#travel healthcare

[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.

[zymstarz]

bit of a late [and quick] announcement, but uhhhhh hey guys im getting top surgery in 11 DAYS NOW

[halfhildhalfmarilyn]

Heloo

Im wafaa from Gaza

I need your help if you can

Please donate to save my life and my family 🍉🇵🇸

Asking for help is not easy, I ask for a small donation of only 20€ from each person, 20€ will save my family from death in Gaza 💔 Donate through the link in bio (gofundme) Together, we can achieve our goal within a day and provide crucial support to me and my family in Gaza. Your contribution means everything to us and in these difficult times your kindness is our greatest hope. We are very grateful for any assistance you can provide and thank you for your kindness and generosity in our time of need

https://gofund.me/27fab415

Hello Wafaa, i hope that you get to your goal soon, may Allah SWT protect you and your family, Ameen ❤️ (just donated)

It is currently at 4 343 € out of 100 000 €, please donate and share !!

[thefbiagentinyoursearchhistory]

Lonestar really got me out here googling "mercy ship" bc they scadoodled one of the main characters off screen with "doing the Lord's work bc orphan photos" and "her mercy ship is in the Solomon Islands" and we all just supposed to know wtf that means ;-;

[madfoolish]

[helpingbro]

6 WAYS TO DETOX YOUR MIND

1.Start Unfollowing.

Unfollow people who do not make you feel empowered, informed or inspired.

2.Start writing.

Sometimes you just need to get out what's on your mind.

Try setting a timer for 30 minutes and doing a brain dump of all the things you want to complain about or challenges you are struggling with to let it all go and detox your mind from those nagging worries.

3.Ask yourself:

→Are there any dead relationships in my life that I am holding on to?

→What aspects of my life can I improve by removing things that isn't working anymore?

4.Practice Meditation.

During meditation, you focus your attention and eliminate rampant thoughts crowding your mind and causing stress.

This process may result in enhanced emotional, intellectual, physical, and spiritual well-being.

5.Remember the big picture.

Write down a list of your long-term goals.

Call it your vision for your life. Reference it often. Keep it in your mind as you're cycling through your day-to-day tasks.

It's easy to get caught up in the minutiae of living when your gorget your why.

6.Acceptance is peace.

No amount of anxiety will change your future, no amount of regret will change your past.

Peace is found in acceptance:

• Accept imperfection.

• Accept uncertainty.

• Accept the uncontrollable.

You don't have to understand, tolerate or even forget something, but if you want peace, you must accept it.

[twistedmixtress]

Happy Pride!

If you're feeling like supporting a local trans woman, this is my wife's GoFundMe campaign for her Gender Affirming Surgery that's coming up very quickly. We're aiming to fundraise the amount to cover the cost of surgery along with time off afterward.

[cheriafreya]

being a broke ass gamer is driving me 😀 C-R-A-Z-Y 😀

[hyenagurl]

I'm an autistic American and I just got home from a vacation in Germany. I think I'm going to move there because they tend to say exactly what they mean without covering things up with jokes and metaphors and stuff that confuses me/goes over my head. I felt like I had returned to my home planet for two weeks.

i have an older lady friend who’s from there and she says the exact same thing, that they say what they mean, and that theyre maybe a bit blunt and harsh but not fake nice. sounds like a dream tbh

[touti21]

Get $750 Cash App

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[sillygrossgirl]

You can always suck some cock for money! Let’s turn you into the real whore you’ve always wanted to be

Wouldn't do it if the guy didnt have a good diet and good hygiene, along with being std safe and whatnot

[skyloftian-nutcase]

Wild looked up, bewildered, when music started to gently serenade him. He glanced at Twilight, who clearly had turned it on with his phone, as his friend stared intently at the screen.

“What are you doing?” Wild asked.

“I gotta learn the lyrics to this song,” Twilight said seriously.

Wild scrunched his nose as he listened to the lyrics. “That’s Zoran. You can hardly speak Hylian with your accent sometimes.”

Twilight threw him an exasperated look. “It can’t be that hard. Since when did you know Zoran?”

“Since I just heard it,” Wild huffed with a smirk, though hearing the language brought a twinge of pain to his heart. Whatever memories were locked away… they…

“Oh, is that Life in Pink?” Malon called from upstairs as she came into the living room, a smile on her face. “Ah, I remember hearing this in my honeymoon.”

“Twi wants to sing it,” Wild said, wiggling his eyebrows.

“Got yourself a date?” Malon asked with a smirk, hands in her hips.

Twilight rolled his eyes. “No. It’s for a patient. She’s a Zora girl, she’s far from home, and she said it’s her favorite song.”

“Aw honey,” Malon said gently, putting a hand to her heart. “That’s so sweet of you.”

“Twi… you can’t sing,” Wild noted, staring at his friend with his eyebrows scrunched together.

“I know that song,” Time hummed as he entered from the kitchen.

“Yes, it’s from our honeymoon!” Malon confirmed cheerily. “Twi’s learning it for a patient.”

Time blinked a few times, mouth moving as if he were about to speak, and then he thought better of it.

“He was gonna say it too!” Wild noted, pointing at him.

“I can sing just fine!” Twilight grumbled.

“I’m trying to figure out if you’re gonna make her laugh or cry,” Wild cackled.

Twilight crossed his arms, growing steadily grumpier. “Ilia’s gonna be singing with me. She’s learning it too.”

“Oh good,” Wild sighed in relief. “That’ll make it better.”

“You’ve never even met Ilia!”

“Her singing has to be better than yours.”

Twilight huffed, turning to ask for Time and Malon’s input, when he caught sight of the couple slow dancing in the background. Wild paused and turned, and the two men smiled at the pair, who were lost in each other’s eyes and living in a time past as the music floated in the air.

[weirdmanwithbeard]

55-year-old American Scientist lived underwater for 93 days and his body became 10 years younger.

Can you believe it? He moved into the Jules Undersea Lodge, located 30 feet underwater. He successfully lived there for 93 days, not only breaking the Guinness World Record but also when doctors checked, there were notable changes in his DNA and overall physical health.  https://trendingamerican.com/93-day-underwater-stay-scientist-10-years-younger/

[chu-diaries]

100 days of mental healthcare: day 33/100

The first day of my trip went really well! The house I'm staying at is cute and the breakfast is delicious. I walked about 10 km through the forest to find the caves and it was a magical experience. It's not what I imagined it would be like. I thought caves would be cold and full of spiders, but inside it was very peaceful and the water wasn't freezing. I had several moments of silence and at times I turned off the flashlight to experience moments of total darkness and inner peace. I also went under waterfalls and crossed rivers, so I'm very tired.

🌸: day 7/28

💧: didn’t track

🏃🏻‍♀️: 12 km

🧘🏻‍♀️: I’ve had mindful moments

🎮: 🚫

🎧: 🚫

📚: hp and the order of the phoenix

📺: 🚫

🛑: 5 day pick-free

💊: 🚫

[eviefrie]

i am going to get a good grade in networking something that is normal to want and possible to achieve,

[jewishevelinebaker]

Can you stop talking about illegal things like "and remember NOT to check out piracy.com 😉" it is not only annoying but sometimes the way you word it is sometimes confusing when you refuse to say what youre talking about. This is tumblr you can say abortion or hrt

But also wrt piracy loose lips sink ships and linking the site whether you say "DONT go here 😉" or not is gonna put it at risk