I should be grateful. It has been a hell of an 11 months since this journey started. I have had the best doctors and nurses and radiation techs and surgeons at one of the world’s leading breast cancer facilities. My insurance has covered more or less everything without tooo much of a fight. My mom traveled across the country to help take care of my daughter, and my husband job has been way more accommodating than I ever could have dreamed. We have wonderful neighbors and friends who have helped when I’ve had to travel out of state for treatment (which has been basically constant).
And yet….
I am 34 with no family history or genetic mutations for this (TNBC w/ positive lymph nodes), or the surprise bonus second primary (tall cell thyroid) cancer. I didn’t get PCR, but I am an excellent advocate for myself and searched for a clinical trial that I was eligible for and was accepted.
I started the clinical trial on 5/10 (this past Friday), and I even got the investigational arm that I desperately wanted. I really should have absolutely nothing to complain about. Everything has fallen into place and is coming up roses.
But my hair was just starting to get to a length that wasn’t immediately identifiable as “cancer patient/survivor.” I can fake a cute piece-y bob. I am doing scalp cooling, but I have 15 more rounds of the experimental drug and absolutely all documentation indicates it causes alopecia and scalp cooling isn’t effective. There is something about having to go back to covering my head again that really takes the wind out of my sails. That and the bruises on my arms and the fatigue and the puffiness from the steroids. I look at pictures of myself from a year ago and I don’t even look like the same person. It makes me so sad.
Why can’t I just be grateful that I am able to get the new promising drugs?

dunno if this is allowed in here but ill just go for it, im graduating soon, and i still havent completed any application to any college. i feel like ive been dreading over which course and what school i should go to because, i never really expected i would make it this far, and now i have and its so scary. i cant and dont want to pursue my quote on quote passion (art) because i want to study something more academically inclined. my friend said its not my passion if i dont really want to pursue it, i agree. i could fight for art school, but im not, maybe because of the pressure (baka iniimagine ko lang) that since all my fam members are in law or med, i cant do art. my course choices rn are nursing, psych, mt, pt, etc etc stuff like that. really wouldve gone for speech pathology in UST, but like i said, i didnt think id make it this far so i didnt apply there, not to any of the big 4 schools. i find nursing to be fun, for now, of the little glimpses i see of it from my gr12 immersion at a hospice, our vital sign retdems, case studies, ganon, okay lang, its fun naman. i like learning about it and i even top the exams. but, its really scaring me. its really scaring me. i dont know if its for me. i really want to try and believe in myself that i can do it, but based on past experiences, pala-absent kasi ako.i dont think okay pa yun pag college na. especially nursing, with clinicals pa… id be good, i think, with more online settings. im such a home body. but at the same time i need to be outside to be okay.. its so hard for me. parang di ko alam ano gagawin ko. sorry huhu dito pa ako nag daldal. ang hirap walang nanay. ang hirap walang tatay. i feel so frozen in place. like i cant decide, i cant move on. every time i decide it just changes in a few days, gusto ko nalang mag enroll para wala na ako magagawa, or iroroleta ko nalang, but this is my future im talking about… paano kaya nadaanan toh ng mga nakakaranas tulad ng ganito dati? hindi naman ako sure if my dead beat dad na nurse sa US is makukuha talaga ako to work there, di pa nga na sstart petition ko. ewan. napaka ewan. the system is so horrible. how could they expect 17 to 18 year olds to decide what they want to study for the next 4 years? geez. i guess shifting is okay, but i really would rather not and i would rather not be an irreg either, my life is already so magulo i just want a smooth sailing 4 year course college. but how will i even begin if i have no idea what that is? please help me.

Hi, sorry you've obviously heard most of this before. For context I am in the UK and I know its been eradicated here, however I need my mind putting to ease.
Sunday night at 8pm I was at someones house who is fostering a rescued Romanian street dog. He has been in UK for 6 weeks and been vaccinated (and quarantined for a month in Romania before the 6 weeks). He didn't like me from the get go and long story short as I was trying to leave he just went for me barking aggressively and jumping at me. He bit/scratched me a few times on my bare leg and I have 3 separate puncture wounds, which did draw blood, they have red dots/broke the skin but are pretty superficial/shallow.
I know UK is rabies free however I am aware Romania has a rabies risk and he has only been in the UK a short while. My heads all over the place and the fact the rescue said the dog was "good with men" when he clearly wasn't makes me wonder if they lied about being vaccinated as well and forged the pet passport documents to get into the country etc (probably very unlikely I know but illegal dog imports could happen). I rang the non-emergency health number and the operator told me a nurse said it definitely wouldn't be rabies but I'm still not convinced as I haven't seen/spoken to a healthcare professional directly 1-on-1. I'm assuming from reading the FAQ, after 2 weeks if the foster dog is still alive, I am rabies free? I know I'm probably being silly but any advice would be greatly appreciated. Thanks.

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i need help as to how to move forward with finding out a coworker is a fraud basically . so me and my other coworkers started raising suspicious about a coworker she is a “RN” but she did not know anything at all. nothing even first year RPN students can do in the first semester of their learning. long story short we got invested and searched up her name and it was two names that came up spelt the exact same and one of them works in new york and the other doesn’t even work in ontario currently also their documents say that they work as RPN. the others also have been licensed nurses since 2008 and before covid but she just got here from india this year meaning she would have had to get her license 2024 but nothing exists.she is here working as RN with literally no knowledge she asks around how to give insulin or tells the patient to give it to themselves and one actually ended up hurting herself . she came in with fake papers fake identify as i am sure of. she says that actually she can work as an RN because in india before she came last year she was a PSW and then canada let her in this year and she did short training and blah blah blah. no documentation for her to be working as a nurse in canada. it just sucks because i went through all this rigorous nursing education for someone to come here fake everything and still make 120 an hour. more importantly she will end up killing a patient if something isn’t done about it
update : the CNO doesn’t have a direct line where you can speak to someone right away so i’ve left an email. i’m not working for the next couple days but i will call the police non emergency line because she might be in for a shift as well
just got off the phone with them. there is no way to make an anonymous report to the police . might consider calling the DOC at the home but for now i will wait until the CNO gets back to me

My wife is currently a hospice nurse. She works three 12 hour shift. Manager is very flexible with her shedule and she can pick which 3 days to work weekly. How doable is it for her to work full time and attend NP school?

Nursing assignment writers cover a wide range of topics to help nursing students understand different aspects of healthcare. These topics are like pieces of a puzzle that come together to create a bigger picture of nursing practice. Let's explore some of these topics in more detail:

1. Patient Care: Nursing assignment writers often discuss patient care, which includes topics like bedside manner, administering medication, and monitoring vital signs. They teach students how to provide compassionate care while ensuring patient safety.
2. Health Promotion: Another important topic is health promotion, where writers explain strategies for promoting healthy behaviors and preventing illness. This might include discussions on nutrition, exercise, and disease prevention techniques.
3. Medical Conditions: Nursing assignment writers also cover various medical conditions, such as diabetes, heart disease, and mental health disorders. They help students understand the causes, symptoms, and treatment options for different illnesses.
4. Nursing Ethics: Ethics is a crucial aspect of nursing practice, and writers often delve into topics related to ethical decision-making, patient confidentiality, and professional conduct. They help students navigate complex ethical dilemmas they may encounter in their careers.
5. Evidence-Based Practice: Nursing assignment writers emphasize the importance of evidence-based practice, which involves using research findings to inform clinical decisions. They teach students how to critically evaluate research studies and apply evidence-based interventions in patient care.
6. Nursing Theory: Understanding nursing theory is essential for students to develop a solid foundation in nursing practice. Writers explain different nursing theories and their applications in clinical settings, helping students understand the underlying principles of nursing care.
7. Leadership and Management: Nursing assignment writers also cover topics related to leadership and management in healthcare settings. This may include discussions on delegation, conflict resolution, and quality improvement initiatives.
8. Cultural Competence: In today's diverse healthcare environment, cultural competence is essential for providing patient-centered care. Writers discuss topics related to cultural awareness, sensitivity, and competence, helping students learn how to effectively communicate and collaborate with patients from diverse backgrounds.
9. Legal Issues in Nursing: Nursing assignment writers address legal issues relevant to nursing practice, such as informed consent, documentation, and professional liability. They help students understand their legal responsibilities and how to practice within the boundaries of the law.
10. Professional Development: Finally, writers cover topics related to professional development, including continuing education, certification, and career advancement opportunities. They help students prepare for lifelong learning and growth in their nursing careers.

In summary, nursing assignment writers cover a diverse range of topics to provide comprehensive support to nursing students. By addressing these topics in their assignments, writers help students develop the knowledge, skills, and competencies needed to excel in their future nursing careers.

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temporary, ten, tend, tendency, tennis, tension, tent, term, terms, terrible, territory, terror, terrorist, test, testimony, testing, text, than, thank, thanks, that, the, theater, their, them, theme, themselves, then, theory, therapy, there, therefore, these, they, thick, thin, thing, think, thinking, third, thirty, this, those, though, thought, thousand, threat, threaten, three, throat, through, throughout, throw, thus, ticket, tie, tight, time, tiny, tip, tire, tissue, title, to, tobacco, today, toe, together, toilet, token, tolerate, tomato, tomorrow, tone, tongue, tonight, too, tool, tooth, top, topic, toss, total, totally, touch, tough, tour, tourist, tournament, toward, towards, tower, town, toy, trace, track, trade, tradition, traditional, traffic, tragedy, trail, train, training, transfer, transform, transformation, transition, translate, translation, transmission, transmit, transport, transportation, travel, treat, treatment, treaty, tree, tremendous, trend, trial, tribe, trick, trip, troop, trouble, truck, true, truly, trust, truth, try, tube, tunnel, turn, TV, twelve, twenty, twice, twin, two, type, typical, typically, ugly, ultimate, ultimately, unable, uncle, undergo, understand, understanding, unfortunately, uniform, union, unique, unit, United, universal, universe, university, unknown, unless, unlike, until, unusual, up, upon, upper, urban, urge, us, use, used, useful, user, usual, usually, utility, utilize, vacation, valley, valuable, value, variable, variation, variety, various, vary, vast, vegetable, vehicle, venture, version, versus, very, vessel, veteran, via, victim, victory, video, view, viewer, village, violate, violation, violence, violent, virtually, virtue, virus, visibility, visible, vision, visit, visitor, visual, vital, voice, volume, voluntary, volunteer, vote, voter, voting, wage, wait, wake, walk, wall, wander, want, war, warm, warn, warning, wash, waste, watch, water, wave, way, we, weak, weakness, wealth, wealthy, weapon, wear, weather, web, website, wedding, week, weekend, weekly, weigh, weight, welcome, welfare, well, west, western, wet, what, whatever, wheel, when, whenever, where, whereas, whether, which, while, whisper, white, who, whole, whom, whose, why, wide, widely, widespread, wife, wild, wildlife, will, willing, win, wind, window, wine, wing, winner, winter, wipe, wire, wisdom, wise, wish, with, withdraw, within, without, witness, woman, wonder, wonderful, wood, wooden, word, work, worker, working, workout, workplace, works, workshop, world, worried, worry, worth, would, wound, wrap, write, writer, writing, wrong, yard, yeah, year, yell, yellow, yes, yesterday, yet, yield, you, young, your, yours, yourself, youth, zone.

I’m on my second day off orientation in the ED. Had my first pt “fall” today if you can even consider it that. She was 90 and the nurse before me gave her 3 doses of dilaudid and a small dose of Ativan because she was writhing in pain. It’s currently 1905, I came on at 7. Pt’s daughter comes out of the room and says she needs to use the bathroom and usually is ambulatory and independent. Bathroom is connected to the room. Tech goes into the room to escort pt to the bathroom, I go into another room to see a pt who passed out 3 times today. I have a needle in my other pts arm when I get a Vocera call that the tech needs help. I quickly finish up my IV and go help the tech, I’m greeted by charge and another nurse in the room. We check a sugar and it’s a little elevated. Pt is fine, never hit the floor, no injuries sustained. MD notified and fluids on board. Thought to be an orthostatic episode. Charge nurse comes to tell me I still have to complete the fall form, technically. Pt goes to surgery, I give report (“fall” included) to the floor she’s going to after surgery, and tell whoever came to get her about the orthostatic incident. I don’t complete the fall form until around 11pm because I was always told pt care comes before documentation, and the ED was slammed. I would be wrong to say I wasn’t a little overwhelmed. OR nurse calls me furious that no one told her she had a fall. I explained everything to her but I’m sure she was still pissed.
I’m going to call my manager in a few hours to talk to her about it because I am truly freaking out. Im sure I’m not going to lose my job or anything but still freaking out. Please be honest, am I freaking out for nothing?

So my sister and her baby daddy are big time meth users, so bad that she lost her job in December and then was finally evicted this month. CPS is “involved” but with the new law that was passed last year they said they can’t remove my nephew unless something happens to him because just bc you do drugs doesn’t mean you can’t parent. I really don’t want to wait for that to happen, but they have told us to just document and record everything happening so when something does happen we have more proof. Does anyone have any ideas for what other options we can do?
We have proof of drug use, violence, and for 5 months (when they had a home) they lived with no power and water, she sometimes stays in motels and CPS says it’s “safe” so we have to let my sister take him (but we don’t help her and don’t pay for a room or even drop him off there we were told to make it harder and so she has to come to us to get him) but she’s taking him to motels in the worst parts of town. She also hates everyone in my family so I (nursing student) am the only one she allows to take care of him but my parents who are willing and able to care for him are on her bad side so she won’t let him stay with them. I of course would rather take care of him than see who else she finds to watch him but geeze! Is there a way to go around CPS to give my parents custody? I heard we can file for temporary custody down at the courthouse directly but can’t reach anyone to get more information on what that process entails.

The EXTREMELY detailed, mega-anxiety edition!!! Major events like consult and surgery day are labeled like this:
——— EVENT TITLE ———
Surgeon was Dr. David Whitehead and I saw him on Long Island (New Hyde)
Summarized list of major dates:
Consult: July 19 2023 Mental health letter acquired: August 9 Dates discussed: September 12 Pre-op appointment: December 18 Surgery day: January 8 2024 Post-op: January 17
November 11th 2022: Emailed northwell health for the first time, they emailed back saying to call. I was too anxious so I avoided it for a few months.
Called northwell a few months later but got too anxious talking to the person who picked up. They were being normal and talking normally, it was just personal anxiety on my part.
October 2022 - Early March 2023: Spent time talking to trans friends and family members about their timelines and processes for top surgery.
Looked into Penn medicine for a bit but wasn’t happy with the surgeons there, specifically as a nonbinary person. The patient navigational team however is lovely.
March 2: emailed Penn health patient navigation
March 3-10: correspondence and phone calls w patient navigation (absolutely wonderful people, some of the easiest phone calls I’ve ever had) Got lots of into on surgeons, things I’d need, processes etc.
Date unknown: phone call to Penn medicine asking about surgeons and possibly setting up as a patient (v long wait time on phone) Surgeon I had heard good things about only works w CHOP program and I’m was too old for that program. Other surgeons I was v iffy on.
March 23rd: Back to square 1. Called northwell again to set up an appointment. Everyone I spoke to was really nice. Could have set up an appointment within the week but decided to wait till the end of the semester. Scheduled a trans care and primary care appointment for May
Couple of calls In between for confirmations. Trans care appointment got moved around a bit and ended up being moved to a phone call.
May 8th: Trans care call: Basic preliminary questions like: Emergency contact, what you’re looking for, are you thinking of looking into hormones, experience w dysphoria or dysmorphia, mental health, and eating/nutritional concerns, things you might want doc to know, piercings or tattoos, do you do any drugs or drink often, etc. total call time was about 20 minutes. Doctor was incredibly kind, I still experienced a good deal of anxiety but the call was super easy, welcoming, and friendly. Got sent contact referrals for the surgeons, as well as trans-friendly therapists under my insurance.
May 9th: started looking at list of therapists and making respective emails and calls. Checking per session costs and double checking insurance. Most charge 100-150 per session. Got in contact w one.
May 10th: Called w first therapist talking about what I’m looking for, where I am in this process, if parents are supportive, and talking about costs. She was very friendly and affirming, wants to have a few sessions to get to know me and my situation before writing a letter. Understandable and expected, but frustrating.
May 15th: Primary care appointment: Went to northwell health primary care, parkinglot was a little scary (just a large lot with a lot of cars) but everyone working there’s is super kind. Office is incredibly affirming, pride flags and lgbtq+ art everywhere. Gave my insurance card, filled out some paper work, got called in pretty quickly. I have a needle phobia and medical trauma so I was panicking a bit in the office, nurse was good w me about it and doctor was very kind, I just requested to not have any blood work done that day and that was totally fine, so I could schedule that at a later date and go w a friend. Recommended to get blood work done before scheduling a consult w a surgeon. Also prescribed me a single dose anxiety med for the bloodwork which I was very happy about. I found over time that the anxiety meds unfortunately do little to nothing for my panic attacks personally when it comes to needles but regardless having a doctor acknowledge and respect that fear and listen to me was incredibly helpful and reassuring.
May 30th: Got blood work done in a different lab, went w a friend. Scheduling for that is super easy, I think I did it online actually I don’t entirely recall. they do take walk ins but I made an appointment to minimize complications and make sure I could prepare properly. Front desk/lobby area was a little spooky, but I think that is mainly just bc of my social anxiety. They take a urine sample, you give them your prescription, eventually they call you over for blood work. Quick and easy, tech was v nice and having a friend with me was incredibly helpful. Probably the best I’ve ever done with a needle despite the fact that I did still panic and get very lightheaded lol.
Got blood work results back within the next couple days, all looks a-okay! Neat :)
June 15th This day was incredibly difficult. I had my first session with a therapist to establish some ground knowledge around my dysphoria and the way that I view myself. Top surgery is something that I know from research and related experience Can be difficult and expensive to get and can take time, so much of my prep work has been on the understanding of taking things a step at a time and just knowing that the current way things are doesn’t have to be forever. It allowed me to be able to live with myself while prioritizing my health better. This read to the therapist as “not having the level of dysphoria [she’s] come to expect and look for in someone who is trans” and was largely based off the fact that I don’t want to go on hrt. Past that point I started to break down because now my method of learning to live with myself felt like it was actively going to work against me and prevent me from getting top surgery. I’m not good at talking about my dysphoria, I can’t imagine it’s easy for anyone, especially to a stranger I just met. It was rough, and I felt incredibly mentally drained after ending the session.
June 19th Called it quits with the first therapist, I felt incredibly disrespected and the one session we had put me in a mental spiral for days. It can feel some times in this process like the people you have to get permission from need you to be severely depressed and unable to wait another second for this procedure just in order to take you seriously.
After I left that therapist, I immediately got back to the list to find someone new. Spoke to a new therapist via email, but my insurance is kinda weird (Blue Cross Blue Shield out of state) so its off putting to some people. This therapist recommended I go through the office she started out at (Heart and Soul Counseling)
————- Time Skip ——————
IM BACK its time for some record keeping. Got super overwhelmed and lost the energy to document my process for some time so here goes.
HEART AND SOUL COUNSELING: My experience w/ this therapy office was mostly good. The person in charge, Jesse, was absolutely lovely and responsive. Never spoke in person, but any text/email interaction was prompt, respectful, and kind. The office is stellar with email/text communication, so I only ever had to call them once when I was initially inquiring about the office. This is something I wish all therapy/counseling centers did better, eliminated a ton of my anxiety and hesitation to speak to therapists.
I got set up w someone as quickly as possible and established what my goal was (to acquire letter document for my surgery team). I attended multiple session w the therapist, she was a kind lady but the sessions were unfortunately p miserable for me. We didn’t fit well, but I was willing to stick it out rather than backtrack on my process. She also did not invalidate me or accuse me of not being trans which was a major step up from my first therapy experience. Once I acquired my letter I did stop therapy there, I kindly explained to the therapist that it wasn’t a good match, but I may honestly explore my options at the office in the future. Receptionist there was also lovely and they had a cool fish tank.
———- CONSULT STARTS HERE —————
July 19th: CONSULT!!! My mama and I went to Dr. David Whiteheads office for a consult. Parking was a nightmare so I’m super glad I didn’t have to drive for this one (ty mama). Consult went really well, and the staff were all super friendly. Dr. Whitehead is cool, very chill energy and a bit intimidating, but I’m scared of everyone so that’s nothing new. First question he asked me is what I wanted/what he could do for me which caught me more off guard than it should have? I didn’t realize going into this process how many times people ask you what you’re having done even if it’s already written down, because there’s so much variety in what you can look for in the results.
We talked about the procedure, went through a slideshow n stuff, and discussed how I wanted a flat chest w/ no nipple preservation. They made sure to specify that my mental health professional letter had to include that I did not want nipple preservation because thats technically a “non-standard” appearance. Also had the first breast exam I’ve ever had in my life. Can’t say i’m a fan (not that I need to worry about that anymore!) Took pictures n measurements n such, and also discussed recovery supplies and care w me and my mom.
August 9th: After a plethora of painfully awkward therapy sessions, a decent amount of crying, and a couple breakdowns in friends cars/backyards, I got my therapist letter and sent it to the surgeons office. It ended up needing minor revisions to which I contacted Jesse from Heart and Soul and he got me the revised letter immediately. Unfortunately the surgical coordinator was out of office for the rest of the month the next day ;w;. Is how it be.
September 12th: Got a call from Surgical coordinator mid-painting class that I stepped out to take. Started discussing surgical dates!! She was kind enough to email the dates to me which was lovely because I was absolutely shaking/mind blank haha. There was an option for January 8th which felt like an absolute miracle the way it would work with my school schedule. It would give me a solid two weeks recovery time before spring semester began. Because it would be a couple months out, I was asked to contact her in the second week of October to submit documents to insurance.
(Timeline note: earliest date offered was in early December)
October 10th: Documents sent to insurance, predetermination started
October 30th: Received mail from my insurance approving my procedure as medically necessary (YAY) But! This is also where things get,,, fun! Dr Whitehead’s surgical coordinator, Alyssa, is a blessing and was very helpful and prompt with me despite the fact that I had to email her pretty constantly during this general time which I still feel bad about.
Around this time, my mom got diagnosed with breast cancer, which I reported to the surgical coordinator because it influences my family history (grandmother also had breast cancer). It was asked that I get genetic testing done because this could impact my surgical procedure. Now I’m handling the setup on this between helping my mom in her process setting up consults and considering her options because there of course is a lot of crossover to the steps I’ve already completed and am familiar with.
November 1st: Very kind person at cancer genetics calls me, sends me a family history questionnaire to fill out before I can be scheduled to see a genetic counselor. Filled out the questionnaire the same day.
November 8th: Called cancer genetics to check about scheduling, office was not open so left a message. Got a call back later in the day. I have a virtual appointment with a Genetic counselor Tuesday the 14th. Current plan is a mailed saliva genetic test but I’m going to ask if theres anything I can do to get results/materials quicker. If I can’t get results/feedback by December 8th my surgery date may get deferred.
Trying not to stress too much because there is little to nothing I can do about this, and I just don’t want to be sad. I’ve kept telling myself throughout this process to not get excited and not let myself believe anything is solid because something could happen at any time that might mess up my schedule or plan, and If I convince myself I’m in the clear, those changes will hurt a lot more. So far I think thats been a good move, because this really sucks.
My surgery date is still officially scheduled as of now as well as my first post-op. I will also ideally have pre-surgical testing done December 18th should I be cleared by genetics in time (Fingers crossed!)
ALSO! Def lean on friends if/when you can during this process. It can absolutely be challenging, and having a support system is incredibly important and helpful. I’m super lucky to have really lovely and supportive friends that are around to listen to me and send me pictures of stupid little animals.
November 9th: My mama is scheduled for her double mastectomy on December 4th
November 10th: Did some shopping with my mama for recovery supplies for double mastectomy/top surgery. Having watched a million and a half transition/top surgery videos and tiktoks and having read all the blogs and posts and tweets makes you a great support for someone suddenly faced with an upcoming double mastectomy! We might go shopping this weekend for some button ups and zip ups for her, clothes shopping is better done when you can try stuff on
November 14th: Meeting w genetic counselor: Victoria Webb, one of the loveliest medical care workers I’ve ever met. Had a virtual appointment with her to discuss and set up genetic testing. I explained to her about my situation w the proximity of my surgery and tight deadline as well as my willingness to do a blood test instead of a saliva kit to get results quicker. She was so incredibly kind and good with me, ended up being able to do a saliva kit and get results in time she deserves every good thing in life.
December 18th: pre-surgical testing: This was at the main hospital, everyone was really nice but I had a really bad panic attack despite being on Xanax.
The process is sort of like getting a physical. Measurements like weight and blood pressure get taken, lots of preliminary health questions. The people working with me were really kind and I was very open with them about my anxiety, it was visually apparent though anyway because I started crying the second we even started talking about the blood draw.
Once the equipment was actually brought into the room I started to panic. Both of the women working with me were really kind and helpful and tried to distract me and keep me talking the entire time, but I did still have a really horrible panic attack. Every muscle in my body locked up and I lost all my color, took a bit to get back to a spot where I could move and talk properly because my speech was affected too. It was a bit scary but funny to think about in post. Thanked the medical staff for being patient w me as always, a good portion of the anxiety is also guilt about making things harder for them. Got through it tho. Def eat before presurgical if allowed, I didn’t and that probably didn’t help!!
———- SURGERY DAY ————-
January 8th:
Ok so surgery day:
This day was very scary. Got my phone call the Friday prior for my surgery time which ended up being 1pm and I was asked to arrive around 11. Got there at 10 and went in at 10:30.
Called up to check in then in waiting room till someone brought me back to change. I told her right away about my anxiety with the iv bc that’s legit all I could think about. Got changed right after. I was generally shaky and a little disoriented the entire time because I was panicking but everyone was very patient with me. Clothes and belongings go in a bag in a locker and you get two gowns one that faces back and one that faces front. I was given underwear and a pad as well because lucky me I got my period a couple days before my surgery.
The pre-op area is a lot of little cubicles with curtain divider things, blue soft chairs, and medical equipment. Everyone I met and spoke to was very kind, but any time someone even suggested starting my iv I would panic. I was informed it would have to be placed in my hand and that terrified me, I’m especially anxious and sensitive about my hands and fingers. I think doctors and nurses tend to misunderstand exactly where my fear is with needles and ivs. It isn’t the pain that scares me, but the concept of veins and and anything being in them. Even writing this right now is horrible so I’m going to stop w any further detail. I spent the entire two-ish hours of pre-op absolutely terrified about this iv.
I wasn’t really keeping track of time but dr whitehead came in to do markings for surgery. They had cool rainbow socks on,big fan. Having your chest drawn on and just like, moved around n shit is such an experience. Felt bad because I kept losing my balance but doctor Whitehead is cool and I am 98% less scared about them now.
Probably my most favorite person I met during my entire hospital experience was the anesthesiologist. I know he told me what his name was but I couldn’t focus on or retain information at the time. He told me we could essentially put me to sleep with gas before putting the iv in and for the first time in probably a solid week I felt like I could calm down a little. He took a look at my hand and arm to check my veins which always does freak me out a bit but I’m more used to that kind of thing at this point and I know nothing bad is going to happen. One of the nurses came in with the iv equipment and he let her know that were going to wait till in the or which was also incredibly helpful because I absolutely panicked when I saw that little supply kit again.
V nice lady brought me into the or, I’d never been in one before it was cool. They had a little music speaker which was really cool. Took off blue jacket gown and they helped me onto the table. They put a warm blanket over my legs and my chest to help me calm down. Before long they gave me a mask w fun happy sleepy time gas, they let me keep my arms on my chest for a while which was really nice because I was still scared. I started getting loopy pretty fast but I still heard when someone mentioned where the iv equipment was and panicked a little because of that. I remember feeling them take my hand for that but never actually felt anything happen. Just some fear but the gas was v helpful obvi. Someone said they would see me in a little bit, and then I was groggily waking up in recovery.
Recovery was a little rough bc the iv was still there (fully wrapped up so I couldn’t see it though which was rad) but I was still really anxious about it until it was taken out and when it was taken out. For anyone that struggles w this i did not feel them remove it, just the tape. Everything was mentally much easier after that. After a while, going over instructions w parents, a cracker , some ginger ale and some juice, my dad helped me Get dressed and I was helped out to the car in a wheel chair. Ride was smooth bc of remaining numbness and meds except a few Bumps in the road
TOP SURGERY GOTTEN
My post op date was scheduled for Jan 17th and that’s the day I got my drains out followed by several post op check-ins. First week of recovery was miserable but things exponentially approved each day past that, and I went back to school in person two weeks post-op with driving and item-carrying assistance from friends!
Will upload recovery notes at a later date! Feel free to message me with any questions, more than happy to answer and give info! I’m a bit over four months out from surgery now and thriving 🥳

Today I got a call from my agency that my contract was going to be cut short due to a few complaints. I need other nurses’ opinion on this please.
Context: I’m contracted at a rural multi purpose hospital, combined emergency, acute medical and residential care. It’s purely nurse-led with medical officers on call who can get on the telehealth/screen in ED if needed. Plus a doctor who physically visits approx 3x a week in AM shifts.
There’s a senior RN who works casual shifts. We never really got along, although we’ve never had any direct conflict or arguments. She just makes a lot of comments about travel nurses, questioning our ED skills, how we made the nurses accomodation a “pig sty” (even though it’s spotless, no dishes on the sink, always dried and put away on the spot etc). Anyway she complained to the management that I don’t do complete handovers- for example I didn’t hand over to their shift that I gave a slow IV push of digoxin to an ED patient. Another nurse who was in the handover room 100% remembers that I did in fact hand it over including the period of time I took to push the drug in and what time. On top of that, all the drugs given were charted and co signed by us, all available for her to read. But she says I never handed it over.
Number two, there’s a complaint that I argued with the doctor and have “abrupt attitude.” I have never ever argued with anybody there- not the admin, nit the cleaners, not the medical team etc. I have opinions about the people but I always keep it to myself to avoid the work politics. The closest thing I can think of is the doctor DECLINED to see a head injury patient I handed over, because she would rather suture a non urgent wound on the limb in another room. Without asking who, what, how, when, she just replied “I don’t want to see him” with a smile on her face. I said “They’re actually in that other room right now and have timed their arrival to see you.” And she went “Well I’ll be too busy suturing in there.” And that was end. She refused to see him 100%. Fortunately, the same coworker who is vouching I handed over the digoxin also witnessed this interaction. The patient was clinically well and neuro obs okay so he was discharged with a minor traumatic brain injury fact sheet. I explained all the warning signs and to come back if so. He returned the next day unwell and I texted her again to come SEE him, that’s when she finally saw him. And the kid ended up getting a CT scan in a bigger hospital. Luckily, there was no brain bleed. This was an INCREDIBLY DANGEROUS situation and I have so many regrets because I didn’t advocate for that patient enough. Luckily he was okay and he went home. I also had another chest pain patient who presented twice on the same day- I followed protocol, did the ECG and bloods. The dr was giving me attitude that it was clearly non-cardiac and non-urgent, rather mental health related. Regardless, I did my job and followed protocols for chest pain. Then the pharmacy called me asking about a loratadine script not matching the online med chart, and wanted to clarify which drug the doctor wanted. Obviously I was not going to tell her which drug to dispense (as I’m not a doctor) so I passed it on to the doctor. Her response was “This question is so petty. I don’t really care.” As you can see, despite this doctor’s attitude, I’ve been very patient and kept things to myself to remain professionalism. These are the closest interactions I can think of to an “argument.” The only person other than my witness who knew about this interaction was the same RN above who complained about the digoxin
Fourth, we do our own blood pathologies onsite due to being rural. So when I had a chest pain, I placed a 24 gauge IV cannula on a 71 year olds r) forearm SOLELY for the collection of bloods. My thinking was rather than poking her 3x for repeat bloods I would cannulate her to collect from the same cannula (you only need 1 mL or less each time). I already told this to the LPN/LVN who questioned the size of the cannula. I assured her at the event we had to administer IV drugs, it would be given in a bigger cannula on the L) forearm (as I avoid collecting blood from the same IV where drugs and fluids are being pushed into). This is also documented in her acute folder, cannulation form (under reason for cannulation is BLOODS). Anyway this LPN complained that I’m using the wrong IV size. Iwant to clarify NO IV DRUGS were given. Only ORAL. That IV was purely for bloods. But you know what, thinking about it, even if I were to push fluids through there, it wouldn’t be wrong. 24 gauge is used on paediatrics AND elderly AND adults with miniature sensitive veins.
But despite all of this, my contract has been cut shorter by weeks and the agency has asked me not to approach the management. And to finish my contract quietly and in peace. They won’t pass my feedback on out of fear it will cause conflict in their relationship with the client. Additionally, moving forward, they cannot place me in ED contracts anymore until I’ve completed a medical/acute contract and gotten good feedback.
To me this absolute bullshit so I told them this will be the last contract with them (I have other agencies). Did I do the right thing? Was I wrong in any of these scenarios? Please give feedback as I want to improve myself as a nurse…

I did 4 weeks in CCU/gen-cardiac med ward. I’m now doing 2 weeks in theatre. And im struggling a bit, I just feel so out of place.
I’m so used to bedside nursing, and I enjoyed it too. I like continuity of care and after doing my placement in a cardiac ward, I want to work in cardiology. Today was my second day and im 99.9% sure theatre isn’t for me. Saying that, I still want to make the most out of this placement but it’s just so hard. I’m currently in the anaesthetics department and I literally do nothing. I just grab warm blankets for the pt before the anaesthetic goes in, I put the BP cuff and sat probe on, help clean up the theatre after surgery and that’s it.
It probably looks like im one of those students who doesn’t care and only wants to pass, not interested in learning etc. I do ask questions but practising skills and physically doing things wise, I don’t do anything…
I have one more day in anaesthetics and then I go on to PACU... I can probably do more in PACU (especially obs and documentation) but for now, any advice? I just don’t want to look like that shitty student you know

This occurred at an acute care hospital/rehab.
The patient is an 80F, recent surgery to remove cancer from her neck. Ended up vented x2 weeks in the ICU post op. Comes to us with an NG tube and trach 2 days after getting off vent at local hospital.
Nurse “A” is assigned to this patient. There has been a history of patients requesting a different nurse due to Nurse A having a “rude attitude” and communicating unprofessionally. Nurse A has been an RN for a year.
NG feeding orders were for 75ml/hr running over the 12 hr night shift, so starting at 1800.
At 3am patients call light goes off. Nurse B goes into room to find patient vomiting and the feed formula coming out of her trach, nose, and mouth. Nurse B sees that tube feeding is set at 250ml/hr and turns off machine.
Nurse C enters room and nurses BC begin suctioning pt while calling MD.
Nurse A then comes into room yelling “ she should have never been a patient here. This is ridiculous. I can’t handle this”
Nurse A attempts to take over suctioning however nurse B steps in as nurse A was not suctioning correctly.
Pt sent to ER. Nurse A leaves the room and goes to sit at other nurses station across the unit away from her other patients and charge nurse. When asked to fill out incident report and progress note, nurse A did not feel she did anything wrong and did not want to document the rate error and yelled at the charge nurse.
How would you handle this situation?

If disguised under a preposterous or “absurd” appearance, [a UFO’s] effects would be undetected for a long time. I believe this could be a key to the confrontation with UFOs. ~Jacques Vallee

In 1954 the sociologist Gordon Allport published a book called The Nature of Prejudice. In it, he and some colleagues elucidated a link between increasing Intergroup Contact and reducing Racial Prejudice. At the time this was breakthrough research; repeated contact between members of the “in” and “out” group reduces stigma toward the “out” group.
In 1954 this could be easily illustrated by the attitudes of the public-at-large toward racial minorities over the preceding 100 years – shifting attitudes toward slaves and their descendants, as well as the previous 10 years – attitudes toward Japanese-Americans over the course of WWII.
As it turns out one of the most effective ways at reducing prejudice is “equal status contact between majority and minority groups in the pursuit of common goals.”
For African slaves, their descendants, Japanese-Americans, and countless others across history, this contact has been stained with blood and tears. But contact it was nonetheless, and our stigma toward these “out” groups declined overtime as they became part of the “in” group. They became ‘American’ and their “out” group identities and goals have become, and are becoming, less stigmatized.
Today, I believe we are watching this dissolution of stigma play out en masse on the world stage. The funny thing is that this time, all of humanity is part of a microcosmic “out” group and the aliens in their UFOs are part of the macrocosmic “in” group trying to get us to adopt their goals. What then, is so unsettling about humanity that they take such a slow-going route of stigma dissolution? Why don’t they just introduce themselves as equal status individuals?
—————————∞—————————
Attitude Rebound and Stigma
A few weeks ago I made the same post in both UFOs and Aliens. The post contained what I thought to be a reasonable, logical hypothesis that could easily explain away all paranormal phenomena… Yes, all paranormal phenomena. The post got about as much attention in each subreddit, however the reactions to its content was drastically different on each subreddit.
I will admit that I was being a little overzealous in my efforts to “raise the consciousness of humanity” and was proselytizing to some folks in the comments. My B 🙇🏻. What I found very very interesting, however, was how commenters on UFOs were much more critical and reductive than commenters on Aliens, who seemed more open to my zany hypothesis and its possibilities.
Now, I am not a physicist. I can barely remember the unit circle. I got a D in calculus at university. That is why/when I decided to get a liberal education rather than a scientific one. Having said that, I am very passionate about science and the scientific method. I am a nurse by trade, and for twelve hours a day, three days a week, according to my profession, I conduct three to five “n of 1” studies and report the results of these studies to a medical doctor. My job is to experiment on human beings and document outcomes.
What I observed when I made those posts was that one community was receptive and the other was hostile. I joined both UFOs and Aliens so that I could keep up to date on the latest disclosure news. I have noticed in my time browsing these subreddits that UFOs tends to request hard, ‘scientific’ data from posters, whereas Aliens seems to have more interest in the subjective experience of posters. Of course there is a lot of overlap given the content of these subreddits.
This is all just to say that the same message may be received differently, and it’s content interpreted differently, even by the same/overlapping populations, due to the stigma some individuals harbor. So I think it prudent that we introspect and hold an awareness of our own stigmas and biases, understanding they may be seated deep in our unconscious mind. We should reconsider the things we find absurd, for in the absurdity there may be a powerful lesson.
—————————∞—————————
Thank you to those who upvoted/downvoted and commented. Thank you for participating in this community. Thank you for being unwitting participants in this accidental study, and I will leave you with this quote from Gordon Allport:

It is here that we encounter the central theme of existentialism: to live is to suffer, to survive is to find meaning in the suffering. If there is a purpose in life at all, there must be a purpose in suffering and in dying. But no man can tell another what this purpose is. Each must find out for himself, and must accept the responsibility that his answer prescribes.

Picture it. Consult for “malnutrition, debilitated.” I open the chart and they’re on a regular diet, yay perfect. But in the comment of the diet order it says, and I quote, “THIS PATIENT HAS DAIRY ALLERGIES! NO DAIRY PLEASE. LACTATE ALLERGY” (lactate?????) Y’all it wasn’t even 9:00 am and I was ready to leave. First of all, I can’t stand when someone (nurses) puts things like that in the comments. It doesn’t translate to the kitchen or meal tray (please correct me if I’m wrong. Epic and HealthTouch. But the patient did tell me that they kept getting milk on the tray). THEN: in the actual allergies list is only “dairy aid [lactase]”. So….a dairy allergy and an anti-dairy allergy…. I later clarified with the patient and, as you may have guessed, they were just lactose intolerant. And they regularly use lactase. 🫠🫠🫠 so I fixed everything and actually had a really lovely visit with this patient.
Anyone else with absurd allergies or other documentation??

CONTEXT: I (17F) work in a nursing home as a waitress. I missed two shifts in a row due to a POTS/Cyclic Vomitting flare. I texted my manager to let her know the situation and to make sure she didn't think I was just skipping work. I told about my diagnosis, how they flare without warning, and that I can provide documentation if need be.
The issue is when the May schedule came out a week ago, I wasn't on it. I know I put in my availability on time but I wasn't scheduled for any shifts. I texted her about it, assuming there was a mistake, but she told me she took me off the schedule because of my disability. She said: "I figured that would be easiest for both of us given the issues you have to deal with."
Does this violate ADA?

First time posting here.
38m. I've been depressed and suicidal since I was a kid. I've never really, if I'm honest, felt close to anyone.
But when I do or say anything they don't like, these casual acquaintances whom I barely know, who barely know me, always say the same things.
Shut up, we care about you, go to therapy and get normal, if you have something to say tell your therapist I care about you too much to wanna hear it, we would sad if you died or self harmed, we don't ask for much just for you to endure another 50 years of this life you can't stand lest we be bummed for a few hours that our minor comic relief character we barely know/stand be stolen from us by yourselfishness, just find a new hobby, go back to video games or something to keep your kind occupied and hands busy as you wait out your sentence, guilt tripping is your God."
How could people claim to care about me and then treat me like this? How could anyone tell someone else to live for them with a straight face? They don't give a fuck about me they just want to avoid the buzzkill when someone they know dies. A total bummer I live to spare them.
Ideally only the hospice nurse who finds my body when I'm 90 will be inconvenienced by my death. But she was probably sick of me saying "Finally! I'm finally dying!" And probably thinks I'm religious lol.
If they cared about me they wouldn't try to frogmarch the annoying idiot they ignore through life constantly bashing me upside the head with guilt. And one day I'll just shrug and day "I never actually felt guilty I was just scared to do it, but fuck it you convinced me to take the plunge."
And it just seems inevitable.

If disguised under a preposterous or “absurd” appearance, [a UFO’s] effects would be undetected for a long time. I believe this could be a key to the confrontation with UFOs. ~Jacques Vallee

In 1954 the sociologist Gordon Allport published a book called The Nature of Prejudice. In it, he and some colleagues elucidated a link between increasing Intergroup Contact and reducing Racial Prejudice. At the time this was breakthrough research; repeated contact between members of the “in” and “out” group reduces stigma toward the “out” group.
In 1954 this could be easily illustrated by the attitudes of the public-at-large toward racial minorities over the preceding 100 years – shifting attitudes toward slaves and their descendants, as well as the previous 10 years – attitudes toward Japanese-Americans over the course of WWII.
As it turns out one of the most effective ways at reducing prejudice is “equal status contact between majority and minority groups in the pursuit of common goals.”
For slaves, their descendants, Japanese-Americans, and countless others across history, this contact has been stained with blood and tears. But contact it was nonetheless, and our stigma toward these “out” groups declined overtime as they became part of the “in” group. They became ‘American’ and their “out” group identities and goals have become, and are becoming, less stigmatized.
Today, I believe we are watching this dissolution of stigma play out en masse on the world stage. The funny thing is that this time, all of humanity is part of a microcosmic “out” group and the aliens in their UFOs are part of the macrocosmic “in” group trying to get us to adopt their goals. What then, is so unsettling about humanity that they take such a slow-going route of stigma dissolution? Why don’t they just introduce themselves as equal status individuals?
—————————∞—————————
Attitude Rebound and Stigma
A few days ago I made the same post in both UFOs and Aliens. The post contained what I thought to be a reasonable, logical hypothesis that could easily explain away all paranormal phenomena… Yes, all paranormal phenomena. The post got about as much attention in each subreddit, however the reactions to its content was drastically different on each subreddit.
I will admit that I was being a little overzealous in my efforts to “raise the consciousness of humanity” and was proselytizing to some folks in the comments. My B 🙇🏻. What I found very very interesting, however, was how commenters on UFOs were much more critical and reductive than commenters on Aliens, who seemed more open to my zany hypothesis and its possibilities.
Now, I am not a physicist. I can barely remember the unit circle. I got a D in calculus at university. That is why/when I decided to get a liberal education rather than a scientific one. Having said that, I am very passionate about science and the scientific method. I am a nurse by trade, and for twelve hours a day, three days a week, according to my profession, I conduct three to five “n of 1” studies and report the results of these studies to a medical doctor. My job is to experiment on human beings and document outcomes.
What I observed when I made those posts was that one community was receptive and the other was hostile. I joined both UFOs and Aliens so that I could keep up to date on the latest disclosure news. I have noticed in my time browsing these subreddits that UFOs tends to request hard, ‘scientific’ data from posters, whereas Aliens seems to have more interest in the subjective experience of posters. Of course there is a lot of overlap given the content of these subreddits.
This is all just to say that the same message may be received differently, and it’s content interpreted differently, even by the same/overlapping populations, due to the stigma of individuals. So I think it prudent that we introspect and hold an awareness of our own stigmas and biases, understanding they may be seated deep in our unconscious mind. We should reconsider the things we find absurd, for in the absurdity there may be a powerful lesson.
—————————∞—————————
Thank you to those who upvoted/downvoted and commented. Thank you for participating in this community. Thank you for being unwitting participants in this accidental study, and I will leave you with this quote from Gordon Allport:

It is here that we encounter the central theme of existentialism: to live is to suffer, to survive is to find meaning in the suffering. If there is a purpose in life at all, there must be a purpose in suffering and in dying. But no man can tell another what this purpose is. Each must find out for himself, and must accept the responsibility that his answer prescribes.

My dad passed away on May 3 2024 from cancer. 11 months of fighting for his life chemo radiation it just wasn’t working it spread through his whole body. On Good Friday he got dizzy and my mom rushed him to the hospital they did a scan of his head and found he had two tumour one at base of the skull and one above his eyes that was bleeding the doctors gave him 72 hours to live. I felt so lost knowing the end is near. I took a week off work and spent 8 hrs day at the hospital with him. Over the next few weeks I could see the pain in his eyes but he would never say anything he would still crack jokes with the nurses would make me smile. A week before he passed he was moved to hospice. I got the call Friday the found him non responsive and got a call I heart sunk to bottom of my stomach. My whole family rushed to hospice which was a city over for me. My whole family made it and at 12:15 pm my dad passed away. There’s no way to describe it. There’s like now an empty ness inside so many years I thought I would have now gone.