after53

Hi.I have learned if you want facts you ask nurses.I need some feedback,maybe help me research the answer to this.At the age of 40(gotta love mother nature's humor),I started struggling with endometriosis pain.It was extensive enough to do the laparotomy and cauterize but not it is back.We are blessed with teenagers and I never suffered the trials of infertility for which I am grateful.It is a horrible disease and I try to educate people about what I know as it has a bad connotation like it is in our heads.I work .75 in an Er. I love my job. I want to be happy at work..well okay maybe I don't love triage.Anyways,the gyne thinks Lupron injections are the reasonable first line treatment.I try chemical menopuse for 6 months,clear up the lesions and then return to monthly life to await a second menopuse..hmm,why am I not loving the sound of that.No pain,that's inviting.The rest of it though is scarey.Drugs before surgery right?The net is full of too much information..alot of lawsuits and post Lupron stories that are frightening.The gyne can't guarentee anything,of course but she says at least i will know what I will feel like if we do end up with a total hysterectomy.She would do the hyst if I insisted now but not willingly.She doesn't like any of the other drug treatments she says.Ideas?Comments?Anyone been there done this?Will I still be married after two menopauses.My friends might understand but it's a hard one to tell your husband you might become a frothing monster in two weeks.I know it is mind over matter,I plan on saling through menopause on a weekend away with the girls.This was not in the plans.Have a great weekend.Thxs for listening.

I work with several rn/paramedics and like any other job some carry over the transition bettter than others.Prehospital care will expose you to a wide variety of chief complaints,sort of melting pot of nursing practicums.If nursing is really your goal I don't believe prehospital care is the prep you need.The priority setting is quite different. Who are you as a person...hands on ,fast pace,task oriented?Will you get a taste of prehospital and change your mind about nursing,maybe? I was an EMT first and after The good calls always wondered about that MI or the burn.I was 24 when I went into nursing and very self assured about my skills.Nursing seemed so slow at first,I think I thought I would become a trauma nurse overnight.Many years later i work in an Er and preceptor some paramedic students and i still beleive they are very different jobs.I think as a nurse I get to help the students think outside that chief complaint,mentor all round pt care and of course in Er we share alot of skills. As a woman both jobs are can be shift work.Now the genders are much more even than they were all those years ago but sometimes you gotta be one of the boys on the car! I loved being an EMT and sometimes still yearn after the great stories i hear as I triage in the EMS crews .Do some ride alongs.It might help you narrow your decision.Good luck.

Hello, All of us have encountered what we viewed as false hope in a pt,but your personal experiences may take on more meaning if you can support the dignity of that pt you felt is being misled.Be proud that you advocate for famliy visitors and pain control and choices.Maybe we can't change the whole world but each day you have the chance to lessen a pain,provide some solitude or to listen.I have never worked oncology but did work for many years on a busy surgical floor. I would watch a life turn direction from hopeful to lost on those "am rounds" while a wonderful surgeon sat on a bed of someone I knew was about to hear the word cancer.I would nurse those tubes and walk those lungs with great expertise but I had to learn to be a nurse and a human at the sametime......to understand a walk that day wasn't going to make anything better,that that angry family member was really reaching out when she snapped at me about not tidying a bed. I have the greatest respect for all of you who fight for pt dignity and who carry your own pain while you work.Be true to waht you believe in and your pts will know you gave them what they needed most,not treatments or drugs,but time and true campassion!