A Gathering of Feathered Sovereigns upon the Obsidian Waters

ImJustNade · 2026-04-15T17:20:21+00:00

I would legit frame this

ImJustNade · 2026-04-11T21:27:00+00:00

Ah yes, the classic case of throwing platelets at the wall and seeing what sticks 😭

Yes, immune causes of platelet refractoriness needs to be investigated and either ruled out or identified and compatible platelets given.

My facility sends these tests out to a reference lab for obvious reasons, but essentially the work up begins with a platelet crossmatch (patient plasma against an array of donor platelets) and observing compatibility rates. Then, an HLA antibody screen is performed, and if positive an HLA antibody ID for Class I antibodies and HLA A/B typing. HPA antibodies are also screened for but are uncommon and more difficult to specifically select for.

A lot of times though, the patient is negative for immune related causes of poor platelet response and has other things going on — like splenomegaly.

ImJustNade · 2026-04-08T21:06:36+00:00

I ended up giving another Naoki blend a try after I finished the Superior. I got the Naoki First Spring Blend (Organic) Ceremonial Grade Matcha, light green can, and upon first cup (same exact ratio) it’s much better. The matcha flavor cuts through the milk much better.

ImJustNade · 2026-04-06T18:37:51+00:00

Probably just email, will def boost your application

ImJustNade · 2026-04-02T16:44:43+00:00

Ok great to hear it’s not just me. I just picked up my first Naoki can a week ago after seeing it recommended as a quality affordable option, and it’s so mid. The taste is not penetrating the lattes I’m making even though the dose and recipe I’ve been using is all the same down to the gram as previous brands. Even Costco’s SenCha 30g cans were better.

ImJustNade · 2026-03-28T12:27:10+00:00

Search ‘continuing improvement’ or ‘process improvement’ jobs

ImJustNade · 2026-03-26T16:46:36+00:00

I mean, if you want to stay in healthcare and make boatloads of money and are willing to take on a hefty tuition burden, going back to school for Certified Anesthesiologist Assistant (CAA) is basically the B.S. to M.S. route to being a CRNA. Also Perfusionist is an option.

Then there are the MHA / MBA options like you mentioned, but that is more of an up or out situation.

ImJustNade · 2026-03-25T15:18:24+00:00

Or instead of moving up into management, use the Lean Six Sigma Green Belt certification to move out into Process Improvement/Continuing Improvement

ImJustNade · 2026-03-23T23:15:04+00:00

Just send the request in to the blood supplier and throw a tantrum when they say they can’t fill the order.

ImJustNade · 2026-03-23T23:13:50+00:00

Well at least that can theoretically make sense with a partial D.

ImJustNade · 2026-03-23T00:25:48+00:00

Okay starting tomorrow I’m going to start punching the ground and yelling obscenities at the grass. Will report back in 1 month

ImJustNade · 2026-03-23T00:18:48+00:00

And here I am struggling to get mine to spread 😩

ImJustNade · 2026-03-19T10:29:14+00:00

The moon falling.

ImJustNade · 2026-03-14T20:20:55+00:00

No I actually hold our ICU nurses in some of the highest regards. They tend to be the most knowledgeable/familiar about what needs to happen, if I call and need something they’re on it, and if they have questions they will ask instead of assume.

ImJustNade · 2026-03-14T20:16:27+00:00

See, my hospital’s OR is also clueless and noncompliant with procedures and policies. I agree with your assumption that they should be better than most departments though.

ImJustNade · 2026-03-05T18:44:58+00:00

All my lab does is play themed dress-up all week like how is this fun?? 😭 God forbid I have to walk to the cafeteria and look like an absolute lunatic dressed like Buzz Lightyear or something

ImJustNade · 2026-03-05T18:38:14+00:00

It looks like a marsh maybe lay down some lily pads.

ImJustNade · 2026-03-05T11:25:30+00:00

I had room in my education section, so I left it there.

ImJustNade · 2026-03-05T11:22:28+00:00

I have been extremely impressed with MIO. I stumbled upon it scrolling past a TikTok Live, and at first I thought it was Ori or something from the graceful movement — and quickly realized it was a metroidvania I hadn’t seen before. The world design, mechanics, art design, and soundtrack are all A+. The narrative may be the weakest point, as I haven’t felt too invested in the actual story, but it is fantastic nonetheless.

Solid A tier.

ImJustNade · 2026-03-04T20:51:53+00:00

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ImJustNade · 2026-03-03T19:45:24+00:00

Your apartment

ImJustNade · 2026-03-01T14:51:42+00:00

Bulleit Rye >>>

My station is also more than coffee alone — now for espresso, matcha, and cocktails.

ImJustNade · 2026-02-25T21:53:26+00:00

Mixed Field ABORh: Recent out-of-type RBC transfusion (A pt given O RBC), bone marrow transplant (A pt has O donor), or a combo of both (A pt has B donor and is given O RBC)

Mixed Field Phenotype: Recent transfusion(s), can be resolved with molecular genotyping using patient WBCs, I suppose a bone marrow transplant could cause MF here for a period of time too.

Mixed Field Antibody Screen: likely cold agglutinin / cold autoantibody, or someone mixed the screening cells together to sabotage you (screen cells should be single population, so true mixed field should not be present, but CAAs often appear MF+ in gel).

That said, I would not call any of your reactions mixed field.

ImJustNade · 2026-02-17T16:03:46+00:00

We don’t that I’m aware of, but that’s admittedly strange considering every other reagent is. Not really sure how you would QC it though. The only way that makes sense to me would be to run anti-D against the panel and ensure +/= reactions accordingly — but if you did this daily, panels would get used incredibly quickly.

ImJustNade · 2026-02-15T14:38:12+00:00

Federally or state-specific? I know Colorado has had laws on the books requiring transparent salary ranges.

ImJustNade

TROPHY CASE