cosmictuesdays
bibliothekara
I'm crying i love it when sam vimes is being super noire, like having an inner monologue while smoking and learning on a wall in an alleyway, and his coworkers are just like: "yeah he is like that sometimes. Just wait until he finished." The way the disc has and displays characters with different genres than their story and setting never fails to crack me up
lizziedoesvetpath
knittingwithtea
I'm sorry this is one of the funniest tags that's ever been left on one of my posts
darkpurpledawn
densewentz
He had style, he had flair, he was there- that’s how he became The Nanny!
I’m sure someone’s done this already but I just cannot shake the thought of Crowley going undercover as THE nanny, Ms. Ann Fine
commodorez
yodaprod
Playing Ms. PacMan while waiting at the Lav-O-matic
Source: Flickr/Jonathan Goode
boffo-novelty-and-joke-shop
sirterrypratchett
“Tiffany was on the whole quite a truthful person, but it seemed to her that there were times when things didn’t divide easily into ‘true’ and ‘false’, but instead could be ‘things that people needed to know at the moment’ and ‘things that they didn’t need to know at the moment’.”
— Terry Pratchett - The Wee Free Men (via aeshnacyanea2000)
docresa
meatball-surgeon
1. Upon utterance of the “q-word,” (a word too heinous to commit to writing here, even in the disguised form of one of its many synonyms), the Emergency Dept, clinic, or medical unit in which it was uttered will become inundated with emergencies, difficult patients, and a census out of ratio to staff within the hour.
2. Cloud color dominance submits to the traditional medical educational hierarchy. Thus, a white cloud resident paired with a black cloud attending on call will suffer the effects of the attending’s stormy weather. Medical students, like weathermen, are merely present to record the day’s events for posterity. Cloud forecasts from medical students have a positive predictive value of 14% and are not to be trusted.
3. A seemingly random fleeting thought regarding a patient of particularly disdainful character or of frequent visitation to one’s facility is bound to result in producing said patient’s presence in one’s clinic or ED before the end of the shift. Pronouncement of the patient’s name in the presence of colleagues will result in contact with said patient within the hour.
4. Precipitation precipitates precipitous deliveries. Inclement weather not only brings on labor but also predicts baby booms 9-10 months into the future. The same can be said for Full moons and full ERs and psych wards or Friday the 13ths and emergencies in clinic.
5. Bringing work to be done during one’s “downtime” is a guarantee of a busy day with no downtime.
6. If the functioning of a pager is in question, all that is required to elucidate an answer is to drop one’s pants in a bathroom stall or sit down to a meal. If one is able to complete their bodily eliminations or enjoy a full meal uninterrupted, the pager is surely in need of fresh batteries.
7. The more severe the weather, the more likely all scheduled patients will show up. Conversely, the more pleasant the weather, the less likely scheduled patients will show up. See also: the pre-chart principle, in which pre-charting on a patient prior to their arrival to clinic substantially increases the likelihood that the patient will not show up.
*Laws are still in the research phase and have not yet been found to be universally true, though the frequency of their occurrence and observation by medical personnel from a wide array of specialties and locales supports their factual nature.
i would like to impart my own observations on Law Seven.
when i lived in a town with a dry climate, people would come to ED on hot sunny days, and would stay away when it was raining.
when i lived in a town with a wet climate, people would come to ED in the rain, and stay away when it was sunny.
further research needed.
🤔
mdrambles
On my last shift, I had a pair of chonky 3-month-old twins come back to our department because one of them had suddenly developed rapidly worsening stridor; when they were seen initially, they both had fever, cough, and nasal congestion. Unsurprisingly, they were COVID+; unfortunately, this quickly evolved into croup for one of the chubby beans. He was crying and barking away while his twin slept completely unawares; he struggled to breathe and was so upset, making it harder for himself to breathe because of how upset he was… the classic moderate croup-er that was just too young to be soothed with words and distraction alone.
Of course, when the beans are this mad/anxious and working this hard to breathe, there’s no way you can get them to take any oral medications. My nursing colleague and I attempted to decrease his stridor in whatever ways did not require him to swallow–I put him face-down in my arms with his chubby little cheek smooshed against the lateral condyle of my elbow, rocking him and patting his little diapered butt. Eventually that calmed him enough to stop crying, and his stridor improved enough for my nursing colleague to get him to take a few puffs from an epinephrine MDI. His stridor got a bit better still and now could be heard faintly as the chunker dropped off to sleep, probably exhausted from crying and breathing so hard.
Unfortunately… we already knew this little guy would start screaming again if we moved him, and he was now too sleepy to actually swallow any oral meds… so we weighed the options with his caregiver and opted to give his steroid medication as an intramuscular injection, since then we could at least ensure he received the whole dose. Predictably, the little guy was NOT happy to be poked while he had finally nodded off, so I resumed rocking him and patting his little butt.
Maybe twenty minutes later, after all his medications were in, I arranged the little bean in his mother’s arms in the same prone position as he had been in mine; he protested stridorously for a few minutes before settling back to sleep. (During this transfer over to mom, we all became acutely aware of the string of drool from the beany bean’s face down my elbow and reaching literally all the way to the floor… I was honestly kind of impressed.)
Thankfully, the steroids kicked in as expected and when I checked back in the next few times our little chonk was fast asleep in his carseat with no stridor and no work of breathing. Eventually he and his brother were discharged with an anticipatory dose of oral steroids in case his brother developed similar symptoms, and instructions to come back if those symptoms returned or worsened. The babies’ poor caregiver looked so exhausted (but relieved).
Unsurprisingly, I woke up the next morning after this shift with very sore arms… I guess soothing chunky chunkers is actually good weight training…?
shitpostsampler
redshoesnblueskies
Turns out that in order to post my fics, I have to write them! Shocked and upset.
starbashir
badjokesbyjeff
arcticflakes
