#Healthcare Options

[bernardcannabiscenter]

Exploring the world of healthcare options can be daunting, particularly when considering the use of medical cannabis. For residents with a medical card in Palm Coast, Florida, understanding the nuances between medical cannabis and traditional medications is crucial.

[mariamscastro]

Confused between Telehealth and In-Person Care? Discover the differences, benefits, and drawbacks of each to make an informed decision for your unique healthcare requirements

[female-eren]

If a woman walks into a feminist group and the focus is more on whether she has given up men or not rather than what the group can accomplish for women at the moment, that would seem to me like an ineffective feminist group focused less on female class solidarity and more on identity discourse and personal small-scale choices/actions. Keep in mind that I totally agree that individual action, like never dating men, is never wasted (in fact, it's something that men as a class are very afraid of) and women should be encouraged to stop dating men. But why is it the most important? Does the y chromosome in her vicinity impede her ability to organize a protest for abortion, or a pornography boycott campaign, or an abortion fund, or writing an email to her university about period equality for students and staff?

[skyloftian-nutcase]

Ok Wild Angsters, you wanted a continuation, so here you go :)

Four already knew what he would be walking into. His phone had been blowing up for hours. He’d come in to work early. Whether he was assigned to take care of Wild or not was another matter - Vaati loved to try and take all the admissions, convinced he was the best nurse on the unit. If Four could just keep Vaati out of Wild’s room, he’d consider it a success.

When the charge nurse told him he would be admitting the trauma alert, he knew who he was getting.

Pre-admission jitters always made Four anxious, but this was an entirely other level of fear. He almost wanted to request a different assignment, but it was too late now. What if he couldn’t take caer of him because he was his friend? What if that impair his decision making? What if he just wasn’t skilled enough to handle it? He knew Ezlo wouldn’t give him an assignment he couldn’t handle, wouldn’t be there to support him, but still…

Four went over the supplies in his room once more. Safety checks were fine—they had suction, they had a bag valve mask, the code card was nearby—and he had all the supplies he needed. It was just a waiting game.

Four paced the unit at least three times before he looked at the OR status board again. Wild was still in surgery. He poked in his chart, glancing at injuries, looking at vital signs and anesthesia notes. The last update he saw was that Wild had gotten another unit of blood. Estimated blood loss so far was around 2200mL.

2200mL. That… wasn’t too terrible, Four supposed. He’d… seen worse.

Please don’t get worse.

Four knew for certain that Wild had been mass transfused in the ED. Warriors, his primary nurse when he was there, had told him as much. Between that and the multiple blood products he’d gotten in surgery, as well all the crystalloids he was likely getting as well…

Four took a breath. Then another. He grabbed his phone, texting Warriors. You doing ok?

Wars didn’t reply.

Four wasn’t entirely sure where everyone was at this point. Hyrule had stayed at the hospital, lingering in the emergency department and then the operating room waiting area, but Four hadn’t seen him since he’d clocked in. Warriors and Legend should be getting off shift now, but whether they were going to stay up was another matter. Time was obviously in the OR (Wild’s wreck had been around 10pm, he’d arrived in the ED around 10:45, and he’d been stabilized for surgery and gone to the OR by around midnight - it was 7am now… he wasn’t sure how long this was going to take, but it couldn’t be much longer). Malon should be getting on shift now as well - she had come in last night when everything had gone down, alongside Twilight. Wind had been cautiously left out of the loop until Wild had gone to surgery, simply because nobody had really had much information at the time, so no one wanted to worry the kid until they could figure things out. Everyone had their hands full as it was. But by now, Four knew Wind was either in the OR waiting room, harassing every respiratory therapist he knew, or in the hospital library pacing anxiously. As for Sky, the last Four heard he was bouncing between different people, checking in on everyone.

He clicked through more anesthesia notes, looked at flow sheets for blood products. There wasn’t much to go on, as charting was sparse. What Four did know was that Wild had been obtunded, got mass transfused, had gotten a chest tube, had been intubated, blood was evident in his abdomen, and he had an open femur fracture. He’s been taken to Time’s OR for a ex-lap. Head CT had shown a bleed, and they were monitoring it. That was all the information Legend had told the group when he’d had a moment to spare.

Four’s vocera activated, telling him he had a call from the charge nurse. When he answered, he was told Malon had called and said they’d be finishing up in about thirty minutes and were likely to come up open.

Why was he coming up with his abdomen open? When had they gone from exploratory laparotomy to a full on open abdomen?

Ten minutes later, Malon called back to give report. When Four answered, the first thing he asked was, “How’s he doing? Is he okay? Are you okay?”

“I’m fine,” Malon said, even though she sounded exhausted. “And he’s… hanging in there. I’ve seen worse, I’ll say that. I’ll give you the full rundown, okay?”

Four listened as Malon gave report, feeling his heart settled into his stomach, which was tying itself in knots. Multiple spots of bleeding, possible compartment syndrome in his abdomen, a likely kidney injury due to compression from the bleeding on some major vessels, a small hematoma in his brain… they’d had to call neurosurgery to do an emergency craniotomy out of overt concern of swelling, given that Wild had apparently had previous head trauma, based on what they saw in the OR.

Open abdomen, craniotomy, ICP monitoring, bleeding, one chest tube… this was a disaster. Four swallowed as he wrote, feeling his hand shake a little as his heart raced. He was not qualified enough to be admitting this. He was not.

But the turnaround on his unit was pretty insane, and he was the most experienced nurse on the unit today. At least Ezlo was charge; he knew he’d be well supported.

This was a nightmare. But Four had dealt with nightmares, and he would deal with this. He wasn’t going to screw up taking care of any patient, but especially his friend.

Sighing, he hung up the phone after thanking Malon, pushing worries for her and Time aside, trying to focus on what he would need, who he should grab to help him, and how he should prep his room.

It was time to get to work.

When everyone arrived from the OR, Four made brief eye contact with Time. He couldn’t read much from the man, who was stone faced, aside from the exhaustion evident in the dark circles under his eyes. Four got to work quickly, assessing Wild from head to toe as he looked to see what IV medications he was on. A coworker wrote the note while Ezlo helped detangle his lines (the OR always brought up a mess, after all). Time gave an overview of the surgery, and Four listened along as he checked pupils, as he zeroed the arterial line and the ICP monitor, as he listened to lung and heart sounds, as he checked the chest tube and stripped it with his fingers to ensure patency, as he checked peripheral pulses, as he looked at the abdominal dressing to get a baseline in case there was swelling from bleeding later. One of the techs connected the chest tube to wall suction, and Four looked over his drips. Only having levophed at 2 wasn’t terrible, and he was getting a unit of red blood cells, which was in a transfusion set that was y’d to some lactated ringers fluid. He was on propofol for sedation. Another nurse grabbed a blood gas from his arterial line and sent off labs. His foley he had was temp sensing, and Four quickly ascertained that Wild was cold, so he set up the blanket warmer and covered his friend up.

His friend. His friend.

Four shook his head. He had to focus.

As Time left the room, he put a hand on Four’s shoulder, making him freeze. The surgeon didn’t speak, just locking eyes with him. Four wasn’t entirely sure if it was for his own benefit or not. But he had no more time to let his emotions make any decisions for him. He nodded to the doctor, who nodded in return, and then the two went their separate ways.

This was going to be a long day.

[desultory-suggestions]

Just a reminder that if you ever feel a lump or unusual pain in your chest/breasts you should get it checked out just to be safe. Especially if it’s been there for more than a day or two or is causing you discomfort, it’s good to ensure it’s not serious or that if it is you can get the right treatment. Trust your body to know when something is off!

[creekfiend]

so I'm thinking of moving to one of the states that has Actually Decent Healthcare in the next few years at some point. just bc Georgia is rated WORST IN THE NATION 😂 and rural GA even worse. kinda looking at New England, like MA/CT/RI/posssssibly upstate NY idk... anyone who lives in those places and likes it, tell me about it? where do u live and what do u like about it?

I'm worried about cost of living but I am spending too much money on bad healthcare rn and have like... no community, so looking at places that have really good state health insurance.

TELL ME YOUR THOUGHTS AND EXPERIENCES. WHAT ARE GOOD PLACES TO LIVE IN THE NORTHEAST

[luinhealthcare]

Saw the Hyrule ask and I wondered, do Four and Hyrule ever talk? Or like, do Mo and Hyrule hang out ever? How close are they?

I just want the bean to have friends who love him🥺🥺

The Hyrule obsessed anon🔺

Hyrule is very much a loner, he rarely actively seeks out hangouts but he often gets invited and will go to them. :) He and Four have the same bakery they hit up too so they’ll often run into each other outside of work.

Mo and Hyrule are pretty close but Mo parties a little too hard for Hyrule, so most of the time they spend together is on the job. Considering that’s like half of their week, it’s a pretty solid relationship lol.

[mixelation]

What does training for an insulin pump encompass? Why is it necessary to train for one?

so, i guess to answer this fully, i should clarify what an insulin pump is. it is a wearable medical device that continuously administers insulin. basically it's a very fancy box with a cartridge of insulin attached to me by a tube for the purpose of giving myself insulin, replacing the need for multiple daily injections

for me, training was a two hours one-on-one session. it included learning how to use the actual equipment (loading insulin, inserting the infusion set, how to unhook myself from the pump to take a shower, how to give extra insulin for when i eat, what warnings mean, etc) as well as setting up the pump with settings as suggested by my doctor & syncing it with my cgm, suggestions for how not to break my pump and set my settings so they're actually useful to me and my lifestyle, suggestions for my own safety & what to do in case of emergency, and also let me have one on one time with an expert to ask questions

many of these tasks could probably be self-taught with a few youtube tutorials, and i thought about just slapping it on without training more than once as i just had the pump sitting my my room for almost two months. however administering insulin incorrectly can easily lead to a hospital visit or death, so i held back lmao

[iero]

I just found out that for my first hospital stay (the one I spent two nights overnight), the financial assistance app I put in with proof was approved at 100%. I just got a $3k hospital bill erased just like that. I’m so relieved I could cry.

[knifekris]

every day i struggle to make choices

[freebooter4ever]

i think the toughest part for me during all this is how fast it's been. going from being totally normal but with gas/bloating/farting....to suddenly having no gas/bloating/farting but experiencing difficulty breathing and high heartrate one time when i ate too much. then during the week having that happen more and more every time i ate. and then having it happen even if i ate hardly anything. and then starting the probiotics the next week and having that solve the difficulty breathing issue but introduce other side effects. and eventually getting to the point where that nerve pain and extreme reduced ability to move my legs/arms and mental confusion was a constant rather than just when i ate. i have felt so helpless through this whole thing and the doctors kept saying 'wait a week for your appointment and get a referral' while the ER was saying 'you need to see a specialist NOW'. and every day i was waiting it got worse. its just so frustrating because if i had been able to see a real doctor on the 27th of july when i ended up in the ER the first time, so much of this pain might have been slowed or prevented. im sitting here being dizzy and unable to do basic things like clean my house or move around much and am looking forward to spending the next four days just trying to survive till i can see a doctor.

my lovely neighbor went out and bought me these drinks called 'orgain' so im drinking that now and just hoping desperately its not going to trigger anything

[void-of-unparalled-chaos]

The Healthcare horrors persist

Hhhhhhhhhhhhhh

[mylyannasnow]

Last night my boyfriend and I were talking about children and pregnancy while I was looking at my period app and I realised something. My cycle is normally 34 days, it is actually very often even longer, going to even 40 days sometimes. That is what's normal for me, so if my period was late I wouldn't even think of taking a pregnancy test until day 45ish. If the test came back positive, because of how pregnancy is measured, I would already be 6 weeks pregnant and it would be illegal for me to have an abortion in 20 USA states.

[kickedin17]

Girl (Tyler Robert Joseph) if I don't get this job this week AND the Paladin MV still isn't out, I'm gonna **** **** * ******* ****** *** * **** ***** ****** ****

[spurgie-cousin]

morgan olliges is pregnant again and her last pregnancy fucked her up so much that she couldn't even pretend to be happy about it and now I'm over here feeling sorry for her goddammit

like yea she's an anti-choice idiot and that is part of the problem but I'll be real, I'm scared the hell to death of pregnancy and that's just based on the what-ifs (and hearing stories like Morgan's), she had the what-ifs actually happen and now she's gotta face all of that it maybe even worse and that's so scary.

[trans-cuchulainn]

usamericans on twitter/blueksy etc love to be like "go and get your updated covid shot!" and "ask for paxlovid if you test positive!" and "the new vaccine isn't a booster it's a special one so don't think you don't need it!" as if the special new vaccine is available worldwide and the only thing stopping people from doing those things is reluctance or laziness rather than like, living in a country that's making it basically impossible for anyone not in a severe high-risk group to access any covid vaccines or treatments whatsoever

and before you come at me with "they're not talking to non-US people in those posts and can't encompass all worldwide possibilities in one tweet" I can assure you they regularly say shit like this directly in the replies to people who do not live in the US. or even in DMs! "i highly recommend paxlovid," they'll say in the comments of somebody's post, as if the person in question will go, "oh wow i hadn't thought of that, i was muddling through with paracetamol for fun"