Latest Comments by ixchel

Latest Comments by ixchel

ixchel, BSN, RN 39,279 Views

Joined Jun 3, '11. Posts: 5,060 (75% Liked) Likes: 19,355

Sorted By Last Comment (Past 5 Years)
  • 1
    NotAllWhoWandeRN likes this.

    Quote from LadyFree28
    I learned:

    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 just want to hug you. I've come to realize in the last several months that I get triggered by DV/abuse/neglect patients, and I don't do well handling it. Adult inpatient, it is very rare I am able to impact a resolution to the situation. We send them back where they came from with no ability to do a single thing more. I'm working on it. Hopefully I can find a way back to the resilience I used to have, and then the ability to accept I can't do more.

    Incidentally, tomorrow is National PTSD Awareness Day. For my sisters and brothers who are already so painfully aware, my heart is with you.

  • 1
    NotAllWhoWandeRN likes this.

    Quote from OrganizedChaos
    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.
    I hope you get better quickly, Cheerios!

  • 1
    NotAllWhoWandeRN likes this.

    Quote from AJJKRN
    Hope your son has a quick, safe, and un-eventful turn around!
    Thank you so very much! He managed to tolerate the doxy very well. All signs of rash gone. No fevers or body aches. He's back to torturing Girl Child. (That last part is not so nice. :\)

  • 1
    NotAllWhoWandeRN likes this.

    Quote from NotAllWhoWandeRN
    You don't want AN to be come ineffable?
    How about a compromise: AN remains effable, while its posters remain ineffable.

  • 0

    Quote from brillohead
    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.

    That would get a big ol' NO ORDERS RECEIVED from me!

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    Ahhhhhhhhh YAAAASSSSSSSS!!!!!! I love Zachary Quinto so damn much!

  • 4

    Aerosmith - Back in the Saddle - YouTube


    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

  • 3

    Quote from NotAllWhoWandeRN
    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 was going to mention Biggest Loser! That show turned out to be a horrible disaster, wrecking the bodies of the contestants, who often went on to gain it all back.

  • 0

    I'm curious. Was your card charged?

  • 1
    Hollybobs likes this.

    Quote from Hollybobs
    No probs! I really like the WILTW threads btw
    Come join us on the dark side!!! We have cookies

  • 4

    Quote from Zombiologist
    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.
    I disagree with only one thing - the STUDENT is the most responsible for their own learning.

  • 1
    Hollybobs likes this.

    Hollybobs, thank you so much for your response! And thank you for satisfying a curiosity!

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    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!