#is he in the icu

[sanyu-thewitch05]

I finished the nanbaka manga.

WHAT HAPPENED TO THE COMEDY?!

[ohshinytrinketsmine]

And tonight, let us be one.

The Sign, Ep 9

[skyloftian-nutcase]

Four was honestly surprised how many people were here. It was his first big trip, and it was definitely overwhelming. He was usually a loner, but he had to admit… he was thankful he’d asked a friend to come along.

Legend laughed as he texted someone, face glowing with glee. He elbowed Four mischievously. “We should definitely send pictures to Wars.”

“Is that who you’re texting?” Four asked with a smile, enjoying the cheer from his usually grumpier friend. Legend adored education conferences - his friend was nothing if not a lover of learning and exploring new things.

“Oh absolutely,” Legend replied, showing his phone. “He’s upset because I went to the emergency medicine conference and then went to this one. Personally, I think he’s just jealous because I have a cert he doesn’t.”

“Wait, Wars doesn’t have his CCRN?” Four questioned, confused. He figured Warriors, who had everything in his life in order, would have his critical care nursing certification. It was fairly common for nurses in ICU and ED settings.

“Nope!” Legend quipped with delight, obviously ecstatic that he had something over the military nurse.

“Okay, but important question: where are we going to get dinner?”

“Somewhere it doesn’t cost half our paycheck.”

Four glanced around at the skyscrapers. “Uh… not sure we’re going to manage that. I didn’t think the Hebra Mountains had cities like this.”

“Well, then we can contemplate Brugada Syndrome and complicated EKG rhythms while we starve,” Legend supposed.

“Oh, don’t be like that,” Four laughed. “This is a trip, we shouldn’t worry about the cost too much.”

”We don’t make Time’s salary.”

“But we make decent salary.”

Legend bit his lips, stubborn. Four narrowed his eyes analytically. “This isn’t about how much the food costs; it’s because you’ve blown your budget on coffee, isn’t it?”

His friend immediately flushed, guilty as charged. “They charge ten rupees for coffee! Ten!! This place is ridiculous!”

“I told you your caffeine addiction would come back to bite you someday,” Four smiled. “Or, well, more so than it already has.”

“I swear, if you bring up the SVT episode one more time—”

[katabay]

wahoo! my uncle had heart surgery (thankfully dodged the open heart surgery bullet) and so far things are looking alright, so I’ll be taking the weekend to just. do stuff. and then get caught up on emails and whatever else starting monday!

[holyshit]

.

[weirdbabs]

collin interrupting the couple breaking up to refill their glasses as per his job description causes me psychic damage every time i see it

[grimmweepers]

life comes at you so fast

[prince-liest]

Wooo, the past two days have reminded me that I really enjoy medicine! It's just the emergency department that isn't for me, almost as if I chose family medicine for a reason, haha. (Also apparently our local ED is a shitshow. I wouldn't really know, as it's my only point of reference, and as far as I know most EDs in underserved areas are shitshows. At any rate, I lost a patient for 3 hours the other day because someone moved them without telling me and updated the chart incorrectly, and I hunted for them all around THRICE without finding them, and signed them out as Left During Treatment until someone finally called me like, "Heyyy... so did you send X to the pharmacy...?" and I was like, "They're STILL HERE???"... ANYWAY.......)

No matter what rotation we're currently on, the family medicine residents do 1.5 days of clinic a week, and half a day of didactics. ED shifts can't be interrupted, so mine are all lined up so that I have all of Tuesday in clinic, and Wednesday split between clinic/didactic. I've basically gotten only half a day off so far in the past two weeks due to the night shift schedule, but this litte two-day family medicine interlude has felt like a break in its own way, haha. Now that I'm getting a better hang of the EMR, clinic just feels very nice, and it's exactly what I want to be doing. And as part of our didactic, we spent a couple of hours today doing sports physicals for the nearby college, which was neat! Got free pizza after, too, eyy.

One small thing I really wish was standardized is that anybody on inpatient service and emergency medicine rotations had an official break, at least 30 minutes per shift (which is not a lot considering shifts are 8-10 hours for ED and 12 hours for inpatient service). Most other rotations (including even inpatient pediatrics) have an hour designated for lunch, but two of the most grueling ones don't, and what ends up happening is that even if my seniors have told me not to worry and to take a 30 minute lunch in the ED, I feel guilty doing it because everybody else is scarfing down a 10 minute sandwich at their computers while staring at the patient charts and I feel bad taking even 15 whole minutes because it's noticably 5 minutes longer than the EM resident took! And it's the same thing for my coresident that's currently on inpatient service. It's just a long time to go without a dedicated break and it's part of what makes those services exhausting.

Anyway, today and yesterday were both good and I have some things I'm sooo excited for! I got into contact with the new endocrinologist that works with our program because she does trans health care and we're going to start a trans health clinic together. The only real question, which my program director is going to be talking over with her, is figuring out how I can participate in that longitudinally, because unfortunately it doesn't count for my family medicine continuity clinic, and there are some rotations where the hour requirements apparently don't allow me so much as to take a half-day per month for a different service (lookin' at you, inpatient service - which is 6a-6p, 6 days a week, so they'd also be breaking duty hour restrictions if they put the clinic half day on one of my single weekly days off lol).

Regardless, we'll figure something out! I really, really want to do this and my PD is excited about it, so I think they will try to make something work. I'm kinda crossing my fingers that they do allow me to take one half-day per month for this even on inpatient service.

[binomech]

the disabling part of my eyesight issues is largely field of vision related rather than acuity (how much i can see at a time rather than the amount of detail). when i draw, or when i take a photo, or when i look at people, it’s always in pieces that i fit together in my mind but that don’t coalesce into a really, truly coherent total because the human brain isn’t very good at this visually. this is the way of the written word as opposed to the image, and this is the way of my visual experience of the world. i like the paintings of my mind, blurry and disjointed, in which i can see the pattern the gaps make better than what is actually there. and when i draw or take photos it’s like. i Know what exists in my brain is fundamentally locked away from other people. but do you see it. can you feel the ghost of absence? do you see me, cradling this smile, this strand of hair, as the rest falls away?

words + photos by @binomech

[resonanteye]

you can have hope.

photos from my partner's treatment for leukemia (B-ALL ph+) and bone marrow transplant, 2018-19.

(suggested that I tag in @hopepunk-humanity so I will)

[bibleofficial]

so i finally learned the beautiful man i met in may w the cancer, wasn’t away / busy bc of treatment like i thought he just. decided it was his time to go

[sheyshen]

oh yay i gotta make calls tomorrow because we're still waiting on the cremation, but the funeral home is waiting on mom's pcp to sign the death certificate but they won't and won't tell him why so now i gotta call them in the morning, ugh

[prick-love-for-arting]

"Don't worry, Aone, I've only got a few hours to go"

more hospital AU! I've mentioned nurse Aone, but also I think him and Futakuchi run into each other as one leaves and the other arrives most of the time. They have breakfast/dinner together. Sometimes Futakuchi works longer hours and Aone isn't always the biggest fan.

[hueningkoi]

.

[doctorweebmd]

i don't think i'll ever get over the comedic timing of being prepared to intubate an obtunded patient going into worse and worse shock on three pressors code cart in room pads on having like six people all staring at the vitals anxiously as this person might code at ANY MOMENT, me standing at the head of the bed ready to tube the second we have a safe BP and the nurse from two doors down comes into the room and says, 'hey doc, room x is in asystole' and just. walks away.

i'm just. standing there. peri-coding this patient. and i'm calling after him 'uh.... are they supposed to be?!'

absolutely insane delivery. no context no info just 'hey, btw this person's heart stopped. :) bye ' HELLO!?!

[leafcabbage]

I got so excited and then i saw the tw lying 😔 -👀

hey look just cuz its not gonna be in the next chapter doesnt mean it wont happen. once said to my dear partner that drdi!tubbo is the kinda guy to get super into the concept of bdsm. like hes real interested in it. hes aroace and doesnt really feel interested in participating for his own gain but its not even like sex to him its something else. anyway have i talked about the canon biological child that will happen eventually? you have to have sex to do that.