Another Example Of The News Trying To Use Certain Parts Of The Full Message To Move Audience In Their

This is not from your fic but could you do a small scenario of Nanami interacting with his baby? I swear those dad!Nanami headcanons made me so soft

okay i was going to write a scenario with a baby baby but then this kinda hit me and i had to go with it instead!

wc is ~1k bc i'm down bad for dad!nanami

gn!reader, unnamed daughter, hint of angst but mostly fluff (i think)

"Tadaima!" you call, kicking off your shoes with a sigh and nudging them to the side. They splay out beside Nanami's shoes, neatly tucked away.

There's no patter of little feet scrambling to the genkan. No soft, pleased rumble of okaeri as louder footsteps follow in their wake. You fish out your phone.

Nanami picks up on the second ring, his stoic greeting softened by the way it sounds when he calls you sweetheart.

"Where'd you go?" you ask.

He sighs. "I left a note."

"I didn't read it."

"Clearly," he says, but his voice is warm, all summer honey. "We're at the park. We'll head home in a few minutes."

"What, I don't get to have fun at the park?"

He sighs again, heavier this time. You bite down on your laugh. "Come join us, then," he says.

"I'll be there in just a minute."

He pauses. "She wanted to go to Hanegi."

"You're a sucker," you tell him, slipping your shoes back on.

"I'm aware."

"I'll be there in twenty, then."

He says something muffled. You don't need to hear the words to know he's talking to your daughter; it's in his voice, affection stitched quiet into his tone, a patchwork quilt of love sewn soft on his tongue. She chatters back at him, her voice a burbling spring brook.

"Okay," Nanami says distantly, and then he's clear again as he says, monotone: "Apparently twenty minutes is too long. You're supposed to walk faster."

You snort. "I'll do my best. See you soon."

"See you soon, sweetheart."

You walk to Hanegi, passing by the park just down your street—small but serviceable, the paths to the playground lined with overflowing flowers, their petals crinkled at the edges, summer's last stand.

It's easy to find them when you arrive; the playground has begun to empty as it gets later. You pause for a moment and just watch.

Nanami's on one knee, his broad body dwarfing your daughter. She wiggles in place as he ties her shoe, his big hands deft. You can hear the rumble of his voice as he murmurs to her, but the words are lost in the space between you.

He checks her other shoe before pulling back. Your daughter reaches out and pats him on the cheek with a chubby hand. He catches it and presses a little kiss against her palm before getting to his feet.

He watches her run back to a little circle of children. Nanami can be difficult to read at the best of times, but what sweeps over his face now is stark. It's gone within a breath, but you think you'll never forget it.

"Hi," you say, sidling up to him as he leans down to brush off his knee. "I told you we should get the velcro shoes."

He rolls his eyes. "Then she'll never learn," he says, straightening up and pressing a brief kiss to the corner of your lips.

"Is she learning if you're doing it for her?"

He pinches at your side. Your yelp is half laughter, and he moves out of the way without looking when you try to pinch him back. But then his hand is on your hip, and you lean into the warmth of him. Across the way, your daughter shrieks out a laugh as she chases another little girl.

"When do you leave?" you ask quietly.

His fingers flex on your hip. "Tomorrow morning."

You let out a soft breath. "Okay," you say.

The two of you watch your daughter play—calling out to her at times, until Nanami is roped into pushing her on the swing, with her indifferent to your pout when she shuts down your defense of your pushes in comparison to his—until the promise of night is settling over the horizon.

Nanami calls her name. She comes trotting over, hair mussed and eyes bright. He leans down to take her hand for the walk home, his hand engulfing her tiny one.

You've just made it out of the park when she starts dragging her feet. "Daddy," she says, tugging at his hand. "'M tired."

Nanami raises a brow. "If you want something, you should ask politely," he says, but he's already bending down to sweep her up. He perches her on his hip, cradles her small form to him with excruciating delicacy.

Sucker, you mouth at him. He ignores you.

"Sorry," she grumbles, burying her face into his chest.

He presses a kiss to her hair. It doesn't quite hide the quirk of his lips, and the fondness tucked secret into that small smile swells in you, washes over you like the tide, an endless sea too vast for your body.

"Kento," you say suddenly, breathlessly. "Let's go to the okonomiyaki stall for dinner."

Your daughter perks up immediately, turning her small face towards him, a flower seeking sun.

Nanami glances at you. "We'd be out past her bedtime."

"I know."

He considers you for a moment, his dark eyes knowing. They're mesmerizing in the quickly fading sunlight. "Alright," he says.

Your daughter giggles with delight.

"What do you want in yours?" he asks her, already heading in the direction of the stall, his hand warm at the small of your back, keeping you close.

You barely hear her reply. You're too busy watching them, committing them to memory, from the glint of Nanami's golden hair to the delicate brush of his fingers on her cheeks to the way her cheeks puff out as she squirms.

He pauses for a moment to press his forehead against hers, whispering something too quiet for you to catch. She beams at him, and he smiles back, his fingers tracing little patterns against you, and it feels like coming home.

“what’s it like?”

oikawa turns to you at the sound of your question, “what’s what like?”

“what’s it like being in love?”

the boy quirks a brow, “what do you mean?”

“i mean,” you pause, shuffling from your place on the couch to face him. “what’s it like to give your all to a person? to have someone that loves you with all their being? what’s it like to have a bond and a connection that seems as if it would never break? or to have a person who’s poured their heart and soul into you? who would do anything to see you happy and make you feel loved?” you pause, meeting the boy’s gaze realizing you’ve been basically asking him the same question for the past three minutes. “i mean if you know about it, i know you’ve had your fair share of relationships.”

he bit back a chuckle at how small your voice became, “that’s a tough question for me to answer.”

“but you’re more experienced than i am with it,” you reason.

“why because i’ve been in more relationships?” 

”no because of the fangirls.”

and he laughs, “that’s adoration,” he notes. “adoration and love, while easily confused, are two different things.”

”alright then,” you wave off. “then tell me,” his gaze softens as he shuffles to face you. “what’s love like?”

“it’s,” he pauses, “it’s a feeling that you can’t really find anywhere else.”

“what do you mean?”

there’s a hint of curiosity in your voice, something that makes oikawa smile. contrary to you, his long time best friend, oikawa’s been in his fair share of relationships. some were long, others short flings, some serious ones, and then others that left just as fast as they came. he had watched you for years pine over other people wishing like the hopeless romantic that you are that you’d finally get your chance in love. he pauses for a moment before looking back at you. “do you know that moment where you have a puzzle and there’s only one piece missing?”

“okay,” you nod.

“and it turns out the puzzle piece fell on the floor, so you pick it up and then complete the puzzle.”

your brows knit in confusion, “that’s an odd scenario to compare love to.”

Keep reading

“Umm it will actually be very difficult for universities to divest from israel and arms manufacturers without tuition skyrocketing 🤓☝🏼” why is the financial stability of a college (and the economy at large, especially in the us) so reliant on what amounts to war profiteering to begin with? Why is that an inevitability that we’re supposed to accept?

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]

i love how delusional some articles of clothing are, like you read the tag and its like “hand wash only/tumble dry on low” son you are a cotton tshirt. youre going in the warsh and whatever happens in there is in gods hands

pairing: best friend!megumi x gn!reader

warnings: mentions of alcohol, nothing else i think but please lmk if you find something

megumi doesn’t drink, of course, he’s too smart for that. because when megumi drinks, images of you that usually he keeps at bay flood his mind. you, skipping down the little dirt road in the park, occasionally bending down to pick the tiny strawberries that line the overgrown path. it’s you that megumi sees, bravely making conversation with complete strangers and petting their dogs and shaking their hands and megumi just doesn’t know how you do it. megumi enjoys his apathic reputation, he doesn’t care, why should he? but lately you’ve been making him overthink. when you ruffle his hair his usual scowl is usually accompanied by a blush that megumi quickly hides by turning away and pretending to fix up his hair. this mornings worries consist of how to ask you to go to that new restaurant that just opened up in town, without it sounding too much like a date. when he finally pressed send, he cringes at how long it took him to write such a simple message. your reply comes quickly, made known by a soft ping that megumi knows means it’s you because everyone else is set on vibrate only.

sorry gums not tonight, i’ve got plans :p, let’s plan for tomorrow

megumi tries to seem unaffected, though truthfully he hasn’t seen you for a week now since you’ve been studying for your med exam, and he misses you

k. he sends, then winces at how low that sounds, he knows gojo wouldn’t approve. deciding to go on a walk, megumi puts on his jacket and wraps a scarf that you’d bought him at one of the little boutiques in town around his neck. walking around the park that he usually accompanies you to, megumis heart drops into his stomach as his brain processes the scene before his eyes.

two figures are walking in the park, the setting sun casting warm light against their red cheeks. one of the two, tall, taller than he is megumi notes, with dark hair that seems to style itself effortlessly, is saying something animatedly to the other, who slaps him on the head. he immediately recognizes the latter, because it’s you. so these are what your plans were, or more specifically, these are who your plans were. megumis brain immediately begins to compare himself with your new companion, the way his cheekbones sit on his angular face, the way his hands gesture, and most sickeningly, the way he makes you laugh. has he ever made you laugh like that? has he ever laughed like that himself? megumi looks away and heads home, his hands shoved so deep in his pockets he hopes he isn’t pulling his pants down, turning from the scene that he’s sure will be running through his head for the rest of the night. he brushes away an invitation from yuuji for a pizza night, opting to sit in his dark room, periodically glancing at his phone and trying to force the images of you and someone else out of his mind. megumis phone dings again softly, and he is greeted with a picture of you and your companion at a restaurant, squinting at the banner behind you megumi realizes with a sigh that you’ve brought your date, me go mi supposes, to the new restaurant, the one that he asked you to. which brings him to now, sitting in front of the bar, drinking something that the bartender promised was strong. and it is, megumi doesn’t know how long he’s been there, minutes? hours? all he knows is he wants to see you, so his fingers sloppily swipe through his phone until he reaches your contact, pressing it with no second thoughts.

“gumi?” your voice spills out of the speaker and megumi smiles, letting out a little giggle, “gumi are you drunk?”

“nOoOOoO…” megumi stubbornly says, before whispering, “yes, but don’t tell y/n”

“gumi i am y/n” you say exasperatedly, “i’m coming to get you, don’t move.”

megumi stays as still as possible, keeping his eyes open until he inevitably blinks. when your car pulls up, megumi sees you walk quickly up to the door, brushing away a middle aged man that comes up to you doing his best smolder, scanning the room until you see megumi sitting there. megumi wonders how you can be so beautiful and how your eyes are so pretty and how your hair sits perfectly on your head and how nice you look.

“megumi stand up let’s go,” you drag him up from the stool, “a picture will last longer” you add with a wink.

“but you told me not to move?” megumi giggles again, but he’s dragged out of the bar regardless and stuffed into your car.

the ride is silent sans the wind blowing through your open windows and the occasional hiccup from a snoring megumi. the silence is broken however, when you hear the sound of the mirror on the sun shield in your car being opened.

“megumi?” you ask, wondering what in the world could be prompting him to check himself out at this moment. “whatcha doin?”

“figurin’ somethin’ *hic* out” megumi mumbles in reply.

“what?”

“why ‘m not good enough for ya.” megumis voice takes on a pouty tone.

“what? megumi what do you mean?” you wonder because though you know about megumis insecurities he’s always known he’s been enough for you.

“why’d you hafta find that *hic* guy,” megumi continues, “the one you were at the park with *hic* and at the restaurant that i asked you to” this last part is spoken accusingly.

“gums im sorry but we were hungry and it was the closest restaurant, it was really good, we should go sometime too, but you can’t be upset over that?”

“of course i am,” megumi sounds exasperated, “i don’t want some random guy with you all the time, makin’ you laugh and stuff,” he grumbles.

you fight to hide the smirk covering your face, “oh yeah? and why’s that gums?”

“because i love you?!” megumi shoots, and then immediately slaps his hand over his mouth, the alcohol in his system making his eyes open wide like in the comics.

”what did you say?” you ask quietly 

and megumis heart speeds up and he’s sure it’s broken the sound barrier 

what did he just say

he just told you he loved you 

he sits, deathly still, as your car continues down the road 

what did he just do

”megumi” your voice cuts through the silence like a knife through the silky tofu you two prepare together for your lazy sunday morning miso soup

”i just didn’t want you to regret…anything” you continue, your voice softer, “i don’t want you to make a mistake.”

megumi thinks this over in his head 

does that mean you like him back

what about the guy

what were you doing with him

”we can talk about this more when you’re sober gums” you sigh

megumi looks up to see that you’ve arrived at his house 

you open the door with a spare key that megumi had given you and with that the rest of the night goes by in a blur

he briefly remembers you urging him to brush his teeth and you kissing his forehead goodnight

which brings megumi to now, with the morning sun fighting to push through his tightly closed blinds and his head filling with memories of last night

he bangs out of bed, he can’t lose you, he knows he will after what he pulled last night, but he can’t he can’t lose you 

changing into his black pants and foregoing a top he starts for the doorknob but it twists open before he can reach it

your smiling but worried face stares back at him 

“good morning gumi, i hope you don’t mind i slept here last-oof” you begin but megumis wrapped his arms around you

just as quickly he recoils 

“i’m sorry about last night” he says monotonously, his eyes looking anywhere but you, settling on the carpeted floor  

you sigh, unwilling to tackle such a heavy subject so early in the morning, but doing so anyways.

“did you mean it?” 

megumi feels his chin being lifted by your hands, forcing him to look you in the eye

he stutters, rubbing his hands together nervously

”yes-i mean n-no well yes of course but i’m sure you don’t-i mean” he pushes your hand away and looks back down at the floor “forget it. i want you to be happy, i’m sorry i told you, i’m glad you found someone.” 

he notices how you look away and with that he awaits your inevitable rejection, for you to agree with him that while he’s great he’s just not it, just not who you’re looking for, that being megumi is just not enough.

instead, he’s greeted with the feel of your incredibly soft lips, how are they so soft megumi wonders but he’s not surprised, it’s exactly how he imagined them. your hands go up to his hair and all his dreams are suddenly coming true

you pull back smiling and flick his forehead “i am happy gumi, here, with you.”

megumis heart rate slows and speeds up simultaneously

you like him back.

you’re not leaving.

you like him back

“oh and gumi? that guy you saw me with is my cousin makino.”

you smile at his blush and the smile that he can’t keep off his face

he glares at you, “coulda told me sooner,” he grumbles, “would have saved me from this hangover.” 

you laugh and drag him back to the bed, snuggling into the blankets and megumi cautiously wraps his arms around your middle, searching your face for approval but your eyes are already closed, your nose nuzzling at his bare chest and your leg wrapped around his. 

“don’t worry, i love you too, dummy”

ACCIDENTAL CONFESSIONS

smau ft eren jeager and armin arlert

- swearing, eren is a lil bitch-

EREN !

ARMIN !

- i’ve made levi as well, and i kinda wanna do jean. idk

Nothing just angry sex w/ Bakugou

Not even really angry sex, more like jealous sex cuz that got me- •/////•

GODD, YES. Gonna pass out, this idea is just ... yum. sorry if this isn't coherent/good, I wrote this with very little sleep

I imagine Bakugou is actually quite secure in his relationships, he knows you have eyes for no one but him so it doesn't bother him so much.

But what if this was before you guys got together?

He hadn't made his feelings clear to you, yet, and when he sees that sleazy guy from the floor below in the agency chatting you up at the coffee machine. It has his stomach twisting uncomfortably, his heart dropping to his stomach and he's actually jealous. Jealous of the way you smile at the guy so easily, laugh along with his jokes and he wonders why you're not like that with him.

Bakugou knows it probably looks sketchy when he's cornering you after hours of work, everyone but the security guard who works on the ground floor is gone. He could see the surprised look on your face when he manages to get you pressed against the corridor wall, both his hands pressed on the wall on either side of your head to really cage you in. Didn't even give you the chance to speak, all he could think about is the way you were smiling earlier.

His lips are on yours, and he fully expects you to slap him and push him away but you don't, which only confuses him more. You moan into the kiss and it's all the permission he needs to hoist you up to his height, keeping your back to the wall with your legs tightly around his waist. It escalates pretty quickly, his feelings spilling freely whilst yours finally bubble over the edge.

Bakugou would've never known you felt the same way about him, that you were pining for the grumpy boss. It has him full of excitement but that lingering caress of jealousy has him being a little more forceful in his kisses. It's as if he's trying to imprint himself on you, to make sure you never forget the way his lips feel on yours. Or how his hands fit perfectly on your thighs when he's finally laying you down across his desk in his office after having walked you there.

He wants you to know how expertly he can take care of you, so his hands move precisely yet his touch is still soft when he settles between your thighs finally. It's the only real calm before the storm, his lips murmuring praises against your cheek whilst he works you open for him on his fingers.

The sex itself does start out softer, he's still overwhelmed with the fact that he really has you underneath him finally. Your moans are sweeter than anything he's ever known, your hands soft against his shoulders when he hunches over you to lay delicate kisses along your neck, up along your jaw until he's next to your ear so you can hear the low groan leaving his lips when you squeeze around him.

That's until he again is hit with the remembrance of that fucking idiot at the coffee machine, he had almost forgotten about the incident until you smiled up at him and he's fucking into you a little harder, subconsciously squeezing his hands at your hips a little firmer to make sure you don't escape from his grasp. Manhandling you into a different position, has you bent over his desk on your tiptoes and a hand splayed across your lower back. His eyes locked onto the place where the two of you are joined, and it has him nearly snarling like some wild dog.

"Hah, knew you wanted me, sweetheart." He comments, a pretty moan leaving his mouth when you flutter around him at the sound of his voice. "I knew you'd never go for that fucker from accounting."

You can't even really reply or think of just what the fuck he might mean when he's pushing his hips forward more, towering over you to really push his cock deeper into you at an angle that has you moaning sloppily against the mahogany desk. "Oh," you moan, eyes rolling into the back of your head when his hand joins in between your thighs to pinch and swirl against your clit. "Oh fuck, 'm gonna—"

Bakugou fucks you through your orgasm, prolonging the pleasure until you're writhing beneath him. Your hips bucking back into him and he has to use both his hands on your waist to keep you pinned beneath him whilst he drives his cock into you until he's spilling deep inside of you. He knows he shouldn't have, but it was like some primal desire. A carnal need to mark you as his, and what better way than filling that pretty pussy with his cum?

No man will ever make you feel that full again.

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.