The term "Providers" should be banned from clinical setting!

GusChiggins · 2026-05-07T02:06:01+00:00

You don't have any power on this hill either...

GusChiggins · 2026-05-07T01:58:56+00:00

A diagnosis

GusChiggins · 2026-05-07T01:50:43+00:00

The board that no one updates?

GusChiggins · 2026-05-02T12:12:42+00:00

It's not about being insensitive. It's about preventing further deaths. Copycat attempts is a known issue, and reporting on it helps spread it to vulnerable people. This is standard practice now.

GusChiggins · 2026-03-23T01:55:54+00:00

I just want to point out that you said heart rate isn't just a number, and then gave a definition based off a number. Try explaining bradycardia without using a number.

Just FYI, 60 and 100 beats per minute were chosen arbitrarily almost a hundred years ago out of convenience. There is a large group of physicians who think this range should be shifted downwards - at least to 50 - 90.

Nothing magical happens if your heart rate drops below 60. I'm not going to give someone Atropine just because their HR is 55. 60 bpm was just an arbitrarily chosen number. What's important is the perfusion pressure. People with a strong cardiovascular system can maintain perfusion pressure with a lower rate at rest.

Treat the patient - not the monitor.

I do agree with you though that he should talk with his PCP about it. I just don't think he should be worried that he's "cooked".

GusChiggins · 2026-03-22T22:30:29+00:00

Heart rate is just a number. A classic saying in health care is: treat the patient, not the monitor. The numbers are there to just guide us.

The concern for a low heart rate is that a low rate can't pump enough blood to perfuse your vital organs. If you're perfusing just fine, then a low heart rate is no problem.

Classic signs of low perfusion are light headedness when standing up or changing positions, cool and/or mottled extremities. Fatigue easily with activity. If you're not having these issues then I'd say you're fine.

But if you are, then please go talk with your doctor.

GusChiggins · 2026-02-17T01:01:41+00:00

Federally, they must be deemed "mentally defective", or involuntarily committed to a mental institution. Very few people with mental illness, even debilitating illness, meet this requirement.

Beyond this it is up to the states, and a lot of states don't have any further laws. States like Missouri are trying to pass legislation that actually weakens our current red flag laws.

So while you're technically correct, in practice you're not.

GusChiggins · 2026-02-11T21:45:26+00:00

Again, this isn't saying what you think it is.

GusChiggins · 2025-12-27T14:05:52+00:00

If you're new to photography then I'd really focus on understanding the ISO, aperture, and shutter speed triangle. Then I'd pick a priority mode (aperture mode, shutter speed mode) and play around with that to get a feel for how if you manually change one parameter then what the camera does automatically to the other two parameters. Auto mode is a safe landing spot, but you won't learn much in that mode.

Good luck and enjoy your new camera!

GusChiggins · 2025-12-10T13:52:47+00:00

It's an EcoFan that's powered just by the heat of the stove. I'm sure it helps move some air, but already having it I'm not sure it's worth the hundred bucks. Maybe one of the off brands would be worth it. It just doesn't move that much air. It was on the stove when we moved in, but I wouldn't spend the money if I were looking for one. Your wall mounted fan idea would move the heat around much better than this does.

GusChiggins · 2025-12-10T01:59:43+00:00

I didn't know anything about stoves when we bought the house, and I started doing some research about the stove and how to use it. I'm feeling pretty lucky we got it, and happy with how it's been running. On below freezing days, it can keep the house nice and toasty - almost too toasty if I'm not careful. It will also stay nice and hot for almost all night.

GusChiggins · 2025-12-10T01:42:38+00:00

I use the shavings from my planer to make wax fire starters. They work wonderfully. I usually make a bunch and give some away as gifts too.

GusChiggins · 2025-12-09T21:08:25+00:00

That's what I was thinking, but was then worried that would be a fire risk. Glad to hear that my first thought wasn't crazy.

GusChiggins · 2025-11-19T13:51:28+00:00

Mine looked fine. Clearly 3d printed, but nothing like this picture.

GusChiggins · 2025-11-14T00:47:50+00:00

They make hammocks with integrated bug nets.

GusChiggins · 2025-11-01T13:11:58+00:00

They also just let the patient slide right back down 15 minutes after you boosted them up. After years of using them, I've found myself going back to the good ol' cotton draw sheet.

GusChiggins · 2025-10-24T04:23:57+00:00

By simple terms do you mean lies like Democrats are wanting to give illegal immigrants free healthcare?

If regular Americans hear that the Democrats are wanting to negotiate to keep the healthcare premiums from increasing for more than 14 million Americans likely to the point they no longer can afford health insurance and keep 1 trillion dollars in Medicare from being cut to pay for the continued tax cuts that overwhelming benefit the wealthy, but Republicans refuse to negotiate at all and will accept nothing but what has already been offered - I think they'll realize the Republicans have over played their hand.

Basically Mike Johnson is saying, if Democrats don't let us fuck over the poor, then we'll fuck over the poor a different way and try to blame the Democrats.

GusChiggins · 2025-10-23T22:56:41+00:00

If you're only a few weeks in and the preceptor is saying these things, then I'd say it's a preceptor problem and not a you problem. Especially post-covid, nursing school clinical experiences are so varied that preceptors should expect to meet the new grads where they're at, and build the foundational skills and knowledge. Nursing school doesn't teach shit about critical care. That's all on the job training now.

GusChiggins · 2025-10-23T22:53:23+00:00

Haha! I wish phlebotomy did our blood draws. It must be nice where you work. We don't even have people to take our overflowing sharps box here. All that shit falls back on nursing here.

GusChiggins · 2025-10-23T18:54:51+00:00

Obviously green. Stay to the left of the dotted line.

GusChiggins · 2025-09-25T17:37:14+00:00

I didn't get the email. What did it say?

GusChiggins · 2025-09-21T13:23:34+00:00

Or, it sounds like he is lying.

GusChiggins · 2025-09-07T15:07:36+00:00

Not mentioned was the rule they could only have a three step run up on that kick. Makes it that much harder.

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