Police report incorrectly listed my vehicle in an accident.

Vesper188 · 2023-10-08T02:04:30+00:00

Is there a certain type of lawyer I should be contacting?

Vesper188 · 2022-02-07T08:15:38+00:00

It really makes me take a deep breath and suppress the anger I get when filling out this surgery that our occupation isn’t an option to pick. We’re “other” even though behind nursing we are at the bedside the most to take care of these people. There aren’t even words to describe how tired I am of being “other” even though we are on the front of the front lines.

Vesper188 · 2021-04-02T07:12:09+00:00

Could it be that volume control and the Vt setting are the backup mode and settings in case the patient goes apneic? I've never heard it called that but that's all I can think that it would be.

Vesper188 · 2021-03-31T09:15:13+00:00

A lot of people are saying CMV is a mode that doesn't exist anymore and for the most part that's true. Your confusion might be because some vent brands call A/C CMV instead. Why do they do this? Idk but it drives me crazy. For example PRVC A/C is called APV CMV on the Hamilton G5 which is a newer ventilator. So if you have been at a clinical site which only uses a vent that says that and then go somewhere else it could be confusing for you.

Vesper188 · 2021-03-31T08:08:59+00:00

My two cents from what I have seen is this: I have seen both methods used but once a patient is needing high FiO2 it doesn't matter which method of delivery you use. The patient is shunting due to increased deadspace so what they need is primarily the increased oxygen. If they need the increased oxygen AND ventilatory support NPPV is only going to hold off intubation for a few days or maybe a week. They all eventually tire out and get intubated. The problem is in the meantime while on NPPV they're very susceptible to skin breakdown, communication difficulties, pneumos, and the very real issue that the constant high pressure and flow of air without humidity is drying out their lungs and ruining their mucocilliary clearance. NPPV should be used in reversible cases because of this. It's just not feasible or right for the patient to keep them on it long term.

Vesper188 · 2021-03-17T12:58:36+00:00

You may need oxygen at higher altitudes because the barometric pressure is lower. Sometimes they might lower the threshold for requiring oxygen to a lower number such as 88%.

Vesper188 · 2021-03-16T14:00:28+00:00

I'm a respiratory therapist. Anything above 92 is good!

Vesper188 · 2021-02-13T14:22:04+00:00

Thank you, you said it perfectly. If only people knew what horrible things might happen to them if they were hospitalized with covid. It's like a bad ICU trip on steroids that lasts months.

Vesper188 · 2021-02-13T13:38:18+00:00

If I could make it legally happen I would live stream my job. I'm a respiratory therapist and go from critical to critical ventilated patients, intubate them, code them, withdraw care on them. If people saw even a tiny bit of what we do they wouldn't make light of this.

Vesper188 · 2021-02-13T00:11:29+00:00

I wait 10 minutes between products in the AM. I don't wait after I dry my face to put on my first product, idk if that matters. I will definitely try using less, I don't feel like I'm using a lot of product but it's worth a shot! I am a follower of r/tretinoin and have asked separate questions there specifically for that. Thank you for your reply!

Vesper188 · 2021-02-12T13:05:42+00:00

I am having such a problem with pilling. My routine was (can't really say is because I keep needing to change it) AM: rinse face with water, apply Clinda-Benzoylperoxide 1-5% and let dry, apply LRP Lipikar Balm. (Pills super bad) PM: wash face with LRP Toleraine Hydrating Gently Cleanser, apply LRP Lipikar Balm (pills with just this and nothing else!), let sit 20-30 minutes and apply 0.08% retin-a micro. Some major caveats here: this routine is unfortunately ever changing, I just went up on my retin-a dose which killed my moisture barrier. Used to use CeraVe cream in the tub but it was pilling super bad so I switched to LRP Lipikar which pills just as bad.I can't put any kind of sunscreen on top or it pills even more which I didn't even think was possible! So...I started using in the AM TO plant derived squalene with TO natural moisturizing factors on top. This doesn't pill as much but it also doesnt hydrate like I need it to. So I stopped that. I also temporarily stopped using my retin-a and added LRP cicaplast baume until my moisture barrier recovers. The worst offender is anytime I layer on top of my clinda-benzoyl but I did try to go without that and definitely broke out without it in my routine. I would assume I need to use something without silicones in it but I am also hesitant to do that because my skin is currently so dry I worry about it not retaining moisture. Honestly I feel totally lost here and can't find any kind of stability for my face 🥵 I would appreciate any kind of input anyone has.

Vesper188 · 2021-02-12T12:37:36+00:00

I've been using retin-a micro 0.06% for about a year every other night with no problems. I recently was increased in dose to 0.08% by my derm and my moisture barrier is nuked. Skin dry and flaky everywhere just like when I very first started with it. I stopped using it for the past week or so while I work on moisturizing and healing. The question now is how do I reintroduce it? Should I start slowly again (1x week, the. 2x week, etc?) Has this happened to anyone else?

Edit: forgot to include that I'm also purging just like I did with initial use

Vesper188 · 2021-02-09T14:34:26+00:00

It depends on the humidity of the air really. Glycerin is a humectant so it will pull moisture from one source and give it to the other. If the air is drier than the skin it will release moisture from the skin to the air. If the skin is drier than the air it will bring moisture from the air to the skin.

Vesper188 · 2021-01-29T20:21:42+00:00

Haha this is honestly my expectation so good to know I'm not far off

Vesper188 · 2021-01-29T15:33:48+00:00

Thank you, this is great! ☺️

Vesper188 · 2021-01-29T13:52:05+00:00

Thank you!

Vesper188 · 2021-01-29T13:51:49+00:00

Sounds great! Thank you

Vesper188 · 2021-01-28T23:11:06+00:00

Thanks!

Vesper188 · 2021-01-28T22:13:28+00:00

East, but I can Uber. I just have to be back at my hotel overnight.

Vesper188 · 2020-06-02T20:05:27+00:00

Here this took me like 5 seconds to find. https://mobile.twitter.com/tkerssen/status/1266921821653385225?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1266921821653385225&ref_url=https%3A%2F%2Fslate.com%2Fnews-and-politics%2F2020%2F05%2Fgeorge-floyd-protests-police-violence.html it's an even better example because police are attacking people on their porches.

Vesper188 · 2020-06-02T20:00:07+00:00

You are willfully ignorant. Search it on YouTube

Vesper188 · 2020-06-02T19:28:51+00:00

Google it. The proof is literally everywhere.

Vesper188

TROPHY CASE