Emily Elizabeth Rose

love bambleby to death, but I also adore the gentle satire of academia where men can get by being charming and confident while emily needs rigorous hard data to be taken seriously. and he gets his grad students to do everything for him (lmao) meanwhile emily is literally trudging up to the rocky mountain spring every day

bambleby is lovable in spite of this because of course he is actually a faerie prince who is not beholden to the laws of academic integrity. like, that's the joke.!! but if he wasn't, emily would eat him alive.

anyway just obsessed with a book that has such a sweet whimsical tone but is also a dead-on-the-nose satire of academia, it makes the whole thing feel so much more real, and emily's victories are so satisfying

reading emily wilde's encyclopaedia of fairies and wendell bambleby is the closest character we have gotten to (book more than movie) howl in a WHILE. top notch energy from him, emily, and the two of them together

Dogs have had many jobs throughout history, in this case: Revenge.

love how the king was just like nah let's see where the dog is going with this

currently maybe possibly single-handedly crashing whatever servers eton hosts its archived student newspapers on because me and a friend are getting obsessed with a single outspoken prefect from 1883

@queenlua Happily! This is going to be long, so here's some set dressing first:

Eton College, for anyone unfamiliar, is a prestigious boys' school in England that has famously educated MANY MANY politicians, royals, nobility, and other assorted famous people. All you really need to know about it is that's it's incredibly posh and expensive and exclusive

The Eton Society (called “Pop” internally) is a self-selecting body of senior students at Eton that have historically held a decent amount of power at the school. If you’ve ever attended a school with a prefect system/house system etc you probably know a little bit about how obnoxious this kind of group can get. Now imagine they're all called Lord Godfrey Pickerington or something. Are you getting it? Is the set being dressed? Good.

Now that the scene is set, here’s our tale!!

I stumbled into Eton’s archives while doing research for a fanfiction and we’ll just leave that admission where it is!! It was in reading old issues of their student-run paper, The Chronicle, from 1883 that myself and @carebewear started becoming fixated on one guy in particular.

Cecil B. Gedge (from this point on known as Gedge) was a member of the Eton Society in 1883/84. He won a few Science awards during his time there (Biology!!) and seemed to like rowing during school sports events. He went on to become a barrister, which will make sense once you know more about him.

The best part of Gedge, though, is his appearances in the minutes for the Eton Society meetings. At least at Gedge’s time, the Eton Society seemed really fond of staging debates (more like loosely organised discussions) on a wide variety of topics.

Here are some of the riveting questions they discussed!

And my personal favourite: "Are Ghosts Real?"

(They were very divided)

Gedge first came to our attention in debate about the annexation of New Guinea, in which he apparently started an "abusive attack on the British army and missionaries":

Wow! Based Gedge!? He continues to spit period-typical truths about things like how we shouldn't tax bicycles actually because it would disproportionately affect poor people. YIMBY Gedge?? He would've loved light rail.

The final nail in our Gedge obsession was a debate on women's suffrage, in which Gedge vehemently advocates for women's right to vote and then gets no supporters at the end of the meeting. But I appreciate that he said it anyway and kept saying it. He is more persecuted that Christ, to me.

Here are some more, from anti-conscription sentiment to indirectly calling his classmates stupid to weirding everyone out by saying he wants to donate his body to science (his friend dissecting him for fun):

We started getting the feeling people might not have liked Gedge that much, mainly since one of the Society members wrote a poem about all his friends and Gedge isn't in it.

In 1884, there was some extended drama in the Chronicle where someone whom I groundlessly suspect was Gedge under a pseudonym ("A Socialist"), wrote to the editor complaining that the "debates" published by the Eton Society were "bad" (genuine quote) and that they should make a REAL debate society at the school that ALL boys, not just the self-selected seniors, could participate in:

To make a long story short most of the vocal members of the Eton Society threw up their hands at this and refused to do anything, basically boiling down to "Just because we're the prefects of the school doesn't mean we should have to actually DO anything!! Unfair!!" and also this quote which reads exactly like at least a thousand real tweets I've seen in my life

Liberal. Gedge, of course, was there giving practical suggestions, but the discussion was ultimately cut short because their principal died and they had to push a memorial issue of the paper. We have a working theory that the staff might've used that interruption as an opportunity to get the boys to cut it the fuck out.

Anyway it's a little unclear what happens to Gedge after that. He isn't credited as being in the 1884 Eton Society in the larger school register but it's unclear if that's because he wasn't re-elected or if he just graduated. Either way, he went on to become a barrister in London, which makes a lot of sense. Sadly though, he passed away in WW1, which we were really normal about

Thank you Lt. Gedge, for truly embodying the eternal spirit of an outspoken debate-kid, a friend to the lefties, a proto-yimby, a terminal back-talker, and the kid in a biology class that's a little too excited for the dissections. I hope your life, however short, was a rich and bright one. Thanks for the incredibly entertaining afternoon, brother 🫡

“Cecil GEDGE was almost certainly killed in the Garhwal Brigade advance that was stopped on the German wire. One source tells us that "He went to France in June 1915 when he was attached to the Grenadier Coy., Garhwal Brigade, and was killed in action at the Battle of Loos on 25 September. His Colonel wrote: He was wounded early in the advance and came back and had his wounds dressed, and then went out again to lead his men, and he has not been seen since. He was a brave English gentleman, and we are glad to think he was one of us. I am very sorry to say I have had strict orders not to send forward for 'Mention' any officer who has been killed. If it were not for this very strict rule I should have sent forward your husband's name. A brother officer wrote: There is one thing that may console you, and that is, your husband showed the greatest courage. He was wounded by shrapnel early in the morning, but refused to go back. He just had his men bind him up, and when the order came to go over the parapet, he led his men over like a hero. Cecil was a Member of the Inner Temple having followed his father into the law. He was born on 20th February 1866 so at 49 was certainly not a young man when he was killed. He was educated at Eton and Trinity College Cambridge. He was called to the Bar (Inner Temple) as a barrister in 1891, and afterwards practiced on the South-Eastern Circuit and at the Essex and Herts Sessions. On the outbreak of war he enlisted in the 23rd Middlesex Regiment (The Sportsman's Battalion) and was later commissioned as a 2nd Lieutenant in the 1/3 London Regiment in April 1915. His decision to enlist in the Sportsman?s Battalion was no doubt influenced by him being a good sportsman, being well known in Switzerland as a curler. He was a member of the MCC. He was also a keen scholar, and had edited various publications, including Granta in 1890, Huts, 1902-3, and was sub-editor of Lord Halsbury's Laws of Ayland. He married. Jessie Bickley at St. Margaret's, Westminster on 6 Aug. 1892, and had a daughter Sydney Jessie in 1893. 2/Lieutenant Cecil GEDGE is remembered at St James's Church in Stedham, West Sussex and on the Mitcham War Memorial and is also named on a family grave in the nearby churchyard of St.Peter and St.Paul”

Not me uneasily wondering early in the post whether this legend of an Etonian was eventually going to wind up in WWI and feeling optimistic after calculating that he would probably have been too old to serve...

DAMMIT GEDGE!

in fucking Tears thinking about how disgusting a baby griffin would look

behold. my ugly son.

don’t know how to draw baby birds but here u go I drew your son

You know what I’ll also throw my hat in the ring as I drew this while thinking the same thing a few years ago

Everyone is wrong except me. And also my small council of beautiful and moderately-adjusted women. If we disagree on something then it's only because the topic is nuanced beyond your simplistic, profane understanding.

Just noticed something...

This part of Iron Flame noting how Riders are usually discouraged from politics and are discouraged from keeping their family seats.

Xaden's grandfather who was Sgaeyl's former rider was said to have died without making it out the quadrant. We know assassination attempts on students with powerful parents happens. So maybe this was an assassination carried out because of the power dynamics mentioned above. The future Duke of Aretia being a rider? Bonded to one of the strongest dragons out there?! It's what I'm thinking because why else mention the fact that he died while in the school? Info drops like these are purposeful.

My first question is timeline wise... WHEN did he have Fen 🤣🤣?!! I'm assuming he wasn't married since you can't get married until you leave... Unless he was married before entering the quadrant. Maybe marriages don't play that much of a part in the legitimacy of heirs for the Tyrrish 🤷🏾‍♀️.

Next question is, was this a case like Aaric? He found out what was going on and decided having a dragon would help the effort to fight the venin?

It brings me back to my questions in a previous post wondering about how much the Tyrrish know.

They're described through out the series as having been the last to join the unification, seen as troublesome or prone to unrest by Navarrian leadership, the Tyrs describe themselves as being 'loyal to their own' which makes me think of the kind of cultural identity people have when they're discriminated against...

It seems like the Tyrrish have been aware of the fate of the continent for a long time - or maybe only their leadership? They maybe have always had issues with Navarrian rulership decisions and being last to the party of unification and objecting to things would give them the reputation of being 'too proud' or 'thinking they're too good to submit to the king'.

Maybe Fen grew up being aware why his father died and decided to try another route to change. Let us become our own country so we can deal with this problem ourselves.

And the Navarrian top brass like Markham were just waiting to finally have a reason to drop the hammer on the Tyrrish people. Crushing a rebellion is one thing... But to raize a capital city to the ground?! A city described as having been beautiful?

Seems like a purposeful psychological blow to the people. Very publicly defame your beloved leader, take out almost everyone affiliated even loosely with the rebellion planning - Liam's father's execution even though he wasn't involved, and I bet he wasn't the only family member to get that treatment - they'd even wanted to execute the damn children! Cripple their financial centre by burning the capital, which would give them something else to focus on in the years to come, trying to rebuild their lives!

They humbled them, invalidated the claim they fought for, crippled them financially and painted a target on their back for the disdain of the rest of the kingdom. Amber Mavis was literally described as 'one of the good ones' because her family didn't take part in the rebellion!

Jesus fking christ!! Someone stop me! Cue 'make it stooooopp!!' screams like Jeremiah 😅😅

The more I think about this damn series the more insidious things start to look, the more glaring Navarre's crimes. The Tyrrish are entitled to freaking reparations man 😭😭!!!

This. Everything. This right here.

Also, if too much power terrifies people why the hell did they put the rebellion kids in the riders quadrant?!

Has there been a marked one who hasn’t bonded a dragon? Maybe because they are always enlisted the government would have eyes on them always but…somebody miscalculated.

Also I live for these Tyrrendor theories. We need our own club, or tree to meet under once a month and just theory out 😂

@she-whatshername I will gladly join the Tyrrendor Theories club because the way these books have taken over my brain 🤣😭!!

Honestly I think they thought the dragons would have executed the marked ones at all the weeding out processes - presentation and threshing. The top brass knows where their dragons stand, maintaining the lie or at the very least are indifferent about it.

But since the whole Empyrean is split down the middle on whether to take action or not, I guess they were hoping they'd butt up on other dragons that aren't for sharing wards or helping Poromeil over the safety of the Veil.

That plus the angry cadets who have been soaked in the disdain for the Tyrrish. I honestly think the brass thought they'd be picked off on several fronts and most wouldn't be an issue by graduation. Then they'd get to drop them off at an active border in their first year and they wash their hands of them.

What they didn't expect were sympathetic dragons, the absolute unit that is Xaden Riorson coming in and making it, as he said 'becoming the monster they needed him to be' - he probably came in and thoroughly humbled or killed anyone who attacked him or any of the other marked ones (as he did with the prince that attacked Garrick) and drove the fear of god within the other cadets 🤣🤣. That would've lent a buffer to the other marked ones after that, that at the very least if anyone wanted to pick off a marked one they had to be a bit more careful about it.

That and that the Tyrs themselves got that dawg in them!! They were already angry and ready to fight back too lol.

This was very lovely to wake up to. It's completely legit, in the replies people posted videos and pictures of the 'walk for El Vaquita', the fake protest to get El Vaquita desperately needed medical attention.

The comments in the tweet lead to celebration of a another Chilean comrade doggo named Negro Matapacos. And this is exactly the kind of education I want this month.

I love him. also

same energy

I often think about that post that was a fake dating profile for a cat that was all about chickens, like wanting someone with posable thumbs for opening chickens.

This is one my favourite things the internet has ever made.

I truly believe that fiction is an invaluable way to examine parts of our own world through a different lens.

HotD could have been one of the best vessels of our day for a discussion on patriarchy and I hate that it was turned into a sports game where the 'team' HBO had to invent either needs to deny it's about patriarchy, twist the message about patriarchy back onto the victims, or celebrate patriarchy.

Blah.

Being a native who's studied colonialism means that I know wayyyyy too much about blood quantum. I know how stupid it is, how it's tied to eugenics, but I also know how it "works."

Which means I can use my stupid-power to do this:

Well this took a turn.

Alyssa VELARYON gave birth to Jaehaerys and Alysanne Targaryen - making them 50% targaryen 50% velaryon They married each other, making all their kids 50% velaryon Baelon and Alyssa, their kids, married and had Viserys and Daemon, both 50% velaryon 50% Targ Daella married Rodrik Arryn, had Aemma 50% Arryn 25% Targ 25% Velaryon (We don't know Rodrik's mother so he's down as 100% Arryn but in reality he's a mix of his maternal heritage too)

Aemma and Viserys married producing Rhaenyra 37.5% Targ 37.5% Velaryon 25% Arryn Her kids have fucking Velaryon blood regardless of the parentage which is AMBIGUOUS in Fire and Blood and the boys were legally claimed as Laenor's by Laenor and Corlys

so suck it Vaemond you useless sexist

An indefinite list of every time James Beaufort was the most head over heels pathetic pining mess over Ruby Bell

no lie i genuinely believe brands are so behind the pleather movement bc they can just buy cheap plastic sell it as expensive 'vegan leather' and be ready for you to return in a couple years to buy another 'vegan peeta approved™ leather jacket' bc they last like 5 minutes compared to the way leather lasts decades all the while you can pat yourself and coorporate's back for being sutainable all the while pvc (what some fake leather products are made of) has been labeled the single most environmentally damaging type of plastic and while there are non pvc fake leathers such as pu leather... its not like thats much better producing plastic pollutes and the second your pleather clothes start to breakdown (which happens much faster than you think) theyll wound up on landfills for at least a 100 years...

also they love love LOVE to try and sell you "plant-based leather" that you then look at the details and it's "45% cactus" or whatever and there's no mention of what the rest of it is

it's plastic.

it's always plastic.

Let me tell you a story.

50 years ago or so a cow died. It died in a slaughterhouse after a life on a cattle ranch. It was butchered in a meat packing plant, and it's body was sent off to a grocery store where it then became an overdone steak or a dry hamburger or maybe dog food. It was the 70s and people had only recently realized that you could put food in things that were not jello. Cut them some slack.

But its skin went to a tannery. And that skin was processed in the hide and then leather. That leather was bought by a clothing company who made jackets out of it, long leather dusters for working men and ranchhands. Cowboy shit.

The dead cow that is now a leather jacket is not technically waterproof because if you stand out in the rain for 6 hours water will eventually work its way through the seams at the shoulders. But its pretty damn waterproof. It keeps off the rain and the snow and the dust and the mud and the brambles and it doesn't melt if it catches a spark. So 50 years ago a man bought one and he wore it pretty much until he died and his wife shoved it in a closet. Decades of use, from the deserts in the southwest to the arctic, because it turns out that cowboys are wildly adaptable.

Anyway, I pulled grandad's jacket out of the closet a while back and there is nothing wrong with that coat. It does have some distinctly non-modern vibes, but more importantly it is cool as hell and looks almost new. I have seen faux distressed leather that looks worse.

The cow is still dead. There will be another cow that dies tomorrow for the same reason. But there's no market for leather these days. Its skin won't be a garment that lasts 50 years. Its gonna rot in a pile with all the others. Someone will sell a "vintage" cowboycore Americana aesthetic dark academia plastic peice of shit that will be garbage in a year. And then they'll sell another one.

That cow, that became a leather coat?

It's probably also a saddle that another cowboy is still riding.

And several belts. Probably some wallets, several gloves, some riding tack.

Nobody who doesn't work with leather understands how much material you get from one cow. I have sides (like 1/4 of a cow) that I've been making things out of for years and there's still lots left in my materials stash.

Once that coat is too worn out to wear, there will still be lots of the leather that's still good. Someone who can't afford to buy hides will probably make smaller things from those pieces (that's how I started working with leather).

Even when every piece of that hide is completely unusable, it will decompose like it was originally going to, and shed no microplastic particles. A synthetic alternative lasts a fraction as long and sheds microplastics for its entire life.

You also can't use that synthetic leather for many of the things you'd use real leather for. It's not fire resistant, so welders can't use it to protect them from sparks. it doesn't have the tensile strength of real leather, so you can make equestrian tack out of it. It doesn't provide any abrasion resistance, so you can't make motorcycle leathers from it. It can't be used for protective equipment in sports like archery, because it would disintegrate under normal use.

Synthetic leather can only be used in place of real leather in fashion and upholstery applications, and it's not very good at either. It requires hundreds of times more material for the same applications due to its short lifespan, and it produces plastic pollution constantly.

There's literally no good argument for replacing real leather with synthetic alternatives. Even if you want to go the animal rights route, how many marine and aquatic ecosystems are you willing to sacrifice for the life of a few cows? Are you even saving cows, when we use them for so many other industries? Does a domesticated animal have more right to life than the wild species impacted by synthetic leather production?

In the long run, it's just not worth it.

I'm vegan

I have a leather handbag and leather boots I purchased 2nd hand and new, respectively. My handbag is in amazing condition compared to my mother's bought new fake leather handbag's straps. They're flaking apart. I used to think vegan leather was great but it comes apart and the repairs you could do on shoes don't work when the skin is peeling apart.

I take a smarter not obstinate approach to veganism. If you wanna buy meat from the local butcher who got it from the farm across town, DO IT! That has such a small chain of production and you can see the way the animals were raised and cared for. A farm across the world that sends to slaughter in the cheapest place then cut up and sold to 17 different countries is just so much environmental impact.

Likewise, if that farm uses the skin and bones and fat of that 1 dead meat animal, think of how much that is honouring the life and sacrifice of that animal. It didn't exist for 1 thing and we throw out the baby with the bathwater for money making purposes. Make tallow from the fat, turn it into soap, make clothing from the 'inferior' hide. Don't fall victim to capitalism's exploitation of our wish to save the world by harming it even more but with an "It's Vegan!" sticker on it that says nothing of longevity or carbon impact

If there’s one thing I feel I can unambiguously brag about, it’s that I’m great with patients who are in pain crises. I’m tenacious and stubborn about lowering 10/10 pain to something more manageable. I got a patient in “25 out of 10” pain at start of shift down to a 4 by midnight and it only took opioids, Tylenol, muscle relaxants, ice packs, warm blankets, fresh coffee, repositioning, an abdominal binder I scrounged up, a phone call to the surgeon to get lidocaine patches ordered, and some serious chit chatting with the patient while we waited for all that to kick in. We didn’t end up needing IV medication, we didn’t have to increase opioids, we didn’t need to add any medication that would potentially delay discharge, and the majority of what I did is all stuff she can also do at home so it’s a sustainable pain management plan. This is my absolute favorite thing with nursing, I love love love managing pain, I know I talk about it a lot but it’s the most satisfying thing in the world. I love watching someone emerge from a horrendous haze of pain until they feel like a person again. Also I’m scheduling this to post well after my shift is done so that I don’t jinx anything, also while I was writing this post I had to take a quick break for two hours half way through because someone started having a seizure. My job is wild. I used to be a barista.

@irrellavant oops you activated my trap card of asking about something I care about, please enjoy this monologue. Also it’s not comprehensive, can’t stress that enough, this is a just a lil long tumblr post made by a just some nurse who isn’t a palliative care expert and is also writing this on her cell phone on break. Some of this stuff is gonna be pretty obvious! I just would feel remiss if I left it out. And also please anyone who has pain or addresses pain, please feel free to add on. I'm always looking for new ideas and new insights, especially from the patient side so please please do chime in if you like. Okay SO

For me, the biggest thing is conveying to the patient that you care that they are in pain and that you are trying to make it better. I remember I had a patient who was in horrible pain all night, we never got it down, we never got her comfortable, but at the end of the night she thanked me so sweetly for trying and she said that knowing I was taking her pain seriously helped her feel better even if it didn't make her hurt less. Just because someone is in pain, it doesn't mean they have to suffer, if that makes sense. I think one of the worst things about pain in the hospital is the feeling that you've been abandoned to experience it. Someone gives you a pill (or not even that) and says "okay bye" then you go back to writhing in agony. I make sure that before I leave the room of a patient who is still in a pain crisis, that I let them know what the plan is and what the next step is. "You just got 5 mg of oxycodone, which will take up to an hour to take full peak effect. If your pain doesn't get better after that hour, I can give you another dose" or "I'm going to go page your doctor to see if I can get you an additional dose" or "I need to step away right now, but I'll be back in 20 minutes to see how you're doing and if the heating pad is helping." I tell the patient "we're gonna try X, which should do Y, but if it doesn't, the next step is Z” and then I make sure to follow up with them.

I also try to be honest. I never promise that they'll be pain-free, just that we'll keep trying. We aim for small but achievable goals. If it's acute pain, like you just had a surgery or something, I try to contextualize it for the patient. "We're not gonna get you pain-free ten hours post surgery, but we can get you more comfortable than you are right now." Patients are usually fine with being a six outta ten pain if they’ve been otherwise sitting at a nine. Since I’m night shift, I often tell them my goal is for them to get at least a couple hours of sleep and ask them how that sounds.

Then pharmacologically, I look at the meds I do and don't got. If a patient is having incisional pain, lidocaine patches on either side can be great for just numbing the area up. If the patient can get oxy every 6 hours but routinely gets very painful again just three hours after taking the med, then maybe the dose or the timing is not right. Maybe under prns we've got so many opioids and not a single NSAID, and there's not a contraindication. Maybe their pain is caused by muscle spasms, in which case a muscle relaxer could be a great addition. Maybe the pain is nerve pain that would respond much better to gabapentin instead. Or maybe you need IV dilaudid to quickly get the breakthrough pain down to a manageable level so that the other meds have a fighting chance to do anything. If meds aren’t available, these are things you can page the doc about and discuss with them.

I'm also a big fan of around the clock medications for patients that have had poor pain control. Ask patients if they want to be woken up for pain meds (again, patients that have been that painful usually say yes). Explain how it's easier to keep the pain low than it is to play catch up after pain spikes. Pain control works best when you avoid the spikes in the first place. There's no point getting someone out of a pain crisis if you then withdraw all your cares until they're in a pain crisis again.

I also try plenty of non-pharmacological methods of lowering pain or enhancing comfort. (Sometimes you can't lower pain! Sometimes all you can do is enhance comfort!) Does the patient have a topical cream that helps with pain? Could it be applied while gently stretching the muscles and really going to town with a foot massage? Has the patient just thrown up and would like a bed bath to feel clean again? Would they benefit from heat? Or ice? Or warm blanket? Ice and then on top of that a warm blanket? Do they want some pudding? Do they need a little candy from the nurse station candy drawer? If their lower back hurts from being in bed so long, can we get them out of bed? Even if it's three am and we need to lift them with a Hoyer to their recliner, that might still be the best intervention. I had a patient where the only thing that helped her hip pain was going on walks so over the night we went on a bunch of walks. Worked better than any meds.

What about conversation? Do they need someone to cry with? Do they want to talk about pets or their diagnosis or the bizarre TLC show that's playing on the TV? A lot of this is feeling out conversation, and I don't have great advice for that besides if you make yourself obviously available and interested in people, they tend to open up to you.

Also I’m a big fan of asking if there’s anything I can do while we wait for the meds to kick in. That’s usually when I do a bunch of those non-pharm interventions, because it’s efficient (we are in fact waiting for the meds to kick in) and it makes the waiting less miserable. I think it also makes the waiting feel less helpless. We aren’t just waiting an hour for the dilaudid to do something, we’re also tucking you in with a warm blanket and giving you the finest jello I could scrounge up.

And obviously, I ask the patient if the pain they're currently feeling is uncommon for them, either in the type of pain or the intensity. This is good for general assessment stuff and to figure out if the pain itself is the problem to be managed or if there's something new causing the pain. If the cause of the pain can be managed, that's my priority with pain medication as a supportive therapy because like if you're a paraplegic and suddenly you're complaining of an intense pounding miserable headache, giving tylenol isn't the right intervention when what I should be doing is assessing for autonomic dysreflexia.

And I ask them about the type of pain they're having and if they know what works for them to manage it. Plenty of chronic pain patients can tell you what is and isn't effective. Maybe at home they're on 50 mg of oxycodone a day, but right now in the hospital they're only prescribed 40 mg. Or hell, they're still getting 50 mg but they're here because they’re sick so their baseline level of opioids isn't gonna be enough because that's to manage their every day pain and not their new super hell hospital pain. Or they know aspercreme works like a dream on their legs but not on their back. Or patients know that ibuprofen works better for them for this type of pain than a fentanyl patch does, or they don't want to take dilaudid because it makes them nauseated, in which case you can try premedicating them with an antiemetic.

Also when your shift is done, write down all the stuff that worked to control pain in your nursing note so there’s a record of it in case someone needs to do it again.

If there’s one thing that I have found successful though, and I know this might sound cheesy, but it is CARING and showing the patient that you care. You care that they are in pain, you are working with them to get them more comfortable, if something doesn’t work you will keep trying, because pain sucks and you care that they are in pain. Even when you have to leave their room, you let them know that you will come back. They aren’t left totally alone to suffer. Again, sometimes you can’t decrease pain but you can increase comfort. I believe there is genuine comfort in knowing that someone is trying very hard on your behalf to make you feel better, even if they don’t make you feel better.

I’ve had chronic pain for 16 years, and this is most reaffirming perspective on pain I’ve ever heard from a healthcare worker. Thank you for caring and doing everything you do; it seems like such little things but to those with chronic pain, it means the world.

OP I love you

Holy fucking shit i wish every nurse thought like this. I've been left in hell bc someone just shrugged and said, basically, not my problem.

(No joke, the pain I was left in after my spinal surgery was so intense and so unrelenting that I used it as the basis for a character who was selected by Odin after a similar experience bc he said, essentially, you hung on your own personal tree, let's see about getting you the wisdom to go with it.)

This is ... yeah. I wish every nurse thought like this.

As a medical massage therapist I have very few pharmaceutical tools in my toolbox, so CARE is a big one. Especially since I also deal with mental stress and pain a lot. My goal is to make my clinic a safe space where they can vent and cry if the need to, and I work on the tension it gives them, and then they have a few minutes of quiet to put themselves back together to face the world.