T minus two weeks

Jul. 25th, 2017 07:53 am
kareila: (escherknot)
[personal profile] kareila
I had a pretty good weekend - went to see Valerian with the usual suspects on Saturday and Dunkirk with my mom on Sunday. I don't usually seek out war movies, but Dunkirk was more a story of survival, and the braided narrative structure helped to make an overwhelmingly large-scale event feel character-driven. I would see it again. On the other hand, Valerian was surprisingly disappointing. The visuals were amazing, but the humor and ensemble feel of Fifth Element were missing, and the human characters had no depth. It reminded me more of Jupiter Ascending, except JA was more fun.

I've made some progress on reorganizing the kids' bedrooms. I had originally considered moving both bookshelves into Connor's room, but now I'm thinking a better use of space would be to leave Will's shelves intact and figure out some new clothing storage. Right now, most of Connor's clothes are stored in Will's room in their old changing table, and Will's shirts and jeans are in stacks on the floor. Some lightweight, relatively narrow storage shelves might be a good solution in both rooms.

I was inspired to start yet another knitting project following a conversation with my mother-in-law last week. I had read about Moebius strip scarves but hadn't tried making one until now. They're surprisingly fun!

I've also successfully cleaned out the worst of my email inbox and cleared some space on the DVR. Breathing room is good.

Today we're going to go see what's new at the McWane Center, since we haven't been all summer.

Man what a week!

Jul. 22nd, 2017 01:29 pm
hillarygayle: (Nurse Sakura)
[personal profile] hillarygayle
Worked all last weekend. You wouldn't believe how many hand lacerations I've repaired. I'm going to need to ask everyone in my geographical area to please step away from the heavy & sharp objects. I've had 3 crush injuries and at least 6 lacerations in the last 4 shifts I worked. The most impressive damage was someone who accidentally put their arm through a glass & metal door. Y'all, don't expect a door will hold your weight!

I've also had 2-3 admissions, which is unusual for the area of emergency in which I work. They try to send the lower acuity folks over to the Annex (where I work) because there are fewer infrastructure type resources (heart monitors, vital sign machines, only a Omnicell & supply Pyxis), so most of what I see are simple laceration repairs, twisted ankles, sore throats, chronic low back pain that magically became an emergency at 6pm on a random Tuesday, krunny noses, & the occasional N/V/D (nausea, vomiting, diarrhea). Every so often, a VERY high acuity patient sneaks in because they simply don't look bad to the naked eye--it takes some digging to find the real problem. In the last year I've admitted a major heart attack who came in because of a cold, a hip fracture (bad enough to need next-morning surgery) that walked in, a pneumonia patient who had no fever, no cough, and just a little shortness of breath, and a back pain that turned out to be a ruptured kidney! My admissions this week were along those lines: walk in looking not bad at all--run a white blood cell count or get an x-ray or two and OH hey, why don't you come in & stay for a night?

Of course it hasn't helped that I was sick this week. Bryan went to a teacher training last week in the exotic far away lands of Arkadelphia and he brought home this upper respiratory virus which he then thoughtfully gave to me. Booooo. I was okay on Tuesday, sick on Wednesday, and then yesterday was REALLY bad. Fortunately I didn't have anyone who checked in with cold symptoms, because I probably would've stomped on their foot. When you're rocking pseudoephedrine, prednisone, acetaminophen/ibuprofen combo, and oxymetazoline nasal spray just to function enough to come to work, and someone comes in with a runny nose wanting a work excuse? Breeds just a touch of resentment.

I do believe things are about to change a bit though. We recently hired several more nurse practitioners. It's enough that M, the physician owner of the staffing agency for whom I work, has decided to start staffing the Main ER with 4 NPs per day: 2 from 09:00-17:00, and 2 from 17:00-03:00. This is in addition to the Annex, staffed by 1 NP from 09:00-21:00 and one from 11:00-23:00 (usually me). As the 2nd most senior employee, I get to state a preference for more shifts in Main or Annex, and I'm going to go for Main for sure. Not only am I specifically trained for that, I'm almost a year into my practice. I'm comfortable with my work flow and my processes, and once that happens it's only a matter of time until boredom strikes. UNLESS I'm learning new things, that is--which is what happens over in the Main ER with the very ill patients who come in. Lots more experiences interpreting labs, which is something I'd like to get better at.

My RV really wants to go somewhere! Ganon's birthday is Monday, and between that & my work schedule, there's no time for us to take the RV anywhere before school starts back. I'm going to plan us a trip to northwest Arkansas anyway, though. That can be done in just a couple of days. We can stay at an RV park over in Bentonville or Bella Vista and see the Crystal Bridges Museum of American Art and the Amazeum. A trip like that might even be MORE fun on a random weekend during the fall, when the heat is less unbearable. Even later in the fall would give us the gorgeous foliage of the Ozarks.

We're going to our first Dragon*Con over Labor Day weekend! I'm so excited! My mom is working on a costume for Ganon to dress as Link from BotW. I can't wait for...

Ganon: I'm Ganon.
Fan: Don't you mean Link?
Ganon: No, I'm cosplaying as Link. My NAME is Ganon. :D

I'm taking one cosplay outfit: my Pokémon professor costume from last Halloween. It's incredibly easy. It's just one of my old lab coats to which I sewed a Pokéball patch on the front. Put that on over one of my cute dresses, and *poof*! Pokémon professor! I already have a bit of an animated look, with my colorful hair and my professor-type glasses and my stand out makeup. When I wore it last Halloween, people knew instantly--even the parents at houses we went trick or treating at. Other than that, I think I'm going to stick with my geeky shirts & skirts from Her Universe & Tee Fury.

Right now, however--I am craving pizza with mushrooms, and I just found that Lost Pizza now supports online ordering. It's go time!

(no subject)

Jul. 21st, 2017 08:13 am
cesy: "Cesy" - An old-fashioned quill and ink (Default)
[personal profile] cesy
More things I have learnt from physio - mainly notes to self. I suspect [personal profile] hagar_972 and [personal profile] taennyn may have useful experience here, where I'm just starting out on the same journey they've already been on.

Muscles in the thigh - VMO, lateralis, the big quad one, the sartorius one across, adductors on the inside, abductors on the outside. VMO needs extra strengthening due to hypermobility. The small stabilising muscles tend to give up, then the big muscles compensate, and that's why my hamstrings get tight all the time. Then the hip/bum ones like glute max and glute mede also need help, particularly the latter.

Making sure things activate in the right order is hard. If the lateralis activates before the VMO instead of at the same time, then my kneecap slides sideways and that's one of the reasons it hurts. Trying to activate the VMO first will retrain it so they both go at the same time.

WIP Wednesday - Week 29

Jul. 19th, 2017 10:25 am
kiwiria: (Default)
[personal profile] kiwiria
The designer who made all the cool fruit coasters put out another design for testing this past weekend. Of course I had to sign up so I could add to my collection, and fortunately she was happy to have me on again. 'Twas supposed to be another orange, but I had misplaced my orange yarn, so it ended up being either a very unripe orange or an apple instead.
Don't care - either way, I like it :-) It's currently blocking and looks a bit misshapen, but I think it'll add nicely to the collection.



I still need another 700 meters to reach my stashdash goal, so decided to finally cast on for the Exploration Station. The first 6 wedges were plain garter stitch and went really quickly, but now I've started on the brioche section... and that's going to take awhile. It's not nearly as difficult as I'd feared though... and I am childishly amused that the stitches are called "bark" and "burp" ;-D



I've also started yet another sock (Yes, this is the 5th sock currently on my needles. Yes, I could theoretically finish stashdash just by finishing off those socks. Schh! Stop making sense, you!), as Nina mentioned my nieblings might enjoy some handknit socks for the cold mornings. The colour is way off in this photo as it's actually a gradient from green to grey... but what can you do. I also have some ideas for fun decorations on the leg. We'll see how it works out. I'm knitting these with true afterthought heels, so I'll have to cut the yarn once that time comes. I need to measure it tonight, but I think I have another 10-15cm to go on the first leg.

Work Venting

Jul. 16th, 2017 09:09 pm
rebelsheart: Text: Experience is the name we give our past mistakes. (Experience)
[personal profile] rebelsheart
So Friday at work, an hour and a half after I'd intended to leave, I finally finished everything that had to be done by Monday. So did FTE coworker H. So of course, we spent 30 minutes chatting about our manager having been a bit of a jerk earlier that day and then doing math that I can basically describe as stress validation.

During a call with our manager, H started to complain that we had a lot of work to get done, and was cut off by the manager, who asked if we thought if teams in the other divisions (notably, he referred to what used to be his only team, in South). We were both put off by this, and we weren't trying to compare our workload in relation to other divisions, only to the other two regions in our division.

While there is a restructure in progress on a national level, it's not expected to be done until sometime in the first quarter of 2018. In fact ,the last divisional team to incorporate into the national restructure will be ours.

We looked at active directory and tried to get an idea of how many users each regional team in our division had. H and I make up two thirds of field IT in the Mountain region, with contractor C in Salt Lake City being the other.

Mountain has 370 users and three field techs across three states.

California has 260 users and three field techs and a supervisor. Somewhat obviously, it is only one state.

Northwest has 168 users and three field techs and a supervisor across two states.

Apparently, back before H had a horrible car accident and missed a year of work, there were three field techs, a supervisor, and the divisional manager in Mountain. There was not a supervisor when I started in May 2016. The divisional manager left in march 2017 and his position was eliminated as part of the restructure.

The math we did was users per tech. We did the math two ways, as the supervisors do pick up tickets in addition to escalations.

Mountain: 123 users per tech.
California 65 per tech (87 if you ignore the supervisor).
Northwest has 42 users per tech (56 if you ignore the supervisor.)

That math alone validates our frustrations in our opinion, and I kind of wish we'd gone into the call with the manager with this knowledge.

Now here's the iffy math. Mountain is 3 states: Colorado, Utah, and New Mexico. H and I are the primary support for all but 2 (extremely remote) users in Colorado. C, based from Salt Lake City, handles those 2, as well as all of Utah and New Mexico as his primary users.

C has maybe 70 users for whom he is primary support. I'm guessing half of those are in Salt Lake City. Our AD doesn't break users down that far in OUs, and we didn't really want to count.

Colorado has 4 outlying offices with maybe 30 people between them, and it might be as low as 20. The downtown Denver office has 70, half of whom will be moving to the largest office in the state at the end of August. That office hosts all of operations for the division, and serves as the base for several national teams.

Now you get the idea of just how stressed and frustrated H and I are.

And I can safely say that the stress is impacting my personal life as well. I rarely spend time in front of any sort of computer system anymore to relax. Guild Wars 2 I log in to for mostly missions. I didn't touch the Wii U for probably 2 months, having spent 6-8 hours a weekend playing Breath of the Wild since it launched. I don't even play the games on my phone often, other than to occasionally distract me from work when there's a moment or two to do so.

Once again, I'm burning out, and I don't know how much longer I can last. I've been a contractor ever since I moved to Colorado, and that will be 3 years in August. I started my first job here on October 20, 2014.

I'm looking forward not only to the Disney world trip in October, but the convention in December as well. And I'm barely two weeks back from the last one.

Question thread #54

Jul. 14th, 2017 08:47 pm
pauamma: Cartooney crab holding drink (Default)
[personal profile] pauamma posting in [site community profile] dw_dev
It's time for another question thread!

The rules:

- You may ask any dev-related question you have in a comment. (It doesn't even need to be about Dreamwidth, although if it involves a language/library/framework/database Dreamwidth doesn't use, you will probably get answers pointing that out and suggesting a better place to ask.)
- You may also answer any question, using the guidelines given in To Answer, Or Not To Answer and in this comment thread.

Wheelchair recs

Jul. 13th, 2017 07:22 pm
cesy: "Cesy" - An old-fashioned quill and ink (Default)
[personal profile] cesy
Your first wheelchair by [personal profile] kaberett was brilliant for helping me upgrade from Shopmobility's hire chair to something designed for active use and being pushed by the person in it rather than a carer.

The Spinal Cord Injury Empowerment Project by the University of Washington has excellent videos on wheelchair skills. The American accent and cheery tone grates after a while, but it's very useful info and nicely bite-sized.

(no subject)

Jul. 11th, 2017 05:02 pm
synecdochic: torso of a man wearing jeans, hands bound with belt (Default)
[personal profile] synecdochic
holy shit

Last night I was like, nah, you're seeing things, wishful thinking, etc, but after treatment #2? The cords really ARE shrinking, dramatically so.

"Stops progressing" would have been a good outcome. Actual reversal happens in a minority of cases, almost always in patients who treat it very early. I'm SO FUCKING GLAD I insisted on going as aggressive as possible. Even if I wind up with more chronic pain out of it, I'll keep use of my hands for a fuck of a lot longer, thank ANYTHING THAT WAS LISTENING

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