hammerpcp

*Drafting letter to PCP school regarding "crush syndrome"*

I would just like to say that "needing" AA is not a weakness or personality flaw. It is just another tool in life's bag of tricks to help us make it through with some semblance of happiness, or at least contentment. The ultimate goal of life: Seek pleasure and avoid pain. That being said............... I am drunk now rihgt . :drunken:

oh! oh! The boozies bleed. Yep. Especially a chronic boozie with a head lac.

But that is your classic crush injury. The Pt's death is not caused only by bleeding out but by electrolyte displacement (K+ in the blood stream) and other cellular waste products.

what exactly is muffin stuffing?

Damn. You mean they really are just for decoration? And a warning?! HA. Where do you think you are?

me

i don't think so

I'll play..............The person on top of me is addicted to internet porn.

North is now south! I'm on top!

Did someone actually get to use their Hemostats?

I just peed myself laughing!

LMAO! I'm trained and certified, when do I start? Good thing I'm not scared of heights................ cuz I'm on top!

You guys are making me dizzy.......................It must be vertigo cuz I"M ON TOP!

At this point I am going to have to go with good ol' BOB (Bed Oxygen Blanket), and transport. Maybe a cardiac monitor and blood glucose for good measure.

You wish.

I would probably be taking spinal precautions, initially at least, as well. It takes only a couple of extra seconds when you have that many hands on scene, and like the title says.......Unknown, unknown,unknown. This individual could be unconscious due to drugs not trauma, but he also could have been tossed out oaf a moving vehicle.

I don't mind AK on top. But let's switch positions...........ME again!

If I am reading this right she is having problems seeing to the right, the left and to the front. Is this constant or transient? Does she have any vision at all? I've never heard of Milrinone but a quick google said it has inotropic/vasodilatory effects, indicated for pt's wiht ventricular dysfunction. As previously stated this isn't consistent with a cyst unless there are other indications I am not aware of or this is some mysterious kind of cyst. Sounds like some involvement of the optic nerve or occipital lobe. She is also dizzy though, maybe we are looking at involvement of the vestibular or multiple cranial nerves. Where on her head was this original bump? Was it spontaneous, or trauma related? any associated symptoms? When did these vision problems start? before or after the MVC? perhaps this mvc was somehow due to her inability to see. :?:

ME!

Hey! That's not funny. :wink: How many psychologists does it take to change a lightbulb?

All hair removal methods have tricked women with their promises of easy, painless removal - The epilady, scissors, razors, Nair And now...the wax. My night began as any other normal weeknight. Come home, fix dinner, play with the kids. I then had the thought that would ring painfully in my mind for the next few hours: "Maybe I should pull the waxing kit out of the medicine cabinet." So I headed to the site of my demise: the bathroom. It was one of those "cold wax" kits. No melting a clump of hot wax, you just rub the strips together in your hand, they get warm and you peel them apart and press them to your leg (or wherever else) and you pull the hair right off. No muss, no fuss. How hard can it be? I mean, I'm not a genius, but I am mechanically inclined enough to figure this out. (YA THINK!?!) So I pull one of the thin strips out. Its two strips facing each other stuck together. Instead of rubbing them together, my genius kicks in so I get out the hair dryer and heat it to 1000 degrees. ("Cold wax," yeah...right!) I lay the strip across my thigh. Hold the skin around it tight and pull. It works! OK, so it wasn't the best feeling, but it wasn't too bad. I can do this! Hair removal no longer eludes me! I am She-rah, fighter of all wayward body hair and maker of smooth skin extraordinaire. With my next wax strip I move north. After checking on the kids, I sneak back into the bathroom, for the ultimate hair fighting championship. I drop my panties and place one foot on the toilet. Using the same procedure, I apply the one strip across the right side of my bikini line, covering the right half of my *hoo-hoo* and stretching down to the inside of my butt cheek (Yes, it was a long strip) I inhale deeply and brace myself....RRRRIIIPPP!!!! I'm blind!!! Bli nded from pain!!!!....OH MY GOD!!!!!!!!! Vision returning, I notice that I've only managed to pull off half the strip. CRAP!!! Another deep breath and RRIIPP!! Everything is swirly and spotted. I think I may pass out...must stay conscious...Do I hear crashing drums??? Breathe, breathe...OK, back to normal. I want to see my trophy - a wax covered strip, the one that has caused me so much pain, with my hairy pelt sticking to it. I want to revel in the glory that is my triumph over body hair. I hold up the strip! There's no hair on it. Where is the hair??? WHERE IS THE WAX??? Slowly I ease my head down, foot still perched on the toilet. I see the hair. The hair that should be on the strip. I touch. I am touching wax. CRAP! I run my fingers over the most sensitive part of my body, which is now covered in cold wax and matted hair. Then I make the next BIG mistake...remember my foot is still propped up on the toilet? I know I need to do something. So I put my foot down. DANG!!!!!!!! I hear the slamming of a cell door. *Hoo-Hoo*?? sealed shut! Butt?? Sealed shut! I penguin walk around the bathroom trying to figure out what to do and think to myself "Please don't let me get the urge to poop. My head may pop off!" What can I do to melt the wax? Hot water!! Hot water melts wax!!! I'll run the hottest water I can stand into the bathtub, get in, immerse the wax-covered bits and the wax should melt and I can gently wipe it off, right??? WRONG!!!!!!! I get in the tub - the water is slightly hotter than that used to torture prisoners of war or sterilize surgical equipment - I sit. Now, the only thing worse than having your nether regions glued together is having them glued together and then glued to the bottom of the tub...in scalding hot water. Which, by the way, doesn't melt cold wax. So, now I'm stuck to the bottom of the tub as though I had cement-epoxied myself to the porcelain!! God bless the man who had convinced me a few months ago to have a phone put in the bathroom!!!!! I call my friend, thinking surely she has waxed before and has some secret of how to get me undone. It's a very good conversation starter - "So, my butt and who-ha are glued together to the bottom of the tub!" There is a slight pause. She doesn't know any secret tricks for removal but she does try to hide her laughter from me. She wants to know exactly where the wax is! located , "Are we talking cheeks or who-ha?" She's laughing out loud by now...I can hear her. I give her the rundown and she suggests I call the number on the side of the box. YEAH!!!!! Right!! I should be the joke of someone else's night. While we go through various solutions. I resort to scraping the wax off with a razor. Nothing feels better then to have your girlie goodies covered in hot wax, glued shut, stuck to the tub in super hot water and then dry-shaving the sticky wax off!! By now the brain is not working, dignity has taken a major hike and I'm pretty sure I'm going to need Post-Traumatic Stress counseling for this event. My friend is still talking with me when I finally see my saving grace.... the lotion they give you to remove the excess wax. What do I really have to lose at this point? I rub some on and OH MY GOD!!!!!!! The scream probably woke the kids and scared the dickens out of my friend. It's sooo painful, but I really don't care. IT WORKS!! It works!! I get a hearty congratulation from my friend and she hangs up. I successfully remove the remainder of the wax and then notice to my grief and despair.... THE HAIR IS STILL THERE.......ALL OF IT!!!!!!!!!! So I recklessly shave it off. Heck, I'm numb by now. Nothing hurts. I could have amputated my own leg at this point. Next week I'm going to try hair color...... Now that's funny . Notttttttttt

Are you saying that all I have to do is tell you I'm dizzy to get some Valium form you? Ummm...I'm feeling dizzy.

What is a "chair-car"? And no. My service has full time paid employees who come to work and stay there for the whole shift, often working the entire time.

Ok, here's mine........we work with our hands people! Perhaps acrylic false nails weren't such a good idea in the first place. And rings! Don't even get me started.