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Joined 2 年前
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Cake day: 2023年6月15日

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  • Fair enough! Keep this in the back of your head though if you ever become critically injured or sick - daily caloric requirement goes up when you’re recovering from something, so yours specifically might be even higher than that already-higher-normal.

    There comes a point where eating anything just feels gross cuz you’re already stuffed, so you’d have to start being strategic about meal/snack timing, and prioritizing high calorie foods and drinks. Hopefully your team would have access to your history in that situation, and account for that shit from square one, but YOU are your best advocate, so don’t be afraid to prod them if needed.

    …and sorry lol, been doing a fuck ton of nursing school homework the past few weeks, so my brain is still in nurse mode when I hop on Lemmy. You’re basically an NCLEX question! :P


  • the more I shit

    I mean that’s still ‘calories out’ if you’re not actually absorbing them. Guessing you’ve already done this if it’s been a life long thing, but just in case, you might want to hit up a gastrointestinal doctor - there are conditions that cause usable nutrients to literally just go through you. You may have one of those - and if yes, knowing which will give you a path to fixing it or working around it.

    Then again, 5’2 at 100 lb is only just a hair into the underweight range. If you feel good where you’re at, maybe fuck it.







  • Or just millennials and some of gen Z. We all grew up being told constantly that we were special and gifted, could do anything we wanted if we put our mind to it.

    Accepting that we’re actually just another nameless joe-dipshit in an ocean of millions of people that could easily replace us without causing even so much as a hiccup to society… was a hard pill for a lot of us to swallow.

    Nowadays I thought “gifted kid” was just a sarcastic way to describe most of us: average at best.


  • Almost never, cuz by the time I usually see the patient they’re a few minutes away from being unconscious, and are being dog-piled by a pit-crew of nurses and anesthesiologists. I’ll turn around for a quick hello, then return to setting up my sterile field so everything’s ready for the surgeon.

    Mohs cases are a totally different world: the case itself is super simple, so I have a lot more autonomy due to not being preoccupied with the setup, which takes all of about 30 seconds. I don’t like to just stand there waiting for the doc, so I’ll usually just butt into whatever my scope as a tech allows, which usually means taking vitals and making non-clinical interventions like tackling their anxiety by distracting them with stupid jokes or music.

    I’ve only had a couple of opportunities to do something like that in the regular OR.




  • how do you play music on your phone if you’re scrubbed in? Like, can you touch your phone?

    Mohs are way less involved than most surgeries - typically the setup starts well in advance of the patient arriving, to include scrubbing in (surgical hand wash, sterile gown/glove) at which point you’re right: I can touch ONLY my sterile field, so no phone. Unless the phone is set up to use voice commands - my last phone was, but I only ever used it like twice, so I never bothered on my current one.

    Mohs procedures use like 4 instruments and only a handful of supplies, so I didn’t even start opening anything until the patient is in the room - they do all the preop consent and stuff in the room for Mohs, which takes way longer than my setup - so I have a couple minutes to help with things like taking vitals, which is when I get talking to the patient, and when this one mentioned how extremely anxious he was. Music preference was asked then, and I got it started playing immediately after. Then the gloves went on, at which point the phone is off limits.


  • Surgical tech here - the cases I was assigned to today were one of the ones done under local - numb the operative area, chop off some superficial stuff, stitch up, and move on. Patient is awake, not sedated, just numbed. Some patients really don’t like that even though general anesthesia would be WAY overkill for these procedures, and one of my patients was nervous as absolute fuck - dude was a wreck. Like probably the worst I’ve seen to date in his ability to cope with what we were about to do.

    Worst was it’s a tedious case - Mohs procedures, so basically we take a specimen, send it to lab, wait for like 40 mins for confirmation that the wound edges are clear of cancer cells, then close.

    So, while I was scrubbed in, I went full distraction mode - asked his favorite music, and played that through my cellphone while we were working; told every stupid dad joke under the sun, shared stories about silly shit I’ve encountered in the past, got him telling some of his own. Normally during that middle waiting-for-lab phase we’ll frog-hop cases into another room, or use that time to take our lunch or something - with this dude I just stayed in his room and bullshitted with him until his result came back (clear on the first pass, thankfully!). Last part for the closing is more of the same - just kept him talking. By the end of it he was actually laughing, and not just nervous but actually having a good time. We wrap things up, give him his discharge instructions, and send him on his way - he thanked everyone in the room, then pointed at me and gave me a shoutout, said I made the whole experience so much better than he was expecting / than it could have been.

    Warm and fuzzies cranked up to 11!

    99% of my cases involve general anesthesia, so I get pretty much zero interaction with my patients, cuz they roll into the OR, I barely have enough time to say hi before they get the sleepy drugs, and we get to work.

    Was a real treat to have the opportunity to make that big a difference for someone!



  • Honestly with every federal agency having its own janky website that acts as a ‘portal’ to a bunch of other random websites… the first time I heard of the fediverse without any context, my guess was that it was some kind of master site that linked all of them together. Which would be entirely useless, but that’s never stopped the feds before.