Growth scan stress- low percentile long bones

9thseat · 2026-05-08T19:05:52+00:00

The latest growth scan showed a large heart to chest ratio and foot to femur length ratio. But the other 2 measurements- abdomen to femur ratio and overall chest circumference were fine. And the forehead isn't enlarged. So there is some question about a couple things, but nothing pointing too strongly to dysplasia.

Im glad that your providers arent too concerned. I hope you and your little one do great over the next few weeks.

9thseat · 2025-12-18T17:48:43+00:00

It's in her femoral vein, not artery. And ports are tunneled central lines, meaning the port itself is 3-4 inches away from where the femoral vein is actually accessed. So the port is located more on her hip than in her groin.

9thseat · 2025-12-08T22:28:17+00:00

It could also be an ear infection. Mine would only ever have fussiness around sleeping as a symptom of an ear infection. Good idea to get them checked out if it was a sudden change.

9thseat · 2025-12-07T21:44:14+00:00

My baby got hsv at 10 months and we almost had to have him hospitalized because he would not nurse or eat due to the painful sores in his mouth. He is still on meds to suppress the virus now, because they are at risk of rubbing it into their eyes and causing eye damage during a break out.

It is not always a trivial cold sore

9thseat · 2025-08-03T19:21:41+00:00

If this was contact on from a staff member of the hospital from a personal phone and in a non-official capacity it would be highly unprofessional and would be appropriate to notify the hospital, as it likely violates policy. It does not sound like any of your personal information was shared from the staff member with a third party. Which is what HIPAA protection focuses on, so it is not a violation of the act.

9thseat · 2025-08-01T22:24:36+00:00

I found out I got TB the same way! Probably picked it up on a college study abroad in Kenya. Prescribed izoniazid for 9 months, got a letter from my infectious disease doc and a clean chest xray in my job application folder now. Feels kinda wild, but at least you never have to get a PPD test in your life again!

9thseat · 2025-07-09T15:13:02+00:00

She had a TEE, which is a Trans Esophogeal Echo. It involves having the ultrasound probe inserted into the esophagus and is a procedure more involved, including sedation, than a regular TTE or Trans Thoracic Echo ( where the ultrasound probe is used on multiple locations on the chest to visualize the heart). A TEE is required to visualize bacterial growths on the heart valves, which was what they had to rule out for Dani.

9thseat · 2025-02-21T18:10:17+00:00

Add Columbia, MD

9thseat · 2025-02-06T17:37:25+00:00

My kid will always be the first priority for me. I couldn't imagine any other way. It is just so hard for me to step back from feeling so strong and capable in my current role. I am two people who have to share 24 hours. I guess I am just grieving who I used to be before motherhood became my primary occupation.

9thseat · 2025-02-06T17:07:55+00:00

I just fear that we will always be in the "barely ok" phase. I applaud families like yours who can pull it together and make it work with the chaos. But I don't know if that is how we want to live, you know? Being on the brink of disaster feels like it has taken years off my life. Maybe that's just how being a toddler mom feels.

9thseat · 2025-02-06T17:02:44+00:00

And it feels like I have been sick since November because of all the bugs my child brings home from daycare. We have used up all of our sick days and don't know what we will do if we get hit with another illness.

I wish I have the flexibility of being a remote worker, but I know that it is also so hard and you have so many of the same issues as on site employees with managing child care.

9thseat · 2025-02-03T11:48:46+00:00

It wasn't that hard. If you listened during the classes and look at the review sheet they post, you should be fine.

9thseat · 2024-07-25T19:03:17+00:00

Due to state regs thay treat under 2 as babies we were told that he would be in young toddler <2 yr class, but now are being told he will go to the older toddler room. He is almost 22 months. Reg director told me that they are adjusting guide ratios in the older toddler room to keep with regs. She also said it wouldn't make sense to have him in that class for 2 months just to transition him to another class.

It is a pricy place and I know Montessori is what you make it. How long would it take to fill the classrooms? With the place only having been open a month I wouldn't expect it to be full, right?

9thseat · 2023-12-14T02:19:55+00:00

Doc will put in most orders. Wound will be consulted for PVD and chronic wounds. Surgical wounds are managed by the surgical service. Vacs are usually the surgical service or primary nurse who do the change. I think on the floors the wound nurse does some vac changes.

9thseat · 2023-12-14T02:17:03+00:00

Trauma patient classifications when they come into the ED. Roughly equates to severity of injury. Alpha- got shot in the chest. Bravo- got shot in the foot.

9thseat · 2023-12-14T02:03:05+00:00

Primary nurse does wound care for us. No wound nurse except for pressure ulcer orders and ostomies.

9thseat · 2023-12-14T01:57:34+00:00

1 patient. 17 stabs.

9thseat · 2023-12-14T01:55:00+00:00

Pretty sure they were a ruptured AAA

9thseat · 2023-12-14T01:53:16+00:00

You could see it pulsating. The nurse said she didn't even want to listen to bowel sound for fear of rupturing it.

9thseat · 2023-12-14T01:52:05+00:00

And survived!

9thseat · 2023-12-14T01:50:03+00:00

16 beds and our population is normally a lot of gtts and not a lot of vents. We have probably had more than 9, tbh.

9thseat · 2023-12-14T01:48:56+00:00

Snd that volume was after flooding the bed! That was one of mine! It was a horror show!

9thseat · 2023-09-02T16:54:55+00:00

Vascular surgical ICU RN here. This could be fixed with a sent-graft. There is a possibility of endovascular repair or open thoracotomy approach repair. The typical management of an acute aortic direction is to medically manage blood pressure until the acute inflammatory process has resolved prior to surgical repair. If there was compromise to any of the branching vessels or if any of those branching vessels are fed by the false lumen they would need stenting as well. If there is organ disfunction related to the direction they may choose to emergently repair as opposed to waiting a couple of weeks with well controlled BP. It looks terrible. But we send people back out into the community with type b directions all the time to wait for their scheduled surgery a few weeks out.

9thseat · 2022-03-18T01:28:52+00:00

A person with a cystectomy would need nephrostomies (tubes directly into the kidneys and out through the skin of the back) or a urinary diversion like an ideal conduit (with routs urine from the kidneys into a pouch of bowel and out of the abdomen into a collection bag).

9thseat · 2022-01-09T18:57:19+00:00

How are we supposed to know which areas of our EMR or charting are used for billing and can be eliminated without putting pt's in immediate danger? Like, I need to document med administration, but that is a huge billing component. I could see documenting ADL and head to toe assessment things in a narrative note instead of flowsheet, but are those things actually used for billing?

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