rph3664

rph3664

Member

  • Content

    1,714

  • Visitors

    13,628

  • Followers

    0

  • Likes

    38

All Content by rph3664

  1. Changes In Premie Baby Care Since The Mid 1980's

    rph3664 replied to BskyB2's topic in NICU, Neonatal

    I had a friend in high school who at the time of her birth in 1965 was considered at the borderline of survival. I don't know what her gestation age was but her birth weight was 3 pounds 7 ounces....

  2. Difficult Delivery!

    rph3664 replied to Sweeper933's topic in NICU, Neonatal

    Did the doctor do this because s/he has a thing about teenage mothers? I understand a lot of "girls who were sent away" had birth experiences like this :angryfire but this is 2008! There is a...

  3. Wow a bag of pretzels, your right admin, this is a good place to work

    rph3664 replied to time4meRN's topic in General Nursing

    There's another thread on this board about the best and worst gifts and bonuses people have received. The strangest one I ever got? Before I went back to school, I was a clerical employee at an...

  4. On being a mom in a female-dominated profession

    rph3664 replied to Vida's topic in General Nursing

    One of our technicians, who is the same age as me (mid 40s) and unlike me is a mom, believes that fathers should be involved in the care of their children BUT if he calls in to work to care for a sick...

  5. Diagnoses you never thought you'd see?

    rph3664 replied to KarafromPhilly's topic in General Nursing

    I had never heard of this disorder, but here's a VERY interesting article about someone who had this and lived to age 96. http://ageing.oxfordjournals.org/cgi/content/full/35/6/642 Had she been born...

  6. How do you deal with Non-Urgent Patients

    rph3664 replied to mom2michael's topic in Emergency

    Hey, watch it! I went to the ER with a stubbed toe a while back because it was EXTREMELY painful (especially after I put a shoe on and felt something bend that wasn't supposed to) and it was broken....

  7. Diagnoses you never thought you'd see?

    rph3664 replied to KarafromPhilly's topic in General Nursing

    I did clinical rotations in the Four Corners region in the spring of 1994, 8 months after the hantavirus epidemic (and subsequent discovery, which further research revealed not to be a "new" disease...

  8. Diagnoses you never thought you'd see?

    rph3664 replied to KarafromPhilly's topic in General Nursing

    My old boss had a relative who got really sick one day, went to the ER thinking he was having a stroke, and within a day or two had lapsed into a coma and died. Long story made short: We all...

  9. Diagnoses you never thought you'd see?

    rph3664 replied to KarafromPhilly's topic in General Nursing

    I once lived in an area that had a large Central American and Southeast Asian immigrant population, and they had some really weird tropical parasitic diseases. One patient had symptoms of a brain...

  10. Diagnoses you never thought you'd see?

    rph3664 replied to KarafromPhilly's topic in General Nursing

    I've encountered that more than once. But the case of tetorifice we had recently was just as tragic. The patient recovered but the incredible suffering was completely preventable. I once heard about...

  11. Multiples for Media Attention and Community Help?

    rph3664 replied to pirap's topic in Ob/Gyn

    I used to follow their website, and that little sister was a surprise pregnancy. No fertility treatment used to have her, and at birth she weighed more than all six big siblings put together....

  12. Multiples for Media Attention and Community Help?

    rph3664 replied to pirap's topic in Ob/Gyn

    The Duggars totally creep me out. Apparently Jim Bob made a fortune in real estate and that's how he supports his family, but they remind me of those polygamous families in Utah except that the kids...

  13. Multiples for Media Attention and Community Help?

    rph3664 replied to pirap's topic in Ob/Gyn

    Here's a story about the Van Houtens, who just celebrated their fourth birthday. http://blog.mlive.com/grpress/2008/01/sextuplets_and_parents_conquer.html IVF technology has improved greatly since the...

  14. Can Fentanyl Patches Be Replaced Sooner to Improve Pain Control?

    rph3664 replied to NRSKarenRN's topic in Patient Medications

    The patches are designed to deliver medication for 72 hours, and changing them more often benefits nobody except the manufacturer, because that way they sell more. Our residents often order a q48...

  15. Ritalin Use in Preschoolers?

    rph3664 replied to VickyRN's topic in Patient Medications

    How could ADD/ADHD be diagnosed in a preschooler? I have actually heard of children as young as ONE YEAR OLD being diagnosed and placed on meds. They are usually the children of unemployable single...

  16. Can Fentanyl Patches Be Replaced Sooner to Improve Pain Control?

    rph3664 replied to NRSKarenRN's topic in Patient Medications

    The only benefit from changing a fentanyl patch after 48 instead of 72 hours is to the manufacturer of the patches because they sell more. We get residents who write it this way, and we always correct...

  17. Ritalin Use in Preschoolers?

    rph3664 replied to VickyRN's topic in Patient Medications

    I have heard of children as young as 1 year old being diagnosed with ADD/ADHD and accordingly medicated. They come from a fatherless home, and their unemployable mothers face being kicked off welfare...

  18. Other Uses of Ritalin?

    rph3664 replied to pagandeva2000's topic in General Nursing

    It's also used for people with early stage Alzheimer's because it improves their alertness and concentration. It's usually dosed at 5mg with breakfast and lunch, rarely more than

  19. Desperately seeking a dicontinued medicine can you help?

    rph3664 replied to kukukajoo's topic in General Nursing

    I got my pharmacy degree in 1994, and I don't think I have ever dispensed Cylert although I have seen it on shelves (I have done a lot of relief work). Yes, it was used extensively for ADD, and by all...

  20. Hospital purges 20 grocery carts of pharmaceutical gifts and donates it to Africa!

    rph3664 replied to student456's topic in General Nursing

    This doesn't sound like it was just going to hospitals. Schools and orphanages could use those items as well. I'm not sure what a person who lives in rural Cameroon would do with a mousepad, but...

  21. Entitled Generation

    rph3664 replied to javajaydon's topic in General Nursing

    We hired a pharmacist like this a couple years ago. Once she realized she couldn't manipulate the whole department to kowtow to her outrageous demands, she quit; this took less than a month. She was...

  22. Entitled Generation

    rph3664 replied to javajaydon's topic in General Nursing

    Or they go to an expensive, prestigious private college and major in women's studies or art history or medieval Russian literature with no provision as to what they want to do with that degree, and...

  23. family dynamics of disabled children

    rph3664 replied to ArwenEvenstar's topic in Pediatric

    bump - it's a good thread. Guess I should clarify that the woman's son who was probably autistic would now be about 40 years old, and the woman with the "rural upbringing" had simply never been around...

  24. Ever watched old cartoons?

    rph3664 replied to CraigBSN02's topic in Emergency

    Newer cartoons do that too. Ever seen the "Spongebob Squarepants" episode where Planton hijacked Spongebob's brain, and Spongebob breaks into Squidward's house and walks through his bedroom?...

  25. family dynamics of disabled children

    rph3664 replied to ArwenEvenstar's topic in Pediatric

    I worked in restaurants for 15 years before I became a pharmacist, and I always asked the person themselves what they wanted unless it was obvious they couldn't answer. I'll never forget when I worked...