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Tumblr, Blog, and Express: 427 Lactation Room <p><a href="http://wrecknician.tumblr.com/post/165517731686/tiffanarchy-russianhackervevo-grawly-wh" class="tumblr_blog">wrecknician</a>:</p><blockquote> <p><a href="http://tiffanarchy.tumblr.com/post/165517558151/russianhackervevo-grawly-wh-you-heard" class="tumblr_blog">tiffanarchy</a>:</p> <blockquote> <p><a href="https://russianhackervevo.tumblr.com/post/165515431061/grawly-wh-you-heard-them" class="tumblr_blog">russianhackervevo</a>:</p> <blockquote> <p><a href="http://grawly.tumblr.com/post/165515309278/wh" class="tumblr_blog">grawly</a>:</p> <blockquote><p>WH</p></blockquote> <p>You heard them</p> </blockquote> <p style="">Y’all know women lactate to feed their babies, right? <br/></p> </blockquote> <p>Guys this is just a space for women to breastfeed or pump during the workday since many women often have to express multiple times a day to keep up milk production and reduce soreness (being engorged can be incredibly painful, especially for 8+ hours at a shot). It’s just a quiet room with seating and it’s actually really wonderful when workplaces have this kind of accessibility for new mothers! </p> <p>If one of these aren’t present a woman who returns to the workplace after having a baby have her milk production dry up long before it’s meant to (which can have a wide range of complications for mother and baby alike including colic), or she may resort to pumping/feeding in an office bathroom which can be extremely unsanitary and uncomfortable</p> </blockquote> <p>Imagine being so pathetic that you were offended by this</p>

wrecknician: tiffanarchy: russianhackervevo: grawly: WH You heard them Y’all know women lactate to feed their babies, right? Guys t...

Life, Tumblr, and Control: <p><a class="tumblr_blog" href="http://surrealmeds.tumblr.com/post/142233787697">surrealmeds</a>:</p> <blockquote> <p><a class="tumblr_blog" href="http://medicinethings.tumblr.com/post/141957804936">medicinethings</a>:</p> <blockquote> <p>Isquemia Intestinal/ Intestinal Ischemia</p> </blockquote> <p>I always keep this on my DDx for abdo pain. I know it’s rare, but I’ve seen it twice in my short career. </p> <p>Things I look out for:</p> <p>1. vasculopaths - has this patient had a stroke, an MI, DVT? Do they smoke? Are they diabetic or had gestational diabetes? Do they have HIV, rheumatoid disease? A combination of these? Is this a preemie baby? I always get extra suspicious for these folks. </p> <p>2. Is the pain out of proportion to the physical exam? You’ll know if you bump the stretcher and the patient grimaces like you punched them in the gut. Another way to check for shake tenderness is to ask the patient to puff their belly out to touch your hand a few inches above their abdomen, or ask how the ride over was. If everything hurts, be alert for a surgical abdomen. </p> <p>3. Are their vitals telling you something? Hypotension +/- tachycardia +/- fever = sepsis. Start hydrating right away. Don’t be fooled by numbers that are altered by meds like betablockers, ibuprofen, acetaminophen. </p> <p>4. Because I’m in a teeny hospital, if my physical exam looks sketchy, and my index of suspicion is high, I’m getting stat labs, checking the weather, and getting ready to transport my patient. Do an abdo 3 views to look for free air or megacolon. Look for elevated WBC, lactate, CRP. Do a urinalysis too. </p> <p>This hurts. It’s a horrible way to die. It gets missed, especially in women. It’s one of the diseases that early detection really can save a life because the surgeon can get rid of the jerky piece of bowel before things get out of control. Be aware that it exists and keep it on your differential. I usually find out with the plain films the patient is FOS and has a low pain tolerance, but then I get to stop everything there and give large amounts of lactulose. Easy peasy. </p> <p>(This has been my unsolicited opinion.)</p> </blockquote>

surrealmeds: medicinethings: Isquemia Intestinal/ Intestinal Ischemia I always keep this on my DDx for abdo pain. I know it’s rare, but I...