TiredMD

TiredMD

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All Content by TiredMD

  1. A Physician's disregard for families rights.

    TiredMD replied to DJ-Adia's topic in General Nursing

    It may be difficult to actually fire the physician while keeping the patient in the same hospital. Intensivists typically work shifts, and unless it is a very large ICU, there is likely only one...

  2. My Word... What Can't You Get at Wal-Mart??

    TiredMD replied to happybunny1970's topic in General Nursing

    Hmm . . . kinda sorta. These clinics work on strict algorithms that practitioners are required to follow; independent clinical judgement is quickly squashed. Might be a convenient job, but the cash...

  3. My Word... What Can't You Get at Wal-Mart??

    TiredMD replied to happybunny1970's topic in General Nursing

    It will work great, because they will charge a transparent price that will cover costs and make a profit, and people will actually pay for the care they receive. Health care was always a profitable...

  4. Keppra for TBI?

    TiredMD replied to hotshot12345's topic in General Nursing

    We see a lot of TBI. Patients are commonly loaded with Keppra for seizure prophylaxis, and taken off a couple months later if they haven't shown any seizure activity. Remember that TBI, even in the...

  5. Nursing School or Med School?!? BOTH?

    TiredMD replied to Khaos05's topic in General Nursing

    Why? Probably most of us. Personally, I'm not, but I'm military, so things are a bit different in my situation. And while we are often in debt, that debt tends to get paid very quickly. Last I...

  6. Doctor won't back up his telephone orders!

    TiredMD replied to In_Chantress's topic in General Nursing

    Personally, I think you're being overly optimistic about the power of CEOs, and their relationship with physicians (especially surgeons). But hey, if it works and it improves your work environment,...

  7. How do you feel about famous Doctors doing medication ads?

    TiredMD replied to oramar's topic in General Nursing

    I wouldn't worry about Jarvik prescribing Lipitor over other drugs, since he's not licensed to practice medicine in any

  8. Doctor won't back up his telephone orders!

    TiredMD replied to In_Chantress's topic in General Nursing

    I wasn't referring to whether or not the physician engaged in the behavior, I was talking about whether or not the behavior was the cause of the termination. There is a difference between the two. And...

  9. Have You Ever Seen This?

    TiredMD replied to bollweevil's topic in General Nursing

    That's a lot of money being spent on a finding that doesn't bother the patient. Was this in a primary care clinic? Do a punch biopsy (or if not comfortable with that, a skin scraping), send it to path...

  10. Weight Loss Medications

    TiredMD replied to pagandeva2000's topic in General Nursing

    I have yet to see a physician prescribe a weight-loss medication, although I understand there are a handful out there (primarily the intestinal fat-absorption blockers I believe). One of them,...

  11. Doctor Practices that Dump Patients

    TiredMD replied to FireStarterRN's topic in General Nursing

    They could start here: http://www.hrsa.gov/help/default.htm Typically, low-income patients get seen at local free clinics or federally-funded community health centers. It's interesting, because the...

  12. Doctor won't back up his telephone orders!

    TiredMD replied to In_Chantress's topic in General Nursing

    if you were fired for one reason, and former staff members spread the false rumor that it were for some other (worse) reason, you would have every right to sue. in the case mentioned above, it is...

  13. Doctor won't back up his telephone orders!

    TiredMD replied to In_Chantress's topic in General Nursing

    Be weary of spreading that around, even if you do know it for a fact and not just hearsay. Physician termination from hospitals is an enormously litigious process, and usually is bound up in tight...

  14. Do Nurses STILL want to marry Doctors?

    TiredMD replied to showbizrn's topic in General Nursing

    You've got to admit, that is seriously

  15. Did Hillary really say nurses are glorified sitters ?..... No fact to support

    TiredMD replied to time4meRN's topic in Activism, Healthcare

    Your wages would likely be

  16. High BUN and Creatinine

    TiredMD replied to nialloh's topic in General Nursing

    Today he's at 165. Platelets aren't working quite right anymore. But he's still mentating fine. So

  17. High BUN and Creatinine

    TiredMD replied to nialloh's topic in General Nursing

    I have a patient in the unit sitting on a BUN of 130 every day. Urinating fine. Creatinine is only in the 2's. No apparent mental status changes. Very interesting

  18. Did Hillary really say nurses are glorified sitters ?..... No fact to support

    TiredMD replied to time4meRN's topic in Activism, Healthcare

    The way I read these proposals, my suspicion is that the current plans floated by the Democrats (mandatory private health insurance) won't impact salaries all that much. It will be a big strain on...

  19. Question about a PE...from a tech/Nursing student POV.....

    TiredMD replied to locolorenzo22's topic in General Nursing

    you'd think so (and everyone used to) but the new literature is saying that, once appropriate treatment has been started, there is no additional risk for a new pe with early ambulation. bed rest or...

  20. i'm a RN

    TiredMD replied to ohmeowzer RN's topic in General Nursing

    We get that too. Them: "Well, I'm a doctor, and . . . " Me: "Oh really? What's your specialty?" Them: "Um . . . psychiatry." Me: "Oh, okay. I'll make sure I don't use big words."

  21. sweat relief?

    TiredMD replied to NurseNature's topic in General Nursing

    At the risk of sounding like medical advice, let me just suggest that maybe you should try a different doctor. Or at minimum, make it very clear to your present doctor that it is "interfering with...

  22. The Doctor said WHAT?

    TiredMD replied to nurz2be's topic in General Nursing

    From what I gather, you are in a private, non-teaching hospital (ie - no residents, at least in his department). In such a situation, he really doesn't have a "superior", since he is likely an...

  23. The Doctor said WHAT?

    TiredMD replied to nurz2be's topic in General Nursing

    He may be arrogant, but I bet you never go to him again when you need a form filled out. Which is exactly what he

  24. Re: Mrsa

    TiredMD replied to emeraldbutterfly,RN's topic in General Nursing

    MRSA colonization usually occurs on the skin, in the nose, or in the mouth (same as any other staph species). For surveillance, we will typically do groin, armpit, nares, and occassionally throat...

  25. 12 hour shifts for students AND Med. school

    TiredMD replied to Epona's topic in General Nursing

    To answer your question related to medical school (I assume you're talking about MD/DO schools). There are a variety of grading schemes; some schools use letter grades while others (including the...