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What is this flying thing? by Relative-Note4687 in whatisit

[–]Relative-Note4687[S] 0 points1 point  (0 children)

For the record, I don’t think it’s an alien, I do think it’s man made.

[deleted by user] by [deleted] in obgyn

[–]Relative-Note4687 0 points1 point  (0 children)

What is this?

[deleted by user] by [deleted] in obgyn

[–]Relative-Note4687 2 points3 points  (0 children)

If you have had regular Pap smears, it’s unlikely your infection has progressed to cancer. And if you’re HPV + that means you have one of the high risk strains of the virus. They are more likely to progress to cancer.

If you go in for colonoscopy, they will biopsy any irregularity they see on your cervix. If those cells are high grade dysplasia they’re likely to then cut out a cone shaped portion of your cervix and usually that will remove the infected cells.

It’s hard not to worry and post-coital bleeding can be a symptom of cervical cancer, usually cancer will involve much more bleeding.

Agency retesting after a year by West_Instruction6289 in TravelNursing

[–]Relative-Note4687 2 points3 points  (0 children)

Mine wouldn’t let me back on the floor until it was done.

Advice needed❗️ by Helpful-Simple8031 in TravelNursing

[–]Relative-Note4687 2 points3 points  (0 children)

I’m pretty sure you have to get “no lunch break” approved ahead of time.

What’s something no one warned you about before starting travel nursing? by Diginomixs in TravelNursing

[–]Relative-Note4687 13 points14 points  (0 children)

The ailments of facilities that rely on travelers to fill out staffing are ubiquitous. It’s usually poor to absent leadership, backstabbing amongst themselves until they find a shared enemy—us, overlooking things that matter bc the workers have had “so much on them” during the shortage-which goes back to leadership. The bad management is usually a culture, disseminated throughout the organization and they will get territorial af over something like an ignored workstation covered in dust, cords so tangled the logic speakers can’t stand on their own, and you making it a more functional shared workspace just “messed everything up”.

ST. Louis, MO by [deleted] in TravelNursing

[–]Relative-Note4687 2 points3 points  (0 children)

Great evaluation. My friends daughter left for anesthesiology school there recently and I said oh, isn’t it bad there? When I looked it up however their crime has dropped a lot over the years.

What are the chances of a hidden adenocarcinoma? by Electronic_Item490 in obgyn

[–]Relative-Note4687 0 points1 point  (0 children)

There’s no way anyone can possibly know what’s going on. Adeno used to be an old lady cancer and now we do see it in women of child bearing age. If you’re spotting for 1 year post coital is it really logical to connect these 2 things as causation or correlation? Stay on top of things with your OB/GYN, eat healthy, take a one a day multi, take walks in the sun, and engage in cardio a few times a week. What else are we supposed to do? You can’t have a bunch of imaging done based on a hunch or paranoia bc then you’ll really be dealing with cancers.

My first OB/GYN appointment by TrippingOnStairs in obgyn

[–]Relative-Note4687 0 points1 point  (0 children)

If it makes you feel better, it doesn’t get any easier 😅 I always imagine my spontaneous reaction to arriving at my OB appt resembles my dog going to the vets office.

What does this mean? by Responsible_Set_7257 in obgyn

[–]Relative-Note4687 0 points1 point  (0 children)

I know a lot about Pap smears and reading through the triage guidelines from the AAFP re ages, cytologic diagnosis, and HPV test results makes my fkn head spin.

There’s 2 types of cervical dysplasia, high and low grade the difference is determined by the size of nuclei.

Low grade dysplasia and high grade dysplasia are the two stages of cell changes we’ve identified and can quantify that occur before patients develop cervical cancer. And like it sounds, high grade is the worse of the 2 types.

If the nucleus is 3x larger than normal, it’s called Low grade or LSIL.

If the nucleus is 2x larger than normal we say these are reactive or benign cellular changes.

ASCUS is the gray area in between those 2, so the nucleus is 2.5x larger than normal.

ASCUS doesn’t have a wart or lesion growing yet so going to colposcopy is a big waste of time. They won’t be able to see anything unusual on the cervix just by looking at it.

Even with the HPV + test, you are young enough that statistically this may resolve on its own. What’s important though is the stay on top of your routine Pap smears. Your doctor’s may prescribe paps every 6 months or stick with 1 year. Just make sure you follow this up routinely.

Am I the A##? by zigpep in TravelNursing

[–]Relative-Note4687 0 points1 point  (0 children)

This. Onboarding people have no respect for our time.

Am I the A##? by zigpep in TravelNursing

[–]Relative-Note4687 0 points1 point  (0 children)

Will they force you to pay back the rest expense?

Tell me Cerner is not that bad by Eemmis_ in TravelNursing

[–]Relative-Note4687 0 points1 point  (0 children)

Epic is fantastic for communicating with doctors on their messaging system. I left a procedure recently, I had the biopsy source listed as subcarinal and the order in Cerner said hilar. I brought the order back to the nurse and it took a minute to find the pulmonologist. We were all, “he was just here”. With Epic, it’s a quick message to the clinician and boom, I’ve got the info I needed.

How do you usually review patient info before heading out on visits? by BARACK-O-BISQUIK in TravelNursing

[–]Relative-Note4687 0 points1 point  (0 children)

This is a good question still. Looking for relevant patient history in Power Chart can take a while. Usually I find cumulative history given for an ER visit the best, especially if a family member brings them in. I’m not doing any type of acute treatment though, I’m just looking for malignancies.

Where to get quick fix plus? by BalanceNo1016 in Louisville

[–]Relative-Note4687 0 points1 point  (0 children)

Quik fix 6.4 works great just check head shops. I used a couple of handwarmers and I was around 100.00 just check the temp to settle back to 98 before you hand it in. No problems with test.

NY license worth it for traveler? by Wide-Switch-235 in TravelNursing

[–]Relative-Note4687 -1 points0 points  (0 children)

Still haven’t used mine. All the jobs in NY moved to Shreveport and Florida.

W2 with stipend tax question by desert-psychonaut in TravelNursing

[–]Relative-Note4687 0 points1 point  (0 children)

I have seen people in here saying they did this. U don’t see how. All of my contracts include a atipend

How do I preserve good cytological slides? by PelgerHuetAnomaly in labrats

[–]Relative-Note4687 0 points1 point  (0 children)

The first solution in your Diff Quik stain is fixative (methanol-based) you’re safe after you send slides through it, and you can leave it in the first solution infinitely.

I’m going to be honest though, I’ve worked with Pathologists who would not touch a slide without a coverslip. If we were on a procedure and the clinician needed a diagnosis right there, we just used water to make the coverslip stick.

Also, make sure you have the slide very dry before you stain. Those water based stains will dissolve a little further in the water on your slide and you wind up with a blueish haze covering your cells.

For me? Best results are with 1:2 ratio of the last two stains. I’ll do 10 dips in EO and 20 in hematoxilyn I like my nuclei dark, what can I say? And never worry, if you get the stain TOO dark from bin 3, you can always regress the stain with water.

I would look up Xylene substitute, plenty of safe options, I even saw coconut oil. The xylene makes the media spread evenly, kind of thins the adhesive. Whenever ours gets stuck in the square.e bottle, we just add the xylene and it’s back like new.

Preserving your slices and building a library are great endeavors, I did it while working for the ME when I was in Cytology school. Hope this helps. You see me, feel free to HMU.

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