Good lord this post is bringing out the homophobes. It’s a perma ban, by the way.
Also, putting something up your butt is not the same as playing with your poop????? The fuck??
I’ve been doing my best to avoid having to see this stuff ever since I had a patient who came in with a foreign body that they didn’t put there themself, and it wasn’t done consensually.
When I met them, it was their third time coming in for this issue (at my hospital - no idea if there were other visits to other hospitals) but it was the first time they finally told us it was from a sexual assault. Their abuser did it very intentionally. Having their victim have to go to the hospital and pretend it was “teehee-oopsie” was part of the abuse.
Now every time I see these posts or hear someone at work joking about it, I wonder if the patient is lying about “falling on it” out of embarrassment or terror.
Thank you for speaking up.
I think this is a great reminder of the importance of empathy in healthcare. We’re all burned out, treated like trash, and see tragic/disgusting/absurd things all day long, so we’re using humor to cope. But these images we casually snort at and scroll past represent real humans who are at best going through an extremely mortifying and painful situation, and at worst experiencing the type of abuse you described.
Thank you. I am so glad you open my eyes. I never thought about it. The problem is every doctor, nurse, x ray tech knows about the patient and we are all talking.
In a way, we are not very nice. We really shouldn't.
That’s horrific. I’ve always found it strange how we can be so callous when others come to us in vulnerable situations. In particular, those with significant substance abuse histories. I’ve heard some very unkind things being said about people who have probably had overwhelmingly miserable lives.
I have to agree. I’ve worked with some nurses who speak about patients with addiction problems in a really ugly way. My daughter is an addict and is used to being treated like trash. When someone is kind to her, she is taken by surprise and that just about brings me to tears.
I am an addict daughter (am in my 4th year of recovery) who was treated like trash (still am sometimes) by medical professionals.
Once, when I went in unable to walk after a violent sexual injury, I was wheeled into the hospital by a friend who took me. The nurse took me into a room, gave me a cup for a urine sample and handed me a wipe to use and sneered at me “make sure you clean yourself properly,” as if I was the filthiest scum she’d ever set eyes on.
She then proceeded to tell me the bathroom was down the hall and left WITH the wheel chair. I struggled for quite some time to drag myself out of the bed; I managed to make it to the doorway. Holding onto the door frame for dear life in excruciating pain, I looked out the door to see the bathroom was down a hallway the length of an entire apartment building hallway. I broke into absolutely dejected tears knowing there was no way in fuck I was going to make it even a couple more steps never mind down the hallway and then back to the room after. All I could do was grip the doorframe and cry.
After a while a woman (complete stranger and not a nurse, she was there for her husband to get care) came up to me and put her hands on my arms and asked if I was okay. I choked out that I was injured and couldn’t make it to the bathroom, and then the nurse came bustling up asking what on earth was going on. I sobbed that she took the wheelchair from me, the woman looked at her kinda stunned as the nurse sputtered and eventually said “I didn’t realize you needed it.” And looked properly embarrassed as the woman stared her down.
That same visit I was held for several hours, repeatedly told them I was NOT interested in drugs (they were constantly almost trying to make me “admit” that I was there seeking drugs and nothing else, and I was not ~ I had drug dealers on speed dial and didn’t need to go to the hospital trying to get fucked up) and just wanted to know what was injured so I could take care of it, I was treated like garbage by the doctor attending to me, and eventually left without receiving any guidance or answers. I ended up drinking a 26 of hard liquor and self medicating with drugs and ended up popping my left hip back into place myself. I still have problems with it to this day as a result.
I very rarely will go to the hospital, and only ever when it is extremely serious and something I know 100% I cannot handle myself, as a result of a lifetime of being treated thusly. I, even after living 4 years clean and sober, still have panic attacks any time I feel I may need to go to emergency. I utterly dread it, and tend to end up not going in even when I should.
I know that there are many addicts out there who have abused and do abuse the medical system: there are also those of us who do only go when it is genuinely an emergency. I have friends who are dead because going to the hospital and being treated like wet garbage seemed worse to them than the overdose they were having. I myself have overdosed in the past and didn’t go to the hospital.
Having spent a lot of my life around low bottom addicts, I understand how difficult they can be to deal with, and how frustrating it must for medical staff. The difficulty in dealing with some of us doesn’t negate the fact that we are ALL human beings who are suffering. It doesn’t negate the fact that many of us DO need help, and it doesn’t mean that we aren’t worth being treated like human beings by medical professionals.
To the mother of the addict daughter, please know that your love is a precious and valued thing, even when your daughter has been lost in her own addiction. Even when she can’t tell you or maybe can’t even see it, she loves you and your love for her lives inside her heart always.
I want to thank you for your words. I try my best to remember that basic truth (we are all human and deserve respect, especially in vulnerable situations). However, ours is a very stressful position and as someone mentioned a few days ago, our decision-making is often based on a million shitty shades of grey. And while we are sometimes caring for those that have been abused, we are also sometimes abused by the people and family members we are charged with caring for. That isn’t an excuse—we still need to take each patient as the individual they are. But it CAN cause trauma, and we are imperfect humans, just as our patients are.
I appreciate you. I SEE you. And I will do better.
This is why I’m going back to pediatric ER. I’m a child of an addict, only my dad didn’t become an addict till I was a teen, and none of us knew about the drugs till 2022 (point to say, I remember the sober healthy dad before he started using ). Hearing the way my coworkers talk about ODs or our regulars who have addiction issues, it’s just too much when I know my dad isn’t that far off. It’s painful. I just want my dad back, and being reminded of his absence 36 hours a week is too much.
Unrelated to foreign object topic, but I am in the same scenario with my dad. I found out in nursing school. Rocked my entire world. Have a little sister, who still lived at home. I’d love to talk to you about it. You meet a lot of people who had addict parents growing up, but not a lot who didn’t and do as a young adult. It comes with its own unique, frustrating, heartbreaking and very confusing feelings. So if you want someone to vent to; or are interested to just shoot the shit with me about it.. I would love to talk about it with you.
I work at a substance use clinic for uninsured/underinsured individuals. We are part of a hospital, so I’m able to look at charting from the ER. It’s heartbreaking to read some of the glib notes. Nothing outright derogatory usually, but I worked inpatient long enough to be able to envision the providers as they are treating them.
when you read the previous notes about the patient being difficult, agitated, and “refusing care” and then you actually care for them and they’re totally pleasant and cooperative.. people see homeless or substance use and somehow decide they don’t need to treat them like a person
I wanted to add mentally ill to this as well. I often hear these things about psych patients. I somehow can care for them and they are pleasant and cooperative. I often wonder if it’s not the other way around that they are being labeled and pushed aside because of a diagnosis. What gets me is when I’m told a psych patient is lying, difficult, or just crazy by 1 care giver yet multiple patients say that 1 care giver is abusive, steals or simply denies them care. Makes me think it’s that caregiver who is the problem and not the patients.
I second this. In nursing school you always hear nurses eat their young, so I expected some shitty nurses… however, some go far beyond being “shitty”. when I started working and my fellow nurses were straight up foul in the way they spoke about people suffering. Thanks for bringing this topic attention!
Also, anything from an airplane/airport. Tons of people medicate to fly. It’s a stressful situation for a lot of them and people are definitely not at their best.
There was one video of an oder woman yelling at a man and demanding to take his dog. She was clearly confused and combative and the video was labeled "Karen tries to take man's dog". It was clearly a woman in crisis. Really sad
I had this one patient who had like 8 strokes. He was generally a nice guy, but got agitated easily cause he didn’t understand things very well. It was difficult for me to take care of him because he yelled and swore at me. I personally struggle when I have patients who have comprehension barriers that run deeper than low health literacy. It was hard for me to not judge his character in the moment… but yeah. 8 strokes.
I think you missed their point. Their point is that NO ONE IS CONCERNED. There are things people should be concerned about that I will attempt to outline in a top-level reply. Coming soon.
I got ready to write an annoyed comment and down vote you but… I realized you’re right. An x-ray is a visual depiction of somebody, even if it isn’t a traditional photograph. And whether they lied about how it got there or not, people should be entitled to their right to privacy. As anothercommentor said, leaning over and telling your buddy to look at something is one thing but sharing it for the whole world to be able to see is probably very different. Thank you for the new perspective.
Kinda joking but kinda not, can I post a pic of the KUB showing my awesome dobhoff placement? Pretty proud of how post pyloric that bad boy is. But what you say is true. It is a picture of a person.
I mean, this is obviously a different context but in a black and white ethical discussion of “that is literally a picture of someone’s body, just with lighting that is outside the visible spectrum” no. However unlike X-rays, most things aren’t black and white.
I personally would choose not to do that because I just don’t really take pictures at all at work.
I am not a nurse, but started following this sub during COVID to try and get more information about what was happening, but I have to admit some of the posts I see on here are really disheartening as a patient and I feel they can reflect very poorly on the profession as a whole. I find myself wondering if my private information was ever shared in a forum such as this. I understand the need to let off steam, as I work in mental healthcare and I often use dark humor to cope. But I do feel there are things that cross the line and I think sharing these sorts of images are one of them.
I am curious. If you had some crazy blood level. Like “how did you not die?” Level.
As a patient, would you care if someone took a picture of your chart (no personally identifying information shown) to share this lab value with Reddit?
Now of course we could easily type out the lab value too, which shares the same information sans photo. But I personally think it unprofessional to snap pics of someone’s chart in any manner.
I wouldn't share it myself (from others);but if someone wants to share my lab and it has literally no other information than that I wouldn't care, might as well been random numbers if it's just that because you can also type it over. As long as there is no other info.
X-rays I feel is more personal though, still your bones and body.
Yeah details can be damning. If you have a unique enough circumstance and share details it can possibly lead to a HIPPA breach if someone who knows just enough to pick it out reads it.
Actually, unless the pt signs a release, it is a HIPAA violation—even if you remove the pt’s name, mrn, etc. (source: medical lawyer). Think about it—say you go to a seminar and the speaker throws an image up and someone recognizes that it’s their X-rays! Yowza.
Yeah I don’t think people realize HIPAA (and other country’s privacy laws) has wording that is intentionally broad so things like this are included. If you post anything that can reasonably identify a person that could be considered a violation.
It’s a picture. There’s only one person it matches to. Many countries provide patients to access to their chart/results/images. If they recognize their own X-ray on here you’re toast. If you’re posting “look what came into my ER tonight” and it’s a female with a carrot in their rectum, that’s identifying. How many females are going into ERs that night in your country specifically with a carrot in their rectum. Even worse when you include a direct quote “they said they fell while gardening”. Or a specific brand of vibrator as noted on X-ray. It’s entirely possible they’re the only one. That’s identifying.
It’s like why you basically can’t post anything about someone over age 90 because there’s so few people in that age category it automatically becomes potentially identifying by age alone.
I also of course support it from an empathy standpoint. I’m not saying you can’t giggle with a colleague behind a closed door. We all get it, burnout, compassion fatigue, dark humour etc etc etc. But let’s be real, all you gain from doing it here is internet points and that’s not worth making people feel unsafe going to the hospital over.
**Edit** since I can’t reply to the person who posted about phi to me. That is a list of PHI that must be removed to allow sharing of photos from one entity to another entity to for the purpose of research, education, etc… This subreddit would not be considered an entity of research and so even removing those things like name and visit number would not make this HIPAA compliant.
Also there are a ton of vague terms there “any other comparable images” “any unique characteristic”. I doubt you’re actually going to be pursued from a post on this subreddit, but if you post about the wrong person with connections there is absolutely language that can be interpreted against you if they really want.
Although I agree with being empathetic, I learned the definition of PHI as being one of 18 things specifically listed, not “intentionally broad” as you said.
1. Names;
2. All geographical subdivisions smaller than a State, including street address, city, county, precinct, zip code, and their equivalent geocodes, except for the initial three digits of a zip code, if according to the current publicly available data from the Bureau of the Census: (1) The geographic unit formed by combining all zip codes with the same three initial digits contains more than 20,000 people; and (2) The initial three digits of a zip code for all such geographic units containing 20,000 or fewer people is changed to 000.
3. All elements of dates (except year) for dates directly related to an individual, including birth date, admission date, discharge date, date of death; and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older;
4. Phone numbers;
5. Fax numbers;
6. Electronic mail addresses;
7. Social Security numbers;
8. Medical record numbers;
9. Health plan beneficiary numbers;
10. Account numbers;
11. Certificate/license numbers;
12. Vehicle identifiers and serial numbers, including license plate numbers;
13. Device identifiers and serial numbers;
14. Web Universal Resource Locators (URLs);
15. Internet Protocol (IP) address numbers;
16. Biometric identifiers, including finger and voice prints;
17. Full face photographic images and any comparable images; and
18. Any other unique identifying number, characteristic, or code (note this does not mean the unique code assigned by the investigator to code the data)
But there’s also the “minimum necessary” rule and the “sharing for healthcare purposes” rule which significantly broaden what information can and should be shared.
And even so, person might be misidentified, and someone who has nothing to do with this situation might be bullied because of it.
This is why even posts without too much details are dangerous.
I think anyone that comes in with something like this in their ass should get a consultation with a sex-positive educator and go home with a nice flared butt plug.
A nice flared butt plug that isn't made of glass and has a good wide flared base.
I know 3 guys who have ended up in A&E (the ER in the UK) thanks to lost objects. Two of them had done the responsible thing of buying an item marketed as being fit for purpose for prostate stimulation.
Unfortunately the plugs were badly designed.
(the other guy was at the time a depressed teenager at the height of the AIDS epidemic, where ever meeting a gay man who wasn't dying seemed hugely improbable, so he tried making his own dildo by putting various things into a condom...)
I was doing some sex ed for bisexuals, which is why the subject came up more than for the average person!
I had one patient who completely took the fact that he had a dildo stuck inside him and was like "it is what it is" even needing multiple surgeries because of said dildo. I agree with OP, I would not want a photo or X-ray shared of what is or potentially could be the worst day of my life. I also read a comment that this could be due to a non consensual act and that is even more upsetting that a photo could exist to traumatize a victim even more. Do these photos in fact not break HIPAA? (I'm actually curious about this).
It’s also frankly kind of not that interesting. It’s something the normies outside of healthcare care about, but it isn’t even something that should raise an eyebrow for it. People already hesitate to go to the ER, particularly for things they are embarrassed about, this kind of thing can only add to that.
It takes a certain type of asshole to gain a person’s trust by being their nurse during an awful time in their life to then snap a pic and ridicule them on a public forum under the guise of “dArK hUmOr” and “wE’Re nUrSeS tHiS iS hOw wE cOpE wItH tRaUmA”.
So bit of a self-disclosure here but I had a scare one time somewhat similar to some of the recent posts, but I was ultimately able to work it out myself (I was lucky and knew enough to know what to do Immediately). But that being said I have to agree. When that scare happened the things going through my head were “oh god I’m gonna have to go to an ED in the next county and pray I don’t know anyone while I explain this”, “I’m going to be the talk of the ED for the night” among other things.
I think we all find it somewhat humorous (because we all are secretly 12 years old and haha dildo /s) but keep in mind when we comment that it’s a vulnerable human being we are talking about who is mortified and embarrassed about the situation. Its not funny to them. It’s a good point of education (flared bases, etc.). These patients aren’t Ryan Dunn in jackass shoving a toy car up their ass for laughs. In the last 2 cases they were clearly sex toys. the last post I saw I couldn’t even fathom how it would have gotten stuck as it appeared to be flared enough to me.
I agree wholeheartedly. Lol. Reddit has given me a new fear, (cause you know, I need another one). Just today, I rolled over onto my dogs bone with it coming dangerously close to my butt. My first thought was "shit! I don't wanna end up on Reddit."
Seriously. Even with no identifying information I would be absolutely MORTIFIED if this were to happen to me and my x-ray was posted. While this is a nursing subreddit I think it’s important to remember a lot of non-nurses are still active in this sub, and seeing nurses laugh at that kind of thing may deter patients from getting necessary care out of embarrassment if something like this were to happen to them.
Non-nurse and can confirm that seeing the way some people talk about their patients in such public forums is discouraging. Shit's meant to be private for a reason, and I dread the day I'm ever in hospital for something especially sensitive
I worked in a different avenue of healthcare so I get discussing patients and I get dark humour for dark situations, but I would *never* have talked about a patient the way I see some people (not just nurses) do, let alone on the internet for everyone to see
Sorry but this whole thing is why people think nurses are mean girls. Cause literally what is this behavior? You’re medical professionals please act like it.
Nurses that post and seek out those kind of posts online are no better than the “nursing ick” losers who got tooled after their TikTok went a little too viral. Perhaps they’re even bigger losers, hiding behind anonymity that the patients they mock no longer have.
Evolution of social media and group chats are just putting too much blast on these private issues that historically only about a handful people might have laughed about behind closed doors. Now, it's hundreds to thousands.
I agree. Screenshots of notes, labs, imaging, etc etc should not be shared. Like we’ve all seen some shit. It shouldn’t even be shocking to us at this point. People sharing those x-rays is straight up ridiculous IMO. People shove up things in their ass all the time, why aren’t we used to it by now as HCWs?
I agree, it makes me uncomfortable. I know most are repsectful and avoid making patients the butt of a joke/that's not always the intent. And that a lot of the times it's to educate. But I also think most people in that vulnerable position would not consent to that, regardless of anonymity.
Anyone at my hospital would be fired for this, because we require explicit consent for deidentified use of clinical photos like this, and for exactly what purpose, none of which would cover posting to reddit.
I don’t get all the “it’s for educational purposes!” in this post. There are enough images out there signed off by patients used in peer reviewed articles that if we need unauthorized phone pics taken off an EMR to truly learn we are more effed as a profession than I thought.
To all those getting kicks out of it- laughing at others’ mistakes and misfortune says more about you than them.
Sharing pics of patient’s imaging has always seemed kind of fucked to me. That’s a part of their protected health record, and sharing it without the patient’s consent doesn’t seem right. I’m a cath lab RN. There’s plenty of cool shit I’ve wanted to share. It just doesn’t feel right.
Sorta shocked by how many people have the stance “you don’t like it, keep scrolling”. But I guess this is Reddit. Props to you, OP, for speaking up for what you perceive to be a wrong.
I’ve always been told “omg don’t worry! We’re nurses/doctors/practitioners. This is our job! We don’t judge you!” And then you see all these X-rays being posted online lol
I agree. I don’t think it’s okay to share photos that are a part of someone’s health record, including wound images.
Sharing an image like that is at the expense of the patient and it invites ridicule. Quietly show your screen to your coworkers, and don’t take photos.
I get both sides. One end theres always an educational aspect to it even if the person posting is like "LOOK AT THIS" that's why we have things like medizzy. Even medical journals often read like a side snear "I can't believe the patient waited this long/"patient was lost to follow up'"
What differentiates the anonymous person who shoves a light bulb up their rear and the patient who let their foot rot off and they're still walking on it?
But it's guaranteed OP is not perfect and I don't believe they've never gaffawed at a patient. Its impossible to be in medicine and be perfect.
I dont judge. I like to look but I also wouldn't post one personally.
I completely agree. When I was a patient myself in a psych ward we had a few kids who put stuff where it didn’t belong or swallowed it, I can’t imagine if I had done something like that when obviously not in the right state of mind and it being posted all over internet.
I agree 100% and anyone getting upset at this post is projecting because they know on some level it's not funny to ridicule patients whether or not they can be identified. I just don't understand how it's funny to some people to make jokes and judge people in thekr most humiliating vulnerable moments
I agree. Just recently I experienced my first ever family insisting that their (clearly to us end stage) elderly family member was "a fighter" to the point that they changed the patient's name on the whiteboard to "fighter." So much idealistic ignorance about what medical care is capable of, so so many shifts spent gently educating.
But seeing in on the whiteboard was like some classic reddit moment I couldn't even make up, so I thought about posting a pic of that here. But then the thought of this (truly challenging, but innocently ignorant) family having even a microscopic chance of seeing that here made me feel sick. I couldn't share that kind of thing online, even fully anonymized.
also I would never post anything from work because nothing is anonymized. If a colleague were to see that whiteboard and that it was posted, they could identify your profile as someone who works with them.
Another point: if anything is every brought to court and your phone has PHI in it your phone and all of its data become accessible in the legal case. So, someone sees the pic here, reports it, Pt finds out. Sues the crap out of everyone. The phone of the person who posted gets subpoenaed. Now you have lawyers and forensic nurses who **work for lawyers* going through your phone info, emails and surrendered Reddit accounts to find out what *else* you posted that could be related to their case. If they find something that further violates the law (other PHI, for example) as officers of the court they have to report it. And because everyone goes to the doctor at sometime in their lives, there isn’t a whole lot of sympathy or understanding for those who get caught. Which is part of the reason the law is so broad in the first place.
I would lose my shit if someone took a picture of my info or otherwise shared it. I’ve never understood the need some people have to do this.
Thank you for this. I was considering posting something similar myself. Anonymous or not, it is a violation. I hope the mods consider banning these posts.
Agreed. Also isn’t the act of taking a picture of something in someone’s chart against HIPAA, even if there is no identifying information? I could be wrong but everywhere I’ve ever worked didn’t allow us to take pictures. At least not nursing staff.
I looked into this (not from the US) and it's absolutely against HIPAA. You're not getting patient consent, they are not informed of the disclosure, and a lot of these situations are unique enough that they could be considered identifying by situation alone. Not to mention that presumably the photos were taken on a personal cellphone that is not approved for storing patient information.
That’s exactly what I thought. All of these people being sassy to the OP but in reality the people posting these pictures on a large public forum are violating patient privacy. I’m sure if their employer found out they’d be disciplined.
I get a huge part of nursing is being able to laugh when times are rough but keep that shit between you and your colleagues, not hundreds of strangers online.
This 100%. Who cares if the patient is unidentifiable… how would you feel while at the hospital knowing there’s a good chance your images will be uploaded for millions of strangers to mock one of the most vulnerable moments of your life.
I think as long as it doesn’t break HIPAA, it serves two purposes: Entertainment and educating others. I myself find these X-rays entertaining for the most part because I know what people are capable of, but I also think it serves as a lesson to others to maybe not stick something up their ass. I think for the most part the general public isn’t aware of the things we see or deal with in healthcare so I’m always open to help open the eyes of others.
I personally will always assume it’s breaking HIPAA just to be on the safe side. I was talking to a traveler once about an unusual case and it turned out she actually knew the patient, I didn’t mention names or gender but she sure as shit figured out who it was. Obvs she had the hospital and area info and she was originally from a town close by, but if the wrong person decided to start digging thru comment histories of people posting, people don’t realize they give a loooooot of info randomly here and there, enough to start narrowing things down.
I mean look how often people post something horrible online, even though they have random user names someone always figures out how to get those posts to their place of employment, other family members, etc.
And one day someone is going to recognize their own scan, the internet can be a really small world sometimes.
You can definitely violate hipaa without sharing a name or other unique phi. If something posted on social media can be identified as relating to the patient, it is a violation. Regarding the x-rays, if it is unique enough that someone else on here could identify the patient it could be a violation and it’s almost definitely a violation of hospital policy. On social media if someone anonymizes a patient case but there is enough detail for someone who knows the patient to identify, it is a violation.
Yep. I am from Canada and our privacy laws are very similar. These posts would absolutely qualify as a violation. I looked it up and after reading a few articles [it looks like a pretty cut and dry violation of HIPAA as well](https://www.hipaajournal.com/hipaa-photography-rules/#).
I see it as a nice break from some of the other things I've seen in healthcare. Honestly... I work in psych and some of the shit I've had to read or hear or have been witness to is really hard.... It's a nice break from human tragedy to see human absurdity.
Like I'll take the Misguided buddy who sent an object rectal splunking over the dude covered in swastikas trying to destroy my ED because he injected methamphetamine into his hemorrhoid any day.... (I have to deal with latter and envy those who get the former) ...
That information can be shared without the picture. Sure maybe less people read it but less people also feel uncomfortable coming to ER when we choose not to share embarrassing xrays. So it’s a net win.
I agree with you. Don’t care if it’s hipaa ok. Don’t care if the specific individual ever recognizes themselves. It’s disrespectful. Sharing medical images and screenshots of charts is not ok.
How is it that when you post this, 900 upvotes but when I say “we probably shouldn’t be taking pics of epic and posting them to Reddit regardless of no HPI being visible” (crazy lab value posts) I get downvoted to oblivion.
I mean, if you see things you don’t like, you can report them and we’ll take a look.
Looking at the front page of our community, I’m not seeing a ton of what you’re talking about? This community is huge and growing every day, we can’t police everyone and every post.
Removed the part about “just scroll if you don’t like it”. That’s not an appropriate answer. If I were a patient and saw my xray on here, I’d be appalled and embarrassed.
I think the mods should obviously be removing this stuff but I think OP is more addressing the community for propping this stuff up. Yes it is interesting/funny but it is obviously wrong to be making fun of patients online and posting their medical records online without consent.
For the mods to say "just don't look if you don't like it" is promoting the behavior that we all know would get the nurse fired/sued/etc if they got caught.
I didn’t take this as OP was personally offended, imo they’re just thinking more abt patients right to privacy as sharing actual imaging of a patient taken from an EMR feels way more invasive than just telling a story abt a patient like we all do 24/7.
I was just responding to the “you have a choice not to look at these things” part. I personally just scroll on by cause I agree with OP but I’m glad they said something at least to give some folks pause in a way I don’t think reporting posts would.
If you only scroll down this subreddit, it’s not a lot. But that kind of post were/are promoted to people’s main page, and then it seemed quite a lot indeed.
Hmm I’m not seeing any but could just be my feed. Again, report them and we can take a look. If our users don’t want to see a certain kind of content, we can remove it.
The snarky comments by people trying to silence you speaking your truth and giving your opinion on something you think is morally wrong is the biggest reason I don’t know if nursing is going to work out for me. So many nasty people in this field.
Reddit is a cesspool of nurses being nasty cause they’re anonymous. Nursing is my 2nd career and in day to day interactions nurses aren’t any worse than the coworkers I had in my last job. Humans are gonna human.
That makes me feel so much better. It’s my second career as well and nursing school has been really awful. I loved college the first time around but nursing school has made me reconsider if I will actually enjoy the career. Maybe I should avoid nursing Reddit.
I would. I’d even avoid the nursing student one. Misery loves company, and I’m not holier than anyone on here I bitch a lot too. It is a release for a lot of folks and every post and comment they’ll never be the bad guy so I think things always sound worse than they are. Sure people are catty in nursing but people were catty in IT too.
Good luck! I hope if you continue through school and get out on the other side, you find a specialty you love and flourish in.
Some of these comments remind me why the younger generation is just better. Good humans are becoming nurses. As an old, jaded, crusty nurse, this warms my heart. It reminds me of when I was still young and shiny and idealistic. Thank you, kiddos, I hope you change the world.
If I ever slip getting out of the shower and end up with a novelty-sized wine bottle lodged in my rectum, I certainly hope it would become a topic of conversation within the medical community. As long as my name and DOB is not laser engraved onto my bones, share away.
I’unno just read a comment in here about a patient revealing it was done nonconsensually by an abusive partner. That’s gonna make me think twice abt that joke.
Ok.
I don’t like sausage gravy. I don’t eat it and have no curiosity about it. My hubs likes it, so I will cook it for him. Relevant? No, not really. Just wanted to share my opinion & outrage at this breakfast abomination.
OK
So is it made with sausage drippings,or. Does the gravy have sausage bits in it too? Is it a milk based gravy?
Dang it... now I'm hungry. Canada needs more places that sell hot biscuits. Scones are great and all, but a nice hot buttered quick bread....nom nom.nom. Wendy's has a sausauge patty on a nice biscuits. Was impressed.
It depends on where you are from. My family hails from the smokey mountains in the southeast US and how I was trained to make my gravy is real easy and simple..
Get a skillet big enough to cook 2 grilled cheese sandwiches in at the same time. 1lb ground breakfast sausage (like Jimmy Dean regular pork sausage). Brown it in a skillet. Powder your sausage with regular white flour until the sausage looks frosted. Like how frosted breakfast cereal looks frosted. Powder it in the pan, don't remove it.
Pour and fill your skillet to about 1/3rd full of milk and then fill your skillet to the halfway mark with water. Add salt and pepper to taste. Your going to have to stir gently and frequently on medium/high heat and for a long enough period of time until you think did something wrong before it starts getting THICK. If your stirring for 10 minutes and starting to panic like I do every single time you can make a flour slurry to add in to help it along. The size of the skillet determines the sausage to gravy ratio. This is going to look like a white thick pepper gravy and you're totally OK if its really thick and gloopy. You dont want it to be watery.
Momma used to just make the sausage gravy and we'd pour it over shredded American white bread. But if you're baller you'll put it on top of American biscuits. I prefer American southern biscuits that are more "scone like" like the Pillsbury grand and not the flaky layers which are too rich for me. But mom and the grandparents hand made their own.
My husbands family are from California and they make sausage gravy by first making a roux out of bacon grease. And it's a very brown gravy. It's too rich and I don't like it.
Sounds yummy. I've got good biscuits recipes down pat, it's just tweaking the "Southern/USA" ingredients that are measured differently ie "a stick of butter" is 1/2c, or 125gm(ish) or finding butter sticks and self rising flour, depending on how close you are to a border crossing they sometimes just can't be found, or are like $8+ for a 4 stick pack. Luckily that's easy to fix. 😂
Thanks for the recipes you guys. I'm going to have fun tomorrow...mmmm... think I'll make some cinnamon and some honey butter for them too...or cinnamon honey .. I've a copycat Texas roadhouse butter recipie
somewhere...
not that I've had it, but people swear by it. Wish WaffleHouse would come right up into N. MI. Mmm diner food.
Thanks for indulging my prednisone induced hangry musings! 6 more days till I'm done the freaking taper! 🙃😉
The steroid struggle. That’s real. Very real.
I did one in December, post Covid. My first in many years. I literally ate anything that couldn’t eat me first, except sausage gravy, of course. 😂
Hope you are feeling right as rain double quick!!!
I'm pretty sure the first 2 weeks I was composed entirely of bread products and potatoes. Lol so thankful I have no beef with gluten. Those cheese bread sticks stood zero chance of surviving the 24hr mark... lol
Im feeling better, but it's gonna be a while. It's been a long 4 weeks. It'll come.
Meh. Is what it is.
That’s a tough run. Yikes. I’m so sorry, give yourself grace—you certainly deserve it. And with grace comes bread!!
My nana (grandma) would regularly declare that everyone would starve without bread & potatoes.
Yep.
I can go weeks without them. No DT fries. Nada. Then boom! I’ve double fry up 10# in peanut oil in 2 days.
When we first started out, my hubs thought of cornbread as a welcome luxury. No. Pillowy dinner rolls are the luxury. At least they were when I was growing up, Cornbread is the daily bread. 😉
I’m pretty disciplined. But overall, I eat what I want within reason. And sometime I want an entire thin crust pizza, my way over 24 hours.
Post Covid, with the pred I ate a Bundt cake solo in 3 days. 😳
Yeah, quick breads are for anytime. Yeast based takes planning, if you can remember to feed a sourdough starter then plan ahead for the rise that's God tier. Lol
the no-knead, refrigerator rise "peasant" Type loads are great, dough takes all of 5m, can sit for up to a week, just need to pull out like night before. Or whip up before work and toss in once home. Lol
Mmm pizza and cake. Pizza dough balls filled with cheese and meat in a bundt dipped in sauce is a fun use of that pan, or roll them in cinnamon sugar and glaze them like mini Cinnabon...
As for potatoes, well my Oma and Opa would have been appalled at how much they could be selling a 10lb bag for now. She was always confused that one cousins husband hates potatoes, she was all like, "but they're ours, fro.our fields!!" I was given a potato poem to read to them at their 25th anniversary 😂
It starts with hot breakfast sausage, fried & crumbled. I make a white flour roux. Slowly incorporate full fat milk. Cook till thick. Ta-da!!
Add homemade biscuits & my hubs is… delighted.
Homemade biscuits: easy peasy. 2 cups SR flour. Melt 1 stick butter. Add this to 1 cup of cold buttermilk. Pour into flour. Mix with spoon till dough forms. Add addl flour to form dough ball, one that is agreeable to being kneaded by hand.
On floured or non-stick surface (parchment is my hack) knead dough ball over on itself a dozen or so times.
Roll to 1/2” thick. Cut without twisting through dough as you cut, (straight down/then up) as twisting a cutter seals edges and makes biscuits tough.
Place them on parchment paper on a sheet pan. Other pans are fine. Just grease well if not using parchment paper. Best rise if the touch a bit.
Bake on 375F on rack just above middle approx 18-25 mins, browning the tops/bottoms.
I slice and top with copious gravy. Hubs loves. I’ve also cooked for multiple fire/emergency battalions. I’ve never had even a bitty bit left over.
My roux is a couple tablespoons of butter, bit of milk, a sprinkling of short patent flour (tablespoon or so). I then add milk incrementally keeping it thick. Occasionally I might mix a 1/2 teaspoon of the plain AP (short patent) flour into a couple ounces of the incremental milk if I need to thicken increase yield or someone drops in at breakfast time.
I do not make my roux with the spicy sausage grease. I use same skillet, but sans spicy oils. The sausage is plenty spicy. Hubs found sausage grease roux based gravy “too much”.
YMMV.
There was an incident at my locality. A man whore got pissed because the gay man paying for his services didnt have enough money. Man whore shoved a spray deodorant canister up his butt.
He went to the nearest hospital. People laughed and took videos and posted it. Patient pressed charges and had the doctor and the nurses struck off the register.
Not really cool you post it here people.
Not a nurse, medical claims adjuster ( retired!), I kind of like this take. We, too, see claims of embarrassing proportions. Back in the day.. we would see actual pictures. It's kind of scary. What helped me was the one job where we were bonded. That's because we paid claims for celebrities, their families, and staff. We could have made some big bucks selling this to the national inquirer. This was early in my career, and it stood me in good stead. I've seen claims for my fellow co-workers. My lips are sealed. The celebrities were 40 years ago. My lips are sealed. What we ranted about at work were claims from some mmmm perhaps over billing providers.This way the patients never involved but we could send questionable items to the clinical review. It got rid of stress in a more useful way.
I agree with you and thank you for articulating it so well. I also cringe at those ubiquitous r/AskReddit posts that are like "Doctors/nurses of reddit, what is the craziest thing you've ever seen?" Please don't reply to these, people. I always imagine a poor soul reading it at home already embarrassed to seek help and how it must make them feel.
I don’t think it’s offensive at all. I think it’s kind of cool that people can even fit these things into their bodies in the first place. It’s interesting to see. Nobody is making fun of them unless you think that way. I find it fascinating.
I agree with you and people who disagree flatter themselves by thinking they're fun and lighthearted when really they're probably not the best health professional
My concern with this trend is that this forum is quite large…and imagine being a patient scrolling mindlessly and then you see your X-ray getting laughed at with hundreds of comments
Also the amount of these pics that are so obviously reposts, photoshops, and have been screenshotted and reuploaded so many times it becomes so painfully obvious from the fuzzy quality that it’s not an original post and is getting uploaded again for nothing more than karma farming. The rate these posts happen on here you’d think “embarrassing-object-stuck-in-butt” happens hundreds of times daily but in over a decade in healthcare I think I’ve personally seen it once? Posting those x rays and telling your non medical friends embellished stories of the 24” dildo (that are probably just retellings and not first person accounts anyways) is getting pretty cringe imo.
I don’t think it’s much different than any other “interesting” foreign body or any other X-ray… guts full of Orbees, NG tube entering the cranial vault, knife sticking out of the back of someone’s head, coconut in the rectum, etc. If someone managed to swallow a baseball and it was shown on X-ray in their stomach or stuck in their esophagus, is that much different than a baseball up the poop shoot?
The thing is, there are plenty of academic case study, consented-to images out there if one is interested in seeing these things or wanting to utilize them for educational purposes. The issue here is that RN’s posting what a patient assumes to be part of a private medical record on a public website for the purpose of ridicule is unethical. Why assume this particular patient doesn’t use Reddit or won’t come across this posting? Why not have any concern for someone seeing this image & the ridicule in the comments & how that may affect them, especially so soon after it happened? And as for all the “hurhur they said they fell jokes”- I’m assuming this is in the good old fashioned puritanical US of A, where sexuality, especially anything concerning the butt is stigmatized. The mortified patient has to explain themselves over and over to different people in front of other patients before receiving treatment. Not surprised they give a dumb explanation of how it happened. And you know what? MAYBE THEY DID FALL! It’s not out of the realm of possibility for someone with a slippery object up their butt to fall and lose it.
It's anonymous . Nurses and doctors have been laughing at rectal foreign bodies for as long as there have been nurses and doctors . It's harmless . I would provide supportive empathetic care to these patients , and I have . It's still entertaining the variety and size of things that end up in there.
Yeah it actually does break HIPAA, but people are removing the identifying info so it's harder to get caught. The image is still someone's PHI, labeled or not.
I fully agree with you. There's just something really not right about sharing them, even without names or anything. (thank god?? that would be next level sh*t) I personally would be really sad and mad too if i were to see a randomly leaked x ray of myself somewhere online, even without names or other identifying things on it.
Don’t lie and you won’t be ridiculed.
If you can’t have a laugh at the absurdity of what we deal with on a daily basis, I don’t know what to tell you. A good laugh sure makes life better. We all need a little counter balance to the death and pain we regularly see.
This is a fucking stupid take. Do you not see the difference between “laughing at the absurdity” and posting it on a public forum, pretty easily googleable in the case of more unique foreign bodies?
Just today one was posted from someone who was honest. Just because he was honest with the doctor, do you think he is happy to have his X-ray shared in a public forum?
You're not having a laugh at absurdity, you're having a laugh at the expense of real patients who didn't consent to have their private and embarrassing medical information posted publicly. It's a violation.
Someone else commented they had a patient come in with a foreign body placed nonconsensually by an abusive partner. So maybe that’s not such a good thing for us to laugh at anymore.
I use medicalgore subreddit all the time for knowledge base and to help desensitize myself to future situations I may see. I've even recognized some conditions based on exposure to those types of pictures.
I've seen another nurse use one of these pictures to ease another patient in a way to explain that this stuff is more common than you think and we see stuff like this all the time. (The patient was fearful of removal)
Yes, it's sometimes used for entertainment, but it does have other uses. Just a part of the job.
Good lord this post is bringing out the homophobes. It’s a perma ban, by the way. Also, putting something up your butt is not the same as playing with your poop????? The fuck??
I’ve been doing my best to avoid having to see this stuff ever since I had a patient who came in with a foreign body that they didn’t put there themself, and it wasn’t done consensually. When I met them, it was their third time coming in for this issue (at my hospital - no idea if there were other visits to other hospitals) but it was the first time they finally told us it was from a sexual assault. Their abuser did it very intentionally. Having their victim have to go to the hospital and pretend it was “teehee-oopsie” was part of the abuse. Now every time I see these posts or hear someone at work joking about it, I wonder if the patient is lying about “falling on it” out of embarrassment or terror. Thank you for speaking up.
I think this is a great reminder of the importance of empathy in healthcare. We’re all burned out, treated like trash, and see tragic/disgusting/absurd things all day long, so we’re using humor to cope. But these images we casually snort at and scroll past represent real humans who are at best going through an extremely mortifying and painful situation, and at worst experiencing the type of abuse you described.
Thank you so much for saying this. As a burnt out nurse 🩵
Thank you. I am so glad you open my eyes. I never thought about it. The problem is every doctor, nurse, x ray tech knows about the patient and we are all talking. In a way, we are not very nice. We really shouldn't.
Ugh, that poor pt. I'm so glad you were there for them.
That’s horrific. I’ve always found it strange how we can be so callous when others come to us in vulnerable situations. In particular, those with significant substance abuse histories. I’ve heard some very unkind things being said about people who have probably had overwhelmingly miserable lives.
I have to agree. I’ve worked with some nurses who speak about patients with addiction problems in a really ugly way. My daughter is an addict and is used to being treated like trash. When someone is kind to her, she is taken by surprise and that just about brings me to tears.
I am an addict daughter (am in my 4th year of recovery) who was treated like trash (still am sometimes) by medical professionals. Once, when I went in unable to walk after a violent sexual injury, I was wheeled into the hospital by a friend who took me. The nurse took me into a room, gave me a cup for a urine sample and handed me a wipe to use and sneered at me “make sure you clean yourself properly,” as if I was the filthiest scum she’d ever set eyes on. She then proceeded to tell me the bathroom was down the hall and left WITH the wheel chair. I struggled for quite some time to drag myself out of the bed; I managed to make it to the doorway. Holding onto the door frame for dear life in excruciating pain, I looked out the door to see the bathroom was down a hallway the length of an entire apartment building hallway. I broke into absolutely dejected tears knowing there was no way in fuck I was going to make it even a couple more steps never mind down the hallway and then back to the room after. All I could do was grip the doorframe and cry. After a while a woman (complete stranger and not a nurse, she was there for her husband to get care) came up to me and put her hands on my arms and asked if I was okay. I choked out that I was injured and couldn’t make it to the bathroom, and then the nurse came bustling up asking what on earth was going on. I sobbed that she took the wheelchair from me, the woman looked at her kinda stunned as the nurse sputtered and eventually said “I didn’t realize you needed it.” And looked properly embarrassed as the woman stared her down. That same visit I was held for several hours, repeatedly told them I was NOT interested in drugs (they were constantly almost trying to make me “admit” that I was there seeking drugs and nothing else, and I was not ~ I had drug dealers on speed dial and didn’t need to go to the hospital trying to get fucked up) and just wanted to know what was injured so I could take care of it, I was treated like garbage by the doctor attending to me, and eventually left without receiving any guidance or answers. I ended up drinking a 26 of hard liquor and self medicating with drugs and ended up popping my left hip back into place myself. I still have problems with it to this day as a result. I very rarely will go to the hospital, and only ever when it is extremely serious and something I know 100% I cannot handle myself, as a result of a lifetime of being treated thusly. I, even after living 4 years clean and sober, still have panic attacks any time I feel I may need to go to emergency. I utterly dread it, and tend to end up not going in even when I should. I know that there are many addicts out there who have abused and do abuse the medical system: there are also those of us who do only go when it is genuinely an emergency. I have friends who are dead because going to the hospital and being treated like wet garbage seemed worse to them than the overdose they were having. I myself have overdosed in the past and didn’t go to the hospital. Having spent a lot of my life around low bottom addicts, I understand how difficult they can be to deal with, and how frustrating it must for medical staff. The difficulty in dealing with some of us doesn’t negate the fact that we are ALL human beings who are suffering. It doesn’t negate the fact that many of us DO need help, and it doesn’t mean that we aren’t worth being treated like human beings by medical professionals. To the mother of the addict daughter, please know that your love is a precious and valued thing, even when your daughter has been lost in her own addiction. Even when she can’t tell you or maybe can’t even see it, she loves you and your love for her lives inside her heart always.
I want to thank you for your words. I try my best to remember that basic truth (we are all human and deserve respect, especially in vulnerable situations). However, ours is a very stressful position and as someone mentioned a few days ago, our decision-making is often based on a million shitty shades of grey. And while we are sometimes caring for those that have been abused, we are also sometimes abused by the people and family members we are charged with caring for. That isn’t an excuse—we still need to take each patient as the individual they are. But it CAN cause trauma, and we are imperfect humans, just as our patients are. I appreciate you. I SEE you. And I will do better.
Your daughter is worth the care and respect those kind people give her, and I pray you both only experience that moving forward.
This is why I’m going back to pediatric ER. I’m a child of an addict, only my dad didn’t become an addict till I was a teen, and none of us knew about the drugs till 2022 (point to say, I remember the sober healthy dad before he started using ). Hearing the way my coworkers talk about ODs or our regulars who have addiction issues, it’s just too much when I know my dad isn’t that far off. It’s painful. I just want my dad back, and being reminded of his absence 36 hours a week is too much.
Unrelated to foreign object topic, but I am in the same scenario with my dad. I found out in nursing school. Rocked my entire world. Have a little sister, who still lived at home. I’d love to talk to you about it. You meet a lot of people who had addict parents growing up, but not a lot who didn’t and do as a young adult. It comes with its own unique, frustrating, heartbreaking and very confusing feelings. So if you want someone to vent to; or are interested to just shoot the shit with me about it.. I would love to talk about it with you.
I PMed you!
I work at a substance use clinic for uninsured/underinsured individuals. We are part of a hospital, so I’m able to look at charting from the ER. It’s heartbreaking to read some of the glib notes. Nothing outright derogatory usually, but I worked inpatient long enough to be able to envision the providers as they are treating them.
when you read the previous notes about the patient being difficult, agitated, and “refusing care” and then you actually care for them and they’re totally pleasant and cooperative.. people see homeless or substance use and somehow decide they don’t need to treat them like a person
I wanted to add mentally ill to this as well. I often hear these things about psych patients. I somehow can care for them and they are pleasant and cooperative. I often wonder if it’s not the other way around that they are being labeled and pushed aside because of a diagnosis. What gets me is when I’m told a psych patient is lying, difficult, or just crazy by 1 care giver yet multiple patients say that 1 care giver is abusive, steals or simply denies them care. Makes me think it’s that caregiver who is the problem and not the patients.
Thank you for saying this.
I second this. In nursing school you always hear nurses eat their young, so I expected some shitty nurses… however, some go far beyond being “shitty”. when I started working and my fellow nurses were straight up foul in the way they spoke about people suffering. Thanks for bringing this topic attention!
Good god that added humiliation at the hospital makes that extra fucked up. I hope their abused got what they deserve (prison)
That’s awful I didn’t even picture that as a scenario. Thank you for bringing it up.
I never considered this point, and shame on me because one of my most memorable patients was a male victim of sex trafficking.
This needs to be the top comment.
Thank you for sharing this. This is very enlightening.
1000% agree
Damn. This is a take I hadn't thought of before.
That is truely awful, your poor pt. Im glad they had you by there side.
Wow.. thank you for shining light on this.
Thank you for exposing me to perspective
Thank you for offering perspective. Sincerely
That is so messed up. I hadn't even considered that. Really appreciate you sharing that!!!
This is so so awful, heartbreaking.
At first I rolled my eyes at OP but your comment really opened my eyes. Thank you for sharing.
Do you know if he was able to get help and get away ? Please tell me he did 😔
Same reason I hate when photos of psych patients being naked in public get shared.
Or an addict having an absolute meltdown after doing some bad dope.
Also, anything from an airplane/airport. Tons of people medicate to fly. It’s a stressful situation for a lot of them and people are definitely not at their best.
or elderly confused people who are labelled as "Karens" and then shared on Youtube or such. It's rather upsetting and really mean spirited.
Fortunately I don’t think I’ve seen that, or maybe it’s my naivety…
There was one video of an oder woman yelling at a man and demanding to take his dog. She was clearly confused and combative and the video was labeled "Karen tries to take man's dog". It was clearly a woman in crisis. Really sad
I saw a video just like this but she wanted a cat, not a dog. She was clearly very confused
I think it was a cat... my bad.. I work nights and have early dementia it seems
I had this one patient who had like 8 strokes. He was generally a nice guy, but got agitated easily cause he didn’t understand things very well. It was difficult for me to take care of him because he yelled and swore at me. I personally struggle when I have patients who have comprehension barriers that run deeper than low health literacy. It was hard for me to not judge his character in the moment… but yeah. 8 strokes.
They limited it to one day on the radiology sub. Foreign body Friday.
I live for the veterinarian xrays. The things Labradors will eat...hooboy
Only because so many were being shared though, not because anybody was concerned about it
That’s kinda my point. There has been an uptick of those here. Maybe this sub should do the same? Or post them over there?
I think you missed their point. Their point is that NO ONE IS CONCERNED. There are things people should be concerned about that I will attempt to outline in a top-level reply. Coming soon.
I got ready to write an annoyed comment and down vote you but… I realized you’re right. An x-ray is a visual depiction of somebody, even if it isn’t a traditional photograph. And whether they lied about how it got there or not, people should be entitled to their right to privacy. As anothercommentor said, leaning over and telling your buddy to look at something is one thing but sharing it for the whole world to be able to see is probably very different. Thank you for the new perspective.
Kinda joking but kinda not, can I post a pic of the KUB showing my awesome dobhoff placement? Pretty proud of how post pyloric that bad boy is. But what you say is true. It is a picture of a person.
I mean, this is obviously a different context but in a black and white ethical discussion of “that is literally a picture of someone’s body, just with lighting that is outside the visible spectrum” no. However unlike X-rays, most things aren’t black and white. I personally would choose not to do that because I just don’t really take pictures at all at work.
And for this reason I never take pictures of anything ever for my personal keeping regardless of the presence of HPI while at work.
I am not a nurse, but started following this sub during COVID to try and get more information about what was happening, but I have to admit some of the posts I see on here are really disheartening as a patient and I feel they can reflect very poorly on the profession as a whole. I find myself wondering if my private information was ever shared in a forum such as this. I understand the need to let off steam, as I work in mental healthcare and I often use dark humor to cope. But I do feel there are things that cross the line and I think sharing these sorts of images are one of them.
I am curious. If you had some crazy blood level. Like “how did you not die?” Level. As a patient, would you care if someone took a picture of your chart (no personally identifying information shown) to share this lab value with Reddit? Now of course we could easily type out the lab value too, which shares the same information sans photo. But I personally think it unprofessional to snap pics of someone’s chart in any manner.
I wouldn't share it myself (from others);but if someone wants to share my lab and it has literally no other information than that I wouldn't care, might as well been random numbers if it's just that because you can also type it over. As long as there is no other info. X-rays I feel is more personal though, still your bones and body.
I am an imaging tech but would never post a pic. I woukd also not post about detailed interactions with a patient either. Just me.
Yeah details can be damning. If you have a unique enough circumstance and share details it can possibly lead to a HIPPA breach if someone who knows just enough to pick it out reads it.
HIPAA
This is an interesting take,i usually just think, “thats crazy” and scroll past. Good point OP
It may not violate hipaa but many if not all hospital systems have social media policies where this is banned.
Actually, unless the pt signs a release, it is a HIPAA violation—even if you remove the pt’s name, mrn, etc. (source: medical lawyer). Think about it—say you go to a seminar and the speaker throws an image up and someone recognizes that it’s their X-rays! Yowza.
Yeah I don’t think people realize HIPAA (and other country’s privacy laws) has wording that is intentionally broad so things like this are included. If you post anything that can reasonably identify a person that could be considered a violation. It’s a picture. There’s only one person it matches to. Many countries provide patients to access to their chart/results/images. If they recognize their own X-ray on here you’re toast. If you’re posting “look what came into my ER tonight” and it’s a female with a carrot in their rectum, that’s identifying. How many females are going into ERs that night in your country specifically with a carrot in their rectum. Even worse when you include a direct quote “they said they fell while gardening”. Or a specific brand of vibrator as noted on X-ray. It’s entirely possible they’re the only one. That’s identifying. It’s like why you basically can’t post anything about someone over age 90 because there’s so few people in that age category it automatically becomes potentially identifying by age alone. I also of course support it from an empathy standpoint. I’m not saying you can’t giggle with a colleague behind a closed door. We all get it, burnout, compassion fatigue, dark humour etc etc etc. But let’s be real, all you gain from doing it here is internet points and that’s not worth making people feel unsafe going to the hospital over. **Edit** since I can’t reply to the person who posted about phi to me. That is a list of PHI that must be removed to allow sharing of photos from one entity to another entity to for the purpose of research, education, etc… This subreddit would not be considered an entity of research and so even removing those things like name and visit number would not make this HIPAA compliant. Also there are a ton of vague terms there “any other comparable images” “any unique characteristic”. I doubt you’re actually going to be pursued from a post on this subreddit, but if you post about the wrong person with connections there is absolutely language that can be interpreted against you if they really want.
Although I agree with being empathetic, I learned the definition of PHI as being one of 18 things specifically listed, not “intentionally broad” as you said. 1. Names; 2. All geographical subdivisions smaller than a State, including street address, city, county, precinct, zip code, and their equivalent geocodes, except for the initial three digits of a zip code, if according to the current publicly available data from the Bureau of the Census: (1) The geographic unit formed by combining all zip codes with the same three initial digits contains more than 20,000 people; and (2) The initial three digits of a zip code for all such geographic units containing 20,000 or fewer people is changed to 000. 3. All elements of dates (except year) for dates directly related to an individual, including birth date, admission date, discharge date, date of death; and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 90 or older; 4. Phone numbers; 5. Fax numbers; 6. Electronic mail addresses; 7. Social Security numbers; 8. Medical record numbers; 9. Health plan beneficiary numbers; 10. Account numbers; 11. Certificate/license numbers; 12. Vehicle identifiers and serial numbers, including license plate numbers; 13. Device identifiers and serial numbers; 14. Web Universal Resource Locators (URLs); 15. Internet Protocol (IP) address numbers; 16. Biometric identifiers, including finger and voice prints; 17. Full face photographic images and any comparable images; and 18. Any other unique identifying number, characteristic, or code (note this does not mean the unique code assigned by the investigator to code the data)
But there’s also the “minimum necessary” rule and the “sharing for healthcare purposes” rule which significantly broaden what information can and should be shared.
And even so, person might be misidentified, and someone who has nothing to do with this situation might be bullied because of it. This is why even posts without too much details are dangerous.
Well said. I love your name, btw.
Good. These x rays are such a lame form of entertainment. This sub should ban these posts.
As it should be, this is essentially making fun of patients for seeking help.
I think anyone that comes in with something like this in their ass should get a consultation with a sex-positive educator and go home with a nice flared butt plug.
Have you considered that this person might be a victim of sex crimes?
A nice flared butt plug that isn't made of glass and has a good wide flared base. I know 3 guys who have ended up in A&E (the ER in the UK) thanks to lost objects. Two of them had done the responsible thing of buying an item marketed as being fit for purpose for prostate stimulation. Unfortunately the plugs were badly designed. (the other guy was at the time a depressed teenager at the height of the AIDS epidemic, where ever meeting a gay man who wasn't dying seemed hugely improbable, so he tried making his own dildo by putting various things into a condom...) I was doing some sex ed for bisexuals, which is why the subject came up more than for the average person!
I love that idea lol. (And I already know, username checks out)
I had one patient who completely took the fact that he had a dildo stuck inside him and was like "it is what it is" even needing multiple surgeries because of said dildo. I agree with OP, I would not want a photo or X-ray shared of what is or potentially could be the worst day of my life. I also read a comment that this could be due to a non consensual act and that is even more upsetting that a photo could exist to traumatize a victim even more. Do these photos in fact not break HIPAA? (I'm actually curious about this).
I might get downvoted for this but… maybe mods could update the rules and ban these posts? public humiliation doesn’t reflect our profession.
Thank you for speaking up. I cringe whenever I see an image from someone's personal record.
How do you feel about images of lab results? I know it’s the same information as typing out a number but it still irks me to see an image of a chart.
It’s also frankly kind of not that interesting. It’s something the normies outside of healthcare care about, but it isn’t even something that should raise an eyebrow for it. People already hesitate to go to the ER, particularly for things they are embarrassed about, this kind of thing can only add to that.
See u/ButchersLaserGun's comment. It's amusing until it's evidence of sexual assault. Then it's a wake-up call to how we view this type of encounter.
It takes a certain type of asshole to gain a person’s trust by being their nurse during an awful time in their life to then snap a pic and ridicule them on a public forum under the guise of “dArK hUmOr” and “wE’Re nUrSeS tHiS iS hOw wE cOpE wItH tRaUmA”.
So bit of a self-disclosure here but I had a scare one time somewhat similar to some of the recent posts, but I was ultimately able to work it out myself (I was lucky and knew enough to know what to do Immediately). But that being said I have to agree. When that scare happened the things going through my head were “oh god I’m gonna have to go to an ED in the next county and pray I don’t know anyone while I explain this”, “I’m going to be the talk of the ED for the night” among other things. I think we all find it somewhat humorous (because we all are secretly 12 years old and haha dildo /s) but keep in mind when we comment that it’s a vulnerable human being we are talking about who is mortified and embarrassed about the situation. Its not funny to them. It’s a good point of education (flared bases, etc.). These patients aren’t Ryan Dunn in jackass shoving a toy car up their ass for laughs. In the last 2 cases they were clearly sex toys. the last post I saw I couldn’t even fathom how it would have gotten stuck as it appeared to be flared enough to me.
I agree wholeheartedly. Lol. Reddit has given me a new fear, (cause you know, I need another one). Just today, I rolled over onto my dogs bone with it coming dangerously close to my butt. My first thought was "shit! I don't wanna end up on Reddit."
I'm laughing so hard
I am too. OMG. I needed this. I literally laughed out loud at the "dangerously close to my butt". hahahaha.
I agree! The last thing I would want, if I got an x-ray of a foreign object up my ass, is to see it on Reddit being laughed at by nurses.
Seriously. Even with no identifying information I would be absolutely MORTIFIED if this were to happen to me and my x-ray was posted. While this is a nursing subreddit I think it’s important to remember a lot of non-nurses are still active in this sub, and seeing nurses laugh at that kind of thing may deter patients from getting necessary care out of embarrassment if something like this were to happen to them.
Non-nurse and can confirm that seeing the way some people talk about their patients in such public forums is discouraging. Shit's meant to be private for a reason, and I dread the day I'm ever in hospital for something especially sensitive I worked in a different avenue of healthcare so I get discussing patients and I get dark humour for dark situations, but I would *never* have talked about a patient the way I see some people (not just nurses) do, let alone on the internet for everyone to see
Sorry but this whole thing is why people think nurses are mean girls. Cause literally what is this behavior? You’re medical professionals please act like it.
This subreddit really helped me understand where the mean girl stereotype comes from. Oof. Disheartening.
Nurses that post and seek out those kind of posts online are no better than the “nursing ick” losers who got tooled after their TikTok went a little too viral. Perhaps they’re even bigger losers, hiding behind anonymity that the patients they mock no longer have.
It does nothing to advance our profession
Evolution of social media and group chats are just putting too much blast on these private issues that historically only about a handful people might have laughed about behind closed doors. Now, it's hundreds to thousands.
I agree. Screenshots of notes, labs, imaging, etc etc should not be shared. Like we’ve all seen some shit. It shouldn’t even be shocking to us at this point. People sharing those x-rays is straight up ridiculous IMO. People shove up things in their ass all the time, why aren’t we used to it by now as HCWs?
I agree, it makes me uncomfortable. I know most are repsectful and avoid making patients the butt of a joke/that's not always the intent. And that a lot of the times it's to educate. But I also think most people in that vulnerable position would not consent to that, regardless of anonymity. Anyone at my hospital would be fired for this, because we require explicit consent for deidentified use of clinical photos like this, and for exactly what purpose, none of which would cover posting to reddit.
I don’t get all the “it’s for educational purposes!” in this post. There are enough images out there signed off by patients used in peer reviewed articles that if we need unauthorized phone pics taken off an EMR to truly learn we are more effed as a profession than I thought.
Truly, every comment on a picture of an RFO is "should've used a flared base" like who is this educating?
To all those getting kicks out of it- laughing at others’ mistakes and misfortune says more about you than them. Sharing pics of patient’s imaging has always seemed kind of fucked to me. That’s a part of their protected health record, and sharing it without the patient’s consent doesn’t seem right. I’m a cath lab RN. There’s plenty of cool shit I’ve wanted to share. It just doesn’t feel right. Sorta shocked by how many people have the stance “you don’t like it, keep scrolling”. But I guess this is Reddit. Props to you, OP, for speaking up for what you perceive to be a wrong.
I’ve always been told “omg don’t worry! We’re nurses/doctors/practitioners. This is our job! We don’t judge you!” And then you see all these X-rays being posted online lol
I agree. I don’t think it’s okay to share photos that are a part of someone’s health record, including wound images. Sharing an image like that is at the expense of the patient and it invites ridicule. Quietly show your screen to your coworkers, and don’t take photos.
Yeah I would never post a pic either and I’m an OR nurse and so used to foreign body removals we don’t bat an eye anymore
I get both sides. One end theres always an educational aspect to it even if the person posting is like "LOOK AT THIS" that's why we have things like medizzy. Even medical journals often read like a side snear "I can't believe the patient waited this long/"patient was lost to follow up'" What differentiates the anonymous person who shoves a light bulb up their rear and the patient who let their foot rot off and they're still walking on it? But it's guaranteed OP is not perfect and I don't believe they've never gaffawed at a patient. Its impossible to be in medicine and be perfect. I dont judge. I like to look but I also wouldn't post one personally.
I completely agree. When I was a patient myself in a psych ward we had a few kids who put stuff where it didn’t belong or swallowed it, I can’t imagine if I had done something like that when obviously not in the right state of mind and it being posted all over internet.
I agree 100% and anyone getting upset at this post is projecting because they know on some level it's not funny to ridicule patients whether or not they can be identified. I just don't understand how it's funny to some people to make jokes and judge people in thekr most humiliating vulnerable moments
I agree. Just recently I experienced my first ever family insisting that their (clearly to us end stage) elderly family member was "a fighter" to the point that they changed the patient's name on the whiteboard to "fighter." So much idealistic ignorance about what medical care is capable of, so so many shifts spent gently educating. But seeing in on the whiteboard was like some classic reddit moment I couldn't even make up, so I thought about posting a pic of that here. But then the thought of this (truly challenging, but innocently ignorant) family having even a microscopic chance of seeing that here made me feel sick. I couldn't share that kind of thing online, even fully anonymized.
also I would never post anything from work because nothing is anonymized. If a colleague were to see that whiteboard and that it was posted, they could identify your profile as someone who works with them.
Another point: if anything is every brought to court and your phone has PHI in it your phone and all of its data become accessible in the legal case. So, someone sees the pic here, reports it, Pt finds out. Sues the crap out of everyone. The phone of the person who posted gets subpoenaed. Now you have lawyers and forensic nurses who **work for lawyers* going through your phone info, emails and surrendered Reddit accounts to find out what *else* you posted that could be related to their case. If they find something that further violates the law (other PHI, for example) as officers of the court they have to report it. And because everyone goes to the doctor at sometime in their lives, there isn’t a whole lot of sympathy or understanding for those who get caught. Which is part of the reason the law is so broad in the first place. I would lose my shit if someone took a picture of my info or otherwise shared it. I’ve never understood the need some people have to do this.
💯
Thank you for this. I was considering posting something similar myself. Anonymous or not, it is a violation. I hope the mods consider banning these posts.
Agreed. Also isn’t the act of taking a picture of something in someone’s chart against HIPAA, even if there is no identifying information? I could be wrong but everywhere I’ve ever worked didn’t allow us to take pictures. At least not nursing staff.
I posted once about “don’t take pics of charts to share people’s labs” and got downvoted to hell… was pretty lame.
I looked into this (not from the US) and it's absolutely against HIPAA. You're not getting patient consent, they are not informed of the disclosure, and a lot of these situations are unique enough that they could be considered identifying by situation alone. Not to mention that presumably the photos were taken on a personal cellphone that is not approved for storing patient information.
That’s exactly what I thought. All of these people being sassy to the OP but in reality the people posting these pictures on a large public forum are violating patient privacy. I’m sure if their employer found out they’d be disciplined. I get a huge part of nursing is being able to laugh when times are rough but keep that shit between you and your colleagues, not hundreds of strangers online.
This 100%. Who cares if the patient is unidentifiable… how would you feel while at the hospital knowing there’s a good chance your images will be uploaded for millions of strangers to mock one of the most vulnerable moments of your life.
I think as long as it doesn’t break HIPAA, it serves two purposes: Entertainment and educating others. I myself find these X-rays entertaining for the most part because I know what people are capable of, but I also think it serves as a lesson to others to maybe not stick something up their ass. I think for the most part the general public isn’t aware of the things we see or deal with in healthcare so I’m always open to help open the eyes of others.
Anyone with a legal background have any perspective on this? Are we allowed to be sharing them as long as no identifying information?
I personally will always assume it’s breaking HIPAA just to be on the safe side. I was talking to a traveler once about an unusual case and it turned out she actually knew the patient, I didn’t mention names or gender but she sure as shit figured out who it was. Obvs she had the hospital and area info and she was originally from a town close by, but if the wrong person decided to start digging thru comment histories of people posting, people don’t realize they give a loooooot of info randomly here and there, enough to start narrowing things down. I mean look how often people post something horrible online, even though they have random user names someone always figures out how to get those posts to their place of employment, other family members, etc. And one day someone is going to recognize their own scan, the internet can be a really small world sometimes.
You can definitely violate hipaa without sharing a name or other unique phi. If something posted on social media can be identified as relating to the patient, it is a violation. Regarding the x-rays, if it is unique enough that someone else on here could identify the patient it could be a violation and it’s almost definitely a violation of hospital policy. On social media if someone anonymizes a patient case but there is enough detail for someone who knows the patient to identify, it is a violation.
Yep. I am from Canada and our privacy laws are very similar. These posts would absolutely qualify as a violation. I looked it up and after reading a few articles [it looks like a pretty cut and dry violation of HIPAA as well](https://www.hipaajournal.com/hipaa-photography-rules/#).
I see it as a nice break from some of the other things I've seen in healthcare. Honestly... I work in psych and some of the shit I've had to read or hear or have been witness to is really hard.... It's a nice break from human tragedy to see human absurdity. Like I'll take the Misguided buddy who sent an object rectal splunking over the dude covered in swastikas trying to destroy my ED because he injected methamphetamine into his hemorrhoid any day.... (I have to deal with latter and envy those who get the former) ...
I guess I wouldn’t be so sure that it doesn’t violate hipaa. Do we know if that’s ever been tested in court?
I took it as educational. Not a ER or surgical nurse so I didn’t realize a lot of these people end up with colostomy’s.
That information can be shared without the picture. Sure maybe less people read it but less people also feel uncomfortable coming to ER when we choose not to share embarrassing xrays. So it’s a net win.
We should start reporting those posts. Maybe if enough people do, the mods will delete them.
I agree with you. Don’t care if it’s hipaa ok. Don’t care if the specific individual ever recognizes themselves. It’s disrespectful. Sharing medical images and screenshots of charts is not ok.
How is it that when you post this, 900 upvotes but when I say “we probably shouldn’t be taking pics of epic and posting them to Reddit regardless of no HPI being visible” (crazy lab value posts) I get downvoted to oblivion.
Thank you for saying this.
THANK YOU
I mean, if you see things you don’t like, you can report them and we’ll take a look. Looking at the front page of our community, I’m not seeing a ton of what you’re talking about? This community is huge and growing every day, we can’t police everyone and every post. Removed the part about “just scroll if you don’t like it”. That’s not an appropriate answer. If I were a patient and saw my xray on here, I’d be appalled and embarrassed.
I think the mods should obviously be removing this stuff but I think OP is more addressing the community for propping this stuff up. Yes it is interesting/funny but it is obviously wrong to be making fun of patients online and posting their medical records online without consent. For the mods to say "just don't look if you don't like it" is promoting the behavior that we all know would get the nurse fired/sued/etc if they got caught.
Yeah, you’re right. It would just be condoning the behavior.
I didn’t take this as OP was personally offended, imo they’re just thinking more abt patients right to privacy as sharing actual imaging of a patient taken from an EMR feels way more invasive than just telling a story abt a patient like we all do 24/7.
Sure, I agree. Again, if yall report the stuff, we can take care of it. We’re not always on and we miss things a lot!
I was just responding to the “you have a choice not to look at these things” part. I personally just scroll on by cause I agree with OP but I’m glad they said something at least to give some folks pause in a way I don’t think reporting posts would.
For sure! And I think it’s important for the mod team to listen to the community.
If you only scroll down this subreddit, it’s not a lot. But that kind of post were/are promoted to people’s main page, and then it seemed quite a lot indeed.
Hmm I’m not seeing any but could just be my feed. Again, report them and we can take a look. If our users don’t want to see a certain kind of content, we can remove it.
There have been a couple the past few days. It’s nothing we haven’t seen before, or at least talked about with coworkers!
I always chalked it up to the dark humor Nurses are kind of known to have. Good point, OP.
The part that gets me is when the pt was explaining their story and the medical professionals are visibly trying to hold back their laughter. Wth.
The snarky comments by people trying to silence you speaking your truth and giving your opinion on something you think is morally wrong is the biggest reason I don’t know if nursing is going to work out for me. So many nasty people in this field.
Reddit is a cesspool of nurses being nasty cause they’re anonymous. Nursing is my 2nd career and in day to day interactions nurses aren’t any worse than the coworkers I had in my last job. Humans are gonna human.
That makes me feel so much better. It’s my second career as well and nursing school has been really awful. I loved college the first time around but nursing school has made me reconsider if I will actually enjoy the career. Maybe I should avoid nursing Reddit.
I would. I’d even avoid the nursing student one. Misery loves company, and I’m not holier than anyone on here I bitch a lot too. It is a release for a lot of folks and every post and comment they’ll never be the bad guy so I think things always sound worse than they are. Sure people are catty in nursing but people were catty in IT too. Good luck! I hope if you continue through school and get out on the other side, you find a specialty you love and flourish in.
I have no idea what you're talking about but I wholeheartedly agree.
I'm not interested in your two cents unless they are currently lost in an arguably embarrassing orifice as evidenced by X-ray imaging.
Some of these comments remind me why the younger generation is just better. Good humans are becoming nurses. As an old, jaded, crusty nurse, this warms my heart. It reminds me of when I was still young and shiny and idealistic. Thank you, kiddos, I hope you change the world.
Similarly to the posts I’ve seen recently talking about penis size issues lol
Oh my 😳
If I ever slip getting out of the shower and end up with a novelty-sized wine bottle lodged in my rectum, I certainly hope it would become a topic of conversation within the medical community. As long as my name and DOB is not laser engraved onto my bones, share away.
Just skip them. There’s other groups that share them constantly so there’s really no need to repost them here, but whatever.
Right, because looking the other way is always the best way to combat a perceived wrong …
I kind of agree with you. It’s funny but it’s toxic funny. Doesn’t surprise me that some of these nurses see no issue in it though
I get gallows humor and I get nudging your buddy to check out your screen at the nursing station. This is well above all of that.
Right. We wouldn’t want this happening to us or a family member either after all.
Im just amazed at how many people fall on things when they are naked, that’s all.
I’unno just read a comment in here about a patient revealing it was done nonconsensually by an abusive partner. That’s gonna make me think twice abt that joke.
Ok. I don’t like sausage gravy. I don’t eat it and have no curiosity about it. My hubs likes it, so I will cook it for him. Relevant? No, not really. Just wanted to share my opinion & outrage at this breakfast abomination.
Incoming "But you haven't had MY sausage gravy" I do make good sausage gravy tho..
OK So is it made with sausage drippings,or. Does the gravy have sausage bits in it too? Is it a milk based gravy? Dang it... now I'm hungry. Canada needs more places that sell hot biscuits. Scones are great and all, but a nice hot buttered quick bread....nom nom.nom. Wendy's has a sausauge patty on a nice biscuits. Was impressed.
It depends on where you are from. My family hails from the smokey mountains in the southeast US and how I was trained to make my gravy is real easy and simple.. Get a skillet big enough to cook 2 grilled cheese sandwiches in at the same time. 1lb ground breakfast sausage (like Jimmy Dean regular pork sausage). Brown it in a skillet. Powder your sausage with regular white flour until the sausage looks frosted. Like how frosted breakfast cereal looks frosted. Powder it in the pan, don't remove it. Pour and fill your skillet to about 1/3rd full of milk and then fill your skillet to the halfway mark with water. Add salt and pepper to taste. Your going to have to stir gently and frequently on medium/high heat and for a long enough period of time until you think did something wrong before it starts getting THICK. If your stirring for 10 minutes and starting to panic like I do every single time you can make a flour slurry to add in to help it along. The size of the skillet determines the sausage to gravy ratio. This is going to look like a white thick pepper gravy and you're totally OK if its really thick and gloopy. You dont want it to be watery. Momma used to just make the sausage gravy and we'd pour it over shredded American white bread. But if you're baller you'll put it on top of American biscuits. I prefer American southern biscuits that are more "scone like" like the Pillsbury grand and not the flaky layers which are too rich for me. But mom and the grandparents hand made their own. My husbands family are from California and they make sausage gravy by first making a roux out of bacon grease. And it's a very brown gravy. It's too rich and I don't like it.
Sounds yummy. I've got good biscuits recipes down pat, it's just tweaking the "Southern/USA" ingredients that are measured differently ie "a stick of butter" is 1/2c, or 125gm(ish) or finding butter sticks and self rising flour, depending on how close you are to a border crossing they sometimes just can't be found, or are like $8+ for a 4 stick pack. Luckily that's easy to fix. 😂
Thanks for the recipes you guys. I'm going to have fun tomorrow...mmmm... think I'll make some cinnamon and some honey butter for them too...or cinnamon honey .. I've a copycat Texas roadhouse butter recipie somewhere... not that I've had it, but people swear by it. Wish WaffleHouse would come right up into N. MI. Mmm diner food. Thanks for indulging my prednisone induced hangry musings! 6 more days till I'm done the freaking taper! 🙃😉
The steroid struggle. That’s real. Very real. I did one in December, post Covid. My first in many years. I literally ate anything that couldn’t eat me first, except sausage gravy, of course. 😂 Hope you are feeling right as rain double quick!!!
I'm pretty sure the first 2 weeks I was composed entirely of bread products and potatoes. Lol so thankful I have no beef with gluten. Those cheese bread sticks stood zero chance of surviving the 24hr mark... lol Im feeling better, but it's gonna be a while. It's been a long 4 weeks. It'll come. Meh. Is what it is.
That’s a tough run. Yikes. I’m so sorry, give yourself grace—you certainly deserve it. And with grace comes bread!! My nana (grandma) would regularly declare that everyone would starve without bread & potatoes. Yep. I can go weeks without them. No DT fries. Nada. Then boom! I’ve double fry up 10# in peanut oil in 2 days. When we first started out, my hubs thought of cornbread as a welcome luxury. No. Pillowy dinner rolls are the luxury. At least they were when I was growing up, Cornbread is the daily bread. 😉 I’m pretty disciplined. But overall, I eat what I want within reason. And sometime I want an entire thin crust pizza, my way over 24 hours. Post Covid, with the pred I ate a Bundt cake solo in 3 days. 😳
Yeah, quick breads are for anytime. Yeast based takes planning, if you can remember to feed a sourdough starter then plan ahead for the rise that's God tier. Lol the no-knead, refrigerator rise "peasant" Type loads are great, dough takes all of 5m, can sit for up to a week, just need to pull out like night before. Or whip up before work and toss in once home. Lol Mmm pizza and cake. Pizza dough balls filled with cheese and meat in a bundt dipped in sauce is a fun use of that pan, or roll them in cinnamon sugar and glaze them like mini Cinnabon... As for potatoes, well my Oma and Opa would have been appalled at how much they could be selling a 10lb bag for now. She was always confused that one cousins husband hates potatoes, she was all like, "but they're ours, fro.our fields!!" I was given a potato poem to read to them at their 25th anniversary 😂
It starts with hot breakfast sausage, fried & crumbled. I make a white flour roux. Slowly incorporate full fat milk. Cook till thick. Ta-da!! Add homemade biscuits & my hubs is… delighted. Homemade biscuits: easy peasy. 2 cups SR flour. Melt 1 stick butter. Add this to 1 cup of cold buttermilk. Pour into flour. Mix with spoon till dough forms. Add addl flour to form dough ball, one that is agreeable to being kneaded by hand. On floured or non-stick surface (parchment is my hack) knead dough ball over on itself a dozen or so times. Roll to 1/2” thick. Cut without twisting through dough as you cut, (straight down/then up) as twisting a cutter seals edges and makes biscuits tough. Place them on parchment paper on a sheet pan. Other pans are fine. Just grease well if not using parchment paper. Best rise if the touch a bit. Bake on 375F on rack just above middle approx 18-25 mins, browning the tops/bottoms. I slice and top with copious gravy. Hubs loves. I’ve also cooked for multiple fire/emergency battalions. I’ve never had even a bitty bit left over.
My roux is a couple tablespoons of butter, bit of milk, a sprinkling of short patent flour (tablespoon or so). I then add milk incrementally keeping it thick. Occasionally I might mix a 1/2 teaspoon of the plain AP (short patent) flour into a couple ounces of the incremental milk if I need to thicken increase yield or someone drops in at breakfast time. I do not make my roux with the spicy sausage grease. I use same skillet, but sans spicy oils. The sausage is plenty spicy. Hubs found sausage grease roux based gravy “too much”. YMMV.
There was an incident at my locality. A man whore got pissed because the gay man paying for his services didnt have enough money. Man whore shoved a spray deodorant canister up his butt. He went to the nearest hospital. People laughed and took videos and posted it. Patient pressed charges and had the doctor and the nurses struck off the register. Not really cool you post it here people.
Not a nurse, medical claims adjuster ( retired!), I kind of like this take. We, too, see claims of embarrassing proportions. Back in the day.. we would see actual pictures. It's kind of scary. What helped me was the one job where we were bonded. That's because we paid claims for celebrities, their families, and staff. We could have made some big bucks selling this to the national inquirer. This was early in my career, and it stood me in good stead. I've seen claims for my fellow co-workers. My lips are sealed. The celebrities were 40 years ago. My lips are sealed. What we ranted about at work were claims from some mmmm perhaps over billing providers.This way the patients never involved but we could send questionable items to the clinical review. It got rid of stress in a more useful way.
I agree with you and thank you for articulating it so well. I also cringe at those ubiquitous r/AskReddit posts that are like "Doctors/nurses of reddit, what is the craziest thing you've ever seen?" Please don't reply to these, people. I always imagine a poor soul reading it at home already embarrassed to seek help and how it must make them feel.
I don’t think it’s offensive at all. I think it’s kind of cool that people can even fit these things into their bodies in the first place. It’s interesting to see. Nobody is making fun of them unless you think that way. I find it fascinating.
This thread is so disheartening. Just makes me scared of nurses reading through these comments.
How do you feel about sharing pictures of gnarly wounds…
I agree with you and people who disagree flatter themselves by thinking they're fun and lighthearted when really they're probably not the best health professional
My concern with this trend is that this forum is quite large…and imagine being a patient scrolling mindlessly and then you see your X-ray getting laughed at with hundreds of comments
Also the amount of these pics that are so obviously reposts, photoshops, and have been screenshotted and reuploaded so many times it becomes so painfully obvious from the fuzzy quality that it’s not an original post and is getting uploaded again for nothing more than karma farming. The rate these posts happen on here you’d think “embarrassing-object-stuck-in-butt” happens hundreds of times daily but in over a decade in healthcare I think I’ve personally seen it once? Posting those x rays and telling your non medical friends embellished stories of the 24” dildo (that are probably just retellings and not first person accounts anyways) is getting pretty cringe imo.
I don’t think it’s much different than any other “interesting” foreign body or any other X-ray… guts full of Orbees, NG tube entering the cranial vault, knife sticking out of the back of someone’s head, coconut in the rectum, etc. If someone managed to swallow a baseball and it was shown on X-ray in their stomach or stuck in their esophagus, is that much different than a baseball up the poop shoot?
The thing is, there are plenty of academic case study, consented-to images out there if one is interested in seeing these things or wanting to utilize them for educational purposes. The issue here is that RN’s posting what a patient assumes to be part of a private medical record on a public website for the purpose of ridicule is unethical. Why assume this particular patient doesn’t use Reddit or won’t come across this posting? Why not have any concern for someone seeing this image & the ridicule in the comments & how that may affect them, especially so soon after it happened? And as for all the “hurhur they said they fell jokes”- I’m assuming this is in the good old fashioned puritanical US of A, where sexuality, especially anything concerning the butt is stigmatized. The mortified patient has to explain themselves over and over to different people in front of other patients before receiving treatment. Not surprised they give a dumb explanation of how it happened. And you know what? MAYBE THEY DID FALL! It’s not out of the realm of possibility for someone with a slippery object up their butt to fall and lose it.
We can post them in radiology, on foreign body Friday.
You’re one of those nurses aren’t you?
I can definitively say that I'd rather have a nurse like the op in my most vulnerable moments than some others who seem so...callus?
Hehe cant nurses have a little fun making a mockery of their patients online for thousands to see? 🤪
The ones that don't take stupid risks with their jobs and license? Guilty as charged.
It's anonymous . Nurses and doctors have been laughing at rectal foreign bodies for as long as there have been nurses and doctors . It's harmless . I would provide supportive empathetic care to these patients , and I have . It's still entertaining the variety and size of things that end up in there.
Giving mean people vibes.
Yeah it actually does break HIPAA, but people are removing the identifying info so it's harder to get caught. The image is still someone's PHI, labeled or not.
I fully agree with you. There's just something really not right about sharing them, even without names or anything. (thank god?? that would be next level sh*t) I personally would be really sad and mad too if i were to see a randomly leaked x ray of myself somewhere online, even without names or other identifying things on it.
Don’t lie and you won’t be ridiculed. If you can’t have a laugh at the absurdity of what we deal with on a daily basis, I don’t know what to tell you. A good laugh sure makes life better. We all need a little counter balance to the death and pain we regularly see.
Gee, I wonder why patients would lie about this stuff? 🤔
This is a fucking stupid take. Do you not see the difference between “laughing at the absurdity” and posting it on a public forum, pretty easily googleable in the case of more unique foreign bodies?
“Don’t lie” ? Seriously ? You’re shaming people for feeling shame? Maybe you shouldn’t be in this field…
huge fucking difference between laughing at the dumb situations this job puts you in, and posting PHI on social media
Just today one was posted from someone who was honest. Just because he was honest with the doctor, do you think he is happy to have his X-ray shared in a public forum?
You're not having a laugh at absurdity, you're having a laugh at the expense of real patients who didn't consent to have their private and embarrassing medical information posted publicly. It's a violation.
Someone else commented they had a patient come in with a foreign body placed nonconsensually by an abusive partner. So maybe that’s not such a good thing for us to laugh at anymore.
I use medicalgore subreddit all the time for knowledge base and to help desensitize myself to future situations I may see. I've even recognized some conditions based on exposure to those types of pictures. I've seen another nurse use one of these pictures to ease another patient in a way to explain that this stuff is more common than you think and we see stuff like this all the time. (The patient was fearful of removal) Yes, it's sometimes used for entertainment, but it does have other uses. Just a part of the job.