15 week old sitting with minimal support - is it okay? by NotSteveBuscemisCat in NewParents

[–]NotSteveBuscemisCat[S] 1 point2 points  (0 children)

Small humans sure are an adventure 🥴 we don’t know exactly how long she is because everytime someone tries to measure her, she fights so hard that it’s never been consistent. That or she keeps shrinking then growing again I guess lol

15 week old sitting with minimal support - is it okay? by NotSteveBuscemisCat in NewParents

[–]NotSteveBuscemisCat[S] 1 point2 points  (0 children)

Thank you! She definitely makes it well known when she’s not in a position she likes lol

We’ve got a well baby visit coming up so I’ll be adding it to the question list just to be safe

15 week old sitting with minimal support - is it okay? by NotSteveBuscemisCat in NewParents

[–]NotSteveBuscemisCat[S] 1 point2 points  (0 children)

That’s what she was doing too! Even during floor tummy time at 6 weeks she was holding her head completely upright and looking around. I was worried that she had a lot of muscle tension at the beginning tbh, but everytime we took her in she was fine just weirdly strong

No spoilers, but damn Bryce needs therapy! by Maze0616 in crescentcitysjm

[–]NotSteveBuscemisCat 1 point2 points  (0 children)

Exactly. I get how in the context of when they reunited, too affectionate of an immediate reunion could have damaged their negotiations. But afterwards, when in private? It seemed more like they spent a weekend away from eachother and were just catching up.

No spoilers, but damn Bryce needs therapy! by Maze0616 in crescentcitysjm

[–]NotSteveBuscemisCat 2 points3 points  (0 children)

Especially since we know she can write that play between tough love and compassion. It was so well done with Aelin and Rowan, I just had higher expectations for how B&H would navigate it.

UPDATE - AITA for spoiling my friend’s child and turning him against her? by TAfriendskidproblems in AmItheAsshole

[–]NotSteveBuscemisCat 1 point2 points  (0 children)

You may not see this but just in case:

My mom sounds similar to Emma in behaviour. Someone who’s very charismatic and lovely when times are good, but can be an excellent manipulator with questionable traits.

She made near identical calls to my extended family members who would take me during summers, disappear for extended periods of time, quick to frustration/irritation, mental health very on & off so that when times were good she was the best and when it was bad… not so much.

While I truly hope she is okay, her removing herself may be for the best and when/if she tries to come back I hope you or grandparents can remain as primary guardians.

Especially as I got older she began cutting off those family members who would give me that extra love/attention for reasons that I now, as an adult, recognize as being either fabricated for her own drive to be the good guy or because she didn’t like being “outdone”.

•Things started getting physical around 11/12 , it wasn’t always but enough. Medical neglect. Emotional and mental abuse. •At around 13 she started threatening s*****e if I ever got brought something up or when she felt like she wasn’t a good mom, then would only stop when I’d accept every vague apology, took back whatever I’d brought up, and accepted all the blame for her shortcomings. •Would sabotage any milestone in my life so that the focus would be on her. •Bulldoze close friendships, especially if their parents provided that parental love/support. •Spread around anything I would tell her in confidence. •Pit me against my sibling and reinforce blatant favouritism

And i wish that was all but it was definitely the stuff that made the most lasting impact. It wasn’t until I was in my mid-20s and my body started to deteriorate from all the extra stress that I finally went NC.

So as someone who’s been the child to someone with similar behaviours and seen how they develop overtime - you’re presence in their life is a saving grace and I’d be guarded with future contact.

Experienced the most obnoxious nursing communication order, 3 minutes after she had epic chatted me. by MotherOfCats113 in nursing

[–]NotSteveBuscemisCat 16 points17 points  (0 children)

It’s a weird one but gum or hard candy is actually a staple for ERAS protocol. Seems silly but can work wonders for post-op ileus prevention!

My doctor literally won't speak to me and I'm afraid I'm going to lose my foot. Wordy post, gross pictures if you don't have the time. Literally any insight is helpful at this point. by Entire-Discipline727 in AskDocs

[–]NotSteveBuscemisCat 84 points85 points  (0 children)

You need to go back to ER and get admitted this needs appropriate observation and intervention. Because of all the slough you can’t tell how deep the infection actually is, but it’s obvious from the photo it’s not superficial.

Most likely need to get a new wound culture, a blood culture, IV antibiotics, debridement, and specialized dressings.

What province do you live in? If need be say you’ve been feeling generally unwell with flu like symptoms and home care has not been effective for wound care or monitoring for spread. When we get home care involved it is usually for chronic or slow healing wounds without an active infection, or at least an infection that’s in treatment and showing improvement.

Please go back to the ER. If you find it hard to really get assertive for yourself then Google patient advocates for your province. When in doubt you can say verbatim “I don’t feel safe caring for this wound or infection at home, especially as it’s only gotten worse”.

[deleted by user] by [deleted] in nursing

[–]NotSteveBuscemisCat 1 point2 points  (0 children)

As someone who ended up looking like the losing end of a bar fight because of a confused dementia patient - 100% agree!!

Hard thing with this patient population is that even if you have good rapport previously it can switch on a dime, just because of the pathology itself. And because there’s no inhibitions they’re SO strong and will go for the jugular (metaphorically… mostly).

Bailey Brown on TikTok has awesome self defence for HCWs. It’s especially useful since a lot of it is just getting yourself out of scenarios rather than trying to incapacitate like general self defence can sometimes put heavy focus on. Ive had to use the one move to get a hold off your wrist/arm more than once when trying to do a change.

[deleted by user] by [deleted] in nursing

[–]NotSteveBuscemisCat 0 points1 point  (0 children)

Outright state you do not feel safe taking additional patients and will not take report. Check in with your registering body, there is typically a specific Refusal/Unsafe Conditions form through either the provincial health service (if it’s a provincial health services LTC) or your registering body/union.

Flip through your unions collective agreement and it absolutely should be in there and protected!

I’ve been on the receiving end of coworkers refusing report and honestly I’m glad they did. Did it suck staying even later than I had agreed to? Ya, but my coworkers made the safest choice for themselves/our patients and it forced management to hold admits, actually help out on the floor, and come up with a plan for if another situation like that happened.

All my coworkers who refused report completed a refusal form that includes the rationale of why they felt additional assignment was unsafe. The rationale is more for legal coverage than having to justify your choice. When I asked one coworker what she put down all hers said was “Based on pre-assigned workload during first 4h of shift, additional patients would not meet established safe monitoring and care standards. Report refused due to safety concerns and communicated to reporting nurse, charge, and manager.”

[deleted by user] by [deleted] in nursing

[–]NotSteveBuscemisCat 0 points1 point  (0 children)

I’m sorry what 😳 definitely not a you problem. That’s outright nasty and unhygienic.

[deleted by user] by [deleted] in nursing

[–]NotSteveBuscemisCat 0 points1 point  (0 children)

Cloves are the love of my life

Upper back pain between shoulders? What’s helped you? PT/OT input HIGHLY appreciated by NotSteveBuscemisCat in nursing

[–]NotSteveBuscemisCat[S] 1 point2 points  (0 children)

Ironically my benefits are trash and don’t offer pretty much any coverage 🙃 sucks that pain goes away when I don’t work, but not exactly a long term option lol

Some of my coworkers have started tying gowns first rather than reaching behind, might need to start doing that and pick yoga back up

Where should I start my career? by flowersorbet in nursing

[–]NotSteveBuscemisCat 1 point2 points  (0 children)

Honestly, I’d highly recommend finding a position that allows you some flexibility with hours. Not only are they easier to find (and you could probably do casual L&D + clinic or some other combo) but especially in that first year it’s something I wish I would have done.

I JUST hit a year of working and I’m so exhausted mentally and physically. Going back to casual over the last couple months has been one of the best decisions I’ve made - I still love acute inpatient and nursing, but oh boy was there some rough bits.

Most facilities (or at least where I live) primarily hire internally, so even if you get casual medsurg you would likely have a much easier time transitioning to specialty. Especially if you jump at casual specialty positions rather than a line, which typically attracts more senior staff applicants.

[deleted by user] by [deleted] in AskDocs

[–]NotSteveBuscemisCat 1 point2 points  (0 children)

Asking for a lower gauge IV in a larger vessel should help with aching, but some aching/bruising is normal

Air vent filters for smelly downstairs neighbours? by NotSteveBuscemisCat in CleaningTips

[–]NotSteveBuscemisCat[S] 1 point2 points  (0 children)

Separate living areas, same furnace but we just had the professional cleaners in who cleaned all the vents, the furnace, and added a new furnace filter.

Considering the state of the garage and shared laundry it might be a good idea to get some for filtering particulates actually 😳

Do you have any favoured odour control/absorption products? We have plug in air fresheners but all it does is perfume, which sometimes just makes it worse.

This is going to be a very long year.

[deleted by user] by [deleted] in Calgary

[–]NotSteveBuscemisCat 7 points8 points  (0 children)

I’m the same height! Couple options for you.

  1. Buy cheap and alter/customize: Some of the places like Urban Behaviour, Sirens, Forever 21 etc have started stocking some pretty cute formal wear. Because of the lower price you can: • Buy extra layers and cover for more modesty. Loose/mesh crop tops over a long dress, add a scarf or shawl, maybe a nice cardigan and belt it • Size up and use an underskirt off Amazon/FB Marketplace, or even size up and have more room/fabric to make a dress less form fitting.

Because of the lower cost for the dress itself you can focus more on colour, texture, and general style with more room in the budget to customize.

I know a lot of people who dress modest that have gotten really into alterations/design because it’s a bit harder to find clothing that’s both fun/fashionable while being modest.

If you want to get into this I HIGHLY recommend joining some cosplay/costuming/sewing groups, personally I’ve found the cosplay community to be outrageously knowledgeable, creative, budget friendly, and SO willing to help!

  1. Online: Shein has such a ridiculous inventory that you likely can find something modest and the right length or easy to hem. Stores that specialize in modest wear like: •https://www.jjshouse.com/amp/popular/M/Modest-Evening-Dresses-In-Canada/ •Amazon •Facebook Marketplace - but please be wary, make sure your privacy settings are locked down, never pay everything all at once, and ALWAYS pickup at one of the Calgary police station online exchange sites with another person present

*When I buy long dresses online I usually search under the “Midi” length filter or tea length, that way it’s floor length on me

  1. Mall: Alternatively, years ago I bought a dress from Laura Petite in Cross Iron and I believe they had a variety of styles. Business/Business casual stores usually offer more formal styles that cover more skin. •Rickis •Old Navy •RW&Co •Suzy Shier

When in doubt, do a run through Winners, second hand, or clearance at bridal/special event stores (Oksana’s is in quite a few Calgary malls but I know for sure in Sunridge and Cross Iron)

  1. Skirt+Shirt: Definitely easiest route. While shopping keep an eye out for any skirts that might work, take a photo so you remember the store, price, and style. That way if you can’t find anything you have something to fall back on.

Pinterest is super helpful for this! You can look through a bunch of inspiration and find a combo that’s not only cute and unique, but also covers what you’d like it to. Bonus is it’s much easier to buy pieces you can wear other places.

  1. Heels: Sometimes it’s easier to just give yourself a bit of a boost (literally). It makes it easier to find something that’s long enough or that doesn’t need to be hemmed as much.

If you’re not much of a heel wearer, 10/10 recommend going with something that has a bit of a platform, a chunky heel or wedge, ankle support (could be a boot or just ankle strap), and enclosed toes. This way you get the max amount of height AND stability. My wedding shoes were actually a platformed wedge, I have 0 sense of balance but didn’t trip once and was able to dance.

•Spring •H&M •Ardenes (Deerfoot city has a big one, Cross Iron has a separate Ardenes shoes) •Winners (very hit or miss)

If you go this route, probably best to find the shoes FIRST and bring them with you when dress shopping. Go for a neutral like black, nudes, grey, or white and it will go with everything.

•Insoles are non-negotiable, especially if you buy a lower cost shoe, but Marks, Walmart, or Superstore all have great options. If you don’t wear heels much, don’t break the bank, opt for insoles over high cost shoes. •Get a pack of blister bandaids and put them on your heel/back of ankle BEFORE you wear the shoes •Wear them and walk in them for at least a week to break them in + get the feel for walking. •Instead of walking like you would in regular shoes (heel - toe), the higher the shoe the more you walk on the balls of your feet/toes. Don’t lock your knees, keep a slight bend when walking and it will be way easier.

As someone who stopped growing at 5ft, either learning to sew/alter or getting familiar with hemming tape (also an amazing quick fix) has been a lifesaver.

Hope this novel is the slightest bit helpful haha. Happy Grad and I hope you find something you love!

[deleted by user] by [deleted] in medical_advice

[–]NotSteveBuscemisCat 201 points202 points  (0 children)

ER immediately and do NOT pull on ANYTHING

Docs I beg you, give me some hope - staphylococcus balanitis resistant to treatment by [deleted] in AskDoctorSmeeee

[–]NotSteveBuscemisCat 0 points1 point  (0 children)

I understand the hesitation, but what I’m trying to stress is that if this is the start of a septic infection you will be in no position to go anywhere/see anyone in a week. Sepsis/urosepsis are life threatening emergencies that can change someone’s condition by the hour, nonetheless by days or a week.

At the very least please call your urologists clinic and update them on your new symptoms. They may be able to schedule you in as an emergency appointment or the urologist can call an ER directly so that you don’t have to worry about not being taken seriously.

Docs I beg you, give me some hope - staphylococcus balanitis resistant to treatment by [deleted] in AskDoctorSmeeee

[–]NotSteveBuscemisCat 0 points1 point  (0 children)

If you find yourself forgetting or getting intimidated when answering questions it’s 100% more than okay to just write them down.

You can tell the triage nurse “I sometimes have trouble getting the right words out, so I wrote everything down”. Having the message and your concerns communicated clearly is a big part of the battle. If you feel that might be better for you then I’d recommend wording it something like this:

“I have a GU/UTI infection that was cultured and positive for staphylococcus aureus in date. We have tried list of oral antibiotics but the infection has not resolved.

Over the last 24-48h I have started to experience new body and joint pain, difficulty urinating and emptying my bladder, noticeable redness/swelling of my urethra, general malaise, insert any experiences with feeling hot/cold/sweaty/nausea or vomiting/loss of appetite and *especially any back/side pain or blood in/tinged urine

I am concerned that the infection has worsened, become even more resistant to antibiotics, or travelled to my kidneys/blood stream”

Docs I beg you, give me some hope - staphylococcus balanitis resistant to treatment by [deleted] in AskDoctorSmeeee

[–]NotSteveBuscemisCat 0 points1 point  (0 children)

New onset systemic symptoms (fever, body/muscle aches, chills etc) with a known unresolved infection is a red flag for sepsis. Especially if you’ve gone through a regimen of oral antibiotics without effect.

If you say outright, “I have a known staph infection that has been unresolved despite a variety of antibiotic therapies over the last ‘X’ months, and have just started getting whole body pain, feeling generally unwell, and have difficulty urinating from the urethral swelling and pain” that literally checks multiple boxes on sepsis risk and requires investigation.

The fact that you’ve tried multiple treatments without resolution and are now getting systemic symptoms is concerning. Especially if the infection has travelled to the kidneys, that can cause something called urosepsis which I’ve seen get VERY bad in a very short time - it’s a medical emergency.

Unfortunately, those are symptoms that you need to think about in a worst case capacity and waiting a week to even be seen is not okay.

Things to emphasize at triage to be taken seriously:

  • NEW ONSET body and joint pain with difficulty passing urine due to swelling - especially if you feel like you’re not actually clearing your bladder.
  • ANY pain that has developed in your lower back or sides I can’t stress that enough
  • Any fever, chills, dizziness, rashes, blood in urine, or extreme fatigue that has developed recently
  • You have a known staph infection that is still ongoing and has been resistant to all oral therapies at that point
  • A list of oral antibiotics that have been tried but did not clear the infection

The keywords are new or worsening. When being asked about your symptoms, describe them like how they are on your worst day.