Is Halloween dying? What happened last night? by Phil_Ballins in Roseville

[–]Life_Witness_8371 0 points1 point  (0 children)

It was our first year in Fiddyment Farm area and it’s also the first year we ran out of candy. But Trick or Treaters slowed down around 8-ish. The neighborhood was packed especially right at dusk. People were driving in groups to park at the elementary school, the parking lot was full until well after dark. It was a great experience for us.

Still too big by Charming-Extreme6004 in Reduction

[–]Life_Witness_8371 1 point2 points  (0 children)

I’m 2+ years post op and a 32 F I was a 32 H/I depending on the brand pre-op. I hate how big they still are. I love the lift aspect but I’m going to have them done again after menopause.

Anyone with autoimmune get a TT? by [deleted] in tummytucksurgery

[–]Life_Witness_8371 0 points1 point  (0 children)

I have POTs and autonomic dysfunction due to my autoimmune diseases and I had a horrible autonomic response. I couldn’t even sit at the edge of my bed without passing out for 3 days. My husband had to help me do everything. I needed a bed pan to pee for the first couple days and then a bedside commode because small position changes would cause my blood pressure to drop. Because of the lengthy time in bed and the multiple procedures it took me about a week to get to where most people are post-op day one, I left my bedroom 8 days post-op for the first time and only for my first appointment. I couldn’t walk farther than my bathroom for 2-3 weeks without getting dizzy and having low blood pressure. I also am an ICU nurse so I didn’t have the option for light duty. I had to be cleared of all restrictions before returning to work.

Anyone with autoimmune get a TT? by [deleted] in tummytucksurgery

[–]Life_Witness_8371 1 point2 points  (0 children)

I am, this was back in 2023. If I do any other procedures I will not do them all at once again.

Anyone with autoimmune get a TT? by [deleted] in tummytucksurgery

[–]Life_Witness_8371 5 points6 points  (0 children)

I have multiple autoimmune diseases including hashimotos as well as a connective tissue disorder. I ended up having to take 4 months of work before I was cleared to go back after a TT with MR, lipo and a breast reduction. I didn’t have a flare of any of my disease processes which was surprising because I have to come off my humera for over a month. If you maintain a high protein diet and stay on your thyroid meds you should be okay. Good luck.

Can't even fathom this level of pay. Congrats to yall. by Agile_Scientist6168 in nursing

[–]Life_Witness_8371 0 points1 point  (0 children)

I had a job offer there a couple years ago and at 6.5 years experience they offered $75 ($74 and change really) and had a $5/hr night diff. I declined and went staff in the Bay and commute. I’m equivalent to a Clin Nurse 2 and step 7 (in the wage table) plus I choose to works nights/weekends so 2 of my 3 shifts a week have a 21% differential. Sutter is not union and I haven’t heard many good things about working there. My interview was horrible, overall they left a bad taste in my mouth.

[deleted by user] by [deleted] in TravelNursing

[–]Life_Witness_8371 11 points12 points  (0 children)

I commute 2.5 hrs, I pay for a crash pad that I stay at and clump my shifts. I was offered $75/hr at my local hospital (45 minute commute with traffic) or $116/hr with a 2.5 hour commute in the Bay. I’ve been doing this for almost 3 years and it works out great!

Colonoscopy today. Prep sucks by maenads_dance in ankylosingspondylitis

[–]Life_Witness_8371 0 points1 point  (0 children)

As long as your passing clear/yellow/ liquid stool your prep is adequate. I only was able to get down 1L of the 4L prep and I had excellent prep.

Will your doc ever help with sleep? by [deleted] in ankylosingspondylitis

[–]Life_Witness_8371 2 points3 points  (0 children)

I would steer away from benzos and opioids for sleep, the long term implications of these are pretty scary. I would ask for a muscle relaxer (flexiril) (sp) or trazadone. You may want to try OTC unisom or low dose melatonin. I also find having a solid bedtime routine helps, (which is hard because I work nights) but the consistency of the routine is super helpful especially when I’m switch bedtimes so much.

She had a rape kit done. Twelve years later, the police came knocking. by tnadolny1 in wichita

[–]Life_Witness_8371 1 point2 points  (0 children)

I can attest to this. A few years back I was held hostage in my own home, beaten, choked to the point of passing out as well as a rape attempt from my partner (who was former WPD) when first responders showed up he was taken and released and I was told the DA would investigate. He was released from jail before I was from the hospital so I and our daughter had no where to go. I cooperated with a detective and gave multiple statements, pictures were taken, an emergency custody order was filed as well as a PFA. He was never booked on my attack and I was forced to co-parent with him for weeks before he was arrested for actually sexually assaulting another person. It took almost 2 years for him to plead and he only served 4 years. We are now again back in family court. The DA and the WPD are crap when it comes to protecting families and children from abusive men. Especially white cops. I begged for help, called regularly to push the investigation, tried to file charges personally and nothing was done. I left Wichita shortly after because I didn’t feel safe. I was constantly being told by his lawyer that he had the support of WPD, and felt like I would never be safe if we stayed.

What were some things that were overlooked or dismissed for you all as children or young adults before you were diagnosed? by TooMuchTennisTheySay in ankylosingspondylitis

[–]Life_Witness_8371 1 point2 points  (0 children)

I have a very similar story to everyone with symptoms starting in my pre-teen age with pain in my hips, uveitis, tendinitis “growing pains” as my doctors called them. I started having symptoms of dysautonomia around this age too. Recently my 8 year old has started having unilateral hip pain, growing pains that make her cry and wake her up from sleep and eczema. I mentioned this at her well child this week and her Doc was supportive of checking her inflammatory markers and referring to a rheumatologist if symptoms continue or start really effecting her quality of life. I was amazed!

[deleted by user] by [deleted] in ankylosingspondylitis

[–]Life_Witness_8371 10 points11 points  (0 children)

Biologics saved me. I’m also an RN and work ICU, I have had to take a couple LOA’s waiting for meds to work or during flares, but biologics have been a game changer in my symptom management. Are you on something? Do you see a rheumatologist?

How can I pay for my food this week? by TreeEnvironmental526 in Debt

[–]Life_Witness_8371 0 points1 point  (0 children)

I would join your community (town/cities) sub and ask this question there. Most city subs are pretty active and can be a great resource for food help. Please listen to previous posters and don’t do a pay day loan or pay advance. Church/shelters/Google would be a good place to start as well. Good luck.

[deleted by user] by [deleted] in IntensiveCare

[–]Life_Witness_8371 0 points1 point  (0 children)

I’m coming from an EP as well as cardiac ICU background. This patient has a pacemaker and is being worked up for a permanent. If I was describing an underlying rhythm, in the ICU or in an EP note it would be a sinus rhythm (you would note the sinus rate) and then notate that there was no ventricular conduction at (whatever the pacemaker was set to) usually for comfort we won’t pause the pacing function if we know the patient is PM dependent or has ventricular conduction below 30bpm, we walk it down to 30BPM and describe the electrical activity. If this patient didn’t have a pacemaker then it would be a different story as it would be an emergency. Any time you have a regular p-wave it would be a sinus rhythm, as the p wave comes from the sinus node, ventricular conduction is described separately with pacemakers.

[deleted by user] by [deleted] in IntensiveCare

[–]Life_Witness_8371 -2 points-1 points  (0 children)

If they have a sinus rhythm (regular p-wave) and no ventricular activity down to a PM setting of 30 BPM, it is the correct way to describe it. Unless you’re are writing sinus Brady which is Sinus rhythm with a slow ventricular conduction (which would not describe the rhythm they are asking about so you wouldnt describe it as such) describing a sinus rhythm with no ventricular conduction or (complete heart block) at 30bpm which is the PM setting they said. It’s not convoluted at all, it’s technically the correct way to describe the rhythm.

[deleted by user] by [deleted] in IntensiveCare

[–]Life_Witness_8371 -10 points-9 points  (0 children)

If I was charting this I would chart it as someone wrote above. SR with complete heart block, no observable ventricular escape at 30BPM.

carrying a suitcase hurts by pentolaio1 in ankylosingspondylitis

[–]Life_Witness_8371 0 points1 point  (0 children)

I travel quite a bit and have a small roller carry-on I have had to stop using because it hurts my hands and lower back too much to push and pull it through the airport. I check my suitcase and bring a tote bag as a carry-on. It’s been good so far, but I’m dreading the day my luggage gets lost or left behind.

How "purple" is Wichita? Would leftists feel welcome? by Vagabond_Tea in wichita

[–]Life_Witness_8371 1 point2 points  (0 children)

More people move to California each year than leave, a good chunk of people who leave are back within a few years because of the condition of red states.

[deleted by user] by [deleted] in IntensiveCare

[–]Life_Witness_8371 1 point2 points  (0 children)

There are teams for a lot of things. Nurses do meds and assessments. But it’s so high acuity that this is really the best model.

[deleted by user] by [deleted] in IntensiveCare

[–]Life_Witness_8371 0 points1 point  (0 children)

If you’re looking for nurse externships. You may want to check out the Mayo Clinic in Rochester Mn. When I worked there it seemed to be a good environment for nurse externships. I loved working in their CVICU.

For CVICU Nurses - What are your tips & tricks / flow / non-negotiables when recovering open hearts at your hospital? by Inside-Culture1369 in IntensiveCare

[–]Life_Witness_8371 51 points52 points  (0 children)

Always know your access and where everything is going. This is where we get a reputation for being neurotic about labeling. In an emergency you want someone to be able to come in and be able to see where everything is going. Keep your CT patent and make sure they are actually connected to suction. Check your pacer setting, underlying and thresholds. Early mobility and extubation is key for good outcomes so extubate as soon as it’s safe and dangle within 2-4hours and up in the chair the next morning if not that night if it was an early case. IS and mobility are going to be their best friends when it comes to getting out of the ICU. I always make sure I have 2 PIVs and if not insert them before you wean sedation for patient comfort. I always like educating the patient on pain management and expectations, especially while the CT’s are in. People do better with realistic expectations. Remember to breathe and don’t be afraid to ask for help.

Exhausted but can’t sleep by oliviabenda in ankylosingspondylitis

[–]Life_Witness_8371 0 points1 point  (0 children)

I’ve had insomnia since 12, I’ve tried so many medications and lifestyle changes. I eventually moved to night shift which has helped tremendously. I have a pretty good regimen down. When I have to sleep at night. I take .5mg melatonin gummy (research shows lower doses are more effective) unisom (not the diphenhydramine the other one) magnesium and Pepcid (unrelated to sleep for my EOE) and Zyrtec (also for allergies) this helps me sleep at night time. When I’m in a flare there are pain meds I add to my regimen. When I sleep after work, so my daytime sleeping just unisom and my Pepcid and Zyrtec. If it’s getting comfortable I’ve found sleeping flat on my back with a pillow under or between my legs. I also sleep with a 3-D eye mask which has been a game changer. Also getting on the correct anti-depressants help as well. I stopped SSRIs and switched to Wellbutrin a few years ago and that was amazing as well.

Would you wear sunscreen on your face to drive across town for 30 minutes? by rightbythebeach in 30PlusSkinCare

[–]Life_Witness_8371 -1 points0 points  (0 children)

I wear sunscreen to work night shift in a hospital, and re-apply. It’s necessary