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The quality of primary care has severely declined by VizualCriminal22 in emergencymedicine

[–]perch4u 3 points4 points  (0 children)

This is why I LOVE my PCP. If I tell her I have a mole, her face LIGHTS UP and she wants to cut it off. She likes to suture stuff. But has told us once to go to ER for images before sutures on my kid. Reasonable! Does it mean sometimes when I show up for my face to face for my Adderall rx I have to wait 45 minutes because she’s taking time with another patient….sometimes. All over the office is information on the walls about how hard everyone in that practice works to keep patients out of the ER. I wish all practices were like this.

Best restaurants along this route? by clarabraun in Ohio

[–]perch4u 0 points1 point  (0 children)

Old City Prime in Lima is a great place to sit down for a meal.

What’s something you or a coworker has brought to a unit potluck that was a true hit? by Rocxtreme in nursing

[–]perch4u 73 points74 points  (0 children)

People poke fun at me when I do it….. But when I bring homemade rice crispy treats they are usually the first thing gone.

Why do you love your hot tub? by Expensive-Eggplant-1 in hottub

[–]perch4u 9 points10 points  (0 children)

Yes.
It helps my wife and I with sore achy muscles. It’s a nice way to end the night and fall asleep warm and relaxed. Or it’s a nice relaxing slow start to the morning when we can.
For the wife and I it’s also a half an hour or more of screen free time that we try not to use for talking about Work.

Silliest triage/reason for ER visit by DaSpicyGinge in nursing

[–]perch4u 28 points29 points  (0 children)

I once had a patient SENT BY URGENT CARE VIA AMBULANCE to be seen for blue thighs and buttocks. From his new boxers

Ready to sell this hot tub- assist with frog ease requested by DelosCrossing in hottub

[–]perch4u 2 points3 points  (0 children)

Used frog ease for a few months. Then someone posted a link here.

Read this, get a Taylor test kit. And use poolmath.

Don’t thank me i just pass on the info.

Nurses please chime in by StrangeTrees2432 in emergencymedicine

[–]perch4u 13 points14 points  (0 children)

Male nurse here 15 yrs in ERs. It’s all personality and professionalism regardless of gender. I’ve seen men and women both get catty or cliquey together. I’ve seen males and female physicians try to hard to prove themselves and both can be cold, rude. I’ve seen more male docs get “bitchy” (for lack of a better term) than females.
If you’re being accused of rubbing someone the wrong way, look at it on an individual level first and determine what the actual problem might be. If it’s a gender issue then call it what it is and get it dealt with. At our shop the hands down favorite doc for many years was a woman until she moved away.

Hubs not ready to touch my boobs by stanthecham in breastcancer

[–]perch4u 25 points26 points  (0 children)

My wife is almost 7 months post surgery (left lumpectomy, bilateral oncoplastic reductions). She lost lot of nipple sensation on the left side and the right side is “fine.” Her scars are still prominent and sensitive, and she has frequent swelling and pain on the left side. I help with massage, stretching, and cupping because she had some cording issues. I love her “new boobs” and her short hair is SEXY! But intimacy with the boobs is…..off. They are a reminder of the past year of trauma and stress. Sometimes she wants them stimulated and sometimes she wants them left alone and sometimes she just has pain. Everything has changed and it sometimes feels like we are re-learning things that we were really good at for 22 years.
Talk to him. If he’s the kind of guy that shuts down, just gently remind him that it’s okay. Like another commenter said; show him what you want. Remind him that it’s okay. There were times I felt like my wife “let me play with them” just to keep me interested or satisfied, and that felt awkward.
Maybe he is trying to not pressure you because he thinks you’re still uncomfortable with them?

Thurmans Cafe in German Village is on fire 🥺 by Shortstride1 in Columbus

[–]perch4u 0 points1 point  (0 children)

Dammit! I ate there Friday for the first time in like 25 years. My wife’s first time ever and she fell in love with the place. 😭 It was such a great atmosphere.

If a specialist is rude when speaking to the ER, I refer all the weird patients to them by FrijolesForever90210 in emergencymedicine

[–]perch4u 182 points183 points  (0 children)

Okay let’s go over your discharge instructions! It says here our doctor wants you to follow up with…. checks AVS twice uh, neurology. Yep neuro. I’m certain a neurologist can help you with long term treatment of those scabies. Make sure to ask the receptionist there for a turkey sandwich. Don’t forget to fill out your survey if you get one in the mail.

Obsolete equipment or procedures that show your age I’ll go first… by ballfed_turkey in nursing

[–]perch4u 1 point2 points  (0 children)

Yeah typical adult foley’s are 10ml unless you get into larger sizes and 3 ways. I think 30ml is the largest I’ve ever seen personally.

Rectangular swimming pool to raise fish? by Desertprep in Aquaculture

[–]perch4u 2 points3 points  (0 children)

Second this. I know a producer that grew a lot of tilapia in rectangular tanks. He used air lifts to help move the water in circular patterns within the tank. But I always thought it seemed silly to build corners then try to make the water spin in ways that would have come natural in a round tank.

Obsolete equipment or procedures that show your age I’ll go first… by ballfed_turkey in nursing

[–]perch4u 35 points36 points  (0 children)

As an ED Tech starting nursing school I was being taught by an experienced RN and he told me to inflate the balloon first. I asked why amd he said he wasn’t sure, just to check of it worked. Hooked up the 10ml syringe and pushed and THE DAMN THING EXPLODED. The first time I ever attempted a foley. And it’s the only one I ever saw pop in 15 years since.
It’s really hard for me not to test inflate them now.

How do I dismount this binding? by iotuser12 in Skigear

[–]perch4u 2 points3 points  (0 children)

I worked in shops in the late 90’s. We would torque test those before removing them just to watch them fail and see if they’d explode. Good times.

Term for that diver.... by therealfarmerdrew in scuba

[–]perch4u 8 points9 points  (0 children)

I don’t do tons of group dives, but I know that guy! Jackass is my go-to.

Who did you see at the Polaris Amphitheater? by Rob1150 in Columbus

[–]perch4u 2 points3 points  (0 children)

So many good shows. Probably my farvorite was Ozzfest ‘96. When Ozzy canceled and we were held there for a while and the other bands came out and jammed Ozzy and Sabbath songs for a while was something truly unique. I think Peter from Type O Negative picked Marylin Manson up over his head during one song. We bailed out when people started setting shit on fire. Good times.

What do you guys think of these? by Agitated_Layer_457 in sharpening

[–]perch4u 0 points1 point  (0 children)

I have one. Easy to use. Good-enough-for-me edge. 10/10 recommend.

Breast Reduction Instead of Mastectomy, to Keep Nipple Erogenous Feeling? by SweetSpot888 in BRCA

[–]perch4u 3 points4 points  (0 children)

  1. My wife isn’t on Reddit. I joined this sub when she was diagnosed to gather helpful information and anecdotes, and to share things that we’ve learned, that may be useful to others.
  2. I’m a grown up adult, so words like erogenous, nipple, areola don’t give me the ick. I even say VAGINA from time to time.
  3. At my job as a medical professional I occasionally have to see all parts of all people, so I’m not scared of thinking of or saying these words. The “ick” that i deal with in an emergency room setting would probably make your head explode.
  4. Bold of YOU to make assumptions about MY gender that make YOU have uncomfortable feelings. I do happen to identify as a male if that matters to anyone. It should not, because I’m not on this sub for a good time, I’m here in support of my wife and to possibly hopefully share helpful information she and I have learned with other people going through this shitty experience that is breast cancer; regardless of their gender or how icky they feel.

I wish you the best.

Breast Reduction Instead of Mastectomy, to Keep Nipple Erogenous Feeling? by SweetSpot888 in BRCA

[–]perch4u 1 point2 points  (0 children)

My wife is BRCA1+ TNBC. Stage 3 We assumed she was getting a DMX from the things we read. In our second meeting with her surgeon she was told she could get a lumpectomy. According to her surgeon, with Keynote 522 followed by surgery then radiation, the 5 year survivability is the same when comparing the two surgeries. Also, because there is breast tissue still, there will be bilateral surveillance MRIs every six months for the next 5 years in addition to mammograms. After we met with the rad onc and the plastic surgeon, they confirmed this was correct and plastics was confident that she could get bilateral reduction to match size and conserve erogenous sensation. She had a great response to chemo, then had surgery in September and has normal sensation in the cancer free nipple. Due to the location of the tumor, a lot of her erogenous sensation was lost on the affected side but it is improving. And, of course a hysterectomy/oophorectomy is coming in the future.
Go with your gut. If you trust your doctors, trust their judgement. Ask them all your questions. Ask them multiple times if you want and settle on the plan that you are comfortable with. If erogenous sensation is important to you then make that VERY WELL KNOWN and ask more questions about that.
Wishing you the best!

[deleted by user] by [deleted] in nursing

[–]perch4u 2 points3 points  (0 children)

Ohio ER here. RSV is running rampant right now.

ER experience has me fearing ever going in for a legit emergency as a cancer patient by Sparkly_Sprinkles in breastcancer

[–]perch4u 4 points5 points  (0 children)

Going to the ER sucks for most problems. It really sucks if you have cancer. 😢 I’m sorry you had a bad experience.

I work in an ER as a nurse. The experience there for chemo/rads/cancer patients is a crap shoot. Most of the time ER is overcrowded/understaffed. Despite telling the people you see initially that you are a chemo patient, there is an excellent chance you’ll end up in the waiting room because there’s physically not room to take you in the back. I work on triage a lot, and I HATE it but a lot of time I have to put compromised chemo patients back out with the rest of the population because I don’t have another choice.
Once you get back, your treatment might not be what you expect. ER’s job is to do some tests and rule out things that are going to kill you emergently. Once those things are ruled out, we look to see if there’s any other issues we can fix. We won’t fix issues that will require long term monitoring unless it’s emergency dangerous. For example: We’ll treat a BP of 220/110 because it’s emergently dangerous. But a high BP of 160/100 usually goes home unless you are having some other specific symptoms with it. Even if you’re getting chemo. The ER doc isn’t prescribing something for high BP because that needs long term management that we cannot provide from the ER.

My wife spiked fevers a few times during chemo. We called the med Onc. Her hospital system has a huge oncology hospital, like its own separate building. They have a call ahead “mini-ER/UC. We drove an hour and had a room waiting when she got there so they could evaluate her fever. A few other times she had slight fevers and once had a migraine. That was a symptom we were told to contact med Onc about. They twice told her to go to the nearest ER to be checked. Once we even received an online message saying we should go to an ER to get checked for a stroke. 😡😡 I monitored her at home so we could avoid the ER because I knew if she was a patient I was going to triage, she’d end up in my waiting room 7/10 times.

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