The problem is that his MAGAT cultists don’t believe the pandemic was real. COVID was a chiner plot, a big Pharma ploy, the vaccine killed more, they have a huge number of mechanisms to deny reality.

It seems scary. But I’ve had a bunch of non melanoma skin cancers shave off. My Dad used to call it getting the barnacles scrapped off his hull. It really isn’t that big of deal, rather like getting a cavity filled.

It’s the loss of that potential, the hope the child represents. I NEVER could do peds. Pediatric oncology or palliative care- no way.

That’s like giving a patient Vicodin for their broken arm but not putting a cast on it. You have to process the grief. But unless you are experiencing complicated grief or PTSD and medicating is recommended by your therapist, I would NOT recommend it.

The kids suck. It’s why I don’t do peds as a practitioner. The gift you gave him was huge, amazing, heroic. I’ve sat with many adult patients, most of them elderly, and that was hard. Sitting with one with so much promise and potential so cruelly snuffed out too early is horrific. Grieve this loss. You can’t just pretend it was a “bad day” and act like nothing happened seek counseling if you need it to process it. Hospice has chaplains and counselors who can help. Personally when things got piled too high, I went on my trip by myself with a dog or two for company. I had a cabin deep in the woods. I would drive there build a fire and cry, paint, drink much alcohol, hike, chop wood- whatever it took to work out the sad. Peace and blessings. Again, what you did was amazing. I’m not surprised you’re paying a hefty price.

Moved to WNC mountains from Savannah GA and totally agree with you.

He is beautiful.

As a PA, I was ALWAYS happy to order a midline, PICC, whatever the floor nurse wants. The only time I refused that suggestion was if I figured the patient was going to be discharged in 24-48 hours. And if that was happening I could order fluids subcut or flip them to full oral everything. There are so many options…

When mine find a fascinating scent, I often what it is they smell.

OMG. Forget the kid and the dog, I may hug you!!! Kids cause more problems with dogs than adults in my area. And it’s not because they are bad, it’s just because they are as ignorant as their parents. Bless you!!! If you were in my park, I’d be more than happy to help you teach dog etiquette to your kiddos.

Last couple of years of his life, I had one that was deaf and blind. He would get up and walk to the middle of a room and whine. Another dog (we had 4 at the time) would get up, sniff him all over then escort him to the water bowl, the back door, where ever he needed.

There were days where I told the kids I was in the carport and everyone needed stay upstairs until I called an all clear. I’d strip in the utility room, jump in the shower, then allow them downstairs after I was dressed again. They also knew to leave me alone for the evening if I had vitals and room numbers written on my arm and scrubs.

Feel you. I’m sorry. I usually had one a year that hit hard. I usually went to the river for the weekend and hoisted a drink or five in their memory. It’s okay to feel and to grieve. Pretending it doesn’t hit you is where the pathology starts.

Look up procedures on YouTube and you will learn so much more. There is a series on procedures like endoscopy, IV, central line, bladder cath, etc. produced by medical schools (I want to say Harvard) they are high quality and much more in depth than a TV show. Most TV shows are fun to watch because of all the mistakes and gratuitous sex. But learn medicine? Nope.

Looks like a shrimp of some kind.

Might need to see a foot/ankle specialist. I have no arch and a couple of hammer toes. Orthopedic inserts revolutionized my life. He also recommended Hokas. But the inserts were what did it

Most coworkers will not care. Just be careful around the MRI!!!

First talk to your physical therapist and see if they think you’re ready. If you don’t want to play, I wouldn’t. That knee has to carry you for the rest of your life. And you’ve already had two major traumas on it- the injury and the surgery. That means you already have traumatic arthritis beginning in the joint. There are hundreds of activities out there that will be fun and exciting for you. But you won’t be able to do them if you reinsure that knee and require a second surgery. Move on.

Seriously a life saver for us. It gave us time so I could learn and train with her. Just this weekend, we met another dog coming towards us on a walk. I started a wide detour and we successfully navigated past without single negative reaction. A couple of years ago, there would have been a battle and blood. I’m so proud of her!!

If she was a human, I’d say she has a herniated disc that’s interrupting the signals to her legs. Has she lost control of her bladder or bowels? Needs X-rays and a vet

The same thing in my pup was a melanoma.

Or a tapestry or quilt. It could show off a family heirloom.

I’m 65 years old and never thought I’d survive past 40. I did dirt bike stunts before that was a thing, raced cars, free climbed cliffs, etc. Ues I have arthritis and hard days, but my scar tissue and bad joints have been joyfully earned. You, my friend need some therapy. At 24, you are boxing yourself out of life because of fear. That’s speaks of a deeper issue than what can be managed in this forum. Get some help. In the meantime, live like you won’t make it to 40.

ENT here- totally agree. Even a flavored mouth swab can help with increasing the risk of aspiration. I would also add that one of the surgeons I used to work with held that it’s okay to let them aspirate. He would refuse to put in G tubes, saying that food was a comfort for terminal patients and they were probably already aspirating their own secretions, so why out them through the surgery.

I teach PA students about death and I’ve done a lot of research about working with kids facing death and dying issues. Let the kids decide if they want to attend. This is the time to talk about your beliefs about the afterlife. And if the kids want to be there, let them. Funny story as you grieve. One of our elder dogs time had come. My eldest, a lifeguard at the time, wanted to be there since Teddy was “his dog”. We were able to have a vet to the house, and I had treats lined up for the start of the IV, etc. Teddy was a glutton. When he saw the cheese, he got so excited, he aspirated a chunk!!! My son and I are crying and I exclaim, “Oh my God Teddy!! We are going to have to give you a Heimlich so we can kill you!!!” Everyone in the room started laughing, even as my son and I cried.