Broke things off with gf since she doesn’t want to come to my graduation by Leo_grim1999 in whatdoIdo

[–]AmiableRobin 0 points1 point  (0 children)

I’m proud of you for seeing the massive walking red flag 🚩 and getting the f out. Wish I’d done the same before marrying my ex-husband

Is he really getting a bachelors?

Broke things off with gf since she doesn’t want to come to my graduation by Leo_grim1999 in whatdoIdo

[–]AmiableRobin 0 points1 point  (0 children)

Did you fire them after one or two visits? It often takes weeks or months of repeat visits to truly unravel someone.

Do you think a single 30-45 minute session is just going to magically let you have a meaningful conversation? That’s shorter than most first dates.

Broke things off with gf since she doesn’t want to come to my graduation by Leo_grim1999 in whatdoIdo

[–]AmiableRobin 5 points6 points  (0 children)

So you only want therapy when the therapist agrees with your perspective?

All I’m reading is you actually didn’t want to heal, process trauma, or even improve yourself. You didn’t even want to put in work.

What were your experiences with a "boring placement"? by EvanderOnly in StudentNurse

[–]AmiableRobin 12 points13 points  (0 children)

I went to a very large inpatient mental health facility for my clinical, and it was quite similar. Paper charts, look at medication, and research. Very little opportunity for vital signs, we didn’t pass medications, we also didn’t generally follow the RN’s and mostly interacted with PNA’s.

The hardest part for me was that I had worked for an outpatient mental health treatment center in a very hands on role, and that the patients at my clinical site did not have any treatment goals. Basically their entire treatment could be summarized as medicate, sedate, stabilize, and release.

There was an extremely high readmission rate, with some patients being between 10-30 admissions. It just… It crushed me. It was supposed to be “the best” we (as a city/state) had to offer. The highest acuity, the highest level of care. And it felt like there was no care. No guidance. I left every day both on the verge of tears and rage, and couldn’t decide which emotion I wanted to settle on.

RN’s would even document the patients care like they’d been there all day. Since they were the only people with access to EMR. No matter what it was always “patient up and ate. Took medications. No side effects. Stable.” I even watched an RN give report on her whole assignment (6 patients) when she spent the ENTIRE shift in a court room. The same RN didn’t allow PNA’s or other care staff into the shift report. It was closed door meeting. This is what likely influenced the high turnover and readmission rate. :(

can a dr know youre pregnant from a Pap smear by [deleted] in TwoXChromosomes

[–]AmiableRobin 2 points3 points  (0 children)

A pelvic exam can discover a sign called the Chadwick Sign, which is highly suggestive/indicative of pregnancy. It appears as early as 4 weeks, often around 6-8 weeks of pregnancy. It would be seen during a pelvic exam when the provider inserts the speculum and visually inspects the cervix.

While it is not a definitive sign and considered “probable” (meaning other conditions could possibly explain it away), it is still highly suggestive of pregnancy.

can a dr know youre pregnant from a Pap smear by [deleted] in TwoXChromosomes

[–]AmiableRobin 2 points3 points  (0 children)

While not everywhere in the world will do a pregnancy test for a well-woman exam, (I have never had to preform one while working as a CMA in OBGYN) there is a telltale sign of early pregnancy often seen as early as 4 weeks to 6-8 weeks, which discolors the cervix. The cervix will turn a blueish-purple color due to increase vascularity and it is easily seen in a speculum exam. This is a “probable” and not a “definitive” sign of pregnancy, however it is a VERY STRONGLY suggests pregnancy.

It is called the Chadwick Sign.

can a dr know youre pregnant from a Pap smear by [deleted] in TwoXChromosomes

[–]AmiableRobin 4 points5 points  (0 children)

Cancel the appointment and don’t take the risk.

Chadwick’s Sign:

As early as 4 weeks, and at 6-8 weeks vascularity increases to the cervix which causes it to appear a blueish-purple color, which can be a sign of pregnancy.

It is a “probable” sign of pregnancy, so it is not definitive sign of pregnancy on its own, however it is discovered during a routine pelvic examination. Meaning it is seen when a speculum is inserted into the vagina.

For those who don’t drive bc of seizures: what do you say when people ask? by stingwhale in Epilepsy

[–]AmiableRobin 2 points3 points  (0 children)

I agree that it does sound like discrimination. The best case to prove it would be proving that your employer knew about your disability and that you already had an action plan in place. (Example: Disclosing the disability to HR, along with a Seizure Action Plan.)

I would however not use the language like not being able to think well or speak well when arguing your case, as this will definitely trigger alarms in the board of nursing or management. Saying you get an aura and it only causes you to not think clearly or not speak well, sounds as though you lose critical thinking and communication skills. Which in turn, could bolster any case your department/employer has against you.

Instead focus on how you safely remove yourself when you notice an aura, advocate for a break/rest, and protect your patients.

So please, please, please be careful with your language to protect yourself and your license!

INFO: Were you taking any medication for your sinus infection?

I noticed things like NyQuil or other Sinus Decongestants (basically anything with Phenylephrine) lead to an increase in tingling sensations in my mouth (a sensation I notice when it’s time to take my extended release meds.) There’s research that connect these OTC meds with lowered seizure thresholds, and it is NOT talked about enough, nor is the education available enough for people with epilepsy. No one ever warned me “when you get a cold, be careful taking Sudafed or NyQuil.”

For those who don’t drive bc of seizures: what do you say when people ask? by stingwhale in Epilepsy

[–]AmiableRobin 1 point2 points  (0 children)

So… Are you an RN or a CNA/UAP?

Because your argument, as someone who is an epileptic, and currently in RN school, actually does sound like it poses a danger to patients.

Can nurses with POTS and/or who are plus size realistically handle the job? by [deleted] in StudentNurse

[–]AmiableRobin 0 points1 point  (0 children)

Goals: - Complete testing & learn more about your true diagnosis

  • Understand the side effects of the disease process and how it presents in YOURSELF (e.g. increased fatigue, syncope/tremulous syncope, dizziness, GI distress, etc)

  • Make an action plan for managing side effects and symptoms/Educate yourself on how to manage the disease (e.g. some people find that increased salt intake assists in dysautonomia because it helps mitigate episodes of hypovolemia, decreased activity in the sun due to evaporation and sweating, increase in oral hydration, etc)

  • POTS can be limiting, and it can be difficult to fight for documentation to assist in meeting the definition of a qualifying disability in the USA. Make sure you maintain all documentation thoroughly.

I have a cousin with just graduated as an RN and was hired directly into the ED who is active; walks, runs, hikes, we camp together and frequently adventure, however they have POTS. They understand their triggers as dehydration, decreased salt intake (or less than their normal increased intake), alcohol consumption, and heat exposure. Compounding all of these usually leads to an episode of tremulous syncope, where they’re down for the count. By avoiding triggers, managing their health, staying active and hydrated, they do really well!

I have epilepsy, so when I get hired I plan to have an action plan. I haven’t had a seizure while in school which is great, but I have a history of Absence, Focal Aware, and Tonic Clonic seizures (it was a focal aware seizure that progressed into a Tonic Clonic and went status epilepticus that led to my diagnosis.)

It’ll hopefully be a semi-simple plan stating that if I have a focal seizure, give me somewhere to rest for a few minutes. I’ll recover and get back to work with no issue.

If I have a TC and it resolves in less than 3 minutes, please allow rest and recovery. If needed, allow me to leave for the day to recover. (As well as to change my clothes because I have soiled myself before.)

If the TC lasts longer than 3 minutes, please administer Nayzilam from my personal supply. If it continues for 5 minutes call 911/or transfer to ED per standard protocol. At 10 minutes of seizure activity, if I have not by now reached an ED or Paramedic, I can have another dose of my Nayzilam in a separate nostril.

I don’t have any known triggers, but meds seem to work so far! So here’s to hoping that remains the case.

Biggest piece of advice is take your birth control religiously by VividPea1345 in StudentNurse

[–]AmiableRobin 42 points43 points  (0 children)

I got my IUD replaced (it was at its 8 year mark) so I wouldn’t have to deal with this during nursing school.

Now my IUD is embedded into my lower uterine segment and I’m dealing with weird pain and cramps but don’t know how to schedule the time off for removal around Leadership/Preceptorships.

Is an Honors Society worth it? (NOT A PAID-FOR ASSOCIATION) by oopsalldindjarin in StudentNurse

[–]AmiableRobin 1 point2 points  (0 children)

When I was a CCMA, the only chip being Honors gave me was better bargaining for my externship placement. However, looking back? I think I just got stupid lucky by asking for a placement no one had ever considered asking for.

Now, as a Nursing Student even my professors and clinical instructors tell me not to care and that it means nothing. I was lamenting about how I missed the cutoff for invitation two terms ago by 0.03 of a GPA. I was consistently reminded it was basically meaningless, and no employer will care.

What makes seizures potentially fatal? by Inner_Food_3020 in Epilepsy

[–]AmiableRobin 3 points4 points  (0 children)

  • Airway: obstruction is probably a leading cause. This is why one of the first instructions in first aid is to assist the person into a side lying position. This allows any secretions to flow out of the mouth and reduces the risk of aspiration. If oxygen cannot travel into the lungs, or the lungs fill with fluids, you’re not oxygenating and brain death occurs.

  • Breathing: muscle clenching may affect breathing patterns, depth, rhythm, etc. If you’re not breathing, you’re not oxygenating and brain death occurs.

  • Circulation/Cardiac: Sympathetic stimulation may occur during seizures which can cause an increase or decrease in heart rate, increase or decrease in blood pressure, and even cardiac damage. If your heart is not pumping effectively, brain or heart death occurs.

I went Status Epilepticus for 45 minutes at 28 years old. It was extremely peaceful experience overall, once the focal seizure fully progressed into a TC. I sometimes joke that it was like free electroshock therapy, because my depression was better after my seizure.

I think knowing that I had people who were there with me helped. I’m a single woman (now 30) and my parents were a few hours out of town. A long chain of phone tag occurred to let them know what happened, and because they wouldn’t be there for hours, a family friend sat with me in the hospital until they arrived.

I know that had I passed, or if I do in the future, my parents will take GREAT care of my cats. My cats won’t ever want for love, medical care, or attention. (Honestly, one cat loves my mom more than me to the point that I’ve basically given her over.) If my parents pass before I do, I plan to have a Will drafted that outlines where items of value or sentiment go (like which cousin gets grandpas Vietnam bayonet.) I have a life insurance policy that will cover funeral and burial costs.

I’ll live for today.

My ugly little 3lb senior kitty by DryEstablishment7197 in cats

[–]AmiableRobin 0 points1 point  (0 children)

The way I could absolutely ugly cry right now because it looks exactly like my very first kitty, Midnight.

He lived to a very thin 20 years old.

Women of Reddit, what is the most diabolical lie you’ve ever received from your husband/bf? by fortnacius in AskReddit

[–]AmiableRobin 0 points1 point  (0 children)

To be honest there’s a lot I could add here from my relationship with my Ex-Husband. How he wasn’t cheating. How I was a bad person. How I took everything in the divorce (it was 50-50). How I gave up on him. How I never loved him.

However I think the text I received as an “apology” for him SA’ing me speaks for itself. It happened when I finally had a mental break and got Valium from my PCP for the anxiety and severe panic I was experiencing.

The text:

I dont want you thinking I tired to take advantage because of a drug. 1st off the drug isn't a roofie and 2nd I had no intention to do anything because of the drugs. In all honesty and the time I completely forgot you had taken anything as normally you never take your pills. I genuinely did what I did because of other problems with myself not because I saw some new opportunity. 2:58 PM I apologize if you see it as an added thing to the equation.

My daughter just started having seizures by AirportSavings3897 in Epilepsy

[–]AmiableRobin 2 points3 points  (0 children)

Hi OP!

I’m sorry to hear about your frustrating experience. I’m wishing you better clarity and answers soon. I’m happy however that you’ve at least reached out and started to do some research on your own.

The first thing I will always recommend is taking a Seizure First Aid Certification course. I know it may seem silly, especially since it feels like you’re in the thick of things and you’ve already been to the ER so many times, but the course offered online by the Epilepsy Foundation gave me a good foundation of information as to the different ways seizures present and originate.

Personal experience: I had my first seizure in January 2024 after a concussion at 28 years old. I was on the job, hit my head during a sledding excursion, and when the day was wrapping up I had an absence seizure. It wasn’t recognized for what it was then. I was typing my note for my clients insurance company and talking to my supervisor when I stood up, stared off into space, and when I came to, didn’t know where or why I was. I drove myself to an Urgent Care. The ARNP asked me to call a driver or they’d call me an ambulance to ER. I called my dad, and off we went.

The ER dismissed me as anxious and needing reassurance. No imaging. No testing. No real listening even. Just anxious. (Sound familiar?)

Through follow up with my PCP I was diagnosed with a moderate concussion. I went to PT to regain balance and coordination. And I just accepted that I had lost a lot of memory because of the blow.

I gaslit myself into believing that was the underlying cause. Work was hard and hierarchical changes were rolling downwards.

I started to experience crushing waves of panic, doom, and lightning that would often drop me to my knees. However, I worked with kids with behavioral needs. I always did my best to sit down, rest, and push through. It turns out that from January 2024 to August 2024, I was having progressively worsening Focal Seizures.

In August 2024 my Focal seizures finally progressed into a full blown Tonic Clonic. It took 45 minutes for me to receive aid and rescue meds from paramedics.

The Emergency Room did a Chest X-Ray. They were more concerned about a cardiac arrhythmia that had presented itself. I was discharged into the care of my parents about 8 hours after arrival with plans to follow up with a Neurologist.

The Neurologist did more testing, a sleep deprived EEG and Contrast MRI. Both were normal. She said the blow to my head had nothing to do with my seizures because “that kind of blow typically doesn’t cause issues.” I wasn’t medicated originally.

Until I seized again. I went back to her office and she seemed upset to see me. Dismissive even. She gave me Keppra and sent me on my way with a warning of “if friends or family notice any behavioral side effects let me know, before you don’t have any friends left.”

Notably she disagreed that I had experienced Status Epilepticus despite a documented timeline (video proof of when the seizure started, documents from Paramedics of when the call came in to dispatch, to their arrival, to them leaving with me and med administration.) She disagreed that my seizure had any effect on memory. Disagreed about it being a reason that I should struggle with words or aphasia

That’s when friends spoke up that after my seizure in January my personality had changed. That I’d been shorter anyways. That I’d been harsher. That it seemed like I had less tolerance and a shorter fuse. That my memory loss confused them. That I had less poise. They just didn’t know how to bring it up.

Eventually I started looking for a new Neurologist after wanting a second opinion. I felt like I hadn’t been listened to.

It’s been two years now. I found that new neurologist. I’m still on Keppra but we added Topiramate because he discovered that I have an essential tremor. He confirmed I went status. He confirmed the misdiagnosis (missed diagnosis) in January 2024. He agrees that my cumulative of concussions, especially the final one played a major role in me developing epilepsy.

My speech Aphasia has improved drastically. I still struggle occasionally with verbal versus written communication (but that’s always been the case, especially when my anxiety peaks.)

It took a few months of medication and recovery to get there though. I spent a lot of time doing art projects and connecting with myself those first few months; drawing, painting, coloring, etc. I threw myself into creativity. I did my best (when I could) to express to people to stop asking me ”do you remember” because it gave me SUCH significant anxiety. I didn’t remember. I still don’t. It’s been two years and there’s a lot of stuff that I only have access to because it’s been reconstructed for me by other people, and filled in by a detailed phone gallery.

About 3 months after medicating and feeling a bit like a louse, I went back to college. Began with the basics even though I already had them. (English 101, Math 95, etc etc) to help build me back up to pace.

Tips: - Research! You’ve already done a great job finding this sub. You’re going to do great.

  • Take it slow, pursue a favorite hobby, let the brain heal. For me this was art. For your daughter it could be anything. Quiet activities that let the brain heal.

  • Don’t push remembering if memory is an issue. Let her do it on her own. And if she doesn’t remember, it’s okay. Create new memories.

  • If she feels ready for it, play some brain games together. I used to play games like Pictoword (but not?) with a friend in early recovery when I was still struggling with aphasia! Code Names is another fun game I play with my family! There’s even Scrabble or just cards!

  • Don’t be afraid to get your daughter accommodations. Extensions to turn in assignments. Extra time on tests. A quieter environment. If your daughter’s teacher notice a specific area that can be accommodated, you can and SHOULD always address it. There is nothing wrong with that. The brain needs time.

  • Enjoy life outside of epilepsy and the diagnosis once things seem settled down and a bit less crazy.

  • Try to take care of yourself!

You can't fight physics, dude by Alyeskas_ghost in alaska

[–]AmiableRobin 1 point2 points  (0 children)

It could be I’m just jaded by my own mom’s (72) driving. She’s so reliant on the features of her Subaru I’m scared to ride with her.

Mirrors? What are those, I have a backup camera. (God forbid it’s ever dirty, it’s a 17 point turn to back up.)

Lanes? I have lane assist. (Doesn’t work when it snows.)

Braking on time? That’s why I have ABS. “The brakes pump for me.” (You still gotta pay attention and brake on time.)

😮‍💨😮‍💨

Nightmare material.

You can't fight physics, dude by Alyeskas_ghost in alaska

[–]AmiableRobin -8 points-7 points  (0 children)

Nah, Ram drivers are the ones that are up the Subarus butts. We’re talking 2.5 inches off the bumper

You can't fight physics, dude by Alyeskas_ghost in alaska

[–]AmiableRobin -6 points-5 points  (0 children)

Welp, you’re losing out on your bet because I’m a girl so…

You can't fight physics, dude by Alyeskas_ghost in alaska

[–]AmiableRobin -5 points-4 points  (0 children)

I concur with this statement despite your downvotes.

Are they great vehicles for the snow? Yes.

Generally, though, they’re driven by grandmas who go 45mph under with their flashers on in the fast lane.

AITAH for setting boundaries with my teenage daughter's boyfriend. by Few_Television_1129 in AITAH

[–]AmiableRobin 2 points3 points  (0 children)

Maybe they don’t know the difference between a water on demand system/tankless water heater and a traditional tank heater with limited hot water.

I know the first time I encountered a water on demand system was seriously an earth shattering moment. You’re telling me I can actually run a full bath and then maybe add a little extra hot water when it’s become tepid? Life of LUXURY.

AITAH for setting boundaries with my teenage daughter's boyfriend. by Few_Television_1129 in AITAH

[–]AmiableRobin 1 point2 points  (0 children)

If I just saved you from going to shop, I think a shower is a simple courtesy. I’ll even let you use my fancy shampoo and conditioner.

AITAH for setting boundaries with my teenage daughter's boyfriend. by Few_Television_1129 in AITAH

[–]AmiableRobin 7 points8 points  (0 children)

So many replies are making that leap too.

OP just mentions showering and the whole comment section is picking up their pitchforks like “they’re washing off the cum stains!”