jkaee 5,782 Views
Joined: Dec 4, '03;
Posts: 800 (9% Liked)
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Well, they apparently have a sign forbidding cell phones beyond a certain point in the office. Maybe your doctor's office doesn't have one but hers does. She's just enforcing rules. Maybe if more people enforced rules people wouldn't be so inconsiderate all the time in general and not act like rules are for all the other little people and not them.
Have to disagree with BlueDevil....
I am on call frequently for work.
I have 6 children, half of whom go to school.
I have a stay at home hubby who has 2 children under 3 yrs old at home.
If my cell phone beeps during an appointment, I'm checking it. I'm certainly not going to interrupt your time for something trivial, but there are times that I MUST be reached.
If you walked out on me during an appt because I checked a txt or to see who was trying to call.....truly, I'm speechless. I've had doctors tell me that it was ok to check my phone when it beeped (not rang obnoxiously) during appts before.
Understand, I'm not saying that you or any other provider should be held up while someone finishes a non-essential conversation, nor am I advocating using your cell phone at work or during meetings/inservices. Cell phone use in patient care areas is an automatic write up where I work. But I'm definitely not going to say it's ok for a provider to walk out on a patient simply because their cell phone goes off during an appointment.
Let me tell you a little story....
I had just delivered my 7th child, and that labor was by far the worst one. I was pre-eclamptic, delivering at 34 weeks. I was in labor for over 30 hours with mag and pitocin running the entire time. I finally had a c-section (my first and only). I was brought up to the PP unit, still had mag and pit running, and a morphine drip as well.
I was sick. I have never felt that way in my life.
During the night shift, I had a nurse that came in religiously every 2 hours. Keeping the lights dim, she warmed some water to clean me, change my chux, help me get repositioned and do her assessment. All I could do at that point was open my eyes to watch her.
To this day, I could not tell you what she looked like. I wouldn't be able to pick her out of a line up. All I remember was how kind, gentle and competent she was when caring for me at a time that I couldn't do it myself.
I agree....scales are evil. So are numbers for that matter.
I can relate...my primary MD's scale always, ALWAYS has me about 8 lbs heavier than any other scale I step on. I tell them their scale is off, but they don't believe me....
I had the procedure done with my last pregnancy (had to be induced at 33 weeks due to BP issues turning into pre-eclampsia) and, as Heather mentioned above, it got be to 4 cm and then I stopped progressing. Considering that I had Pit and Mag and PCN running for 30 hours before I asked for a section, I didn't see the Foley bulb as really doing much of anything.
My facility has just gone thru the process of phasing out alarms. We have a couple of residents with alarms on our Dementia unit, but the rest of the building is pretty much alarm free.
The units are so much quieter, the residents are less agitated, and our falls have not increased due to the elimination of alarms. Other interventions, especially when you involve other disciplines, are much more effective. In fact, our dementia unit has seen a sharp decrease in the number of falls simply by offering a group activity at shift change. Of course, it's a culture change, and every culture change involves a lot of staff education and changing the way we ordinarily do things. Frequent checks, more activities and assessing even the smallest changes in resident's status will all help decrease your fall numbers. Believe me, we didn't think going alarm free would work either, but it has. It's been a wonderful change to our environment and for the resident's peace of mind.
I had a thermal ablation done in October, and like Marla, it was a Godsend! I have not had any bleeding since the procedure, and it is such a relief to know that "that time of the month" is no longer something to dread and have to prepare for, since it interfered with my work, life and sleep. I had mine done as an outpatient, was knocked out for it, and recovered quickly. I did spot and have moderate cramping for a few weeks afterwards, but once that stopped, nothing! No cramps or spotting at all.
I had a tubal ligation after my last pregnancy, which tends to increase bleeding even more, so I knew I had to do something. I highly recommend anyone else going through this struggle consult their GYN to see if it's appropriate for them. You have to be finished with childbearing and have a clean endometrial biopsy to qualify for the procedure.
I've never understood the argument against getting a tat because when you get old it will look ugly. I'm fairly certain the rest of me will look equally ugly, so I'm not too worried about how my tats might look They have meaning to me, and they will regardless of how faded, saggy, or misshapen they might be!
PurpleScrubs...what I've always found interesting is how people assume that either side (birthparent or child) waits years and years to meet each other, and when they do, it's a great, joyous happy reunion (think of all those talk shows that reunited birthparents and their children). I don't think I would react that way if I ever met my daughter (in fact, I know I wouldn't...I tend not to be an overly demostrative person). I would certainly feel some trepidation in meeting her. What if I just didn't like her? What if she didn't like me? Imagine the pressure we would both feel to like each other, have a bond, act like mother and daughter? Part of me can't imagine having any doubts about that beautiful baby that I held and loved 19 years ago, but the harsh reality is that I have no idea who this child is, what she's like, etc. Nature vs. Nurture...you know? And how often are these "relationships" maintained? I don't even know if I would want that. It might sound harsh, but I really don't know.
I guess I've been thinking about it more since the death of Whitney Houston....it's silly, but when I gave my daughter up, I wrote a letter to her, sent a cross stitched blanket I made for her, and a copy of the song "I Will Always Love You." The words to that song expressed exactly what I wanted her to know. I still can't listen to that song without tearing up. So, of course, with that song being played a lot more frequently, it's made me think about all the possibilities.
Just wondering if there are any other adult adoptees like myself, or anyone else whose life has been touched by adoption out there in AN land. I was adopted at birth (closed adoption) and do not have contact with my birth family, although I would like to. I am starting to get involved in the adoptee rights movement to unseal records and allow adoptees access to their original birth certificate and records.
Interestingly, I am also a prospective adoptive parent. My husband and I are foster parents and hope to adopt through the foster system. I think being adopted gives me a different perspective than some foster parents. Hubby and I are supportive of the birth family of our foster baby and in many ways, we hope that he is able to go home to them, although we will also be terribly sad and will miss him always. If/when we adopt, we will strive to maintain some of the family ties with the birth family if it is safe to do so, and we will certainly tell our children in an age appropriate way about their first family.
Anyone else want to share a bit about how adoption has affected you?
I really don't mind doing any of those things. But I hate doing routine vitals. I don't know why, I just do. Mind you, I do them, and most often I do manual BP's because I don't trust our electric cuffs, but even in nursing school it was something that I just didn't like doing.
Mandated reporter or not, who cares?
I find it disgusting that you would entertain the thought of doing anything but reporting this immediately.
What shift are you planning on working? Temple is in one of the very worst neighborhoods in Philly.
It is true that I have not lived in Philly in 12 years but, I did work the neighborhood as a visiting nurse. This would have been a first case of the day scenario, i.e. before the drug dealers were up, we would schedule visits there between 7 and 8:30 am.
Can it have changed that much? I don't know but you should go look before you leap. Really, go look in person in the evening and at night before you make up your mind.
I think this is getting skewed. I don't think the OP ever suggested we should refuse care. I however agree there should be some incentive for maintaining a healthy BMI, cholesterol, and medical compliance. Be it a break on health insurance or tax break???? We tax the heck out of smokers (although still not enough) why not those who choose obesity, drugs, or non compliance? I would exclude mental health for it really is out of their control.
The message I am getting from this thread is that form is more important than content. Write an eloquent message, devoid of truth or insight and you will be praised. Write an absolute truth but fail to follow the rules of the grammar divas you will be vilified.
Do you really have difficulty reading text speak? Do your biases so overcome your reason that you will not accept a message if it is not in the form you find appealing? Heaven forbid a researcher writes in Caldean or some-other language which fails to meet with your approval. The value to you and your patients would be lost.
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