kanzi monkey

When you had the flu, how was it diagnosed? (Apologies if this has been asked before, long thread, don't want to get caught up in any ill-activities against an already-dead horse...)

"Shared" conversations are often not linear if you expect actual communication to happen. Of course patients need to be re-directed at times (we all do)-- but sometimes addressing simple interruptions in the moment can help everyone refocus. It depen...

Hypertensive emergency suggests end organ damage with SBPs over 180 (ie, heart or kidney failure, focal neuro exam, etc) Your patient had post op pain which was likely contributing to the htn (though i wasnt there, so can't be certain, obviously). Ma...

It's great to know that you care how a patient is going to travel when they are discharged. That shouldn't ever be called "unimportant" by nurses OR doctors. Simple question, simple answer, that doc should just be even the *slightest* bit flexible wh...

It's a good lesson because this kind of thing is going to happen ALL THE TIME. On every level. When you are a nurse, you will have similar interactions with providers, who may have similar interactions with their attendings, or with the PCP or specia...

I do one week on, one week off. I'm on the east coast. I think there are a range of options out there, you just have to find them. Nothing is unheard of, really. Sorry your life decisions are being questioned by strangers in an online forum. Lol, onl...

Yes, but would you be willing to prescribe it? It does take a lot of effort and time to tease out the right treatment for patients with pain who are also opiate addicted (not just tolerant). I think it's irresponsible to say "pain is what the patient...

Your facility policy is then mandating that its sick employees risk exposing others to their illness (ie, the flu in an outpatient clinic waiting room or ED or urgent care, etc). There is also the cost to healthcare in taking time and resources for e...

But don't go see your doctor! Don't infect people in the waiting room or waste the office time for a note. You are sick. If your job requires a note, then management needs education about limiting sick exposures and appropriate use of healthcare doll...

A patient...a human being died. Ummm, congratulations that it turned out great for you? Maybe you should work on phrasing? God forbid you come off coarse...

Some people are DNR but not DNI (thinking of chronic COPDers for example). Who comes to the RR? We have an ICU doc, pharmacy respiratory, and hospitalist. Everyone can look at the patient together and see if there is a non-CPR intervention that can h...

If there is a case report I don't know about it. I won't look into it because this was my patient and this was a while ago. I think you understood my point, however. This thing, no matter how unpleasant, happened. However, to put all logic and reason...

How about this plan: 1. Volunteer to receive specialized training for instituting and following CDC implemented protocol for Ebola victim care. 2. Have necessary equipment and on hand CDC specialist available for any/all complications/questions/conce...

I do blame the second infected nurse for flying on a commercial airline 2 days after the ebola patient she cared for died. That makes no sense. I blame her and I blame the hospital. I blame the hospital for not recognizing the urgency, for not having...

I don't. He was a few years into his diagnosis and I helped him through a complication. The history was documented in our EMR, however, and it was chilling. Understanding how histories are taken and diagnoses are made (especially of rare events) will...

True story: I once cared for a patient with transverse myelitis directly linked to a flu shot. It was horrible. These things happen to few. The flu kills many. I get my shot every year, including while I was taking care of that patient. Science lays ...

The urologist clearly behaved badly. Maybe it was stress, but she needs to figure out how to control her frustration. I think that, based on the scenario you described in the OP (and the fact that you prefaced it as a vent thread!) was enough informa...

I shrieked when I read this and scared my cat

I threw away a pillow once. The universe was glad. Also, side note--one day as i was wandering the halls outside the burn unit I happened to cross a chair sitting ominously next to the wall. A sign was haphazardly thrown upon it. "DIRTY" There appear...

ID behind my ID (Infectious Diseases)

This was my experience at a large teaching hospital as well. At my current community hospital, RTs are everywhere. It's a totally new experience for me. I think it's great, for the most part, though there are a few times when I've questioned their as...

How in the world was that not gracious? I am above nobody. But I am very busy when I am at work and I must prioritize my responsibilities over those which can be taken on by someone else (ie, writing admission orders vs getting someone tucked in-whic...

This really doesn't make a whole lot of sense if you think for half a second about what THAT person may have on their own "to do" list (which you are not able to help with and they will not ask from you). We all have work to do and we all have to fig...

Agree with everything here. Trust me--that doctor wants to know about this. Most likely she will never forget it and this will help to inform her practice and teach others. I'm sorry your daughter and family went through that experience.

The situation in West Africa is grim because of poverty. Additionally, there are very real cultural differences at play--people infected with the virus go into hiding and seek out traditional healers due to suspicion of Western medicine. I heard a re...