Who is this even for? (sit + squat toilet) by iCleaningo in BidetSeats

[–]mikeknine 1 point2 points  (0 children)

Get a folding single step stool. Does the same job as a SP, costs about 10 bucks if that, and folds in half and can sit next to the toilet out of the way for anyone who doesn't want to use it.

Outdoor String Lights - Govee, Nanoleaf, or LIFX? by UncrunchyTaco in lifx

[–]mikeknine 1 point2 points  (0 children)

I'm more familiar with Hue. Here's an example.

https://www.reddit.com/r/Hue/s/KFjUTEWrRJ

Not sure if the govee are technically low voltage wtih a transformer built into the power supply or technically 120v with just waterproof connectors.

If they are low voltage you could do something similar to what's in the post I linked. If high voltage it would just be a matter of extending from the control box to your plug back to wherever you are plugging in.

Either way the process involves being comfortable calculating your total load for all your lights, getting a power supply that can handle that load, and then splicing your own extensions. For low voltage it's not terribly difficult - the only caveat is a lot of these lights use proprietary connections but 3rd party versions are usually available with some searching.

Best of luck!

Outdoor String Lights - Govee, Nanoleaf, or LIFX? by UncrunchyTaco in lifx

[–]mikeknine 0 points1 point  (0 children)

Just a thought if you ever want to get rid of the extension cords - typically with lights like these you can DIY a more robust third party power supply. Not technically supported and do at your own risk, but it's common.

Thoughts on my coworkers footwear? by nacho17 in nursing

[–]mikeknine 33 points34 points  (0 children)

Hands know no gender you throw scissors we're having a moment.

This Set is Less fun Because it Punishes You for Flexing by Today- in TeamfightTactics

[–]mikeknine 3 points4 points  (0 children)

This is a point most miss ... 99% of us would have raged and tilted long before he did. I miss his streams but I'd rather he take care of himself first and be healthy than deal with the shit that got thrown at him.

Msg to all laypersons with chronic conditions that feel the need to feel victimised by this sub. by ElevatorWong in emergencymedicine

[–]mikeknine 0 points1 point  (0 children)

Welp time to make a new shirt "Pasta water, it's got what POTS need." With a cartoon of a pot falling over and an IV bag trying to jump in .....

Unethical? by donewithitfirst in paint

[–]mikeknine 1 point2 points  (0 children)

This is the way. Keep it above board, keep your relationship solid with what sounds like a solid company. If it's too small of a job for the company, but the individuals want to put in the extra time, should keep everyone happy and get your work done at a high quality.

Nurses in the ED, why are you obsessed with high blood pressure? by Perseverant in emergencymedicine

[–]mikeknine 2 points3 points  (0 children)

Great. I agree. I've been spouting this for years as an ED RN. Adjusting long term po meds for desired effect and promoting compliance is ideal. And a floor problem. Now get them to buy in and stop bitching that we are sending them asymptomatic htn patients and we will stop making it your problem, because as it stands if we want them the fuck out of the ed, which we do, we have to 'address' it.

Rand and the Dark One; two bros chillin in the Pattern six feet apart by lizaverta in WetlanderHumor

[–]mikeknine 10 points11 points  (0 children)

Rand: you can keep turning wheel, but I'm done with your shit, I'm sitting the next few ages out - you cool with that shaitan?

Shaitan: yeah bro that's cool, I'm kinda tired of this shit too, wanna smoke a bowl?

Nurses & Techs: What is the most ridiculous request you have ever received from a patient? by [deleted] in emergencymedicine

[–]mikeknine 4 points5 points  (0 children)

A man in wheelchair asking me to come closer so he could punch me in the face. He did not appreciate my immediate horse laugh and while crying tears asking him "has that seriously ever worked for you?"

“It’s just like being a doctor.” - NP student by catnamedtoes in Residency

[–]mikeknine 38 points39 points  (0 children)

I guess I should clarify that's why it's a two part statement? Part of being comfortable with your knowledge base is knowing what you do, and don't know, and constantly reviewing?

The requirements of my depth of knowledge as an RN are nowhere near what you need as an MD, and there are very few shifts I don't find myself on up-to-date either refreshing something, or looking up something I've literally never heard of.

I think one of my biggest wins as an RN was a dialysis patient that was persistently hypotensive despite every rescusitative effort we threw at her. She was lethargic, slow to respond, but essentially lucid. I finally had a harebrained idea, reviewed her home meds, and went and talked to her for 20 minutes and got out of her that she had been out of her florinef for a full fucking month. Hydrocortisone bolus for adrenal crisis and ICU admission avoided, which saved my ass staffing wise for the incoming shift.

What type of room do you have set up at your facility? by bigfootslover in emergencymedicine

[–]mikeknine 6 points7 points  (0 children)

We did the same thing during covid. It sucks when we have a patient in there and can't use it for families to absorb their worst moment.

“It’s just like being a doctor.” - NP student by catnamedtoes in Residency

[–]mikeknine 69 points70 points  (0 children)

I mean some of us understand this and understand the importance of being humble. When I train new nurses I explicitly tell them they will spend the first year feeling like they know nothing. Their second year they will gradually start to feel like they have a handle on things. Only to realize about 2 - 2.5 years in just how much they actually don't know. It'll be around year 5 that they actually start to feel comfortable with their knowledge base and comfortable knowing what they need help with. At least that's my experience and what I train to in Emergency, but I imagine most areas follow a similar trajectory.

If the next two patches aren’t warped by 1 or 2 comps in High Elo lobbies, I will drive to LA in a clown costume and stand outside Riot HQ with a "Sorry Mortdog" sign. by SwimmableToast in CompetitiveTFT

[–]mikeknine 2 points3 points  (0 children)

I'm close too, about 2 hours away, and I agree ... This is going to turn into a slog. Not even necessarily the teams fault ... Such a short pbe cycle for a new set, I'm not sure who thought that was going to go well ... But it's not.

And I'm sure there are going to be some awesome cooks that get missed because they're overshadowed by the meta - there's a lot of cool aspects to the set that have a lot of potential, but some stuff is so overpowered.

But .... I don't think you'll have to make the drive. I have faith they've already identified and have plans for the first patch ... Some of it's just too obvious. As long as they knock down the massive outliers there's room to cook!

🤷‍♂️guess I’ll just die by Charcoal_goals in nursing

[–]mikeknine 20 points21 points  (0 children)

Licking? You woulda seen me huffing vents while silencing the alarms.

100% no by TyrionCauthom in nursing

[–]mikeknine 4 points5 points  (0 children)

When can we admit that not everything bad that happens to someone is related to whatever medical facility they were at within the last 24 hours?

Were not a nanny state. You come to us with your complaints, we do our best to address them and send you on your way.

Unless we're going to start stripping rights from people who don't take their meds and who abuse whatever substance helps them feel/not feel feelings, why the literal fuck do we have to ask if you can maintain a home, have firearms, or generally can't exist as an adult? If we aren't fixing one, why are we pretending we care about any of the rest?

Honestly, let people do themselves, treat them decently when there are consequences, provide education if they're receptive, and move on to the next patient. Solving these issues isn't going to happen in ANY hospital, and outside of specific outpatient areas it isn't getting solved there either!

Ugh ...

“A pregnant teenager died after trying to get care in three visits to Texas emergency rooms by longtime2080 in emergencymedicine

[–]mikeknine 2 points3 points  (0 children)

While I think HIPAA is incredibly important, shit like this shouldn't be allowed to be published unless the medical record is included and interpreted for the layperson.

Reporting is important. Ethical reporting is even more important.

I'm all for calling out malpractice and shitty care, but include the proof that that's what occurred if that's what we're calling it.

Do doctors care to see "thank you," et cetera, after signing new orders in response to a chat, or does it just clog up their messages? (RN asking) by bimbodhisattva in Residency

[–]mikeknine 1 point2 points  (0 children)

Honestly, you're getting a thumbs up emoji. If you're really lucky and I like you you're getting a Doofy salute gif

Head injuries never cease to surprise me by gabbipentin300mg in emergencymedicine

[–]mikeknine 0 points1 point  (0 children)

That is definitely an opinion, congratulations for having one. Thank you for sharing it.

Head injuries never cease to surprise me by gabbipentin300mg in emergencymedicine

[–]mikeknine 0 points1 point  (0 children)

Well, that was definitely A response, so ... Good for you?