#ive spent my entire adult life fighting to get this surgery

[kodocell]

i would have been recovered from my surgery by now

[robotgirlomatic]

Mother

Yesterday I tried to vent to my mom about how alone I feel in the household tasks. I am very pregnant and moving has been difficult and sometimes painful. My mom grew up with the mindset that household chores are solely women’s work and she has not been employed in almost 20yrs. She feels indebted to my step dad for his financial support and so even after she had knee replacement surgery she was doing the grocery shopping, cooking and laundry. In the past she has claimed that I am a nag and come off matronly towards my significant others the few times I’ve expected them to clean up after themselves.

So of course when I vented to her that due to pregnancy I was dreading all the things around the house that will need to be kept up with and needing Michael to step up to doing them - to which she felt it appropriate to question how sweetly, kindly and gentlly I was asking this of him.. (“Not exasperated or aggitated at all right?”) this is not a new issue I’ve asked him to do his part a few times and part of it is depression and I get that and most of the time decide my love for him overrides my irritation and do the silly tasks but in this one moment I wanted to be able to come home and not be expected to micromanage the mental load of having to ask him to do the dishes or laundry or garbage.

He’s an adult just like I am, it’s his apartment too and I will be in pain post labor. I told her I didn’t appreciate her tone and that I was trying to vent and didn’t like it being twisted into blaming me for how delicately I need to beg my partner to help me when I’m this pregnant - I shouldn’t have to ask he has eyeballs to see a full sink of dishes or an overflowing trash can. She then gave the most petty half hearted apology “Sorry you decided to take it that way”. I replied “sorry you don’t ever look at what you write and see how it comes off and instead blame me some more”. She then proceeded to ignore me.

This morning I got a call from my OB advising that she’d like to induce next week - I posted to fb and messaged my mother who proceeded to intentionally ignore it for hours. I went to my morning stress test and my high risk doctor was not happy with the low amount of movement baby girl was showing so she sent me to OB Triage (pregnant woman ER) for observation. They put me on multiple monitors which is when my mother finally graced me with her presence all she decided to write was that she was ignoring my comments and used a wow reaction face to my induction comment. I told her not to worry about it and that I wouldn’t message her anymore to which she responded by going off on a rant asking me to stop “Sticking Marxist terror campaigns” in her face and letting me know that she and my step dad had acquired a fire arm to protect them from the perceived Marxist terror that is Black Lives Matter... she told me I constantly posted thing that trigger her and that I was clearly easily offended and liked to play the victim by pointing out that I had just as much free speech as she did and that I’ve never voiced opposition to anything she’s posted even if I disagree since we are both adults and because I respect her. She persisted in berating me while I was on blood pressure monitoring which resulted in the highest readings I have ever given in my entire life. Doctors rushed in to hook me to IV and administer medication and I’ve since been admitted and have started the induction process.. all because her pride about apologizing and political view are more important to her than I am. I ended up blocking her entirely on Facebook for my own health and have spent most of today fighting back tears of anger that in the moment of child birth when I should have her support this is what I got instead. When my grandmother died I mourned hard because to me she was my mother and I wished more than anything that she would’ve been alive long enough to meet my children and that has been solidified completely today by the actions of my birth mother who acts like a fucking child.

I will not be telling her when this child is born. I tried to tell her I was at the ER but her screaming at me was far more important to her than my health. At this point she can keep grandmas house and I hope my cousin steps up to help her when my step dad dies because I want no contact anymore. I have been more than accommodating and silenced myself for 32yrs of my life, she has never cared about my real triggers and brings up rape everytime we talk even when there’s absolutely no context. I do not have a mother and it has been the longest day of my life. Keep me in your thoughts and if you have a good mom please hug her - what I wouldn’t give to hug grandma right now :(

[mariansmusings]

Is Possible to Trust Doctors Again After Medical Harm?

Shattered trust. It’s a term people use to describe a betrayal in a romantic or professional relationship. A cheating partner. A back stabbing co-worker or boss. Most of the time it’s deal breaker, resulting in a break-up or someone leaving a job.

 But what happens when that shattered trust involves medical harm?  Would you ever trust a doctor again if he/she had operated on the wrong knee or kidney? What if you had been misdiagnosed or were sexually assaulted by a doctor? Even worse, what if that harm was deliberate?

 That’s what I had to confront after my father was deliberately harmed, which resulted in his death. This was not just one rogue doctor, mind you, but a concerted effort by a number of doctors and nurses at two hospitals and a nursing home to keep me unaware of what they were doing to him. 

 By going through medical records after my father’s death, I learned that his primary care doctor had drugged him with Risperdal, Haldol, Ativan, Tylenol with Codeine and Morphine after admitting him to the hospital to determine the cause of back pain. (Risperdal and Haldol are antipsychotic drugs, which carry FDA black box warnings that they are not recommended for seniors because they can cause serious side effects and death.) All these drugs had been given without my knowledge or consent as power of attorney. My dad’s doctor and all the nurses denied he had been given anything to make him suddenly lose his mind. That, I was told, was due to hospital delirium, common in the elderly; it was recommended that he go a nursing home for rehabilitation for his back and his mind for a few weeks.

 At the nursing home, however, the medical director prescribed more Risperdal and Haldol, along with double doses of Ambien and Vicodin – again, without consent or apparent need. That doctor never spoke with me about his care, refusing to return my desperate calls as my father went into a death spiral due to the deadly side effects of the antipsychotics.  When he was rushed to the hospital after his 7th fall in 12 days, the doctor slipped in and falsified a “Do Not Resuscitate” consent form.  The physician who was called in to consult denied any drugs had caused his mental decline; he turned out to be on the board of the medical malpractice company that insured the nursing home doctor.

 My father was dead less than two months after going into the hospital.  Ironically, the cause of his back pain was spinal stenosis, which could have been treated with outpatient physical therapy and over the counter medication.

 This betrayal of care had a profound affect on my entire extended family. No one trusted doctors or nurses anymore. My children were afraid to go to the doctor, and looked up anything they were prescribed for side effects before any pills were taken. My sister-in-law kept her father at home in his final years, not trusting any hospital or nursing home to care for him. Because I became a patient safety advocate after my father’s death, friends would call me in a panic if a physician recommended a nursing home for a parent.

 So it was terrifying when we suddenly had to deal with doctors again when my husband was diagnosed with GIST cancer and sepsis last year.  Because it was a hemorrhagic tumor, the doctors wanted to act quickly, wanting to do perform surgery the next day. It was hard not to panic at the thought of trusting my husband’s life to a surgeon we had not personally chosen.

 What helped is that in the three months leading up to that diagnosis, my husband’s doctors actually talked to us.  This was so different than the invisible doctors who deliberately harmed my father.  This time around, Ed’s cardiologist listened to our concerns, and tried to answer our (my) unending questions as we were referred to a pulmonologist, hematologist, and gastroenterologist.

 Several factors helped this particular doctor/patient relationship.  First, I was not afraid to tell my father’s story, basically as a warning that I knew patient rights; more importantly, these new doctors were outraged that one of their own would treat a patient that way. Second, this new set of doctors was a good 15 years younger than those who treated my father. It made me wonder whether younger doctors are more in touch with treating the whole patient, and are not as willing to force the traditional “the doctor is always right” attitude. I felt that we were tracking down the cause of Ed’s symptoms together, because each step was explained along the way. Finally, by this time, I knew how to look up doctors on the Medical Board of California website to see if they had any disciplines, malpractice lawsuits, or criminal convictions – and to see where they went to medical school. I had downloaded the new doctor app on my phone so I could look up any new physician we met along the way within seconds. (I am also aware that complaints against doctors are not listed, and some documents have been taken down and not replaced.)

 When we were told which surgeon would operate on Ed, this new group of doctors seemed genuinely pleased, almost relieved, that a reputable person would be taking care of their patient. Having that endorsement by other physicians we knew helped allay our fears.

 Later, when Ed developed a sudden fever a few days after being released, I rushed him back to the hospital, concerned about sepsis – and worried that I would have to fight to convince doctors he needed treatment immediately. I knew that there was a small window to treat sepsis, and that medical professionals often misdiagnose or ignore symptoms until it is too late. I dropped Ed and my adult son off at the emergency room door, quickly parked the car, and literally ran into the hospital, fully expecting a fight to get Ed prompt treatment.  I was stunned and relieved to find that Ed had already been given an IV and a dose of antibiotics.  He was septic, and spent another five days in the hospital – but he received treatment within that critical window.

 This experience with Ed’s surgery has helped to ease my fear of doctors and medical harm somewhat. It was not perfect though. I did report a hospitalist who refused to wash her hands and use gloves during multiple visits, declaring it “silly.” (She felt hand sanitizer was enough to kill superbugs.) However, I have gained confidence in dealing with doctors.

 As an advocate, I now read all the accusations and disciplines that the Medical Board of California releases, so I am acutely aware that preventable errors and bad doctors happen more often than we would like. By being vigilant and questioning every step of treatment, I believe patients and their families can make a difference in the outcome of any procedure. I also believe that it is critical for a doctor to communicate with the patient to discuss and agree on the best course of treatment.

 So has my shattered trust in doctors been repaired? No. Not even close.

I will always look up every doctor and verify everything I have been told. I just know better how to deal with the trust issue  – and the doctors that will cross our path in the future.

[willowhaven-blog1]

2018 was a year of ups and downs for me. In January I went back to college at Benedictine College to work towards my bachelors in sociology. I was working full-time at night and attending school full-time during the day. Exhausted doesn’t begin to describe it.

As busy as it was, I felt such a great sense of accomplishment everyday as I worked towards such a difficult goal. I enjoyed the classes I was taking and  the challenge excited me. Then everything changed. Cancer took that all from me. The excitement, the motivation, the incredible sense of accomplishment. With three words, that all was gone.

When I was no longer able to work or go to school, I lost my sense of purpose. I laid in bed for days and weeks feeling in credibly sorry for myself. I began to give up on myself, and to give up in life in general. During this time I was talking to a friend of mine about my younger sister who had recently moved to Arizona. I was talking about how proud I was of her for moving so far away to chase a dream. It was while we were talking that my friend suggested that maybe I should take a trip to visit her. My initial response was are you kidding? I can’t even get out of bed, let alone make a trip halfway across the country. But my friend told me that it would be good for me, to get away and see something new.

Suddenly I had a goal to work towards. I began pushing myself to get out of bed, even if just to walk around the house and get my own meals. In the beginning it was incredibly hard. I was extremely weak and couldn’t walk without a walker. But I kept pushing. Soon I graduated to using a cane, and finally I was able to walk short distances unassisted. I was so proud of myself. It’s amazing how much you take for granted in life until it’s gone.

In late November I had a hysterectomy to stop my body from producing the hormones that were feeding the tumor in my breast. While this surgery was incredibly necessary, I was a little sad because I figured my recovery would set my trip plans behind but I had a goal. I decided I wasn’t going to let something as minor as surgery stop me.

I pushed myself more and more each day. I became more active. I started driving again. Surprisingly enough, the more active I became, the pain that had become a part of my life began to fade. During my worst days I had been taking as many as 24 Percocets a day without relief. Suddenly I realized I was down to as few as four during a 24 hour period. Slowly I was taking back control of my life. Cancer wasn’t winning the war anymore. I was. The sense of pride I felt couldn’t compare to anything I had ever done before. I felt as though I had just won the Boston Marathon.

I had an appointment with my oncologist scheduled for December 10th. My goal had been to leave for Arizona the Wednesday following if my doctor felt I was healthy enough to go. He was so pleased to see the progress I had made since my first appointment when my pain was so bad that reduced to using a wheelchair because I was unable to walk. Now I was walking again and had actually driven myself so my husband didn’t need to miss a day of work. Much to my delight, my doctor told me he thought the trip would be great medicine for me.

Having received my oncologist’s blessing, I began to make the final arrangements to take the bucket list trip of a lifetime. I had considered flying into Phoenix to shorten my trip, but after much deliberation I decided that driving would offer me the opportunity to see more of the world and with no real time table in my head I planned to take my time and see what there was to see.

As I left Atchison on December 12 I began to have second thoughts. Would I be able to make such a long drive after being bedridden for so long and having only been getting up and around for such a short time? Would my back hold up to the strain of the trip? I was facing a 21 hour drive, the longest drive I had ever made in myself. I almost changed my mind many times as I set out for Arizona, but I kept telling myself I can do this.

The further along on my trip, the better I felt. For the first time in months, the weight of my stress and anxiety began to evaporate. With each mile I drove, a happiness and calm settled over me. Normally when I am driving I become so focused on the road that I miss everything around me. For the first time, I opened my eyes to everything around me taking in each little detail seeing the world with a childlike wonder.

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I had my first daughter two days before 19th birthday. I had spent my entire adult life caring for my children and had never really had the opportunity to travel. While my peers were traveling to Europe and going to college, I was changing diapers and burping babies. I had never really made it outside of the midwest and this was one of the few times I had ever taken a vacation that didn’t involve a soccer tournament. Normally those trips were rushed and there was very little time to relax and enjoy the sights around me.

The further I got from home, the more I saw all of the beauty in the world. As the miles passed, I began to believe in myself and for the first time I believed that cancer wasn’t going to beat me. I was going to fight with everything I had in me and I was going to live whatever life I had left no matter how long or short as though each day was my last. I decided that I refused to die with regrets.

When I reached the mountains of Arizona and my sister’s home, I was overwhelmed with everything I had seen. I was excited to see my sister, her husband, my adorable niece and my favorite floofer (code word for dog). I spent four days relaxing in the warm Arizona air, far from the cold of Kansas. The days with my sister were lazy and simple and incredibly calming. My mind was clear and free of worry over my future. I took each day as they came without thinking about whether cancer would beat me.

As my days with my sister came to a close I made the decision to head further west since I was only four hours from the sandy beaches of San Diego. I was amazed as each mile passed and I drove through the mountains and palm trees. I was amazed by the mild weather and when I reached San Diego  I fell in love with the sights all around me. I walked through the beautiful winter wonderland of Balboa Park at night, and dipped my toes in the ocean during the day. I enjoyed the tastes of authentic Mexican and Italian food, and let my mind clear from any of the negative thoughts that had held me hostage since my diagnosis.

As I returned home I had a new goal. My journey had given me a new purpose. My passion for nursing was still there and I realized just how much I missed taking care of and spending time with my patients. But I also realized that my time might be short and I wanted to experience as much as I could for whatever time I might have left. The more I thought about this, the more my mind wandered back to an idea I had a few years earlier. I wanted to move on from my staff hospital position and become a travel nurse. I realized that travel nursing would offer me the opportunity to combine my love of nursing with the ability to travel and see all that the country has to offer.

I celebrated New Years Eve by mailing my applications to Arizona and California to obtain my nursing licenses. In the weeks following I began discussing opportunities with recruiters, and began the initial process to build my file for submission to future employers.

As excited as I was, a cloud of fear hovered over me. Would my body be strong enough to return to work? When I had my appointment with my oncologist on January 10th, as terrified as I was to hear the answer I asked my doctor if my career was over. He looked at me and told me he didn’t see why. In one moment all my fears evaporated. I will be able to return to the work I love so much. Cancer didn’t take nursing from me.

2018 brought a lot of pain and fear as I was forced to accept my new reality. 2019 is going to be a year of adventure and discovery for me. Some days I am angry for all of the changes that have come to my life since I heard those terrible words ‘you have cancer.’ There are still days that I want to cry when I think about possibly not being here to watch my nieces and grandchildren grow up.

Even with all of the sadness and uncertainty cancer has brought to my life, some days I am thankful for the things I have gained. I have realized how very precious life is and how important it is to appreciate the gift of each day. I live more fully, I love more deeply, and I appreciate each moment I have. I’m living with cancer, not dying from it. I’m LIVING. Each minute of every day.

Jennifer – Extensive mets to bones. Diagnosed de novo at 43 on 9/25/2018. Cancer won’t win. I won’t let it. Life’s too short not to fight for every minute. Dx 9/25/2018, invasive ductal carcinoma (IDC), left breast, 1.5cm, Nottingham Grade 3, hormone receptor positive, ER+ (estrogen receptor)/PR+ (progesterone receptor), HER2- (human epidermal growth factor), BRACA- (genetic mutation), Stage IV, metastasized to bones First CA 27.29 10/9/2018 83 (goal <38) Hormonal Therapy 10/12/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Targeted Therapy 10/12/2018 Xgeva injection (Denosumab) Hormonal Therapy 10/19/2018 Lupron Depot injection (Leuprolide Acetate) Surgery 11/29/2018 Vaginal hysterectomy with bilateral salpingo-oophorectomy First CA 27.29 post hysterectomy 12/10/2018 73 (goal <38) Hormonal Therapy 12/11/2018 Femara pills (letrozole) Targeted Therapy 12/23/2018 Ibrance pills (palbociclib) First CA 27.29 post medication change 1/10/2019 60 (goal <38)

New Year, New Me! 2018 was a year of ups and downs for me. In January I went back to college at Benedictine College to work towards my bachelors in sociology.

[careergrowthblog]

Teachers describe their worst injury at work

For some reason, when I ask a question about people’s worst experiences I get far more clear answers to the question, alongside complaints about that I have a sinister agenda and demands that teachers be silent.

My latest question was:

What’s the worst injury you’ve suffered while working as a teacher?

I’ve had fewer complaints about this one, although somebody did sarcastically ask why I didn’t ask for people’s best injury. I’ve ignored the many responses where people discussed damage that was only to their pride, credibility or dreams. I haven’t included discussion of mental health as that’s been covered in previous posts. Also most (but not all) of the people telling me about their paper cuts have been left out. As ever, I followed up the more suspicious ones, but may still have been fooled. The thread can be found here.

I shot myself in the arm… though it wasn’t with a firearm. With the top of an exploding 2 L[itre] bottle. Lab coat had the bloodstains to prove it. I was utterly, utterly mind-bendingly stupid and learned a very great deal in about a third of a second

30 mini whiteboards fell out of cupboard onto my head – 1 at a time – 4 hrs in A&E and head glued back together – very painful … my fault for not putting them away properly

Caught a ring on a door handle and it cut into my finger so deeply it needed to be cut off by a mechanic at the garage across the road.

Paper cut… on my eyeball. Child did it by accident. It was horrific! Needed anaesthetic drops for a few days.

Basketball hit me full in the mouth…whilst I had a whistle in it…lost two teeth. The cost of getting them replaced was the real shock of the whole ordeal. My savings took as much damage as my mouth did.

Last Friday of this half-term – college laptop trolly rolled into my 2 biggest toes on left foot. Same foot as plantar fasciitis & Achilles tendinitis issues. I didn’t use the ‘f’ word as student was with me.

Hypermobility + a few months of sitting on tiny children’s chairs caused lower-back go into semi-permanent spasm. Had to ask for adult chair Policy was for child-centred classrooms with no adult desk or chairs- teachers to be ‘working with group or individuals at all times’ Was told ‘If we give a teacher a chair, the problem with that is that they will sit down and not get up from it’ So, the ideal was for T[eacher] to stand or kneel near a table, or sit on a child’s chair, or sit on the floor.

As new H[ead]T[eacher], went to U[pper]K[ey]S[tage]2 Xmas party, vaulted over bench to leave hall and removed 4 square inches of skin from bald head on door frame. Was away at a meeting with the L.A. the next day, by the evening local rumours were that I was in hospital with head injuries

1) Staple in my finger. 2) Banged my knee a few times.3) Catching my arm on door handles.4) Heart attack.5) Trapping my finger in a drawer.

1) got tangled in cables like a giant fly in a spider web 2) slipped down a muddy slope in front of the entire school while on bus duty. Massive bruising and huge embarrassment both times. Although a kind Year 11 helped me up out of the mud & didn’t laugh while the other 1499 students pissed themselves.

nearly lost my left hand in a horrendous accident on school trip! 10 ops later it’s as good as it will be. there’s the proof. …had hold of the seat in front as the coach rolled and then slid down m6… window broke…. Had to have it stitched into my stomach for 4 weeks for a flap to cover I know even I gulped when the doc suggested it! I was a ‘little teapot for a month.  it was a nightmare!! They needed the blood vessels to join… 9 hour op too! I should add the NUT were fab … Their solicitor was superb

Slipped a disc lifting student into water ambulance during school trip to Venice. Contracted TB (possibly not at school, but sounds good).

I was hit by falling scaffolding once.

Grade 3 tear of gastrocnemius. Happened on sports day. Exactly coincided with pistol to start 100 m[e]t[re]s. I thought I had been shot. True story.

Broke a burette off in my thumb last year and severed a nerve. Still no feeling in it.

Definitely a student moving chair onto foot whilst sat on it

Concussion- could see children messing around for TA & glared at them-ch[ildre]n stopped- missed footing on last 5 steps…cue pratfall/f[ore]w[ar]d roll

Exhausted by overworking and unreasonable demands, I completely missed a step and fell down stairs. Thought “Didn’t get a degree for this”.

Pulled my back celebrating a spectacular comeback by the Y[ear] 8 football team was coaching back in the day. Took 3 month’s chiropractic to sort.

Missed a step covered in a drift of leaves & fell full length.Usual hilarity from students tempered by fact that I was 8 months pregnant.

Broke a finger attempting to stop a rugby ball from hitting a spectator. Still hit her, but on the back rather than on the head.

Crashed my motorcycle on the way to school. Still got in. My form saw the blood on my leg. Got ambulance. Came back from hospital to teach.

Ruptured my thigh muscle taking a penalty against a year 7 on lunch duty. Went top corner though so not all bad  [this was from my former form tutor, but I’m assuming I’m not implicated as it was “1st year” not “year 7” back then]

Prolapsed disk when the caretaker used the wrong polish on the floor turning it into a skating rink!

Husband snapped achilles tendon, teaching football on astros…

Temporarily blinded as lid came off the copydex mid shake. Shouted “Shit!” loudly which shocked kids more than my eyes covered in glue.

Spine surgery from writing too many schemes of work without good back support. I took on a dept[artment] in 2nd y[ea]r of career, managed all of SLT and there was nothing. Had an op in 2009 and learned a lot about life in that year!

Accidental broken toe. Me vs. heavy box of music stands. Helpful child said ‘you can swear if you like miss – looked like it hurt’. It did.

I scraped my shin and badly injured my pride falling-off a chair balanced on a table, as I put up a display… as a class quietly worked…  and I dislocated my knee in a Staff Vs Parents hockey match.

Almost broke fingers and arm, grassboarding down a slope on y[ea]r 7 activity holiday session!

being bitten. Also having a chair leg land on my foot (sandals

Molten jelly baby flew out of boiling tube onto my hand during open evening demo. I kept smiling

Sort of injury, kidney stones from not drinking enough water during school day. Agony for 2 days. Now I know opioids REALLY work.

slipped on a wet corridor and broke a finger pride also suffered considerable injury. After year 11 stopped convulsing with laughter following my very slapstick slip they did show great concern and sympathy

Sewed through my finger on a sewing machine whilst helping Year 11. Just about managed not to bleed on her coursework!

Ice skating lesson with a school group in 1988 & stuck the rear right boot spike through my left boot. Stab wound & 2 broken bones in foot!

Fractured my arm after falling off a ladder putting Christmas dec[oration]s up or scalded my foot after dropping an urn of hot water.

Electric shocks from various electricity experiments, and falling over and hurting my thumb.

Ran a ski trip to Italy and chair lift bar fell on my head, lots of blood and was taken down the slope in the blood-wagon. Tried to walk through a swing door which was normally well oiled, unfortunately this time it wasn’t and I went head first into the glass!

Stitches in a finger due to a stubborn classroom locker. Expletives were used. Entire Year 4 class were shocked. Hospital swiftly attended.

cracked patella jumping rope with 3rd graders

Mild concussion. Projector screen fell from roof hit me on head.

A bruised backside when I slipped on ice taking Tutor group to Xmas carol service. They kindly picked me up.

Slipped a disc standing up from my chair whilst teaching a PSHE lesson. Needed [other teachers] to carry me away from class!!

Fell off a table whilst putting up a display. Did my knee good and proper

I stapled my finger when putting up a display. Ive also caught thousands of colds (but that’s illness not injury).

My funniest injury at sch[ool]: stapled my fingers together whilst holding a stapler & teaching.

Electric shock off a whiteboard…it certainly made me jump!!

Torn my knee ligaments jumping on a trampoline

During my PGCE I dislocated my shoulder from stopping a pass in a lunchtime basketball game.

Fractured my humerus, two ribs and cut my eyebrow… I fell

Trapped arm in a door while restraining a student (Special needs School) [went to] A&E

Regularly I have bruises mid thigh from walking into tables

I slipped in the dining hall on a sausage and did a strange somersault, a plate crashed to the floor bounced up & and sliced open my cheek

Tripped up stairs on the way to a lesson, laptop went flying, smashed my head on the handrail, knocked myself out, in front of students

Punched in the temple by a y[ear] 8 boy. Headbutted (didn’t connect) by an angry y[ear] 11. Wallet nicked by a y[ear] 11 that I had spent hours supporting.

Lice, scabies and flea bites. All in a days work. Oh yes. And a tub of black powder paint with no lid, fell off a shelf on my head. Scary sight.

Torn [anterior cruciate ligament] in right knee whilst separating two Year 9 boys fighting!

Once thought it good idea to remove OHP bulb immediately after it blew. Fingerprints returned after a few months

I ripped a muscle in my lower back moving a filing cabinet. Had waited for the site agent for 5 days and got tired of waiting.  won’t make the mistake again, will just wait nicely!

Bumped into a table (fixed to the floor). Bruise on my thigh is about 10 cm long, 5 cm high. Done this almost every month, for 20 y[ears].

Broke a tooth on school pitta bread…

Dropped a recycling bin on my foot and lost a toenail.

Got slapped around the face and then kicked twice one morning.

Burnt most of my hand when I didn’t use a long enough fuse for a flash powder demonstration

I fell off my bike in front of the main entrance, causing moderate but prolonged reputational damage.

Put a staple through my finger while putting up a display.

Badly cut knee and ripped suit after attempting to show Y[ear] 6 boys,playing football on the playground, ‘how it’s done’.

Took an “accidentally released” rounders bat to the gentleman’s area. If I wasn’t the recipient it would have been funny.

Partially tore ligaments while mucking about being a wolf in the playground

Tripped on cracked car park tarmac, burst knee wide open. Lots of stitches

I broke my foot at 7am at school on a dodgy paving slab and then walked around on it for the rest of the day before getting an X-ray. I also once dropped molten hot sulfur on my hand while doing a demo,had to teach the rest of my lesson with my hand in a bowl of cold water

Fell 2 steps walking down unlit stairs and twisted ankle. Had an xray and 2 days off work.

Cut my finger open whilst shutting a toilet door I spotted was ajar. Kid in my class provided me with loo roll from his bag that he kept there with a torch in case he needed to go for a poo in the dark! Not sure which event was the weirdest.

Fell off a chair doing a display- Huge bruise black on arm…despite just saying to students always use a chair for its intended purpose!

I broke my ankle in the middle of one of my [physical education] classes.

Broke bone in coccyx. Also got pneumonia from sewage has when basement flooded. Illness rather than injury really.

My eye got cut from a student’s nail when playing basketball with them. Lost a high % of peripheral vision in my right eye.

I’ve suffered a cut lip when a child I was sitting next to shot his hand up a little enthusiastically. Still think he did it on purpose

There have been a couple of reasonably serious injuries in the staff-sixth form football. Not to me though.

Banging my head – It’s not easy being a giant.

[From a school business manager] There was the time I was walking along a corridor & a teacher opened an outward opening door & pole-axed me. They were mortified..

Got punched by a parent, but wasn’t injured, and in retrospect she was probably in the right. Who was I to tell her son to tuck in his shirt?

Shut the filing cabinet in my classroom and trapped my nipple in it. No idea how I managed that..

Teachers describe their worst injury at work published first on http://ift.tt/2uVElOo

[careergrowthblog]

Teachers describe their worst injury at work

For some reason, when I ask a question about people’s worst experiences I get far more clear answers to the question, alongside complaints about that I have a sinister agenda and demands that teachers be silent.

My latest question was:

What’s the worst injury you’ve suffered while working as a teacher?

I’ve had fewer complaints about this one, although somebody did sarcastically ask why I didn’t ask for people’s best injury. I’ve ignored the many responses where people discussed damage that was only to their pride, credibility or dreams. I haven’t included discussion of mental health as that’s been covered in previous posts. Also most (but not all) of the people telling me about their paper cuts have been left out. As ever, I followed up the more suspicious ones, but may still have been fooled. The thread can be found here.

I shot myself in the arm… though it wasn’t with a firearm. With the top of an exploding 2 L[itre] bottle. Lab coat had the bloodstains to prove it. I was utterly, utterly mind-bendingly stupid and learned a very great deal in about a third of a second

30 mini whiteboards fell out of cupboard onto my head – 1 at a time – 4 hrs in A&E and head glued back together – very painful … my fault for not putting them away properly

Caught a ring on a door handle and it cut into my finger so deeply it needed to be cut off by a mechanic at the garage across the road.

Paper cut… on my eyeball. Child did it by accident. It was horrific! Needed anaesthetic drops for a few days.

Basketball hit me full in the mouth…whilst I had a whistle in it…lost two teeth. The cost of getting them replaced was the real shock of the whole ordeal. My savings took as much damage as my mouth did.

Last Friday of this half-term – college laptop trolly rolled into my 2 biggest toes on left foot. Same foot as plantar fasciitis & Achilles tendinitis issues. I didn’t use the ‘f’ word as student was with me.

Hypermobility + a few months of sitting on tiny children’s chairs caused lower-back go into semi-permanent spasm. Had to ask for adult chair Policy was for child-centred classrooms with no adult desk or chairs- teachers to be ‘working with group or individuals at all times’ Was told ‘If we give a teacher a chair, the problem with that is that they will sit down and not get up from it’ So, the ideal was for T[eacher] to stand or kneel near a table, or sit on a child’s chair, or sit on the floor.

As new H[ead]T[eacher], went to U[pper]K[ey]S[tage]2 Xmas party, vaulted over bench to leave hall and removed 4 square inches of skin from bald head on door frame. Was away at a meeting with the L.A. the next day, by the evening local rumours were that I was in hospital with head injuries

1) Staple in my finger. 2) Banged my knee a few times.3) Catching my arm on door handles.4) Heart attack.5) Trapping my finger in a drawer.

1) got tangled in cables like a giant fly in a spider web 2) slipped down a muddy slope in front of the entire school while on bus duty. Massive bruising and huge embarrassment both times. Although a kind Year 11 helped me up out of the mud & didn’t laugh while the other 1499 students pissed themselves.

nearly lost my left hand in a horrendous accident on school trip! 10 ops later it’s as good as it will be. there’s the proof. …had hold of the seat in front as the coach rolled and then slid down m6… window broke…. Had to have it stitched into my stomach for 4 weeks for a flap to cover I know even I gulped when the doc suggested it! I was a ‘little teapot for a month.  it was a nightmare!! They needed the blood vessels to join… 9 hour op too! I should add the NUT were fab … Their solicitor was superb

Slipped a disc lifting student into water ambulance during school trip to Venice. Contracted TB (possibly not at school, but sounds good).

I was hit by falling scaffolding once.

Grade 3 tear of gastrocnemius. Happened on sports day. Exactly coincided with pistol to start 100 m[e]t[re]s. I thought I had been shot. True story.

Broke a burette off in my thumb last year and severed a nerve. Still no feeling in it.

Definitely a student moving chair onto foot whilst sat on it

Concussion- could see children messing around for TA & glared at them-ch[ildre]n stopped- missed footing on last 5 steps…cue pratfall/f[ore]w[ar]d roll

Exhausted by overworking and unreasonable demands, I completely missed a step and fell down stairs. Thought “Didn’t get a degree for this”.

Pulled my back celebrating a spectacular comeback by the Y[ear] 8 football team was coaching back in the day. Took 3 month’s chiropractic to sort.

Missed a step covered in a drift of leaves & fell full length.Usual hilarity from students tempered by fact that I was 8 months pregnant.

Broke a finger attempting to stop a rugby ball from hitting a spectator. Still hit her, but on the back rather than on the head.

Crashed my motorcycle on the way to school. Still got in. My form saw the blood on my leg. Got ambulance. Came back from hospital to teach.

Ruptured my thigh muscle taking a penalty against a year 7 on lunch duty. Went top corner though so not all bad  [this was from my former form tutor, but I’m assuming I’m not implicated as it was “1st year” not “year 7” back then]

Prolapsed disk when the caretaker used the wrong polish on the floor turning it into a skating rink!

Husband snapped achilles tendon, teaching football on astros…

Temporarily blinded as lid came off the copydex mid shake. Shouted “Shit!” loudly which shocked kids more than my eyes covered in glue.

Spine surgery from writing too many schemes of work without good back support. I took on a dept[artment] in 2nd y[ea]r of career, managed all of SLT and there was nothing. Had an op in 2009 and learned a lot about life in that year!

Accidental broken toe. Me vs. heavy box of music stands. Helpful child said ‘you can swear if you like miss – looked like it hurt’. It did.

I scraped my shin and badly injured my pride falling-off a chair balanced on a table, as I put up a display… as a class quietly worked…  and I dislocated my knee in a Staff Vs Parents hockey match.

Almost broke fingers and arm, grassboarding down a slope on y[ea]r 7 activity holiday session!

being bitten. Also having a chair leg land on my foot (sandals

Molten jelly baby flew out of boiling tube onto my hand during open evening demo. I kept smiling

Sort of injury, kidney stones from not drinking enough water during school day. Agony for 2 days. Now I know opioids REALLY work.

slipped on a wet corridor and broke a finger pride also suffered considerable injury. After year 11 stopped convulsing with laughter following my very slapstick slip they did show great concern and sympathy

Sewed through my finger on a sewing machine whilst helping Year 11. Just about managed not to bleed on her coursework!

Ice skating lesson with a school group in 1988 & stuck the rear right boot spike through my left boot. Stab wound & 2 broken bones in foot!

Fractured my arm after falling off a ladder putting Christmas dec[oration]s up or scalded my foot after dropping an urn of hot water.

Electric shocks from various electricity experiments, and falling over and hurting my thumb.

Ran a ski trip to Italy and chair lift bar fell on my head, lots of blood and was taken down the slope in the blood-wagon. Tried to walk through a swing door which was normally well oiled, unfortunately this time it wasn’t and I went head first into the glass!

Stitches in a finger due to a stubborn classroom locker. Expletives were used. Entire Year 4 class were shocked. Hospital swiftly attended.

cracked patella jumping rope with 3rd graders

Mild concussion. Projector screen fell from roof hit me on head.

A bruised backside when I slipped on ice taking Tutor group to Xmas carol service. They kindly picked me up.

Slipped a disc standing up from my chair whilst teaching a PSHE lesson. Needed [other teachers] to carry me away from class!!

Fell off a table whilst putting up a display. Did my knee good and proper

I stapled my finger when putting up a display. Ive also caught thousands of colds (but that’s illness not injury).

My funniest injury at sch[ool]: stapled my fingers together whilst holding a stapler & teaching.

Electric shock off a whiteboard…it certainly made me jump!!

Torn my knee ligaments jumping on a trampoline

During my PGCE I dislocated my shoulder from stopping a pass in a lunchtime basketball game.

Fractured my humerus, two ribs and cut my eyebrow… I fell

Trapped arm in a door while restraining a student (Special needs School) [went to] A&E

Regularly I have bruises mid thigh from walking into tables

I slipped in the dining hall on a sausage and did a strange somersault, a plate crashed to the floor bounced up & and sliced open my cheek

Tripped up stairs on the way to a lesson, laptop went flying, smashed my head on the handrail, knocked myself out, in front of students

Punched in the temple by a y[ear] 8 boy. Headbutted (didn’t connect) by an angry y[ear] 11. Wallet nicked by a y[ear] 11 that I had spent hours supporting.

Lice, scabies and flea bites. All in a days work. Oh yes. And a tub of black powder paint with no lid, fell off a shelf on my head. Scary sight.

Torn [anterior cruciate ligament] in right knee whilst separating two Year 9 boys fighting!

Once thought it good idea to remove OHP bulb immediately after it blew. Fingerprints returned after a few months

I ripped a muscle in my lower back moving a filing cabinet. Had waited for the site agent for 5 days and got tired of waiting.  won’t make the mistake again, will just wait nicely!

Bumped into a table (fixed to the floor). Bruise on my thigh is about 10 cm long, 5 cm high. Done this almost every month, for 20 y[ears].

Broke a tooth on school pitta bread…

Dropped a recycling bin on my foot and lost a toenail.

Got slapped around the face and then kicked twice one morning.

Burnt most of my hand when I didn’t use a long enough fuse for a flash powder demonstration

I fell off my bike in front of the main entrance, causing moderate but prolonged reputational damage.

Put a staple through my finger while putting up a display.

Badly cut knee and ripped suit after attempting to show Y[ear] 6 boys,playing football on the playground, ‘how it’s done’.

Took an “accidentally released” rounders bat to the gentleman’s area. If I wasn’t the recipient it would have been funny.

Partially tore ligaments while mucking about being a wolf in the playground

Tripped on cracked car park tarmac, burst knee wide open. Lots of stitches

I broke my foot at 7am at school on a dodgy paving slab and then walked around on it for the rest of the day before getting an X-ray. I also once dropped molten hot sulfur on my hand while doing a demo,had to teach the rest of my lesson with my hand in a bowl of cold water

Fell 2 steps walking down unlit stairs and twisted ankle. Had an xray and 2 days off work.

Cut my finger open whilst shutting a toilet door I spotted was ajar. Kid in my class provided me with loo roll from his bag that he kept there with a torch in case he needed to go for a poo in the dark! Not sure which event was the weirdest.

Fell off a chair doing a display- Huge bruise black on arm…despite just saying to students always use a chair for its intended purpose!

I broke my ankle in the middle of one of my [physical education] classes.

Broke bone in coccyx. Also got pneumonia from sewage has when basement flooded. Illness rather than injury really.

My eye got cut from a student’s nail when playing basketball with them. Lost a high % of peripheral vision in my right eye.

I’ve suffered a cut lip when a child I was sitting next to shot his hand up a little enthusiastically. Still think he did it on purpose

There have been a couple of reasonably serious injuries in the staff-sixth form football. Not to me though.

Banging my head – It’s not easy being a giant.

[From a school business manager] There was the time I was walking along a corridor & a teacher opened an outward opening door & pole-axed me. They were mortified..

Got punched by a parent, but wasn’t injured, and in retrospect she was probably in the right. Who was I to tell her son to tuck in his shirt?

Shut the filing cabinet in my classroom and trapped my nipple in it. No idea how I managed that..

Teachers describe their worst injury at work published first on http://ift.tt/2uVElOo

[careergrowthblog]

Teachers describe their worst injury at work

For some reason, when I ask a question about people’s worst experiences I get far more clear answers to the question, alongside complaints about that I have a sinister agenda and demands that teachers be silent.

My latest question was:

What’s the worst injury you’ve suffered while working as a teacher?

I’ve had fewer complaints about this one, although somebody did sarcastically ask why I didn’t ask for people’s best injury. I’ve ignored the many responses where people discussed damage that was only to their pride, credibility or dreams. I haven’t included discussion of mental health as that’s been covered in previous posts. Also most (but not all) of the people telling me about their paper cuts have been left out. As ever, I followed up the more suspicious ones, but may still have been fooled. The thread can be found here.

I shot myself in the arm… though it wasn’t with a firearm. With the top of an exploding 2 L[itre] bottle. Lab coat had the bloodstains to prove it. I was utterly, utterly mind-bendingly stupid and learned a very great deal in about a third of a second

30 mini whiteboards fell out of cupboard onto my head – 1 at a time – 4 hrs in A&E and head glued back together – very painful … my fault for not putting them away properly

Caught a ring on a door handle and it cut into my finger so deeply it needed to be cut off by a mechanic at the garage across the road.

Paper cut… on my eyeball. Child did it by accident. It was horrific! Needed anaesthetic drops for a few days.

Basketball hit me full in the mouth…whilst I had a whistle in it…lost two teeth. The cost of getting them replaced was the real shock of the whole ordeal. My savings took as much damage as my mouth did.

Last Friday of this half-term – college laptop trolly rolled into my 2 biggest toes on left foot. Same foot as plantar fasciitis & Achilles tendinitis issues. I didn’t use the ‘f’ word as student was with me.

Hypermobility + a few months of sitting on tiny children’s chairs caused lower-back go into semi-permanent spasm. Had to ask for adult chair Policy was for child-centred classrooms with no adult desk or chairs- teachers to be ‘working with group or individuals at all times’ Was told ‘If we give a teacher a chair, the problem with that is that they will sit down and not get up from it’ So, the ideal was for T[eacher] to stand or kneel near a table, or sit on a child’s chair, or sit on the floor.

As new H[ead]T[eacher], went to U[pper]K[ey]S[tage]2 Xmas party, vaulted over bench to leave hall and removed 4 square inches of skin from bald head on door frame. Was away at a meeting with the L.A. the next day, by the evening local rumours were that I was in hospital with head injuries

1) Staple in my finger. 2) Banged my knee a few times.3) Catching my arm on door handles.4) Heart attack.5) Trapping my finger in a drawer.

1) got tangled in cables like a giant fly in a spider web 2) slipped down a muddy slope in front of the entire school while on bus duty. Massive bruising and huge embarrassment both times. Although a kind Year 11 helped me up out of the mud & didn’t laugh while the other 1499 students pissed themselves.

nearly lost my left hand in a horrendous accident on school trip! 10 ops later it’s as good as it will be. there’s the proof. …had hold of the seat in front as the coach rolled and then slid down m6… window broke…. Had to have it stitched into my stomach for 4 weeks for a flap to cover I know even I gulped when the doc suggested it! I was a ‘little teapot for a month.  it was a nightmare!! They needed the blood vessels to join… 9 hour op too! I should add the NUT were fab … Their solicitor was superb

Slipped a disc lifting student into water ambulance during school trip to Venice. Contracted TB (possibly not at school, but sounds good).

I was hit by falling scaffolding once.

Grade 3 tear of gastrocnemius. Happened on sports day. Exactly coincided with pistol to start 100 m[e]t[re]s. I thought I had been shot. True story.

Broke a burette off in my thumb last year and severed a nerve. Still no feeling in it.

Definitely a student moving chair onto foot whilst sat on it

Concussion- could see children messing around for TA & glared at them-ch[ildre]n stopped- missed footing on last 5 steps…cue pratfall/f[ore]w[ar]d roll

Exhausted by overworking and unreasonable demands, I completely missed a step and fell down stairs. Thought “Didn’t get a degree for this”.

Pulled my back celebrating a spectacular comeback by the Y[ear] 8 football team was coaching back in the day. Took 3 month’s chiropractic to sort.

Missed a step covered in a drift of leaves & fell full length.Usual hilarity from students tempered by fact that I was 8 months pregnant.

Broke a finger attempting to stop a rugby ball from hitting a spectator. Still hit her, but on the back rather than on the head.

Crashed my motorcycle on the way to school. Still got in. My form saw the blood on my leg. Got ambulance. Came back from hospital to teach.

Ruptured my thigh muscle taking a penalty against a year 7 on lunch duty. Went top corner though so not all bad  [this was from my former form tutor, but I’m assuming I’m not implicated as it was “1st year” not “year 7” back then]

Prolapsed disk when the caretaker used the wrong polish on the floor turning it into a skating rink!

Husband snapped achilles tendon, teaching football on astros…

Temporarily blinded as lid came off the copydex mid shake. Shouted “Shit!” loudly which shocked kids more than my eyes covered in glue.

Spine surgery from writing too many schemes of work without good back support. I took on a dept[artment] in 2nd y[ea]r of career, managed all of SLT and there was nothing. Had an op in 2009 and learned a lot about life in that year!

Accidental broken toe. Me vs. heavy box of music stands. Helpful child said ‘you can swear if you like miss – looked like it hurt’. It did.

I scraped my shin and badly injured my pride falling-off a chair balanced on a table, as I put up a display… as a class quietly worked…  and I dislocated my knee in a Staff Vs Parents hockey match.

Almost broke fingers and arm, grassboarding down a slope on y[ea]r 7 activity holiday session!

being bitten. Also having a chair leg land on my foot (sandals

Molten jelly baby flew out of boiling tube onto my hand during open evening demo. I kept smiling

Sort of injury, kidney stones from not drinking enough water during school day. Agony for 2 days. Now I know opioids REALLY work.

slipped on a wet corridor and broke a finger pride also suffered considerable injury. After year 11 stopped convulsing with laughter following my very slapstick slip they did show great concern and sympathy

Sewed through my finger on a sewing machine whilst helping Year 11. Just about managed not to bleed on her coursework!

Ice skating lesson with a school group in 1988 & stuck the rear right boot spike through my left boot. Stab wound & 2 broken bones in foot!

Fractured my arm after falling off a ladder putting Christmas dec[oration]s up or scalded my foot after dropping an urn of hot water.

Electric shocks from various electricity experiments, and falling over and hurting my thumb.

Ran a ski trip to Italy and chair lift bar fell on my head, lots of blood and was taken down the slope in the blood-wagon. Tried to walk through a swing door which was normally well oiled, unfortunately this time it wasn’t and I went head first into the glass!

Stitches in a finger due to a stubborn classroom locker. Expletives were used. Entire Year 4 class were shocked. Hospital swiftly attended.

cracked patella jumping rope with 3rd graders

Mild concussion. Projector screen fell from roof hit me on head.

A bruised backside when I slipped on ice taking Tutor group to Xmas carol service. They kindly picked me up.

Slipped a disc standing up from my chair whilst teaching a PSHE lesson. Needed [other teachers] to carry me away from class!!

Fell off a table whilst putting up a display. Did my knee good and proper

I stapled my finger when putting up a display. Ive also caught thousands of colds (but that’s illness not injury).

My funniest injury at sch[ool]: stapled my fingers together whilst holding a stapler & teaching.

Electric shock off a whiteboard…it certainly made me jump!!

Torn my knee ligaments jumping on a trampoline

During my PGCE I dislocated my shoulder from stopping a pass in a lunchtime basketball game.

Fractured my humerus, two ribs and cut my eyebrow… I fell

Trapped arm in a door while restraining a student (Special needs School) [went to] A&E

Regularly I have bruises mid thigh from walking into tables

I slipped in the dining hall on a sausage and did a strange somersault, a plate crashed to the floor bounced up & and sliced open my cheek

Tripped up stairs on the way to a lesson, laptop went flying, smashed my head on the handrail, knocked myself out, in front of students

Punched in the temple by a y[ear] 8 boy. Headbutted (didn’t connect) by an angry y[ear] 11. Wallet nicked by a y[ear] 11 that I had spent hours supporting.

Lice, scabies and flea bites. All in a days work. Oh yes. And a tub of black powder paint with no lid, fell off a shelf on my head. Scary sight.

Torn [anterior cruciate ligament] in right knee whilst separating two Year 9 boys fighting!

Once thought it good idea to remove OHP bulb immediately after it blew. Fingerprints returned after a few months

I ripped a muscle in my lower back moving a filing cabinet. Had waited for the site agent for 5 days and got tired of waiting.  won’t make the mistake again, will just wait nicely!

Bumped into a table (fixed to the floor). Bruise on my thigh is about 10 cm long, 5 cm high. Done this almost every month, for 20 y[ears].

Broke a tooth on school pitta bread…

Dropped a recycling bin on my foot and lost a toenail.

Got slapped around the face and then kicked twice one morning.

Burnt most of my hand when I didn’t use a long enough fuse for a flash powder demonstration

I fell off my bike in front of the main entrance, causing moderate but prolonged reputational damage.

Put a staple through my finger while putting up a display.

Badly cut knee and ripped suit after attempting to show Y[ear] 6 boys,playing football on the playground, ‘how it’s done’.

Took an “accidentally released” rounders bat to the gentleman’s area. If I wasn’t the recipient it would have been funny.

Partially tore ligaments while mucking about being a wolf in the playground

Tripped on cracked car park tarmac, burst knee wide open. Lots of stitches

I broke my foot at 7am at school on a dodgy paving slab and then walked around on it for the rest of the day before getting an X-ray. I also once dropped molten hot sulfur on my hand while doing a demo,had to teach the rest of my lesson with my hand in a bowl of cold water

Fell 2 steps walking down unlit stairs and twisted ankle. Had an xray and 2 days off work.

Cut my finger open whilst shutting a toilet door I spotted was ajar. Kid in my class provided me with loo roll from his bag that he kept there with a torch in case he needed to go for a poo in the dark! Not sure which event was the weirdest.

Fell off a chair doing a display- Huge bruise black on arm…despite just saying to students always use a chair for its intended purpose!

I broke my ankle in the middle of one of my [physical education] classes.

Broke bone in coccyx. Also got pneumonia from sewage has when basement flooded. Illness rather than injury really.

My eye got cut from a student’s nail when playing basketball with them. Lost a high % of peripheral vision in my right eye.

I’ve suffered a cut lip when a child I was sitting next to shot his hand up a little enthusiastically. Still think he did it on purpose

There have been a couple of reasonably serious injuries in the staff-sixth form football. Not to me though.

Banging my head – It’s not easy being a giant.

[From a school business manager] There was the time I was walking along a corridor & a teacher opened an outward opening door & pole-axed me. They were mortified..

Got punched by a parent, but wasn’t injured, and in retrospect she was probably in the right. Who was I to tell her son to tuck in his shirt?

Shut the filing cabinet in my classroom and trapped my nipple in it. No idea how I managed that..

Teachers describe their worst injury at work published first on http://ift.tt/2uVElOo