#critical care
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TLDR: kitten season is here!
The long story: I am friends with the vet who sees my animals, and from time to time she will reach out about a kitten emergency.
Another client of hers has been trapping a colony near his house, and is down to just three known cats left to spay/neuter: two females and a male. When he trapped one of the females and realized that she was about to give birth he decided to let her have the kittens in his bathroom rather than have a late term spay/abortion performed.
This kind man is also the full time caretaker of a disabled relative, who went into the bathroom to see the kittens and accidentally let mama cat outside. So the man called the vet who contacted me, and now I have five beautiful kittens who will need round the clock feeding for awhile yet.
Soon to be four kittens, I think, as the buff girl is going downhill rapidly. Send good vibes for the other four, who are bright and hungry!
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#sitting in the ER yesterday I kept thinking dr. werner ernst save me save me dr. werner ernst…..#james spader#critical care#*#love this look bc he’s so normal handsome in this movie. like yeah that is a guy who is SO beautiful but actually exists#probably bc he looks exhausted and STRESSED the whole movie 😭😭 it makes him look somewhat more mortal than usual 😩#his cute hair the bags under his eyes
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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.
#critical care#medicine#abdominal pain#necrotic bowel#medblr#pablr#nurblr#pharmblr#physician assistant#physician associate#pa-c#pre-pa#pa-s#pa school#caspa
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You're the dumpster fire extinguisher. Good luck.
my boss, when I said work was a dumpster fire today
#I REALLY want this on a t shirt#spork talks#medblr#fellowship#critical care#medicine#pgy5#residency
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critical care (1997) dir. sidney lumet
#hi it's me & my terrible quality screencaps of the film i couldn't find on tumblr.com#critical care#james spader#sidney lumet#cinema#miracle of moving parts
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I Can’t Separate Them (before it disappeared)
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U.S.S. Voyager
#uss voyager#trekcore#screencaps#star trek voyager#explosion#starship#endgame#golden gate bridge#fireworks#critical care#one small step
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That thing he does with his mouth...
#james spader#boston legal#bad influence#sex lies and videotape#stargate#jack's back#wolf#critical care#alien hunter
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A very happy birthday to James Spader!
#james spader#secretary#sex lies and videotape#stargate#the blacklist#boston legal#crash#storyville#white palace#wolf#pretty in pink#bad influence#true colors#movies#television#walll street#the office#the practice#critical care
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Treating GI stasis is bad for my nerves. Cakepop dropped from three to two feedings of Critical Care yesterday, and her appetite has NOT improved, so she’s making less poop. Tomorrow I am stopping the lactulose and meloxicam and I am so worried that she’s not ready. I’m clinging to the fact that she eats greens consistently, so she WILL EAT.
Her medical team also let me know today that her stasis was so severe by the time she got to the hospital that her liver was involved, which is no doubt slowing down her recovery.
She doesn’t hate her tummy massages, and when they’re feeling really good she licks my arm while I’m doing it.
What does NOT help is that between the meds, feedings, tummy massages, and super close monitoring of every aspect of her life, I’m getting really attached to Cakepop. Not that I don’t care deeply about all of my fosters, but my last bunny was with me for five months and I was happy to see her move on to get spoiled rotten. If something happens to Miss Pop, I will be crushed.
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CRITICAL CARE (1997)
#💚💚💚💚#POV you're on a date with the most beautiful boy in the world#james spader#critical care#*#he looks at people like they're the only person who exists. those intense eyes can be so sweet so caring
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Working in an ICU...
...Means that you meet people on the worst day of their lives.
A colleague of mine said this over the weekend, which was a very rough weekend for me in so many ways. My patients were complex and very sick. The families were challenging. So. Incredibly. Challenging.
I see the worst things that can happen to people. Every. Day. I am able to push it out most of the time. Some times, there is a true shit storm of circumstances that emotionally bankrupts me. That was this weekend for me.
I think it is sometimes easy to forget how vulnerable patients and families are in the ICU. It's easy to forget it is the worst day of their lives. And when these families can't control the illness of their loved one, I think they look for literally anything they can control. Sometimes that results in verbal abuse about policies, staff, and treatment. It can be so hard to deal with this. The amount of patience it takes is astronomical.
I will freely admit that I am very detached. You almost HAVE to be to a certain extent to DO the job. But even the most detached people have a breaking point.
It makes me grateful for every family that simply thanks me for my time. Every colleague that "gets it". Every person willing to listen to me when I am going home from work.
So, to all you health care people that struggle with this as I do, we've got this. Some how, we've got it.
#health care#icu#critical care#pablr#pa-c#medblr#nurblr#physician assistant#physician associate#pa school#pa-s#pre-pa#md#do#medical school#nursing#nursing school#rn#bsn#pharmblr#pharmd
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Dropping by after literal months of not being on this website to announce that job searching is terrible, I am extremely qualified for the job I am trying to do, seriously please just give me a job so I can actually study for my 2nd of 3 sets of boards and continue doing my current job
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critical care (1997) dir. sidney lumet
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Brain Death New Protocol 2023
Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Guideline | Neurology
Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Guideline
Report of the AAN Guidelines Subcommittee, AAP, CNS, and SCCM
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