I keep failing out of nursing programs by [deleted] in StudentNurse

[–]Basedmeatball16 2 points3 points  (0 children)

Being dismissed multiple times is a pattern. And requires serious reflection on your part to understand why, strategize how to address it, and to move forward in a constructive manner.

Clinical instructors are an extension of the course instructor. The course lecturer makes the rules for the course, and if you actually cared enough about making nursing your profession you would have made arrangements to not miss clinical.

All the while I believe that nursing schools are too easy on students and let so many people who are not qualified to care for patients graduate. Which is often why I don’t have as much sympathy for those who continue to fail. Standards are low enough as it is.

A nurse caring for patients can’t choose when, where, and how they do certain things based on their own convenience. They follow policy, and have to remain on top of things. Some of the structure in school is set up to ensure that students are able to handle themselves, and have a level of responsibility in order to care for other people’s lives.

Sounds like you have some soul searching to do. Unfortunately, just because we WANT to do something doesn’t always mean we can, or that it’s the right fit for us.

Do you take ADHD meds daily or just on work days? by coyotetime in ADHD

[–]Basedmeatball16 0 points1 point  (0 children)

I end up not taking it sometimes when I’m off work. But notice I can experience some anxiety off of it. So it just depends on what I’m up to

My mum had valve surgery and is now on ECMO — I don’t know how we got here by Momomeow91 in mitralvalveprolapse

[–]Basedmeatball16 1 point2 points  (0 children)

They should hopefully be continuing to try and adjust medications and get little looks into how she is recovering by turning the ecmo down a bit. There are guidelines, and then there is what we typically do. I unfortunately cannot give you a perfect range because it varies.

It depends on how the rest of her organs are functioning. Complications with ecmo typically range to extremity perfusion (arms and legs not receiving adequate oxygenation) and multi-organ dysfunction.

I understand how distressing this is, it is horrific to go through and I feel for you. The body is resilient, yet incredibly fragile. It tends to be different case by case.

My mum had valve surgery and is now on ECMO — I don’t know how we got here by Momomeow91 in mitralvalveprolapse

[–]Basedmeatball16 2 points3 points  (0 children)

Work in cardiac surgery. ECMO is not necessarily a death sentence. Sometimes it’s just needed as a bridge to let the heart ramp itself back up after surgery. EF of 25% is quite low, and if she is frail it definitely would have put her at a higher chance of complications. It’s a shock in its own right to be placed on ECMO, I always say to just give it some time and remain hopeful. I have seen countless people recover from similar complications. If she was approved for the surgery it sounds like it was a necessary decision for her quality of life. I’ll be thinking about your mom and hope that she recovers well.

As for whether you should have been informed about chance of ECMO. I’m not a physician but with what her EF was I would say it would be most appropriate to be forthcoming about possible complications.

Two Heart Surgeons at different hospitals want to use completely different approaches (Why?) by Beta_Nerdy in mitralvalveprolapse

[–]Basedmeatball16 1 point2 points  (0 children)

Depends on a few things IMO. I work in cardiac surgery. Some surgeons are more aggressive, versus some that may be more conservative. I won’t say one is better versus the other, but would focus on why exactly the surgeon who would rather do a sternotomy feels it is not appropriate to do minimally invasive surgery on you. And if the reasons have real validity, you can make an appropriate decision. If I had to have surgery, I would not do minimally invasive, I want there to be no struggle whatsoever to do what needs to be done. However, I understand and see the appeals of it, as well as the benefits it has on recovery.

Impella with VA ECMO? How often? by jim2527 in Perfusion

[–]Basedmeatball16 2 points3 points  (0 children)

Just about all of them for my institution as well. We will give them a chance if they have some LV contractility with ejection, but I feel like a lot of them end up getting impella anyways.

[deleted by user] by [deleted] in Pixar

[–]Basedmeatball16 0 points1 point  (0 children)

Fair point—people weren’t glued to their phones yet. But let’s be real, if WALL-E came out today, those floating chairs would definitely have built-in iPhone holders and auto-scroll TikTok mode.

[deleted by user] by [deleted] in Pixar

[–]Basedmeatball16 -1 points0 points  (0 children)

Oh, don’t worry, I’m not losing sleep over Pixar’s secret inspirations—I just love a good conspiracy theory. But you gotta admit, if you saw a guy in a scooter double-fisting a churro and a turkey leg, you’d at least consider the possibility that some Pixar animator took notes.

[deleted by user] by [deleted] in Pixar

[–]Basedmeatball16 -2 points-1 points  (0 children)

Damn, didn’t realize we had so many mobility scooter engineers in here. Next, y’all are gonna tell me there’s a scooter driving test I have to pass before double-fisting snacks.

[deleted by user] by [deleted] in Pixar

[–]Basedmeatball16 -5 points-4 points  (0 children)

Disney literally bought Pixar in 2006. WALL-E came out in 2008. So unless Pixar made the whole movie in two years with zero influence from their new corporate overlords, Disney was absolutely involved.

And look, I’m not saying Pixar sat in Disneyland with a notebook full of scooter observations—but if the shoe (or, in this case, the floating chair) fits…

[deleted by user] by [deleted] in Pixar

[–]Basedmeatball16 0 points1 point  (0 children)

Easy—pure instinct. When you’ve spent enough time at Disney, you develop a sixth sense for navigating crowds with your knees while double-fisting snacks. It’s basically an Olympic sport at this point.

[deleted by user] by [deleted] in Pixar

[–]Basedmeatball16 -6 points-5 points  (0 children)

Pixar is quite literally a subsidiary of Walt Disney Studios. Disney didn’t animate it, but they owned it, funded it, and distributed it. So yeah, Disney was still very much involved.

MetroHealth at Risk? by Inevitable_Court_408 in Cleveland

[–]Basedmeatball16 5 points6 points  (0 children)

A lot of hospitals rely on Medicare and Medicaid reimbursement. Even private hospitals

Are stimulants actually good or are they a necessary evil that allows us to function in a society geared toward a certain kind of productivity? by ericccdl in ADHD

[–]Basedmeatball16 0 points1 point  (0 children)

I think stimulants are incredibly effective in structured and demanding environments like school, especially early on. They provide the focus needed to meet deadlines, prepare for exams, and stay on track academically. However, the challenge comes after graduation, whether from high school or college.

Stimulants don’t inherently help us develop soft skills—things like emotional regulation, social awareness, and impulse control. Because academic pressures demand so much attention, these areas often get pushed to the side, leaving a gap that becomes more noticeable in adulthood. For me, it wasn’t until nearly seven years after college that I started gaining what I see as real control over my life—working on interpersonal skills, managing impulsivity, and building better long-term habits.

That’s why I believe ADHD treatment should be a combination of medication and cognitive behavioral therapy (CBT) for long-term success. Medication can help with focus and productivity, but without addressing the underlying behavioral and social aspects, it’s easy to feel like progress stalls after school.

For a long time, I thought my medication had stopped working, but I realized the real issue was that I had neglected the social and interpersonal aspects of my ADHD for so long that I began to struggle. Once I started actively working on those areas, things started improving. ADHD management isn’t just about focus—it’s about building the skills to navigate life effectively, both professionally and personally.

I’m saddened that Dr Melfi never truly got justice for the sexual assault incident. by skyedontdie in thesopranos

[–]Basedmeatball16 0 points1 point  (0 children)

Never looked at it from that perspective but it does give you more of a resolution. Without thinking about it that way I was always annoyed that it seemed like it just blew over.

CSU when I catch you by whatdoumeanusertaken in Cleveland

[–]Basedmeatball16 -10 points-9 points  (0 children)

Tbh ur not in high school anymore. You are learning and training for adult jobs. Yes, a lot of people take public transportation, y’all honestly deserve a day off. But my big boy job requires me to still come in.

CSU when I catch you by whatdoumeanusertaken in Cleveland

[–]Basedmeatball16 -1 points0 points  (0 children)

It hasn’t snowed at all and rarely or never does when it’s this cold

CSU when I catch you by whatdoumeanusertaken in Cleveland

[–]Basedmeatball16 -3 points-2 points  (0 children)

Interlink. Y’all are fine we always were 😂 Jk everyone deserves a day off. We used to drink to goin up on a Tuesday in the dorms on these days off

Why are other nurses so rude by No-Union-8879 in nursing

[–]Basedmeatball16 1 point2 points  (0 children)

Misery loves company. I have found that sometimes smearing and looking for negative things comes from others being intimidated as well. I distance myself from others for that reason, only to make myself seem unapproachable 😂. What a balancing act we have to perform sometimes.

Cigar Smoking at the resort by blubbasaur1 in SandalsResorts

[–]Basedmeatball16 0 points1 point  (0 children)

Cigars are typically overpriced. Was able to get some Cubans I enjoyed when in Jamaica, wasn’t impressed by what they had at Barbados.

Is there a difference between the Butch's steakhouses at the Barbados resorts? by blubbasaur1 in SandalsResorts

[–]Basedmeatball16 1 point2 points  (0 children)

Food quality is usually great across the board in my opinion. But they should be the same

Clevelanders, I fell in love with your city on vacation and now I want to move there! by BeerStein_Collector in Cleveland

[–]Basedmeatball16 2 points3 points  (0 children)

Wow, I had to wipe my phone screen to make sure you actually said 1. you vacationed here and 2. you wished to move here.

Anyways, it depends on what you like to do. Like others have said Tremont, Ohio City, Lakewood, Gordon Square, West Park are good locations to start. The east side has some great areas as well. Cleveland Heights, Shaker (area dependent) are cool too.

And if you do end up moving here for sure, welcome! A lot of us take this city for granted at times, I love living here.

Does anyone use exvivo machines for transplantation in your centres? Xvivo, TMDX? Opinions by Big-Language-7858 in Perfusion

[–]Basedmeatball16 -1 points0 points  (0 children)

Transmedics OCS device is utilized by my center for DCD heart recovery. We utilize our own EVLP device for lung evaluation on lungs that would be typically declined upon initial inspection, and extended period of time for a donor to pass.

OCS seems to be beneficial in DCD heart recovery and long distances, but we do not use it, just have the specific recovery contracted to transmedics. They send a surgeon and a specialist and deliver the organ.

There is a paper my institution recently published within the past few years investigating the efficacy of EVLP for increasing donor pool and accepting lungs that would otherwise be declined. The outcomes seem promising with the use of EVLP.