my big nurse

Title: Acute Angles

Author: TamerLorika

Ships: Dex/Chowder/Nursey, Zimbits

Summary: William Poindexter is happier than he has been in a long time, and though he knows why, he hasn’t spent a lot of time analyzing the specifics. All he knows is that Nurse and Chowder are the best thing that’s happened to him.The problem is that Nurse and Chowder are so good, he’s not sure if there is room for him, because he’s sure he’s going to fuck it all up. When things go wrong, Derek and Chris are left to show Will exactly how well he fits in with them, even if they never meant it to happen like this.

Tags: Polyamory, Homophobic Language, homophobic violence, functional polyamory triangle, queer stories by queer authors, various reactions to panic, Outing, check please big bang 2016

This story is friggen fantastic. I’m wasn’t even a polyfrogs shipper before, but this story made me want to draw them forever. It is full of angst and fluff and everything I could ask for in a fic. I recommend it to everyone!

My Big Nurse
David Byrne & Brian Eno
My Big Nurse

A tune for Thanksgiving from David Byrne & Brian Eno.

MY BIG NURSE

When the lake’s on fire
With all the world’s desires
When he shakes the stars above
When we lose the ones we love

When the seasons lose their grip
When the tightrope walker slips

I’m counting all the possibilities

When the past becomes the now
When the lost becomes the found
When we fall in love with war
When the angel fucks the whore

When the road we travel on
Takes us back where we came from

A million kinds of possibilities
For dancing on this lazy afternoon

In the comfort of the world
In the arms of my big nurse
From the science of the heart
To each animal and plant

Compact, relaxed- intact, give thanks

I’m counting all the possibilities
For dancing on this lazy afternoon

Words words words -- what do they all mean?

I was just in report the other day with a coworker who’s been on the unit for a million years and is one of the supreme know-it-alls of the unit. I was a little surprised, in all of her know-it-all-ed-ness, that while giving me report she couldn’t figure out what a certain term meant and found her growing really frustrated that she didn’t know what it was. The term was pneumomediastinum and it made me think:  do other nurses, nursing students, med students, realize how helpful knowing some of your root words are?

Ok so maybe they aren’t all Greek. Some of them are Latin! But the point is, knowing some of these basic roots can be so helpful. The first time I heard of the term pneumomediastinum, I had no idea what it meant. Do you know what it means? If you do, great, but if you don’t, break down the big word:

“pneumo” “mediastinum”

What do we know about “pneumo”? Well, in “pneumothorax” it means that there’s air in the chest. We also may remember that the mediastinum is the collection of organs and structures within the middle (media) of the thoracic cavity (I always like to think of the st in mediastinum as being near/behind the sternum). 

Double checking our answers, you’ll see that “pneuma” is the Greek word for air, thus we can quickly see that we’re talking about air within the mediastinum. And any sensible medical professional will quickly realize that that’s not an ideal situation, depending upon where that air is leaking from. The condition itself (according to the US National Library of Medicine’s MedLine page on the matter) describes the condition as one being caused by injury or disease including but not limited to tears in the trachea, esophageal tears, and alterations in intrathoracic pressures due to a variety of other causes (repeated valsalva maneuver or bearing down such as in child birth, vomiting, sneezing, or rapid changes in altitude or pressure such as seen in scuba diving).

What other cool words can we break down? Here are a couple big ones that I see pretty frequently.

Hemoperitoneum – heme/hemo = blood, peritoneum = having to do with the peritoneal cavity; blood +  peritoneal cavity –> bleeding within the peritoneal cavity such as seen often in blunt abdominal trauma

Pneumocephalus – pneuma = air, cephalus (Greek –> Kephalos) = head –> air + head = air within the cranial cavity

Cholangitis – chol = bile, ang/angio = vessel, -itis = inflammation
–> inflammation and infection of the biliary ducts (actually associated with pretty high morbidity/mortality rate)

Necrotizing pancreatitis –necro = dead/dying, pancrea = having to do with the pancreas, -itis = inflammation –> inflammation/infection of the pancreas caused by and/or resulting areas of the pancreatic tissue forming necrotic pockets of fluid and abscesses

Diabetes mellitus – diabetes = derived from Greek for siphon (in this case large production of urine) + mellitus = Greek for honey 
Diabetes insipidus – insipidus = Latin derivative of lacking in flavor/bland

Diabetes mellitus results in lots urine production with glucose present vs diabetes insipidus which results in lots of severely dilute urine, either nephrogenic or neurogenic in origin.

Whoaaaaa. 

That’s how I studied a lot of my terms throughout nursing school, particularly with anatomy. Pharmacology, not so much – pretty sure most of those drugs are named after or based off of things in Swedish or Simlish. Knowing your roots are really helpful for understanding surgical/procedural approaches as well (ex. laparatomy [lapara =flank, otomy = cut – technically should be celiotomy), ERCP [endoscopic retrograde cholioangiopancreatography –> inner scope going backwards up the alimentary canal into the biliary structures including the bile ducts, gall bladder, and pancreas). Aren’t words cool?

For funzies

Someone talk to me about how Dex and Nursey’s different upbringings will inevitably clash?

Like, Dex who comes from a family penny pinchers who clipped coupons like it was a sport. Dex, who’s worn hand-me-down clothes all his life, shops at secondhand stores, thinks a piece of clothing over $20 is expensive, never thrown out leftover food, and always buys the cheaper store brands.

Nursey, on the other hand, has always had an allowance that’s never run out, got a brand new vehicle for his sixteenth birthday, can afford to shop at higher end stores in the mall, gets a new phone/computer every year or so, and goes to Europe or Jamaica, or wherever every summer.

Someone talk to me about how they can never agree on money and gifts, but somehow, they find a way to compromise because they love each other and that’s always more important than any argument about money.

A 25 foot sculpture portraying Alfred Eisenstaedt’s photograph of a sailor kissing a nurse stands in Times Square to celebrate and remember the end of World War II. Couples have gathered to reenact the famous kiss.  

wew. my first big test in nursing school is tomorrow! lowkey freaking out but i do that before every test so that isn’t too strange lmao. wish me luck! hopefully i can actually get some sleep tonight.

greensarek  asked:

Imagine Jim accidentally wearing some reading glasses (which he made himself because he was too embarrassed to ask McCoy where to get a real pair) onto the bridge (during the original five year mission) and wondering why everyone keeps whispering to each other and laughing quietly.

Imagine Jim figuring it out and frantically assuring his crew that he’s just ‘trying out a new look, switching it up a bit.’

Nurse Chapel compliments his glasses when she realizes that Jim was able to read over her forms a lot quicker.

❇ ✹ ✺ ✻ ✼ ❈  Join Jim Kirk Monday!  ❉ ✱ ✲ ✴ ✵ ✶

2

“You’ve got to remember, it’s the first time for you, but I’ve done this surgery on hundreds of dogs over my career. As surgeries go it’s actually quite straight forward.”

“It’s not that I doubt your ability! Sorry if it’s coming across that way. I just..I’d worry if I had the best surgeon in the world doing it.”

“You do have the best surgeon in the world.”

“You’re good at a lot of things, Patrick, but modesty isn’t one of them.”

“I don’t have time to be modest, most of it’s taken up nursing my big ego.”

The scoop on the scope

I’ve been promising an update on my good news, so here it is!

I had outlined the prep I was doing and updated throughout the day and night before the procedure. Just as a reminder, I began the limited prep intake at 9 a.m. on the 8th and took the Dulcolax pills a little after 5 p.m. that evening.

So my expectation was to see results right away. In reality, nothing happened until around 3 a.m. And even then it wasn’t that bad. I didn’t get the best sleep, but I wasn’t running to the bathroom all night either.

In the morning I had to wake up and start drinking the Gatorade and Miralax at 7 and was supposed to finish eight glasses by 9 a.m. Well the Gatorade tasted a little weird to me and I feel nauseous most mornings when I first wake up (not to mention I have trouble drinking anything in large quantities without eating), so I switched to Powerade (my GI’s office said that was fine). Well, I started about 30 minutes late. Only drank four out of eight glasses. And finished an hour late. So I was feeling a little defeated to be honest. But I knew if I forced myself to drink more or drink faster I’d only end up sick. So the nurse said to stop and use the Fleet enema by noon if needed (in other words, if output wasn’t clear or pale yellow by that point). Enemas rarely work for me and only end up making me more uncomfortable. But, fortunately, the four glasses of Powerade and Miralax did the trick (one advantage to being tiny!) and I didn’t need one.

It’s a little hard to explain how the prep went this time, because I only have one other experience to compare it to—my first colonoscopy prep (the day before my diagnosis) in December 2007—and at that time I was very sick, incredibly weak and had no idea what was wrong with me. That colonoscopy, along with an endoscopy, was scheduled as an emergency procedure. This time I switched to a new GI and elected to have a scope so that we could get a fresh look and start with a clean slate. This was my choice, something I knew it was time to do. I wasn’t feeling miserable, I wasn’t looking for major answers and it wasn’t an emergency. So yes, it was annoying and inconvenient and nauseating and horrible. BUT, it wasn’t nearly as bad as last time. If that makes any sense.

It’s just, when I think back to 2007 I see myself glued to the toilet and basically sleeping on the bathroom floor. My mom and I watched Sweet Home Alabama on TV that night and I couldn’t tell you a thing about the movie because I couldn’t sit still for more than a minute or two without having to run back to bathroom. That night I weighed in at 86 pounds and I felt like death. I remember telling my mom I was scared I wouldn’t make it to the hospital the next morning.

This time I was able to distract myself and focus on other things. I watched TV and sat still for pretty long periods of time. To be honest, I was a little worried that things weren’t moving along fast enough. Yes, I was cleaning out. But I didn’t feel as though my insides were falling out the way I did last time. And I didn’t drop below 100 pounds. So at least that was a positive.

My last scope was done at the hospital. This one was done at my GI’s office. So I was nervous about that, but it all turned out fine. What’s nice is it gave me a little more freedom and felt like less of a big deal. My nurse was really nice and made it really easy for me to get set up. Once I finished using the bathroom, changed into the gown and found out the mandatory pregnancy test was complete, she walked me right into the operating room (they have their own endoscopy suite).

For whatever reason, anesthesia makes me nervous. I think I just can’t get used to the concept of a drug basically forcing me to “check out” for a period of time. So they hook me up to the heart rate monitor and all of a sudden you hear this rapid beeping, at which point the nurse turns to me and asks if I’m okay. Woops, that was my heart beating out of control. Can’t they just silence that until I’m out cold? Anyway, I remember the doctor coming in and asking if I had any questions. Then the anesthesiologist told me he was going to start the process. I saw the room go fuzzy and spin. And the next thing I knew I woke up from the deepest sleep.

I was a little out of it at first. Of course they won’t let you up until you’ve passed gas, so the nurse is asking me to lay on my belly, my side, etc. and I just keep going to my back. But after 10 minutes or so I was good to go. They gave me juice to drink and then I was free to get dressed, collect my things, and meet my parents in a side room to wait for the doctor.

And then I got some pretty great news. Yes, this is the good part! He said the procedure went well and my colon and the first part of my small intestine that they went into look great. In fact, they look pretty much like “normal intestines.” He thinks this is largely a result of the Remicade doing its job, so he gave the go-ahead to push my treatments up to every six weeks instead of every eight. And he’s hoping that this, combined with the iron supplement and multivitamin, will help get my energy and strength back up.

Last week I also got my biopsy results and—drum roll—those were normal as well! And I don’t need another colonoscopy for three years. I really couldn’t have asked for better results or a more favorable outcome. My GI said I’m basically in a state of remission right now and that we just need to do some tweaking to fix the fatigue. I know people define remission in different ways and that some don’t believe you’re truly in “remission” if you’re medically maintained, but I’ll take it.

After the procedure I was starving so my parents and I went out to Shake Shack (first time I ever had it, and let me tell you, that was one delicious cheeseburger).

The odd thing was it took me about a week to get back to normal. Maybe it was the prep that messed with my system a little, but whatever it was I had the constant urge to use the bathroom all week. That, some abdominal discomfort and a pretty sore behind. Nothing so bad that I had to call the doctor (they checked up on me the next morning), but enough to be an annoyance. Yet one I’d gladly welcome for the kind of results I received.

So that’s where I stand. Thank you to everyone who followed along with me and commented or messaged to wish me luck—looks like it helped! :)

Just had my first infusion at six weeks today (sticking to 5 mg/kg right now) and I’m pretty exhausted. It was so nice not having to wait another two weeks. But of course there was an error in my records and my old GI’s name was still on my paperwork and medical bracelet. So it was just weird having to get that changed—literally having one bracelet pulled off and another put on. Kind of symbolic of a new beginning and treatment plan. Unfortunately my nurse was sick and left early, so I had someone else and got poked twice (not horrible, but for me one wrong stick is enough to nauseate me). But, again, a small price to pay for great news.

I’m excited to begin a new year with a new doctor, generally in remission and as a bridesmaid for my best Crohnie friend. :) Crossing my fingers that 2014 brings full-time employment and sends the same good news your way!