obtund
undefined: To dull; blunt; quell; deaden; reduce the pungency or violent action of anything.
Word of the day Provided by : wordnik
obtundation
noun: Decreased level of alertness or consciousness.
Word of the day Provided by : wordnik
I work on a med surge unit in a small hospital that's supposed to be post-op, but currently every bed is COVID. My patient had blood glucose in the 600's; hospital policy says we can't do insulin drips on the med surg floor, so I was giving high doses of SQ insulin every hour. He had a GI bleed with hemoglobin persistently 7.0 despite two blood transfusions on my shift. His stool was entirely blood and clots, 500-800mL several times a day. He couldn't be scoped because he was on 40L of oxygen at 70% FiO2. Got an EKG in the middle of the day because his heart rate jumped up to 150--he was in a fib with RVR. Hospital policy says we can't titrate cardizem drips in med surg, though. I left last night unsure if he would be getting an ICU bed, as we had another patient on the floor who had been obtunded for over 12 hours and another maxed out on BIPAP.
I had 3 other patients, all COVID, all on more than 10L of oxygen. All unvaccinated. This feels like a nightmare that will never end.
I'm in shock right now and honestly I don't know if I should walk back my renewal for my contract that I have here. I had this person for only two days or so when they were alert and oriented. Admitted for hyponatremia. I work nights and I initially noticed she was on lithium but no levels in a year. So I ask days to possibly get one, and they aren't able to. So next night I page the doctor and nothing. Ok, maybe they found a level from out of the hospital system and I just couldn't see it. The patient was fine, alert and oriented and was a bit hyponatremic. Nothing crazy really, doctors know wtf their doing.
Heard from another nurse that ultimately the patient went completely obtunded with seizures days later. When she finally was able to get a lithium level ordered, it was high. The on call doctor apparently said "nothing we can do about elevated lithium levels". The rapid provider apparently said "guess this is her new baseline" referring to her mentation.
After nearly 12 hours of the shaking with no IV Ativan given, they finally ordered an ICU consult where she was given Ativan, and supposed to be emergently dialyzed. She died. I don't know where else to talk about this, but I'm honestly floored. I've never worked in a facility where something like this could happen. It's not a well run facility, night coverage is hard to get, but ultimately I thought a facility with doctors and nurses would catch something like this. Days ratios for the nurses can frequently be 6:1, and that was the case when this patient was here. I don't know where to mentally go from here other than frustration, anger and never ever putting my trust in a doctor again in a facility that is not well run. How can a hospital in the USA fail this badly?! Fuck for profit healthcare.
I don't want to step on anybody's toes here, but the amount of non-dad jokes here in this subreddit really annoys me. First of all, dad jokes CAN be NSFW, it clearly says so in the sub rules. Secondly, it doesn't automatically make it a dad joke if it's from a conversation between you and your child. Most importantly, the jokes that your CHILDREN tell YOU are not dad jokes. The point of a dad joke is that it's so cheesy only a dad who's trying to be funny would make such a joke. That's it. They are stupid plays on words, lame puns and so on. There has to be a clever pun or wordplay for it to be considered a dad joke.
Again, to all the fellow dads, I apologise if I'm sounding too harsh. But I just needed to get it off my chest.
The nurse asked the rabbit, “what is your blood type?”
“I am probably a type O” said the rabbit.
The doctor says it terminal.
Alot of great jokes get posted here! However just because you have a joke, doesn't mean it's a dad joke.
THIS IS NOT ABOUT NSFW, THIS IS ABOUT LONG JOKES, BLONDE JOKES, SEXUAL JOKES, KNOCK KNOCK JOKES, POLITICAL JOKES, ETC BEING POSTED IN A DAD JOKE SUB
Try telling these sexual jokes that get posted here, to your kid and see how your spouse likes it.. if that goes well, Try telling one of your friends kid about your sex life being like Coca cola, first it was normal, than light and now zero , and see if the parents are OK with you telling their kid the "dad joke"
I'm not even referencing the NSFW, I'm saying Dad jokes are corny, and sometimes painful, not sexual
So check out r/jokes for all types of jokes
r/unclejokes for dirty jokes
r/3amjokes for real weird and alot of OC
r/cleandadjokes If your really sick of seeing not dad jokes in r/dadjokes
Punchline !
Edit: this is not a post about NSFW , This is about jokes, knock knock jokes, blonde jokes, political jokes etc being posted in a dad joke sub
Edit 2: don't touch the thermostat
Do your worst!
How the hell am I suppose to know when it’s raining in Sweden?
We told her she can lean on us for support. Although, we are going to have to change her driver's license, her height is going down by a foot. I don't want to go too far out on a limb here but it better not be a hack job.
Ants don’t even have the concept fathers, let alone a good dad joke. Keep r/ants out of my r/dadjokes.
But no, seriously. I understand rule 7 is great to have intelligent discussion, but sometimes it feels like 1 in 10 posts here is someone getting upset about the jokes on this sub. Let the mods deal with it, they regulate the sub.
They were cooked in Greece.
I'm surprised it hasn't decade.
He lost May
Now that I listen to albums, I hardly ever leave the house.
Two muffins are in an oven, one muffin looks at the other and says "is it just me, or is it hot in here?"
Then the other muffin says "AHH, TALKING MUFFIN!!!"
Don't you know a good pun is its own reword?
For context I'm a Refuse Driver (Garbage man) & today I was on food waste. After I'd tipped I was checking the wagon for any defects when I spotted a lone pea balanced on the lifts.
I said "hey look, an escaPEA"
No one near me but it didn't half make me laugh for a good hour or so!
Edit: I can't believe how much this has blown up. Thank you everyone I've had a blast reading through the replies 😂
It really does, I swear!
Said if she ever hosts a gender reveal party, when it comes time to pop the balloon she'll spray everyone with water.
Gender is fluid.
And now I’m cannelloni
Because she wanted to see the task manager.
But that’s comparing apples to oranges
And boy are my arms legs.
Put it on my bill
Amy
Heard they've been doing some shady business.
but then I remembered it was ground this morning.
Edit: Thank you guys for the awards, they're much nicer than the cardboard sleeve I've been using and reassures me that my jokes aren't stale
Edit 2: I have already been made aware that Men In Black 3 has told a version of this joke before. If the joke is not new to you, please enjoy any of the single origin puns in the comments
