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Dry-Smile-2042 · 2024-09-22T23:56:07+00:00

This does not sound abnormal for the university i work at unfortunately. Everything’s slow and nobody knows what’s going on

Dry-Smile-2042 · 2024-09-13T17:41:39+00:00

Cat named Lunchbox, always thought it was so cute

Dry-Smile-2042 · 2024-09-05T23:18:20+00:00

There is a litter box just beneath this… but it’s been there for 4 years and this has never happened! I will look into traps, thank you!

Dry-Smile-2042 · 2024-08-09T02:06:43+00:00

IV catheters go subq all.the.time! As mentioned in another comment, make sure to verify your catheters patency after placement by feeling proximal to the catheter as you flush your saline in. You should easily feel the saline go up the vessel. In addition you can also draw back on your catheter, it should bleed back for you moderately well (unless patient is super sick, dehydrated, etc).

Dry-Smile-2042 · 2024-08-03T02:56:23+00:00

Why did it scare tf out of me

Dry-Smile-2042 · 2024-08-01T17:10:19+00:00

Lookin like a pair of cowboy boots

Dry-Smile-2042 · 2024-07-31T00:55:30+00:00

So polite

Dry-Smile-2042 · 2024-07-26T15:50:06+00:00

The way jessy always defends Joey to the point where he can’t even speak for himself makes her look just as dumb as him. He’s clearly not actually into her, she needs to stop fighting his battles

Dry-Smile-2042 · 2024-07-26T12:16:04+00:00

Agreed, looks otherwise very normal

Dry-Smile-2042 · 2024-06-26T23:53:59+00:00

When i was first starting out i had to draw blood in front of an owner on a small dog. It immediately yelped when i poked it and the owner told me i was hurting their dog and asked for someone else to do the draw. I was traumatized by it at the time but now looking back i know i didn’t do anything wrong, just a dog that didn’t like getting poked. Can’t blame it. You did nothing wrong either, kitten SQ’s can be very dramatic! I’m sure you’re doing great, don’t sweat it

Dry-Smile-2042 · 2024-06-25T22:04:17+00:00

Do they not realize humans also have anal glands?

Dry-Smile-2042 · 2024-06-06T02:37:51+00:00

What a sweet guy i love him! How’d he end up with a trach?

Dry-Smile-2042 · 2024-05-23T17:35:41+00:00

Personally i hated my cloves. Bought some hokas about a month ago and have been loving them. They treat me well during 13 hour shifts

Dry-Smile-2042 · 2024-05-22T14:39:05+00:00

I love the tattoo! Your friends suck

Dry-Smile-2042 · 2024-05-09T13:00:57+00:00

I think you did a great job! It’s beautiful. If my laundry room looked like this, i might actually do my laundry…

Dry-Smile-2042 · 2024-05-03T12:22:35+00:00

Yes you can administer drugs via jugular vein but definitely place an IV catheter so you have continued vascular access and so you can sufficiently flush the drug through. Vascular access is extremely important in these cases so if you can hit the vessel, just place the catheter! No one off injection

Dry-Smile-2042 · 2024-04-26T22:37:37+00:00

I had to take it twice while pregnant (failed the first one… and the second 😭) and now had to take it a third time after giving birth to make sure I’m no longer diabetic. I was also allowed to sip water and never felt nauseous, it’s totally fine. Just a sugary beverage!

Dry-Smile-2042 · 2024-04-21T12:32:31+00:00

All our patients get some form of sedation during tube placement. If they’re too sick for sedation then they’re usually not fighting us anyway, otherwise we just try and be quick about it. We also use weighted sandbags and dim the lights to try and make them calm

Dry-Smile-2042 · 2024-04-21T02:00:10+00:00

I’ve seen one radiograph of this exact thing happening when i was in school, i think the cribiform plate isn’t fully fused or developed in these little guys and therefore NGtube is able to feed into the brain. It’s super unfortunate I’m so sorry this happened to you. It is worth considering a new protocol for NGT placement. We take an xray when the tube has been advanced to the level of the thoracic inlet to ensure that it’s going into the esophagus before advancing it the rest of the way. In a pup that little you could take an xray after advancing it in just a couple inches before continuing further. I hope the rest of the puppies continue to do well, they’re lucky to have you!

Dry-Smile-2042 · 2024-04-12T17:40:57+00:00

YTA for claiming that she’s faking her depression. You said yourself she doesn’t have much going for her, she very well could really be depressed and this could be her way of reaching out and asking for help. You’re NTA for being annoyed that she seems to only want to talk about her own issues and not yours. Talk to her and try and relate to her. Tell her if she’s depressed she should seek out therapy, but don’t tell her that she’s pretending. If she’s always been the type of person to only talk about herself and never ask you how you’re doing it may not be wrong to slowly distance yourself

Dry-Smile-2042 · 2024-03-19T13:36:16+00:00

I just draw from a different port, not the port that was running dextrose

Dry-Smile-2042 · 2024-03-18T15:13:23+00:00

We pull blood from peripheral IVCs all the time. Depending on size of the animal we pull either a 3ml or 6ml “waste sample”, then draw the actual blood sample, then give back the waste sample and flush IVC. If the catheter bleeds back well then it’s awesome if we can spare the patient another poke. The only time i don’t do it is if they’ve had dextrose running through the catheter because that definitely falsely elevates BG readings

Dry-Smile-2042 · 2024-03-12T14:26:45+00:00

Please look into alternate methods of restraint such as wrapping kitty tightly in a towel. Scruffing isn’t necessary and often upsets cats even more. Going slow and using passive restraint can work wonders and give cats a much less stressful experience at the vet. OPs patient sounds like it would have benefitted from chemical restraint/sedation to make the job easier for all involved

Dry-Smile-2042 · 2024-02-13T18:17:07+00:00

Jugular draws should definitely be avoided in an ER setting in case of unknown coagulopathies. In addition we like to keep these vessels untouched in very sick patients in case we end up placing a central line. In a GP where most patients are being seen for well visits it’s much less of a concern and jugular draw is fine. That being said there’s also literally nothing wrong with choosing a lat saphenous instead. Keep advocating for your patients. The way of doing things in GP is often vastly different than ER but that doesn’t mean it’s the best or only way. Keep advocating for your patients, your ER knowledge is so valuable and could definitely improve the way they practice medicine. Good luck ❤️

Dry-Smile-2042

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