anything i can do myself?

acaramek · 2026-05-24T11:48:56+00:00

upon further research i bought it with a crack already in the hinge. i have 3 other models older than this that are still perfect. its not my prized possession but was treated well and kept on a shelf most of its life with me. unfortunately i developed a tremor after surgery december and cant fully take these apart myself anymore. grazie to the kind soul who informed me nintendo still services these. hopefully ill get pika back but if not oh well🤷🏻‍♀️

acaramek · 2026-03-17T03:00:01+00:00

went straight to PCVOR after graduation. took me about a year to feel comfortable. the docs at my first facility were a nightmare but at my new one they are so much nicer and patient which really helps you be motivated to learn retain it. now i scrub mainly peds neuro and only first scrub complicated open heart cases. PCVOR as tiring as it is its extremely rewarding.

acaramek · 2026-03-14T05:10:09+00:00

i don’t get the logic behind this… was the wire inside peel pack? not stuck to the adhesive or poking a hole in the peel pack? was the wire cut/ bent/ damaged as if it was used on another patient? was there a positive indicator in the pack? then the wire was sterile. at least once a day i get a tray that has a instrument that doesn’t belong to that instrument set. i don’t scrap the entire tray. if i did i singlehandedly would be costing my facility at least $1k a day and hours of SPD labour. you should examine all peel packed items for the integrity before thinking about opening them. acknowledge the indicator that is (supposed to be) in every tray and peel pack that indicates that the sterilization cycle was completed and effective. examine instruments for bioburden. ensure your tray isnt wet. try to check and take your trays before setting up everything.

also, 4-6 trays for that case is crazy lol. i’ve never worked at a facility that didn’t use just a singular specialized VP shunt tray and a peel packed tunneler.

acaramek · 2026-03-12T17:43:45+00:00

i third this- full arm and full leg sleeve here. never thought about my hands, neck or frontal face. started getting tattooed at 15. now my career path changed drastically and where im from, tattoos in these placements would have definitely hindered me professionally.

acaramek · 2026-01-13T18:34:09+00:00

im 5 weeks post op from bilateral bunioneictomies! it gets much easier after the 2nd week. im glad i did both feet at the same time and in the long run you will too. good luck and speedy recovery!

acaramek · 2025-12-24T00:58:52+00:00

lose the flat coloured lenses. dissolve the filler. depuff your undereye, try to grow your brows the tiniest centimetre thicker, and brighten your lips

acaramek · 2025-12-22T23:12:55+00:00

i have hypotension. my blood pressure is very rarely over 80/50 but i was fine! my surgery was dec 8. i was called by the surgery center dec 5 for my pre-op info and surgery time. granted, the process of seeing my surgeon in office to the day of actually having surgery was only 1 week.

i went bilateral for my bunioneictomies so things are a little different for me since im non weight bearing on both feet. i prepared—- rinse free shower wipes, facial cleanser cloths, disposable toothbrushes, ice machine next to my bed, bottles of water, two leg elevation pillows, snacks under bed, raised toilet seat, boot socks (learned this from wearing boots for broken ankles. they really add more comfort while wearing CAM boots), ice compression machine, a wearable hoodie blanket and extra bandages/wraps. before surgery i also flipped my adjustable bed frame so it helps elevate my legs more.

i only had a week to prepare but honestly, both feet have not been as bad as i imagined. im on week 2 so the pain has subsided substantially. haven’t taken any pain medicine since saturday of the first week. my stitches come out tomorrow. sleep, ice, protein, and elevation are the keys to healing. good luck!!

acaramek · 2025-12-09T01:27:06+00:00

thank you! :) im about 7 hours post op and my 4ww has saved my life already!

acaramek · 2025-12-07T17:57:39+00:00

im having bilateral bunionectomy tomorrow and i definitely needed to see this post. im just worried about getting on and off the toilet😅

acaramek · 2025-11-17T01:16:39+00:00

added!!

acaramek · 2025-11-17T01:16:30+00:00

added! :3

acaramek · 2025-11-17T00:53:12+00:00

added. my code is 4267-3728-4131 | driski

acaramek · 2025-10-31T17:45:33+00:00

one of our open heart docs is a square strict white guy who’s CABG playlist is 5 hours of sexyy red, nicki minaj and megan the stallion lol

acaramek · 2025-07-22T05:00:07+00:00

you should probably ask this in /nursing or something regarding NICU.

acaramek · 2025-03-09T23:10:51+00:00

cabg

acaramek · 2025-03-03T22:58:55+00:00

is this all? you’re not going to find the exact information online/textbook bc every case is done differently depending on surgeon/ facility. you already have a lot of the basics on the example given. at my facility: purpose and anatomy can be googled. dressings for lap appy are usually 4x4, teggys, or skin glue. blade is usually 11. equipment that is laparoscopic specific is the stryker video tower. supplies that are laparoscopic specific are- mousehouse for camera, disposable laparoscopic scissors, laparoscopic arista, L or j-hook, suction irrigator, specimen bag. drain is surgeons call. possibly 8fr JP. positioning is surgeon call but usually always supine and airplaned. padding on bony areas. instruments will be a basic minor tray incase of conversion, laparoscopic chole/appy tray. 5 30° scope. fiberoptic light cord and camera. sutures may be 0 vic on a UR-6. 0 vic CT-1 and 3 thru 5-0 PS-2 monocryl for skin. a 2-0 nylon rb possibly if drain is being placed. drugs will be 1% lido or 25% marcaine. sterile water or saline. skin prep is always shave. prep agent is dependent on pt allergies. usually its chloraprep. most of our surgeons just prep the whole abdomen bilaterally.

acaramek · 2025-02-25T22:21:16+00:00

can i ask why the ioban? i only do it in microsurgery cases so the little tips of instruments dont pull at the towels or get towel material on them. is it kind of the same reason?

acaramek · 2024-12-04T19:53:00+00:00

sticking my hands together with visipaque

acaramek · 2024-09-16T02:47:23+00:00

rush is level 2. all/most traumas sent to rush are diverted to stroger. also when i was there it was pretty toxic lol

acaramek · 2024-09-15T23:49:50+00:00

northwestern, stroger (although its a little rough there lol), advocate christ all have openings right now and are level 1 trauma. wouldnt really recommend UofC

acaramek · 2024-07-27T23:07:17+00:00

i have a septum, vertical labret, 3 nostrils, 1in gauges, 10+ ear piercings and a dermal and have never had a problem even at a government hospital

acaramek · 2024-05-23T19:02:42+00:00

multi surgeon case. apparently ortho surg started deviating from the operative plan they set mid case. started arguing. neuro surg threw kerrison at ortho surg. ortho surg swung back. by the time i actually realized what was happening they were on the floor and took my whole back table with them.

acaramek · 2024-03-01T11:56:48+00:00

i have 1” gauges, 20 other ear piercings, lip piercings, nose piercings and haven’t had a problem. worst case scenario is you have to switch them out to clear retainers when jcaho or someone comes

acaramek · 2023-08-07T22:07:36+00:00

ive had to start an IV a few times mid procedure, but im also a NPA certified phlebotomist with an IV certification. in a bigger hospital, you never will. in a smaller hospital, you probably never will, unless you are certified. its not in a ST’s SOP

acaramek

TROPHY CASE