i have never worked with something

anonymous asked:

I'm not sure if you have experience dealing with this, but I was wondering how a restrained prisoner would be treated? I imagine there would be certain difficulties when trying to assess/treat the patient if they were restrained. I read something in a Dept of Corrections manual that said prisoners were to be restrained at all times, but how does this work for an unconscious or very ill patient? Do you just have to have to work around it or does it not present too much difficulties? thank you!

Hey there nonny! It’s going to depend a whole lot on institutional procedures, and while I’ve never worked in a prison, I’ve done some transfers out of prisons, and much more often out of holding cells at police precincts.

Here’s the skinny: You have to remember that most prisoners aren’t violent. They haven’t hurt anyone and don’t want to. Sometimes people request medical care to get out of an arraignment or to delay a transfer to a bigger facility, sure, but most often they just want medical care like everybody else. Some prisoners I’ve treated have been assholes; most have been polite and respectful, just like literally every other population I’ve treated.

So I’ve treated prisoners in cell areas, supervised by officers, with no restraints on. I’ve also treated people with handcuffs on – officers typically back-cuff prisoners for everyone’s safety, but that can impede breathing, so I’m not in love with it from a medical perspective. At that point you work around it as much as you can: get them to turn so you can put on a pulse oximetry monitor, for example.

I’ve requested that prisoners not be back-cuffed when they’re legitimately demonstrating trouble breathing, for their health and safety. Sometimes I get what I want, sometimes I don’t; officers will usually at least double-cuff (use two sets of handcuffs to get the wrists further apart) at my request.

In bed situations, like if they’re on my stretcher or in a hospital bed, the prisoner will be restrained to the bed by a single wrist cuff. We’re careful so that we restrain to the frame of the bed, not to the arm rail, because people have just ripped those things off before and now they have a weapon, which is no bueno. But this is a much more natural position, and we can do anything we need to do at that point.

Oh, and if people are walking outside, they’ll usually have leg shackles on.

Generally, EMS folk are pretty good at working with whatever we’re given, and Corrections medical staff are very, very cautious motherfuckers about things like sharps, blades, etc.

Ultimately, what’s going to happen is going to be according to the rules of the institutions you’re writing about.

I will say this: even unconscious / dead prisoners need to be handcuffed when leaving the prisons/holding areas, and EMS vehicles transporting them often have to wait for an available squad car or corrections officer to escort them. Even dead, they’re still in custody.

And yes, that often results in significant delay of potentially life-saving care. Good times!

Hope this helped?

xoxo, Aunt Scripty


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Throughout my life, I’ve always had something major I was scared of. The fear of heights, the fear of uncertainty, and even the fear of being alone always shook me to my core. The fear of marriage was no different. Well, it wasn’t so much the “fear of marriage” per se, as it was not ever thinking I would be considered for such a title. My past relationships have left much to be desired, so I ultimately assumed that it was a concept that was never in the cards for me.

What I forgot though is that love has a funny way of finding you when you least expect it. It had been so long since I opened myself to love that coming across these experience again were…odd to say the least. I bet I sound silly, but it’s absolutely true! Having someone else’s tender touch caress your skin, your lover’s eyes lighting up when they gaze at you, or feeling the exhilarating contact of their lips on yours were all sensations that were foreign to me. I honestly resigned to the idea that I would never come across such a thing again, but someone changed that for the better.

Now here I am in present day, trying on wedding dresses and planning out reception décor! It’s all so surreal, and I’m almost inclined to pinch myself since I think I’m still dreaming. This feels so…delightful. For once in my life, I’m genuinely happy. I haven’t smiled this much in a very long time.

Mother? Father? Is this what true love feels like? Did you two feel the same way we do as we progress through our Eternal Bonding pilgrimage? To be quite honest, I’m still scared. Scared of what the future may hold, scared of what may be in store for us and if we’ll even be able to handle it at all. However, I think with him by my side, I feel a sense of strength and courage that I’ve never felt before. I know now that…I’m not alone anymore.

I guess it’s getting close to the time that I shed my maiden name and take on a new one. When that time comes, I know I’ll be ready.


Trishelle Kimishima Maxius

all-you-sinners-hum-hallelujah  asked:

Heya Kellie. So, my friend's a really talented artist but she's gotten into this really bad habit of beating herself up over any work that's not the best thing she's ever done. Have you ever been in that situation and do you have any advice on how to get out of it?

I think if you haven’t been in that situation then there would be something wrong with you…  And if someone says they never felt like that before then they are lying to your face haha

Its something that every artist/anybody goes through.  You just have to tell yourself that it will get to where you want to be and focus more on how fun it is to do rather than the results, even though it may seem impossible.  Yeah results are nice, but if you beat yourself up about it and do nothing, then nothing will change.  So yeah I’ve beaten myself up about it many times, but now I see it as just crying like a big baby cause its something I want now rather than not working for it which is a mentality a lot of people have.  So instead of whining about it, I rather try to improve myself than stay in the woe is me state cause thats more tiring than actually trying to improve if you know what I mean. So I think less about that now and more about how fun and expressive art is for me :)  I know that may sound harsh, but thats what stopped me from those negative thoughts, was by calling myself a baby haha.

nobody on this site wants to say this but “sucking it up” and mildly pushing yourself here and there legit helps with anxiety. the key is to be mindful of your fear (never deny it) and not overdo it, but nonetheless make actual effort to overcome fears.

neither therapy nor just avoiding stressful things ever really helped me with anxiety. the second i saw it shrink after i started pushing myself through stressful situations i felt goddamn liberated. to not get anxious about something that always made you anxious is a total bliss worthy of working towards.

you can’t choose to not have anxiety, but you can refuse to comply with it.

Never have taken the time to make art in my life, but here’s my first step into drawing stuff.
My laptop has been broken for half a year and by some magic force, I got it working again yesterday. I hadn’t been able to be creative in 6 months so I wanted to try something new while familiar. Pictured is myself as a Pokémon trainer. I’ll prob go back and clean it up more later, but I’m proud with what I made so far. Hopefully I can improve as I make more stuff!

anonymous asked:

The art you provide is exactly that, yours, so nagging about the content is not going to change it other-anon-that-apparently-doesn't-know-how-being-an-busy-artist-works, bugging about certain content even lessens the want to draw it if the artist receives constant notifications saying "why don't you draw [character] more?", just chill, draw them yourself if you have such an incredible need for them.

Thanks nonnie dearest. I also have this thing that my parents never managed to curb growing up, and it’s the more anyone nags or forces me to do something, the more I refuse to. 

“I’ve been looking around for game design positions, but it seems like everyone lists years of experience as a prereq. Even Riot seems to want “around 4-6 years of working experience.” Do studios not hire new graduates or something? How are we supposed to get experience if we never get into the industry in the first place!”

Here’s a secret. Unless those prerequisites have legal reasons (e.g. you need a license to practice medicine), almost every job description for any company you’ve eve seen is listing what they would like to see in a candidate, not what they will accept. The prerequisites are usually nice to haves, and the nice to haves are often there to make the company seem more elite. (It’s kind of the same way colleges sometimes inflate their rejection rates because that makes them look more exclusive.) 

We hire folks right out of college / university all the time, though that is not true of many studios. It is definitely helpful to have some experience where you had to navigate things like time tables, coworkers, a boss, and job expectations. But I have interviewed candidates about their job at Starbucks or summer camp counseling. It’s still a job.

In terms of game design, what you have designed is far more important than how many years of experience you’ve had at a non-gaming job.


To everyone that has asked me for a drawing or I said to have been working on something for you: 

Please forgive me and how long I’ve been taking on all of your requests and suggestions. I’m so so sorry. I haven’t been able to really invest myself in anything other than plain sketches, and that mood lasted longer than it should’ve. 

I WILL get to everything, but right now there’s a few…personal issues I need to deal with to get myself back on track. Please don’t think I’m ignoring you or lost interest!!! I literally think about all of these every day. 

Again, I’m so sorry for the long wait. :(

Have a good day!!

This morning I was at work and, for some ungodly reason, we have this weird half-dial-up, half-broadband set-up, and I usually never hear the dial-up noises cause the internet is always on, but I guess it decided to reboot itself or something because all I heard were these demonic noises at 6am and I thought I was gonna die until I remembered that.

I met Charlene years ago when we were both attending the same college. When I saw that small, shy, girl walk through the doors of my house that night I hardly gave her a second thought. I never could have imagined that she would one day be the person that was going to wake me up with that sleepy smile that makes my heart feel like it’s going to stop. That she would be the person that would rub my back when I have the flu and I’m sick on the bathroom floor even though it’s two o'clock in the morning and she has to work in three hours. That she would be the first person that I think about when something funny or embarrassing happens to me. That she would be the one person that I am going to spend the rest of my life with.

I suppose the moral of this story is love will find you when you’re ready to be found. This amazing person, my person, was walking into my life and I didn’t even see it at the time because I wasn’t ready, she wasn’t ready, we weren’t ready. It wasn’t until years later by fate? serendipity? or pure luck, we found each other and that was that.

Thanks for allowing me to share. Much love. xox

Every time I try to make something I pretty soon realize I don’t have the neurological bandwidth necessary to process anything useful. I’m lika a crappy old computer with 2GB of RAM trying to run some modern FPS with advanced 3D rendering and just freezing after half a second because it’s just too much. And it doesn’t matter if I Take My Time because it has to be done all at once or there’s no point. Like yeah you could watch this game one pixel at a time I guess, but it’s… not quite the same. thing.

I genuinely laughed out loud right now thinking about something that happened at work last Friday. So I’m filling out some prescriptions when I got something for Absorica. I’ve never really interacted with this drug before but whatever fuck it, all I have to do is stick a label on the box and make sure the pharmacist checks it. 

Anyways I grab the box and all I see on the side is this “DO NOT GET PREGNANT” and I’m jus so tired, all I said to myself was “That’s not nice, how you gonna tell someone they can’t get pregnant” and then I checked the fine print “Causes birth defects”. I find it so funny that this whole thing ran through my mind before I remembered yeah they know what they’re talking about. 

Sorry I’ve been MIA for the past few days

I got some rough news on Thursday about my health situation, and then the next day drove 500km to the nearest city for a doctors appointment for a different matter.  I took my kids with me and made a super fun weekend out of it.  It was what I needed to get my mind off of things.

Only issue is I appear to have picked up a stomach bug or something.  I’m at work because I work too early to call in sick…but I’ve never been so nauseous without throwing up before.

Today’s plan: Try to not be sick? 

: Short scenes of Magnus finding out stuff about Taako and by extension finding out stuff about himself

Chapters: 4/5

Pairing: Taagnus

Rating: Explicit! 

Notes: Part four! I’m sorry this one took so long guys! I had hella stuff at work and school due. I was having the worst time. 

Chapter 1/Chapter 2/Chapter 3

4. Taako likes having his hair played with.

Keep reading

Crystal Check stuff

I just wanted to put this on Tumblr just in case people see it and it changes anything xD

If you’ve gotten something Crystal Checked PLEASE link it when you submit the pet.  If you don’t and Eve has never seen the custom before she has to recheck the pet which is basically double the work and will make it take slightly longer to be accepted since she will need to add it to the pile of stuff she needs to check instead of just clicking the link and confirming it’s right for the item used (I don’t have access to the custom queues so…yeah xD)

Also I would really appreciate if you didn’t delete your checks.  For multiple reasons, like Eve will have to recheck the custom if it’s submitted because no check exists, and I also am paid based on the number of checks I complete each month and deleting them permanently removes them from Crystal Check so it’s basically like I didn’t do them at all when the first of the month comes around and I get paid xD.

If you really want to delete a check/don’t want it to exist anymore if you could wait until after the first of the month (or after you submit the custom, whichever comes last xD) that would be super duper awesome <3

Also I’m trying to get through check every day, max every 3 days and have been succeeding for a couple of weeks now so I am very hopeful that that trend will continue and CC will continue to be fast for you lovely people :)

When 25 year old me sat there in that gas chamber the only day it did not work I remember having only two thoughts in my mind. That I wasn’t even afraid to die. And that something like this would never happen again since the human race would have learned something.
Today, 72 years later, I realize that I was wrong
—  Stella Tjajkovski, holocaust survivor (written in a Swedish news paper 27th of January 2017, only one week after the inauguration of Donald Trump)

(1/3) “In every sense she was the perfect mom. She always tried to encourage me when I was younger. I was really shy, so she always worried about me being alone. She would ask things like: ‘Have you met anyone at school?’ or ‘Does anyone like the same things you do?’ She always knew when something was wrong. I never had to tell her anything. But Dad was the opposite. He ignored me. He never did anything wrong. He wasn’t an alcoholic. He wasn’t violent. He was just nothing—like a chair or a piece of furniture. His only idea of fatherhood was going to work. He never reacted to anything in my life. Not the good things, or the bad things. He didn’t react to me staying out late. He didn’t react when I experimented with drugs and alcohol. I made my mom very sad by trying to get my dad’s attention. A few years ago I got hit by a car. When I woke up from my coma, I called home to tell my parents what happened. My father answered the phone. I told him everything. All he said was: ‘Your mother is asleep right now. You can call her tomorrow.’ That hurt me worse than being hit by the car.”

(Santiago, Chile)


Ultimately I am too tough [on myself]—I don’t know—I live with my anxiety and fears and want to do something special with my work. Sometimes I’m not satisfied unless things are as good as they can be. Sometimes things are out of my hands. I can’t control everything. Some things I can. That will get you every time! I never want to look back on performances where I could have done more, said this or that.

Successful People Start Before They Feel Ready

“If you’re working on something important, you’ll never feel ready. A side effect of doing challenging work is that you’re pulled by excitement and pushed by confusion at the same time.” – James Clear

The Start-Up Guy is well underway. I have been working with several businesses, including a very exciting Johannesburg-based business which is launching in the next two months. I am so honoured that they used and continue to use my services.  

I’ve noticed a common trait amongst all the guys and girls I’ve been working with recently, and I thought it might be useful to share because I think many other people are experiencing the same thing.

Almost all entrepreneurs don’t know what they’re doing and it’s perfectly okay. In fact, I don’t know of a single one who, at the outset, knew exactly what they needed to do and when to do it. Before your mind does that thing where it jumps to conclusions, let me explain.

A start-up is an experiment, a matter of trial and error. No one can be fully certain about the route it will take. At best, one can have a firm idea of the intended outcome, but whether that transpires is all dependent on the market’s response to your idea (and who really knows what that’ll be? Right?).

Sir Richard Branson has one of the most interesting entrepreneurial stories, for me, because he started many of his companies largely by mistake. He dropped out of school to continue a magazine business he had no idea was going to sustain him. As a way to grow his magazine sales, he started distributing music records made by unknown artists to his readers, and so began the journey of Virgin Records. He started Virgin Airlines after he was delayed by his flight facing maintenance issues before take-off. This guy is the epitome of just getting on with it. This guy is also worth $5 Billion today!

As an entrepreneur and business owner you have to embrace the learning process and continuously learn (by doing). Learn your market, learn your business, and continuously adapt your learnings to suit your market as you go. The entrepreneurs who embrace the learning process and respond to unexpected events in real time are often the ones who do very well.

Without babbling on for too long, the moral of the story is that not knowing what to do is not a good enough reason to not start your business. Passion and a basic idea is enough. Even if you are physically incapable of carrying out certain tasks, outsourcing skills is a thing (like helluurrr, this is why people like me are here). It is no mistake that one of the single most important traits that investors look for in entrepreneurs is passion, especially in the very early stages of a start-up. Not “intelligence.” Not qualifications. Passion (synonymous with commitment/dedication in this regard). A founder who is not passionate about what they are doing will give up when they face the inevitable hurdles of starting a business. Passion is the fuel by which a project goes from start-up to a fully-fledged business.

Now don’t get me wrong, I am not saying that you can go and start the next big business with the technical skills of a toddler. I am merely saying that, within reason, you can start a business without the technical know-how, as long as you have the dedication to follow through with the necessary steps. In doing so, be realistic, tread carefully and always consult a professional when you’re thinking about making an expensive decision.

If whilst reading this article you had a certain project or idea in mind, maybe it’s time to pursue it with everything you have. Why aren’t you? That was not a rhetorical question. Like Richard Branson famously said, “screw it. Just get on and do it.” If you are really struggling with how to conceptualise or begin your business, consult me and we can find a solution together. 

Once again, thank you for reading.

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