I Don't Think We Can 'lmao' Our Way Out Of This One, Girls.

Reddit wins this one

[Image ID: post from Reddit thread r/thelastofus titled "When is a gay relationship on screen not "political propoganda?""

Post reads: "It's the same criticism I see levied at the last episode over and over again. "I'm fine with gay people, but keep politics out of my entertainment."

I'm genuinely curious. How in the holy hell is a gay relationship pictured on screen inherently "political?"

It's maddening man. I'd prefer they just come out and say what they're actually thinking."

User catnap_kismet replies: "there are two sexualities, straight and political. there are two genders, male and political. there are two races, white and political. etc".

This reply has many awards and 1.2k upvotes

End ID]

[3:09AM]

pairing | bakugo katsuki / reader

words | 555

warnings | mentions of blood, death, and nightmares.

—

“Katsuki! Just hold on, help is coming!” you let out desperately. You cradled his head in your lap as you held his face in your hands.

He slowly raised his arm, reaching out for you. You grabbed on with fervor and clasped it against your cheek.. You watched as he strained to take in a breath.

Blood continued to escape from his wound, it coated his clothes and your hands. “I love you,” he heaved. “I’ll love you forever.”

As the light slowly left his eyes you felt despair, “No, don’t leave me! Katsuki, please!” you begged with tears streaming down your face.

You awoke with a start, immediately checking on the sleeping male next to you, assuring yourself that he wasn’t hurt. You watched his chest move up and down, feeling relief as you saw him safe and sound. You rustled the blankets around, protectively wrapping yourself up as you tried to wease your way closer to Katsuki, as if becoming closer was possible. The space between your bodies was almost nonexistent.

You closed your eyes, in an attempt to fall back asleep, but no matter how much you tried, you couldn’t calm the rapid beating of your heart. As if he could feel your distress and the shuddering of your body against his, Bakugo stirs in his sleep, “what the hell happened to you?” his voice laced with sleep.

You look up from his chest, his presence already easing the tension spread in your body. “It’s nothing, just go back to sleep babe.” You didn’t want to make him worry so late in the night, or waste his precious time to sleep.

His eyebrow raises in disbelief, “you expect me to believe that while you’re fuckin’ trembling in my arms? Nice try dumbass.” he grunts.

You let out a soft sigh before burying your face in his chest, “I had a nightmare.” The consistent thumping of his chest alleviates the troublesome thoughts that plagued your mind. It was beating loudly, unlike in the nightmare.

He cards his fingers through your hair, “stop being such a whore.” he mumbles while pulling you closer.

“Huh?” you pull your head away to give him a stare of bewilderment, wondering what he means, “Katsuki, what the hell?” You can’t help but giggle at his strange accusation.

“You’re letting your dreams fuck you over.” he mumbles. “I’m supposed to be the one that fucks you. The only one.” An obnoxious laugh leaves your lips and he rolls his eyes with a slight smile appearing on his face. It’s silent for a while, so you take it as a sign and close your eyes in hopes of falling back to sleep until his voice disrupts the quietness. “Do you wanna talk about it or something?” his voice is deep, you can feel the vibrations rumble through his body.

You snuggle closer to his chest and let out a sigh in content, “No, I’m alright. You being here is enough to make me feel better.”

“Damn right I am.” he muses. His fingers don’t cease their movement through your hair.

You place a tender kiss on his jaw, “good night Katsuki.” He hums, and places a kiss on your forehead in reply. Finally, you close your eyes and allow yourself to succumb to sleep in the comfort of his arms.

they accidentally confess to you over text

anime: jujutsu kaisen

characters: itadori yuji, fushiguro megumi, inumaki toge

a/n: just realised i put two different movies in itadori's one, just go with "train to busan" pls :((

❝ ANGEL

♡ gn!reader x gojo satoru

cw: hurt/ comfort, established relationship

synopsis: gojo is so unserious, but he loves you more than you’ll ever know

wc: 1400+

notes from mei!

hello guys it’s been so long! i’ve rewatched jjk AND WATCHED JJK 0 FINALLY and felt very inspired to write lol (i fully believe gojo is a ginormous piece of shit)

i’m very rusty but i hope u enjoy!

you’ve always known satoru was far different from what people portrayed. he’s so conceited that it’s painful, but you know it’s just because he has insecurities of his own that he feels the need to hide.

he’s not as much of a ladies man as people say—of course, he can have anyone he wants, but he's only ever wanted to be yours.

i’m your perfect match, satoru says, no one can compare!

he’s scared of never-ending cycles and repeated mistakes—of things he should be able to control but somehow can’t—frankly, satoru is the epitome of bullshit.

it’s only now you’ve realized that satoru is the most flawed human you’ll probably ever meet—he’s a wuss who never stops complaining, his mouth going on and on like a never-ending siren. his favourite hobby is to get on people’s nerves then treat himself to that expensive bakery downtown.

satoru is so excellent that his flaws are dimmed by the blinding lights of his perfections.

he can get away with just about anything work wise—but with you and your relationship, there’s a line he constantly loves to jump over, even when he knows you'll never let it slide.

“satoru come on,” you say, hand reaching for his, but as you draw closer you feel a slight resistance, unable to touch him. you draw your hand back, taken aback from his behaviour.

you sigh, quiet and drawn out. gojo feels a chill run through his body as immediate regret pumps through his veins.

"baby—"

"save it, satoru."

he bites his tongue, watching as your eyes glaze over. you turn away from him, crossing your arms as if you were giving yourself a much needed hug. it's silent in his... very large and luxurious penthouse living room and you're once again reminded of the social gap between you and satoru.

for a moment, you can hear the voices of everyone mocking your relationship—criticizing you, laughing at you for even thinking special grade sorcerer gojo satoru could have a soft spot for someone like you.

and you feel played. not by him, but by yourself for believing someone born from money and blessed with strength, could love someone like you—someone who came from nothing and had to work their way up and up, kissing ass and developing thick skin.

you don't think gojo will ever understand how privileged he is.

you also don't think he'll understand how bad he is for you.

"where do you think you're going?" he calls. you think carefully, sliding on your shoes as you undo the lock on his door.

"home."

it's been two days and as your tidying up your apartment, you hear a knock at your door.

you pause, already knowing exactly who it is.

a minute—maybe five passes as you don't hear another knock. you're unnerved because you still see the shadow of him through the very bottom of your door, stubborn as he always is.

you try not to breathe too loud or move too fast, but satoru's always a step ahead and as you're opening your window to escape through the emergency stairs, he's already there.

"that's cold, my love." he says, but it's missing his usual satoru-flare and you know he's not in usual mood.

you don't think you can stomach him being in front of you.

he's wearing his sunglasses, hair down with his hand making sure your window stays open. his other is stuffed in his pocket, casual and uncaring like he always is.

"that's rich coming from you."

satoru loves you.

and it's all he can think about as he looks at you.

he knows you're more hurt than angry, and it's taken him great restraint to not harass you—lovingly—over these past two days. and when he sees you, he realizes he definitely should’ve harassed you instead.

his eyes trace your frown, your posture that shuts him out. he wonders if he'll be able to fix his big mistake.

with you in front of him, gojo doesn't feel like he's the strongest anymore. all the words he prepared to serenade you back into his arms sounded like gibberish and no longer felt right.

"why are you here, satoru?" he doesn't miss the way your voice breaks, "why do you always do this to me?"

tears begin to clump in his your lashes, throat tightening as you stare at him in disbelief. the air is so tense. you feel like you've been stripped bare as a tear rolls down your cheek.

"you make me feel so loved," your voice shakes, "you lift me up so high and make me feel so proud to be me."

satoru wants to tell you that loving you feels so natural.

"but you're so mean," you cry. the tears are falling freely now and you're choking on your words. "you do all these—all these things, making me feel special and—and seen, only for you to neglect me and twist my words a week later, because you can't handle being treated the way you treat me!"

he wants to tell you that seeing you like this is eating him alive.

"you're so ignorant—are you kidding me? thinking i'm overreacting for getting mad th—that you cancelled on like, the third rescheduled date to take on a low-level mission? and when i confronted you about it, forgave you for it, you turn on your infinity when all i wanted to do was hug you?"

your arms fall to your side, sick of his face and the way he’s just standing there silent. "it wasn't even about the date. i feel like you're bored of me and everyone who said we wouldn't last—"

"don't finish that sentence." he interrupts, no longer able to bite his tongue. his lanky figure climbs through your window and you feel even more vulnerable now that he's in your space.

"i'll never get bored of you, you keep me on my toes too much." he lays his cards on the table, knowing this is the last chance he has to prove he loves you more than anything on this earth. "i know how harsh you are to yourself, so i celebrate your tiny achievements because i'm genuinely proud of everything you do. i'm aware that being the best at work doesn't mean i'll be the best boyfriend. i forget that sometimes...” you glare, “most times." he corrects.

satoru takes a careful step toward you. "i care about you—more than you know, i think. you don't deserve to be neglected at all, and you don't.." he inhales through his teeth, "you don't have to put up with me if you don't want to anymore. i know how hard i make it, and i know a sorry isn't going to make it better."

you don't think you've ever seen satoru look so small.

"i can't ask you to stay with me, but we both know how selfish i am, so i'll beg you to stay with me anyways."

he doesn't miss the quick upturn of your lips. but it disappears as fast as it came.

you break eye contact and he feels his world shatter.

"how are you going to fix this?"

"...by reminding you i'm your perfect match?" he squeaks.

you sigh, "you're so unserious."

lanky arms wrap around your figure, caging you against his chest. you close your eyes, naturally sinking into his embrace. "i won't blame you if you break up with me, but i'll just let you know i'll definitely drop dead and you'll be responsible for killing the strongest sorcerer in the universe."

"that doesn’t sound that bad. everyone would know me and fear me—you know how popular i’d be?”

he's silent for a good, long second. "that's cold, my love."

it's so childish, in the way that he speaks. but in a way, he just revealed more to you than his semi-serious little monologue could ever do.

satoru is such a wuss, but he's never had someone love him like you do and he malfunctions. he can't fathom the thought of losing you, but also can't stomach the fact he's not good for you.

but he's trying. you know he is just from the way his knuckles brush against your cheek during the early hours of the morning; you know he's trying when he sneaks off during work to join you on your lunch break.

you know he’s trying because his students say he seems so gentle when he looks at you.

you know he's trying because he's here right now, after showing you he’s not the strongest despite everyone (and himself) proclaiming he is.

your arms curl around him and satoru gets his answer.

he's home.

WHO LOVES WHO ??? (1.5k)

— fushiguro megumi x reader

synopsis: don’t trust your thoughts after 10pm because now you’re convinced he doesn’t love you back

warnings: super fluffy, aged up, mentions of sex, megumi wees (in a toilet not sexually chill LOL), erm self insert… maybe ?

a/n: my first time writing megumi and if it’s ooc i don’t care lol i love the guy. inspired off that one girlfriends scene with joan n her boyf i’ve been watching a lot of girlfriends :)

fushiguro megumi doesn’t love you.

this is the conclusion you have come to, sitting fully clothed on the edge of your bath with your head in your hands.

after being together for three months, the words have yet to be uttered past his lips. aside from all the… more than friendly activities you’ve been doing; the sweet sex where he stuffs his head into your neck to hide his pitiful groans, how he softly kisses your ankle whilst gazing down into your eyes before he starts between your legs and the way he always crawls into your chest after he cleans you up… you’re not sure there’s been anything else to show he loves you back.

yes, you are in love with fushiguro megumi.

rubbing your fists against your tired eyes, you honestly found it hard to think of all the reasons why you didn’t love the man. the way with one scan over your body, he knows what you’re thinking or what you want. often disappearing in a room full of people to appear by your side to hand you a drink or sliding into a seat beside you to patiently help you with your assignments. his calculating intelligence, how he seemed to know everything or if he didn’t, after a minute he’d have worked it all out. able to explain something to you easily and only you… often ignoring if anybody else wanted help because he always had a second sense to if someone had bad intentions.

you love fushiguro megumi because he makes you feel like a good person. which you guess is an odd thing to say, but it’s true. you’ve often thought you weren’t always the nicest, occasionally impatient, sometimes stubborn. and although those traits are still in you, megumi makes you accept yourself. you know it’s due to the fact he’s seen the worst in people, met others that murder and lie to get what they want so relative to him you’re close to a goddess. the way he listens when you ramble about something petty, rant about somebody that’s been pissing you off, through your most annoying moments, megumi makes you feel loveable.

your thoughts slam to a halt as the man himself strolls into your bathroom. scratching at his dark locks and opening his mouth in a massive yawn. his top half is bare, a few scars from his work as a sorcerer littered about whilst his other half is in a pair of plaid navy pyjama bottoms. he eyes you, still fully clothed on the edge of the bath, for about three seconds. pretty thick eyelashes batting against his cheeks as he ponders over the reasons you’re sitting there. but it’s also four am and he doesn’t work well this early.

you try to give him a tiny smile, to not look as suspicious as you feel when he asks, “why’re you sitting there?”

coated in sleep and a little grunt, he then pads over to the toilet and pulls down his pyjama bottoms far enough to take his dick out. you don’t have time to admire his cute pale ass because fushiguro megumi is acting so very out of character.

“‘gumi!” you cover your eyes and face away from him, the tinkle against the porcelain sounding in the room. “don’t piss in-front of me!”

you try to rationalise it’s probably because he’s half asleep right now and honestly, it’s nothing you’ve never seen before. but since when have you both got to the point of being so bare with each other?

“hmm?” he mumbles, feeling his body lighten at the action. why are you so loud at four in the morning? “babe, when two people are in love, this isn’t a big deal.”

babe. two people. wait… love?

the strangest most strangled sound leaves your throat, as you whip your head to the back of the man you loved.

“megumi, what? who loves who?”

you just needed to be sure. he could be sleepwalking right now for all you know.

but he also definitely wasn’t with how he turned his head to stare you down like you just offended him. “i love you and you love me? why are you looking like that?”

then he turns back around to finish his business, about to do the classic shake before you ram yourself into his back, wrapping your arms around his waist and squeezing tightly. he places a hand flat on the wall before him to steady both of your bodies so he doesn’t go falling into the toilet.

“wait, let me clean up. we can cuddle in bed.”

but he’s not saying anything you care about, “‘gumi, you love me? since when?!” you squeal.

he scoffs, sleepy half-lidded eyes as he shakes and tucks himself back into his bottoms. “erm… since i met you? the first time we kissed? forever? why are you so shocked?”

he awkwardly shuffles to your bathroom sink, you still clinging to his back like a koala with a massive smile on your face like you’ve just won the lottery. it feels like you have.

you peep behind his back at the mirror before you both. megumi pumps soap onto his hands, lathering his slender fingers with the stuff and then hovering his hands under the tap to wash it off. you ignored all of that, staring at your lover's reflection as you feel your heart physically swell.

fushiguro megumi loves you back.

between that all, he glances up at you again, your cheeks high and your eyes bright like you just took a ginger shot, hyped up and ready to run a marathon.

“don’t you love me back?” the dark-haired man asks you, so quiet and tender you almost cooed aloud.

“of course i love you, i was just sitting there thinking you didn’t love me! you’ve never told me you have!”

megumi frowns, lips slightly pouted and staring at you through the mirror. his voice is a dull unimpressed monotone, “i don’t remember you ever telling me.”

now it’s your turn to pout, squeezing your arms around him in defiance but he doesn’t mind your touch. you’re making him all warm and toasty.

“well, i didn’t want to be the one to say it and be rejected. but if you said it i would have said it back.”

“babe,” he blanks and his face is telling you that you’re being silly but the impatient, almost rough rasp of the babe has you almost buckling your knees. “imagine i said it and you rejected me. i would have laid flat on the train tracks.”

“‘gumi!” you slap his arm playfully, kissing his bare bicep as his eyes twinkle at your laugh.

quickly he dries his hands on a random towel before spinning around to face you, his hands finding home on your waist.

and as fushiguro megumi stares down at you with his shiny albeit lethargic denim blue eyes, your smile grow bigger. so big he wasn’t aware a face could mimic the sun that had yet to rise outside. he should have been telling you he loves you daily if this is what he gets. a tiny chuckle breathes past his lips, your finger tracing up his spine making him feel a little drowsy.

“i love you. should’ve told you before,” megumi whispers almost apologetic, tipping your chin up to press a soft kiss to your lips. you can’t help but smile into that too with a pleasant hum and soon enough megumi is smiling too. a tiny one with makes your teeth clink together.

once you peck his cheek on your tiptoes, you wrap your arms around his neck. then his palms reach down to tap your ass, a signal to jump. as you do, your legs lock around his bare waist, “i love you too, ‘gumi. love when you call me babe too.”

the sight of the man still sleepy, muscles tensed to hold you up, you almost sigh lovingly. “really?” he mumbles, walking back into your bedroom and laying you down on your bed. “how about baby?” a kiss on your cheek. “honey?” you giggle as another lands on your jaw, “how about princess?” you’re now fully squealing at the tickle of his lips, especially as megumi, controlled by sleep lays all his body weight on top of you, only resting on his forearms to lay his attacks on you.

“yes, ‘gumi! yes!” and you feel the rumble of megumi’s laugh through his chest into yours. you throw the quilt over you both, now safe and warm with love.

once you both quiet down, megumi shuffles to get comfortable, tucking his head in the crook of your neck to go to sleep.

“love you ‘gumi.”

“love you too babe.”

“do you ever regret it?” you ask. “loving me?”

“why would i ever regret that?” he asks in a low whisper, fingertips drawing invisible lines on your exposed hip bone.

“i feel like…” you pause, sighing as you turn your head to the ceiling on his chest. “i feel like we’re holding each other back.”

satoru is quiet. he holds his breath, fingers halting on your skin.

“i wouldn’t want someone using me just to get you,” you elaborate, and gojo exhales. “i feel like…i don’t know. we keep each other weak?” you looking up at him, a hand leaning on a smooth chest. your eyes pour into his endless ocean. “i keep you weak.”

he keeps looking at you for a few seconds before a hand reaches up to cup your cheek. “you keep me sane.”

you pout just a bit, and satoru pulls you up to kiss it away. “you keep me tied down. grounded.” he tugs your hair away from your face as your arm cages his bigger body underneath you. “if anything, the fact that you’re the only weak spot i have says a lot.”

“i don’t want you to have a weak spot because of me.”

“i wouldn’t have it any other way,” he pushes you down to your previous position, a hand climbing to your hair while the other returns to your hip.

you stay quiet this time around, unconvinced, weighed down by your own overthinking. he comforts you like this, fingers massaging your scalp, calm breathes lulling you to sleepiness.

“i know choosing to be in a relationship this serious in a life like ours is risky,” satoru mumbles some time later. he squeezes you in, turning to fully face your body. “but i won’t find this anywhere else.”

you look up, and he finally sees the little tears clouding your vision. a smile stretches his lips pleasantly and a hand raises to swipe a thumb under a tearful eye, and you lean in his touch like a starved kitten.

“i won’t find you anywhere else.”

•••••••••••••••••••••••••••••••

pls reblog so i can find my old followers again!:(

writing and posting fic on the internet is like working at a horribly managed strip club where nobody is really watching the performers but instead drinking and talking amongst themselves but then sometimes you’ll have regulars and they holler when you shimmy and that makes everything alright to me

How to Go To a U.S. Hospital in 2022

Welcome to the hospital. You may have heard that we're understaffed. We are. We are no longer in a position to live up to the hospital experience you had back in 2019.

This post is about how to get the best possible care despite these trying times. Much of it is also applicable to long term care facilities and other institutions who are running on empty.

The Emergency Department

Consider: Do you have to go to an emergency department to get the care you need? If you need a prescription or a covid test or an inhaler or an x-ray or a STI test or basic diagnosis and otherwise you're probably fine, go to your doctor, a quick clinic, or an urgent care. You will not get care faster in the emergency room. I promise. Go to the ED if you are reasonably sure you would die or lose a limb if you didn't.

The ED is not first come first served. People who are going to die if they are not seen get seen first. If you are stable, even if you are in pain, be prepared to wait. At the height of covid we had stable people waiting for over 24 hours in the waiting area. We also cannot legally tell you to go somewhere else, even if we're pretty sure you're not sick enough to get seen anytime soon.

Bring your home meds. You are going to be there a while and you might not get in a bed in time to get your next dose. Even when you do, it takes a long time for a doctor to order your home meds. We never intended you to stay here for 4 days, so the infrastructure isn't there. Also, bringing your home meds is going to save you money.

RE: the above- tell us what you're taking, when you're taking it. We do want to know that so we don't give you anything that would interact with it. We also really want you to keep taking your home meds so you don't get worse.

Bring a charging cord for your phone, a change of clothes, a book, and if the visitation rules allow, a friend. You're going to be here a while.

The Emergency Department is designed to figure out what's wrong with you and do things that will save your life or help you leave the ED without having to get admitted. Sometimes the ED will treat pain, but each pain medication dose is ordered separately, so it's probably not going to be on the time scale you want or need. I hate to say this, but do keep asking. We have been really conditioned to assume if you stop asking, you're not in pain anymore.

If they tell you not to eat, or not to take a certain med, follow that advice. I know you've probably been there for a while and no one's told you why you can't do these things. That's not great. Ask why if you can, but assume the request is legit.

In order for you to be admitted, you need to be sick enough that they can't just kick you out with a cab voucher, a prescription, and a turkey sandwich. That's pretty dang sick these days. Pretty much, you have to be in danger of dying or losing a limb if you don't get admitted. And also, a bed in the hospital has to become available that can accommodate your needs. This usually means someone else has to get discharged or die. That might take a while, because they were just as sick as you when they came in.

The Hospital Floor

So they decided to admit you, a bed became available, and transport finally showed up to take you to your new bed.

Bring the following: A charger for your phone (I know you'd think we have these, but I swear we don't- they've all been stolen). If you smoke, bring nicotine lozenges or gum (you can't smoke or vape here. We have patches, but if you wait until you need a cig, it's too late for a patch to work, and if you try to sneak out most places will not let you back on the floor and you'll have to go back to the ED). If you have heartburn regularly, bring tums (we can order you tums, but you'll only be able to take like 1 every other hour, and let's be honest, if you use tums you usually need more than that). If you take a weird med, bring it (especially HIV drugs, chemo drugs, and meds for autoimmune conditions, because it takes forever to get some of these because we don't always have them on site). If you have severe allergies, consider bringing your own food. Seriously.

RE the above: Tell us what you're taking, when you're taking it.

Do not bring narcotics. There's too much liability on our end. Both because we cannot control how much you take if they are in your possession and if we find them we have to call security to watch us count them and store them in a locked drawer and which will be destroyed in 30 days if you forget to ask for them on the way out. It's just a hassle and someone is always in danger of getting sued over it.

If you drink more than 4 drinks a day, or use street drugs, tell us. Tell us please please tell us. We will not tell the cops. If we know, we will then be able to ask you questions about your withdrawal symptoms and can give you meds to control them. If you wait until you start swinging at us and having seizures we will not be happy.

Also, if you're on MAT, tell us. We don't automatically re-order suboxone or vivitrol like we do other meds. Addiction med has to be consulted, come see you, and work miracles to get that ordered for you while you're in the hospital.

If you see pain management, tell us as early as you can. Pain management has to be consulted and then work absolute miracles to get the admitting providers to order your home regimen, because anything more than 10mg of oxycodone every 4 hours is terrifying to them, even if you take 160mg of methodone everyday at home without a problem. The sooner they know you're here, the less likely you'll be miserable for a week before those things can be re-ordered.

Also, bring a friend. Seriously. I'm not kidding please bring a friend who is willing to help take care of you- things like turn you, help you dress, feed you, hold your hair back when you puke, and change your sheets when you pee the bed. And please bring someone you feel will follow the rules and ask before getting you something. You don't want to stay longer just because your friend brought you food you weren't supposed to eat because they felt bad for you.

A scheduled event is not really scheduled. Yes, you might have been told that your surgery is scheduled for 8am. You might have been told your dialysis was going to be "this afternoon". These things are not set in stone, and unless you are literally and currently dying, nothing is happening "right now". I have watched people wait days for appendectomies, gallbladder removals, displaced fractures, and other urgent-but-not-immediately-life-threatening problems. All a late intervention means is that someone else would have died if they did it as scheduled.

MOVE. Barring an unstable pelvic fracture or two broken femurs, if you can get out of bed and walk around, walk (ask your nurse if they want you to ask for assistance when you get out of bed to prevent falls). If you can't, sit up in a chair for part of the day. If you can't do that, move around in bed- roll back and forth, bend your knees, point your toes, do anything to keep you moving. If you're in pain, take pain medication strategically and move when it's most effective.

6:30 to 9:30, day or night, is the worst time period to put your call light on. Report time is 7 o'clock, meaning we have about a half hour to learn about our patients and set up our day, after which we have about 15 mins allotted per patient to assess the person, discuss goals for the day, find and pass daily medications, get vitals and blood sugar if applicable, and do anything the patient needs to get them set up for the day (water, pain meds, set up tray/feed, toilet, etc...). Put it on if you need to, but know that it will take a lot longer to be answered during these time periods than any other time of day.

You can refuse anything you want to refuse. You just can't sue us about it later. You can even say "I know you told me to do this thing, I am not doing it, please document accordingly". We will probably try to explain the consequences of not doing the thing. I recommend you listen, but the choice is certainly and always up to you.

You can leave against medical advice. It is also a thing you can do. As long as you let us tell you the risks, you can leave with prescriptions, education, and a wheelchair ride to the front door if you care to stick around for an hour or so after you declare you would like to leave. Some insurance companies have rules about this, which you can find by calling them. Just call and ask "what are the consequences of leaving against medical advice?" Some insurances don't have any consequences, some will completely refuse to pay for the stay, and some will refuse to pay for a second ED trip or admission within 30 days for the same problem.

Our prioritization system is: Critical (CPR, evaluating changes in status, dealing with changes in vital signs) Urgent (bed change for incontinent patient, pain/nausea/time-sensitive meds, drawing stat labs, answering phone calls from doctors, etc..) Routine (scheduled meds, scheduled assessments, calling family members, basic comfort things, ambulating patients, education, etc..) and Extra (everything else that has to do with comfort but isn't necessarily going to change outcomes).

I have had whole shifts where I don't do anything that isn't critical or urgent (with one routine med pass that was really late). I've rarely had a shift in the last 3 years where I've been able to do anything extra.

We're doing our best. Seriously. Nearly every shift I've worked has been absolutely flat out for 12 hours, and it takes a solid 2 days actually to recover from 2 days in a row of work. I would say I rarely get a full lunch break. Our patients are more and more complicated, and the decisions higher and higher stakes. Please understand. If you or a loved one hasn't been seen by the nurse in a few hours, it just means we're not as worried about you as the person down the hall who keeps trying to die.

We wish we could give you 2019 care. We really, really do. We don't have the resources for that anymore. We are triaging. The hotel vibe they were trying to present in 2019 is in the facility design only. You have to bring your own bells and whistles. You have to help us help you now.

(via reddit)