Last night before the Nyquil set in and I fell into a medication induced slumber, I was passively “watching” American Idol. Why? Because all of my regularly scheduled Thursday night programming was not new last night (no new Grey’s, no new Bones, no new anything good).
So I’m kind of watching, and I thought I was what looked like an rhythm strip running behind the contestants. Except it was running backwards - from right to left. When the camera panned out, what I saw was what looked like single PVCs running from right to left. American Idol, if you’re going to try to heighten the suspense by adding a “heartbeat” behind the contestants while they’re waiting to find out their fates, would you please at least run it the proper way and use a real rhythm? You could have at least used a sinus tach.
It annoys me that I notice these things. And it annoys me that I’m annoyed by this.
We don’t have lasix on our protocols anymore because if you mistake rhonchi for rales you’re pt is guaranteed to go sceptic. Nitro works but it’s CPAP that saves lives.Treatment of CHF, think UNLOAD FAST:
U sit Upright
N Nitro
L Lasix
O Oxygen
A Aminophylline
D Digoxin
F Fluids- decrease
A Afterload - decrease
S Sodium - decrease
T Tests: dig level, ABG, K+
This is awesome. I love mnemonics! We don’t have Lasix in the protocol for CHF anymore either, only for acute pulmonary edema.
Is it bad that I REALLY want this?
no. because i do too. omg.
OMG where do I get this???
(Source: cledersonbob, via utvivantalii)
The tiny chickens have invaded my body and are laying eggs in my head. I skipped the DayQuil today and went straight for the Sudafed. I’m still a little congested, just at least my nose isn’t running like it was this morning. Slept with 4 pillows so I could be propped up enough to drain the mucus. Disgusting? Yes. Did I feel like a CHF patient? Totally.
Got the first round of my blood work back yesterday. I’m anemic (yup, diagnosed when I was 10 and I’ve been too stubborn to do something about it) and my potassium levels are low (hypokalemia). The Grizzly Bear then says to me: “Well that’s easy - you just need to eat more steak and bananas.” I love him.
Clinical is winding down. I still need to schedule internship (only like 300 hours of that to go…) and then oral boards, take the test, and wait for an eternity for the State to tell me I’m a Medic. Piece of cake, right?
Valentine’s is coming up. The Grizzly Bear is pretty into it this year. He’s kind of a hopeless romantic anyway, but I’m sort of wondering what he’s got up his sleeve. We’re still trying to figure out the whole moving/living together thing. It’s hard when my job is here and the house is there. Commuting 2 hours to work everyday 5 days a week for an 8 hour shift is just not worth it. Maybe someday (hopefully soon) they’ll see the light and hire somebody else so I can have 12 hour shifts. Then it would be worth it. We really want to start a family, but that can’t happen until we’re in the same place. And that can’t happen until my job schedule changes. It’s probably the biggest stress in my life.
Been keeping up with what’s going on in the world via PhillyD and SourceFed. Thank God for those guys, otherwise I wouldn’t have any idea what’s happening in pop culture and current events. The Green brothers have been teaching me new things with SciShow and Crash Course. YouTube is amazing. There really is so much amazing content on there. I’ve found so much awesome stuff to use in my classes to help my EMT students understand what’s going on in the human body, and to help me teach CPR and First Aid to laypeople. It’s all come from YouTube. Just amazing.
And that’s what’s up in my world. Hope things are good in your world, wherever and whomever you are.
DFTBA.
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Classmate #1:
Like, I'm okay with gay people wanting to be with each other. But marriage should be between a guy and a girl.
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Classmate #2:
I don't even want to see it. Like, it's nasty.
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Me:
Oh my god! I know! My neighbor was talking about how he and his Jewish girlfriend wanna get married and I was like "Why should you two be allowed to get married?" in my head. I mean, why would they think it was okay for a Christian and a Jew to get married. Disgusting.
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Classmates:
....
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Me:
And let me tell you about this other couple I saw making out at the mall. It was nasty. The boy was white and the girl was black. Can you believe that? Two people of different races being together? That's just wrong.
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Classmate #2:
What the hell is wrong with you? So what if they want to be together?
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Classmate #1:
Yeah, there isn't anything wrong with it.
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Me:
Are you kidding me? It's completely wrong.There is only one kind of marriage that is okay. And that is between a man and a woman of the same race, religious background, with the same income level and from the same place. We wouldn't want kids to think that diversity is okay. God wouldn't appreciate these people ruining the sanctity of marriage.
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Classmate #1:
Why are you even in this conversation? God loves everyone.
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Me:
What? So you're telling me that God doesn't care who you marry, because he loves everyone?
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Classmate #1:
Yeah...
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Me:
Does he love animals, too?
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Classmate #1:
He loves human and animals and living creatures all around.
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Me:
Whoa. That just blew my mind. Well it is a good thing that gay people can't get married then. Because everyone knows that gay people aren't human, or living for that matter. Haha.
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Classmate #1:
....
Gives me something to do while researching this stuff myself and it’ll hopefully help other people so they don’t have to freak out about not knowing what to do or where to turn.
I’d like it to be a community thing, so anyone who already knows things about programs to help…
This is an awesome idea!
That sure is alot of snow.
I like this alot
I love this snow alot!
(Source: reddit.com, via transportjockey)
THIS HAS NO P WAVE THE HYPOTHETICAL ROMANTIC PATIENT IS IN ATRIAL FIBRILLATION GET HER SOME COUMADIN QUICK.
^ False due to the spread of the QRS this is more likely a Junctional rhythm, Also there is no T wave for ventricular re-polarization…. Furthermore if it was Atrial Fib,if symptomatic, cardioversion is the correct therapy, if not symptomatic beta blockers or digoxin would be correct. Blood thinners just reduce the risk of stroke without treating the arrhythmia.
Schooled.
(Source: c-e-l-t-i-c)
Today is my 28th birthday.
I spent the vast majority of today in such a wonderful mood because my birthday is my favorite day of the year (next to Christmas), and it’s the only day that I can be unabashedly selfish and not feel guilty for it. And even though I did very few selfish things today, I basked in the knowledge that today is my day and nobody can take that away.
Yesterday, however, I was sort of gloomy. It hit me like a million tons of a million bricks. The realization that today marks my second birthday with my dad. And that is probably the hardest thing to realize. Christmas was difficult without him, and yesterday was difficult knowing that today would happen and there would be no phone call from Dad wishing me a happy birthday in his signature Dad way.
I miss him. I miss him on days like these especially. Because these are milestones that I thought he’d be here for.
So bittersweet, life is.
Photo Courtesy: pranelyaako
Really? Through a text?
^^ right!
I’m sensing a ‘no’ and a thorough beating after this
Filed under “Worst Proposal EVER”
