TUFKAK

Bad thing about getting old. i can’t tell if these symptoms are age related to me not being able to handle depletion training and competition like volume as I used to or actual neuro/cardiovascular symptoms I should get evaled for. 😂

There’s a large portion of MD that is maga country. It’s not all just Bmore and Anne Arundel. A lot of my coworkers back before I left were of that persuasion in both Bmore and Fort Washington.

Ah, Buena Park how I miss you.

Did another video drop I’ve not heard about?

Yeah, this. The union rep in me can’t help but just toss my hands over this one.

Checks Nvidia stock price.

You know me better than that.

Did I get demutted?

The next 20 years in this country is gonna be something to behold. the most dangerous cohort in any society are young unattached men and America is just churning them out now like it’s a five for five sale at Luckys. Deaths of despair is just one way this manifests. While it’s not just men dying of this obviously, anecdotally they are who I treat primarily in my ED.

Despite all the failures of my nation, of which there are many, to the point where a marine is openly anti American, I still recognize we’re better than Europe on this topic. By far. The shit we’ve endured in Europe is far worse than what we’ve dealt with in the US. So I bring her up because she’s the only way a cis straight white man could ever understand the struggle. It’s become visceral for me with her.

Nowai

Better than Europe.

Guess I shouldn’t travel with her because racist euro trash has an issue with her existence get bent

As a white guy engaged to a black woman who travels Europe often with her. fuck those racist fucks. Europeans only like people of color if they can play footie. Me and her have had less shit in rural Virginia than in Europe. also nice necro bump.

Only the Leafs could land a generational talent and still screw it up. Hopefully Murray regains his form because if not, Matthews isn’t staying for this hot-mess and I’d not blame him.

Russian money can only buy 18 representatives. This is a good thing.

This. So much this. All Americans care about now is inflation and gas prices, nobody is following the invasion anymore in my circles. A very left circle as well.

I don’t know man. When I see a guy in the gym with a Tap Out shirt, I know he’s serious.

It was that crt that did it!

Fapfapfapfap

There’s a few things but the big thing we’re seeing is ever since the pandemic there’s this drive to maximize profits. So we’re overbooking elective surgeries and accepting transfers when we’re already over capacity. The ER is routinely boarding 30-50 admits for 24+hours with dozens in the waiting room waiting 12+ hours to be seen. They’re basically maximizing every bed space to increase value to the point that there’s a rush to admit our boarders before midnight. The reason, if they’re up inpatient before midnight the hospital can bill an impatient day charge for that day. it’s turning highly trained and experienced ERs into acute care floors, sorry @CastlevaniaNut18 but we are not a floor and shouldn’t be worked as such. Its causing so many sentinel events. The most egregious example of this. Gyn performed a uterine biopsy in an ER room without an RN present because no shit, none of us are scrub nurses, they injected formaldehyde instead of lidocaine into her uterus. The woman is crippled now. That never should’ve happened.

Honestly where we are was relatively tame. We locked down before anywhere else nationwide and our population heeded the mandate and distancing guidelines. My gf was in New York during the early pandemic and her stories are terrible. Meanwhile, in SF, we often had an empty ER/more nurses than patients. If I had to guess I’d say it’s the increasing violence, the shifting care delivery model (this is rage inducing), and burnout from staffing levels.

We’re seeing this play out in real time at my facility. In our case it’s not the money, we’re already the highest paid nurses on the planet, the union just secured an 18% raise over three years and we still can’t fill behind our resignations and transfers. Turns out it takes more than money to keep a staff in healthcare; but those of us hanging on are just here for the money now.

There’s what they imagine they are and what they really are. The mental gymnastics to justify it however is quite the thing to observe.

I’ve had some form of this conversation with so many of these failures after they learn my past. I don’t talk about it but if it comes up I’ll say I was in and “I did my part” to the inevitable question. Im then treated to their diatribe of how they almost enlisted but “I’d punch my drill instructor when he yells at me” nonsense.