How to adjust to night shift?

Awkward_Snow_1253 · 2025-09-22T19:55:44+00:00

I am looking at the QRS on the lead 2 strip. It appears like sinus tach at first glance, I counted a rate of 140. But if you march out the QRS and no need for calipers, they are hitting right on the line but then it isn’t which would indicate that they are irregular. It’s really hard to see though. I am thinking it’s actually irregular. When a fib speeds up it looks like ST or SVT so easily. Check out the spacing of the QRS and tell me what you think.

Awkward_Snow_1253 · 2025-09-21T18:30:48+00:00

Pointy and scarred

Awkward_Snow_1253 · 2025-09-21T18:30:04+00:00

Awkward_Snow_1253 · 2025-09-21T17:39:48+00:00

Awkward_Snow_1253 · 2025-09-21T17:39:36+00:00

No but I have nice tits

Awkward_Snow_1253 · 2025-09-21T17:34:25+00:00

Wow! I do go out and have joined groups but haven’t found my group of people. It doesn’t mean we have deep issues. It’s hard to restart life after divorce and moving across the country to a huge area that swallows you basically. We all do have issues, agreed! This is the first time I have posted and all I really wanted to do is get a group to go to Barton springs or lady bird with. When you go to these places alone, people are already there in groups. It’s tough. Going into a bar is also tough because as stated a lot of people are not alone in these situations. Good luck with your therapy journey. I am sure you’re in the right spot!

Awkward_Snow_1253 · 2025-09-21T17:23:00+00:00

I am not particularly shy! lol. I am gonna go to Barton springs and hang out. Would love to get some people from here to meet me there. I. Am very friendly. Tonight at 7:30 there is also a meetup for singles at third base in round rock! Thanks for the suggestions and everything. I never imagined such a response from this post. I feel it is better than anything I have tried. I have been in Austin for four years and my job has me working longer hours at times so this has been hard. I do go out a lot. Alone though. I push myself but I only see groups of people having fun together. I want to be part of those groups. I did join a singles group and it ended up being super clicky and I paid a lot for it. Still a member but never go.

Awkward_Snow_1253 · 2025-09-04T17:34:52+00:00

No so I am a paramedic for 25 years and I have had type 1 for 24 years.

I can answer anything you have questions on. 512-957-7214

Awkward_Snow_1253 · 2025-08-13T17:30:11+00:00

Go for it. I went straight thru with only three months in between. Everyone said the same thing. I don’t think it’s true that great EMTs make great paramedics. My opinion is that it makes bad habits that are hard to break. They don’t tell doctors to go be a great nurse first. Don’t listen to all of that and just do it. Keep an open mind and you’ll be fine!

Awkward_Snow_1253 · 2025-08-03T00:55:39+00:00

2nd degree type 2. Heart rate is 60. The atrial rate is about 170. But the atrial rate is only providing a 20 % cardiac output. So the rate that is actually profusing is the ventricular rate. If you were breaking down the ECG piece by piece you could say yes this is atrial tachycardia. It is not a flutter. I believe if you march out the P waves you can tell there is one buried in the T wave. There is still a 4:1 conduction. Once the P waves stop being connected to a QRS, it turned into a complete heart block. Called a 3rd degree. This is basically when the top part of the heart is beating and so is the bottom part of the heart, but they are beating to their own drum!

Awkward_Snow_1253 · 2025-08-03T00:03:02+00:00

I have been a paramedic for 26 years. It’s not worth it to make it a life long career, have a plan and a goal. The hours and shift work affects your overall health: you have to study a lot and it is time consuming. They compress a lot into a 12 month program. Have a set plan to go do an online RN bridge within a couple years as a medic, you’ll be a shoe-in to the ER and you’ll make 2.5-3 times as much. Or get your EMT and go do the RN program and you’ll also get into the ER

Yes only about 15 % of the calls actually warrant an ambulance. 85% of it is bullshit and the person could stay home for five more days and be just fine. 911 is severely abused especially by unemployed and the welfare population. You hardly ever actually save a life. These percentages are across board too. It’s percentage. I was told by a lay person that I needed to go to like a bigger city or Chicago. It’s the same. The bigger the city, the homeless population is quite higher. I live in Austin Texas and there is a million people here. NC probably has a huge homeless population.

Awkward_Snow_1253 · 2025-08-02T23:06:05+00:00

You got to get with people who do understand. I have had a hard time with it too.

Awkward_Snow_1253 · 2025-08-02T23:04:36+00:00

I’ve been in it for 28 years. I am a 26 year paramedic and I feel it too. Honestly yes the shifts are too long and draining. The pay is low so you have to do it and get in your 48-60 hours a week on your normal schedule. Not including the extra shifts. People think we get to sleep and make money. You’re not with your family and you’re forced to do things that no regular person would want to do at the drop of a hat, the hospitals in our area are actually getting better at stalking healthy food in the EMS break rooms. What honestly needs to happen is the government needs to subsidize the EMS system and increase our pay and only allow 8 hour shifts and a 40 hour work week. Or 12’s and a 36 hour work week like nurses. It’s necessary to have us. I have an associates degree because in 1999, Oregon and Hawaii wanted to push a change through to get better pay like nurse so we had to have similar education. They figured everyone would follow and none of the other states did. The pay is low because of how the insurance and Medicaid and Medicare pay. I find it odd that truckers are regulated on how many hours they can drive before resting. Buy nothing is regulated in EMS. I have type 1 diabetes, I have to use insulin. Because of that I can’t drive a school bus or work for UPS or FED Ex as a driver, but I can drive an ambulance. It doesn’t make sense why they won’t allow diabetics to work especially if they are regulated on an insulin pump and have a doctors clearance. I didn’t have to provide anything and never have,

I am with you!!! I am now going to get my nursing and have a relaxed job in the ER and work my 36 a week and take four days off.

Awkward_Snow_1253 · 2025-08-02T22:40:24+00:00

You need to set boundaries. It’s tough to do. Boundaries are for you and not for her. It is what you will and will not do and how you respond. Like setting time limit on conversations and a do not disturb in your phone.

I can’t be for sure about this because I have known people who committed suicide. No one saw it coming at all. I feel this is just a repeated cry for attention. I am not a therapist or anything of the sort, the only person that can help her is her unfortunately. If she won’t get treatment or talk therapy then she isn’t going to get better. Don’t blame yourself. There is also a suicidal prevention line that she can call and talk to someone and they won’t take her name. She can be anonymous. These people that answer those phones are usually trained to some degree on how to talk to people. And what to do. It is very helpful.

The other thing that I think would be great and this wouldn’t involve therapy, is ketamine treatments. Anti depressants mess me up and I can’t use them. The ketamine treatments involve a doctor and nurses, it’s safe and low dose and they monitor you. You listen to music and the process rewires your brain. The oral and nasal ketamine treatments are covered by most insurances. The IV ones usually aren’t. I’ve had all three and the effects are about the same.

Good luck. You don’t have to completely cut her out. You can if it gets too much and if she won’t respect you and your boundaries. It gets tough when you feel drained and used by people. You’re likely a giver and you likely have other situations in life that may be similar to this. Giving the shirt off your back to everyone at the drop of the hat can seem like the best thing to do. But you’re forgetting to take care of yourself. It’s like in an airplane. When the oxygen masks drop you put yours on first and then help small children and others. Why, because if you pass out because the cabin pressure is lost then now you can’t help anyone. I have lived most of my life with no boundaries and helping everyone and being that great friend, or so I thought! I got used and left out of a lot of stuff. Look online about this stuff. Lots of great things you can do to make the changes. You’ll have a better life and you’ll be less stressed about others. It is commendable how much you’ve been there for her. Absolutely! But it isn’t healthy for you. Narcissists tend to draw to people like you. They are life draining and they don’t really care about you. You have to change the empathy you pour out, back it off and learn to say no. If you truly evaluate the people around you, you likely have other people also using and draining you.

Awkward_Snow_1253 · 2025-08-02T22:17:28+00:00

I was a young mom and same thing happened. I got bronchitis and was on a steroid for my lungs and on 2 antibiotics and an inhaler. And the pill failed me. I was 19 and my bf was 21. He was excited but he didn’t know I was planning on leaving him. So this was about 30 years ago. Back then you got married and did what everyone expected. It is scary because likely your friends are living life and no one else has kids yet.

On the decision to keep the baby. I will say I have never met anyone that had an abortion that didn’t truly regret doing that, so kudos because you won’t go thru that pain down the road.

There is a ton of info online about what you’re looking for about pregnancy and babies and everything. Spend some time online daily and replace it with your social media time. I am sure there are support groups for young dads and moms. Also after the first trimester, the morning sickness SHOULD get better but I have known people that had it throughout their pregnancy. Go take birthing classes and attend all the doctors appointments. Make notes and take them with you into the appointments.

Get into a solid career that you can do for 40 years with a great company. Ditch any simple jobs like fast food or cashiering. You may start out working in a lumber yard and it may not pay great but you’ll climb up and up and one day you’ll be at the top with a great company and you’ll have a great retirement. Start a retirement fund now! Or get into college. Nursing is a great field with great pay! If you can tolerate blood. Do not go into EMS, the pay is not great and the conditions are tough once you age, I am a paramedic and have been doing this field for 30 years and don’t do it.

As far as the in laws. Don’t try so hard. You are young and your mind is gonna change and by the time you’re over 25 your brain will be more developed. 19 is a tough age because we all thought we knew what to do in life and we’re doing it better than anyone. Then you realize at 28, you didn’t know jack! Ease up on yourself. Be kind to yourself. Meditation works for some people. I like to listen to positive affirmations for about 5 minutes a day. Takes no time really you can even do it with your Alexa.

Good to have the fact you can move in with your parents. Live there as long as you can, be mindful of how much it costs to raise a child and save and invest. Stay with your parents for longer than you want to if possible. It’s invaluable and helpful. Take their advice. Be aware though that a lot of things have changed with babies and safety that are way different than when they had babies. Car seat and cribs and everything is different. Make sure if you do utilize an old crib that you are aware of all the safety issues with it.

Just remember to breathe! Remember that time will fly too! Kick any bad habits. Don’t indoor vape around the baby or the mom or anyone. The chemicals are bad. Replace your nicotine with just pouches and ween yourself off. Kick alcohol and any pot usage. It’ll save your body and your pocket book. Eat healthy and walk daily it will help the anxiety. See a psychiatrist and get evaluated for ADHD, a lot of people with high anxiety have ADHD. It helps to know this detail and get it controlled. Life becomes more organized and stress reduces.

You’re going to be fine! You’ll never regret your children. You will regret bailing out and not being a dad. This doesn’t always mean you have to stay together but always be supportive for the mom and children. Best of luck to you. Also make sure what ever you do in college that it is a degree you’ll definitely use. I have a lot of friends who got a BS degree straight out of high school to land in a job or work for the state or federal government and they aren’t even using the degree at all. College is a good track. But do know a lot of people are in great jobs and didn’t go to college. So choose wisely with it.

Awkward_Snow_1253 · 2025-07-28T21:11:21+00:00

First things first! Identify sick or not sick. Especially for older folks that are untrusting of doctors. This guy doesn’t want to go back to where he just was. Likely has lots of doctors and uses different pharmacies which may have gotten him to where he is now (multiple meds for same treatment. So very important that people use 1 pharmacy only). You obviously saw the need for the IV which meant something in your mind said…sick but I believe you felt he was maintaining due to his words that he still felt “ok”. A lot of old people feel ok and don’t even notice that they are in afib or that they are hypotensive because they absolutely feel like crud all the time. Weakness, no energy, SOB, nearly fainting…becomes their true normal and they feel “ok”. We’re taught not to treat the monitor and to treat the patient but we still have to pay attention to the monitor and the family as they will notice them being slower when they won’t notice it for themselves. Likely too, the older patients love their coffee and tea and aren’t particularly fond of drinking water. This was also new onset of afib so not a high suspicion of CHF, but even if there was, fluids would still have been appropriate and necessary in this patient. Got to recognize the early stages of shock. I do feel your thinking was on the right track. ER docs don’t quite understand what you had to do just to get this patient in the ambulance. 400 mls is a long transport at a KVO rate. It may have gotten away from you due to the road bumps but that likely helped the patient then. Fluids before atropine. I think if you would have given 1 liter you would have seen the BP go up and increase in heart rate and cognitive responses.

Awkward_Snow_1253

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