ixchel, BSN, RN 39,279 Views
Joined Jun 3, '11.
Posts: 5,060 (75% Liked)
I still get triggered but can handle any DV, or PTSD pts; being proactive in their journey by educating, supporting and giving resources about the "experience", while not putting myself in their shoes and self-preserving and remaining in the clinician role while empowering, is exhausting and all in the same night will make me wake up with some form of an emotional hangover...I only expect it to get better.
I have been sick. First I had the migraine of all migraines for a whole week. Then if that wasn't bad enough I got the mother of all UTIs. I haven't had a migraine or UTIs in so long & both were the most painful things I ever experienced. Child birth wasn't that bad compared to my migraine & the UTI.
I am still trying to get better. I'm still exhausted from being sick & a little nauseated. I don't wish that migraine or UTI on anyone.
Hope your son has a quick, safe, and un-eventful turn around!
You don't want AN to be come ineffable?
I can neither confirm nor deny that my charting recently said, "Attending informed of sepsis criteria; stated not concerned because patient not hypoxic".
Fever of 103 untouched by regular doses of Tylenol, chills, sweats, aches, shallow/rapid breathing, significant drop in BP (I wanna say it was around 105/50), O2 sat = 90%...
I can also neither confirm nor deny that within five minutes of my charting about his lack of interest, the attending came and personally checked on the patient.
Ahhhhhhhhh YAAAASSSSSSSS!!!!!! I love Zachary Quinto so damn much!
Aerosmith - Back in the Saddle - YouTube
IXCHEL IN DA HOWWWWSSSSEEE!!!!
Okay, not entirely since my back still sucks, but still... I've gotten my lazy brain wrapped around hosting this shindig for a good go-'round. How are you all this week?
It's been a weird few weeks. Well, to be fair, it's been a weird few months, but for the purposes of the here and now, WEEKS. Brexit googling, Scotland succession, and the Donald re-establishing that Americans can still win the "who can look more ridiculous" contest. The best episode of anything ever in existence came on HBO last Sunday at 9 pm, and the memes that resulted were actually disappointing. (Except for one of a pile of dog poo alluding to a character returning in season 7.) I got a mosquito bite on the bottom of my foot. (Might be the worst spot ever.) What have I learned???
Boy Child got Rocky Mountain Spotted Fever (RMSF).
A pediatric hospitalist made me realize that if I ever travel outside my geographic area and provide care to patients, I should learn the epidemiological trends of that area.
Never, EVER ignore petechiae on the feet. It is relevant to the differential, especially on a child.
RMSF is reportable to the CDC, and from 2000-2010, there were 2,000 total cases reported per year.
The typical presentation of RMSF is fever, then rash, with a recent tick bite (1-2 weeks prior). The rash will be flat, pink spots, and sometimes blanchable. It will begin in limbs and move toward the trunk. Later in rash development, petechiae will appear on the hands, feet and ankles. If the petechial rash develops, it's typically several days (up to a week) after fever onset.
RMSF attacks vital organs, including the heart and brain. Boy Child's first BAM! symptom was syncope. I did't see the petechiae on his feet until we were at the hospital. There, we also noted sinus tachycardia and alterations in mental status.
Unfortunately, not everyone gets the rash.
In the 1940s, around 28% of those who contracted RMSF died. In the 2010 data, 0.5%. (Doxy is a helluva drug!)
In other news...
Post op after spinal fusion requires more patience and endurance than I think I have.
I don't know how to make my pool water clear.
The sun burns shock off a small pool way too quickly.
I miss work, but I don't know if I'm actually recovered enough to go back.
Littlefinger is still a creepy effer.
If AN ever decides to censor eff, effing, effer, or effed, I will be a sad, sad ixchel.
I added the link at the bottom of this days ago and can't remember what it is. We'll be learning this together.
Zachary Quinto performs George Michael's "Freedom! '90" (with Cindy Crawford) | Lip Sync Battle - YouTube
Losing massive amounts of weight quickly is a sure way to screw up your body, in a possibly permanent fashion.
The Biggest Loser Study. Contestants' hunger regulation hormones were completely jacked and they had metabolisms that burned hundreds upon hundreds fewer calories per day than would be expected for their post-loss height, weight, and body composition.
Being sensible about carbs (not just sugar, carbs) can be very helpful to regulate hunger during weight loss and improve insulin sensitivity (There's lots of great info in The Insulin Resistance Diet and The South Beach Diet books regarding how to manage carbs effectively, though I don't think either is a perfect approach) but not to the tune of letting you create a 1,944 calorie deficit every day for 90 days. That's called starvation.
The National Weight Control Registry is another place to look at behavior modifications that have been effective for people who've lost a significant amount of weight and maintained that loss.
I'm curious. Was your card charged?
No probs! I really like the WILTW threads btw
Great. My charge nurse gives me students over the nurses that hate nursing students because I will teach them a little bit. But guess what. The CI that pops in and says you ok every four hours is still more responsible for the students' learning than both me and the student.
Granted the CL cannot make the student learn. I fail to understand why you are letting them (the CI) off the hook.
Hollybobs, thank you so much for your response! And thank you for satisfying a curiosity!
I like Buttersoft stretch. I probably am a size bigger than you in pants (5'2", ~115 typically, bit of a booty, small petite). I love the 9 pocket pant. I'm significantly smaller on top. The XS shirt fits with a little bit of room to move, and the one I have is the stretch 5 pocket, I believe (has a small pocket at the left breast, great for my ID).
A lot of websites make allowances for returns and their discount pricing might make up for any return fees they may request. I know it's not ideal, but in a pinch, it works!
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