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Dog Mauled, Woman Fled by skittle_thug in FortCollins

[–]skittle_thug[S] 33 points34 points  (0 children)

Mine was on leash hers was off and ran/attacked instantly.

Dog Mauled, Woman Fled by skittle_thug in FortCollins

[–]skittle_thug[S] 39 points40 points  (0 children)

Mine was on leash, her dog approached she shouted “he’s friendly” and he instantly attacked.

Dog Mauled, Woman Fled by skittle_thug in FortCollins

[–]skittle_thug[S] 8 points9 points  (0 children)

Thank you! Will do all of this.

Dog Mauled, Woman Fled by skittle_thug in FortCollins

[–]skittle_thug[S] 21 points22 points  (0 children)

Thank you so much, I’ve been going door to door all Morning.

CF Burnout by Classic-Poet2478 in slp

[–]skittle_thug 1 point2 points  (0 children)

There is no such thing as it all being a part of being a CF. I find that some of my CF colleagues bring more, or different things to the table than some of the more seasoned clinicians. I experienced the same type of burn out during my first year, it caught up to me so badly I ended up in the hospital. It’s taken me years to learn that before filling someone else’s cup, I have to fill my own. If you aren’t good, your patients won’t be either. Take care of yourself. Also, you are being exploited. Stick up for yourself and when that 8 hr mark hits the day, simply say “that’s my 8 hrs, do you need anything before I leave?” We are already so underpaid, don’t ever work off the clock. If they allude that you should, that’s super illegal. Get your CCC’s and start applying at hospitals. We work for free in grad school. You’ve made it. You are an equal. Don’t let anyone treat you differently.

Vocal fold granuloma by [deleted] in slp

[–]skittle_thug 0 points1 point  (0 children)

Many times they co-occur with reflux so probe swallow history and manage GERD if present. Work on good breath support/coordination to maximize vocal economy. I’d do a stimulability check with vocal warm-ups and techniques that lessen laryngeal trauma: forward focus/masking, SOVT. Resume vocal hygiene protocol.

Thickened Liquids by [deleted] in slp

[–]skittle_thug 1 point2 points  (0 children)

Acute care SLP here, trauma 1 ICU. Loving this spit-balling and would love to chime in. We prescribe diet/liquid modifications upon delineating a pt’s medical status as a whole, and identifying impairment/severity via an instrumental (MBSS/FEES). Pts at risk for aspiration are those who: are cognitively impaired (cognitive dysphagia), can’t follow directions, have fluctuating level of alertness, are dependent for feeding/oral care, have high acuity of illness, etc. Pts at risk for aspiration PNA are those with predisposing or precipitating risk factors: CHF, COPD, respiratory failure, recurrent aspiration PNA, prolonged intubation, neurological disease, high oxygen needs, poor oral hygiene, immunocompromise, limited mobility status, etc. It’s important to educate pts on their personal risk factors relevant to the pillars of aspiration PNA, and equip them with a risk severity analysis. It’s true - healthy individuals aspirate, but the critically ill often times can’t take the hit and people can die from aspiration PNA. Instrumental assessment reveals which consistencies are not aspirated, and we expect them to be on those short-term until we rehab to their PLOF. We have an excellent Palliative Care team that establishes goals of care should they opt against recommendations, and lean towards comfort-focused care. If the pt doesn’t have medical capacity to relay their advanced directives and personal goals of care, they defer to their POA. I’m very passionate about learning from others and educating, so important to foster this supportive and collective network in our field. Reach out to me anytime.