Hagma Goldmark @Nursing_Heretic Twitter profile

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Hagma Goldmark

6 years

I follow/follow back almost all medical and public safety accounts without question. EMS. FF, Docs, Nurses, Pharm, and all of the other helpers on the team

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@bitsondatadev

@gary_tait

@eggtempest

@stw_pdg

@BlackIntegral

@Raiders_Basket

@DefGoldbloom

@tsghoffenheim

@changsohard

@NigussieKelele

@twentee7

@bdGlobalSports

@stw_pdg

@Jeff760847873

@not_jinny

@BradSpliff

@siasura

@TimoooZ_

@BaysMiah32222

@michael_rehold

@RealAIHotties

@Tom05520773

@Mrdesmondtutub

@DayaTlatel

@Kkot_kunst

@taiko_charlie

@sidyadav

@MarceloCypel

@vicsanti13

@maretu01

@nsaahome

@KSAembassyPK

@NDPMA

@solanaspov

@MeaveP90165

@Dogepunks

Hagma Goldmark

@Nursing_Heretic

5 years

@Roshan_Rinaldi Imagine being 5’0 petite female nurse working graveyards so you go shopping at midnight on your night off at the 24 hr Kroger’s. Someone is keeping close tabs on you in the store and then tries to follow you to your car. But what do I know, it only happened to my wife.

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Hagma Goldmark

@Nursing_Heretic

3 years

Congrats to our 32 year old who survived covid. Trach. Peg. Can’t walk yet and still on a vent. But he’s in the 99% who survived. Vaccination likely would have prevented all of this.

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Hagma Goldmark

@Nursing_Heretic

4 years

@darklordbane76 @lzrdqueeen Greg morales was marked deserter. The army refused to ship his remains home because of that. His mom went public saying “his body didn’t bury itself”

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Hagma Goldmark

@Nursing_Heretic

3 years

@EdHalmagyi @sallyt Im nit picking your nit pick, yes.

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Hagma Goldmark

@Nursing_Heretic

4 years

@MrPLC @artyfuckwit A basic human right is that of self determination. He gets final say on if he wants to play the royal game. Or not. He can’t be made to stay.

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Hagma Goldmark

@Nursing_Heretic

3 years

@Misty_the_cloud @lolinteractions What’s disrespectful is expecting that any of your employees owe you off-the-clock communication.

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Hagma Goldmark

@Nursing_Heretic

3 years

At an urgent care in Texas. A colleague of mine.

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Hagma Goldmark

@Nursing_Heretic

2 years

I just won my first Daisy award.

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Hagma Goldmark

@Nursing_Heretic

4 years

This isn’t the flu. Flu mortality is 0.2% By your numbers, that’s a 4% COVID mortality rate. South Korea has 7300 cases and 54 deaths. A .7% covid mortality rate. It’s lower because they are testing tens of thousands of people. Admit the testing here was botched.

Donald J. Trump

@realDonaldTrump

4 years

So last year 37,000 Americans died from the common Flu. It averages between 27,000 and 70,000 per year. Nothing is shut down, life & the economy go on. At this moment there are 546 confirmed cases of CoronaVirus, with 22 deaths. Think about that!

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Hagma Goldmark

@Nursing_Heretic

2 years

@LbudisaLila Texas provider here. I’ve asked uterus-having-patients their last period start date for my entire 30 year long career. I’m asking as a professional about something that could affect patient care. Not as an agent of the state.

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Hagma Goldmark

@Nursing_Heretic

3 years

My nursing colleagues are holding the hand of a 50ish year young unvaccinated previously healthy lady who is saturating in the 20’s and is end of life with covid. She can still respond to voice.

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Hagma Goldmark

@Nursing_Heretic

11 months

@EM_RESUS “The baby is coming right now” falls into this category of urgent truthfulness.

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Hagma Goldmark

@Nursing_Heretic

3 years

@EdHalmagyi @sallyt You produce sperm. If your vasectomy was done right, you don’t emit what you produce. Nothing about snipping the Vas deferens impairs production of sperm.

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Hagma Goldmark

@Nursing_Heretic

4 years

91 year old admitted to ICU with Covid.. Lost his wife to it 3 weeks ago. Makes himself full code, because he's gonna beat the devil that took his wife from him.. Old man is brave... or crazy... or angry.. or maybe a bit of all three... We will see how it goes.

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Hagma Goldmark

@Nursing_Heretic

1 year

@thanksgoose Thing is. You aren’t working for the police. You are working for the patient. The victim. If an officer won’t do their job and is willing to compromise a case because they don’t like your outside opinions then they should turn in the badge and go do something else.

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Hagma Goldmark

@Nursing_Heretic

2 years

One of our 30 year old covid patients was asked about code status. He said it wouldn’t come to that. That was then. Dude’s been on ecmo now for two weeks. Vtach from cardiomyopathy. CRRT. A vaccine could have prevented this.

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Hagma Goldmark

@Nursing_Heretic

5 years

Fam: Update please.. Us. We are off pressors. Still on vent and CRRT. Still dying from untreatable end stage metastatic cancer with multisystem organ failure. Her prognosis is grave. We still recommend comfort measures only. Fam: So, shes doing better?

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Hagma Goldmark

@Nursing_Heretic

2 years

A rapid response on post partum should strike fear in your heart. As it just did mine.

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Hagma Goldmark

@Nursing_Heretic

3 years

@GeorgeTakei Three of these six guys are dead from Covid.

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Hagma Goldmark

@Nursing_Heretic

4 years

@XcuseMyFro @SixBrownChicks The brides fam paid for this extravagant wedding/cheat reveal. So, it was worth him biding his time...

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Hagma Goldmark

@Nursing_Heretic

3 years

@justinmaykel Problematic as it is, it’s the patients choice (and right) to look at those results at home alone. Rather than being beholden to their provider’s schedules.

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Hagma Goldmark

@Nursing_Heretic

3 years

Just admitted a very old person presenting from a nursing home. Ams. PNA. Covid positive. Unvaccinated because fam thought it was too new. VERY angry when I refused to prescribe ivermectin. I told them there’s no evidence. I was loudly told YOURE WRONG. Thanks Faux News.

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Hagma Goldmark

@Nursing_Heretic

5 years

Ummmm. Sir. Can you NOT DO THAT, please and thank you.

Jule R O G Santos

@julesantosER

5 years

No medication! 65yo male, brought on due to two syncope episodes. During the monitoring he was asymptomatic and talking all the time. #cardiorocks #medtwitter

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Hagma Goldmark

@Nursing_Heretic

4 years

@Rica_Bee Yes. Many of us know. But many more don’t. Redheads have a genetic trait that affects metabolism of many substances. Including anesthesia. And alcohol. And opioids.

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Hagma Goldmark

@Nursing_Heretic

3 years

@justinmaykel For some folks the anxiety of “not knowing” is more disabling or distressing than knowing bad news. They can process and grieve in private instead of having audience. They can formulate their questions before return to the office. Or they can choose to wait to find out.

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Hagma Goldmark

@Nursing_Heretic

2 years

Did some old school cupped hand chest slapping percussive postural drainage tonight. Got a lot of crud up and dropped fio2 from 50 to 35%. Anyone else still do that from time to time?

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Hagma Goldmark

@Nursing_Heretic

3 years

@BioshaJ @6petsmom But i will say this. That person did you a favor. You know now and forever you can’t trust them. And you learned it day one. So there’s that.

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Hagma Goldmark

@Nursing_Heretic

3 years

And. While being fully vaccinated, I am now covid PCR positive. I almost certainly caught it at work in the ER. I was complacent and just wearing surgical masks unless strongly symptomatic or positive patient. I’m very mildly symptomatic. Symptoms started yesterday.

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Hagma Goldmark

@Nursing_Heretic

5 years

Graduated Nursing school in 1999. Still havent used a nursing diagnosis since then.

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Hagma Goldmark

@Nursing_Heretic

3 years

@LAPDHQ @LapdHarborDiv How did you address the homeless needs? It’s not clear from the picture.

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Hagma Goldmark

@Nursing_Heretic

5 years

It’s spring in Texas. And that means snakes. And snakebites. It’s also not necessary to bring the snake to the ER.

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Hagma Goldmark

@Nursing_Heretic

3 years

My Hospitalist colleague admitted a 30 year old with covid hypoxia. She was in ivermectin prescribed by a clinic/urgent care doc. That clinic provider told her don’t g to the hospital because she’s die. Admit sats were 70%

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Hagma Goldmark

@Nursing_Heretic

6 years

Rn: can you come look at bed 11? He’s looking kind of janky.... Me: janky? Is that initial or subsequent encounter? Rn: it’s acute on chronic jankiness.

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Hagma Goldmark

@Nursing_Heretic

4 years

@darklordbane76 @lzrdqueeen

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Hagma Goldmark

@Nursing_Heretic

5 years

Unpopular view. I started as an ADN.. A paramedic to ADN transition student. Ultimately adding the BSN did nothing to increase my nursing knowledge or ability, only my career mobility.

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Hagma Goldmark

@Nursing_Heretic

3 years

Had a very rough night tonight in cvicu. A postop ruptured his PA and was exsanguinating. Massive transfusion. Surgeon came from home and opened the chest at bedside. Then to OR. He lived. We just did our jobs, Well. But I felt like I was just along for the ride.

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Hagma Goldmark

@Nursing_Heretic

4 years

@doctorjenn Intellectual disability does not preclude wearing a mask. 😏

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Hagma Goldmark

@Nursing_Heretic

3 years

I’ve got 6 covid vent patients on my unit between ages of 35-50. All unvaccinated. Most were productive and healthy before covid. I’m not sure any of them will leave the hospital alive. All of this was preventable.

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Hagma Goldmark

@Nursing_Heretic

4 years

Humble brag. Just intubated a patient with a BMI of 96 on the first pass. Didn’t really want to but didn’t really have a choice either.

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Hagma Goldmark

@Nursing_Heretic

4 years

Houston’s mayor cancelled the city convention center from hosting Texas GOP convention over covid concerns. Deep Red Montgomery County to the north steps up and says “we will host you, come on”...... Its like watching a slo-mo train wreck...

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Hagma Goldmark

@Nursing_Heretic

2 years

@beckybecks0201 “Be that as it may, my last day here will be….” Then give it to hr and let them know. Good luck.

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Hagma Goldmark

@Nursing_Heretic

2 years

@TheEliKlein They should have dismissed you rather than accommodated.

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Hagma Goldmark

@Nursing_Heretic

11 months

@BlueDotUSMC Fun fact. If you go far enough left you get your guns back.

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Hagma Goldmark

@Nursing_Heretic

1 year

Trying to walk out the front door of the ER and L&D was there to get a laboring mom at triage. All of a sudden moms pants got lumpy and started crying. Helluva entrance to the world, kiddo. Baby doing well. Left a bit of a mess. Never a boring day in ER.

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Hagma Goldmark

@Nursing_Heretic

3 years

@HalothaneDoc I hate this virus. I hope your colleague makes it through this.

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Hagma Goldmark

@Nursing_Heretic

2 years

@Didi1958 @fuzzymittens No need to be theatric. Just low key pull out your cell phone and pretend to call their program director to dismiss them for the rest of the shift. Pause a moment while on the phone to ask the student their name…

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Hagma Goldmark

@Nursing_Heretic

3 years

@cmclymer They misspelled “Domestic Terrorist”.. repeatedly... White Privilege at its finest...

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Hagma Goldmark

@Nursing_Heretic

3 years

Guess how this person was feeling..

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Hagma Goldmark

@Nursing_Heretic

3 years

Managed to open a few icu beds tonight here in Texas. But only because the unvaccinated covid patients in those rooms died.

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Hagma Goldmark

@Nursing_Heretic

7 months

Another avoidable MRI accident caused by non MRI personnel putting a patient in the magnet room without the tech being part of the process. This is why MRI techs in some places would LOCK the scanner/magnet room door to prevent unauthorized access.

FOX26Houston

@FOX26Houston

7 months

Bay Area nurse crushed in MRI accident highlighting safety concerns

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Hagma Goldmark

@Nursing_Heretic

6 years

You know what America needs but will never have? A reality TV show about HOSPICE. Nobody understands the dying process anymore...

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Hagma Goldmark

@Nursing_Heretic

4 years

@MrPLC @HtownSamson @artyfuckwit So there’s the angle... you aren’t mad at him... you are mad at her... Now that we have that settled...

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Hagma Goldmark

@Nursing_Heretic

6 years

Just got an intubated pt who was tubed hours ago, roc'd and given NO sedation in ER til he arrived in my unit. I'm what they would call a bit peeved right now. (Aka fucking livid). This is unacceptable practice. And as a former ER RN see an avoidable medical error.

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Hagma Goldmark

@Nursing_Heretic

4 years

People. If you are a nurse/RT/Tech/doc &you are faced with leaving your job over PPE, there is no honor or benefit in resigning. None. If it’s suddenly going to be your last day, make them fire you. In writing. Tape it. Video it. Don’t threaten/blackmail but don’t QUIT

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Hagma Goldmark

@Nursing_Heretic

4 years

@DrMcInnisDIT Dr Burris knows that asymptomatic hypertension rarely requires urgent intervention.

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Hagma Goldmark

@Nursing_Heretic

5 years

And once again, because the family will not accept reality, I have intubated an octogenarian in multisystem failure from metastatic cancer. She will invariably die. Part of me wants my next tattoo to be "DNR" on my sternum...

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Hagma Goldmark

@Nursing_Heretic

6 years

This isn’t even the entire Dog collection. I need another bed.

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Hagma Goldmark

@Nursing_Heretic

3 years

We actually have four icu beds open. Because four covid patients in them died today after prolonged stays on ventilation.

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Hagma Goldmark

@Nursing_Heretic

5 years

@HerbsandDirt It’s also a tactic to elicit if they are sexually actively, sexually abused, being bullied or unsafe. Most of the time no new info comes out. But sometimes it does. Learn to put value in your teens health, safety and budding autonomy over your need for control.

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Hagma Goldmark

@Nursing_Heretic

3 years

I caught covid despite the vaccine. Probably from a patient at work. I’m a high risk for death or severe covid disease. I had mild disease because of the vaccine and early administration of monoclonals. I didn’t use hcq or ivermectin.

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Hagma Goldmark

@Nursing_Heretic

3 years

Saw an Er patient for anxiety like symptoms. Well, she ended up having covid. Let me tell you THAT did nothing to help her anxiety.

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Hagma Goldmark

@Nursing_Heretic

3 years

Blood pressure doesn’t equal perfusion. Oxygenation doesn’t equal ventilation. Treat the patient, not the monitor. Actually touch the patient when assessing. Listen to your patient. Slow is smooth, smooth is fast. Learn your craft. Master your craft.

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Hagma Goldmark

@Nursing_Heretic

5 years

New personal record on patients labs. Patient with sodium of 103. Yes. They were symptomatic.

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Hagma Goldmark

@Nursing_Heretic

6 years

I got two emails this week at work. One to tell everyone they are getting a $100 holiday bonus. One to the doctors telling them to choose between an Apple Watch and ipad6 as their holiday gift. I’m pretty sure I wasn’t supposed to see the second one.

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Hagma Goldmark

@Nursing_Heretic

5 years

@thelatinagirlrs @AmeliaNGibson @tressiemcphd I used to get in trouble in elementary school for correcting the teachers. They finally called mom. First question she asked: was I correct? Them: “well, yes”.

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Hagma Goldmark

@Nursing_Heretic

4 years

@sarahbellumPA @doctorjenn You are absolutely right.. the proper term should have been intellectual dishonesty.

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Hagma Goldmark

@Nursing_Heretic

3 years

@FemiNursey I don’t see why there needs to be a scene. Turn off their badges, EHR access and payroll. Deny them the satisfaction.

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Hagma Goldmark

@Nursing_Heretic

5 years

Every move you make... Every bite you take... I’ll be watching you...

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Hagma Goldmark

@Nursing_Heretic

5 years

@julesantosER

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Hagma Goldmark

@Nursing_Heretic

7 months

If you lived the answer to this, it’s time to schedule a screening colonoscopy. And get your pneumococcal vaccine.

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Hagma Goldmark

@Nursing_Heretic

4 years

Saw only 30 patients for covid testing today. 12 positives. 40% positivity rate. Most had 11/26 as their date of exposure to someone who later became covid positive. If only we had known in advance that visiting family on a holiday was a bad idea. 🤷‍♂️🤷‍♂️

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Hagma Goldmark

@Nursing_Heretic

3 years

As a veteran RN and APRN, with multiple populations and roles, and years of healthcare before nursing, I will shout from the rooftops that you have no business trying to be an advanced practice RN before you are an experienced RN. Your patients deserve that.

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Hagma Goldmark

@Nursing_Heretic

3 years

We signed our contract today. 56 acres is now ours. Looking to move in before thanksgiving.

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Hagma Goldmark

@Nursing_Heretic

6 years

Today I moonlit as a Hospitalist. Two of my 18 patients needed to vent about their prolonged hospitalizations. So. I sat there and listened to them vent their anger and frustration. Because that’s what they needed today

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Hagma Goldmark

@Nursing_Heretic

7 years

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Hagma Goldmark

@Nursing_Heretic

2 years

@gaypyxis @thanksgoose I had a nurse at a houston free standing ER do the same when I asked a patient their pronouns. It was reflective of the whole shops culture. I’m just an ally and I’m tired. I can’t imagine what it’s like for you.

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Hagma Goldmark

@Nursing_Heretic

2 years

@raindropRPH @jtrebach It’s a thing. Even the president stays under an assumed name.

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Hagma Goldmark

@Nursing_Heretic

4 years

@ScottAdamsSays If those states had allowed counting of mail in ballots before Election Day then y’all wouldn’t be able to make this argument.

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Hagma Goldmark

@Nursing_Heretic

3 years

While my wife was going to the bank to put the deposit down on our dream home, the dogs got out while she was gone. Our 100 pound grey bully Gus had a bad day on the street in front of our current land, and has died. I’m at the ER and can’t be there. For her. Or for Gus.

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Hagma Goldmark

@Nursing_Heretic

5 years

You know what grinds my gears? A nurse working in icu who lacks the natural curiosity to troubleshoot or investigate.

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Hagma Goldmark

@Nursing_Heretic

5 years

@WheezyNurse I used to do my trauma patients hair in ICU.. pick the twigs and blood out... shampoo... use lotion for a conditioner and detangle.. then blowdry with medical air.. I was fortunate when the assignment would allow me to do such things..

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Hagma Goldmark

@Nursing_Heretic

6 years

So. While vacationing at Disney I got a call. Our Emergency General Surgery service wants to interview me for their open NP slot. Disney truly IS the happiest place on earth. 😜😜😎😎👍

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Hagma Goldmark

@Nursing_Heretic

2 years

Going to admit a ROSC. Pt was discharged less than 6 hours ago. Pt was noted to be anxious about going home. This is gonna suck.

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Hagma Goldmark

@Nursing_Heretic

3 years

@DevonWaldman @BobbyBigWheel Because she was independently accomplished on her own, and owes the royals nothing for her success and popularity. She was “made” before ever meeting Prince Harry.

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Hagma Goldmark

@Nursing_Heretic

5 years

Someone I follow took a pretty good beating from a twitter mob for being "ableist" and saying the following. "If you do not make time for your wellness, you will be forced to make time for your illness. Read that again." Shes right. Shes absolutely right.

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Hagma Goldmark

@Nursing_Heretic

2 years

In Galveston, overnight the USS Texas, BB35 was raised in dry dock for the first time in decades.

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Hagma Goldmark

@Nursing_Heretic

3 years

@circus_nurse @DirtyThirtyRN Or it’s just true colors. When people show you who they are, believe them.

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Hagma Goldmark

@Nursing_Heretic

4 years

@MrPLC @artyfuckwit Sure they can... he was “born” into his position... its not his fault he was born there and it shouldn’t be held over him.

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Hagma Goldmark

@Nursing_Heretic

5 years

@AmyAddante I think this is a good incident to report to the board of medical examiners. Let them explain exactly how they felt they were acting in the mothers best interest, and if so, why they had to be sneaky about it.

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Hagma Goldmark

@Nursing_Heretic

3 years

@flattenedfrog @AmandaBecker Only thing worse than a tent with a leaky roof is discovering the roof leaks and the bottom is still waterproof.

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Hagma Goldmark

@Nursing_Heretic

3 years

@tedcruz I find it ironic that the same people wanting to blame a Chinese lab for this pandemic are the same ones who refused to support effective public health measures to contain it. Like you.

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Hagma Goldmark

@Nursing_Heretic

3 years

@tedcruz If everyone had gotten vaxxed early on we’d not be dealing with vaccine resistant strains. 🤷‍♂️ Maybe you should tour an icu. See all the unvaxxed covid patients on vents. There are plenty to see in Texas.

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Hagma Goldmark

@Nursing_Heretic

7 years

Just followed a CRNA. Just unfollowed her a moment later because she appears to be anti vaxxer. Nope. Can't do it.

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Hagma Goldmark

@Nursing_Heretic

3 years

Hearing that a paramedic colleague of mine has died from Covid. He was vaccinated, but like me had risk factors..

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Hagma Goldmark

@Nursing_Heretic

5 years

I've got an atypically large number of young folks on my service dying of metastatic cancer.. who are full code.. who've exhausted all options... And want "everything". And they will die very soon anyways. This simply sucks.

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Hagma Goldmark

@Nursing_Heretic

5 years

This image made SoMe rounds a while back. Suicide attempt using injected mercury. She lived. We talked in rounds about how it really shows lung perfusion zones so well.

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Hagma Goldmark

@Nursing_Heretic

5 years

@growlingpanther @WalshFreedom I’m not sure what universe you were living in from 2008-16 but I remember the GOP being exactly what you are lamenting. Party of NO.

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Hagma Goldmark

@Nursing_Heretic

5 years

Good news. Just passed boards for FNP. I’m an experienced ACNP, expanding my scope of practice.

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