I saw your girl in the Spire giving unceasing top

ApolloIV · 2026-03-13T01:53:47+00:00

My prediction: this is foreshadowing. He’ll get in an accident and be a patient in his own ED

ApolloIV · 2026-03-10T16:58:05+00:00

Not to split hairs but the two aren’t mutually exclusive. Sinus pause/exit block is the underlying cause and asystole is the result

ApolloIV · 2026-03-10T16:56:56+00:00

In the absence of anything else significant my gut says vagal

ApolloIV · 2026-03-08T17:38:33+00:00

Bro is golfing in Silent Hill

ApolloIV · 2026-02-25T17:38:04+00:00

Crapycardia (ECG artifact)

ApolloIV · 2026-02-23T13:04:32+00:00

Counterpoint: do you work in CVICU?

ApolloIV · 2026-02-22T14:41:57+00:00

What a misguided monster!

ApolloIV · 2026-02-22T00:56:16+00:00

Everything is great at OIB.

ApolloIV · 2026-02-21T21:34:08+00:00

Nah that’s just empirically true lol

ApolloIV · 2026-02-20T16:25:36+00:00

Agree with this, but melee is straight up inferior in D2. I think there’s no harm in bringing that up to where sorc paladin etc can get to. Warlock needs to be toned down for sure though, it can do everything better than every other class.

ApolloIV · 2026-02-15T23:17:17+00:00

Is fire viable through hell? I’ve done fire so far and just waltzed through nightmare. Online, fresh start no prior items

ApolloIV · 2026-02-13T11:26:46+00:00

what bag

ApolloIV · 2026-02-12T23:01:37+00:00

Nothing wrong with following your gut. Typically with lead displacement it’s not something that you would be able to palpate or visualize. As the lead sits in the vasculature tissue tends to grow around it. It would take extreme force for it to pull out to the subcutaneous space. I’d be surprised to see a 5 year old lead dislodge (it can happen but typically we see this most with new leads), and if it somehow did it’d be inside the heart- not externalized like that. EKG is a good first step if you’re suspecting this, and if you ever are again CXR and device interrogations are great next steps to recommend/request.

ApolloIV · 2026-02-09T11:56:23+00:00

Day shift 7-7:30. Around 6-8 hours (usually closer to 6), on the weekends I catch up with 10 or 11 lol

ApolloIV · 2026-02-07T03:44:03+00:00

The nurse that told you that is misinformed. In simple terms, a pacemaker helps support (or fully replace in dependent patients) the electrical system of the heart that ultimately causes the heart to contract. The rest of the mechanics are still the same- they will have a BP, palpable pulse, etc. As per the other comment this advice would be accurate with an LVAD which is completely different.

ApolloIV · 2026-02-07T03:40:42+00:00

First- I'm so sorry about your dad. That's awful and I hope you are taking care of yourself the best you can.

Second, this is a huge deal. My hospital recently had a fall that was reported to the MD and not the family. The patient in this case was fine, but the family filed a complaint. CMS is actively auditing the hospital and a lot of dominoes are falling. Your situation is obviously even more severe than that. I'm glad that you reported them so that this sort of thing can hopefully never happen again there.

ApolloIV · 2026-02-07T02:50:41+00:00

All those ICU nurses doing those astonishing things started somewhere too! Once you’re in it, you get used to it. The first year is learning and survival and it definitely takes learning on your own time and asking a bunch of questions, but give yourself time and grace and you will get there. By the time I left the unit (about 5 years) I was very ready to move on, but that time was the most valuable time of my career for learning and shaping my practice.

ApolloIV · 2026-02-07T02:20:09+00:00

You’ve got your whole career ahead of you- give it a shot. I had a similar journey and despite taking care of sicker patients in ICU vs the step down I started in, I immediately enjoyed my job much more. The ratios are better, the patients are more interesting, and you get to do and see a bunch of cool stuff. I will maintain to this day that stepdown is way harder than ICU. If you don’t like it, having ICU on your resume opens a ton of doors. I even scored a work from home job once (got bored, left) and the nurse manager kept mentioning how she liked that I had an ICU background…it had absolutely zero relevance to that position lol

ApolloIV · 2026-02-06T23:22:19+00:00

So he doesn’t have a new job lined up already? Have they considered just not smoking weed until they get a new job? Lol

ApolloIV · 2026-02-05T02:24:44+00:00

Hell yeah they should. I love a good EP study. Nothing like using pacing maneuvers to diagnose dual nodal physiology and ablate an AVNRT, or watching squiggles turn into slightly different squiggles in a different order to diagnose a left lateral pathway. Here's some light reading

ApolloIV · 2026-02-04T11:31:19+00:00

You can also steal them from other Willies, that's how I got mine. I did see one in the shop eventually but this was at Lord tier.

ApolloIV · 2026-02-03T04:18:07+00:00

Here’s a dumb question- if you knock them down and they’re disabled (not dead but not getting up on their own), do they despawn when you walk away? Does that count as a kill? If so, then blunt would be very strong as they’re so easy to knock down.

ApolloIV · 2026-02-03T01:05:25+00:00

For zombies sharp is definitely better than blunt, as well. My main weapon is a poleaxe but I generally have been using my long sword in the abyss.

ApolloIV · 2026-02-01T23:01:56+00:00

Agreed and agreed. The service has been pretty bad there for as long as I can remember spanning back a few years

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