#medical accuracy

[macgyvermedical]

Did You Know You Can Pay Me for Things?

I am a Registered Nurse, have a Master of Public Health and experience in hospital floor nursing, outpatient nursing, public health nursing, and education. I am establishing a base of virtual offerings for anyone who is interested. Thanks for perusing my wares!

You can pay me for things like:

New Condition Education (Did you just get diagnosed with something the doctor didn't have time to explain well? I am happy to schedule a 1:1 videocall with you to help you better understand.) - Sliding Scale from $10-30/hr

Basic Health Education (Did the public school system screw you or your child over when it came to health ed? I can provide a basic (queer-friendly and non-fat-phobic) health education curriculum over 3 or more 1:1 videocalls.) - Sliding Scale from $10-30/hr

Nurse Troubleshooting (need some advice on setting up your living space so it is accessible for you? I would be happy to help via videocall if appropriate for the situation) - Sliding Scale from $10-30/hr

NCLEX Tutoring (Are you about to graduate nursing school in the USA? Feel like you need some extra help? I have been teaching medical and nursing students for the last 4 years and just finished a course on the new NCLEX, so if you're interested in some 1:1 help, hit me up!) - $20/hr

Historical Medicine and Nursing for Fiction (Are you writing something cool and historical that takes place less than 150 years ago? Need someone who has been quietly researching medical and nursing history for years and has a library of contemporaneous sources? I would be happy to schedule a 1:1 videocall to help!) - $30/hr

Contemporary Medicine and Nursing for Fiction (yes I know you can get it from this blog for free, but then you have to use the tumblr search feature and potentially wait a long time. A 1:1 videoconference would be much faster, don't you think?) - $30/hr

Medical Accuracy Review (did you write something you hope was medically accurate? Would you like someone to check it over and give advice to improve?)- $0.05/word for the portion reviewed

New! I also teach physical exam skills online. Great for if you missed them in nursing or medical school (I taught exam skills for 4 years to med students) or if you’re just interested as a lay person. I promise I am nicer than the last person who taught them to you!

Need something that's not on the list? Just ask!

#nursing #writing reference #health education #condition education #medical accuracy #medical history #nurblr #reference #resource #adulting

[terunosukenyamoto]

Medically accurate bedman

#bedman guilty gear #bedman #guilty gear #guilty gear xrd #Medical accuracy #For context this is what I think the bed looks like when he’s not fighting #Despite how powerful he is he is still very much a comatose human and comatose humans need quite a bit of medical attention #And I think with the bed he’d be able to handle it himself

[justsomewhumpee]

Here's some uhhh "fun?" info about how deeper wounds work (unfortunately based on experience bc I am so clumsy lol) for your whump writing knowledge.

TW: mention of wounds, stitches, somewhat detailed description of stitching procedure, scars

So when you get a deep cut that goes past the surface of the skin (ie. needing stitches) there are a few things that need to happen to help it heal correctly and without infection. Depending on what caused the laceration, you may need a tetanus shot if it was some sort of metal (even if it wasn't rusty metal, this is usually done to play it safe). Then, they'll have to numb the area, and let me tell you -NOT FUN. Remember that open wound? Yeah, they inject the local anesthetic directly into the wound. IN to it- not near it. So that's really not fun, and it's even worse if you're able to watch it happen because the area swells up from the medication. So very unpleasant. From there, honestly the worst part is usually over. The stitching itself is scary to watch (caretaker said not to look for a reason!), but the most that's usually felt is some pressure from the needle- IF it is numbed completely.

What's worse though- is if you DON'T get stitches when you need them. So after a deep laceration, there is generally a 24 hour window (maximum) to get it stitched. Usually it's ideal to be done within 4-6 hours of the injury. If this doesn't happen, the wound cannot be stitched because the body has already started healing the wound as it currently is, and won't be able to heal back together and close. So this means: much longer healing process (sometimes can be a month or more depending on the laceration), the wound should stay covered with gauze for most of the beginning of healing to prevent infection which is a bigger risk with an open wound. This will additionally create a different looking scar than a wound that was stitched. They can look similar, but are obviously wider and flatter than a stitched wound which can heal with a raised and much thinner scar. Sometimes you can also see scarring from where the stitches were too! I think that's kind of cool, though.

This is just what I remember from the situation and doctors, I am not a professional.

Have fun patching up your whumpees! Or ya know.. Not

#how stuff works #whump #whumpee #whumpblr #whump community #whump scenario #whump writing #whump ideas #whump prompts #whump prompt #whumper #medical accuracy #tw medical #tw wounds #tw stitches #original post

[scarlethood]

hey writers! do you struggle to find good, easy to read and understandable information about medical procedures, injuries, drugs, or other medical knowledge? here is website that is going to be your best friend. while merck manuals is for professionals its formatted with easy bullet point lists of all the how what and whys.

does your character need stitches? this site has the run down for three different kinds. character was electrocuted, this site can tell you the most common injuries and aftercare for them. need to figure out a hallucinogen for whump purposes, it's got you covered!

#fic writing #writing tips #fanfic tips #fanfic writing #medical manual #medical accuracy #thoughts on rye

[writerbri-archive]

I have more

the needle does not stay in when you get an IV, it’s only used to place the catheter (a flexible tiny tube) and then it comes right back out

every time a character rips out their IV onscreen it makes me grit my teeth because absolutely fucking not, there’s a reason a pressure wrap is put on after an IV is taken out you will bleed

IV fluids, unless the hospital/clinic is nice enough to have a warmer, are often going to make a patient very cold and shivering is not uncommon while receiving fluids

so general advice not writing advice take a jacket/blanket if you’re going somewhere to get fluids or better yet ask your facility if they have warm blankets because some places will have blankets that are kept in a heater

#writing #writing advice #medical accuracy #tw needle mention #tw blood mention #writing reference

[whump-is-love-whump-is-life]

I WANT TO WRITE THE REACTION TO SUDDEN AND EXTREME PAIN (in this case, a leg breaking) ACCURATELY— BUT FOR THE LOVE OF FUCK THE INTERNET REFUSES TO TELL ME IF IT AFFECTS YOUR VISION EVEN FOR A SECOND WHEN YOU BREAK A BONE

#if anyone knows please tell me #maybe I’m dumb #and taking ‘blinded by pain’ too literally #BUT I NEED TO KNOW IF THAT’S ACTUALLY THE CASE #sigh #whump #whumper problems #medical accuracy #my posts

[whumptober]

RE the medical accuracy ask - actual doctor here, weighing in! I tend towards medical accuracy in my own writing, I suppose just because of how I picture things happening, but I try not to overdo it - I want it to be an enjoyable story to read first and foremost, not a journal article or case study! When I'm reading other people's writing, I notice medical accuracy or inaccuracy in the back of my mind when it's there, but in itself, it doesn't affect my enjoyment of a story positively or negatively. I'm more than happy to suspend disbelief for the sake of a good story!

Further opinion on medical accuracy. Thank you :)

#mod pan #asks #anonymous #whumptober2022 #medical accuracy

[whumpedydump]

I was reading an amazing comic, with a great amount of whump and angst, but I think the whump community with it’s wonderful posts on medical accuracy and @knivestothroats Fletchers lesson on stitching up people, kind of spoiled me cause they were using a straight needle in the comic and I was like, how do you plan on stitching anything up with that? You said you have done that many times already, why aren’t you using a curved needle?!

#whump #medical accuracy #needle #stitching wounds #rambles

[ziptiesnfries]

every time i see posts arguing about medical accuracy in fiction, on the basis that real people will think that's how things actually work in real life, i'm just like... that's not the place to start. what we actually need is better public education about first aid and medical emergencies, and people can't (and shouldn't) get that from fiction. actual first-aid classes are gonna help a lot more people than, say, some fanfiction or even a blockbuster movie having medically accurate information in it. public education is the starting point, and medical accuracy in fiction will follow after that. it doesn't really go the other way around. fiction isn't (shouldn't be) a vehicle for real-world factual information.

#ziptalks #medical accuracy #just my two cents

[pathetic-life-form]

My obsessive researching in an attempt to create at least some level of vague medical accuracy amuses me when it comes to writing Jedi Apprentice fanfic, because I’m over here frantically looking up causes, treatments, and complications of various injuries for a throwaway line I’m probably not even going to include, while the original source material is like “He got really badly beat up and knocked unconscious. And then, for unspecified reasons, he had a very high fever for several hours afterwards. And then he was  perfectly fine.” 

Like, Obi-Wan. Child. I’m so glad you’re okay, but, how?? 

#jedi apprentice #star wars #sw fanfiction #medical accuracy #or not #it does make me feel a lot better about my lack of a medical degree though

[dasleidenderanderen]

St. Martha's (Original work)

On second thought it should not have been a big surprise to him.

You would actually think, six years at university and one year working as a doctor would have taught him enough to know it was not his best idea to come to work that day.

They were lacking manpower, with two colleagues at maternity leave, four more on vacation and another one trying to improve his ultrasound skills far away in Berlin.

So when he woke with a slight headache and the feeling that his body temperature was not exactly within normal range, he decided to go to work anyway. It was Friday already and he would have the whole weekend to rest from there.

An ibuprofen, a quick shower and some coffee and soon he was sitting on his bike, cycling through morning traffic. It was twenty past seven, when he passed the apothecary with the thermostat above its sign.

<i> 21°C. </i>

It had not cooled down as much as he would have liked during the night, so probably today would be one of these too hot summer days. He nearly felt envious towards his colleagues working at the emergency room this month. Of course their job was more stress full, but at least the rooms there were air conditioned.

He had thirty minutes left to prepare his day, before he had to go to the morning meeting.

Inside his office, the air felt thick enough to be cut. He opened the windows, enjoying the cooler air filling his lungs.

The meeting lasted a little longer than usual, but finally it ended and he was able to start his rounds. He made a good pace, with no emergencies during the night and not to many complicated cases.

He handed his charts to one of the nurses, crabbed another coffee and left for his office to do some paperwork.

Lime followed him about fifteen minutes later.

They sat in silence, completing files medicine controlling was waiting for.

He had finished three files, before his temples started hurting again. He leaned back a little, rubbing at his temples and took a sip of his coffee. It was cold by now, but that did not bother him.

Around twelve o’clock Lime put away the last file from his desk and rose from his chair, stretching his arms and back.

“Time for lunch, I’d say”, he said, waiting for him to come along.

“I will just finish this and crap something later. I’m not really hungry yet.”

“Okay. See you later.”

“Bye.”

He even tried to do some more of his work, but his headache seemed to grow with every minute. He was hot and cold at the same moment. He felt his one forehead, but was not sure, if he was running a fever.

His search for some more ibuprofen inside their office was not successfull, he only found an empty blister. So he left the office and went for the nurses’ station..

“Are you looking for something?”

He nearly jumped when one of the nurses stepped beside him as he rampaged through the cupboards. She had not been there, when he came in.

“Fuck, Linda, don’t scare me like that.” He rubbed his chest, trying to calm his racing heart.

“A little jumpy, aren’t we? What were you looking for? You should know, the good stuff is not in here”, she joked.

“Ha ha, very funny. Actually I just need some ibu, but I still don’t get how you sort this stuff.” There was a tickle in his throat and he turned away to cough in the crook of his arm.

“That doesn’t sound too healthy, James.”

He shrugged his shoulders and she opened a door to his left taking a package from one of its upper shelves.

“Here you go.”

“Thank you.” It came out a little rough.

He took out one of the blisters, storing the rest again on the shelf.

He could feel Linda’s eyes on him, as he swallowed one of the pills.

“You know, we have tea and water just around the corner. I would even have brought you some, if you would have asked me.”

“That’s nice of you, thank you.”

He involuntarily rubbed his arms when a shiver ran through him.

Linda rose he left eye-brow. “Are you..”

Her question was interrupted by an emergency call from one of the patient rooms. She rolled her eyes, “I don’t know when the technicians will finally have repaired that damn bell”, but nevertheless went to take a look.

He stayed, waiting for the signal to stop, but the signal coming from room 207 was not cut off.

<i>Shit.</i

Of course he had been anticipating an emergency, but he was not really prepared, for what he found when he reached the room.

Linda was kneeling on the floor beside an elderly man, holding him to his side as blood was spraying from his mouth.

The bedsheets. The floor. Linda’s cloth.

Never before had he seen that much blood.

He was on his phone even before he had reached them: “Walters here, I have an emergency in room 207. We need the rescue team right away. Patient is puking up blood. Unconscious. Call the laboratory to bring us blood, and the endoscopy and the ICU to be on standby. We will be there as soon as we have him stabilized.”

He took over Linda’s position, while she ran to get the emergency kit.

<i> Patient in recovery position. Airways free.

Breathing: not steady but there, a little wet.

Recap: to slow. </i>

“I need some Jono, Linda! At least he still has an iv-access.”

“Shit, I think he just stopped breathing.”

“What?! No, no no. Turn him around. <i>1,2,3,4...</i>Get out the Ambu...<i>7,8,9,10</i>. Where is that fucking rescue team, we need more hands in here. ….<i>17,18,19,20</i>…alright, we can do this. Give me that Ambu bag and get me some epinephrine….28,29,30.”

<i>Two ventilations. Another cycle of CPR.</i>

“I have the epinephrine ready.”

“Okay, administer it, then get me another iv-access and another infusion”... <i>20,21,22</i>…

Sweat was dropping in his eyes, but there was no time to brush it way.

… <i>two more ventilations</i>…

“Call Lime or anyone you may reach.”

He heard her speaking on the phone, as he tried to concentrate on the situation.

<i>Infusion, epinephrine … fuck, fuck,fuck.</i>

“Linda! Get me the intubation kit!”

...<i>20,21</i>...

“Ready.”

… <i>25,26</i>...

“Okay, we need to switch. 28,29,30.”

She took over his position.

He had not intubated often before.

Opening the patient’s mouth, inserting the laryngoscope he searched for the epiglottis. There was blood everywhere, blocking his sight, but finally he found the right spot.

“Linda, stop!”

He inserted the tube and blocked its balloon, connected the Ambu.

Linda checked the position with a stethoscope as he gave two more ventilations.

Nodding she started the CPR again, while he secured the tube, so it would not get dislocated.

Just when he wanted to announce another switch, foot steps could be heard and finally the rescue team was there, with Lime only steps behind them and a nurse in training, carrying a box with blood preservations.

He stayed in his position as they took over, following the team leader's instructions, as they prepared the defibrillator, only letting go, when they decided to give the first shock, followed by the next CPR circle.

“...28,29,30…”

<i>Rhythm control. Sinus rhythm. Pulse control.</i>

“Well done, ladies and gentlemen. We have a return of circulation. Let’s get him back in bed, so we can bring him upstairs for intervention.”

He helped them towards the elevator, then stayed behind, as the doors closed.

“Wow. That was intense”, Lime said beside him.

“Mhm.”

“Congratulations, that was only your third intubation, wasn’t it?”

There was some ringing in his ears, as his adrenaline levels crashed. He rubbed against them, but the ringing only grew louder, as his vision started tunnelling.

“I need t’ sit down.”

“Yeah, I know how ...WOW! What the hell!”

Lime just barely managed to get a hold of him, as his knees buckled, stopping him from hitting the floor undamped, helping him down.

He was sitting with his back against the wall next to the elevator, his head on his knees, trying to get a hold of himself. Even in his sitting position he still felt faint.

Lime kneeled down beside him.

“Next time you could be a little more clear, when you’re trying to tell me your going to pass out.”

It should have been a joke, but just now he could not find any fun in it. His head hurt, his brain seemed to be made of jelly, he felt hot and cold, a patient in his care nearly had died, the fucking rescue team had taken its time and there was still blood everywhere along his arms and cloths.

He tried his best to suppress the sobs as tears started running down his face, but was not very successful.

“Hey, hey. Not need to cry. You did really well.” Lime’s hand landed on his dark curls, stroking down to rest on his shoulders. “Take a few deep breaths and then we will go and...” He stopped mid sentence, touching his neck left and right. “Fuck, I think you’re running a fever. Are you alright?”

He nodded, then shrugged and finally shook his head.

More tears streamed down his face and a sob forced itself from his throat. Lime laid an arm around his shoulder.

Visitors and patients were walking by, eyeing them suspiciously, as they sat side by side. Finally a nurse stopped.

“Do you need some help? Is he hurt?”

“No, just sick I guess. Maybe you could find me a wheelchair so we can get him out of public view.”

“Of course.” She changed directions and soon was back with the chair.

Together they helped him to sit down.

“Thanks, I think I have it from here.”

“No problem. Get him to take some rest. Bye, bye. Hope you feel better soon, Walt.”

On every other day he would have been embarrassed to be pushed along the corridors in a wheelchair, but he was out of it enough today, to barely realize it.

Lime brought him to the nurse’s station, pushing him to the back and into the rec room.

Linda and two other nurses jumped from their seats, as they stepped inside.

“James! What happened?”

“He fainted on me in the corridor. I think he’s running a fever. Could anyone get me a thermometer.”

“Here you go”, said Ella before she pushed the gadget inside his left ear.

“41,3 °C”, she announced when it beeped.

“You’re not doing anything by half, do you?”, Lime said.

He again only shrugged. It did not madder to him anymore. His head pounded and he only wished to lay down anywhere to get some rest.

“Joe, could you bring me some ibuprofen?”, Lime asked.

“Six hundred or eight hundred?”

“Eight.”

That rose him a little from his daze.

“Already took some.”

“In the morning?”

“No, he came to get some, mere seconds before the emergency occurred.”

“So that would be about an hour ago. Should actually have kicked in by then. How much did you drink today, Walt?”

He thought about it. The events of the day a little fuzzy.

“Two cups of coffee I think, ma’be three.”

“You know you doctors are pretty stupid sometimes, don’t you?”, Linda declared.

“Okay, change of plan then”, Lime said, ignoring her statement. “I need an iv-kit, five hundred millilitre of Jono, a bottle of water, a glass and one gram of paracetamol.”

“Per os or as short infusion.”

“Per os should just do fine.”

Lime picked out his phone, while the nurses went to get everything. He held it between his shoulder and ear, while he searched for a good vein. “Hi Ted, just wanted to tell you I need someone to cover me for an hour and someone for Walt for the rest of the day, while I take him home. ... No, no emergency, but he’s running a nice fever, probably the flu or something similarly nasty. … Okay. We wait for the meds to kick in, then we leave. I will switch my phone to yours, as soon as we leave and call you as soon as I’m back again. …. Yeah, I will tell him. Thanks for your help. … Bye.”

While he had spoken, he had managed to insert the iv-access and attached it with a patch. Linda gave him the iv-line and he connected it, starting the infusion.

“Ted wants me to tell you to get better soon”, Lime said. He turned towards the nurses. “I will just run and finish a few things before I take him home. Can you have an eye on him for me?”

They nodded and he left for the office.

He took the Benuron they gave him. Then they left to take care of their work, coming back now and then to make sure he was alright. He drifted in and out of sleep, resting his head on his arms on the table in front of him.

“Walt?” Someone gently shook his shoulder. “Walt, I need to take your temperature again.”

He lifted his head allowing Ella to reach his ear.

“38,7. Not great, but at least a little better.”

“Good enough for me”, Lime said. “I will take him home. Ted is in charge while we are gone. You may call him anytime.”

Ella disconnected him from the iv and pulled out the access, glueing a swab over the little hole it had left, so no blood would ooze from it.

“Ready to go?”, Lime asked. “Here, take your bag. I’m not sure if I found everything, but at least you’re mobile phone, your wallet and your keys are inside.”

He tried to get up, but Lime pushed him back down. “You stay seated. I will drive you to my car. I do not wish for you to split your head on the pavement outside.”

He felt his ears turning red. “Thanks.”

“No need for that. Just promise me you will be taking better care of yourself in the future.”

#medical accuracy #sickfic #hospital #doctor #fever #fainting

[justwhumpythings]

Re: last post ok the knife's a bit longer than I thought (it's like 3 inches). Time to die from the moment of the stabbing is literally only 43 seconds.

Falls over, lies there silently

"I'll get a doctor."

"It's too late for me..."

😵

like please

#he's not even losing blood! #whump #? #i guess #complaining about #medical accuracy

[ceceridercat]

Does anyone need help with medical accuracy in writing? Feel free to ask me. I’m a registered nurse with 13 years experience in the hospital. Mainly medical/surgical pediatric experience but the basics of hospital life transfers over to the adult world as well. I also have ~10years of experience teaching nursing students both in the lab and in clinical.

I mainly just get annoyed reading hospital scenes in fics and would like to offer my services to anyone who would find it helpful. I’m also thinking of making a series of posts of common things people get wrong if people would find that helpful?

Anyway asks are open and feel free to dm me

#writing #writing help #nurblr #nursing #rn #fics #medical accuracy #hospitals #hospitals in writing #medicine in writing #writeblr #writers on tumblr

[sugaredoleander]

the most unrealistic part of house md isn't the malpractice it's the unlimited resources & how little time they spend dealing with insurance

#house md #like in terms of medical accuracy it's one of the More accurate ones but still gets stuff wrong #in terms of how little time they spend dealing with insurance?? in the US?? that's the real wish fulfilment fantasy

[writerbri-archive]

while I’m on a roll

when you punch someone, the place you’re most likely to break/fracture is the neck of the 5th metacarpal (on the back of the hand right under the pinkie finger)

this is called a boxer’s fracture and if it’s displaced enough it might need surgery to put in pins that will hold it in place while it heals and that are generally removed once it’s done healing

#writing advice #medical accuracy #writing #tw broken bone #tw medical imaging #writing reference

[syncope-syndrome]

Every Medical Site Out There: Losing consciousness from blood loss is a symptom of hemorrhagic shock and a sign of loss equaling 40% volume, and when your body reaches that point it’s extremely difficult to save a person from death as organs are beginning to fail, including the heart.

Me, whose favorite part of whump is fainting: So what if I just… ignored that.

#whump #whump community #whumblr #whump writing #fainting #blood loss #listen #sometimes you just have to pull a Hollywood and ignore medical accuracies to have fun #syncsynd