thrillionaire:

just spooning my boyfriend

out of his container

it’s ice cream

(via cheesiestart)

roman-sunshine:


i have no excuse

I want this framed in my house.

roman-sunshine:

i have no excuse

I want this framed in my house.

(Source: artistemrys)

lordessalicia:

A necessary image.

lordessalicia:

A necessary image.

(Source: flic.kr, via roman-sunshine)

Anonymous asked: What's your justification for using a 16G as your cannula of choice when according to most clinical guidelines (although unsure about your state's) it's to be reserved for aggressive fluid resuscitation? I would highly doubt that the majority of your patients would fit into the category of requiring 'aggressive fluid resuscitation' or do they- I mean you do live in Australia after all? Just curious for clinical justification- not trying to bitch you out or anything

Ohkay no problem Non. I do indeed live in Australia. 

To be honest, I find an 18G to be the easiest to put in. In all kinds of people. Even if they have tough skin or scar tissue. That doesn’t mean I put them in every patient, that just means they are my favourite to put in. I have the most success with them in general. Maybe it is in my head - a confidence thing. 

The rest of this is all experiential, no actual research went into it jsyk, but, when I cannulate (and I feel like this must be what everyone does, because it seems totally logical to me) I tend to only put the needle in until I know I’m in the vein, because I really don’t like the idea of trying to follow the vein and risk going through it. Everyone does that right? Not just me? Logical right. If that is only the tinniest tip of the needle then that is okay. And then I advance the cannula the rest of the way on its own, and I find it easier if the plastic is less flimsy because then it doesn’t bend.

To be perfectly honest, and I’m sure some people will argue me, I don’t think the gauge affects the pain level as much as people think. Things that will definitely affect how much it will hurt - the site that you decide to cannulate; the number of attempts you have at cannulating; and the amount of digging around you do. The latter two of which are greatly affected by confidence. 

It also means that I am prepared for fluid rescus if I need it, which… it is nice to be prepared for the unexpected if you are giving drugs. But like I said, that’s not the reason that its my favourite.

If someone only has tiny spiderweb veins, I’m not going to think twice before picking a 24guage. And if they need it, I’ll put in bilateral 14gauges, and I have done. I really only like to try what I know I am capable of getting if I can help it.

I hope you don’t think I am a bad clinician. Like I said, I don’t put them in every patient that i cannulate, they are just my favourite. 

YAAAAYYYYY YAAAAAAAAAAAAAAAAAAAYYYYYYYYYY I AM GOING TO GO SEE THE WINTER SOLDIER!!! YAY!
So I already got spoiled but its my own fault for being on this website at all with no savior option installed. So basically I am going to be annoying trivia person. I don’t think it will detract too much from my watching experience though. Wish me luck!

Tags: bramspam

pollums:

surprisebitch:

rimming

#this one’s for you polly

I can’t stop laughing!

pollums:

surprisebitch:

rimming

#this one’s for you polly

I can’t stop laughing!

(Source: bvids, via broadfields)

Arden Cho @ 2013 World Series of Poker

Ohhhhh

(Source: arden-cho, via and-i-cant-resurrect-you)

gaymommy:

a relationship will not cure your issues, no matter how hard young adult books and films try to push that notion on us. if you have depression or bipolar or anxiety or whatever, getting into a relationship isn’t going to cure that or make it go away. person with illness + relationship = ill person in a relationship. please don’t put all of your focus on finding someone to fix you, focus on fixing yourself the right way.

OMG this so much this. I think this is a thing that I manage to write okay in the fics that I have written that deal with this kind of thing. Or at least I hope so. I don’t know about the older ones. 

(Source: ryden-gg, via and-i-cant-resurrect-you)

There is a little number four next to my tag name but honestly there’s no way for me to get those little fours. 
Sorry if its important. 

steampoweredsass:

tywinllannister:

thepredatorblog:

tallestsilver:

ryrick:

this will never not be funny.

I REFUSE

i can’t actually breathe

It looks pissed

get out

yes!

steampoweredsass:

tywinllannister:

thepredatorblog:

tallestsilver:

ryrick:

this will never not be funny.

I REFUSE

i can’t actually breathe

It looks pissed

get out

yes!

(Source: mazerin, via broadfields)