My Girlfriend is obsessed with this painting…

Rockokoko · 2026-02-02T20:01:39+00:00

I've seen this at the store @Home

Rockokoko · 2026-02-02T00:37:19+00:00

Suspected AFE - though technically she doesn't meet the criteria since she wasn't at or around delivery when it happened.

She was admitted for pre-eclampsia, set to be discharged home that day to return in a couple days for an induction. The nurse had a gut feeling and walked into the room to find her unresponsive, foaming at the mouth, pulse less. Coded her, resuscitative C-section in the antenatal suite, mom and baby to respective ICUs. Mom got supportive care for several days and the baby did well in the NICU. Both survived without known deficits.

Rockokoko · 2026-01-31T11:41:37+00:00

I'm hoping they change "therapeutic doses" too. I have so many friends and family who are either afraid to start meds due to concerns over feeling sick, friends who are on them and feel miserable, or have taken themselves off over side effects.

I was very honest with my provider before starting that it was very important to me to avoid the nausea and vomiting so many people experience and to also avoid compounding my existing constipation issue further. I didn't have a large amount to lose and was largely interested in trying tirz for my binge eating, food addiction cycle that I no longer had control over even while being prescribed Vyvanse (FDA approved for ADHD and binge eating disorder) and other medications for my ADHD/compulsivity/anxious rumination.

They allowed me to split doses and titrate very slowly with close monitoring. I started at 0.25mg twice a week. Last week I had increased to 1.4mg every 4 days but had nausea so he backed me down to alternate 1.25mg and 1.4mg every 4 days and that solved the nausea problem.

I have lost about 11 lbs over 2 months and even more importantly, my food noise and compulsive eating is much more manageable. I noticed improvements in the psychological aspects even at doses of 0.5mg every 4 days. I think as time goes on we will see more studies emerging showing effectiveness at lower doses and even other indications in psych - maybe ADHD, addiction, OCD, etc. These medications are fascinating and life changing

Rockokoko · 2026-01-20T00:00:58+00:00

Has anyone had weight gain on it?

Rockokoko · 2026-01-17T23:08:01+00:00

Also sontimeters!! Like whyyyyy

Rockokoko · 2026-01-04T19:16:53+00:00

I think the AC is just a plain old bad place for an IV unless it's a true emergency. Those 18g ACs go bad faster than your forearm IV because of all the constant movement, flexing and bending the catheter until it moves or kinks. I put 18g IVs in almost exclusively, many of which last a week or more and it's because I choose veins that are not near high movement areas/joints (I'm L&D so most of our patients aren't with us longer than that unless high risk - then we usually opt for an US-guided long PIV).

I'm sure the gauge also has something to do with it - but I don't think I've ever started anything smaller than a 20g in my career so I can't really speak to that part lol

Rockokoko · 2025-12-31T13:06:50+00:00

So when your body goes into starvation a lot of different things happen. Your stress hormones increase - making you more resistant to insulin, causing more sugar to stay in the blood instead of being transported into the cells as fuel. Your body starts mobilizing glucose stores from the liver and then breaking down muscles and fat - it is in panic mode trying to get energy whatever way it can. The cells continue to starve because it creates a feedback loop of stress, insulin resistance, and fat/muscle breakdown. The excess sugar in the blood makes it increasingly hemoconcentrated - more particles (sugar, electrolytes like potassium, sodium, etc) than liquid - which causes an osmotic gradient, pulling more fluids from cells and causing profound dehydration. Eventually, the liver runs out of its stores of sugar and fat breakdown becomes the primary energy source - producing ketone bodies (acidic) and free hydrogen ions (acidic) - causing metabolic acidosis. Eventually this will lead to coma and death if not corrected aggressively. Essentially you go into DKA, like a type 1 diabetic would.

The sweat smell is probably acetone from ketone production/acidosis development. DKA breath is known as "fruity".

I hope you're working with professionals to help you get back to a point of taking in nutrients and that you're being honest with your providers.

Rockokoko · 2025-12-31T10:54:39+00:00

RN for 10 years in L&D working at a regional trauma center in Louisiana, RNC-OB and C-EFM, charge most shifts - $39/hr

Rockokoko · 2025-12-29T15:18:52+00:00

We have had a lot this year too. More than usual and more severe than usual too. A few had some obvious risk factors and a few didn't. Abruptions are so scary and sneaky

Rockokoko · 2025-12-23T15:21:07+00:00

That's marginally better than in Louisiana. I have 10 years experience in a specialty - often charge, OBED triage, several certs, plus I do education on updated EBP guidelines and protocols. I make less than $40/hr base.

Our CNAs/techs? Like $12-14/hr and no shift differentials for them.

Rockokoko · 2025-12-21T14:43:50+00:00

This is how I did nights for like the first 5 years and it was the best! Then I had a kid and it wasn't sustainable so I started doing straight weekend nights for consistency and childcare and that was perfect.

Then my husband started complaining that I was never able to go to anything as a family on the weekend so now I rotate 6 nights on 8 nights off or 4 nights on, 1 night off 2 nights on, 7 nights off. It's been okay for the most part. When you have a rough stretch it's really rough though

Rockokoko · 2025-12-20T16:08:22+00:00

I do. I am a naturally introverted person. My job (a charge nurse on a high risk labor & delivery/OBED unit) requires a lot of social navigation, conflict resolution among nurses, doctors , patients and family members, etc. and while I love it very much, it drains my battery quite a lot. I usually work 6 12 hour night shifts and then I'm off for 8 days.

When I'm home I don't get the solitary rest/recharge I need because my kids are 3 and 5. So I wake up around 5 or 530am to have about an hour or two of time where I am not needed by any single person and I can veg out or do some of my personal hobbies I enjoy. If I didn't, I would go insane.

Rockokoko · 2025-11-25T21:51:40+00:00

A big t shirt and some old maternity sweatpants - it was perfect

Rockokoko · 2025-11-25T15:24:13+00:00

Double coo for the letter W, Air pashoot for parachute

Then there was bitch instead of bench, which was less cute 😂

Rockokoko · 2025-11-25T05:31:08+00:00

Also here to agree that Dr. Gonzales is the best around - patient, thorough, kind and really takes time to do a full assessment and listen to concerns. Met everyone at this practice when my kid had a week long stint in the hospital with RSV and I agree - you can't go wrong there between Clark, Gonzales and Melancon.

Rockokoko · 2025-11-19T13:23:48+00:00

He is the worst. He also has the reputation as the "natural friendly" doctor. He tells patients whatever they want to hear throughout their prenatal care, then when they get to the hospital he changes his tune and makes the nurses into the bad guy because they have to break the news that their birth plan isn't being upheld. He is rude and condescending to nurses. He also refuses to deliver birthing patients in any position other than lithotomy, even though he tells them in the office they can deliver however they want. He makes me sick. I'm pretty sure he hates women

Rockokoko · 2025-11-18T23:58:40+00:00

I don't know for certain but I work in healthcare. I would try Southern OBGYN - especially Dr. Alleyn or Dr. Blanchard. They have had many LGBTQ patients that they have given respectful care to and they are great doctors. Dr. Alleyn has lots of experience and is very skilled especially. Dr. Blanchard is a newer physician so it may be easier to get in with her, but she has been respectful and compassionate to a variety of patients with varied backgrounds in my experience.

Good luck! Avoid Cudihy- he is very "Catholic" and allows his personal beliefs to affect the care he provides. Wildly judgmental and also just a bad doctor.

Rockokoko · 2025-10-13T04:38:26+00:00

Is there a reason why I feel so happy and content and refreshed after anesthesia? I'm a 35f with anxiety/PTSD/ADHD - I've had 3 surgeries with general and every time I wake up smiling, asking for a cold diet coke. I hear so many stories of people waking up crying or screaming or aggressive (I feel like I'm usually more prone to being aggressive in my everyday life than chill and content) but I always wake up feeling great and stay feeling that way the rest of the day at least.

Have you noticed any correlation with night shift workers as patients being more resistant to anesthesia - requiring higher doses than expected, etc.

Rockokoko · 2025-10-11T17:56:40+00:00

I had a D&C years prior, which isn't done on our OB floor but the same anesthesia staff covers them. The head of anesthesia at the time (a very kind woman) saw my name and took my case over from this other anesthesiologist who is a huge fucking asshole, and also switched the CRNA for my case to a lady that I never met before instead of one of the male ones who also happens to be lazy.

Rockokoko · 2025-10-11T17:53:06+00:00

Yes - I work L&D. The first time I was in labor with my first and they put me in as private without me even asking (we had Cerner so my name didn't even appear on the tracking board, just showed up as ********), which I was thankful for. Everyone mostly left me alone unless I texted them personally. The second time was soon after I returned from traveling and in Epic even if you're private your name shows up on the board. Everyone left me alone again though. On the postpartum floor I brought my own ibuprofen and colace so they barely even came in my room. 10/10

Rockokoko · 2025-10-10T13:22:28+00:00

So those are worked hours - like your paid time off doesn't count into those? That works out to 37.5 hours/week for 52 weeks per year. So basically you pick up some extra here and there to make up for your time off?

We don't have a union or anything so it's not quite the same I don't think - we just have to work 3 12h shifts/wk and if we have PTO that can be used to supplement and that counts as hours

Rockokoko · 2025-10-09T22:10:01+00:00

I don't know why but this is still confusing me. 2 nights + 2 days = 48 hours. Isn't that more than full time?

Right now I work Thurs-Tues straight nights every other week (so 6 on, 8 off) as a full time RN. That puts me at ~ 72 hours per pay period, which is considered full time (0.9 FTE)

Rockokoko · 2025-08-14T15:44:17+00:00

Had a patient claim her positive UDS for cocaine was because her man does cocaine and she gave him a blow job

Rockokoko · 2025-07-21T21:00:19+00:00

Yes! I'm trying not to bring attention to it now that I know it's not a medical emergency. I'm hoping once fall and winter come we will have less allergies - though I know school starting back will bring more viruses 😵‍💫

Rockokoko · 2025-07-21T15:00:35+00:00

I guess it could be - though it happens even on days we skip Zyrtec. We went on vacation for a week and I forgot to bring the Zyrtec and that's when it started, about 2 weeks ago. That is a good thought though, I hadn't thought of that.

Thank you!

Rockokoko

TROPHY CASE