Equinox_93 4,013 Views
Joined Jan 10, '09.
Posts: 583 (40% Liked)
During your time in Africa did you have small children waiting at home for you?
I have worked in Africa as a volunteer, where PPE is limited, and where bluntly there are many diseases as well as physical risks that have an elevated or higher mortality rate. When you worry about making it to get supplies, because you have a very real risk of being shot at, kidnapped, raped (in area where HIV+ is rampant), or contracting one of the many filoviral/hemmorhagic/parasitic illnesses, flu is less frightening, especially in the USA where we have a reasonably safe blood supply, sterile supplies, and ability to access a higher level of care.
And, at the time that I worked with AIDs patients, pts generally died within several monthes to 1-2 years of diagnosis. There were few antivirals, whatsoever, PCP pneumonia had a 50% fatality rate. Not that much was known about HIV at the time.
Maybe- does sinus arrhythmia occur only during deep respiration? If normal respiration doesn't change a rhythm, but deep respiration regulates it- is that within the definition of a sinus arrhythmia? I thought that sinus arrhythmia was an irregularity that occured during normal respiration...? *curious* Also- does the irregularity of a sinus arrhythmia include more than just accelerations/decelerations? Does it also include inconsistant beats that regulate with deep breathing? I guess I'm just weird- all these little nuances fascinate me. LOL
Thanks for the "why"
Looks, circumcised looks better.
I'm curious- an irregular rhythm that regulates with deep breathing- is this common for irregularities? Why/why not? What could this be? (This isn't asked to diagnose- not looking at a patient or self here- it's just a point of curiosity as to what sorts of irregularities are something to worry about and what aren't- and the anatomy of WHY an irregular beat might regulate with deep breathing... The cardiac system is my current focus and curiosity LOL ... Thanks in advance!
Sorry, but if I carry someone around in my womb for 9 months and then push or have them cut out of my body and am responsible for raising them for 18 years, you better damnwell believe that I'm going to have a say in what happens to that person, whether they share my gender or not.
Further- my husband was circ'd, and he was even more adamant than myself that our son NOT be cut.
Do a google search on foreskin restoration... You'll read several accounts of adult men who do have issues with having been circ'd. You will also find those support groups for men who do feel that they have been maimed and that the choice had been taken from them.
Just because you haven't heard of it doesn't mean it's not out there
It surprises me how militant some of these voices seem, and they seem to be almost exclusively women. maybe they can let the men police this almost exclusively male issue. I dont know of any support groups for men who feel they are maimed, or deformed by having been circumscised, nor do I know of any male, personal or professional knowledge, that has any issues with being cut (although I am sure I will hear of several any second now)
Hippy.... If you left patients during a crises-it would be called "abandoning" and I believe you would lose your license.
I have not had any children yet. But for me I would not be kept locked up in a facility, because no one else is there. Sorry I do need some parting time.Some relaxation time. I will give and give when I need to. But when I need my time I need my time. Has nothing to do with children.
The uncertainty of reliable long term childcare if you were needed by your facility, or wherever your work might be in an emergency, would mean that you couldn't be relied upon to be there in an emergency.
I guess the bottom line is that there are alot of people who hold both perspectives and neither is going to change the others mind. This doesn't make anyone "less of a (insert healthcare professional here)" it just means that different people have different priorities and that's just the way it is.
I think few of us relish the idea of being thrust into making this kind of decision, or of being faced with this scenario outside Hypothetica (the land of hypotheticals). However, we all have reasons why we ought to be exempt. Please note I didn't specified young children - I'm the sole resident child of older parents, one of whom has a nasty autoimmune disease with a low 5-year survival rate. A colleague has an adolescent with autism. Another is emotionally supporting teens after a nasty divorce. A friend has a sister recently diagnosed with major depression and is her sole emotional resource.
When I said "hits home" (post 32) I meant: health care providers and their families are going to be personally affected by a pandemic. While some may be quarantined, others will be hospitalised. So perhaps what I should have said was: if you or a loved one needs in-hospital care, who do you think will be providing it? If we all prioritise ourselves and our needs over the needs of our community there won't be any nurses, doctors, aides, cleaners, orderlies, pharmacists, cooks, pathologists, delivery people, rubbish collectors...
Sorry, but I think you're off base. I know quite a few long standing nurses in a variety of areas of nursing and most are in agreement with the idea that family comes first. As it stands, 30% say they will not work during a pandemic (the poll thread) and 21% are undecided. I'm hardly alone in this stance. Further, you have no idea what my education or experience may be outside of what is in my profile. Just because I am a CNA at this time and moving into nursing school doesn't mean that I don't have degrees or experience in other medical or related areas. For all you know I might be a psychiatrist or other healthcare professional looking to move into a different medical field of expertise. I'm not saying I am or I'm not- I'm merely pointing out that you really have no idea.
Again, I'd wager that more people than not DON'T have reliable long term childcare if they thought about the potential situations during the situations we're talking about here. Daycares and schools may well be closed during these situations. Something to really think about. If all the nurses who currently rely on daycare and school for their childcare needs were to think "Gee, I shouldn't be a nurse because I don't have someone nearby who can raise my kid if disaster strikes and I have to live at the hospital for awhile." I think we'd be looking at a far greater and more serious nursing shortage than has been going on.
Do you also feel that nurses who are having a harder time finding full time work in their current area should be moving their families across the country to fill the holes in places where shortages are still a problem?
Excuse me for chopping your post into sections which I'd like to address, particularly because you are unsure at this point, whether you want to be a nurse or not (I read your "about me" description). You haven't had any formal education which would equip you to make knowledgeable judgements about the extent of your commitment to your vocation. The uncertainty of reliable long term childcare if you were needed by your facility, or wherever your work might be in an emergency, would mean that you couldn't be relied upon to be there in an emergency.
Therefore I'm keenly aware that you might take a space in a nursing program at this time, that could better be given to another, more vocationally committed person. During Katrina in New Orleans, nursing staff were stuck in a hospital without running water or electricity, food, etc. caring for patients who were dead or dying, when in other circumstances they might have lived. No one could have predicted that quandry before it happened, and there was no current Emergency Plan made on a Federal level. One is being drafted now, and it will require that nurses stay with their patients or tend others, until they are officially relieved of their responsibility.
When your children are older, self reliant and have their own support system you might rethink your choice of study and apply again at a nursing school, without being encumbered with worries about untended children. Many women become nurses in mid life. I'll probably get a lot of flack, telling you this.........
I've been in nursing a long time, and have volunteered with the American Red Cross (I had pneumonia during Katrina, or I would have offered my help). There are many ways to do things associated with nursing. I hope you find your niche.
TraumaRUs- That's got to be great having family so close by. I grew up in a mining town and DH is a computer geek, so we had to move where the jobs were. *sigh*
Dondie- One thing that you could try is posting an ad on Craigslist for someone to share childcare with. I'll bet you aren't the only mom in the area who's in your position... If you can find someone you're compatible with, you both may benefit greatly.... Good luck!
i appreciate the positions of those who are concerned about what will happen to your loved ones if you work. on the other hand, who do you think will be looking after you or your family if pandemc influenza hits your home?
i would be looking out for my child/family. if i were working- that would be all i would be thinking about and wouldn't be at all effective. small children need their parents if they're sick. further, if it were a pandemic issue, quarantine would be in effect. if my child caught the pandemic strain- we would be quarantined in our home and you better believe i'd be there with my child. it makes no sense to go to work and expose my patients and coworkers to whatever pandemic illness has hit my home.
the way you talk it's as if parents of small children should just be prepared to let the nanny raise them if "the public" is in need. or are you saying that parents of small children shouldn't work in healthcare?
to me- prioritizing my family while the kids are small is expected, normal and right. once they're grown- then those priorities can shift. i'm honestly surprised that anyone would think otherwise. but- different strokes, i guess.
Looking at your response here, No I did not read your position wrong at all. There are times in this world where we as individuals must put our needs as secondary to the needs of society in times of emergency.
Another great man once said " Ask not what your country can do for you, ask what you can do for your country".
This seems to be such a negative opinion of our society. Saying we will only work in an emergency if "Bonuses" were paid out. Whether pandemic, or terrorist or even natural disasters I prefer to think we will will all pull together for the good of our community. Some old guy, I don't remember who said. You can be part of the problem or you can be part of the solution. I prefer to be part of the solution.
I entered my profession to help others. Not necessarily to serve them. There is, IMO, a large difference. Florence Nightingale did not have children she was responsible for while she was doing her time as a nurse. Are you suggesting that mothers of young children should not be nurses? Or that they should abdicate their primary responsibility to their children in favor of their profession? Yes- there are extreme cases that we are talking about- however- that doesn't negate a mothers primary responsibility- to her children.
There are "needs greater than ones own" all across the world- even right now without pandemics, terrorism etc. Should all nurses go trotting the globe to wherever those needs may be simply because we chose to be in the medical profession??? Anarchy? No- just a reasonable sense of sanity.
If you feel so strongly about this- I assume you must have been in New Orleans after Katrina? And are probably still there given the dire need for nurses?
The situation we're talking about is extreme - a public need greater than one's own, especially since it's medical and nursing care that is needed. Florence Nightingale is the very symbol of what nurses stand for, and did she shirk her duties? No, she went to Crimea (wherever that is now) and put her life on the line, as many American HCWs in the armed forces do today, and did yesterday, and will in the future. What you suggest is anarchy!
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