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populationpensive · 1 year
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Abdominal Pain PSA
I've had a run of people admitted to the ICU after have 1-2 weeks of abdominal pain who were struggling to eat or drink that ended up having conditions leading to necrotic bowel. Dead bowel makes people incredibly sick. Like, death's door sick. Anecdotally, I'd say maybe 60% of our patients make it through such an ordeal. Every time I talk with their families, their loved ones say that they looked bad and they tried to get the patient to go get some help. Often, these people wait too long.
So.
PSA: if you're having abdominal pain and can't keep anything down for more than 48 hours (especially in the context of N/V WITHOUT bowel movements), you NEED to go to the ER. Not urgent care. Not your PCP. The ER. Please get checked out. Do not let things sit. If you have known GI disease like diverticulosis, a hernia, etc, even more of a reason to get checked out.
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preparesources · 3 months
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lemonseedbee · 1 year
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Don't make projects out of people. Make actual projects
PA-C Preceptor 
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pat-the-pa · 2 years
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#45 Podcast With Pre-PA Clinic
#45 Podcast With Pre-PA Clinic
In the past, we have had the pleasure to work with the Pre-PA clinic to bring you an amazing article on what makes a great PA applicant! We are proud to share with you their podcast Where The White Coats Come Off. Head over to their website to see some amazing tips for Pre-PA students! If you are not Pre-PA their content still provides amazing advice for writing graduate school essays, life…
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realreulbbrband · 2 months
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I headcanon Victoria to be a cat without claws, a trait that shaped her personality and interactions with others from a young age. Instead of feeling disadvantaged, compared to her peers, She felt an innate sense of apprehension whenever confronted with situations that hinted at potential physical conflict. 
Unlike other kittens who engaged in play fights, Victoria couldn't bring herself to participate. Instead, such scenarios only heightened her sense of caution, making her interactions more hesitant and reserved. Which led her more into hobbies like dance, and maintaining a peaceful demeanor, especially around kittens her age she encountered. Dancing didn’t require touch, at least when Victoria started, it was her escape, her expression, and she could Share it with others without touch. It wasn’t easy without the common stability of claws, but when she found her balance she achieved a grace like no one else. 
Her grace gave her an approachable aura, drawing others to her like a magnet, they were captivated by her sense of wonder and inherent softness. This same magnetic presence was evident when she crossed paths with the young Plato, who bore a harsh appearance, a stark contrast to her own gentleness. Despite his exterior, he often cast glances her way, though he remained silent, his curiosity was still palpable.
She had never seen anyone quite like him before. Jenny had brought him in, claiming she had discovered him lurking in a paper bag. Malnourished, wet, and frightened.
He had only been at the junkyard for a week, keeping mostly to himself, and finding solace in the company of the older cats rather than interacting much with those of his own age. When Victoria first noticed him, she couldn't help but feel a sense of compassion. Despite his withdrawn exterior, he appeared only slightly older than her, and his demeanor hinted at a past devoid of love, perhaps even lacking a home altogether. This was evident in his reluctance to forge connections with others, a hesitance Victoria couldn’t help but feel pitiful for. 
One afternoon, when Plato was waiting for Jennyanydots to return from patrol outside the car boot she approached him. For a moment, they just stared at one another, not exchanging a word, he didn’t seem all that bothered so Victoria moved closer. 
Despite her initial hesitation, Victoria extended her paw to Plato in a gesture of trust and understanding. It was a small act, but one that carried profound significance for both of them. Plato, unused to such displays of kindness, was initially confused but ultimately accepted Victoria's offer, gently holding her paw in his own, wrapping his claws around the area where her claws should be.
Though they came from different backgrounds, Victoria and Plato found solace in each other's company, as they grew up together, their paw-holding was like a secret touch between the two, Plato felt like the piece Victoria had been missing, her dance partner hiding in plain sight and she in turn brought a softness back to his soul that he believed was long gone. 
Thank you @seeking-chrysalism for beta reading <3
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airenyah · 24 days
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you know how pat and wai can't stand each other at first but ultimately end up friends through pat's relationship with pran? and like, esp in ep12 and the our skyy special we can see that they do genuinely like each other
well, i'd like to think that while they are genuinely friends... i'd like to think that they have a little joking hostility going on once wai and pa start dating. not in the way they couldn't stand each other pre pat getting shot, but in a protecitve older brother vs boyfriend kind of way. where pat will be all "don't you DARE hurt my little sister", you know?
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kitkatcadillac · 16 days
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pause. stop. hold the phone. arrête.
droit(e). right. opposite of left, right. the right thing, the right side. the direction to the right.
tourne droite. turn right. go in the righthand direction. that way. yes. turn
tout droit -> straight ahead. excuse me. how dare you
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mutantenfisch · 8 months
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Pölle is missing Mama but looking cute while doing it
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rubbish78 · 1 year
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Live in Chicago 2008 (x)
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moonrecalled · 2 months
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as much as i love the idea that ryoji doesn't even have a home for the sheer ironic potential of it, i feel like he probably has like a small apartment that he lives in when he's not in school. the universe literally rewrote itself to allow him into said school, after all, so it makes sense that the same thing would happen to give him a place to stay.
but i think it'd be interesting if it was like... really bare-bones and empty, save a couple of mementos he's picked up along the way over time that he keeps in his room?? the main reason being that he basically spends no time in there at all. he's always out and about with someone or another, and on the occasions where he is by himself, he's always outside admiring the scenery or doing something in the city instead.
he hates how it feels when he's alone, after all. and why would he, when there's so many people to meet and things to do in the world?
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fern-pajamabrain · 5 months
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me 💅slayqueenearon💅 horriblemente al Sol de Mayo, no sé quien hizo esto pero pagará por sus crímenes
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populationpensive · 2 months
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Five Years as a PA-C
Well, 5 years as a PA-C really snuck up on me. I was at work on Tuesday and while checking my email, my hospital send one of those "Congrats on 5 years! Pick a cool thing from this random website!" To be perfectly frank, I was a little dumb struck.
In many ways, it just doesn't seem like that much time has passed. I work in such a fast paced, stimulating environment, constantly learning new things, that I didn't really FEEL the time. Well, at least the last 3 years. The first 2 were long and arduous.
Looking through my archives, I faithfully did reflections after the first and second years. Somehow skipped the others. Never too late to get back in it.
Lessons Learned
There are people that work in healthcare for a pay check. Let your frustration with that slide away.
Some people are just assholes. Don't overthink that. Again, let that shit go.
Some parts of medical education/residency are completely ridiculous, unfair, and unsafe. Try to change what you can (especially the unsafe).
Stand up for your boundaries. I was offered a chance to "move up" into management. I declined because I knew I would hate my job if I took on admin. Don't apologize for setting this boundary.
Cultivate relationships with your coworkers and hang out with them outside of work. This is so important for our critical care team. I believe it enhances our ability to work well together.
Use your vacation time.
Some families or patients will suck you dry. Prepare yourself for those interactions and have a plan to decompress what you absorb.
Always be excited to learn. Medicine is changing every day. Learning is a foundation of the profession.
The best decision I made was changing specialties. The second best decision I made was to turn down a management opportunity. You can challenge yourself in ways that do not result in more pay, more responsibility, or more stress. I am wanting to get my chest tube placement verification done this year. Would love to add paras to that. I want to expand the teaching I have done with my PA school and possibly guest lecture on other topics. There are a lot of things that advance a career that aren't management. For me, that is desirable.
So what next? Well, some of you know that I have some intense outside of work things going on. For now, I am hanging out where I am. Probably will go to a conference this year. Probably will do more teaching. I'm ok with that. I love critical care and I have no plans to leave it any time soon.
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preparesources · 3 months
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samdeancrimespree · 6 days
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thinking about sam and dean trying to pass the time on their endless road trip of a childhood. because half the time, there weren’t even enough cars to play license plate games, and there’s only so much i-spy you can play when the only thing around is trees or fields. so they would sit in the backseat together and look at the maps dad doesn’t need for navigating and giggle at weird place names. sam’s favourite was boring, oregon and dean’s favourite was hazard, connecticut.
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topguncortez · 1 year
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i'm gonna drop out and marry glen powell
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utterdrip · 3 months
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goodnight friends!!!!!!
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