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    EnhancedSurveillance

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    [–] Difficulty with big rolling veins EnhancedSurveillance 1 points ago in phlebotomy

    No problem! Let me know if it works out :)

    [–] Difficulty with big rolling veins EnhancedSurveillance 3 points ago in phlebotomy

    This is going to sound a little weird but sometimes it helps to go kinda sideways into the vein. Like instead of sticking the needle straight following the angle at which the vein goes, I’ll go into it from the side at maybe a 15 degree angle. I had a really hard time with similar situations when I first started too and that was a suggestion that helped me a bunch. Doesn’t always help when the veins are hard and very likely to roll but it’s saved me a few times. Just make sure the angle is very narrow, wouldn’t want to do any damage to their arm

    [–] A red line crossed. She just hit me. EnhancedSurveillance 2 points ago in Alzheimers

    I dont know if anyone else has mentioned this but it could be some of her medications causing the aggression? My grandma had Alzheimer’s and at a certain point in her disease progression she was really aggressive with other residents (she lived in a home) and the home wasn’t equipped for that (not the greatest facility for Alzheimer’s patients) so they tried kicking her out. She ended up getting a psychiatric evaluation done and was put into a program that reassessed her care and medications. The program cut down on a bunch of her meds and for a while afterwards she was more “herself” than she had been for months prior. So even if you’re putting her in a home, it might be worth looking into.

    [–] "Echos of You" repetition explained EnhancedSurveillance 4 points ago in MarianasTrench

    Just to add to what you're saying, I think the song references more of the short story "A Tell-Tale Heart" by Edgar Allan Poe rather than The Raven. That story also has a lot of repetition and the song specifically mentions the story's title multiple times in and many specific themes of the song make other references to the story. This includes the verse(s) regarding madness, various mentions of a heartbeat, and even the "corner of my eye" could be interpreted as being a reference to the story.

    I definitely got some darker vibes from this song than in past Marianas Trench albums and I think it's a pretty cool song.

    [–] Not as bad as it seems EnhancedSurveillance 3 points ago in PrequelMemes

    I've never heard of that one before. Do you have a link for it?

    [–] What was the stupidest thing you have said/done during sex? EnhancedSurveillance 12 points ago in AskReddit

    The first time my boyfriend and I had sex it was relatively short-lived, since he was nervous and hadn't had sex for a little while prior. After he was done, he looks over at me and says "So, how did you like the demo content?"

    4 years later and I still bug him about it.

    [–] My dad was taken away from me at 14 EnhancedSurveillance 2 points ago in Alzheimers

    I've never lost a parent, but as someone who's lost close family to Alzheimer's my advice would be to try your hardest to remember them as they were. You will unfortunately never get him back as he used to be but you can live the rest of your life with his love for you in your heart. Remember the good times you had with him growing up and the life lessons he taught you. It might even be therapeutic to write them down so that you still have the memories long after he's gone. He may never meet his grandchildren (if you decide to have children one day) but you can make sure they know what a great man he was and how he influenced your life.

    Don't be afraid to talk to people about it if you have close people you can trust. They probably won't be able to say or do anything to help but having a listening ear and shoulder to cry on can be helpful. What you're doing through is extremely difficult and you probably won't be able to go through it alone.

    If it's really affecting you in your day-to-day life, it might be worth asking your mom to talk to a therapist or some other professional. There are professionals out there that can help you in grieving for your father despite him technically still being alive.

    [–] What happens when you miss? EnhancedSurveillance 6 points ago * (lasted edited 2 months ago) in phlebotomy

    I do agree that an outpatient area is easier. I've worked in both and outpatients tend to be more "with it" than inpatients so it's easier to get them to cooperate which can make your life easier.

    Just keep in mind that there are different obstacles with outpatients. You're more likely to see "first timers" in an outpatient area so you need to be more cautious of hazards such as fainting and seizures during phlebotomy. Also, I found outpatients are more likely to be critical of you and your collection techniques than inpatients. This is where having confidence is very important because outpatients often need more reassuring before/during the procedure than inpatients.

    I used to miss a lot too. I've gotten a lot better but still miss from time to time, especially on a hard patient. Be careful when redirecting, especially if you can feel tendons or anything close to the vein. If you aren't sure, it's better to just pull out and try again than to keep trying and hurt someone. Some people know they have tough veins and might mention it. If they tell you that, it's never a bad idea to open up a conversation about it. The first response I usually have is "where to they tend to have the best luck?" and then I'll decide how to go on from there. Some people will wait till after the collection has failed and then tell you "oh yeah by the way, my veins always collapse unless they use a butterfly."

    As everyone else has said, if you miss just let them know you couldn't get the blood and ask to collect from their other arm. I never try more than twice since usually by that point I'm starting to get stressed/annoyed with myself for not being able to get it and going for more collections won't help. I'll go for a third the odd time if I know I can do it and the patient is willing, but I try not to and it also doesn't often come to that.

    If you have any other phlebotomy related questions, feel free to reach out to me! I'm relatively new to the field compared to some others and still remember how it felt to be nervous and really bad at phlebotomy so I might be of some help.

    [–] Does it matter if I eat this tastycake for breakfast as long as I track it? EnhancedSurveillance 2 points ago in caloriecount

    Oatmeal and cereal do have more vitamins and other things to help keep you healthy, though. Just make sure that you eat other healthy foods during the day and maybe take a multivitamin! When I first started calorie counting I ate a whole bunch of junk all the time because it fit within my calories for the day. I ended up losing weight (which was my goal) but I was constantly exhausted. It made it a struggle to work out or do any kind of regular activities because of my lack of proper nutrients. Dont fall into the same trap I did, malnutrition is not fun!

    [–] My [23F] boyfriend [26M] is addicted to games/electronics and I’m honestly thinking about breaking up with him. EnhancedSurveillance 1 points ago in relationships

    He doesn't seem to be very invested in the relationship. My S/O and myself are both gamers but have an unspoken agreement that if one of us wants time in person, that takes priority over gaming. Also I can understand people who have social anxiety and use their phones as a "safety blanket" but what your boyfriend did at your family event is extremely rude and I wouldn't be surprised if his behaviour offended your family.

    If you haven't already, it might be worth having a conversation explaining exactly how you feel, especially what you mentioned about feeling neglected. If he refuses to change or take you seriously, it might be time for you to move on.

    [–] Why does reddit hate fat people so much? EnhancedSurveillance 5 points ago in TooAfraidToAsk

    As a student in the medical field who has read numerous textbooks and scientific journals on this and other topics, I'm genuinely intrigued by your statement. Would you be willing to share the sources of any of the readings you're referring to?