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It is so good to hear from you, and with solid advice and a good perspective to boot. Guess it makes sense, given your current track. I don't know half the shit I need to as a nurse yet; they say it takes a good five years before you can really even consider yourself a novice in the field. I'll get there, though. In the meantime, jams are forthcoming at some point. Hope your education is going well- breaks are not a bad thing. In retrospect, wish I'd taken one. How long you have left?
just let me tell ya bout/this fuckin' day I'm havin'. Sailing along midday when a patient's dropped into one of my rooms: left-sided weakness, right-sided facial droop, disoriented to time/place/situation, found by her friend on the floor, last known normal yesterday 1pm. So we're thinking stroke, although left weakness and right facial droop make no fucking sense for stroke but whatever she's out of the treatment window no biggie. Drag her to CT and nothing shows- she's not stroking, but she's definitely Ay-1 fucked up. Getting an IV in her takes forever because she's big and old and dehydrated and UGH so it's a good hour and a half before she's lined and phlebotomy can finally get all the blood we need; BUN comes back in the 40s uh oh Creat comes back 3.3 nonono K comes back 6.1 oh come the fuck on lactic comes back 7.2 7.2 FOR THE LOVE OF GOD
back it up
Lactic is an indicator of how much oxygen the cells in your body are working with. It's the best indicator of sepsis, wherein due to a major infectious process your cells are working on anaerobic metabolism and pumping out lactic acid and basically that's not supposed to happen for protracted periods of time and it's not a good sign if your lactics are high. Normal lactic is 0.6 to 1.2.
So this lady is basically circling the drain and I'm in the weeds and my other three patients are just treading water while I flounder and I'm still on orientation and my nurse preceptor has to jump in and save me and
back it up
You may not know me at this point. I'm seeing a lot of grey names in this thread and in general and that means I've been gone awhile and there are new faces or else old faces stopped giving a shit about me which is fine. Either way, let the record show that I once said some stuff here and posted some content here and I may again at some point in the future. For the time being, here's me:
A year and change ago I joined an accelerated nursing program- BSN in one year, which for those in the know is fucking crazy, the normal accel program is two years compressed from four. We started the year with 120 students, ended with 78. I made it through not to toot my own horn (totally to fucking toot my own horn) top of class with all sorts of silly awards to show for it. I managed to postpone the nervous breakdown I'd been denying all year until graduation day, which I skipped in favor of staying in my bed, terrified that I was dying. For the better part of two months. Happy graduation, I guess. Five months and a Buspar prescription later, I'm a nurse in the ER, and by God I feel like I'm helping people. 60 percent of the time. The other 40 percent I feel like I'm just constantly fucking up.
And now here I am, month three into my orientation and holy hell, some days I just don't know if I can do it. Most folks on my unit started somewhere sleepier, like telemetry or general med-surg. I'm beginning to see the benefit to that. It's like picking up a pair of skis for the first time after watching some skiing videos and being like "I'm a skier now!" and then heli-dropping into some triple black diamond in the swiss alps and there are hungry bears on surfboards riding an avalanche after you.
Days like today, I feel like just disappearing, not showing back up to work or anywhere day after tomorrow. And I don't have many friends and I don't have many outlets so here I am, ghosted for the better part of a year only to show up briefly to shit out my worries in the corner of an imaginary bar. You're welcome, world
Hedz up: elevated CRP and ESR are considered nonspecific indicators of inflammation, not necessarily infection. There are better indicators of sepsis, i.e. WBC count and lactic levels. High ESR/CRP and low PLT post chemo may both be expected depending on the agent used. Hope your brother is okay.
follow-up: what beyond a YouTube straw poll informs your understanding of the logistical difficulties faced by those currently lacking ID
Did you read the links
What makes you think that poor rural black folks vote Republican
also read the links I posted in my above reply
- A YouTube view I liked recently was a couple people walking around NYC asking black people what they thought of that argument that forcing a driver's license/ID requirement meant to disenfranchise black voters. The responses were mostly, I have an ID, why would that be hard because I'm black? Maintaining ownership of a birth certificate is just part of being an adult.
HACKTYUALLY... maintaining ownership of a birth certificate is just part of being a young to middle aged urban adult. Rural folks? Older rural folks? Black older rural folks? Not so much.
I just tried to find an account I read one time of an older black lady from the rural south trying to get an ID when she'd been born in her childhood home and never obtained a birth cert. I couldn't. I don't even remember the source. Coulda been here. But in looking I did find an interesting paper suggesting that not only was that account not special per se, but actually pretty common for folks of a certain age. I'm posting it separately for you to peruse. TL:DR; not everybody has a birth certificate, and it's not their fault, and painting their lack of ownership as somehow irresponsible or not "grown up" is misguided.
Even discounting the whole birth certificate issue, getting an ID isn't necessarily the easiest thing in the world. Oh god in the two seconds I took to give you some evidence I found this other article looky har
Bottom line: ID laws absolutely tilt the scales against certain populations. Not populations that you might readily identify in YouTube videos polling youth in NYC.
When I was a kid I used to sit around staring at this:
Given what you posted, you'd dig a lot of the styles. Could probably just google a bunch of the illustrations. The stories behind the illustrators are pretty nuts, too. Aubrey Beardsley, for instance, kicked around with Oscar Wilde and may or may not have gotten his own sister pregnant.
Heard speculation on NPR this morning that it might have been Jordan. Trump's got a call scheduled with the King later on today. I'd say I'd love to be a fly on that wall, but given the slant of things, I'm sure we'll know exactly how it went and what was said soon enough.
Love those Dean Markley pickups. I'm surprised that you didn't run into more phase issues mixing the mic with the pickup that way- these guitars sound crystal clear. On a related note- the fact that "And Became Invisible" has 200 tracks and still sounds as focused and coherent as it does speaks volumes of your production chops. Gaddamn.
Never worked with Reaper- how's the learning curve? More importantly, is it affordable?