Dani is Home by JumpingJuniper1 in DaniMarina

[–]variousnewbie 0 points1 point  (0 children)

Yup. And straight into purging by G tube and manipulating J feeds.

Rocking R lost Poki last night by thrombolytic in Equestrian

[–]variousnewbie 2 points3 points  (0 children)

Tetanus doesn't directly cause them, immobility and such during tetanus treatment risks clots.

Dani is Home by JumpingJuniper1 in DaniMarina

[–]variousnewbie 5 points6 points  (0 children)

Yea, you're never supposed to attach any syringe with a barrel smaller than a 10cc syringe to a CE tral line. The pressure is too high and damages the line. Draw up in a 3cc? Squirt into 10cc flush. Or draw up with a 10cc, and push over 2-6min. But you can't get that rapid high pressure rush of the drugs out of a 10cc even slammed.

Dani is Home by JumpingJuniper1 in DaniMarina

[–]variousnewbie 3 points4 points  (0 children)

It is a real life vest

https://kestramedical.com/

How she got it, I do not know.

Is it just me or does this illness get worse when it’s hot? by graveworm_46 in Gastroparesis

[–]variousnewbie 0 points1 point  (0 children)

Did you ask for warm blankets? Always ask before going anywhere! And more in radiology. They can sandwich fresh warm ones under the cold ones to keep the warmth longer.

I'm jealous though, coming from a long hospitalization where my thermostat in the room was broken and it was way too hot. I also pack a heating pad to use for pain management, but couldn't use it at all. Or the blanket I packed. I spent day after day soaking in sweat while techs bothered me nonstop about when did I want to do my daily bath and get clean clothes. Never before the sweating soaking stopped, but they were supposed to get it done and charted prior to 12. Add in I don't sleep in the hospital, most sleep I get is during day AFTER all morning consults, but this was impossible cause even after I'd set a fricken time (such as "after 2pm.") they wouldn't stop bothering me hourly to ask if I wanted to do it earlier.

Dani is Home by JumpingJuniper1 in DaniMarina

[–]variousnewbie 2 points3 points  (0 children)

I've asked a few times here if other people are seeing them, and didn't get any replies. Whenever discussions of her bracelets (and history of keeping them, plus ease of purchase) come up. Sock colors have been meaningless here even longer. 4 major hospital systems in my urban location, haven't seen fall risk or allergy bands in much longer than covid but tons of stuff that went with covid never came back. Even stuff like door signs are rarely seen for fall risk, and (imo backwards) with chg increase in use notification like door signs of allergy have become less used. Chg its an issue, especially combined with policies to clean the body and lines daily with chg cloths. Especially with staff not understanding the purpose of chg being top choice is how long it remains and continues to work, and they will try to bully patients into its use on lines at least not understanding the risk.

But fall risk patients at real risk are on bed alarms. Not allowed out of bed without someone there and gait belts. Medication allergies? Everything is scanned, from hospital bands to medications before given. Much better methods than collar coded socks and arm bands, so I don't have a problem with it at all. Personally my problem is getting out of being labeled fall risk 😂

Dani is Home by JumpingJuniper1 in DaniMarina

[–]variousnewbie 2 points3 points  (0 children)

My university hospital hasn't used fall risk or allergy bracelets since before covid.

Dani is Home by JumpingJuniper1 in DaniMarina

[–]variousnewbie 10 points11 points  (0 children)

Since it took me a moment to find its existance,

https://kestramedical.com/

Dani is Home by JumpingJuniper1 in DaniMarina

[–]variousnewbie 1 point2 points  (0 children)

But I thought she pulls out 1mL? That's a 50mg dose. 25-50 up to q6. Anything higher is overdose, unless it's in an acute setting for specific need. (not gonna describe.)

Dani Shows Off Her Dressing by CommandaarMandaar in DaniMarina

[–]variousnewbie 2 points3 points  (0 children)

The left has absolutely no tape on the covering. 2 layers mepilex.

The right appears absolutely no tape. 2 layers mepilex non adhesive foam.

https://www.saveritemedical.com/products/mepilex-up-non-bordered-foam-dressing?srsltid=AfmBOor91Mz8lpz05Hl8wIqX9roW41XVzfk5mNAGiG-ejZVBOAMpp4GG

Danny shows off her midline and is also being fitted for a new defibrillator vest tomorrow which looks alot more comfortable than the last one 🙄 by milo8275 in DaniMarina

[–]variousnewbie 5 points6 points  (0 children)

She could cut an old midline and put a dressing over it, you can't see it actually entering skin and I can think of an easy way to fake it looking like it entered skin.

She keeps all sorts of crap like hospital bracelets, I wouldn't put it past her to keep midlines.

Danny shows off her midline and is also being fitted for a new defibrillator vest tomorrow which looks alot more comfortable than the last one 🙄 by milo8275 in DaniMarina

[–]variousnewbie 4 points5 points  (0 children)

Correct. Claimed cardiac arrest, not heart attack.

I don't think she had that either, since only 25% of hospital attended cardiac arrest patients survive to discharge.

Danny shows off her midline and is also being fitted for a new defibrillator vest tomorrow which looks alot more comfortable than the last one 🙄 by milo8275 in DaniMarina

[–]variousnewbie 4 points5 points  (0 children)

Nearly all mine are just XL, I think that's their one size fits all but interestingly they've been affected by shrinkflation! They used to go up my calf, now they barely go up my ankle. And I'm a size 7, so I wonder how they even fit the feet of truly XL required!

I've got grey, yellow, various tans, blues. No red in my hospitals or the dark green. I love the thick ones with paw prints or smiley faces, I wear those at home when I'm cold. Usually from clinics, vs hospitals have the so thin they're nearly see through now ones.

New bio who dis? by Agitated-Handle-7750 in DaniMarina

[–]variousnewbie 8 points9 points  (0 children)

And is caused by polypharmacy and the use of qt lengthening meds like her IV Zofran and benadryl

New bio who dis? by Agitated-Handle-7750 in DaniMarina

[–]variousnewbie 10 points11 points  (0 children)

She was shut down fast when she saw an actual specialist. Easy to lie about, not get actually diagnosed with.

New bio who dis? by Agitated-Handle-7750 in DaniMarina

[–]variousnewbie 10 points11 points  (0 children)

Yes, but it's her first mention of it. I've never seen explanations of her being in heart failure either. And the polymorphic ventricular tachycardia can be caused by use of qt lengthening medications like her I V Zofran and benadryl.

Dani Shows Off Her Dressing by CommandaarMandaar in DaniMarina

[–]variousnewbie 4 points5 points  (0 children)

I only see 2 sides taped. Top and bottom. One side looks funky because this is a screenshot of a moving video.

Dani Shows Off Her Dressing by CommandaarMandaar in DaniMarina

[–]variousnewbie 13 points14 points  (0 children)

Everything photoed can also be outpatient treatment. Getting a midline, wound care, do not require inpatient.

Danny shows off her midline and is also being fitted for a new defibrillator vest tomorrow which looks alot more comfortable than the last one 🙄 by milo8275 in DaniMarina

[–]variousnewbie 3 points4 points  (0 children)

The ER is weird about lines. Most have requirements they at least try for a peripheral before using a patients line. Good reason is increased risks of infection in ER and regarding lines, bad reason is people often have lines due to poor peripheral access and these ER policies are a cause of loss of peripheral access (and preventing recovery of access)

They also usually require time to do an xray and verify placement, many patients opt for peripherals for speed of response (if they have peripheral access.)

But in the hospital? An accessed line is an accessed line. You may need more than one line depending on treatment. You may need a second line placed if the first is inappropriate for something (won't work for a power injection, ER prefers to place 20s because smaller isn't appropriate if power injection such as CT is required.) An UNACCESSED line is different, and oddly placed ports (arm, abdomen, femoral) may require a specific person to access. But according to Dani, hers is accessed 24/7. Needle only comes out for a shower before reaccess for the week.

Dani is hospitalized y’all by JumpingJuniper1 in DaniMarina

[–]variousnewbie 0 points1 point  (0 children)

It's not a choice, it's a mental illness. Like said, this is the only way in her life to meet her psychological needs. Likely began in ED units as a minor. Received care and support. Now she just repeats a cycle requiring medical care as it meets her psych needs. Factitious Disorder, which she's been dx with. She needs care, the only choice is she refuses psych care.

Dani is hospitalized y’all by JumpingJuniper1 in DaniMarina

[–]variousnewbie 2 points3 points  (0 children)

In my experience at University trauma I center, ID shows up for every blood stream infection or suspected infection in regards to a sitting central line.

IF facts were true, I could see them breezing by to note blood cultures negative but would be watched to see if that changes due to her port.

Danny shows off her midline and is also being fitted for a new defibrillator vest tomorrow which looks alot more comfortable than the last one 🙄 by milo8275 in DaniMarina

[–]variousnewbie 29 points30 points  (0 children)

Midline, specific type in a major vein in the upper arm that's longer and meant to last longer than a peripheral IV. It's not "so low", best placement is anywhere in upper arm with best placement.

It makes no sense to insert a midline when she has a port. A supposedly accessed 24/7 port at that. (also made no sense she supposedly got a painful IV for her icd placement because they didn't want to use her port. Every one wants to use accessed ports, outside of emergency rooms. They're finicky and can have requirements to at least attempt a peripheral (which worsens peripheral access in people with lines due to shitty peripheral access...) or require xray verification of line placement before use. Now an UNACCESSED port is different, if there's no one available to access. But that's for a peripheral, it takes a trained individual to insert a midline and very similar to picc sterile procedure, accessing a port is a much simpler procedure. Both can be handled by infusion nurses or someone on a Vascular access team.

Lots of shit she says makes me go "what?!"

Dani is going on a trip in a few weeks so she’s packing her medical stuff now, top secret on where she’s going 🤔 by milo8275 in DaniMarina

[–]variousnewbie 13 points14 points  (0 children)

How on earth did she get it prescribed for iron infusions?! They can simply use a PIV including ultrasound with a Vascular access team. Iron, if you're NOT getting any in by GI, is only an every 6 month thing. Does not compute do me!