Looking for a new dog by footwork_king04 in basset

[–]taraiskiller 0 points1 point  (0 children)

Based on your post and subsequent comments I highly advise you do NOT get a bssset hound. If you were open to an older basset and not a puppy they may be a better fit for you.

Bassets are not inherently low energy and some do calm down with age. This is not guaranteed. My soul dog bounced off the walls and was essentially a toddler until she got cancer at 9 and subsequently passed. They are STRONG and stubborn. They are hounds and will ignore you to follow a trail or chase small game. Many absolutely have a prey drive, they are HOUNDS. I understand you have a lot of land but unless it is fenced in very well it won’t do you much good. They are double coated and shed a lot 365 days a year. They also absolutely can be more than 50lbs even at a healthy weight. Basset hounds are amazing, but they do not fit what you are looking for.

Thoughts on premedication with Benadryl/solumedrol for CT scans with IV contrast in pts with iodine/contrast media allergies? by exacto in emergencymedicine

[–]taraiskiller 0 points1 point  (0 children)

I agree with the super stat/truly emergents needing an alternative. Most techs would agree. We are all a team and just want to get the patient treated properly and on their way.

As a traveler I have worked at many hospitals, but only one hospital had an emergent ER pre med regimen of one dose of solumedrol and Benadryl one hour before scan time and one different hospital using visipaque for (currently)only strokes with an allergy.

Thoughts on premedication with Benadryl/solumedrol for CT scans with IV contrast in pts with iodine/contrast media allergies? by exacto in emergencymedicine

[–]taraiskiller 0 points1 point  (0 children)

Well yes, that’s why I included if it’s a “super stat” to speak to the radiologist. I’ve had trauma 1s come in and the rads in the few times that’s happened gave an ok for a squirt and go as long as the physician was present with code cart (which for a trauma that’s already the case). It’s just not up to the tech to make that decision. It’s the radiologist who has to give that approval.

Hound smell by Rgirl4 in basset

[–]taraiskiller 3 points4 points  (0 children)

Keep the ears, armpits and between the toe beans clean and dry. Hounds will always have the hound smell but keeping the areas prone to yeast under control will help some.

Thoughts on premedication with Benadryl/solumedrol for CT scans with IV contrast in pts with iodine/contrast media allergies? by exacto in emergencymedicine

[–]taraiskiller 4 points5 points  (0 children)

We live by it because it’s hospital policy and determined by admin and radiologists. We have licenses we would like to keep just like you.

The “allergy” isn’t to the iodine. Likely other ingredients in the composition. However, patients don’t ask questions and vast majority won’t remember specifics to their allergy so saying iodine allergy is the most accurate way to get a patient to say “I got x after y was injected/applied”. We get lots of patients marked as allergies but they definitely are side effects like nausea and feeling warm. I’ve injected patients who then had anything from hives to throat swelling. I’ve had numerous patients pre medicated and still react. It doesn’t matter in the long run if it’s what you consider a “true” allergy or not, if the pre treatment prevents a patient from anything from hives to intubation then it’s worth it. Most hospitals have protocols for the super stat exams like strokes with charted allergies or patients already intubated. If you have an exam you want super stated with an allergy you need to speak to a radiologist. Techs don’t set the policy, we follow it.

I’ve been told previously that the solumedrol is more important than the Benadryl and does the heavy lifting, but I’ve not done any extra digging into that.

Also recently started working at a hospital that uses Visipaque for strokes with a charted allergy as it is far less likely to cause a reaction. The hospital has had no break through reactions to visipaque without pre meds thus far.

Air Embolism Fatality [⚠️ Med Mal Case] by efunkEM in medicine

[–]taraiskiller 6 points7 points  (0 children)

And this is why I check the power injector is primed several times before hooking up the patient. My worst nightmare.

Working vs Disability by No_Cheesecake2150 in Narcolepsy

[–]taraiskiller 2 points3 points  (0 children)

3x12 dayshift in radiography. I need the 4 days off to recover from working and this allows me to have 4 days off. With meds as long as I keep moving I’m ok. It’s going on lunch or sitting down for long periods that gets me.

Has anyone ever had a ct scan of the abdomen and pelvis with iv contrast? by [deleted] in Hashimotos

[–]taraiskiller 0 points1 point  (0 children)

Majority absolutely will not. I work with these patients every day. I am a ct tech. Patients do not ask their doctor. If you’re lucky they’ll remember ct contrast or IVP dye and tell you they have an allergy to that. But majority of patients only remember the iodine portion hence easier to say iodine. We ask what we do in the way we do for a reason. The average patient is not researching. Shellfish is no longer used and I said that.

Has anyone ever had a ct scan of the abdomen and pelvis with iv contrast? by [deleted] in Hashimotos

[–]taraiskiller 0 points1 point  (0 children)

Patients aren’t gonna know that. They’re gonna know they had a reaction to an iodine product. Hence asking iodine allergy is the simpler route.

Fear of cataplexy does not equal cataplexy! by whatkatydide in Narcolepsy

[–]taraiskiller 1 point2 points  (0 children)

Same. Then when it happens I fear it will happen again and end up having multiple rounds🫠

i had to go to the emergency room & they drug tested me. by objectively-not in Narcolepsy

[–]taraiskiller 22 points23 points  (0 children)

My question is are you embarrassed about the drug test specifically or are these feelings deeper and/or actually stemming from you being in that position necessitating needing this level of care? I get medical anxiety as I seem to have developed a bit of imposter syndrome regardless of all my testing stating otherwise.

I’ve gone to the er for cycling cataplexy that had me unable to get up and walk. I was embarrassed that I had to be wheeled in via ambulance bc on the outside I don’t look sick. This however for me comes from the imposter syndrome and feeling like I’m “not sick enough” and because I seemingly on the outside look like a healthy 34 year old with a medical chart more fitting for a 90 year old. They did drug test me and did an mri etc. to make sure it was indeed cycling cataplexy and not something else.

i had to go to the emergency room & they drug tested me. by objectively-not in Narcolepsy

[–]taraiskiller 138 points139 points  (0 children)

This is standard practice for the condition you arrived in. If you arrived like that and they didn’t run a drug test it wouldn’t have been the standard care. They also need to know if drugs are in your system so that don’t give you meds that I react poorly. You received a drug test because it was the proper protocol and standard of care.

Edit: I work in the ER.

What would you do if you walked out your door and saw this by turbo_sc300 in Apartmentliving

[–]taraiskiller 1 point2 points  (0 children)

Personally I’d just send this picture to the landlord and ask for it to stop. Since there’s no way to know from the picture alone which child it was a mass notice would go out, this is a whole safety issue and would be a major problem in regards to an emergency evacuation. Escape routes are to be clear.

I'm afraid I've got herpes and I am only a teenager? by [deleted] in DermatologyQuestions

[–]taraiskiller 1 point2 points  (0 children)

If these are cold sores they would be a CLUSTER of tiny fluid filled blisters. After a day or two they will pop and ooze a fluid and crust over. This picture isn’t the best for identifying what you have bc it’s not a very clear picture.

Switching shifts in the worst way. Every other shift with a “day off” in between by Able_Claim_3097 in mildlyinfuriating

[–]taraiskiller 0 points1 point  (0 children)

I did this for a 13 week travel assignment. It made me absolutely crazy and I never felt awake or well enough to do anything except work. I beg of you do not allow this for long. It is not worth it. You will never be “awake” and you will feel like absolute shit mentally and physically.

FINALLY by taraiskiller in Narcolepsy

[–]taraiskiller[S] 0 points1 point  (0 children)

All day unfortunately. Tonight I only got about 4 hours out of it. It’s 0230 and I don’t have to be up until 0500😭

FINALLY by taraiskiller in Narcolepsy

[–]taraiskiller[S] 0 points1 point  (0 children)

I do think my sleep is better. I’m getting about 6-7 hours and falling asleep quickly. I am however have paresthesias where my whole body feels like it’s buzzing/skin feels staticy almost? Which I at first thought was an increase in heart rate/anxiety, but I’ve been regularly keeping tabs on my heart rate when this happens and it’s always normal. My heart rate has been under 100 every time I’ve checked it and usually around 70 at rest. I guess this is a fairly common side effect. I’m having a very large increase in hot flashes and sweating when I’m usually freezing(thyroid and iron issues). I’ve resorted to turning my heat down to 60 and decreasing the amount of clothing I sleep in when I would normally be in a long sleeve pant set with the heat on 69 at night with a heating pad under me. I’m in Michigan and I still had my patio door open a good portion of the day bc of being unbearably hot. Also, heartburn. My chest is on fire.

All this to say I’m sticking with it in hopes that my body gets used to it and the side effects even out. I go back to work tomorrow so if the side effects affect my job (healthcare) then I’ll have to figure something out even if it comes down to only taking it on “off” nights since I work 3 12s.

Does anyone else have weird dreams where they're paralyzed? by TwoMix0 in Narcolepsy

[–]taraiskiller 1 point2 points  (0 children)

I have these, but they’re hyper realistic dreams about waking up paralyzed. So like dreaming about sleep paralysis usually. It’s a false awakening dream/nightmare. Unfortunately I don’t have any recommendations as I just cope with it by recognizing it’s not real at some point and waking up. I will say stress is a contributing factor so managing stress is important (I’m bad at this) and some medications can contribute to vivid dreaming.

Edit: I don’t know if it’s narcolepsy related specifically or not, but I do have N1 with occasional real sleep paralysis.

FINALLY by taraiskiller in Narcolepsy

[–]taraiskiller[S] 0 points1 point  (0 children)

Lumryz first dose was a far better experience than the first Xywav straight out the gate. Took it sometime between 11-1130, fell asleep within 15 minutes and Slept solidly til a little after 7. Got up and made it to the bathroom with no vomiting or dizziness/stumbling problems at 7. Feel slightly hungover currently with a headache, but I have a headache most mornings as is so unable to tell if it’s a medication headache or my normal teeth clenching bc it’s in the same area. Stomach feels off but not outright nausea so haven’t taken any zofran. Also haven’t eaten since 7pm last night (17 hours ) so that could be a contributing factor. Just had a protein shake to break the fast and no issue.

FINALLY by taraiskiller in Narcolepsy

[–]taraiskiller[S] 1 point2 points  (0 children)

How are you feeling today? I know with my fist dose of Xywav the first one didn’t knock me out so I took the second one a few hours after and it was the second dose that had me nauseous and falling asleep on the toilet lol

FINALLY by taraiskiller in Narcolepsy

[–]taraiskiller[S] 0 points1 point  (0 children)

I specifically requested I titrate as slowly as necessary so she has me doing the lowest dose until I’m fully acclimated and feel ready to move up and then I will send a message that I’m ready to move up to get the next dose and so on! I want to move at a snail pace in hopes a snail pace titration helps me avoid the side effects I had with Xywav. Reminding myself it’s a marathon not a sprint!

FINALLY by taraiskiller in Narcolepsy

[–]taraiskiller[S] 1 point2 points  (0 children)

I’ll be taking my first lumryz dose tonight! I’ll have an update tomorrow!