#aside from getting medicated

[skyloftian-nutcase]

Ok Wild Angsters, you wanted a continuation, so here you go :)

Four already knew what he would be walking into. His phone had been blowing up for hours. He’d come in to work early. Whether he was assigned to take care of Wild or not was another matter - Vaati loved to try and take all the admissions, convinced he was the best nurse on the unit. If Four could just keep Vaati out of Wild’s room, he’d consider it a success.

When the charge nurse told him he would be admitting the trauma alert, he knew who he was getting.

Pre-admission jitters always made Four anxious, but this was an entirely other level of fear. He almost wanted to request a different assignment, but it was too late now. What if he couldn’t take caer of him because he was his friend? What if that impair his decision making? What if he just wasn’t skilled enough to handle it? He knew Ezlo wouldn’t give him an assignment he couldn’t handle, wouldn’t be there to support him, but still…

Four went over the supplies in his room once more. Safety checks were fine—they had suction, they had a bag valve mask, the code card was nearby—and he had all the supplies he needed. It was just a waiting game.

Four paced the unit at least three times before he looked at the OR status board again. Wild was still in surgery. He poked in his chart, glancing at injuries, looking at vital signs and anesthesia notes. The last update he saw was that Wild had gotten another unit of blood. Estimated blood loss so far was around 2200mL.

2200mL. That… wasn’t too terrible, Four supposed. He’d… seen worse.

Please don’t get worse.

Four knew for certain that Wild had been mass transfused in the ED. Warriors, his primary nurse when he was there, had told him as much. Between that and the multiple blood products he’d gotten in surgery, as well all the crystalloids he was likely getting as well…

Four took a breath. Then another. He grabbed his phone, texting Warriors. You doing ok?

Wars didn’t reply.

Four wasn’t entirely sure where everyone was at this point. Hyrule had stayed at the hospital, lingering in the emergency department and then the operating room waiting area, but Four hadn’t seen him since he’d clocked in. Warriors and Legend should be getting off shift now, but whether they were going to stay up was another matter. Time was obviously in the OR (Wild’s wreck had been around 10pm, he’d arrived in the ED around 10:45, and he’d been stabilized for surgery and gone to the OR by around midnight - it was 7am now… he wasn’t sure how long this was going to take, but it couldn’t be much longer). Malon should be getting on shift now as well - she had come in last night when everything had gone down, alongside Twilight. Wind had been cautiously left out of the loop until Wild had gone to surgery, simply because nobody had really had much information at the time, so no one wanted to worry the kid until they could figure things out. Everyone had their hands full as it was. But by now, Four knew Wind was either in the OR waiting room, harassing every respiratory therapist he knew, or in the hospital library pacing anxiously. As for Sky, the last Four heard he was bouncing between different people, checking in on everyone.

He clicked through more anesthesia notes, looked at flow sheets for blood products. There wasn’t much to go on, as charting was sparse. What Four did know was that Wild had been obtunded, got mass transfused, had gotten a chest tube, had been intubated, blood was evident in his abdomen, and he had an open femur fracture. He’s been taken to Time’s OR for a ex-lap. Head CT had shown a bleed, and they were monitoring it. That was all the information Legend had told the group when he’d had a moment to spare.

Four’s vocera activated, telling him he had a call from the charge nurse. When he answered, he was told Malon had called and said they’d be finishing up in about thirty minutes and were likely to come up open.

Why was he coming up with his abdomen open? When had they gone from exploratory laparotomy to a full on open abdomen?

Ten minutes later, Malon called back to give report. When Four answered, the first thing he asked was, “How’s he doing? Is he okay? Are you okay?”

“I’m fine,” Malon said, even though she sounded exhausted. “And he’s… hanging in there. I’ve seen worse, I’ll say that. I’ll give you the full rundown, okay?”

Four listened as Malon gave report, feeling his heart settled into his stomach, which was tying itself in knots. Multiple spots of bleeding, possible compartment syndrome in his abdomen, a likely kidney injury due to compression from the bleeding on some major vessels, a small hematoma in his brain… they’d had to call neurosurgery to do an emergency craniotomy out of overt concern of swelling, given that Wild had apparently had previous head trauma, based on what they saw in the OR.

Open abdomen, craniotomy, ICP monitoring, bleeding, one chest tube… this was a disaster. Four swallowed as he wrote, feeling his hand shake a little as his heart raced. He was not qualified enough to be admitting this. He was not.

But the turnaround on his unit was pretty insane, and he was the most experienced nurse on the unit today. At least Ezlo was charge; he knew he’d be well supported.

This was a nightmare. But Four had dealt with nightmares, and he would deal with this. He wasn’t going to screw up taking care of any patient, but especially his friend.

Sighing, he hung up the phone after thanking Malon, pushing worries for her and Time aside, trying to focus on what he would need, who he should grab to help him, and how he should prep his room.

It was time to get to work.

When everyone arrived from the OR, Four made brief eye contact with Time. He couldn’t read much from the man, who was stone faced, aside from the exhaustion evident in the dark circles under his eyes. Four got to work quickly, assessing Wild from head to toe as he looked to see what IV medications he was on. A coworker wrote the note while Ezlo helped detangle his lines (the OR always brought up a mess, after all). Time gave an overview of the surgery, and Four listened along as he checked pupils, as he zeroed the arterial line and the ICP monitor, as he listened to lung and heart sounds, as he checked the chest tube and stripped it with his fingers to ensure patency, as he checked peripheral pulses, as he looked at the abdominal dressing to get a baseline in case there was swelling from bleeding later. One of the techs connected the chest tube to wall suction, and Four looked over his drips. Only having levophed at 2 wasn’t terrible, and he was getting a unit of red blood cells, which was in a transfusion set that was y’d to some lactated ringers fluid. He was on propofol for sedation. Another nurse grabbed a blood gas from his arterial line and sent off labs. His foley he had was temp sensing, and Four quickly ascertained that Wild was cold, so he set up the blanket warmer and covered his friend up.

His friend. His friend.

Four shook his head. He had to focus.

As Time left the room, he put a hand on Four’s shoulder, making him freeze. The surgeon didn’t speak, just locking eyes with him. Four wasn’t entirely sure if it was for his own benefit or not. But he had no more time to let his emotions make any decisions for him. He nodded to the doctor, who nodded in return, and then the two went their separate ways.

This was going to be a long day.

[moldypoff]

Remembering that one time I hallucinated a little candy-cane fairy looking thing

[fadeintoyou1993]

my dad is visiting my grandma at the home today and he said she's got her nails done (in red which is Her Color) and she asked him if he could please bring her some new lipstick because she's tired of the ones she has there and needs something fresh 🥺

[apollonouta]

When my baby pisses me off badly enough i start telling her im gonna call the police and let the cops come and grind her up and eat her tomorrow for breakfast. The boogeyman dont work, and she will stand her ground and has no fear of me. Shes an incredibly sensitive child so she cries a lot

I can tell her nicely to stop jumpin on me or hitting or to wipe her butt, all day long with her crying endlessly if i go that hug hurts no thank you and then at the end im just like.

Im gonna call them and let them eat you. And the cops only eat pretty, naughty bears bc theyre a rare treat. Not many kids are as pretty and beautiful as you, and very few are as naughty. And this ofc scares the shit outta her but its better imo than yelling.

Everyones relied on the boogeyman mine is just the police. I always tell her not to talk to tnem w/o me too so it reinforces both ideas.

[idontmindifuforgetme]

I am so glad that I’m setting aside time to volunteer.

[tvguts]

my headdddd has been so full of sludge lately. unsure how to fix this

[twinklingwatermellon]

once I’m wide awake again I have to do a ranking of my top kdramas by how much people get drunk in them

[tanjir0se]

Ok it will literally always be crazy to me that when Bakugo had a hole in his heart that needed to be SEWN up…and his MENTOR Best Jeanist aka the FIBER HERO was kneeling over him in despair that he needed STITCHES in his heart…here comes fucking Edgeshot aka the who gives a fuck hero to just…get really small? and do it. Like.

Jeanist is Bakugo’s MENTOR and he’s also very notably the fucking FIBER HERO literally WHO BETTER to sacrifice himself and STITCH his heart up?? Yknow with his. FIBERS. Hello??? HELLO?????? WHY

[fishymedic]

Something, something he's always pulled into people's orbits but also- that he pulls people into his orbit too; how he comes across probably not so social (for survival in piltover) But as a previous street medic/the only one really; a huge part of that job is socializing with people- it's knowing a lot of people even if just by directing them to safety it's about community and the compassion.

In genuinely caring for people, means knowing & knowing about them especially in his case. It's if you mention a loved one he'll bring it up softly when you next cross paths. "Well let's get you back in mostly one piece to them, how about that?"

That he's always the first rushing in to help others/protect them and he never asks for anything in return. Never expects it returned but sometimes helping others builds a bond that gets them to help you out too. To trust you in the middle of a heated conflict or direct people your way.

[servuscallidus]

at this point if my prof makes me cut the historical part out I'm going to kill myself. the legal landscape of the medieval muslim world. I could read about this for hours

[void-tiger]

Sorry, Shiro.

You have hEDS now. Not “just” epilepsy.

I make the rules. It fits. RIP buddy.

[orcelito]

Had my first ever papsmear and that was #Uncomfortable but it's important to my health so I did it anyways

Being a responsible adult is hard 😑

[bokuwadekinaiko]

(advice appreciated + long ass tags)

this sucks this sucks this SUCKS FUCK. ive been hokeschooled / "unschooled" for the entirety of my 8th grade and school is starting again in 2 weeks and i really want and really need to be back in school but idk if im mentally at all ready. opening day would be best to go back obviously but i didn't spend anytime during summer preparing for the routine / fixing my damn sleep schedule but i really need this .

i also know its gonna SUCK because i have severe sensory processing issues (tldr my brain Cannot filter out uncomfortable noises / textures / etc andi go Fucking ballistic and melt/shutdown) and even at home im having multiple daily meltdowns / panic attacks from just the everyday noises / sensations so god forbid what it will be like around 300 teenagers who don't know personal space exists.. i also have a severe anxiety disorder / autism so itll be even MORE fun :-) yaAy (thats not factoring in PDA disorder which is made my dad drop me out anyways because its Fucking Hell trying to go to school with that)

but i want this. i need this . iwant to get an education. i wanr to be around kids my age instead of being forced to be inside all day. i want to have routine and make friends and feel normal. im just scared that because of circumstances out of my control ill never get that

[voidimp]

maybe now that i have adhd meds i can attempt Language again

[bitch-pants-mccrabbyy]