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ImAgInE iF tHeY mAdE bLaCk PaNtHeR wHiTe

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  1. My PCP is fantastic and usually is very good at confirming my suspicions but always does a courtesy check. Which I appreciate because I’m literally coming to her for exactly that. Lots of things can be missed without that double check. Like my suspected yeast infection that was actually BV.

  2. It’s been up since COVID but a lot of it is pleural pain which is fairly easy to differentiate.

  3. I don't know any paramedic that can appropriately maintain an airway in a patient while a chokehold is applied by police officers, for potentially close to 15 minutes according the available recordings, and avoiding any anoxic effects.

  4. What paramedic worth anything at all allows their pt to be violently restrained by police? I can and have yelled at officers to get the fuck off my patient more than once. “You’re on his thoracic cavity, you need to get off him now, we can restrain his arms/legs safely if needed”. It’s not hard.

  5. This just doesn’t make sense as a sweeping statement. Maybe in some departments I can see this being okay. L&D or psych where facial expression can have impact on pt care and tests are usually performed prior to admission or on admission.

  6. We know in hindsight that the vaccine hasn't really changed that much but at the time we thought if enough people got it we'd practically eradicate it from the community. We can only judge a decision based on the info we had at the time.

  7. This is just not true. From the perspective of those of us who work with COVID positive patient in hospitals it has changed an absolute fuck ton. Less body bags, less severe illness that requires us to stretch our staff to unsafe levels, less PPE required (no more 12 hour shifts in N95s), less getting 10 people in the room to prone a patient in ARDS, less complications due to MI or stroke, fewer staff getting sick for long periods, less PTSD, less strain on equipment, fewer codes, fewer moments of holding an iPad so families can say goodbye. Fewer new mothers who are placed on ventilators post birth and die without holding their baby.

  8. There's several reasons, actually, and a lot of them tend to overlap. In no particular order, they are:

  9. Yes! And lack of education on how birth control works and their body’s ability to get pregnant is HUGE.

  10. One of the residents I used to work with back in my SNF years got her nursing license in her mid-fifties so she could, “move to Hawaii and dispense some meds”. She said it was the best time of her life.

  11. That’s odd, propranolol hasn’t been documented to cause issues in pregnancy (except for late terms) in fact y it’s even prescribed sometimes to deal with anxiety and high blood pressure in 1st trimester. While it does have its fair share of side effects, I’m surprised he referenced pregnancy issues

  12. Yeah it’s all late term like lowering fetal heart rate*. Some evidence of lowering blood supply to placenta but placenta takes until the 2nd trimester to form.

  13. That was always one of my biggest fears. Get a GSW and someone comes back to finish the job. Do you think the lazy fucks in security gonna stop them? Do you think these maniacs are gonna think twice about you if you happen to stand in the way ? It'll be massacre.

  14. This didn’t happen in America. But in the 80s my friends dad was shot in the head by state security while driving one morning. Rushed to hospital, miraculously survives. In hospital recovering, the state secret police show up and put 6 more rounds in his head.

  15. Didn’t so much dismiss. But didn’t believe it until I saw it. This was when I was in EMS. Man calls at 2am for nonspecific leg pain. Now for those in EMS or the ER you know this call. It stinks, because 9/10 times it’a nothing.

  16. Yeah I had one guy who DID have a stroke with three barium swallows that he failed, and the family member was giving the patient ice chips/water etc and bragged to me about how good the pt was doing and how much the pt had drank that day. When trying to educate on how dangerous this was the family member said “ I disagre.”

  17. As one of my long term patients once told me: “let them bite at the walls”.

  18. A lot of your experience I think is not necessarily from prejudice against being childfree, although of course it's possible.

  19. The system is broken partially because there is no reason this woman should have to go to the ER for a rx of beta blockers. Her PCP should be able to give that with a phone call. Even telehealth could prescribe that. A low dose of 10mg of Propanalol has very few contraindications. Trying it for a few days to see if it helps isn’t a tall order that requires emergent care.

  20. I absolutely agree. I left that part out of my comment. I didn't want to say anything because I didn't know the extent of OP's symptoms and I understand people have different pain threshold and notion of what an "emergency" is.

  21. Shout out to insurance for genuinely mucking up to system. I suspect you’re on point with that assessment.

  22. I mean on the other hand, holding down his legs wouldn't change anything. If he left, Chauvin would have killed him. I mean legally, Chauvin was guilty of murder because what began as an arrest became assault. But that doesn't mean Lane's actions went form police conduct to assault either.

  23. He could have radioed for a supervisor and backup to come out and deescalate. That was always an option. He could have told them what was happening. He could have tried. Instead he assisted in an action that took the life of a man. Anyone working in public safety understands what to do in these situations and how to escalate concerns. We are taught this. This man failed to follow the protocol of escalation.

  24. Asking a rookie on his fourth day to by, legal definition, assault his training officer rather than obey chain of command is dumb as fuck.

  25. Yes i agree. It’s not the first death I’ve witnessed, but definitely the most traumatic. But yeah typing it out definitely helps, and just talking to my coworkers etc. i just hate that other people in my life are so dismissive. But it is what it is i suppose. Thanks for your reply ❤️

  26. One of the best investments I ever made was to get a therapist who understands how to walk someone through a debrief like this. After arguably one of the worst things I’ve ever witnessed (attempted murder on a 4yo) he sat me down and had me walk through the whole scenario. While walking me through he asked me what I felt in my body, what I thought about, what stood out, what my emotions felt like at that moment. I told him how while giving care I didn’t feel much of anything. I shut myself down completely to focus. It wasn’t until after, when another nurse saw what had come in, and I looked at her horrified face that it clicked in my head what I just experienced. He then asked me to describe that moment. It was excruciating to walk through, not gonna lie.

  27. Because the aides and RN's are out back smoking in a gaggle and too busy to actually change their residents.

  28. Maybe in some places. I did some time in a SNF that had ratios of 1:23 for nurses and 1:12 for CNAs. When all the patients (or 90%) are total care there’s just no possible way to clean all the shit all the time.

  29. i'm way over 300lbs. i just definitely feel like the judgement will be there... ugh

  30. There may be judgement. But honestly? In a crunch all we want are skills. There’s a nurse at the old hospital I worked at which is a level one trauma center. She is obese, she does stick out, but her skills are so unbelievably good she is everyone’s go to. Code? Get Sam (name changed). Question about pt? Ask Sam. Difficult situation? Where’s Sam? I have seen this woman do extraordinary things and give unbelievable compassion in very difficult situations. I aspire to be even close to as good as Sam one day.

  31. Former EMS, current ER nurse: Sometimes it’s just the nature of the ER and not any real attempt to be rude. A lot of work in ER nurse world is straight to the point, no bullshit, get it done sorta business. Because managing your time is of the upmost for the chronic pain pt who is yelling, CIWA pt that ain’t getting better despite the drugs you’re throwing at them, and then a real trauma rolls in while your fall pt suddenly goes AMS.

  32. Weird that you think this is primarily a nursing issue. Physicians use this as well. Particularly during codes and in the OR. So make sure you break out those crayons for the MDs. No doubt you’ll feel just as comfortable condescending to them.

  33. Either one is going to net you the decent amount of spike proteins you need for the newest strains. If you feel better about cross-vaccinating do that. But honestly as a nurse I went with my first available option. Both do exactly the same thing which is keep you from developing devastating complications from COVID.

  34. I’ve had some really quality ex-nurse patients. The worst for me are the MDs. Had one older lady who, by all means, probably had to fight like a banshee to be taken seriously as a doc in her time, but was so condescending. I said something to her like, “well let’s try to figure out what’s making your heart so tachy”. While doing a focus. Her response: “well you’re hardly going to discover the etiology here in this ER room with me”. Oh ok.

  35. People think we can magically fix them without any inconvenience. They want to be well without meds or fluid restrictions or special diets or exercise.

  36. This is the correct answer. Like I cannot stop the fluid buildup in your lungs if you keep guzzling fluids sir. It can kill you. Oh you’re thirsty? Well then by all means…

  37. If I were to go in sick and get the senior nurses sick then we would be screwed but noo, my manager decides to get upset cause I call out once for a legit reason. So much for thinking about others

  38. I got sick 2 months into orientation and my told my manager as I didn’t even know how to call in sick at that point. She gave me point by point instructions for calling the CRO and then alerting the unit with phone numbers and told me to feel better soon.

  39. Elizabeth Taylor as Cleopatra was actually correct. Many wrongly assume she was black or Arab because it was Africa but she was actually of Greek heritage and Taylor could pass for Greek.

  40. According to zero point zero Greek grannies out there could Elizabeth Taylor pass for Greek.

  41. Primary care? Does he have it? If not that could be a problem. Lack of PCP, needs assistance in accessing health plan options.

  42. When I think about moments like this, I like to ask myself what I would have done differently now that I have more information. On one of my worst calls that answer was: do not trust BLS fire did a head to toe properly. So I always did my own basic assessments going forward.

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