TiredMD

TiredMD

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All Content by TiredMD

  1. I asked my doctor to get me a licensed person to give me an injection

    TiredMD replied to DutchgirlRN's topic in General Nursing

    Yes, I'm a surgical resident. I'm also active duty Navy, which probably colored my opinion on your post quite a

  2. Why do you think so many healthcare workers are mean and arrogant?

    TiredMD replied to mikethern's topic in Patient, Colleague Relations

    Reminded me of a really interesting article I read in the NY Times. Interesting snap shot of how we used to practice....

  3. I asked my doctor to get me a licensed person to give me an injection

    TiredMD replied to DutchgirlRN's topic in General Nursing

    I'm pretty partial to my brothers and sisters who wear the uniform, so I kind of read your story like this: Here was an MA who was an Army medic for 12 years, meaning she was an NCO, supervising...

  4. HTN urgency with IV Beta Blockers

    TiredMD replied to AndyB's topic in General Nursing

    No headache? No elevated creatinine? No eye findings? Normal EKG? If this was just leg pain after a lifting injury, and the BP was incidentally found, I would never have admitted him. Go home, see...

  5. How important is the ability to communicate via writing?

    TiredMD replied to Virgo_RN's topic in General Nursing

    I know many nurses feel that physicians should talk to them when they round, but when I'm seeing upwards of 20 patients on different wards, this is rarely feasible. My substitute is to read nursing...

  6. Physician Abbreviation - Can't Read This One

    TiredMD replied to KristinWW's topic in General Nursing

    The JCAHO requirement is that each institution develop a list a specifically prohibited abbreviations, and JCAHO itself has issued a "bare minimum" list of abbreviations that are not permitted ever....

  7. Nurses children and vaccinations, how do you feel?

    TiredMD replied to Mistify's topic in General Nursing

    Which new vaccines are you talking about? The only new vaccine I am aware of that is not in the mandatory panel for school attendence is Gardasil. Yes, they are marketing that pretty heavily, but...

  8. Nurses children and vaccinations, how do you feel?

    TiredMD replied to Mistify's topic in General Nursing

    Actually you can make a pretty good guess. Worldwide sampling and epidemiologic trending allow us to make a reasonably educated guess on the dominant strain in any given season. Occassionally it is...

  9. Special treament of a patient with money

    TiredMD replied to jbp0529's topic in General Nursing

    Wealthy donors get special treatment because they give hospitals money. Like it or not, health care is a commodity, not a right. And there is no "health care equality clause" in the constitution....

  10. Gastric Bypass: trading one set of problems for another?

    TiredMD replied to FireStarterRN's topic in General Nursing

    The procedure that rph is refering to is the jejunoileal bypass procedure which was used between the 1960s and early 1980s. It was a true "malabsorption" procedure in that, since the stomach was left...

  11. Gastric Bypass: trading one set of problems for another?

    TiredMD replied to FireStarterRN's topic in General Nursing

    It has fewer initial surgical complications, though with more and more surgeons doing the roux-en-y procedure laparoscopically, the complication rates of that procedure are improving. But yes, unlike...

  12. Need help with a diagnosis

    TiredMD replied to wonderbee's topic in General Nursing

    Sounds

  13. Anesthetist or Physicians Assistant?

    TiredMD replied to Future-nurse's topic in General Nursing

    There is a fundamental philosophy difference between nursing and medicine that it might be worthwhile to explore, prior to making a decision between PA and CRNA. In addition to money and actual job...

  14. What's behind your name?

    TiredMD replied to antidote's topic in General Nursing

    Yeah, that looks really stupid. Sometimes I think there's an inverse relationship between intelligence and the number of letters you stick after your name. Personally, I don't even put MD unless it's...

  15. Does this sound like an air embolism?

    TiredMD replied to raindrop's topic in General Nursing

    Likely, but man that part about the slurred speech really sent my antenna up . .

  16. Does this sound like an air embolism?

    TiredMD replied to raindrop's topic in General Nursing

    I'm not too clear on where the air would have come from? Assuming the Hickman wasn't new and no one was injecting air directly into it, it doesn't seem too likely to me that you managed to get 20cc of...

  17. Change of shift admissions

    TiredMD replied to kittymom's topic in General Nursing

    Don't be so quick to let them off the hook. ER docs are notorious for dragging their feet getting patients admitted, then try to dispo the entire ED in the two hours before their relief comes in so...

  18. Inappropriate sexuality...where to draw the line?

    TiredMD replied to Kunzieo's topic in General Nursing

    Agreed, the brain guys really have an obligation to weigh in on this. Your nursing supervisor should be pushing them to render an

  19. What would you have done?

    TiredMD replied to NJNursing's topic in General Nursing

    Yes, to an extent. My only obligation to patients is to provide the highest-quality medical care to all my patients. The medical care I provide a homeless addict will be equal to what I provide a...

  20. Ortho Floor only takes care of ortho problems?

    TiredMD replied to marygirl's topic in General Nursing

    Agreed. Though if I had taken that call, I might have skipped the blood work, EKG, and spiral CT, and just ordered a STAT medicine consult instead . . .

  21. What would you have done?

    TiredMD replied to NJNursing's topic in General Nursing

    Physicians routinely give out their cell phone numbers to VIP patients. I myself have done it on several occassions. I'm not aware of any policy against it with us. In my mind, whatever "boundaries"...

  22. worst night of my 5 year career

    TiredMD replied to zacarias's topic in General Nursing

    I see nothing wrong with giving both together, although I would argue that giving both probably didn't do much of anything except add on narcotics. Both are relatively short-acting (half life of...

  23. 17- year-old girl needs liver transplant, CIGNA denies

    TiredMD replied to pickledpepperRN's topic in Activism, Healthcare

    Agreed. But I also find it difficult to defend the actions of the doctors who gave this family false hope by offering them a rarely-used procedure for a girl who was very likely going to die...

  24. Making Room at America's Inn for All God's Children

    TiredMD replied to pickledpepperRN's topic in Activism, Healthcare

    I think this thread was more about supporting the children of deadbeats, who can use all the help they can

  25. Urine Dip question

    TiredMD replied to fancee free's topic in General Nursing

    I overlooked the role of the dipstick in L&D patients, I'm glad you pointed that out because you use it maybe more than any other specialty. In addition to what you mentioned above, L&D will...