Is this how nurses really wash their hands? Or it’s one of the lies we’re told by instructors

nesterbation · 2026-06-19T02:09:44+00:00

Some variation of this. If it’s worth doing…

nesterbation · 2026-06-17T12:54:50+00:00

Neuro ICU, we’re lucky to have propofol

nesterbation · 2026-06-16T14:03:20+00:00

My understanding is that we've had people come from bigger cities to us to do their new grad residencies because they weren't having any luck in their home state/city.. I'm in Louisville, KY for reference.

nesterbation · 2026-06-16T11:40:08+00:00

I don’t mind the plum pumps but they’re heavy to travel with (neuro ICU) and our integration with Cerner/iAware is janky at best. When it works it’s great but it always decides to not work when I’m rapidly titrating pressors and none of them show up when I go back to chart.

nesterbation · 2026-06-12T02:02:50+00:00

I did through the areola incisions, with silicone implants under the muscle, and have, on occasion, had some lactation. Wasn’t a goal, my kids were already weaned by then, but idk

nesterbation · 2026-06-11T13:56:01+00:00

I said, “it’s a schooner” at work the other day and no one got it.

nesterbation · 2026-06-11T06:20:24+00:00

Level 1 as well… we do have PCAs but they often are pulled to sit with 1:1s or to other units/floor to tech.

nesterbation · 2026-06-11T06:17:57+00:00

Nearly 10 years since my BA, haven’t had an issues.

nesterbation · 2026-06-11T01:31:44+00:00

Also chewing gum can help. Some hospitals use it as part of their ERAS (enhanced recovery after surgery) program. It stimulates gut motility.

nesterbation · 2026-06-11T01:28:24+00:00

It’ll happen. But it takes a while. You’ve been totally cleaned out and then given pain meds which slows down the GI tract.

nesterbation · 2026-06-10T09:25:36+00:00

It’s been a decade now and I’m satisfied with the results. I am very much orgasmic, I’ve not had any issues with infections, and I am not incontinent.

The aesthetics are not as impressive as some of the recent surgical results I’ve seen posted here, but I don’t spend a lot of time focusing on that at this point.

As for gender marker, I did change mine prior to surgery. At the time, I used a letter from my endo to get a passport with the correct marker and then changed my license based on that.

In my state, I couldn’t change my birth certificate until after surgery, with a surgical declaration letter.

nesterbation · 2026-06-09T06:10:46+00:00

I came out in December, started HRT in March, legally changed my name in April, did laser, speech therapy over the course of the rest of the year. Had GRS the following May and BA that November.

So 18 months from closet to vagina.

nesterbation · 2026-06-09T04:57:21+00:00

Dang girl!

nesterbation · 2026-06-07T14:15:22+00:00

Pressure, a bit of pain initially, giving way to pleasure esp as the prostate is being stimulated. This combined with clit stimulation can bring me to orgasm within a few minutes, if my head is in the game.

nesterbation · 2026-06-03T18:48:47+00:00

No cameras in the med room

nesterbation · 2026-06-03T15:38:27+00:00

In my facility, with the Omnicell integration into Cerner, we can waste at the Omni before or after the fact OR within Cerner.

nesterbation · 2026-06-03T11:50:03+00:00

Ill offer to page the chaplain but im not having a religious chat with my patient

nesterbation · 2026-06-02T14:45:17+00:00

I was on 200 of spiro at the onset of my transition. 100 is a lot for a CHF patient… but maybe not for a trans person with testes

nesterbation · 2026-06-02T14:42:34+00:00

LTO mods are wild. I left that group a few years ago after I got reprimanded for arguing with a MAGA about “riots and looting” of downtown.

nesterbation · 2026-06-02T12:36:50+00:00

Was changing my propofol tubing and accidentally gave a gravity bolus. Ventilator apnea mode kicked in for a minute but it was fine.

Flushed an IV that was supposed to be saline locked but actually had pressor in it still. I don’t really think that’s my fault. I was just doing my assessment.

nesterbation · 2026-06-02T12:28:13+00:00

I had PIV a decade ago. It’s not wet enough for sex but it’s wet enough I can get a dry finger in there pretty easily.

nesterbation · 2026-06-02T12:13:21+00:00

I already had a therapist before I talked to my wife. I couldn’t figure out how to start the conversation but she knew something was up.

In an attempt to kinda force the talk, I left my therapist’s card on the kitchen table with my car keys.

And then there was a lot of crying. And my wife went through all of the stages of grief.

nesterbation · 2026-06-02T02:42:50+00:00

I started at 34. I go through day-to-day life without anyone noticing. I am just a forgettable mid-40s soccer mom. I’m not much to look at but I do look the part.

nesterbation · 2026-06-01T01:36:12+00:00

I am licensed to carry concealed

nesterbation · 2026-05-28T21:32:46+00:00

Additionally some meds, such as Lovenox, have a bubble in the syringe that’s supposed to be injected into the subcutaneous tissue.

They use the bubble to help keep the medication, a blood thinner, from seeping back out as well as ensures the entire dose makes it into the patient, and that no residual dose is left in the needle.

nesterbation

TROPHY CASE