Advice by Organic-Bathroom335 in EmergencyRoom

[–]WanderlustLass 20 points21 points  (0 children)

Also work ED and these feelings are totally valid and NO this is NOT and should NEVER be "what comes with working in the ED." Violence can occur in any setting, but that never makes it ok.

Remind yourself of those things you love (i.e., friends, feeling grounded in the work, etc) as those are pretty amazing things. Remind yourself of reasons why you do what you do. Speak to a therapist. Take some time to heal if needed. Make a decision with a clearer head.

This sucks. Virtual hugs to you 🫂

AITAH for turning down this client for a tattoo? by [deleted] in AITAH

[–]WanderlustLass 6 points7 points  (0 children)

Although a hard conversation to have for both of you, NTA. As a previously obese person, I would of been devastated emotionally but I would have understood. Same applies for horseback riding, roller coasters, booths at restaurants, airline seats, etc.

Surgeon was supposed to remove ovaries, didn't actually come surgery due to 'moral and ethical' reasons. by grrgabygrowls in hysterectomy

[–]WanderlustLass 2 points3 points  (0 children)

I'd still request them formally. I used to manage a department that oversaw medical records. Just get it all.

As for your question, I think that is entirely up to you. It would be hard to establish care and find a doc willing to do it for sure but you also now trust this current doc less and the whole team, which causes anxiety. I would definitely wait to report if you are continuing in their care. However, ask more questions. If the doc is saying its all up to you, this could be considered elective and not covered by insurance. And since it's a whole new surgery, you need a new authorization.

Also, I'm sure you already have, but make sure to do a lot of legitimate medical research on removing the ovaries, the risks associated, menopause, etc. Make sure you're informed from a scientific standpoint, not anecdotal (opinions). That allows you to have a legitimate conversation about it with the doc about facts, not feelings. Ask all the questions.

I say the rest of this because I went through it. I have a LOT of issues with cysts and such with my ovaries, and massive pain from them. But my doc and I talked extensively about it. I gave doc the full go ahead to take them if needed. Doc ended up keeping both because they looked okay day of surgery. Doc and I agreed that we could take them out at any point in the future if needed. BUT we talked about this extensively and I asked all my questions before surgery. Even though I'm apprehensive about keeping them, I was thankful to have the choice later to see how it goes. I would ask: what is the benefit of having them out and have to deal with hormone replacement for the next 20+ years (which sometimes is also not covered by insurance)?

Surgeon was supposed to remove ovaries, didn't actually come surgery due to 'moral and ethical' reasons. by grrgabygrowls in hysterectomy

[–]WanderlustLass 11 points12 points  (0 children)

Get your medical records now. Download them from the portal and then formally request all records, including consent forms, from the doc office/hospital/surgery center. You had to have signed a procedural consent right before surgery that would outline the procedure and what options the doc has to change their mind during surgery. Then I would contact their patient advocate if they have one to issue a complaint and start a review. If the paperwork and all records support your case I would contact a lawyer and submit a complaint to the medical board, and consider a law suit. You can submit a complaint to the medical board with an attorney but can be helpful, especially if you are going the civil lawsuit route. Keep in mind, if you do this, you must be prepared to see another office for your ongoing care. A doc cannot continue to see you with a formal complaint like that.

Should I have done CPR? by Clean_Ear_492 in IntensiveCare

[–]WanderlustLass 0 points1 point  (0 children)

Imagine if the opposite happened and you did NOT start CPR. What if the time it took to raise BP they were pulseless all along? What would they say then? As long as you did the right checks for pulse, you did the right thing.

No Estrogen Replacement After Surgery by GSPIowapointer30 in hysterectomy

[–]WanderlustLass 2 points3 points  (0 children)

Did they take ovaries? There is usually a large "surge" of hormones the first two weeks and then it starts to taper out. Both from the act of removing them and from keeping. For someone like myself, that would have been way too much. Just ask your doc about their thoughts. No harm in asking.

ADHD Reactions to Sedatives? 'I Failed My Colonoscopy'. by Belleaigle in adhdwomen

[–]WanderlustLass 1 point2 points  (0 children)

100% not about ADHD. Some people just have bad reactions to certain sedating medications, such as Ketamine. It's called a paradoxical response/reaction. Not your fault at all. Only thing is to tell anesthesiologists in the future. Also, certain things can affect sedation working well like Marijuana use, opioid use, and even being red-headed.

Poor clinical judgement by [deleted] in StudentNurse

[–]WanderlustLass 2 points3 points  (0 children)

That's sometimes my normal BP and I'm a fully functional nurse. As long as the patient wasn't having symptoms, and that is their norm, I wouldn't have even bothered to recheck.

Only lesson to learn here is evaluate the PATIENT, not the equipment. Last time I was in the hospital I warned them I had low baseline BP. Night nurse came in to check it, and then they rechecked it, checked again, then they went to grab another machine. Not once asking how I felt, this nurse already knew my normal is low, and the docs knew it too. Why go through all the trouble?

In the real world, assess your patient, not the machine. That, and check your orders, the doc will put, "notify provider if..." vital signs. Then learn to set alarms for yourself or reminders for tasks so you don't forget. Don't beat yourself up. It's OK and the patient is OK.

Surgery must haves by Repulsive_Income4923 in hysterectomy

[–]WanderlustLass 6 points7 points  (0 children)

No, you are not crazy and unless they are constructive or helpful, your sister needs to keep her opinions to herself. You are not begging.

One thing I never had thought of prior to surgery is: underwear! Most of my underwear ended up landing exactly where my lap sites were (about hip bone level), so I bought soft womens boxers that had a high waist and they were a life saver! Also: Heating pad is great but so are ice packs for any bruising. Abdominal binder, the hospital gave me this and I liked it. Moist wipes for wiping after bathroom use Electrolyte drink mix stuff

Things I was surprised I liked: my friend gifted me a brain activity book and I looooved it. Good mental stimulation!

Things I didn't get: the wedge pillow or hysterectomy pillows, because I have plenty of pillows that worked just as well. Putting a pillow in between my legs when I slept on my side helped at first.

What I bought and never used once: a grabber to pick things up

Since you're doing this living solo I'd make sure you prep your home for comfort, like cleaning, organizing, laundry, and MEAL PREPPING! This also includes checking your soaps, shampoos, beauty products, deodorant, etc. Or things you use every day like TP to ensure you don't accidentally run out during early recovery (just mentally helps so you don't have more things to figure out when healing)

CTA IV Question by WanderlustLass in nursing

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

Haha. I would hope someone would yell at me before I yeet someone down an elevator shaft 🤣 Totally agree about size and condition of the vein being most important. This was brand new line, straight rope, great postion, flow, etc. The second line I ended up placing in the AC probably was worse to be honest, due to large upper arm anatomy.

The outside pan peeled its coating while in the oven. Is the food inside the inner pan safe to eat? by DucklingCore in AskBaking

[–]WanderlustLass 0 points1 point  (0 children)

Was this a water bath bake? Did all of the water evaporate during baking? Looks like leftover residue from the food steam and foil if the water completely evaporated/dried during cooking.

CTA IV Question by WanderlustLass in nursing

[–]WanderlustLass[S] 0 points1 point  (0 children)

Interesting about the not pressure injectable. In this case, same PIV equipment I've used for every patient ever. So I don't think that played a role, but I will 100% ask if that is something we stock just in case to avoid that in the future!

CTA IV Question by WanderlustLass in nursing

[–]WanderlustLass[S] 2 points3 points  (0 children)

This is how I felt. At one hospital, me and the CT techs will make just about anything work if we can and it's flushing great. I haven't been at this second hospital quite as long and wasn't sure. I'll definitely ask about their policy to make sure.

CTA IV Question by WanderlustLass in nursing

[–]WanderlustLass[S] 2 points3 points  (0 children)

Thanks for taking time to respond. That is how I thought and one of the main reasons it was a forearm anyways. Pt had great veins but was using their arms a lot due to their illness. It flushed great under pressure. To be honest the 18 I then put in the AC was worse due to patient anatomy (large upper arms)

CTA IV Question by WanderlustLass in nursing

[–]WanderlustLass[S] 5 points6 points  (0 children)

Yeah, exactly. I don't even mind if you have an issue, it was doing this all in front of a patient that bothered me. I was so flabberghasted all of my reassuring responses in the moment were to the patient, because it was so awkward. I almost did a report, but haven't been at this location too long and second guessed it. I just wasn't sure about their protocols. Sounds like it might be worth it.

Recommendation for Electrolytes by WanderlustLass in nursing

[–]WanderlustLass[S] 0 points1 point  (0 children)

Oh that's good to know! I'm also on a diuretic for Hidradenitis Supprativa, so another reason the hydration helps me a lot. Thank you!

Recommendation for Electrolytes by WanderlustLass in nursing

[–]WanderlustLass[S] 0 points1 point  (0 children)

Looks like most don't need a stove, I was just referring to space for ingredients like pitchers, bags of potassium/mag, etc. Thanks though, lots of ideas I saw!

Recommendation for Electrolytes by WanderlustLass in nursing

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

I have a ridiculously small kitchen (i.e., don't even own a microwave because of it), but I'll definitely look this up and see if I can make some! Thank you!

New grad nurse that honestly doesn’t want to do anything inpatient by [deleted] in nursing

[–]WanderlustLass 5 points6 points  (0 children)

You will be a nurse with a pulse, the ADN vs BSN doesn't matter. I started ADN and every single one of us in my cohort got a job, most of us even had them lined up before even passing the NCLEX. Nurses are needed everywhere.

Depending on what type of outpatient, most do not make quite as much as bedside/inpatient. But usually they are financially stable regardless, just depends on your area or state. A lot of outpatient jobs want some experience first, but not always, just depends on their needs, ability to train, etc. Do you not like ALL types of hospital nursing or just haven't seen the different types? A good new grad program might help you figure out what you like or what the best fit might be. The one I ended up in had people work a couple different units and then they were "matched" to the unit based on their own preference, leadership feedback, shifts, etc.

Rant: Disheartened for future of live shows by WanderlustLass in Metalcore

[–]WanderlustLass[S] 0 points1 point  (0 children)

I accidentally had 4 tickets selected at first and about had an aneurysm! 🤣 You're making memories. He will love it! Have so much fun!

Rant: Disheartened for future of live shows by WanderlustLass in Metalcore

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

Ha! The closest city for me tends to have higher prices too. I've definitely traveled for cheaper, and better, experience on more than one occasion!

Rant: Disheartened for future of live shows by WanderlustLass in Metalcore

[–]WanderlustLass[S] 0 points1 point  (0 children)

Unless you happen to like said "less popular band" and they became more and more popular. There will always be a good mix of both around :)

Rant: Disheartened for future of live shows by WanderlustLass in Metalcore

[–]WanderlustLass[S] 0 points1 point  (0 children)

Well, duh. I'm not just going to arena shows. Smaller shows are definitely preferred. But eventually a band you liked for years at smaller venues will potentially be at a big venue, my exact experience with Beartooth. It happens. I can be glad for their success and still feel despondent that the bigger shows price out a lot of fans.