Latest Likes For coast2coast

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coast2coast, MSN, NP 7,333 Views

Joined Jul 9, '10. Posts: 404 (42% Liked) Likes: 625

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  • Aug 5

    I'm 24. I'm 5'5" - 44-35-44. No shrinking violet, but not a bruiser, either. I live in skinny jeans and fitted tops and I like looking remotely "female" when I step out of the house.


    Normally I'm pretty laid back. But scrub shopping makes me crazy.


    I do not want pants that fasten under my armpits. I don't appreciate a full-circle elastic girdle of doom slowly squeezing the life out of me 12 hours a day. I don't want peg-legged monstrosities that my 57-year-old mother would be delighted to wear. I also don't want flare-legged trainwrecks that my 13-year-old self would have found TOTALLY KEWL !!1!1! back in 1998.


    I have breasts. Obviously no scrub manufacturer has ever gotten close to such things, because no scrubs are designed to accommodate them. I am not a man. If my chest is 44" around, it does not mean that my biceps are also 44" around. Neither is my waist !


    Not that measurements appear to be used in scrub design. Seriously. I'm normally a US size 12 and a medium or large top. But as I wade through piles of scrubs, I find myself in medium or small bottoms, and on one special occasion- extra small! I assure you, there is nothing about me that is or ever will be extra-small. Even as my pants seem to magically shrink in the dressing room, my tops balloon to commically large sizes. Medium? Can hardly pull it on. Large? My chest is still squished into a bizarre, quadro-boobed nightmare. Extra-Large? Suddenly my chest fits, but the sleeves come down to my elbows and I could hide a nine-month pregnancy under the midsection.


    I see two generations of scrubs when I go shopping. The first were designed by men, for men. They are now called unisex and are generally shapeless and avoidable.


    The second generation is more deadly. It fills you with false hope, because it's marketed for women. It's supposed to be updated, fashionable, etc. Lies, all lies!


    Flare-leg pants ARE NOT STYLISH. Slitting them up the side 3 inches doesn't change this.
    Empire waists and "wrap tops" make 99% of women look like pregnant, blimp-boobied BEASTS.


    Frenetic patterns in bubblegum pink, gathering, ruching, and bow-tying are also not the path to scrub enlightenment.


    Also - and I realize this may be more of a personal tic - I want to be respected. I don't feel like that happens with sweetheart necklines, lacy bits, or ribbony-shiny trim. There is a difference between a nicely fitted top and one that simply hugs and reveals cleavage.


    Brands - The Worst of the Best


    Grey's. I don't get the hype. Tops fit fine but the bottoms leave me, an amply-bottomed young lady, with saddle bags pooching around my bum and hips. The super-soft material that everybody goes nuts over also hangs terribly, and seems to reverse any sort of styling that went into the garment.


    Koi. Of all brands, Koi is the worst. Koi fills me with false hope and then leaves me high and dry. My issue here is not with fit but with color selection. Which seems to have been made by some demented, evil, super-villain in a darkened laboratory somewhere. Camel colored pants! Bubblegum pink tops! Strawberry colored pants! Sickly yellow tops! Lovely wine-colored pants with HIDEOUS EYE-GOUGING light-blue contrast stitching! Koi, you make me want to slit my wrists!


    Urbane. Also a heart-breaker, this one. They get the closest to 'modern' fit of all brands I've tried thus far. Unfortunately, they're clearly designed by non-medical professionals and thus have no pockets. My heart breaks when I find awesome-fitting Urbane pants with NO POCKETS ANYWHERE. It's like a magic trick - guess where all the pockets have gone? And the catch is that they never existed in the first place. Sob.


    So this is my scrub rant. I am young and picky and would probably pay one million dollars for a set of scrubs that made me feel like a human being while I was wearing them. I've clearly been trying on way too much at this point, and I am exhausted and scrub-less. It doesn't help that my school wants maroon-colored scrubs. The mere mention of scrubs gives me an anxious eye tic that I'm afraid will never go away. School begins in six weeks and I know that eventually, I'll have to give in and buy the dreaded burgundy potato sack. Until then ... I can only dream.

  • Jul 16

    Quote from Anna S, RN
    I don't understand this one- I thought that elevated TSH always indicated hypothyroid. Can someone explain this to me?

    The highest TSH I've ever seen before was 157. Pt very fatigued, low heart rate, low B/P, overweight, and so on.
    he was severely hypothyroid due to med noncompliance due to mania ...

  • Jul 16

    Chronic hgb in the 3.5-4.0 range. Dying of metastatic probably rectal dancer, survived almost a year.
    a1c 16.9, very alive and one of my best-behaved diabetics now.
    TSH 490. Manic but definitely alive

    a1c's of 15, systolic BPs in the 200s, and trigs of 3000 sadly become very mundane very quickly in community practice. It's amazing how resilient the human body can be.

  • Jul 13

    Personally have seen a good job market for a range of specialties. Graduated from a direct entry program and had a job 2 months prior to graduation, across the country, in one of the worst job markets in the US (California). All my classmates (30+) were hired within months of graduation as well. Never worked as an RN and this has not been a barrier to getting interviews and offers.

  • Feb 13

    Quote from Farawyn
    So...it's working?
    every d*mn time! We all have our kryptonite!

  • Feb 8

    I see this frequently with psych patients - they want you to engage in a power struggle. Drives me nuts, every single time.

  • Feb 7

    I see this frequently with psych patients - they want you to engage in a power struggle. Drives me nuts, every single time.

  • Feb 7

    Quote from Farawyn
    So...it's working?
    every d*mn time! We all have our kryptonite!

  • Nov 27 '15

    There's no way you will see 25+ patients/day and leave at 3pm if this is family practice/primary care. The 'productivity' bonus is a joke, as is lack of benefits. Keep looking.

  • Nov 26 '15

    There's no way you will see 25+ patients/day and leave at 3pm if this is family practice/primary care. The 'productivity' bonus is a joke, as is lack of benefits. Keep looking.

  • Nov 25 '15

    There's no way you will see 25+ patients/day and leave at 3pm if this is family practice/primary care. The 'productivity' bonus is a joke, as is lack of benefits. Keep looking.

  • Nov 24 '15

    There's no way you will see 25+ patients/day and leave at 3pm if this is family practice/primary care. The 'productivity' bonus is a joke, as is lack of benefits. Keep looking.

  • Nov 19 '15

    No offense was intended, I was merely trying to counter what I see as a widely-held belief that things like legal status are not a routine part of healthcare delivery.

    An acute care example would be someone needing dispo to rehab or skilled nursing. Sure, a patient can come in emergently and by EMTALA be treated, and immigration status I would agree does not impact that emergency treatment, in general. But what do you do with someone who ends up profoundly disabled, but without the income or health insurance to be accepted into some level of rehab? Like any inpatient who overstays their welcome in acute care, the barriers to dispo become a matter of common knowledge and therefore, at times, judgment. It shouldn't impact care but the potential is there.

    I apologize if my original comment seemed to negate your personal experiences, on re-reading I can see how it could come off like that. I just want to engage in a discussion on a topic that I am obviously quite passionate about, not looking to cause offense.

  • Nov 19 '15

    No offense was intended, I was merely trying to counter what I see as a widely-held belief that things like legal status are not a routine part of healthcare delivery.

    An acute care example would be someone needing dispo to rehab or skilled nursing. Sure, a patient can come in emergently and by EMTALA be treated, and immigration status I would agree does not impact that emergency treatment, in general. But what do you do with someone who ends up profoundly disabled, but without the income or health insurance to be accepted into some level of rehab? Like any inpatient who overstays their welcome in acute care, the barriers to dispo become a matter of common knowledge and therefore, at times, judgment. It shouldn't impact care but the potential is there.

    I apologize if my original comment seemed to negate your personal experiences, on re-reading I can see how it could come off like that. I just want to engage in a discussion on a topic that I am obviously quite passionate about, not looking to cause offense.

  • Nov 18 '15

    Quote from elkpark
    I'm not aware of any healthcare facility that makes any sort of determination of the immigration status of individuals presenting for care. Everyone has been treated the same and no one has asked about immigration status, in my experience.
    interestingly enough, this is not actually true. Having worked for multiple FQHCs,I can tell you that determination of eligibility for medi-caid/obamacare takes place on site and is an integral part of the workflow of community clinics. Specifically, you need a social security number to apply/ enroll.

    If I see an uninsured patient who needs specialty care, I need to know if that patient will EVER be eligible for insurance - it impacts course of treatment. Patients in DKA, with potential DVTs, or even with plain old chronic abdominal pain - I need to know if you have a (valid) social security number to decide how much I'm willing to try to treat in-house. It's not about denying care, but you have to frank and realistic about what you can offer them. The outcome of this is typically 1 of 2 extremes: cowboy medicine, where you treat patients w serious disease despite incomplete testing/eval, or no treatment at all for chronic but non-life-threatening conditions. So we will try to treat your lupus, even though we aren't rheumatologists and have very few treatment choices, but you are SOL when it comes to chronic back pain, frozen shoulder, or most mental health issues.

    OP, both LA county and the state of California have expanded pieces of medi-caid to cover individuals without legal status. LAC as late as spring 2015 was talking about opening up medi-caid enrollment regardless of status. The reality is the county pays for that healthcare whether or not you grant people eligibility to enroll. So eligibility/enrollment is at least a way of trying to count and characterize that shadow population. I would look for resources out of Cali, possibly also Kaiser which coincidentally is trying to take over the medi-cal market.

    pm me if you would like to know more about the impact of legal status on individual healthcare ... I have war stories


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