TiredMD

TiredMD

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All Content by TiredMD

  1. low lymphocytes during an infection...

    TiredMD replied to serenity98's topic in General Nursing

    In addition, it is possible that the OP is confusing the "low lymphocytes" on the differential with an overall low total lymphocyte count. The differential does not give you the total number of...

  2. A doctor asking you to give him a cup of coffee!!

    TiredMD replied to Shantas's topic in General Nursing

    Professions protect their own. If you're in med school, it's not suprising that you are treated better than the nurses, since you are now "in the club". It's the same as how nurses treat CNAs who are...

  3. Worried about blood exposure

    TiredMD replied to aphillipsrn's topic in General Nursing

    Even surgical wounds develop a barrier of epithelium within 24-48hrs. This epithelium is the physical barrier that prevents bacteria and viruses from invading your body from the outside world. If the...

  4. Homeopathics and Cancer

    TiredMD replied to UM Review RN's topic in General Nursing

    Interesting and difficult question. My three major criteria can probably be summarized as follows: 1) The treatment must be demonstrated to be safe and efficacious. For pharmaceuticals or medical...

  5. Homeopathics and Cancer

    TiredMD replied to UM Review RN's topic in General Nursing

    Agreed. But I still argue that we shouldn't accept any treatment until it has been proven to be safe, and to

  6. Homeopathics and Cancer

    TiredMD replied to UM Review RN's topic in General Nursing

    I agree 100%. I could care less if someone wants to wear copper and magic crystals, as long as they still take their beta-blocker for their heart failure, and talk to a surgeon about their breast...

  7. Need Advise regarding my highschool girl mentoree

    TiredMD replied to FireStarterRN's topic in General Nursing

    Encourage her to join Navy ROTC. Our nurses are far superior to all the other branches, and the civilian world. Many of them fall in love and have babies. They don't deploy while pregnant or when...

  8. Homeopathics and Cancer

    TiredMD replied to UM Review RN's topic in General Nursing

    The argument of those of us who reject CAM therapies is not that nothing good comes from nature. It's that things that are "natural" should be subjected to the same rigorous scientific trials as any...

  9. Homeopathics and Cancer

    TiredMD replied to UM Review RN's topic in General Nursing

    Acupuncture is an interesting modality. Whereas most other CAM therapies have been clearly shown in scientific studies to be of zero benefit, there is (as I know you know) a large body of quality...

  10. Homeopathics and Cancer

    TiredMD replied to UM Review RN's topic in General Nursing

    While a couple of "alternative" therapies are employed in some medical institutions, they are limited to "mind/body" applications, and are never offered up as actual therapy for real diseases. We...

  11. difference between physician MD and DO license/practice??

    TiredMD replied to ASSEDO's topic in General Nursing

    I also think you probably mean "DO" rather than "OD", but I'll give a brief summary of what I know about the degrees. OD - "Optometry Doctor" (I believe). Limited to writing eyeglass prescriptions...

  12. Homeopathics and Cancer

    TiredMD replied to UM Review RN's topic in General Nursing

    I heard that after he became an ayruvedic practitioner, the medicines he worked with gave him hand cancer, and that he required amputation to save his life. Now since he can't practice, he teaches,...

  13. not coding a non dnr patient

    TiredMD replied to acerila's topic in General Nursing

    You can get sued for anything; ability to sue has nothing to do with what is legal vs illegal. A physician has the right to hold care that he/she believes is medically futile, regardless of whether or...

  14. "I'm an uncertified medical assistant"

    TiredMD replied to Freedom42's topic in Medical Assistant, CNA/MA

    Sometimes our medical students introduce themselves as "Doctor". They only do that once in front of

  15. Nurses and Mental Illness

    TiredMD replied to nurse2b2010's topic in General Nursing

    Off-topic, my appologies. But let me just sketch out my opinion on your question, and thereafter I won't hijack the thread anymore: Honestly, I have no idea. I know what nurses do (since I write the...

  16. "Med Student" syndrome

    TiredMD replied to philosophical's topic in General Nursing

    My school was systems based, and I had ailments related to everyone: chronic diarrhea during GI, wheezing during pulmonary, irregular heartbeat during cardiac, facial flushing during endocrine,...

  17. "I'm an uncertified medical assistant"

    TiredMD replied to Freedom42's topic in Medical Assistant, CNA/MA

    Exactly. Any procedure is a potential mine-field, even if you've had the years of medical school, residency, and fellowship. Anything can go wrong, and anyone can make a mistake. We try to minimize...

  18. Nurses and Mental Illness

    TiredMD replied to nurse2b2010's topic in General Nursing

    No questions about them? You must be kidding. In the physician community, mental illness is heavily stigmatized, and not just bipolar disorder, but more common diseases as well such as depression and...

  19. "I'm an uncertified medical assistant"

    TiredMD replied to Freedom42's topic in Medical Assistant, CNA/MA

    Injecting botox is a little more complicated than giving an IM/SQ injection. You have to understand which wrinkles you are trying to smooth out and which muscles you need to paralyze in order to...

  20. Why no ETOH before cholest. draw?

    TiredMD replied to MNmom3boys's topic in General Nursing

    Holy crap, that's

  21. Anyone Else Experience Mobbing?

    TiredMD replied to WeakAnkles's topic in General Nursing

    I'm not a nurse, but in medicine we "mob" each other regularly, mainly medical students and residents. It's our culture. The most severe instances are usually because of a general feeling that the...

  22. Why no ETOH before cholest. draw?

    TiredMD replied to MNmom3boys's topic in General Nursing

    Alcohol causes a transient increase in your trigylceride levels. I have traditionally heard 24hrs as the cutoff prior to a test, but I guess your lab is little more

  23. NA's not professionals

    TiredMD replied to Jabramac's topic in General Nursing

    I never put down the "knowledge and education that nurses have". I have the utmost respect for nursing, although like any other Resident, I do have my professional disagreements with my coworkers from...

  24. RX for K+ Chloride AND Na Chloride

    TiredMD replied to discobunni's topic in General Nursing

    Dialysis is pretty complex, which is why every other doc is pretty much happy to leave the field to nephrologists. I used to do nephrology research when I was in med school, so I thought I'd offer a...

  25. vasovagal response????

    TiredMD replied to newtelenurse's topic in General Nursing

    Good call! Maybe vasovagal, and certainly I'm not an expert in geriatrics, but there are a number of worrisome features to this story, including the history of syncope and prolonged recovery phase....