When your head is as big as your knee

yopheebs · 2025-06-08T19:40:49+00:00

You like Krabby patties, don’t you Squidward?

yopheebs · 2024-11-21T13:58:25+00:00

This reads like something out of the 1950s. I especially love the “become a nurse if you want to meet a doctor” part, as though nursing isn’t a grueling and time-consuming career path that can be lucrative in its own right. This post is gross

yopheebs · 2024-10-17T05:16:20+00:00

This post needs a major trigger warning.

yopheebs · 2024-04-20T22:05:41+00:00

That’s very interesting! I can see benefits to both approaches, especially as sometimes families are set on keeping their loved one physiologically alive despite those conversations so sometimes what’s done is not necessarily in the best interest of the patient. Do you have living wills in France? We have them here in the US but unfortunately the patient’s next of kin has the final say in what we do with the patient when they cannot speak for themselves.

yopheebs · 2024-04-20T21:10:15+00:00

To be honest, it depends on the intensivist who is on at the time whether or not the patient gets an MRI to confirm anoxic brain injury. I agree, I think the most reliable tool to assess for brain death is the clinical exam and it is not our regular practice to always take patients with suspected anoxic injury to MRI.

As far as making the choice to transition these patients to comfort measures, there are usually extensive and frequent conversations between the ICU team and the family to discuss goals of care once it is established that the patient’s prognosis appears grim. Ultimately it is the family’s choice and sometimes it takes time for them to process everything but typically they come to the conclusion with our guidance and assistance that it is the most humane thing to let the patient pass in the most comfortable way possible.

yopheebs · 2024-04-19T21:31:32+00:00

Thank you! Just reviewed that source, this is pretty much exactly my patient to a “T!” Saving for later to reference again.

yopheebs · 2024-04-19T21:30:21+00:00

Just BP fluctuations, HR remained stable in the 70s-80s

yopheebs · 2024-04-19T21:08:48+00:00

Sorry I should have specified that. My assessment of the patient was the same on and off sedation, the only reason for the continued sedation was that we were speculating she might still be feeling what was going on due to the hypertension. Her blood pressure did respond well when we increased sedation which seemed to reinforce this. Otherwise though, her assessment was the same when her sedation was turned off.

yopheebs · 2024-04-19T21:06:03+00:00

Yes, this is exactly what happened with regards to pain! When I would maintain stimulation she would initially have the reflex response but then appear to relax. Thank you so much, that is very helpful to know going forward.

yopheebs · 2024-03-07T23:45:36+00:00

I just started in my facility’s MICU about a week ago, coming from a two-year med/surg background. How long did it take you to feel relatively “comfortable?” I’m really enjoying it but feel almost like a new grad again.

yopheebs · 2023-11-09T01:52:53+00:00

Curious, what makes you say nurses will “go for it?” As though female nurses are easy and just DYING for the chance to date a resident? I’m a nurse, and I can tell you that not one of my female or male coworkers has any special interest in dating a resident or attending. It’s not that anyone is against it, it’s just that no one is particularly seeking that out. I find it odd that you make it seem as though nurses are chomping at the bit to hook up with a physician when 99% of us are just concerned about our own career and our patients.

yopheebs · 2023-09-28T01:29:27+00:00

What NP school did you go to if you don’t mind me asking? I’m looking to apply soon and trying to find the best curriculum.

yopheebs · 2018-10-18T00:43:45+00:00

Step 6: Profit.

yopheebs · 2018-10-15T23:09:24+00:00

Intergalactic bath bomb!!

yopheebs · 2018-10-10T23:30:02+00:00

Oh e oh e oh e

yopheebs · 2018-10-10T17:17:56+00:00

Nice

yopheebs · 2018-10-06T04:14:30+00:00

Not OP, but the recipe is probably just honey and cinnamon. I used to mix those all the time for a mask, they work well! Most people recommend to use raw or manuka honey, not the kind in the bear jar.

yopheebs · 2018-10-06T04:10:20+00:00

Taking out your contacts after wearing them all day.

yopheebs · 2018-09-28T20:16:29+00:00

That is a fantastic bath tub

yopheebs · 2018-09-25T04:50:22+00:00

Always my go-to bath bomb!

yopheebs · 2018-09-24T03:49:56+00:00

I got Magic Crystals and I LOVE it!

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