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@oncology--rn
Regret.
Can someone explain to me why I went back to grad school.
I’m exhausted. My program isn’t even hard, it’s very manageable while working full time, but I just don’t want to do it anymore. I’m tired of writing papers on the same topics over and over again. Sick of reading research articles.
I feel like I need the world’s longest nap.
consider this my return.
This day has been a light bulb moment for me.
It’s time. It’s time to find a new dream and hustle and make it work.
Because this isn’t it.
My dream is out there. And eventually I’m going to get it
HPV Vaccine Masterpost
aivarobinson asked: What’s your opinion on the HPV vaccine, especially for those not sexually active? I’ve heard so many conflicting things and I was curious about your take on it.
Let me start by saying that my opinion shouldn’t matter.
What really matters is that vaccines save lives. It has been proven time and time again. (Sources at the bottom).
So let’s talk about HPV:
It causes cervical cancer, oropharyngeal cancer, anal cancer, vulvar/vaginal cancer, penile cancer, genital warts, and laryngeal papillomas. Risk factors for being infected are age less than 25, sexual activity prior to age 16, and multiple partners or a partner who has had multiple partners. Millions of Americans are infected and millions more will become infected every year.
The Gardasil-9 vaccine (the only HPV vaccine available in the US right now) protects against 9 high risk strains of HPV which are responsible for causing 70% of cervical cancers and 90% of genital warts.
The original Gardasil vaccine was studied in 29,000 patients and Gardasil-9 was studied in an additional 15,000 and continues to be studied now. The only significant adverse event was an increase in syncope (passing out) immediately after being given the shot, which is why it’s recommended to be observed for 15 minutes after getting the shot.
Keep reading
As an oncology nurse, HPV is no joke. Cervical cancer is really, really something you don’t want to risk.
a friend of mine told me about her friend i think from high school who was gay but not out, and he pretended for a while to have a girlfriend named Amanda who he would go see a lot, and they’d be all, come hang out with us and he’d be like sorry I’ve got a date with Amanda, and they were like when are we gonna meet this Amanda??? anyway he kept this up for like a year until he finally came out; and when his friends were like, “wait, what about Amanda?” he said, “IT’S A MAN, DUH.”
i have literally never admired anyone’s commitment to a joke more
me, admiring my own veins: i’d tap that
V A C C I N A T E
sign in a doctor’s office
I have decided to make this a master post of healthcare PROFESSIONALS calling bullshit on anti-vaxx
2 years ago I started my first day as an RN.
A baby new grad.
Today I accepted my admission into grad school!! MSN here I come!!
does anyone else constantly get the feeling that you’re running out of time?? and for no reason!! i could be lying in bed in the middle of summer vacation and my mind is like “hurry up!!! before it’s too late!!!” and i’m just like “hurry up and do what?? leave me alone wtf!!!”
It’s been a minute.
I’m likely going back to grad school. Will *hopefully* become more active on here. Taking my first step towards getting away from bedside as it’s slowly killing me :)
Friendly reminder to be nice to your nurses. We work so fucking hard, y'all have no idea.
Guys, look. They finally made a baby stroller for wheelchair-bound mothers. This is so important.
My wife is a physical therapist. She started tearing up when I showed this to her.
I love seeing ableist norms broken.
Just a quick wave to RemapNI who adapt devices for people with disabilities
Things I want in the next 5 years
- a stable job that i love
- enough money to live comfortably and travel
- a fulfulling relationship
me, beating my depression with a stick: not today you emo fuck
hunger.
Beyond excited because I think I got my spark back. I started studying to become OCN certified (board certified in oncology) and I’m finally a bit more excited about nursing. I feel like I have my shit together. I’m hungry to gain knowledge. I always say I hate learning, but really I hate the process of studying and memorizing information.
Lately I’ve been in a “teach me” state. I’ve started asking the resident or respiratory therapist or whoever more questions. I have more of a questioning attitude. I want to be taught.
I’m just happier.
On Anger at the Healthcare Machine.
I follow our INR patients on coumadin on a weekly to monthly basis. There was one patient, Randy, who was never quite compliant, but was always cheerful and friendly.
Randy liked his drinks, and would joke when his INR was too high or too low that it “must be the whiskey”. Randy was on warfarin because of a heart valve replacement about 10 years ago. In the beginning, I always chastised him - nicely - to not drink and to do better to have his INR taken when I told him to take it. But overall, he was not a difficult patient and I always looked forward to getting to talk with him.
On one of our monthly calls, he had a congested cough, and I heard his wife gasp in the background. He was saying, “No, no, don’t tell them.” and his wife took over.
“Randy is coughing up blood off and on for weeks now! And he won’t tell the doctor because he doesn’t want to have to take time off work.”
Rightfully concerned, we made an appointment to see him in the office that week. The doctor ordered an urgent CT scan, only to have it denied by Randy’s insurance.
Really?! You’re going to deny a CT scan of a man with a mechanical heart valve who’s coughing up blood? Insurance drives me mad.
After two weeks of appeals and peer-to-peer calls, the insurance finally let us move forward, and he got his CT. I came in the next morning to a flurry of messages in my EMR - radiology apparently hadn’t been able to get ahold of the physician, but there was a problem with the valve and the troubling signs of the beginning of an aortic dissection. The back up doctor called the patient at 5am and urged him and his wife into the ER.
I checked the chart and saw, thankfully, Randy had followed advice and gone to the ED. Reading through the ED notes, it looked like there were no beds available in the hospital, so he was being held in the ED to await workup with the heart team. I felt anxious and checked his chart every couple hours for updates, along with our physician who called the ED docs for report a couple times that day. We both lamented that it was terrible he had to sit in the ED because of a lack of ICU beds - he should be in surgery already! My doc decided to ask them to transfer to another hospital, but got roadblocked at every turn.
And then…at 3pm that day, I went to check his chart again, and received the notification - “You are entering the chart of a deceased patient. Would you like to proceed?”. I instantly clicked “no” - I must have clicked the wrong Randy!
Typing in the info again, I again got the warning, and my heart sank.
Randy’s pressure had been climbing, and despite repeated administrations of IV beta blockers, they couldn’t get his pressure down. He gasped, screamed, and began to code. The team knew he’d fully dissected. In less than two minutes, he went from v. fib to asystole, and in less than 15 minutes, they called time of death.
I was mad for days. I still am mad, and that’s part of why it took me months to write this. At every turn, if something had gone better, he’d likely still be alive.
If he’d told us sooner.
If his insurance hadn’t denied and fought us for the CT.
If our CT availability hadn’t put him off two more days.
If the physician could’ve been reached immediately.
If the hospital would’ve had available beds.
If they would’ve transferred him to a hospital that had availability.
If. If. If.
So many of the ifs caused by a broken healthcare system in which people you’ve never met determine whether you can have the tests ordered by the physician who has known you for 15 years and went through years upon years of schooling. A system in which state hospitals are overrun with people who cannot afford primary care, often blocking access to people who need it most.
A system in which sees dollar signs in open heart surgery instead of a life to save.
