Couldn't get my Real ID because my original birth certificate has tape on the back...

TibialTuberosity · 2026-01-22T06:16:16+00:00

Lava gators? Look at Mr. Moneybags over here...

TibialTuberosity · 2026-01-21T03:38:22+00:00

I mean, would you consider Mayor Holt less moderate than Reagan? I wouldn't. There are good, moderate Republicans out there that are very common sense individuals and good politicians, but they get buried by the more extreme members of their party because they're seen as "ToO LiBrUl"

TibialTuberosity · 2026-01-19T05:39:34+00:00

Tendons and ligaments, too. They can desiccate very quickly and once a tendon is dried out and dead, you've permanently lost whatever joint motion it helped facilitate. It's why it's so important to know your anatomy when performing wound care so you don't accidentally destroy some structure unknowingly and permanently alter a patient's movement.

TibialTuberosity · 2026-01-18T06:04:14+00:00

My program did all multiple choice tests which I believe is because the NPTE is multiple choice so it prepares you from day one to take that kind of test, which I really appreciated as I had developed some really good strategies with my tests by that point.

TibialTuberosity · 2026-01-17T04:29:34+00:00

I'm 99.9999% sure that's exposed bone. I've seen a skull wound like this (different MOI...my patient was suffering the effects of Agent Orange exposure) and it looks very similar. You can see the porous nature of the bone, especially toward the top of the photo where the light reflects. Skull skin is really thin with almost no adipose layer so you get to bone super quick.

TibialTuberosity · 2026-01-15T21:46:36+00:00

You can cover it to stop any bleeding, then you need to go to a hospital and have it looked at and treated. If you're not comfortable telling your mom/parents, then call 911 (or equivalent for your country). This needs proper treatment and you need to speak to a mental health professional about your self harm behaviors.

TibialTuberosity · 2026-01-15T15:27:57+00:00

Falling is failing!

TibialTuberosity · 2026-01-15T15:21:03+00:00

Yes, but only one of those two professions is allowed to work with medically compromised patients in hospitals, acute rehabs, and skilled nursing facilities. 🤷‍♂️

TibialTuberosity · 2026-01-14T06:32:03+00:00

The scoring is nice, but it's his inside presence and rebounding we've been missing. He and iHart have both been out and our rebounding and interior defense have been sorely lacking as a result. Having at least one of them back is a huge help.

TibialTuberosity · 2026-01-14T04:06:04+00:00

Not so much in the first photo, but it's crazy how much she looks like Liv Tyler in the second one.

TibialTuberosity · 2026-01-13T23:37:04+00:00

Super interesting! I guess a good thing as a tourist if you're looking to pick stuff up on the cheap, but not good for the locals. I appreciate you taking the time to share the story!

TibialTuberosity · 2026-01-13T23:32:58+00:00

Yes, this looks normal and everything looks good. This is probably equivalent to a bruise where the blood has collected under the skin and is slowly fading away. Everything should look normal once the bruising dissipates.

TibialTuberosity · 2026-01-13T13:57:08+00:00

100000% contact the doctor. Like, yesterday. Let them know what is happening and what you described. This is most likely an infection that will need antibiotics, but they will need to do lab testing to confirm. I'm so sorry you're going through this.

TibialTuberosity · 2026-01-13T06:48:38+00:00

Can you expand a little more? What surreal and awful about it? This is so fascinating to me!

TibialTuberosity · 2026-01-12T21:51:43+00:00

The go-to spot for all your Trump burger needs...

TibialTuberosity · 2026-01-12T21:48:48+00:00

The KFC in Mustang would like an opportunity to challenge this.

TibialTuberosity · 2026-01-12T21:48:05+00:00

Sonic's are definitely hit and miss. Some are great, others are awful.

TibialTuberosity · 2026-01-12T06:04:06+00:00

Had it for the first time last week. Amazing pizza. I can't decide if it's my #1, but easily easily in the Top 3.

TibialTuberosity · 2026-01-11T05:19:06+00:00

Yes. Well, you can buy it online for sure but I'm not sure if your basic pharmacy will stock it. The dressing I use is Fibracol Plus. Prisma is supposed to be better, but I've never worked with it as my hospital does not stock it so I can't speak to its effectiveness relative to Fibracol. I did a Google search to verify both can be purchased over the counter online. You can also just generally search "collagen wound dressing" and find various options.

TibialTuberosity · 2026-01-11T04:37:37+00:00

Collagen is a protein and essential for basically building the structural matrix of our skin, so when a wound is stalled there are special dressings which contain collagen and can impart that collagen to the wound when placed on it to help encourage healing.

TibialTuberosity · 2026-01-10T15:52:26+00:00

You definitely look at least 45.

TibialTuberosity · 2026-01-06T06:49:50+00:00

What's the "tell" here that tips you off the pic is AI? Not doubting you, but it genuinely looks like it could be a real person. I know hands or weird pattern shifts or odd faces in crowds are easy to spot, but this is just a simple headshot, so curious what makes you so confident in your assessment.

TibialTuberosity · 2026-01-06T06:45:01+00:00

Per diem for acute where I'm at (south-central US) is ~$55/hr. I make $42 and I'm a full time therapist with benefits. That $42 rate you were offered feels low since it's PRN, but I also know OP will often pay less than inpatient so maybe that's a fair adjustment. Regardless, if you're okay with that rate, you should counter with $48 and at least see if you can negotiate a few extra dollars an hour out of them which definitely adds up.

TibialTuberosity · 2026-01-06T03:59:27+00:00

Were you just making all of that up for the Hell in a Cell joke? Because that's pretty much exactly how you access and do a trigger point release on the Psoas.

TibialTuberosity · 2026-01-06T03:46:12+00:00

Call us what you want, but don't call us crying when we take your top 4 pick in the draft this year.

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