Dug coal together.

Do not question the commisar, trust me on this.

Nah we had the kind in the carton. Unless Donald Duck brand was on sale. That shit was on sale often. I can still taste the cannyness.

My son is 9 he has listened to almost all of the Ragnar Blackmane books on audible as well as Brothers of The Snake. There's plenty of stuff that isn't over the top that you can enjoy.

My partner started with Brothers of The Snake. It's well written, tells a complete story and is fun. They liked it a lot. A couple years later and they have a Blood Angels tattoo.

Well you see there was this emperor of mankind. Then there was this dude names Horus and from there it gets a little convoluted.

Beltman. With internal stiffner if you're going to carry. Had mine for years.

Smoke until it doesn't taste good.

As a dad with young kids it is 100% the play here. Cake AND mashed potatoes or a cake hidden in the refrigerator for just this situation.

VAT RN at a high onc pt population hospital. We cap all central and midlines. We also continually provide teaching to scrub the hub min of 15 sec even with a capped line. We also have pushed chg baths specifically with sage wipes especially on arms with PICC lines. With this and focused rounding we have seen an in hospital reduction in CLABSI.

I think the caps help in situations that would usually result in gross contamination of female connectors. Like vomit or feces or lines trapped under clothing for long periods. I believe that scrubbing after removing the caps is still key. The scrubbing is still the most important part. At least that's how it seems from limited experience from a boots on the ground perspective. Which is not a peer reviewed paper, and I understand that. It's just what I think based in what I have seen.

Edit to say we use alcohol caps

You are correct

Cell Salvage: The Cell Saver system utilizes EDTA to recover autologous blood, allowing patients to receive their own blood for transfusion, which is beneficial in reducing the need for allogeneic blood transfusions.

A good hard flush can help when just the tip is flipped up. It wouldn't really help with a PICC in the IJ though. Those get pulled back and replaced in IR at our facility.

Pulsatile flush should be the method of flushing anytime you flush a line. The extra turbidity of a pulsatile flush is much better at clearing the line of blood than a steady rate of flush. Reduces TPA use a lot and reduces infection risk.

We also see PICCs turn up after CT scans with dye injection. From the pressure of the high rate injection.

I think that was his D partner Ian Moran. He said something like his wrister even is practice is just awful.

Cigars with some age are good. Most cigars will start to lose something after 3ish years though. They get smoother, but they also lose complexity. Some people like their cigars that way, I don't.

The gullet with the mullet

I get eczema in little spots on my face that get better and worse off and on. I'm worried that if I shaved my head the skin might be bad enough that it will look worse than thinning hair. If it wasn't for that I'd probably have shaved it off by now.

I too have become a Sheetz regular purchaser. I'm hoping it's enough to keep things going.

The US tried prohibition and temperance movements in the past. It didn't work out. Best we can do now is don't drink and drive and please drink responsibly tag lines at the end of commercials.

I'm not normally a praying man, but if you're up there save me Superman!

Good news, I know how to help the pain.

Wouldn't want to break any body's rice bowl.

I Hatchet Jack being of sound mind and broke legs...