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There’s no “I” in Team (Kidney, edited)

All of the suggested revisions were made and a lot of my own revisions were added. Also this fic is supposed to play out like an episode of Grey’s Anatomy (not super realistic logistic timeline wise or medicine wise). 

It started with the itching. It felt like a bad sunburn a couple of days in, like there was a layer of skin on top of his skin. He had mentioned it in passing to his Mami, but she had just taken it as an opportunity to tell him about the importance of sunscreen, even though it was mid January. “Stop wearing wool.”She suggested, “Use a different laundry detergent. Oh, and don’t use fabric softener, it can irritate your skin.” About a week later a large basket filled with expensive bath products arrived on the front door of the Haus, but no amount of salt scrubs or exfoliating brushes or shea cocoa oatmeal ultra moisturizing cream stopped the itch. “Maybe you have eczema? I’ll call the doctor and see if he can get you in over spring break.” His Mami suggested an oatmeal bath for the fourth time in one phone call so he shouts a couple of “I love yous” and hangs up the phone.

Unfortunately even the medicated eczema cream his mother mailed in didn’t seem to work.   Nursey couldn’t sit for more than five minutes without scratching incessantly at his skin. Even on the ice, he would shift uncomfortably in his pads, missing passes and ignoring Dex’s angry shouts as he tried not jump out of his own skin. He had begged Chowder and Farmer and bribed them with Reese’s peanut butter cups until they agreed to help scratch every inch of his body.

He was exhausted all the time, barely alert or awake enough to even acknowledge Dex’s chirps. He writes it off as normal college student exhaustion, with his late nights, early morning hockey practices and excessive coffee consumption.  But he barely slept at night, tossing and turning in the bottom bunk and more than once Dex forces him to move to the toxic green couch. He can barely fall asleep because of the itch and once he falls asleep its restless and light and he wakes up to dark nail streaks all over is skin.

  Then it was the swollen legs and arms. Nursey was naturally more muscular, but Bitty had shouted when Nursey shed his pads after practice on Friday and revealed horribly swollen legs, arms and feet.  Bitty had poked and prodded before shoving Nursey towards Coach Hall who immediately advised Nursey to go to the student health center. Nursey had brushed them off, claiming he had a paper due that night that he couldn’t waste the time ( “I have a poetry midterm next week, I can’t waste any potential study time.”)

So later that night when Nursey and Dex were huddled in their room, each typing away on their respective computers was when the situation had finally dramatically escalated. Nursey had been complaining about nausea since dinner, but now he was rushing to the bathroom with both hands over his mouth. He can hear his Mami’s voice nagging in his head “Too much caffeine will upset your stomach.” It’s stress, it’s just stress, just calm down. He tries to coach himself through it to no avail.

The little bit of rice and saltines he had managed to get down was coming back up and he retched loudly enough to alert Chowder. He felt the warmth of Chowder’s hands rubbing circles into his back and vaguely heard the goalie calling out to Bitty. He was retching uncontrollably and his body was seizing with every wave of nausea but nothing was coming up, and Chowder smoothed a hand over the back of Nursey’s neck and shoulders. When his was finally able to stop retching Chowder pulled him up again his chest and someone else (Dex maybe?) grabbed his feet and maneuvered him down the stairs and into the back of Bitty’s small four door.

“Where are we going?” His own voice sounded slurred and muffled to his ears as another wave of nausea hit.

“The emergency room.” Chowder was still rubbing soft circles into his back and Dex reached back to pat his knee before relaying the directions to Bitty.

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Show Her

A/N: So this is my first Marvel imagine and of course the first had to be Bucky bc who doesn’t love some Bucky. I’m going to warn you right now, it’s probably terrible so shoot me if I don’t do him justice. Okay :) (Credits to gif owners!)

All everybody had been saying for the past few months was ‘show her’ and now the words were repeating in his head among other things non-stop. He cared for her oh so much. Maybe she never noticed how he felt but she did always reciprocate the love he showed. When he couldn’t sleep, or when he just needed advice to ask a girl out that wasn’t her, maybe even when he was insecure and even asked her what to wear the next day because he didn’t know what color looked best on him.

Yep…she was there. For the stupid little things and all the way to cleaning him up when he got home from a mission. Bruised and battered, a split lip or a bloody nose. She’d even patched up a gash on his last living arm, the 'good one’ he called it. The one that made him stand out unlike the rest and the glob of metal for an arm on the opposing side of his body made it harder to go undercover with Steve. Y/N even helped scrape dirt out of the crevices in the monster of an apendage.

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Phew! Finished the WFR night scenario. My patient was one of my former supervisors, who had sustained a head injury and was tromping around the beach with severely impaired short-term memory. He was very uncooperative and initially refused medical help before running neck-deep into the frigid water. We had to get him naked (he paused the scene and said we could leave his underwear on for the fictional scenario) before we could dry him off, keep him warm, and check his vitals. It lasted three hours and was pretty fun - after the scene ended, I was still in Doctor Mode and instinctively kept trying to tend to my “patient”.

A day and a half to go before I get my certification!

Langst hallucinations AU

Okay so, I’ve had this au stuck in my head for a while. Basically, Lance has become so homesick that he starts to snap. If you don’t sleep for more than a week, you could get hallucinations, but probably a good day’s sleep could easily fix a few problems you will encounter. BTW, there is some Klance/Klangst in this so just be aware of that.

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 Lately, Lance has been lacking in action and response. Whenever they are training he seems to be lacking the usual enthusiasm and energy, and it doesn’t help that the team has to shout in his face to get him to notice they’re even there. It’s getting them all worried. They ask Lance if he’s okay, he just replies with a simple ‘Yeah’ or ‘I’m fine, really…’. Of course, the team aren’t completely convinced with that answer but let him off so they don’t irritate him. They know how hard it is for him, they know a bit about his insecurities because he was brave enough to tell a little to the team. Little do they know, Lance hasn’t slept in a week and a half.

 Lance has recently been having intrusive thoughts, saying stuff like “Why are you even trying when you know you’re just dead weight to the entire team”, “Hunk probably hangs out with Pidge more because he finally realized how stupid and pointless you are.”, “You’re weak, what are you doing here when you know that you should be dead right now?”, or “Keith will never like you back, no matter how hard you try.”. Lance tries so hard to ignore those thoughts but the more he hears them the more unstable he feels. His nightmare occurrences have increased probably even more than Shiro’s. He dreams about how the team sees him as nothing but a useless placeholder and how he doesn’t belong anywhere, or his family. His family are the worst ones, either his parents are scolding him about how disappointed they are, he dreams of what they might be doing on Earth without him there and if any of them are still really alive, or….. the team returns to Earth and Lance runs home…. only to find every single family member dead on the floor… and a bloody and used weapon is in his hands. 

 Lance stopped sleeping and instead cried every night, trying hard to block out his intrusive thoughts and stay awake. Soon, it began to take effect on his health. He grows more hungry than usual but always waits till night to have an entire feast, Hunk and Coran notice a shortage of some food supply or even full plates that are left in the fridge for the next day. He’s been getting sick more often than usual and it’s putting everyone on edge. He begins to become more forgetful and unaware of his surroundings, Shiro and Allura notice and tries their hardest to get Lance back on track. He sometimes stumbles over his words and stutters once and a while, Pidge and Keith sometimes have to correct him on words and grammar. He also begins to have hallucinations around the castle… all of them are of his family.

One night Keith was up late training like he usually does, when he heard a sudden shout. It sounded like Lance. The shouting continued as Keith tried to track down where it was coming from. When he ran into the kitchen, he found Lance huddled on his side on the floor with his knees to his chest, head down, whimpering and calling out to his mother as if she was actually there right at that moment. Keith panicked, unsure of what to do. So he just ran over to Lance and began to shake him and call his name. It took quite a while, but it worked after a minute or two. By then Lance was crying, tears running down his face. He looked around only to find that his mother was no longer there where he’d seen her when he walked in for his late night meal. He swore he saw her but knew that was impossible. He told Keith what he saw and Keith looked at him concerned, telling him that no one was there when he found him. 

The next day, Keith stayed pretty close to Lance, not once telling him off or making fun of him. He told the team what happened the night before and they all decided to keep a good eye on Lance. The same day, Keith and Pidge got to see Lance staring intently at nothing, his eyes watery and damp until tears finally fell and he was running in the direction of where his eyes lay. Keith and Pidge ran after him through hallways and into the training deck. In the center of it, Lance stopped and fell to his knees screaming. Everyone gathered there to help Lance in any way they could. Eventually, he calmed down in Keith’s arms and began whispering someone’s name. Keith was close enough to hear and it seemed that Lance was calling and apologizing to his nephew Mateo, who Lance has talked about to the team many times before. Why was he apologizing to his nephew? 

That night, Lance was stable enough to tell the team what’s been going on. How he has nightmares so he hasn’t slept in 2 weeks. Why he wasn’t there at breakfast, lunch, or dinner. What he’s been seeing. The first thing he saw was his sister Cleo sitting on his bed of his paladin bedroom, reading a book. He immediately ran up to her to hug her only to land straight in his bed, Cleo nowhere in sight. The second was his father in the dining room, reading a newspaper while drinking coffee. He stopped coming to eat with the team after that. The third was his mother cooking in the kitchen, she actually looked at Lance for a second, seeing her smile again making Lance cry. That was the night Keith found him. The fourth time was when Lance saw his nephew Mateo playing in the halls of the castle, telling Lance to play tag with him and he ran off. Lance immediately chased the little boy, through sharp turns, forks in the path, and finally the entrance of the training deck… and when he entered, he found Mateo bleeding on the floor with holes through his back out his chest, bloody burn marks covered the edges of the holes that was burned into the little boy’s shirt. Lance looked down to see his bayard activated and smoking at the tip, signaling that it was just used… to kill the boy who called Lance his favorite uncle and vice versa. 

From that point on everyone always stayed close to Lance making sure he was healthy and happy. Hunk made sure he ate and if he got sick, he’d make multiple meals for Lance. Shiro made sure Lance was healthy and well enough to train and if not he would force Lance to sit this one out. Pidge, Allura, and Coran checked his vital health rates weekly. Keith slept next to Lance every night hoping it would rid of the nightmares, and apparently, it worked pretty well, later on, Keith began to have feelings for Lance and vice versa. Lance would say they were kinda overdoing it, but he couldn’t blame them. He knew his state was really bad at the time so he just let it happen with little complaints.


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OKAY DONE

There you guys go, hope you enjoy this. It’s my first Langst scenario so plz don’t judge if it’s bad. Sorry for the Klance, I have no self-control. Thank you for taking the time to read it, you may continue scrolling now.

Patient comes into the clinic on Friday

C/O headache x6 days, not relieved with OTC pain meds.

 I check his vitals. BP is 66/34 I check again, and then one more time just to make sure I’m not losing my marbles. 

Originally posted by sidewindervx

The rest of his vitals are stable but his neuro exam is juuuuust ever so slightly off. Barely unequal grip strength and mild aphasia that I probably wouldn’t have picked up on if I hadn’t talked to this patient several times before. We’re a small clinic. I can give this guy a bolus, but I don’t have IV meds, and it’s 4 o'clock on a Friday so even if I get him in for stat imaging we won’t have results until after clinic hours, which means basically no resources. 

So homeboy gets a free ride to the ER. We’re right across the street so I get him in a wheelchair and push him over so I can give report to the ER nurse. Before I leave the clinic I check his chart with my remote access to the hospital. I’m thinking maybe a bleed from an AVM or something like that. Without imaging we’re basically guessing if his headache is the cause or effect of his low BP.

CT scan shows no bleed, ischemia, or mass effect. What is does show is a “Metal Foreign Body” pretty much exactly where his pain is.

Originally posted by lawyerreaderfandomer

That’s…….pretty much the last thing any of us expected. Because in case you were wondering, no surgical or traumatic history. So where the fuck did this foreign body come from? 

Suppose I’ll find out on Monday.

Klangst day 5 - Secrets

Or: There are things Keith can’t hide anymore.


It didn’t feel real.

The castle was still gunning down the last of the enemy ships. The battle raged on, but for Keith, none of it mattered. He stared at the Black lion in shock. It had taken a direct hit from the laser cannon. It drifted in front of him, in the antigravity of space, eyes dark and a hole punched clean through the head. Like a hole puncher through paper.

It had all happened so damn fast. One second he was beside Lance, taking down the enemy and feeling cocky, and the next, Lance’s raw, guttural screams were echoing in his skull.

There was a faint chattering on the com link. It seemed muffled and unreal, but the voices were recognizable. They were talking, Keith realized. His crew mates. Talking to him. Words and sentences. Keith numbly switched off the com link and stared. Then he noticed something.

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A strong woman.

Pairing : Dean x Reader, Sam x Jess
Word count : 2,754
Author : Mel
Warnings : AU-ish. Someone dies.



You smiled up at the screen. “It’s a boy.” The ultrasound tech informed you.

You grinned and turned to the blond next to you. “A boy.” You teared up, and so did she. “Jess, I’m giving Dean a son.”

“Look at him.. Oh god. Don’t make me cry, I’m next.” She chuckled.

After getting cleaned up, and off the chair, it was Jess’s turn. You took your pictures and smiled down at them as the tech took measurements and checked vitals. When it came time to find out, you looked up at Jess with a smile, then at the screen. “Ready to find out?” She nodded to the tech. You both had wanted boys, wanted them to grow up together, and close. Jess bit her lip and waited. “It’s a girl.”

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Heartbeat // Dong Sicheng

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the prompt: can i have a story where sicheng is hospitalized and you are his nurse and his cardiac monitor always goes into overdrive when you check up on him?

words: 2480

category: fluff

author note: you guys don’t understand Sicheng was my first nct bias from the moment he asked taeyong for ice cream i was in love and my heart is still so soft for him.

- destinee

Originally posted by jaehyu

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Hi there :) could you please write a fanfiction about: Alex getting bitten/scratched by some alien during DEO assignment but she thinks of it as nothing and after work goes home to see Maggie (pizza night). But in the morning she feels really bad and her temperature is rising so Maggie calls Kara. When Kara gets there Maggie is in the shower holding (barely consious) Alex, trying to lower her temperature. Kara decides to get Alex to Barrys Earth (with that thing she got from Cisco) but Maggie wont leave her side so she comes too…? :)

^^ prompt above from @benedoodlecumberpoodlestudyblr

She shrugs it off and she brings home pizza and she smiles as Maggie fawns over the scrape on her wrapped arm, as Maggie presses soft kisses all around her bandage, as she dotes on her girl even as Alex insists, insists, that she’s fine, that it’s just a scratch, that it was no big deal, really.

But she secretly loves the attention Maggie is giving her, the big deal Maggie is making; how strong, how heroic, Maggie is making her feel.

Maggie knows. She lays it on extra thick, because Alex has spent enough time neglecting herself – enough time being neglected – enough time in the shadow of other heroes, of other injuries, to have hers attended to, to have hers honored.

But in the morning?

In the morning, they both realize that she wasn’t fawning over just a scratch.

Because in the morning, Alex is burning up and Alex is dry heaving and Alex’s temperature is rising by the minute.

Maggie calls Kara with the phone balanced on her shoulder as she half drags, half carries Alex into the shower, stripping her drenched clothes to run her body under cool water, to try, to try, to lower her temperature. To try to keep her somewhat stable until Kara can get her medics that will know what the hell alien poisons are.

The DEO’s med bay was trashed in the attack the night before, so for a moment, Kara panics. But only for a moment.

“Cisco,” she calls into the communicator he gave her. “I need you. Now.”


Maggie knows better by now than to be shocked when a swirling blue vortex appears behind her in Alex’s bathroom.

“Flash,” Alex giggles vaguely as her head lolls loosely onto Maggie’s shoulder. “Bastard took Kara. Dangerous. Without me. Need words with him.”

“Shh, that’s right, Ally,” Maggie whispers, looking askance into the vortex as Kara lands in the bathroom door, ignoring the vortex all together as she rushes toward the shower.

“What the hell happened?” she asks Maggie, grabbing a towel to wrap her sister in, switching off the water as she kneels over her. “It’s okay Alex. I’m here, I’m here. I’ve got you.”

“Kara,” Alex babbles. “Flash vortex.”

“That’s right, Alex. Star Labs is going to help you.” She glances at Maggie. “It’s gotta be an infection from that scratch last night.”

Maggie nods, and her eyes are wide as she watches her girlfriend slip in and out of consciousness. She barely notices when two men appear in the bathroom behind them, breathing slightly heavily, the one with the strange goggle-glasses with his hand on his chest and a vague grin on his face.

“Only took one try this time! My man, we’re getting better at this!” He holds up his hand for the man in red to hit, but the Flash leaves him hanging as he goes to kneel next to Kara.

“This isn’t how I wanted to see you again. Or how I wanted to meet your sister.”

“Thanks for coming, Barry.” Kara gives him a sideways hug as he looks down at Alex’s drenched body.

“Hey, secret identity,” the other man murmurs, but Kara waves him off.

“Maggie’s family, Cisco.”

Maggie glances up at him – at Cisco – and grimaces a greeting, too numb with fear to fully register the impact of Kara’s words.

“Looks like an infection, obviously, but metas aren’t exactly like aliens, so I don’t… Come on,” Barry tells Kara. “We have to get her back through the vortex. Caitlin’ll come up with something, Kara. I promise.”

Kara nods grimly and picks up Alex’s limp body in her arms like she weighs nothing. Barry gingerly positions the towel more completely around Alex’s body while somehow averting his eyes from her nakedness at the same time, and Maggie immediately decides she likes this Flash character.

She rises to follow Kara into the vortex, and they all look at her and hesitate.

“It’s a parallel earth, Maggie. It’s not… the more people we take over, the bigger the risk of – ”

“Look, I know you don’t know me, and I know you have this big superhero system on your earth, and I know you have super speed and you have some vibing shit, but I swear it doesn’t matter what superpowers you both have. She’s my girlfriend and I am not leaving her side.”

Barry stares for a moment and then nods grimly, once, while a broad smile grows on Cisco’s face. “Dude, she gay?” he asks Kara. “Nice work!” He grins down at Alex’s unconscious form, and sobers immediately. “I guess I’ll… congratulate her when she comes to.”

Kara rolls her eyes and Maggie grins faintly at Cisco’s enthusiasm for queerness, at his persistent belief, his obvious faith in this Caitlin person to save Alex, the way his eyes grow somber and focused and intense as he turns back to reopen the vortex.

“Nothing bad’s gonna happen to your girlfriend, Maggie. We’re not gonna allow it.”

He reaches back for her hand and squeezes slightly before he opens the vortex, and Maggie gulps her appreciation, because her throat is too constricted to allow for any more words.


“Kara,” a beautiful white girl rushes forward when they step through the vortex. “Lay her right here.”

Kara obeys and the woman – “Caitlin Snow. Best doctor on this or any earth. She’ll fix your girl. I promise,” Cisco leans in and whispers to Maggie – slips into mode immediately, with an intensity of focus Maggie has seen in Alex so many times, both in the field and in the bedroom.

“Do we know anything about the species that gave her the wound?” Caitlin is streaming through questions with Kara, with Maggie, as she checks Alex’s vitals, as she drapes a medical gown over her body, as she makes notes to herself and exchanges significant glances with a concerned-looking Barry.

Kara and Maggie are fielding answers as best they can when two more people burst into the lab, one in a yellow suit that almost matches Barry’s and one in a pair of jeans that would have Maggie gulping under other circumstances.

The woman with the jeans falls into Barry’s arms after pulling Kara into a long hug. “Are you alright? I know what it’s like to watch a sibling in danger,” she says, shoving the boy who ran in with her gently.

“I trust Caitlin,” Kara says softly, but her eyes are wide and her eyes are terrified.

“Iris West, and my brother, Wally. Kid Flash,” the woman holds her hand out to Maggie. “You’re Alex’s girlfriend.”

Barry, Wally, and Cisco all turn to stare at Iris, and even Caitlin glances up with an arched eyebrow.

Iris shrugs. “Journalist. Also, I know a little something about watching your unconscious superhero partner get prodded and poked on a medical table: I know that look.”

She nods her head toward Barry, but her warm eyes don’t leave Maggie’s.

“Maggie Sawyer, NCPD,” Maggie recites automatically, and Kara reaches out and squeezes the hand that Iris doesn’t have.

Iris offers Maggie a small smile. “My dad’s a cop, too. He’d approve of you for someone as amazing as we’ve heard Kara’s sister is.”

Maggie gulps and her hand clenches Iris’s harder without meaning to. “Caitlin’s the best. Alex is gonna be okay.”

“Alex is gonna kill Barry for letting Kara go fight an army of aliens without her alien-fighting sister,” a ragged, exhausted voice croaks from the medical table.

“Alex!” Maggie and Kara both exclaim, and Caitlin smiles as she steps back from the table to allow Alex’s family to surround her.

“Babe, I’m here,” and “Alex, I’ve got you,” accompany “Damn, Caitlin, alien infections stand no chance against you!” and “It was simple, really, and important that Maggie got Alex’s temperature down as fast as she did” and “Told you Caitlin’s the bomb” and “Please no bomb references, not after last week” and “Should I leave before she comes to fully? Because I really think she might make good on her threats to kill me for bringing Kara over here without her” and “Run Barry, run.”

And Star Labs had never been quite so full of superheroes, or quite so full of relief, or quite so full of love across earths.

Love Potion Number Nine

Summary: Derek decides to take a love potion, but things don’t go quite the way he intended.
Note: Written for Teen Wolf Bingo (“Stiles/Derek”). Loosely based on the song by the same name. (On AO3)


“Deputy Stilinski,” he hears over the radio. “We have reports of what appears to be a drunk and disorderly accosting people on the sidewalk.” Stiles looks up from the ticket he’s writing. It figures, on the one day he’s assigned as the downtown traffic cop. “He’s near your location,” dispatch continues, giving him pertinent information.

“Okay, I’ll intercept,” he says, ripping the ticket from the pad and tucking it under some poor fool’s windshield wiper. Shouldn’t have illegally parked, buddy.

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Be with Me

by Inspector Boxer

Fandom: Supergirl

Pairing: Supercat

Rating: T

Author’s Note: This is a prompt fill for @onegoodframe who asked for prompt #20, “Do you ever think about it? Us? Married?” Thanks to @zennie-fic for looking it over. Hope you like it!

****

“Do you ever think about it? Us? Married?”

Alex took a deep breath and glanced up from the chart she was reviewing, shooting a worried look at Cat Grant. Much to her surprise, the Queen of All Media didn’t look ruffled by Kara’s question in the least, but she did smirk slightly.

“Do you?” Cat asked nonchalantly, leaning forward in her chair as Kara stared at her from her bed in the medical bay of the DEO.

Biting her lip, Alex barely refrained from interjecting. Her sister had always had some weird… thing… for this woman, and, for the first time, Alex was witnessing it firsthand. She had to admit, the two women had chemistry, but with Kara powerless and drugged to the hilt on pain medication, now might not be the best time to let a former reporter interrogate her sister.

“Do I what?” Kara asked, sounding so light and airy Alex wondered if she’d float out of the bed if she’d been able to.

“Think about us being married?” Cat’s smirk became more pronounced.

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Emergency Medicine Advice

Alright, I made an advice post for Obstetrics & Gynecology that people liked, and I got requests to make more. So, here’s some of my EM advice. As always, I’m not an expert by any means and have my own problems, but these are just my reflections while on clerkships. There’s always a learning curve, so if I can alleviate some of that for others, that’s great! Let me know if these are helpful, because if so, I might go back and reflect on other rotations I’ve done and make more. Now, I rotated at a metropolitan level one trauma center for EM. So, here’s some of my advice:

1. At the start of each shift, be enthusiastic and eager. This goes a long way, and residents/attendings will be more likely to include you on cool things even if it’s not one of your own patients.

2. Let your residents/attendings know that you want to do/assist with any and all procedures. Be enthusiastic about the opportunity to do all of them! Because of this, I got to suture countless lacerations, irrigate and debride abscesses, do vaginal speculum exams, ultrasound heart/lungs/abdomen/pelvis/joints, do a paracentesis, help reduce joints, splint extremities, etc.

3. The ED is fast-paced. Your residents and attendings will be signing up for and seeing patients constantly. When you see a new patient on the board, let someone know immediately that you are going to see that patient, and jump into it! Don’t be forgotten.

4. I liked to pend labs/imaging before presenting my patient to my resident. Even if it was completely wrong, it showed that I actually thought about my plan rather than rambling things off. Also, it provided for great learning opportunities. For the times that my work-ups were correct, my residents liked that the orders were already there. Of course, if your residents/attendings don’t like this, don’t do it.

5. Also related to above, know your assessment and plan before presenting! This is the most important part of the ED. It frustrated me at first, but really you have to consider the big and bad things at all times even if it’s unlikely. For example, for chest pain, always consider ACS, dissection, pneumothorax, PE, etc. For back pain, consider spinal stenosis, cancer, aortic dissection, etc. For headache, consider meningitis, SAH, mass, etc. Even just last night, I had a patient with leg pain and chalked it up to an arthralgia… Nope, it was subtle septic arthritis. Never let your guard down, and have thorough work-ups even if you aren’t convinced by a history. Also, have an idea of what the dispo will be from the first time you see the patient. This may change as labs and imaging return, but keep it in mind.

6. Take ownership of your patients. Read their chart, and know their labs and imaging results before the resident/attending does. Update the team and keep your notes up to date with the latest plan.

7. Don’t be afraid to get on the phone for your patients. Call the lab. Call radiology. Call social work. Sign out the patients to the medicine team for admits. Your resident may do this without you, so ask to be involved if you want to practice.

8. Don’t overwhelm yourself with too many patients at first. Making quality plans for a few patients is better than making mediocre plans for many of them.

9. Check in with your patients multiple times during their stay. Did you give them pain medications? Don’t forget to follow-up if it helped. Ask if the zofran helped their nausea. Are they breathing better after a duoneb? Do they need another? Don’t forget to keep checking on vitals as well.

10. At my hospital, there were 2 rooms we used for codes/traumas. If you have a few minutes, go in there and study where things are. There were times I was asked for a stat OG tube, bougie for an airway, 4x4 gauze, scissors, etc. and it was helpful knowing where things were in stressful situations without being frazzled.

11. For the first couple of codes and traumas you see, get to know how things are done at your hospital. Once you’re more comfortable, ask your resident/attending how you can be helpful. Of course as a student, you won’t be doing anything too crazy, but you can help roll patients, hold a cervical spine stabilization, manage basic airways with supervision, and do CPR if you put yourself out there as willing to help.

12. If you walk into a patient’s room and someone looks sick-sick, tell someone immediately! Don’t take your chances, and it’s better to be on the safer side. If they look like they’re in bad shape, don’t stall the process of getting an attending to lay eyes on them and put in orders.

13. You’ll see a lot of psych crisis evaluations, social issues, and drug abuse. Check your judgement at the door, and don’t be surprised at what comes through the door. If you feel unsafe at any time, tell someone. Take threats seriously.

That’s all I can think of right now. EM is an exciting rotation, and every shift is truly different. Get as much out of it as you can, and have fun getting involved and doing hands-on things! Let me know if you have other advice as well. I’d love to hear.

Green Day  {Sentence Starters}

  • “The innocent can never last.”
  • “I think you’re just a problem.”
  • “I don’t want you to understand.”
  • “It’s not over before it’s too late.”
  • “My beating heart belongs to you.”
  • “Why don’t you just leave me alone?”
  • “Nobody likes you. Everyone left you.”
  • “Sometimes I give myself the creeps.”
  • “You got a problem you just can’t hide.”
  • “They’re all out without you having fun.”
  • “Then it turned out to only be a dream…”
  • “Nobody ever said that life was fair, now.”
  • “Thought I ran into you down on the street.”
  • “We’re not the ones who’re meant to follow.”
  • “So, when are all my troubles going to end?”
  • “Do you have the time to listen to me whine?”
  • “Check my vital signs to know I’m still alive…”
  • “Please, call me only if you are coming home.”
  • “My shadow’s the only one that walks beside me.”
  • “Just give me shelter, give me give me something.”
  • “Sometimes I wish someone out there will find me.”
  • “I walk a lonely road, the only one that I have ever known.”
  • “I want to take you through a wasteland I like to call my home.”
  • So, stay the hell away from me because I don’t believe in you!”
  • “Why should my fun have to end? For me it’s only the beginning.” 
  • “Sometimes I need to apologize. Sometimes I need to admit that I ain’t right.”
Undeniable Heat Chapter 21: Questions

Jensen Ackles x Reader

1350 Words

Story Summary: You’ve just gotten a job as one of the makeup artists on the set of Supernatural. Nervous on the first day, you become completely awkward, winning the affection of the divorced Jensen Ackles. You try to fight your desire for him, but he thwarts you at every turn. Will you be able you separate work and play, or will you let Jensen win?

Catch Up Here: Masterpost

You felt fuzzy. As if you had downed a full bottle of whiskey, or taken a handful of sleeping pills. Your mouth seemed full of cotton, and your head pounded. All of this was easy to take stock of in the first ten seconds since you had woken, especially the confining feeling around your middle. Trying to wrack your brain for what had happened, it came back to you in a rush. Brad had showed up, attacking you when you hadn’t followed through with his plans. You vaguely remembered Jensen showing up, then nothing else.

You could hear the beeping of machines, and the quiet murmuring of people in the room with you. Your body felt tired, and weak, but you worked hard to open your eyes. You needed to see who was in the room with you. At first all you accomplished was a fluttering, the effort almost more than you could handle. Finally, after what seemed like forever, you were staring at the stark white hospital ceiling. Trying to take a deep breath, you gasped at the sharp pain, wanting to cry as it radiated through you.

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