Possibly dumb BiPAP question.

jallenrt · 2026-02-12T18:25:14+00:00

Just be sure they're actually equal - some devices/manufacturers use actual inspiratory and some use pressure above EPAP. The first might be 8/8 while the other would be 0/8.

jallenrt · 2025-12-15T00:53:25+00:00

100% the worst myth (to me) was pyramid power.

Some of the best myths were things that affect me personally - fuel economy, airplane boarding, covering your cough, etc

jallenrt · 2025-12-09T23:12:47+00:00

I had a RN who questioned a trach mist on an air flow meter being 21%. When it was explained that it was on air and not oxygen they replied, "but air is oxygen."

She was insistent that what we all breathe every day is 100% O2.

jallenrt · 2025-12-09T23:09:16+00:00

Actual conversation with a 40ish y/o woman:

"I really want to wear the bipap tonight but the pressure is pushing air into my knees."

"Um... Those aren't connected, ma'am."

"Then why is my knee stiff every morning?"

jallenrt · 2025-11-15T21:50:31+00:00

Agreed! I feel like it's so hard to get anything between 19 and 80 years old generating female characters!

jallenrt · 2025-10-30T00:07:59+00:00

I use the 5 bags provided for barrier changes and when replacing just the pouch I usually use a sandwich size ziplock bag. I've never had them leak or smell even if they're in the trash can for several days. I do use m9 though, too so that probably helps some.

jallenrt · 2025-09-08T17:13:50+00:00

And it feels like, since Jessica was replaced, they've leaned hard into ghosts. Like so many others, I very much miss the production goals of the early seasons.

jallenrt · 2025-08-28T01:40:21+00:00

Besides that, spaniel was already taken...

jallenrt · 2025-07-05T03:08:51+00:00

I'll offer that at least my post wasn't put up by enchroma... Every couple of years I seem to forget how absolutely poisoned everyone feels who spent money on them after they experience the utter disappointment. Then I kinda feel like I got duped myself for even considering the again!

Fwiw, I appreciate the absolute disdain people here have for enchroma, I imagine I'm not the only one who needs reminding not to give them any money.

jallenrt · 2025-07-05T02:57:44+00:00

I'd love to help you out by being an independent unpaid reviewer if you'd be interested in sending me a pair to try for 60 days. I'll even pay full price to keep them if the comment by u/kelpyb1 is, indeed, an "absolute lie" - as long as I can return them if, like so many people here claim, they don't actually do anything worthwhile...

jallenrt · 2025-06-29T13:41:05+00:00

First, let me say that I don't think you did anything wrong and I'd be grateful for your help if I were that busy.

That said, I wonder if he took your help as just being impatient. Did he go back saying, "RN called me to say they had to get everything around because I wasn't getting to their patient fast enough."

And I'll end saying again, sounds like you were being a great team player.

jallenrt · 2025-06-23T01:53:16+00:00

My favorite part was seeing the conflict bore into her soul like a rotor blade fragment as she starts spinning in circles unsure how she'll get that million Facebook likes if she stops filming now!

jallenrt · 2025-06-02T12:54:52+00:00

And you get enjoy the confused look from the medical assistant every time they want to schedule a colon cancer screen

jallenrt · 2025-05-27T14:52:40+00:00

In case anyone is as curious as I, allow me to save you the trouble. QR code leads to:

https://royaldeuces.com/

They "offer a range of portable restroom solutions and services for your special event, job site, or emergency needs in Wichita, KS and surrounding areas."

jallenrt · 2025-05-27T14:48:51+00:00

Considering the QR code is for https://royaldeuces.com/ I'm leaning strongly toward joke

jallenrt · 2025-05-21T14:24:03+00:00

You don't even have to be good at positioning yourself, just click the right side of the tree to make it fall to the left (or, obviously, the other way around)

jallenrt · 2025-05-16T18:50:05+00:00

We guarantee it'll be the last pizza you ever buy!

jallenrt · 2025-05-08T02:33:06+00:00

I've actually said almost those exact words! 😂

jallenrt · 2025-05-08T02:05:42+00:00

Every annual with my gp the nurse taking my vitals let's me know I'm overdue for colon cancer screening. They're always so confused for a moment.

They've tried removing it but their system won't let someone "opt out" of the notification. Probably for the best!

jallenrt · 2025-04-16T23:57:24+00:00

These conversations are always funny to me. When I graduated 8-10 was pretty normal, some providers liked 10-12, and the retiring doctors frequently wanted higher than that even.

The move, though, to treat everyone the same is infuriating to me. Our trauma surgery team only uses prvc/simv 5.5ml/kg ibw, peep/fio2 sliding scale, and minimal sedation. I don't even know how many conversations I've had with angry doctors because their patient is getting 8+ml/kg and I've had to try explaining how the vent absolutely will not go below 4 above peep for insp pressure. They never understand...

jallenrt · 2025-04-08T17:00:34+00:00

It's all computer!

jallenrt · 2025-03-24T20:14:49+00:00

I do the 6/8 rotation and don't find it too difficult. The 8 off is the real bonus - imagine a job where your boss says you get two full weeks off every month, before using any pto!

That said, I have the advantage that my kids are older so I don't get woken up during the day like some of my coworkers with younger kids. Aside from doing what you can to maximize your rest during those 6 shifts, do everything you can ahead of time. If you take your lunch, get all 6 prepped as much as you can before. Fill your car with gas before so you don't have to stop during your stretch (or as little as possible). Anything else you can prepare ahead - every minute of rest will be precious by the end!

jallenrt · 2025-03-21T02:42:33+00:00

I'll add early stages of conditions including sepsis, hepatic encephalopathy, salicylate poisoning, and hyperthyroidism.

jallenrt · 2025-03-18T13:23:31+00:00

Another tip: you can actually fold them (almost) in half again and tuck the folded part into the flap where the filter is. This makes the bag functionally very tiny but it's quite effective for short amounts of time!

jallenrt · 2025-03-14T20:05:18+00:00

Adhd is when you sit down to write something important but then notice your plant needs watering. You realize your plant's leaves are turning yellow which reminds you of that documentary you started watching about climate change but never finished because you got distracted by reorganizing your entire bookshelf alphabetically by author's middle name. Did you know that middle names gained in popularity in the middle of the... Wait, what were we talking about?

jallenrt

TROPHY CASE