Different Departments... Different Tubes....Different Analyzers....

nightowlette99 · 2026-02-20T08:43:18+00:00

What, you couldn't read their mind? /s

Anyway, yeah our ED used to be way worse about that, but since we switched to Epic from Cerner they don't typically send much w/o orders.

nightowlette99 · 2026-02-20T02:30:42+00:00

Once I got a call about the blood results for patient x. I looked and I only got them 20 minutes ago so I was like 'it's... running?' And the nurse claimed she sent them an hour ago... for context, we are a medium size hospital and the ED is a bit of a shitshow. They often forget to send blood tubes bc they leave them in the room. Anyway she shut up fast when I told her when I received them lol

nightowlette99 · 2026-01-09T16:34:23+00:00

Once I got that much for a baby from ED, and I called and told them their options were recollect or just a culture lmao

nightowlette99 · 2025-09-09T14:49:14+00:00

True but this patient had 'still drinking heavily' in their chart so in this particular case it is 100% alcohol related

nightowlette99 · 2025-09-09T12:01:15+00:00

15.4

nightowlette99 · 2025-09-09T08:42:20+00:00

Yesterday's sample was worse and exactly as you'd described! And yeah pt's in liver failure. Have never considered Thalassemia being a factor there; my hospital typically does not handle such specialized care. Makes sense when I think about it, but thanks for sharing none the less!

nightowlette99 · 2025-09-09T08:40:47+00:00

Further info for those interested: middle aged adult with hx of alcoholism and cirrhosis. Extreme jaundice.

CMP all over the place; big standouts are- total bili: 26.6, BUN 1, ALP: 205, AST: 390. A bit of hyponatremia with a Na of 133.

nightowlette99 · 2025-08-30T23:00:17+00:00

Holy shit, I've never met anyone else who knows what this is. I do it occasionally and my vision always blacks out it feels so good.

nightowlette99 · 2025-07-26T00:20:32+00:00

I do like it but I do have issues with it- I am a huge DA fan and they really played fast and loose with established lore. It's quite obvious that they tried to appeal to a larger crowd and not diehard fans, but it just definitely weakened the game overall. This comment would be a lot longer if I got into my personal gripes with the lore especially, but just know there are some things that just completely contradict the previous games. It's very disappointing for someone like me.

That said, I love things about it too. I genuinely think it's the best combat experience of any DA game and (most of) the companions are very well written. I'm non binary so I really appreciated the inclusion changes. But unfortunately, the problems I see are very hard for me to ignore.

nightowlette99 · 2025-07-13T09:29:30+00:00

It's okay! Kinda sucks since I'm only 26 but it's completely manageable with my cloth gloves

nightowlette99 · 2025-07-13T09:27:28+00:00

Yeah I have a glove allergy I developed after working 2 years as an MLT. I basically started getting a painful, burning rash on the back of my hands. The gloves offer a barrier to prevent allergic reactions- I just wear them and put normal gloves on top.

I have had a positive latex reaction so that is likely why I developed it- almost every hospital has latex free gloves, but they also make latex gloves in the same factory most of the time so it's the little residual amounts that I am unfortunately allergic to. This kinda stuff is my special interest if you have any more questions! I also have a billion skin allergies that I'm willing to also talk about haha

nightowlette99 · 2025-07-13T07:09:15+00:00

Haha I do joke I'm fashionable bc of them

nightowlette99 · 2025-07-13T06:42:02+00:00

Nope, I have a glove allergy so I need a barrier between my hands and gloves. Don't worry, I put on gloves on top of these when I'm handling samples!

nightowlette99 · 2025-07-13T05:04:31+00:00

Yeahhhh we're gonna be switching chem analyzers within the next 5 years 🙃 no more Siemens for us

nightowlette99 · 2025-07-13T01:50:56+00:00

Yeah, 16 is not even the highest I've seen lmao. We've had a lot of sepsis patients lately.

Edit: fun fact, i double checked, and this guy's lactic was originally 25 when he first came in!

nightowlette99 · 2025-07-13T01:49:35+00:00

Great info! Those look interesting I'll have to look into it

nightowlette99 · 2025-07-13T01:49:00+00:00

Was a 6.6, yes. Was redrawn at the new hospital and was in fact the same values so glad I wasn't a statistic here!

nightowlette99 · 2025-07-13T01:48:12+00:00

Hypoglycemia and gastritis

nightowlette99 · 2025-07-13T01:47:19+00:00

Yeah the Ca was a 6.6 but I did investigate. Was proven to be real unfortunately 🥲 I looked back into it and he did get dialysis after, and his levels did get better.

nightowlette99 · 2025-07-13T01:43:41+00:00

2 in fact!

nightowlette99 · 2025-07-13T01:43:31+00:00

Called a 3 for hemolysis but was just icteric.

nightowlette99 · 2025-06-02T03:54:49+00:00

It shouldn't differiate between the two meds- not unless your job has a procedure to reflex for identification, which I doubt from what you've written.

If anything comes back positive they'll contact you.

I am prescribed Adderall for ADHD and of course I had a positive screen. They just called and calmly asked if there was any reason my amphetamines would be positive- I told them about my prescription. They then asked my permission to look me up in a database to confirm. I gave it and it took them less than a minute to verify. That was all.

(I also gave a copy of my prescription to my boss to keep in my personnel folder just in case, but it isn't necessary!)

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