do NOT feel bad abt scarfing down a tub of raspberries. there is NO reason at all to ration them like other delicious treats bc they WILL mold as soon as theyre out of your line of sight

Kiana Khansmith
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Mike Driver

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Today's Document
let's talk about Bridgerton tea, my ask is open

if i look back, i am lost
YOU ARE THE REASON
Lint Roller? I Barely Know Her

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@stevosmusic12
do NOT feel bad abt scarfing down a tub of raspberries. there is NO reason at all to ration them like other delicious treats bc they WILL mold as soon as theyre out of your line of sight
Graduated with my BSN! Next step premed classes!
Ainât life some shit
Update on my dad
So my dad went to the MD Anderson cancer center in Texas last week, and it was pretty bad. They told him that his cancer is basically to far along and treatment wonât help. They think he will probably make it to the start of summer. Cancer sucks
A Miracle of Love
For about 4 weeks, I rotated through the cardiac care unit (CCU) during my intern year of residency. Â Many would argue that the sickest patients in the hospital resided within the CCU. I came into the rotation hoping to perform several invasive procedures to further my skills as a young doctor. Patients could end up spending months in the hospital waiting for a new heart. While waiting, they were subjected to a litany of labs tests and interviews just to have the opportunity to be placed on the transplant list. Amidst the white walled hallways and vasoactive drips was a small woman in Room 503. Ms. S we will call her. Ms. S had been a resident of the CCU for about 3 months. She was a small, middle-aged woman with a heart that was growing weaker and weaker each day. Several days into my rotation, a heart became available for Ms. S. The entire CCU was a buzz with the news of a fresh heart awaiting transplant. It is rare in the emergency department when I am able to actually give good news to a patient. But I will never forget the look of Ms. S when she was informed by my supervising doctor that a new heart, one of the correct size and correct immune profile to provide the lowest chance of rejection, was available for her. The look expressed almost a bewilderment coupled with insurmountable joy.
While we were preparing for the upcoming surgery, the only request Ms. S had was for an in-hospital wedding to her longtime boyfriend. Faced with probably the most important surgery of her life, the patientâs mind was on something she waited her whole life for and if something were to go wrong with the surgery, she wanted to be united with the love of her life. And that union was not only with her boyfriend but also with her God facilitated by our hospital chaplain. Over the next week, my time in the hospital was consumed by caring for sick cardiac patients and planning a wedding. Paper flowers and EKG streamers strewed all over our call room. One day prior to the scheduled surgery, the patient was transported down to the hospital chapel. She was taken by wheelchair with her intra-aortic balloon pump, covered in colorful fabrics, towed behind her. The CCU staff sat on one side of the aisle while the patientâs family sat on the other side. The patientâs loud pump was briefly turned off during the ceremony. Afterwards, the staff and family held a reception in a room nearby with cake and refreshments.
During my medical school education, we were required to spend a day shadowing a hospital chaplain. The chaplain could be of any faith and my experience was with a Catholic priest. For those reading this who have never worked with a hospital chaplain, I highly recommend the experience. I canât promise it will be a positive experience but it will certainly be memorable. I was under a misconception that a chaplainâs function was to comfort families when a patient was close to dying. Most patients we visited were not dying but were in the hospital for an âextendedâ stay. Religion was an important part of their life outside the hospital and they had few outlets of expressing their faith now that they were confined to a hospital bed. The priest would read the âSacrament of the Sickâ and say a healing prayer to comfort the patient and the family. I bowed my head during the prayer and gave the family space as they cried in the arms of the chaplain. My most memorable experience took place in the room of a newborn child. The child was too sick to go home and the family requested an impromptu baptism. I, personally, had never been a part of a hospital baptism. I was elected videographer for the event and was excited at the thought of new life in the hospital vs the death and dying I expected when the day began.
In the hospital at which I work, each cardiac arrest that is called overhead will automatically send a page to several other services. One service I always see respond is the chaplain service. Â This service is invaluable when it comes to consoling family after a loved one has passed away. No matter which denomination they are called for they are always willing to bring together family when they encounter an unexpected situation in the hospital. As doctors, we encounter bad outcomes on a regular basis and are expected to pick ourselves up and return to work as if nothing happened. We set aside time to inform the family of what has happened but the chaplain is able to offer more comfort by just âbeing there.â
As a whole, doctors are not viewed as an overtly religious species. We are viewed as pragmatic, calculating and data-driven. But medicine and religion are not mutually exclusive. When those who tell stories of witnessed miracles often cite a hospital setting. A sick family member who is close to death and has exhausted all of medicineâs resources. Then, with familyâs prayers and faith, the patient will make a recovery. Some will say they have experienced a miracle, something intangible and not explained by objective data. I have seen many sick patients pass through my hospital, though it may seem like a small amount compared to a more experienced doctor. Iâm not sure what my definition of a miracle would be but I think all those who have experienced a miracle would agree that you know when you are in the presence of one. Looking back at this experience, a hospital wedding prior to a heart transplant surgery, I may never have this experience again. I can now say I have experienced a miracle, a miracle of love in our hospital.
âBeing deeply loved by someone gives you strength, while loving someone deeply gives you courage.â
-Lao Tzu
About a month ago I found out my dad had stage 4 liver cancer. Pretty fucked yo since my dad doesn't drink or do anything, he had zero risk factors for it. Life's some shit eh?
How NOT to study
âIâm going to start studying right after Iâve ______ââŠyou wonât. âOooh, Iâm going to highlight my notes with 49930 different colours to help me retain informationâ Highlight key words!! âEveryone else has these amazing, expensive notebooks, pens and Macbooks. Maybe I need them too to be a good student.â Hint: You donât âThere more I manage to cover during this hour, the more Iâll learnâ Remember: Quality NOT quantity âRevision is so unnecessary. I have a good memory and I know Iâm going to remember this on the test I have in 2 monthsâ⊠sorry to break this to you but you probably wonât remember a lot. Go through everything youâve covered during the last week on the weekend. âOh boy, Iâm so tired. I think Iâll just read this chapter in bed.â Hint: Youâll fall asleep âOkay so I need to study this and this much to get a better grade than _____â wth nonono. Study for yourself?? âOmg, I didnât study today. Iâm such a failureâ You donât have to study every day. You shouldnât study every day!! Have at least one day a week when you do nothing school related, your brain needs the rest!  âI didnât get a ____ in the test. I must be dumb idiot and a complete failure who wonât accomplish anything in lifeâ One grade doesnât affect your life one bit. âI must study law, medicine or any other STEM subject to be considered a real hardworking studentâ Hint: Humanities and other subjects are just as hard, okay? âMy teacher is bad and thatâs why I wonât ever learn thisâ Take your computer, open google, google the stuff you donât get. Was it so hard? Donât blame your teacher for not understanding something. Theyâre humans and not perfect. Be ambitious and try to teach yourself with the help of your friends, the internet, youtube, library books etc.
My patient yesterday had a stroke and MI in one shift. Also had an active GI bleed so nothing was done for the stroke. Woke up feeling good and then went downhill fast.
...with some exceptions, of course
caine= local anesthetics cillin= antibiotics dine= anti-ulcer agents done= opiod analgesics ide= oral hypoglycemics iam= antianxiety agents micin= antibiotics nium= neuromuscular blocking agents olol= beta blockers ole= anti-fungal oxacin= antibiotics pam= antianxiety agents pril= ace inhibitors sone= steroids statin= antihyperlipidemics vir= antivirals zide= diuretics
"Can I have Dilaudid?"
Blood pressure 95/46
bro, i dont even care anymore. fuck it! *continues to try very hard*
Med School and Studying
If you want to become a doctor, you should get used to the idea that youâll spend a great deal of your time studying. Through the course of our degree we will be asked to learn, understand and commit to memory an enormous amount of material and when, finally, we become doctors, studying doesnât stop. The medical sciences evolve by the second. Everyday life changing discoveries are made and we need to keep up with that in order to provide our patients the best resources we can find. So, even though it might not be one of the most pleasant things to do, it is something very necessary on our way to become good physicians. Since many of you have been asking for tips on how I study, here are a few tips that worked for me:
1 - Cornell Notes taking system -Â this is the note taking method I found most helpful to take notes in class and at home when Iâm studying. It keeps things organized, itâs quite easy to use and, when revising, itâs quite simple to understand.
2 - One Page Notes -Â this is a tip given by Doctor Andrea Tooley on her YouTube channel, which I truly recommend checking out. Basically, the point is trying to condense one class, chapter, etc. in one page. Of course sometimes itâs a lot of material but trying to do that, even if it exceeds one page, makes us focus on the essential.Â
3 - Not too much stuff at once -Â when studying, I donât like to have too many things open at once. I like to keep it simple, just some slides, maybe a book and my notes. Itâs not helpful to study by two books, three reviews and notes. Itâs a lot of stuff and it gets harder to concentrate. What I do is to choose the materials I find most helpful and take my notes based on that. If then, if I find that another book that has some helpful information, I read it after and then I add those notes.
4 - Not let work pile up -Â Simple to understand, HARD to do.Â
5 - Ask older students -Â when you donât know how to study for some particular subject, just ask someone who already done it.
6 - Airplane Mode -Â when I want to focus on something, and I need to be on the PC, I put it on air plane mode. Blind yourself to distractions.Â
7 - Water or Tea - have a bottle of water on the desk. It keeps you hydrated and when youâre frustrated, just have a sip of water or tea instead of going online. Hydrates and calms you down. Just donât go on drinking liters and liters of water pleaseâŠ..
8 - One thing at the time -Â when youâre studying one subject, focus on that subject. Donât be thinking about the other ten thing you need to do. You need to be doing that, so focus on that. Be efficient, learn to prioritize.
9 - Plan it OUT -Â Iâm a fan of the bullet journal principal. A plane white notebook and my to do lists, exams, etc. Itâs important to have a good outlook on what you have to do. I just donât waste too much time on aesthetics. (Still looks cool though xD)
10 - Get cosy -Â make studying a cosy moment. It helps :DÂ
Good luck with everything people!! We can all do this!!! Every great doctor started out as we did: Dreamers and Hard Workers, who wanted to help making this world a better place. Now go study ;)Â
saving for later
date a girl who loves your insecurities especially when you canât
Any nursing majors completed their pre-med while in nursing school? how hard was it?
I still to this day miss her so muchÂ
napping together is my kind of date
Started my nursing externship the last couple of weeks I'll be working I'm MICU and Neuro-trauma ICU. Pretty stoked