Huh. I have apparently given up on Moonlight. That didn't take long.

Fine. It was subq. And it's the most idiot-proof of mechanisms. But it must count a little, right?

I'm a little hazy on the distinction, actually. Because I've been told I need to get a handful of meds IV, and one subQ. My last visit to CCDH, they mixed up two meds and jabbed them into my asscheek. That's neither subQ or IV, and the meds were supposed to have contradictory deliveries.

Mostly I don't get IM. Had one by mistake. I didn't really work out what was happening. I just kept staring at the IV needle saying "That hurts. That's not supposed to hurt. Ow. That hurts." Whatsisname snagged a nurse who looked, shrugged, and said "Well, can't fix that now. Drugs'll last longer."

Motherfucking hell.

My understanding is that subq shots can be given IM, because subq needles are shorter and they often won't be deep enough for IM anyway so they end up being subq.

IM shots are given because, for whatever reason, the bolus under the skin won't deliver the meds properly. If a med is not in sterile water but in something else, like oil, then it has to be IM to allow for appropriate absorption.

IV meds go directly in the bloodstream and, I'd assume, act faster.

I wish I didn't know any of this.

I'm usually asked how I want most of them: anti-emetic (emesis was a Free Rice word), anti-histamine, anti-inflammatory, and narcotic all go IV, and triptan goes subq, as per specialist's orders. I'm probably going to lose the IV war every now and again, because I'm all scarred up from elbow to knuckle, and it's taking up to half an hour and multiple nurses to get a line in.

I don't want them putting a line into my foot, which is step 2. Maybe for the occasions where they're not also giving me saline they can go IM. I hate knowing this shit too, especially since I clam up and don't articulate to the doctors because it makes me feel uncomfortable. Which is why I like to take informed company.

IV is definitely faster than IM from my experience, but the doctor who insisted on giving me IM narcotics was just giving me the 1mg. My specialist starts me off at 6, and no matter what speed they push I get hit before they've got the needle back out.

Oddly enough, IV benadryl has a very specific taste--kinda like high end vodka. Sometimes the saline flush comes with a taste too, and I'm not really sure why IV meds even do that.

I'm sorry you know this at all.

Going in the foot sounds incredibly painful, but the other options (skull IVs which I cannot stand because... I just can't or a central line, which seems extreme, but you go often enough) are pretty shitty too.

I wish you didn't need to think about any of this at all.

Little Man has been awake since 3:00 when he woke up wet. He has REFUSED to go back to sleep until now. Bless K for staying up with him and letting me mostly sleep.

If one of those implanted access thingies for injections would help mitigate some of the ER stress, I'd be all for it, frankly... but then that would be the same as admitting that ERs are an expected part of your life, you know?

Currently I'm in a break from programming class, which started at 8:30 AM. We're covering interesting stuff and moving right along, but at the same time I'm like 'wanna go out and play on the nice Saturday'. Especially after last night, when I could genuinely feel the house rattling with the force of the wind and the rain.

so much tired even though I technically was in bed 8 hours. why I stay up late is beyond me.

Now I need to get it together and go run a ton of errands. I left my wallet at work, so I have to either use my back-up credit card or wait around for my friend who has it to call.

I slept so much! I feel great! Sorry to everyone not feeling great.

In doing my career counseling homework, I came across this resume advice from McKinsey, which suggests some good questions to ask when putting together a resume. Although, what jackass includes soccer as a "skill"? I think the career counselor wants me to do more of a functional resume, which I've always been skeptical of, but I guess it makes sense if I want to move in a different direction.

Timelies all!

Woke up a little earlier than I would have liked thanks to a certain kitten in residence. I think we need to shut the door to the bedroom at night, else we get Nova climbing on us and playing loudly nearby.

Oh, the picture of the twins together made me all weepy. But then this one made me laugh out loud, so it all evens out.

Dylan is too distractable to nurse this morning, so I'm pumping while DH is in the other room wubba-wubba-ing his tummy and making him laugh really loudly. Soon we shall head out to dim sum. And I uploaded new pictures this week from when my parents were here. Buffistas will be happy to know that Dylan's favorite pre-reader-can-be-chewed-upon book features a monkey.