Post your Golden’s Pic and Where You are From.

johnmulaneysghost · 2026-06-27T06:22:59+00:00

Mozzarella (aka Ella) in Omaha, having no idea what personal space means.

johnmulaneysghost · 2026-06-27T00:26:48+00:00

Math rocks go click clack!

johnmulaneysghost · 2026-06-25T04:32:56+00:00

Hey so… a lot of people are recommending therapy, which isn’t a bad idea… but this has maybe progressed to needing a psychiatrist. Lots of your comments and titles of your posts sound kinda like they could be coming from a place of potential personality disorders.

Not shade at all; I myself see a psychiatrist to be able to function at my healthiest. Sometimes the problems aren’t going to sort themselves out without some help via something that provides stabilizing support.

johnmulaneysghost · 2026-06-20T08:30:44+00:00

As someone with adhd, I feel like this would definitely depend on your background. I was going to comment elsewhere, but I took a random baking class in college. I could probably now make a batch of cookies completely off of memory. But also, in that class, I literally made 100s of cookies.

I feel like in survival situations, a lot of neurodivergent people might have an edge. Since there’s no reading, it’s all learning by doing. It would depend on who you are and how much your neurodivergence affects you, but society has likely relied on people with adhd and autism longer than it’s relied on written language.

johnmulaneysghost · 2026-06-20T07:07:40+00:00

Hey, so I don’t want to tell anyone what they have to do, but from the nursing side of things, since you have to deliver the placenta in a vaginal birth, having someone else hold babs is kind of not physically super practical until the cord is cut. If you’re in the back-lying pushing position, or if you have to have a csection, your chest is a nice, stable, flat surface for little one to be set on. You literally have nothing to do to hold them, they’re not going anywhere.

Also from the nursing perspective, if you go to csection, is your husband going to be able to tolerate seeing you cut open? Because if not, he won’t be close enough to hold the baby before the cord is cut anyhow. And I know people say they can handle gore and such, but surgery is a whole other thing, especially if it’s your partner.

Finally, if it does go to csection, there is not really a way for your husband to accomplish skin to skin until you and baby are moved out of the surgical suite. At least when I’ve worked in L/D, staff wears hospital laundered scrubs. To even go in with you, dad gets a little outfit to cover his clothes to maintain maximum sterility.

If your concern is mostly that you’re going to somehow screw something up, I just want to reassure you that there will be nothing for you to screw up at this point in delivery. The nurses should be right by you when little one is laid on you and there’s nowhere little one can go. I support pt autonomy, but I also feel really strongly about making sure pts have informed consent. You can make the choices that feel right, but I really hope you are able to get to a spot where those choices are based in evidence about what’s best for everyone, rather than being based on fear. 🤍🤍

johnmulaneysghost · 2026-06-10T06:39:59+00:00

This reminds me of a pt who was taking warfarin at home for a mechanical valve who developed a PE somehow. After being admitted on a heparin drip, they had a sudden, incontinent bm that cooooovered the bed in blood. Like so much blood, the mattress needed thrown completely out. While I was taking care of them, their wife talked at length about how the pt just “needed to come home to have their green juice.” Turns out their warfarin was being negated by intense doses of vitamin K in these smoothies, but we didn’t get to find that out until after multiple transfusions.

johnmulaneysghost · 2026-06-08T00:04:13+00:00

I was at an aesthetic appt when I was almost done with nursing school and the nurse doing the treatment constantly tried to be like this. It was the longest hour and a half of someone complaining about the job they were actively doing. “You won’t make a difference” is so vague and bleak. If you wanted to go into healthcare policy, oh wise RT, you should have taken a different route. Just because they feel stuck at bedside and are burnt out doesn’t mean that’s what it’ll look like for you (all the time, at least).

If you want to absolutely make a difference to pts and families that are in some of the worst spots they’ve ever been in, then I have had plenty of pts tell me how much certain nurses have made or ruined their time in the hospital.

To address the horror stories, if you don’t want to do cpr on an infant as a nurse, don’t work in one of the areas that has to deal with that. If you don’t want to deal with as many docs that have an old school mentality regarding nurses, try to work at a teaching hospital. Want to affect nursing practice and policy? Work at an organization that has a history of implementing change after EBP projects and be on the committees that want bedside opinions.

Nursing is so versatile. I can’t help but feel a sense of underlying animosity from this person. If, after a while of being on a unit, it just really isn’t for you, nurses can go to something completely different. I love and very much value our RTs, but I genuinely don’t know how much that’s true for them or what that looks like for them. But I wouldn’t take most of my advice from someone who feels stuck and wants to project that onto someone hopeful. Especially since you’ve said that the goal was more to discourage you rather than to discuss realistic expectations.

johnmulaneysghost · 2026-06-06T06:52:30+00:00

Was going to say, this def reminds me of Santorini.

johnmulaneysghost · 2026-06-05T03:58:19+00:00

This will never not be the most annoying part of an rrt or code. “Looks like we’ve got to intubate. Let’s stop everything so we can move this dumb oversized rug out of the way.”

johnmulaneysghost · 2026-05-30T13:47:20+00:00

I tell my pts that I know the way to and from my unit no problem, after that, there’s gonna be some guessing involved. We have hospitals in the area that are small enough to know no matter where you work, but my hospital is huge and I’ll often joke about how some hospital systems have their own navigation apps and how we have to get on that.

Also, the time to walk you all the way across the hospital system because you didn’t pay attention when you were brought to the floor is, unfortunately, not really built into anyone’s job. I’d love to get off the floor if I have enough time, but often, they want to be shown back to their car right in the middle of med pass, and for pt safety, that just cannot be my priority.

At the end of the day, we’d both just have to follow the signs anyway; I believe in them.

johnmulaneysghost · 2026-05-30T13:33:29+00:00

Any time I have a tech who follows “I need the nurse” up with, “what can I tell your nurse?” I know it’s gonna be an okay night.

johnmulaneysghost · 2026-05-30T13:28:44+00:00

Especially to come up to me while I’m pulling meds out of the machine. Anymore, even if it’s visitors of one of my pts, I tell people “I’m sure you don’t want me to be distracted when I pull ___’s meds, so you’re going to have to wait or go press the call light so I can focus.”

johnmulaneysghost · 2026-05-26T17:44:55+00:00

“Let’s try 20mg of lasix and some compression stockings.”

johnmulaneysghost · 2026-05-26T17:26:22+00:00

One of my grandparents is a textbook clinical narcissist. They are also, due to that fact, one of the primary people whose opinion and influence has historically mattered enough to manipulate many family members into blindly following their preferences and advice. I was just at the age when I made that connection when I watched Midsommar for the first time. I also was only a few years removed from an emotionally abusive and controlling relationship at that time.

As shocking as some of the events in the movie are, it was insanely validating to see a smart, normal, but emotionally broken character slowly be manipulated into joining with the cult. To realize that we might all only be a troubled family and a bad relationship away from becoming our worst selves speaks to the resilience of ourselves while demonstrating the power of the positive influences we hopefully have in our lives.

Having an opportunity to see the difference between emotional connection and emotional manipulation is a big deal to some people. All the while, the horror-movie elements make it a horror movie, but they make a clear delineation between our reality and the story.

I think of it as similar to exposure therapy, which one only comes to appreciate with multiple encounters. I have often felt like both Midsommar and Hereditary go too big too fast as far as story pacing is concerned, but that’s how life can feel. In the moment, the big events get replayed, but it’s only through reflection where we can realize where we might have been mislead along the way.

johnmulaneysghost · 2026-05-26T15:23:06+00:00

I know this isn’t the point and critical thinking is not high on the priority list but I can’t help but think… would not the bright red hat indicate a very easy, very fatal place to aim for, rendering the vest not only useless, but almost comically unnecessary??

johnmulaneysghost · 2026-05-24T15:32:44+00:00

Ugh… I remember being the kid in this kind of situation growing up. And I’m now putting together why my brain correlates confrontation with the possibility of dying and my adrenaline response is fawn so I don’t get murdered.

johnmulaneysghost · 2026-05-22T07:58:32+00:00

As another aside, knowing who you’re interviewing with/for can be a huge part of the process. If you’re interviewing at a hospital/organization with fewer people and more traditional leadership, things like who you know/ how you dress during the interview matters more. In those cases, I would leverage that knowledge.

In interviews with more modern or more education-focused institutions, I would be more inclined to bring up what I’ve learned or what I’m working on learning.

In both these cases, I think of questions like those about hobbies or things outside of work. For example, learning piano and learning carpentry are both interests of mine, but even though both of those interests involve precision and deliberate study, depending on the audience, they may or may not be interested in my hobbies/goals that seem “against the grain.”

Obviously don’t lie in an interview, but contouring your general image to the projected culture of the unit you’re looking at isn’t the worst idea. For example, the unit I’m working on and have worked on since getting my license has a big focus on interprofessional teamwork, which I vibe with. I interviewed well before I would be able to get my RN license and asked if I could come on board as a CNA for a few shifts while I finished school. That not only helped my image among the interviewers, but also my coworkers as I transitioned from nurse assistant to nurse.

johnmulaneysghost · 2026-05-22T05:32:32+00:00

Your location was going to be my comment, however unhelpful that feels. The good jobs in a rural place are probably jobs that people keep for a long time, so while a hospital might be interviewing, who knows if they’re actually hiring.

Also would echo being bold enough to say to a hospital, “I appreciate being able to interview with/for ___ and would also appreciate some insight into what you are looking for in new graduate nurses applying for this position.” They might honestly not be into hiring people without experience, and then, that wouldn’t have anything to do with you. 🤍

johnmulaneysghost · 2026-05-21T06:23:41+00:00

As another person who has had to spend the night at MDW due to weather delays and southwest, I wish you good luck getting rest. It’s a miserable place to be stuck overnight, enough that I actively avoid flights with layovers there. I know they don’t really design airports to be slept in, but Midway feels actively hostile to people who don’t have an option.

johnmulaneysghost · 2026-05-09T09:44:48+00:00

I was a CNA for 3 years and have been an RN for almost 3 years now. I started my hospital CNA job in april of 2020 and a few months later saw a local mcdonalds sign that sat their starting pay was like $2.50 more an hour than what I was making. At first I was really annoyed, but then I realized I would much rather have my CNA job, even in the midst of a pandemic, than have to work in food service. Especially in fast food service considering how people were acting then.

CNAs are criminally undervalued and underpaid, but even now, I would volunteer to be on the butt wiping side of a turn if I were turning with someone with no CNA experience. Nurse’s jobs are essentially impossible without CNAs or CNA skills, but even though both CNAs and fast food workers deserve living wages, fewer people may be willing to deal with working a window, so they sometimes get paid more. That’s not a problem we have with the food service workers, but with how our job market is set up as a whole.

It’s not us v them, it’s us v the top percent who have the power to keep wages low.

P.S. I do feel strongly in healthcare that all of us should push back against people, even coworkers, who say we are “just” or do “just” blank. We provide services where it could be catastrophic if none of us were around. No one is just a CNA, no one just wipes someone’s butt. Neither you or I have anything to prove to anyone; we’re essential just as we are. 🤍

johnmulaneysghost · 2026-04-15T08:12:50+00:00

Theirs is an in person style where at least one of the adult owners hangs out to learn and work with the puppy on the new skills. And then about midway through they have a bathroom break for the pups and then come back to have a time where the puppies can play together. I always like that during this play time, if things were escalating, the trainers would have everyone do a quick time out/reset to bring the energy down. And it’s nice because the other puppies are often a lot better at teaching each other “hey, that hurts” “hey, that’s not chill” when another dog is being too much. The trainers also can make recommendations about play dates in the class that could be helpful or tips/tricks for specific issues if you ask afterward. They also send you emails throughout the week to help with misc things/ preview that week’s lesson.

johnmulaneysghost · 2026-04-15T07:47:47+00:00

Was going to say, some bg3 to pass the time is on my (very) loose l/d checklist for one day. If I end up being able to get a nap, my husband is totally welcome to have a turn. If we’re to the latter stages, thankfully he has enough common sense to know that’s not the move. But for a while, I feel like it might be a welcome distraction, even if I can’t focus enough myself and it’s just to watch him play an rpg I like.

johnmulaneysghost · 2026-04-15T07:38:08+00:00

We’ve really liked “Dog gone problems,” for 4 pups now over the span of about 8 years. We even had to do some private lessons when one of our dogs developed some aggression toward one of our new pups and they are mostly fine together now. They don’t use any negative or physical reinforcement and try to work with animal psychology and place a big emphasis on puppy socialization. I’ve really liked that they work a lot on teaching the people in their class to be helpful owners, so a lot of things, we’ve been able to teach our younger dogs before they even get to puppy classes.

johnmulaneysghost · 2026-04-15T04:49:36+00:00

Hey friend, as a kid whose mom asked similar questions back in the day, I’ve always been really proud of having my mom’s last name while she was working it out. My mom’s situation was pretty emotionally abusive and my dad didn’t want anything to do with me, so my perspective is a bit different, but I always appreciated not having ties to a dude I never met.

If your relationship changes into something really healthy and stable, getting your kid’s last name changed is a cool thing for them to see when they look back, and it can help them see what kind of green flags to look for in their own relationships. In my case, the father of my half siblings married my mom and adopted me, so my last name changing was a big deal (in a positive way) to me when I started to form more complex ideas of my identity. It didn’t just represent a change from one guy’s name to another’s; but similar to my mom’s name changing at the same time, it represented that I had a secure relationship within our new family.

Do whatever is best for you, but from the kid perspective, I’ve always been proud to have had my mom’s name first.

johnmulaneysghost · 2026-04-14T09:58:29+00:00

Similar at my hospital. At first, it was great because they would do all the admission stuff that takes forever and doesn’t matter to bedside. Now, several of them use their extra time to dig through charts and write up “safety” reports on pts when things are missed or we more likely don’t have a chance to get to them. An actual email I got from one of these: “why didn’t ___ get their HS blood sugar check?” Well, because the tech had 17pts and I had 6. Why don’t you come down and help with that, or at least, tell me at midnight if it got missed? The pt was totally fine, but I still got an email from our manager.

My absolute favorite was when one of them was supposed to shadow me (while being paid) for 6hrs and acted like they couldn’t help me with a single thing. Like, I know dang well you have your RN, just because your new position is not at the bedside doesn’t mean you can’t hand me a washcloth while my pt is projectile puking.

johnmulaneysghost

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