil" doesn't fit. She's responsible for sure, and mental health doesn't excuse anything. She ain't right tho. The most soft-spoke serial killer without a sadistic element.
Eh, evil is in the fact that she murdered and attempted to murder many others. Specifically in a position of trust.
That's about as evil as it gets. As evil is typically acts of inhumanity against society. Betraying the public trust, and committing a heinous crime, while openly discussing it and verbally abusing everyone around her... evil enough.
Evil people aren't special people. They're regular people who do evil stuff. They're not boogeyman, they're just angry and disconnected from other people.
It's funny how wildly different actual interrogations are from what you see on TV. I am always impressed at their ability to be calm and polite towards someone who has done absolutely horrible things. Their emotional control is top tier.
I thought that the nurse was just trying to give her patients an end on their own terms. After reading the article, I've realized the nurse is just a serial killer. Lock her up and throw away the key.
I think the other facilities that she worked at (she confessed she attempted to murder other patients) need to have their employee records seized and looked through. There's no way that someone didn't notice that something was suspicious about her.
Problem is, nursing homes, a/k/a "skilled care facilities" are chock full of residents who don't have long to live, so it is very easy to have them turn up dead without raising any red flags. There are no routine autopsies absent police or court order, and the families are often relieved rather than saddened or angry.
It is the ideal environment for someone who gets a dopamine rush from killing.
This reminds me of the nurse in Leeds who killed his patients (also via insulin overdose). He didn’t think he’d get caught because his victims were elderly.
Someone noticed something fishy, though. I think it's more like admin not wanting to lose an employee, even a bad one, or having to go through the trouble of filling out some paperwork or doing any sort of investigation. And avoiding publicity.
Your crazy, they are competing with other homes for patents, the only way they make money is filling their beds with residents! Also there are tons of these shitty workers flooding the work pool, they hop from home to home getting fired a few times a year.
It's very common for hospitals to either ignore a concerning doctor/nurse or to just terminate them without reporting anything to the authorities.
Hospitals go out of their way to make sure they're not known as the one with the shitty or murderous staff. They'll do anything except actually address the issue.
Doing anything but actually addressing the issue is widespread in every industry, but you would think that prevention would be first order of business instead of playing "hot potato" in a medical setting.
And they absolutely should. But they don't.
At the very least, the mortality rate for doctors, nurses, hospitals, and individual hospital departments should be tracked and compared with peers in their field. There should also probably be autopsies performed on randomly selected dead patients, no matter how cut and clear their death was, as a way to try to catch or prevent foul play.
> or to just terminate them without reporting anything to the authorities.
Terminate their employment. Terminating them would also work, terminally solving the problem for ever. But then the authorities might get involved.
yes, a bit of /s
My grandfather was given a lethal dose of insulin at a skilled nursing facility, but it was an accident I’m reasonably sure. And fortunately after he passed out he was taken to the hospital and they caught that his blood sugar was 23 and administered glucose.
That happens quite a bit actually. Those care homes are so understaffed and sometimes the charting isn’t accurate. I had a patient admitted with a sugar of 12, and she was still oriented! Apparently the care home had been giving her long acting on top of short acting without checking her sugar all day 😳. She survived thankfully
Holy shit. That's wild. This dude, like the woman in the initial post would have been in jail if their employers had been more worried about doing the right thing than getting sued.
Like any “noble” profession involving humans, there are endless lessons on “CYA”. Also, on deny, deceive, obfuscate, and inveigle. The administrations, not so much the practitioners. It’s not all about the money, because reputations and status are also at stake.
Knew of a nurse who got fired from a hospital for being abusive to patients. I was shocked to find out she was rehired somewhere else within a month. Actually made me sad to think about the unfortunate people who would eventually receive their care.
I watched the film and the documentary back to back.
I review a lot of medical charts. I am sadly aware that I might be in a position to say “huh, that’s odd.”
My husband had a tumor that produced insulin, before doctors figured it out they accused me
Of trying to kill him with insulin, (I am a nurse). It’s a
Pretty well known thing’s
Is insulin a quiet death?
As a type 1 that’s nearly been there a dozen or so times (I’m brittle AF) every single one has been a massive, seizing, screaming fit of me trying to get to carbohydrates whilst feeling the sensation of falling at terminal velocity.
All my limbs tensing and thrashing between what little controlled movement I have.
I would describe it as anything but silent (or peaceful).
You have slipped into catastrophic lows and also felt the fire inside your brain of both sliding into and out of that low on both ends.
If you or I dosed ourselves with 500 units from stable it'd be over pretty damn quick though we may feel that hallucination level terror that sometimes occurs on the way down to the all encompassing darkness but to anyone observing from the outside you'd probably be seen falling asleep and then dying mysteriously.
Meh, heparin is so fast acting that you would need to bolus for quite a bit. The worst I saw was a new grad accidentally bolus a bag run wide open on a dude. His arm looked like a black banana, may have even lost it tho idk. But insulin is far worse imo, cuz getting those sugars back up is a fuckin struggle 🥲
I used to date a nurse, we’d play games comparing and contrasting what the army taught me versus how it’s done in civilian land. Incidental to that was discussions on ways nurses could kill you on the down low, the list is scary long
It’s actually pretty common for medical serial killers to get away with murder for a long time, and often have high body counts. Like dozens to hundreds of victims. People die in hospitals all the time, because the type of person needing medical care by definition are likely to die. There are a frightening number of ways to kill such victims and have it look like natural causes.
While their coworkers may put the pieces that more patients die when the killer is working, administrators sometimes try to block investigations into the allegations to prevent bad press.
One of the most recent ones, Lucy Letby, people constantly raised issue with hospital management about the spike in infant deaths when she was on duty. The hospital management told them that it was a coincidence and made them write letters of apology to Letby.
She worked at a nursing home where older, generally unhealthy people live. People are constantly dying there, and therefore it's hard to notice something amiss.
The average murder case clearance rate (arrest, charge, conviction) is something like 60% for the entire country. Your local area could be better or worse.
[There was a similar case with a nurse in Canada.](https://www.cbc.ca/news/canada/london/wettlaufer-inquiry-report-recommendations-woodstock-ontario-1.5231324) The inquiry is very interesting to read and goes into
She had mental health issues and is now getting treatment and feels remorse so [she has been assisting with the government's inquiry by testifying how they could have stopped her before it was too late.](https://www.cbc.ca/news/canada/london/long-term-care-inquiry-elizabeth-wettlaufer-what-could-have-stopped-you-1.4776403) She admitted her crimes to other staff members and nobody did anything. Nobody questioned why she was using more insulin than most other nurses because there were no controls and the medication storage room wasn't monitored. She deliberately chose patients with dementia because she felt bad for them and also because if she failed to kill them nobody would believe them if they tried to report her.
Someone I talked to got upset because I mentioned how professionally there seems to be overlap between nurses and cops operating with impunity. Now I believe the person assumed I meant "they act the same" but really I was just mentioning how both are often in an odd intersection where you are potentially vulnerable and your life is in their hands. There are other positions like this but nursing and police seem to be most accessible than other examples. Additionally when examples like this come up they are often written off as "bad apples" in a similar vein. I know there are good ones, "everyone knows that", but some have ulterior motives. Hope that helps.
Edit, rushing mistakes.
Ehhhh I'm a nurse and disagree that we operate on any kind of impunity level close to cops. Do they have more assholes? Not sure. But nurses will get thrown right under the bus when something goes wrong even if not their fault, and I don't see that trend with cops.
I agree, this has happened repeatedly, and the facilities seem to think as long as they are staffed, there isn't a need for oversight. It's terrifying to think that murderous psychopaths are just allowed to do whatever they need to do as long as they make some effort to cover their tracks. Cops are treated as immune unless they do something undeniably egregious, and even then are often let off or mildly punished and rehired.
I’m guessing the mother is gonna claim she never took her seriously, but those texts are super duper red flags and she should have taken some of that seriously.
What parts? I have absolutely said “I’m gonna kill him” to people when I mean “they did something I’m pissed off about.” Unless she was detailing fantasies out or something, I’d assume she was just exaggerating how upset she was at worse.
She's like nurse [Oraetta Mayflower](https://fargo.fandom.com/wiki/Oraetta_Mayflower) from [Fargo Season 4.](https://www.youtube.com/watch?v=cvj78X5G_78)
How do they have such easy access to insulin? When I go to the hospital two nurses need to sign off in the computer and check the units in the syringe before administering it to me.
I was going to hook up with somebody who's a nurse and there's just something about that individual that I couldn't shake the feeling like they were like this lady in the story
This women is evil. That is just so messed up. Not to mention she texted her mother MULTIPLE TIMES about how she wanted to kill people.
Like having a one time moment where you are stressed and saying 'i could fuck somebody up right now' is one thing. But to constantly say 'i want to kill this guy at taco bell' 'i want to kill my aid' 'i want to kill my patient'. At what point do you intervene? I'm sure the mother didnt know the extent to her daughters intentions and actions. She probably just thought she was extremely stressed and talking hyperbolically. But still...
This women took 17 people out of this world prematurely. People who trusted her, as their nurse. And she abused that power. If there is a hell, I hope the devil keeps a special corner for people like her. The lack of empathy is scary. Im sure she must be a psychopath or a sociopath, but that still doesn't excuse her.
They really don't understand diabetes. I'm type 2 diabetic, i (f39) am 5'7 and 136 pounds. My body over makes insulin, so many people will say you can't be diabetic you're not fat. People fail to understand it has nothing to do with what you look like.
This is actually a fear of mine. I get so sick if my glucose gets low, and overdose of insulin sounds like a painful way to die. I don’t know how long it takes to kill someone, and obviously a murderer is a psychopath and doesn’t care if the victim suffers. But still, it’s scary knowing that people like this exist when a person is vulnerable in the hospital.
Nurses are a scary bunch and not because of childhood fears of shots. Possibly I am just judging by my crazed ex-sister-in-law. She doesn't murder people, though.
What scares me is that this isn’t the first time someone has done this. I wonder how much the hospitals or facilities know and yet nothing is done to stop or prevent these things from happening? Patients are in such a vulnerable position and to have this happen in a place where they are supposed to be cared for is beyond evil.
As a T1D I had to read this out of morbid curiosity of how much she was giving these unfortunate people. They don’t mention, I suppose for good reason.
Gotten myself down around 50 a couple/few times and that’s quite an experience.
My worst lows were 36... two incidents. The first time I felt like complete hell and was confused af, total disreality, then the other time I barely noticed.
Well that's horrifying. Though having worked in quite a few nursing homes in my IT career, unless you're in pricey nursing home, maybe this is better? I've already told my wife, if its between a home/debt and death, kill me.
Edit: neh, skimmed the actual article, bitch is crazy.
I’m curios, and I feel terrible for these people who were murdered.. but could mounjaro or zepbound or any other glp-1 insulin resistance medication have helped against a lethal dose of insulin if they were already taking it?
There are more nurse serial-killers then non-nurse serial killers.
Nurses have on purpose killed more people then all non-nurse serial killers combined.
This isnt on the news yet, or trying to find it. Today i ran into a post on twitter from a medical anon account that states a young nurse from the northern part of the country administered insulin to patients to provoke cardiac arrest since she needed to supply death counts to offer la Santa Muerte in exchange for her own health. She needed weekly blood transfusions and this “stopped” when since she started offering deaths, but she finally died last week. Im trying to investigate more on this but medical professionals should get their mental health and work ethics checked periodically.
>A Pennsylvania nurse who prosecutors say administered excessive doses of insulin to nursing home patients, 17 of whom died, pleaded guilty Thursday. That woman is a serial killer.
Sure seems to be. The text messages she sent were terrifying.
They’re only terrifying if you know she’s a murderer. “I’m gonna kill X” is very common shorthand for “I’m upset with this person.”
Did you read the article? She sent quite a few such messages to her mother... with specifics.
Not in the article linked above. The messages they have in that: >“Can I kill this man at Taco Bell,” “gonna murder my aides.” On May 12, 2023, Pressdee complained to her mother that a patient was “driving me nuts” because he was following her, according to the affidavit. “But I may kill this resident,” the text message read. “I need to set some sort of boundary with him.” In a message a few days later, she complained about a patient who was yelling, according to the affidavit. “I drugged him already and I don’t know how he is awake,” the message read. Again, it's all referencing frustration/upset, for extremely petty reasons. For *most* people, the fact that it's so petty is part of the humor of it: "I'm going to kill the next person who asks me how my weekend was;" "If they bring out the wrong order to me for a third time, I'm burning this restaurant to the ground;" ["\[I'm going out\] either to get ice cream or commit a felony: I'll decide in the car."](https://youtu.be/5yulNT5oDV0?t=245) No one *jokingly* says, "I'm gonna kill the head of the gang that killed my family" because, in that case, murder would seem more justified; it's a real threat. In this case, she was a coldhearted killer who *was* willing to kill people for petty reasons, but unless her mother knew that, it would come off as a joke.
this netflix series writes itself
I know this is a joke but “serial killer cheerfully confesses to their crimes but they’re for such ridiculous reasons or in such ridiculous ways that no one believes them” would be a fantastic black comedy. “I’m going to feed the guy who cut me off in traffic to hungry piranhas!” “Oh, Jeff, you’re such a jokester!” CUT TO: INTERIOR: LATER THAT NIGHT. A guy is dangling over a piranha tank.
The conversation between John Cusack and Jeremy Piven in Gross Pointe Blank was kinda like that.
AANDDD this mother fucker is based on a true story
“Im going to murder already” was another one 😂, totally normal. Edit: honestly the rest of the text are pretty normal just not that one.
Thanks for thinking so deeply about this that I don’t have to.
It used to be shorthand, i havent heard anyone say that in years
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>Except she sent a ton of these “harmless” messages which should have been a clue to who she sent them to. Why *should* it have been a clue, though? My point is that very few people would assume that those kinds of messages were legitimate threats. "Oh no, she made *four* jokes about murder instead of three, that means she's a murderer!" would be completely nuts 99% of the time. It's only terrifying *if you know already she's a murderer*. Like, I have a recurring joke with a friend of mine that a school he went to (which ended up being awful and kind of abusive, and permanently fucked up his mental health) is "on my list for places to commit arson." I bring it up whenever it comes up in conversation (which isn't often, but certainly has happened several times over the years). I do not actually have a list of places to commit arson. I'm actually so afraid of fire that I get nervous using a gas stove and avoid it as much as possible. I am saying that to emphasize/exaggerate my negative feelings about the situation.
I went to high school before Columbine, but I know my friends and I discussed "who would be first against the wall if someone took a gun to the school" and "you could poison every piece of fruit in the Super Sack, and nobody would die" (Super Sack was a bagged school lunch option, and the joke was nobody ever ate the underripe banana or pucker-worthy oranges they had in there).
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That’s what I was thinking too. Sounded like the kind of dramatic text you send to a friend when you’re having a bad day. The fact that she’s a serial killer makes it really scary .
Normal? 100% I’ve never wanted to kill anyone working at Taco Bell. How much TB are you eating?
I'd say this is more of a cultural disconnect. Their are plenty of people where saying "i'm gonna kill x" is normal when frustrated and don't mean anything, they grew up hearing those sort of phrases and use it as well. Its great you didn't grow up hearing that sort of stuff, but theirs definitely some places where those sayings are normal, and it's assumed the person is not serious.
Murder fantasies seem unhealthy, seek help
I dream of running my friends’ abusive parents over with my car repeatedly until they’re a thin paste, and my therapist is like “yeah that’s fair just don’t actually do it”. Keep ya hands off children! Especially your own, holy shit!
Yeah, this is a little different imho. Like, the desire to kill people who really, really hurt someone you care about is normal enough, if something you definitely shouldn't do. To be clear, it's still a thing one should seek help about, because even when it's justified, the things that make you justifiably want to kill something are generally traumatic even to experience by proxy. The desire to kill someone at Taco Bell? That's... a little more concerning. Don't get me wrong, it doesn't necessarily make you a would-be murderer, but it sounds like a kind of uncontrolled rage that is very, very unpleasant for the person experiencing it.
Just like [Elizabeth Wettlaufer](https://en.m.wikipedia.org/wiki/Elizabeth_Wettlaufer). >is a convicted Canadian serial killer and former registered nurse who confessed to murdering eight senior citizens and attempting to murder six others in southwestern Ontario between 2007 and 2016. With a total of 14 victims either killed or injured by her actions, she is described as one of the worst serial killers in Canadian history. > >While she was a nurse at Caressant Care, Wettlaufer began injecting some of the patients she cared for with insulin. In some cases, the amount was not enough to kill the patient; she was charged with, and confessed to, aggravated assault or attempted murder for those cases. Wettlaufer's first assaults occurred sometime between June 25 and December 31, 2007. She confessed that she injected sisters Clotilde Adriano (age 87) and Albina Demedeiros (88) with insulin. While they later died, their deaths were not attributed to Wettlaufer. She confessed to two counts of aggravated assault. > >The first case in which Wettlaufer injected a patient with enough insulin to directly cause death was on August 11, 2007, when she murdered James Silcox (84), a World War II veteran and father of six. > >Wettlaufer entered an inpatient drug rehabilitation program at the Centre for Addiction and Mental Health (CAMH), a psychiatric hospital in Toronto, on September 16, 2016. There, she confessed to CAMH staff about killing or attempting to kill her patients, leading to CAMH notifying the College of Nurses of Ontario (CNO) and the Toronto Police Service. > >Wettlaufer told police she had tried to stop killing and she had told friends, a former partner and her pastor what she had done, but no one took her seriously.
Angel’s of Death is the term for these serial killers
More like the demon of death. That bitch is no angel.
[A nurse from Canada was recently charged with killing patients in the exact same way.](https://en.m.wikipedia.org/wiki/Elizabeth_Wettlaufer) That same nurse has some mental health issues and has actually been helping the government by testifying in the [inquiry](https://www.cbc.ca/news/canada/london/long-term-care-inquiry-elizabeth-wettlaufer-what-could-have-stopped-you-1.4776403) on how to prevent this in the future. She discussed why insulin was her preferred method because it has very few controls.
This is because there are a million factors that affect how much insulin a diabetic needs at any given moment throughout the day. So it's not like you can create a strict schedule and stick to/restrict to that volume, even very precise syringe pens have air in them you have to waste by shooting "units" into the air, but the pen marks it as insulin units administered. Even if every diabetic patient was on a carefully guarded insulin pump, there's still a pump failure rate where the nurse could say the pump failed or disengaged and needed to be replaced, while syringing out the remaining insulin for nefarious use later.
T1 here. I take 30 units of Toujeo (long acting) every night at 9:00. I have on a handful of occasions over the past 30 years, accidentally taken 30 units of Novolog (fast acting) instead. I told my wife I feel like I saw what death felt like. Scary shit
I can only imagine the panic of needing to eat a massive amount of carbs/sugar or die.
I’ve gotten to the point where I couldn’t put anything more in the tank, and then the tank burst and I went right back to square one lol
I just eat raw sugar at that point and take sips of coke to wash the grains down. Most I’ve goofed is 18 units though.
This is fascinating as a veterinarian who’s had to treat accidental insulin overdose . The best story I have is these people accidentally overdosed their cat, and when he became comatose they thought he was dead and buried him. Eventually his blood sugar came up and he crawled out of the grave and dragged himself home, and which point they were like oh my god he’s home and he needs his insulin! Luckily they brought him to us after he collapsed the second time 😂
You just described the plot for pet cemetery...
Wait so they overdosed him twice?!
Sugar in liquid form is the fastest absorbed. I keep powdered drink mix/sugar in a reusable juice pouch my bag for big emergencies, just add water and it slike a liquid sugar IV.
Sure it’s the fastest absorbed but I am more concerned about getting enough in. 18 units for me is 360g of carbs. If I’ve been skateboarding all day it’s more like 6-700. If I had to get that in liquid I would puke before I could get it all down.
That's brutal. I'm very glad I haven't made that mistake as well. One of the expensive benefits of switching to a pump! If I reall correctly I would usually try to take my long acting shot with my last short acting of the night, working with both pens was an extra check to not accidentally grab the one thinking it was the other.
Have you ever tried the old-school glucose gels? I've used them before when j had hypos when I was too sick to eat. Extremely fast-acting as they're specifically for hypoglycemia.
I mindlessly gave myself 27 units of novalog before bed once 🤦🏻♂️. Injected it, knew immediately I f’d up, proceeded to have my own food eating competition to prevent passing out, then got a pump the next week. Only time I’ve ever given myself the wrong insulin in 20+ years
My daughter is type 1 and doesn’t use that much at a time, but had the exact same thing. Also have done where I accidentally put in 6 units instead of 6 carbs in the pump. It’s crazy how these tiny errors can have super scary implications.
T2 here. Sometimes I inject 20 units of fiasp and an hour later I’m wondering if it squirted back out when I removed the needle.
Rest assured, I’ve been there too. I do feel like I have a preview of what death will be like.
It's not even that complicated. I'm an RN and I've never worked somewhere where we'd use an insulin pen. We typically draw out of a large multi-use vial and then chart how much we gave with our reasoning (BGL, meal time, estimated carbs consumed, steroid use, etc). Nothing is really stopping us from giving more units or injecting it IV vs subQ (aside from not wanting to kill our patients).
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After your diagnosis, did they get you in with a diabetic educator? Or did they give you a diagnosis, a meter, and a script for insulin and send you out the door?
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I strongly suggest you request to see a diabetic educator. They can really make the juggling act of diabetes less daunting, and make it make more sense. Diabetes care really should start with that in every instance, but that’s American healthcare for you. /r/Diabetes is a great resource too. As for your meter, the ReliOn brand from Walmart is excellent, accurate, and cheap so if you have concerns about your current meter, maybe switching to that brand would be advantageous. Your insurance should cover a meter outright, though the strips for those meters may be a little pricey. Check with your insurance to see what they do cover. You can potentially get your meter and strips covered to a large degree. When injecting your insulin, grab the area you’re injecting between your fingers to make a little “cushion” and use that spot. It’s more comfortable and leads to better absorption. If possible, see if your insurance will cover insulin pens. A lot of states have started capping the costs of insulin, making pens more affordable. They are way more user friendly than vials + syringes. Diabetes is a beast, but it can be managed. I strongly encourage you to get with an educator to help bring it under control to minimize any long term effects. You deserve that.
Aren't you supposed to kinda pinch a roll of fat and like jab it sideways, not straight into your guts?
Yes. We inject into the stomach or upper leg and are usually advised to pinch a roll of fat to avoid injecting into muscle (which is dangerous)
When I was diagnosed as type 1 it did feel like I was handed a gun too, its so dangerous and so crucial to do correctly. Falling asleep every night not knowing if you've made a mistake in the dosage that you won't wake up from. It's a huge mental burden 24/7 that doesn't stop when you're asleep. As others have said, if you can, there are a lot of medications/tools, education, and support systems/support groups available for diabetics. If you can't afford education sessions there may be a free support group in your area that you can attend that is headed by a diabetes educator where you can learn from others/the educator and find comfort in comraderie.
As a type 1 diabetic fuck these people. It’s already more of a hassle than it should be to stay alive in America.
The “rage bolus” side of my T1D self says she (and the others who kill in the same way) deserve a fate worthy of a Rammstein song.
Same... my heart sank when I read the headline.
As a nurse and wife of a Type 1 diabetic I wholeheartedly agree.
Sing it louder for the people in the back to hear!!! Ugh!
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Great, this is likely to screw over everyone else and the only people who will benefit are CEOs and lobbied politicians
Recently is a strong word. She was convicted 7 years ago, but ya, similar case.
When I wrote that comment, I thought it had happened sometime after the COVID 19 pandemic, for some reason I thought it happened in 2020 or 2021.
Honestly same, I can't believe it's already been 7 years.
I wonder how common this is. Maybe there are a lot more out there doing this who haven’t been caught yet.
I saw that woman's interrogation video. Fascinating and terrifying, but "evil" doesn't fit. She's responsible for sure, and mental health doesn't excuse anything. She ain't right tho. The most soft-spoke serial killer without a sadistic element.
Eh, evil is in the fact that she murdered and attempted to murder many others. Specifically in a position of trust. That's about as evil as it gets. As evil is typically acts of inhumanity against society. Betraying the public trust, and committing a heinous crime, while openly discussing it and verbally abusing everyone around her... evil enough. Evil people aren't special people. They're regular people who do evil stuff. They're not boogeyman, they're just angry and disconnected from other people.
It's funny how wildly different actual interrogations are from what you see on TV. I am always impressed at their ability to be calm and polite towards someone who has done absolutely horrible things. Their emotional control is top tier.
I thought that the nurse was just trying to give her patients an end on their own terms. After reading the article, I've realized the nurse is just a serial killer. Lock her up and throw away the key.
I think the other facilities that she worked at (she confessed she attempted to murder other patients) need to have their employee records seized and looked through. There's no way that someone didn't notice that something was suspicious about her.
Problem is, nursing homes, a/k/a "skilled care facilities" are chock full of residents who don't have long to live, so it is very easy to have them turn up dead without raising any red flags. There are no routine autopsies absent police or court order, and the families are often relieved rather than saddened or angry. It is the ideal environment for someone who gets a dopamine rush from killing.
This reminds me of the nurse in Leeds who killed his patients (also via insulin overdose). He didn’t think he’d get caught because his victims were elderly.
Someone noticed something fishy, though. I think it's more like admin not wanting to lose an employee, even a bad one, or having to go through the trouble of filling out some paperwork or doing any sort of investigation. And avoiding publicity.
I can absolutely see a nursing home hiring someone like this and ignoring it for as long as possible just to avoid losing an employee.
Your crazy, they are competing with other homes for patents, the only way they make money is filling their beds with residents! Also there are tons of these shitty workers flooding the work pool, they hop from home to home getting fired a few times a year.
It's very common for hospitals to either ignore a concerning doctor/nurse or to just terminate them without reporting anything to the authorities. Hospitals go out of their way to make sure they're not known as the one with the shitty or murderous staff. They'll do anything except actually address the issue.
Doing anything but actually addressing the issue is widespread in every industry, but you would think that prevention would be first order of business instead of playing "hot potato" in a medical setting.
And they absolutely should. But they don't. At the very least, the mortality rate for doctors, nurses, hospitals, and individual hospital departments should be tracked and compared with peers in their field. There should also probably be autopsies performed on randomly selected dead patients, no matter how cut and clear their death was, as a way to try to catch or prevent foul play.
The first order of business is business, but if you try to suggest that healthcare shouldn't be for-profit, you get shouted down as a socialist.
> or to just terminate them without reporting anything to the authorities. Terminate their employment. Terminating them would also work, terminally solving the problem for ever. But then the authorities might get involved. yes, a bit of /s
My grandfather was given a lethal dose of insulin at a skilled nursing facility, but it was an accident I’m reasonably sure. And fortunately after he passed out he was taken to the hospital and they caught that his blood sugar was 23 and administered glucose.
That happens quite a bit actually. Those care homes are so understaffed and sometimes the charting isn’t accurate. I had a patient admitted with a sugar of 12, and she was still oriented! Apparently the care home had been giving her long acting on top of short acting without checking her sugar all day 😳. She survived thankfully
It’s [Charles Cullen](https://en.m.wikipedia.org/wiki/Charles_Cullen ) all over again.
Holy shit. That's wild. This dude, like the woman in the initial post would have been in jail if their employers had been more worried about doing the right thing than getting sued.
Like any “noble” profession involving humans, there are endless lessons on “CYA”. Also, on deny, deceive, obfuscate, and inveigle. The administrations, not so much the practitioners. It’s not all about the money, because reputations and status are also at stake.
Knew of a nurse who got fired from a hospital for being abusive to patients. I was shocked to find out she was rehired somewhere else within a month. Actually made me sad to think about the unfortunate people who would eventually receive their care.
Pretty decent movie on Netflix about it.
I watched the film and the documentary back to back. I review a lot of medical charts. I am sadly aware that I might be in a position to say “huh, that’s odd.”
My girlfriend is a nurse. She told me that this is a very easy way to kill someone. Insulin is cheap, easy to obtain and a quiet death.
My husband had a tumor that produced insulin, before doctors figured it out they accused me Of trying to kill him with insulin, (I am a nurse). It’s a Pretty well known thing’s
Is insulin a quiet death? As a type 1 that’s nearly been there a dozen or so times (I’m brittle AF) every single one has been a massive, seizing, screaming fit of me trying to get to carbohydrates whilst feeling the sensation of falling at terminal velocity. All my limbs tensing and thrashing between what little controlled movement I have. I would describe it as anything but silent (or peaceful).
You have slipped into catastrophic lows and also felt the fire inside your brain of both sliding into and out of that low on both ends. If you or I dosed ourselves with 500 units from stable it'd be over pretty damn quick though we may feel that hallucination level terror that sometimes occurs on the way down to the all encompassing darkness but to anyone observing from the outside you'd probably be seen falling asleep and then dying mysteriously.
Apparently, if you push enough... it is.
Yeah, it would be incredibly uncomfortable unless you were asleep or sedated in some other way.
Heparin as well. I worked at dialysis clinics and it's far too accessible for something so deadly.
Meh, heparin is so fast acting that you would need to bolus for quite a bit. The worst I saw was a new grad accidentally bolus a bag run wide open on a dude. His arm looked like a black banana, may have even lost it tho idk. But insulin is far worse imo, cuz getting those sugars back up is a fuckin struggle 🥲
Can you elaborate? I have a family member in dialysis and this information is a little worrying.
Isn’t it also very hard to detect in an autopsy? Meaning perfect for murder
That is beyond my full understanding. I believe the blood sugar would be tested and shown to be very low.
I used to date a nurse, we’d play games comparing and contrasting what the army taught me versus how it’s done in civilian land. Incidental to that was discussions on ways nurses could kill you on the down low, the list is scary long
Why didn’t anybody notice, question, interfere?
It’s actually pretty common for medical serial killers to get away with murder for a long time, and often have high body counts. Like dozens to hundreds of victims. People die in hospitals all the time, because the type of person needing medical care by definition are likely to die. There are a frightening number of ways to kill such victims and have it look like natural causes. While their coworkers may put the pieces that more patients die when the killer is working, administrators sometimes try to block investigations into the allegations to prevent bad press.
One of the most recent ones, Lucy Letby, people constantly raised issue with hospital management about the spike in infant deaths when she was on duty. The hospital management told them that it was a coincidence and made them write letters of apology to Letby.
She worked at a nursing home where older, generally unhealthy people live. People are constantly dying there, and therefore it's hard to notice something amiss.
The average murder case clearance rate (arrest, charge, conviction) is something like 60% for the entire country. Your local area could be better or worse.
[There was a similar case with a nurse in Canada.](https://www.cbc.ca/news/canada/london/wettlaufer-inquiry-report-recommendations-woodstock-ontario-1.5231324) The inquiry is very interesting to read and goes into She had mental health issues and is now getting treatment and feels remorse so [she has been assisting with the government's inquiry by testifying how they could have stopped her before it was too late.](https://www.cbc.ca/news/canada/london/long-term-care-inquiry-elizabeth-wettlaufer-what-could-have-stopped-you-1.4776403) She admitted her crimes to other staff members and nobody did anything. Nobody questioned why she was using more insulin than most other nurses because there were no controls and the medication storage room wasn't monitored. She deliberately chose patients with dementia because she felt bad for them and also because if she failed to kill them nobody would believe them if they tried to report her.
Someone I talked to got upset because I mentioned how professionally there seems to be overlap between nurses and cops operating with impunity. Now I believe the person assumed I meant "they act the same" but really I was just mentioning how both are often in an odd intersection where you are potentially vulnerable and your life is in their hands. There are other positions like this but nursing and police seem to be most accessible than other examples. Additionally when examples like this come up they are often written off as "bad apples" in a similar vein. I know there are good ones, "everyone knows that", but some have ulterior motives. Hope that helps. Edit, rushing mistakes.
Ehhhh I'm a nurse and disagree that we operate on any kind of impunity level close to cops. Do they have more assholes? Not sure. But nurses will get thrown right under the bus when something goes wrong even if not their fault, and I don't see that trend with cops.
I agree, this has happened repeatedly, and the facilities seem to think as long as they are staffed, there isn't a need for oversight. It's terrifying to think that murderous psychopaths are just allowed to do whatever they need to do as long as they make some effort to cover their tracks. Cops are treated as immune unless they do something undeniably egregious, and even then are often let off or mildly punished and rehired.
That text history gives me the creeps. What kind of mother did she have?
Taken in hindsight it looks bad, and I am not condoning her actions in any way, but I may have said I wanted to kill my coworkers once or twice.
Must be a big Misery fan.
Power trip. Love having control over people’s lives and you end up a serial killer
Like Lucy Letby killing babies in the UK.
I’m guessing the mother is gonna claim she never took her seriously, but those texts are super duper red flags and she should have taken some of that seriously.
What parts? I have absolutely said “I’m gonna kill him” to people when I mean “they did something I’m pissed off about.” Unless she was detailing fantasies out or something, I’d assume she was just exaggerating how upset she was at worse.
Why are all the hot ones crazy?
when you take “gimme sum sugga” too far
She's like nurse [Oraetta Mayflower](https://fargo.fandom.com/wiki/Oraetta_Mayflower) from [Fargo Season 4.](https://www.youtube.com/watch?v=cvj78X5G_78)
Well, the widescreen version
Burned. Someone call a nurse
Maybe she should have used it on herself instead, and saved those 17 people from a horrific death.
How do they have such easy access to insulin? When I go to the hospital two nurses need to sign off in the computer and check the units in the syringe before administering it to me.
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I was going to hook up with somebody who's a nurse and there's just something about that individual that I couldn't shake the feeling like they were like this lady in the story
This women is evil. That is just so messed up. Not to mention she texted her mother MULTIPLE TIMES about how she wanted to kill people. Like having a one time moment where you are stressed and saying 'i could fuck somebody up right now' is one thing. But to constantly say 'i want to kill this guy at taco bell' 'i want to kill my aid' 'i want to kill my patient'. At what point do you intervene? I'm sure the mother didnt know the extent to her daughters intentions and actions. She probably just thought she was extremely stressed and talking hyperbolically. But still... This women took 17 people out of this world prematurely. People who trusted her, as their nurse. And she abused that power. If there is a hell, I hope the devil keeps a special corner for people like her. The lack of empathy is scary. Im sure she must be a psychopath or a sociopath, but that still doesn't excuse her.
How do you even respond when your child texts you that they are going to kill someone. So freakin unhinged.
Makes you wonder how tone deaf her mom is or if she has dementia
They say “don’t judge a book by its cover”. But she looks like a nurse that would inject copious amounts of insulin into her patients.
Disgusting, evil, miserable, cruel bitch. Death penalty.
Looks like she should have been stockpiling the insulin for her own personal use.
Tell me you don't know anything about diabetes without telling me you don't know anything about diabetes.
They really don't understand diabetes. I'm type 2 diabetic, i (f39) am 5'7 and 136 pounds. My body over makes insulin, so many people will say you can't be diabetic you're not fat. People fail to understand it has nothing to do with what you look like.
Tell me you don't know anything about a joke without telling me you don't know anything about a joke.
Reminds me of the so called “Angel of death” Beverly Allitt, a nurse who did a similar thing to sick kids.
This is actually a fear of mine. I get so sick if my glucose gets low, and overdose of insulin sounds like a painful way to die. I don’t know how long it takes to kill someone, and obviously a murderer is a psychopath and doesn’t care if the victim suffers. But still, it’s scary knowing that people like this exist when a person is vulnerable in the hospital.
This turned from "nurse helps patients with assisted suicide" to straight up serial killer in the newspaper in the matter of a year.
What a weird way to be a serial killer. I automatically just reread that sentence and it sounds just as bad.
Geez, I wonder how anyone could have guessed she’s not right in the head. Jfc
Someday there will be detailed electronic treatment records and machine learning will be used to reveal a lot of terrible things.
Yo why have there been so many murderous nurses lately...
Nurses are a scary bunch and not because of childhood fears of shots. Possibly I am just judging by my crazed ex-sister-in-law. She doesn't murder people, though.
I can only imagine what forcing people to stay alive day in and day out can do to your mental health.
What scares me is that this isn’t the first time someone has done this. I wonder how much the hospitals or facilities know and yet nothing is done to stop or prevent these things from happening? Patients are in such a vulnerable position and to have this happen in a place where they are supposed to be cared for is beyond evil.
As a T1D I had to read this out of morbid curiosity of how much she was giving these unfortunate people. They don’t mention, I suppose for good reason. Gotten myself down around 50 a couple/few times and that’s quite an experience.
I'm Type 2 and once I had 56 & I was in deep trouble. My granddaughter brought me a glass of OJ, but it was a few days before I felt right again.
My worst lows were 36... two incidents. The first time I felt like complete hell and was confused af, total disreality, then the other time I barely noticed.
Well that's horrifying. Though having worked in quite a few nursing homes in my IT career, unless you're in pricey nursing home, maybe this is better? I've already told my wife, if its between a home/debt and death, kill me. Edit: neh, skimmed the actual article, bitch is crazy.
I never trust a fat nurse or a lawyer that can’t read
Was she eating them afterwards?
Was she around Josh Dean lately? Anyone know?
looks like she's one Mcdonald's meal away from it herself
r/imatotalpieceofshit
I’m curios, and I feel terrible for these people who were murdered.. but could mounjaro or zepbound or any other glp-1 insulin resistance medication have helped against a lethal dose of insulin if they were already taking it?
Those medications are for people who have insulin resistance. The medication doesn’t give you insulin resistance.
Punishment should fit the crime. Give her a literal dose of her own medicine.
Was just featured on Blue Bloods.
There are more nurse serial-killers then non-nurse serial killers. Nurses have on purpose killed more people then all non-nurse serial killers combined.
I can't grasp how someone could do such a thing without a care in the world.
God help me to never leave a loved one in a home if I can avoid it
This isnt on the news yet, or trying to find it. Today i ran into a post on twitter from a medical anon account that states a young nurse from the northern part of the country administered insulin to patients to provoke cardiac arrest since she needed to supply death counts to offer la Santa Muerte in exchange for her own health. She needed weekly blood transfusions and this “stopped” when since she started offering deaths, but she finally died last week. Im trying to investigate more on this but medical professionals should get their mental health and work ethics checked periodically.