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 just watched another patient with congestive heart failure throw back another fried chicken sandwich

https://media2.giphy.com/media/FcuiZUneg1YRAu1lH2/giphy.gif?cid=2154d3d7cclhh0lomb83rtiy9v2ei8pfz6m8lbf69yzcg47i&ep=v1_gifs_search&rid=giphy.gif&ct=g 
 WHYYYYY? is it just because they think there’s no use in trying to be healthy? is it too late for them? if so i’d understand. 
 because “i HaVeNt eAtEn AnYtHiNg iN dAyS!!”
- Person who just knocked back a six piece meal and XL order of fries last night…probably. 
  https://i.nostr.build/5Eez.jpg  
 😂🤣 this is exactly right 
 bruh. i’m so tired of the awful American food ideologies. 

i honestly can’t blame anyone anymore because we’re just born and raised surrounded by the shittiest food which is unfortunately the most accessible and cheapest way to eat. 
 Yup. I really don’t either. Convenience, affordability, and quantity always wins nowadays.

Only time it makes me grumpy is when folks chow down on fast food that is brought in from outside the hospital despite being placed on a specific/healthier diet while I tune em up. 😆 
  https://image.nostr.build/a7c01734a20745a298eb02c65b9f0347d2a5e87c2b0bad5232dfa646819da723.jpg  
 Rawr. I’ll look hawt when they break me 😂 
 Wanna see dick feet pic 😂😂😂 
 prob needs another jab or two. 
 lasix-infused fast food?
🤔 
  https://i.nostr.build/4EOW.png  
 how big is your camera roll 😭 
 too big to backup https://i.nostr.build/Mkg5.jpg  
 same. i do not pay for extra icloud space either i just ignore the notifications 
 don’t remind me about that https://i.nostr.build/g0lB.png  
 Oof I don’t even wanna say my number lmao 
 i meannn having unfiltered internet access since 7 years old wasn’t good at all for me, i just never used twitter until i made my one direction fan account 😎 
 I remember using my PSP browser to talk to friends on MSN through eBuddy and looking at Justin Bieber content on Twitter 
 Justin Bieber? 
 memes just keep the big sad at bay 🤗 https://i.nostr.build/VoXG.png  
 Once had a patient with end-stage heart failure on inotropes order fried chicken to her room. *chef’s kiss* 
 😂🤣ffs

well…I mean…I guess you could make the argument that inotrope time is adjacent to figuring out last supper time 
 Well, if you’re dying anyway, who the hell wouldn’t want to die eating fried chicken!? 
 😂…well this was a case of 
💀💔 + 💉🌊 = 😊 heart failure. 

not
💀💔 + 💉 💊 🙏 = 💀 heart failure 
 Gotcha. Is it easier to focus on triage or do you try to discuss wellness whenever possible? I think I already know the answer, and if so, do you think you will still be doing that in twenty years? 
 Folks that are sick enough to meet me should’ve had the wellness discussion a long time ago (and probably did…multiple times), but I still try. I only work in the acute/critical setting though. 

20 years? Not a chance I’ll be doing this in 20 years. Goal is to be out in <10 and do this for fun/free thereafter 🤞. 
 Sounds like an awesome plan. I sure wish people would listen, but I’m sure I’m ignorantly marching toward some ICU somewhere clueless about my current choices. What we don’t know eh? 
 i do have a 1tb external hard drive, i just never use it. 
 i don’t have that much ser, wish i was kidding 🫠 
 😭 i will.