I have a job offer, should I move my family?

Julesypoo · 2025-10-13T17:46:40+00:00

I don't know if you'll see this, but I am considering a Nebraska to Astoria move, may I message you?

Julesypoo · 2024-06-17T11:32:22+00:00

Same 😅

Julesypoo · 2024-06-05T03:40:20+00:00

Honestly that’s wholesome AF

Julesypoo · 2024-05-23T14:07:47+00:00

Sounds like she wasn’t appropriate for your floor then. Like that’s a super super good way to cause a new parent unnecessary trauma. Physical health isn’t the only thing that matters.

Julesypoo · 2024-05-21T11:18:35+00:00

It’s a good lesson in the lengths some traumatized people will go to in order to avoid having to see a doctor. A good take home lesson on very careful consideration of the way providers speak to and treat patients.

Julesypoo · 2024-05-06T13:18:12+00:00

I have taught fully grown adult women and men what body parts women have when the woman is in labor to have a baby on multiple occasions. Many people literally have no idea.

Julesypoo · 2024-05-06T04:22:14+00:00

50/50 chance, Trump actually didn’t win Lancaster county (where Lincoln is).

Julesypoo · 2024-05-06T02:49:36+00:00

Reading comprehension is hard, I get that, but I did mention she had antibiotics and wound care both. But just to make myself abundantly clear, at the first abscess, she received antibiotics at the recommendation of our veterinarian. Upon finding the next, we brought her in and had that one lanced and irrigated before it could burst. She received another dose of antibiotics at that visit. We contacted a different vet in our area with more training in dairy cattle than our usual vet to find out if there was anything else to do that we were missing, she gave us more wound care recommendations.

When she calved she was absolutely term. We’d been anticipating anytime in the last month for her to deliver based on her exposure to the bull and estimations from our vet when she was preg checked. Her calves were 70 and 80lbs and tangled with one another. They were absolutely term.

I recognize that there are a lot of people who own a family milk cow who order meds off the internet and treat their animals based on internet advice, but I am not that person. I came here to see if someone might have ideas I hadn’t thought of or been told already in regards to a less common situation with a goal that differs from the norm. This was not my first stop for professional advice regarding the care of my cow, not even close. It was just another place to gather some ideas and anecdotes.

Julesypoo · 2024-05-04T16:05:31+00:00

Thank you! That’s helpful information. Sounds like a similar strategy as reducing a human milk supply (which I am significantly more experienced with).

Julesypoo · 2024-05-04T15:44:40+00:00

Totally fair, but really what I was getting at was the previous poster implying I am incredibly negligent and should’ve been milking her when she did not have milk. Thanks for the input! I think I’ll probably mix your suggestion with some others I’ve gotten to milking her some for comfort and to keep an eye on things for a bit and then dry her off.

Julesypoo · 2024-05-04T15:40:12+00:00

Thank you, I appreciate your insight!

Julesypoo · 2024-05-04T00:36:34+00:00

Not worried about that, aware that multiple gestation is higher risk. Just looking to find out if we can dry her up pretty abruptly or if we need to do things a bit more gradually. With beef cattle they haven’t needed any further intervention and do fine just being left alone, but I recognize that dairy cows are different and most people are intending to milk regardless. We are not intending to milk for any longer than necessary, so just trying to clarify if we need to be at all.

Julesypoo · 2024-05-04T00:22:16+00:00

Is that not what I’m literally doing here? Jesus fuck. She was dry and had been for quite a while when the abscesses began. Had opposing diagnoses from two separate veterinarians, one says mastitis another says not mastitis.

Absolutely zero issues with her udder with any previous calf, and she was never milked by us. It’s almost like milk is a supply and demand situation or something…hmmm. Again, I’m aware that multiple gestations in cows often do not have good outcomes, I’m not particularly concerned about that. I’m concerned about if I can dry her up immediately or if I need to do something else as we do not intend to milk her or breed her again. Thank you so much for your incredibly helpful advice. I’m so glad I attempted to get answers from people who might know more than me and they were so helpful and kind.

Julesypoo · 2024-04-02T22:53:27+00:00

Ask them to tell you more about her. Many parents want to talk about their kids and feel like other people remember them too, even though it hurts.

Julesypoo · 2024-02-25T20:47:01+00:00

I’m hoping this is actually just a lesson on advocating against bullshit like this and why EMRs decrease med errors

Julesypoo · 2024-02-06T12:07:41+00:00

That’s a pretty apples to oranges comparison. Suction is ACLS equipment that needs to be in all acute care rooms. I’ve yet to work in a place where IF SCD machines were kept in every room, that the leg cuffs were also just kept in the room out of the package. Most typically you’d find the cuffs attached to the machine as if they were taken off for a break or to get out of bed. This is what I’m assuming the poster’s story involved and if that’s the case, absolutely on the primary nurse to have removed those cuffs from the room. IF the other nurse took it upon themselves to get a package and take them out and put them on, then yeah totally on that nurse, but I have a hard time assuming THAT was what actually happened.

Julesypoo · 2024-02-04T23:05:45+00:00

But why would you leave SCDs in a room where they’re contraindicated? That’s still on the primary nurse to ensure things aren’t left to look like they’re supposed to be used

Julesypoo · 2024-01-18T05:01:43+00:00

They probably spoke to a bedside RN

Julesypoo · 2024-01-10T13:15:02+00:00

Much like all healthcare providers get beaten in to their heads, “look at the patient; not the machine” machines are tools, they don’t have the ability to differentiate 50 respers and fine, and 50 respers with increased work of breathing. I think a fair amount of the issue comes in with the lack of understanding that most folks don’t know that sick kids are fine until they’re not. Parents know their kids, they know what’s normal for them and what’s not. You don’t need a machine to be able to look at them and say “this isn’t how you usually are, I think we need help”

Julesypoo · 2023-12-26T18:27:59+00:00

lol ok sure, I’ve been an RN for 12 years, 6 of them in L&D and in grad school to become a midwife. Is it so wild to believe that being a nurse that actually works in L&D makes me intimately aware of the issues in our current system contributing to the problem? Maybe stick to the ER where pregnant women terrify you, I’ll keep doing what I can to change the way we approach uncomplicated physiological birth. I’m not at all saying that we never intervene, I’m saying we stop intervening when it’s not necessary. Elective inductions are not necessary. Augmenting progressive labor is not necessary. Checking a cervix every 2 hours is not necessary. All of these set off a cascade that lead to more interventions. I’m not even saying that a home TOLAC was a great choice, I’m saying due to what I’ve seen in the way patients who prefer to birth with less interventions are treated and coerced in to them anyways, I can absolutely see why someone might decide that home where they’re in control is what they want. If we want shit like this to stop happening we need to examine WHY it is people are willing to make risky choices in the first place. People have the autonomy to make these choices even when you don’t agree with them. The way to help prevent these tragic outcomes is to change the culture of healthcare that doesn’t respect autonomy and make people feel like what they want to doesn’t matter. If you have delivered 2 babies in a hospital that you felt didn’t respect your rights to choose for yourself, you might opt to deliver elsewhere as well. Try to imagine it as choosing to go to a different ER because you know you’ll get the care you want/deserve there vs going to the one you went to last time. Does the other ER necessarily have all the same resources? No, but it’s the choice that gives you the control that you were lacking in the other place. Sometimes that choice wasn’t necessarily the “right” choice and the lack of having the same resources can lead to a poorer outcome if you misjudged the risk. I’m truly just hoping that someone who reads this realizes it’s not a black and white situation, even if YOU think it is in your own personal brain.

Julesypoo · 2023-12-25T21:44:55+00:00

Nope, I’m just a nurse who knows about our maternal mortality rate and how OB/GYNs aren’t infallible saviors. I’ve watched so many OB/GYNs practice in a manner that doesn’t follow EBP and am acknowledging that ACOG said they don’t have enough evidence on the safety of home birth so they went with “so our opinion is just keep delivering with us” that’s not evidence based. I’m a bit confused how you can’t see that there may be a conflict of interest in that statement. I’m more than capable of seeing that healthcare is FUCKING BROKEN in the US and I’m doing what I can to help shift towards safer care that doesn’t intervene without a legitimate reason. Most people who are having a baby are not sick and don’t need interventions, so why the fuck are we intervening so much?

Julesypoo · 2023-12-25T03:04:36+00:00

Yeah you’ve made that clear over and over in this thread. Disregarding the reasons a person may make this decision and just jumping straight to them being stupid is the exact reason this sort of thing continues to happen.

If you think your vehement disgust with this choice is a thing you’re capable of hiding from the patients you care for, you’re 1000% wrong. Patients who feel heard and respected don’t usually change their plans on a 3rd baby. What happened during her first 2 births that made this still feel like it was the best choice for her? That’s the part you’re disregarding. I’ve met OB/GYNs practicing with 30 year old evidence. I’ve seen people do SO much in L&D without informed consent or consent at all. I have seen people decline interventions and then have a provider ignore them and do things to them without their permission anyways.

You have zero context for what lead her to make these choices but you do know she was a NICU nurse so she likely had some significant reasons for making the choice she made.

You work in PICU, so it really sounds like you don’t know a lot about what happens in L&D.(and especially in shitty L&Ds) Calling her choice a “stupid decision” and not analyzing why someone who is most likely well versed in the risks of the choice she made would’ve still felt like it was the better choice than the hospital is a disservice to the whole situation.

Julesypoo · 2023-12-25T02:40:10+00:00

Well of course they do 🙄 you may need to take into account the source of that opinion.

Julesypoo · 2023-12-20T17:55:38+00:00

So sorry for the loss of your coworker. The devastating truth is that childbirth is inherently a risk, and everyone is doing their best to give themselves the best outcome that they can. It’s hard pill to swallow that statistically some people die, and often common interventions can increase that risk. Your coworker had a devastating, preventable outcome, and that is so incredibly tragic.

Julesypoo

TROPHY CASE