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spoonie-living

Add “distress” to your pain scale

Pain scale? More like pain in the booty. No two people seem to read it the same way, and chronic folks tend to downplay their pain.

So here’s an idea: when asked to rate your pain, provide a number to rate your distress levels in addition to your pain levels.

Some examples:

“I’m at a 5 on the pain scale, but my distress is basically a 1 because this is my usual.”

“I’m at a 3 on the pain scale, but my distress is a 7 because this is new pain and affects a part of my body that’s very important to my work.”

It’s a great way to consider how your pain is impacting you—and to get a doctor’s attention where it’s actually needed.

adizzycollegekid

OP is a genius

benevolentvulture

Jolene by Dolly Parton except it's playing downstairs while you're laying up in the loft of your cabin listening to the thunder and rain hitting the roof tiles above you

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Jolene by Dolly Parton except it’s playing downstairs while you’re laying up in the loft of a cabin listening to the thunder and rain hitting the roof tiles above you

thenicestavenger

turing-tested

there’s nothing purer or better than how much kids enjoy being picked up and then hurled at soft surfaces

turing-tested

anyone who’s ever been around kids for ay meaningful amount of time should know exactly how much kids long to be hefted up and then just fuckin tossed! it’s so good! they’re so excited to get fucking tossed around like a sack of potatoes it’s so pure

abigboysblog

Why do kids love it so much? Like I remember when I was a kid at diving practice during the summer, the best part was when one if the coaches would toss you into the deep end. And in gymnastics coaches would toss us into the foam pit. Do kids just have a evolutionary urge to die?

deanwinchesterisadorable

https://themilitarywifeandmom.com/why-kids-wont-listen/

“Vestibular sense provides information about where the body is in relation to its surroundings. This is the sense that helps you understand balance, and it connects with all the other senses.

When the vestibular system does not develop properly all other senses will struggle to function properly. Without a strong vestibular sense, kids will have no choice but to fidget, get frustrated, experience more falls and aggression, get too close to people when talking, and struggle with focusing and listening. Because they literally cannot help it.”

“Here are a few ways to support your child’s vestibular sense:

Spinning in circles.

Using a Merry-Go-Round.

Rolling down a hill.

Spinning on a swing.

Going upside down.

Climbing trees.

Rocking.

Jumping rope.

Summersaults or cartwheels.

Using monkey bars.

Skating.

Going backwards.

Swimming.

Dancing.

Wheel-barrel walks.”

Yeeting kids, spinning them, flipping them upside down, tossing them in the air, and otherwise disrupting their balance temporarily, is Important For Their Development, specifically for their vestibular sense.

Kids love this because they NEED it.

severalowls

In other words: Don’t forget to calibrate your child’s GPS!

thegingernightowl

Death Comes Knocking

I’ve been thinking about death. Death in a hospital is so strange. Death to a nurse is even stranger.

We recently discharge a patient who had spent 116 days on our unit. She was crazy and hated everyone. Refused cares, assessments, vitals, everything. Called every morning at 3am on the dot for coffee. She was famous for hoarding anything and everything we took into her room. From boxes of gloves to mouth wash bottles to spoiled food.

We couldn’t wait until she was gone.

A few nights ago we found out that she had been readmitted to a different unit in our hospital. A telemetry unit. We all laughed and couldn’t believe she was back. She had only been gone for two weeks.

Then, a couple nights ago, we heard the call overhead. Code blue. Her room. Myself and the nurse I was working with stared at each other, dumbstruck. We couldn’t believe that the old, stubborn bat that had spent 116 days with us was dying two floors down.

She passed that night. And we did what nurses do. We joked. From the outside I’m sure we all sounded macabre and sadistic, the way we talked about all her outbursts and how she would be hoarding in heaven now. We joked about death like it was a friend. I guess it kind of is.

See, to us nurses Death is a friend. We walk the halls with him, joke with him. We have an agreement. He doesn’t get in our way and we don’t get in his. We let those who have made the decision to do so go peacefully. We stand vigil with Death. He waits patiently as we make sure they aren’t in pain. Drip after drip we fill their bodies with the poison that allows them to meet Death peacefully.

Then there are the other ones. The ones where Death has gotten a little antsy. He hasn’t stuck to our agreement. And we do what we are trained to do. We fight. Violently. We fight for the life that this patient wasn’t ready to give up yet. We yell and we scream at our friend, Death. We break ribs with our compressions. We burn veins with our drugs. And if we are lucky that patient lives and we go on with our friendship, our agreement, with death.

But sometimes we aren’t. Sometimes no matter how many ribs we break or how many veins we burn, it’s not enough. Death gets his prize. And in that moment we hate him. And we hate ourselves a little too. Because we know that we are going to come back tomorrow night, shake hands with Death, and reforge our agreement. Because Death is part of the job.

licensetomurse-deactivated20200

This is beautiful.

purplebuddhaquotes

“People are rivers, always ready to move from one state of being into another. It is not fair, to treat people as if they are finished beings. Everyone is always becoming and unbecoming.”

— Kathleen Winter

psych-facts

“I don’t think I should accept other people’s suffering because I suffered. Just the opposite, because I suffered I don’t want others to suffer.”

— Elie Wiesel (via quotemadness)

kushandwizdom

“All sins are attempts to fill voids.”

— Simone Weil

freshmoviequotes

Loving Vincent (2017)

words-of-emotion

“Just wait until you see why the Universe had you wait. What the Universe is doing is beyond what you could ever pray for or think of. Trust that your soul has a plan even if you can�t see it all, know that your life will unfold as it should.”

— https://www.facebook.com/thegoodquote/

lsiri045

“I wonder what it’s like being 28 and waking up knowing you’re going to ask her to marry you tonight. I wonder what it’s like being 30 and waking up to her gone for the week on a work trip and having the entire bed to yourself for the first time in ages so you starfish the fuck out of it, but somehow drift over to their side because you already miss them. I wonder what it’s like being 42 and waking up for work content that the same pair of tired eyes as yesterday, and the day before that, and for the past 13 years, still look at you like you have the ability to reverse time and stop the sun from rising any higher, then you could both stay in bed. You blink, smile, and kiss her forehead softly as a reply, silently acknowledging your shared distaste for mornings, but not apologizing for wanting to wake up to those eyes again tomorrow. I wonder what it’s like being 49 and waking up beside someone who still makes you nervous when they look at you that close up in the morning, especially now that you’re nearing 50 and fully aware of the wrinkles you have and the ones on the way. I wonder what it’s like being 61 and waking up at 2pm because you were too sore and sickly to get out of bed that morning, but when you hear her key in the door after coming back from the store with some medicine, your favourite soup and a kiss, it still makes your heart beat fast enough to propel you off the bed and into her healing arms. I wonder what it’s like being 87 and waking up next to an undisturbed pillow and an unwrinkled half of a quilt because she died 2 years ago, peacefully in her sleep. It was just her time to go. I wonder what it’s like to live life in that much love. And when you do, I wonder what it’s like to lose it to something as trivial as your body passing through time. It’s heartbreaking that the body can’t last as long as the love between two people. But it’s also kind of beautiful that love transcends physical nature. All we can do is experience it while it’s here and while it lasts.”

—

A lasting love. (via thereisagreatperhaps)

Hit me hard

(via woahhitsjenna)

This made me cry

(via superfreakinlonely)

I found it.

(via heathsbian)

psych2go

6 Psychological Tips When Pursuing A Medical Career

Everyone understands the intensity of pursuing a career in healthcare: the heavy workload, the late night studying, the busy time schedule, and so much more. Yet, if you’re still determined to step foot in this extremely diverse field, it’s important that you prepare yourself for what is to come. Here are six psychological tips to help get you into and be successful in a medical career:

1. Always prepare to learn more and challenge yourself

This is generally a characteristic that everyone needs to be able to survive in life, but it is even more crucial medical careers. There is already much to learn about the human body, so you must have a studious and diligent attitude to be able to comprehend the vast amount of information. You should be excited to learn more, not discouraged. If you hate learning, then perhaps you’ve chosen an ill-fitted career.

Furthermore, health and medicine is……………

Continue Reading Here

ihearthisto

❄️🐻 Hashimoto’s Polar Bear 🐻❄️

A grrreat finding in this autoimmune disease ice-olated from the thyroid gland

i♡histo

Hashimoto’s thyroiditis or chronic lymphocytic thyroiditis is a disease that occurs when the body’s own white blood cells and antibodies attack and slowly destroy the thyroid gland.

The thyroid gland stores the ingredients (thyroglobulin and iodine: now you know why the salt in your pantry is iodised!) required to make the thyroid hormones T3 and T4. This storage material is called colloid and the containers where it is held are large epithelium lined vats called thyroid follicles. It is the epithelial cells (thyroid follicular cells) that manufacture thyroglobulin, take in iodide and synthesize the thyroglobulin of colloid. These cells also drink the colloid(!) and convert it to T3/T4 before releasing it into the blood stream when needed. If the gland is prevented from producing/storing colloid or converting colloid to T3/T4 because it is damaged this will usually trigger symptoms of hypothyroidism or low thyroid activity.

Hashimoto’s is the main cause of hypothyroidism in the US. Normally, the thyroid hormones are involved in elevation of the basal metabolic rate - they help you release sugar from fat and glycogen stores in your body so that it can be used for energy when you really need it, temperature increase and increased heart rate. Individuals with low thyroid activity are therefore likely to experience symptoms that would usually be kept in check by the thyroid’s role in maintaining homeostasis (the healthy physiological environment for all your cells to function), such as weight gain, low heart rate, feeling cold (all the more fitting that there is polar bear hiding in this sample) - all symptoms of a depressed metabolism. Once diagnosed, symptoms can be treated by giving the patient synthetic forms of the depleted thyroid hormones.

The main cells in this smear are lymphocytes (the many immune cells with the large purple nuclei that have infiltrated the thyroid gland); red blood cells (the pink cells); and scattered follicular epithelial cells. The polar bear itself likely formed from an aggregate of colloid, given its acellular, non-fibrillar nature.

The image was sent by medical student and pathologist-in-training Roberto Chignoli and his tutor Elena Biletta via the ihearthisto Facebook page.