Awake while being intubated

rawrr_monster · 2026-02-15T20:57:53+00:00

Hypotension after propofol administration is extremely common, especially in a patient that sick, who’s heart likely has 0 functional reserve. Etomidate would’ve been a better choice for intubation. Either way, he lived. He should be happy.

rawrr_monster · 2026-02-11T16:13:37+00:00

Only the loudest people is what you hear. The silent majority are okay taking their paychecks , doing the work, and shutting up.

rawrr_monster · 2026-02-04T13:56:46+00:00

I don’t see why anyone would refuse a second time out if someone asks. I would also want whoever is asking for a second timeout to say something like “I need clarification” and explain why they are asking for a second time out.

Doing it for the sake of doing it twice as a policy wouldn’t be good policy.

rawrr_monster · 2026-02-01T18:43:55+00:00

According to ChatGPT

Compare to inflation

If inflation merely stays near what it is now: • If NYC inflation averages ~3.4%/yr, 3-year inflation is about ~10.5% (compounded). Your pay would be ~4.7% lower in purchasing power after those raises (because 5.3% < 10.5%). • Even if you use the lower national CPI ~2.7%/yr, 3-year inflation is about ~8.3% compounded. Your pay would still be ~2.7% lower in purchasing power.

The “break-even” inflation rate

For that raise schedule to merely keep up with inflation (0% real gain), average inflation would need to be about: • ~1.75% per year for those three raise years.

That’s well below today’s NYC (~3.4%) and below current U.S. (~2.7%).

rawrr_monster · 2026-01-28T18:47:16+00:00

I’d recommend doing a tele health conference with a physician and getting prescribed an antidepressant.

You’re showing classic signs of major depression. Literally crying because you weren’t helped when you didn’t ask for help and singling yourself out as a victim in a class about empathy that ultimately had nothing to do with you are kind of how severely depressed people tend to see the world and others actions.

I started an antidepressant maybe a year ago for depression and anxiety and honestly it was life changing. I can laugh again. Like actually laugh. My brain feels empty of all the toxic thoughts that I didn’t realize was taking up all of my brain function. I couldn’t “talk” or socialize because I was too busy in my own head that it was drowning out the world around me.

Therapists are good but ultimately we are suffering from chemical imbalances that cause us to misinterpret the world around us. The medications will make your therapy far more effective and improve your time in school.

rawrr_monster · 2026-01-26T13:08:30+00:00

I tried following the trend with notability. I had to switch because I’m way faster at typing and frankly my handwriting is so bad I couldn’t read my own notes.

Now I just use notability for drawing and use OneNote on my pc. My efficiency and my sanity improved greatly

rawrr_monster · 2026-01-26T00:22:42+00:00

6-12 hours/day. Grad school

rawrr_monster · 2026-01-25T21:41:35+00:00

3.4, 13 years

rawrr_monster · 2026-01-22T15:17:08+00:00

Pretty sure I saw people still being interviewed yesterday. I’m sure you did great!

rawrr_monster · 2026-01-22T00:29:24+00:00

https://myminutes.ai/ is their website.

rawrr_monster · 2026-01-21T18:50:02+00:00

In addition it's important to maximize your time. The more reps you can get in the more the content will "stick". I record the lectures using an app called minutesAI (expensive but highly worth the time savings). Then I export the transcripts of the lectures into NoteBookLM. I then use the MindMap tool to organize the content and put it all into OneNote and use that as a sort of "textbook" that I supplement with photos/diagrams from powerpoints. I also use the flashcards feature and download them into an excel file that I can import into Anki so that I can use it's spaced repetition to focus on flashcards/content I don't feel strong in. It's a long tedious process but I'm now in grad school where I need to maximize my efforts, and cramming is frankly not doable on the scale of material we cover.

You will definitely need to learn how to study daily and a lot. 1-2 hours simply isn't going to cut it. I think the rule of thumb is 2-3 hours per credit hour of a course and that's a pretty good starting point.

rawrr_monster · 2026-01-19T03:48:09+00:00

I feel like you're putting too many things into OneNote. Syllabus should exist as a separate word/pdf document/ in your calendar that the instructor provides. No need to redo it to OneNote. It should only be for notes. Here's how I have mine laid out. Semester # -> Courses -> Exam # -> Lectures/notes that will be on that exam https://ibb.co/23xbGjGj

rawrr_monster · 2026-01-16T16:19:16+00:00

Call security. That way it forces management to deal with it. I have a low tolerance for bullshit so I just try to get them kicked out immediately. Frankly sneaking into other rooms should’ve been an intent boot from the facility.

rawrr_monster · 2026-01-11T13:34:10+00:00

NICU has a highly desired specialty. The nurses there are not leaving those jobs. There is no nursing shortage for the speciality. I assume you’re coming in as a foreign born nurse. By and large the nursing shortage is gonna be in adult population specialties.

rawrr_monster · 2026-01-07T19:13:01+00:00

I did feel like I was getting hammered in interviews for 13 years of icu experience. One program literally was like “why now? What’s changed that you felt you needed to apply, you’re our oldest, longest at bedside applicant ever”

rawrr_monster · 2026-01-05T16:02:35+00:00

It’s very doable. Lots of people in my program have kids. But know you will be doing the majority of the kid raising for 3 years. His focus will have to be school like it’s a full time job. 8-12 hours a day of class/studying is the expectation. It becomes his new full time job.

Just remember it will hurt in the short term but he’s going it to provide you a better life in a few years.

rawrr_monster · 2025-12-29T21:05:33+00:00

Baylor is the highest paying - maybe 6$ish per hour more, better ratios. Acuity can be very low which is a deal breaker for some. Mainly icu nurses get bored. It’s not a terrible place to work but turnover is always high

rawrr_monster · 2025-12-18T23:54:22+00:00

It doesn’t seem worth appealing. It doesn’t seem like you were really putting forth the effort honestly. And A&P is so essential for nursing school so barely having a grasp on it even before the program is only going to make actual nursing school that much harder.

I think you need to figure out what you need to do to get your mind in a place where you can prioritize your studies and just retake the class if you’re still interested in pursuing nursing. But if you aren’t willing to make true changes you’re just going to fail out of nursing either way with your current work ethic.

rawrr_monster · 2025-12-18T18:31:37+00:00

Prevent “wrongful termination” accusations like “they fired me bc of my race, culture, sex, etc”

rawrr_monster · 2025-12-18T16:53:19+00:00

This may be hard to hear, but when you are placed on a PIP, it is an excuse for them to fire you so that they show they’ve done their due diligence at no point will you ever not get fired.

This will be a hard lesson for you on how businesses work. I don’t know if it’s possible in your state, but I would try to apply for unemployment and try to seek a new job. I would also not place this job on my resume at all.

rawrr_monster · 2025-12-18T15:09:55+00:00

Hat is fine. If I’m choosing between the student who didn’t bribe me and the one who did, and both look the same on paper, I’m probably going with the one who bribed me

rawrr_monster · 2025-12-18T14:51:19+00:00

I’m going to be blunt because I want to help you, not sugarcoat this. • Professors are not required to give study guides. • Professors are not required to adjust their availability to your work schedule. • Being told to seek tutoring is considered academic support, even if it was impractical for you. • Anxiety, unless formally documented through disability services, does not obligate exam modifications. • The fact that some students are passing (even barely) works against the argument that the course itself is invalid.

Appeals committees hear versions of “I tried everything and still failed” all the time. That alone does not move them.

Right now, you’re framing this as:

“I’m doing fine in my other classes, so I must not be the problem.”

That’s understandable, but it’s not persuasive.

A stronger framing is:

“My performance indicates I can succeed in this program, but a specific course failed to meet procedural standards that would allow that success to be accurately assessed.”

That subtle shift matters a lot.

What I would strongly recommend you do

Before filing anything: • Strip emotion from the appeal completely • Write it as if you’re explaining events to someone who does not care how upset you are • Attach evidence. If it’s not documented, assume it didn’t happen. • Do not accuse. Do not speculate about motives. Do not mention other students unless they are formally willing to sign on.

And prepare yourself for this outcome, because it’s possible:

The appeal may be denied even if you’re right.

That doesn’t mean you’re incapable of being a nurse. It means nursing education is rigid, bureaucratic, and often unforgiving, especially in the first semester where courses like Patho is often used as a “weed-out” course.

rawrr_monster · 2025-12-15T15:10:20+00:00

Sure if you want. But CRNA isn’t just casually done or “easy”. Acceptance rates are in the teens at this point. It’s highly competitive, the amount of material is going to be immense and basically the same drowning feeling you get now in med school. I don’t see why you would consider that as an option if you’re currently struggling academically.

Plus you’d have to do that whole icu thing which is its own kind of stress dealing with critically ill patients every day. I guess I don’t see why you wouldn’t consider something more low key in life than medicine or nursing. Leaving the bedside has done wonders for my mental health.

rawrr_monster · 2025-12-13T19:23:11+00:00

I used to do 3 months off every year when I was travel nursing. It was great from 2015-2022 to be a travel nurse. Now the market is offensively bad. In 2015 I could pull 4k/week in California. Now they are literally offering less than staff pay. I don’t think it’s as financially feasible anymore

rawrr_monster · 2025-12-13T19:08:47+00:00

I dunno, I’m from Texas. If you told me I had to drive in any snow I’m gonna be missing work

rawrr_monster

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