TiredMD

TiredMD

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All Content by TiredMD

  1. Body placement in hip fractures/screws

    There's no simple answer to this question. It will depend on the type of implant used, the fracture pattern, the presence of a fracture/dislocation, and surgeon preference. For a brief summary sheet,...
  2. how have you dealt with flirting doctors.

    Oh how I miss those days. I adore my wife and will be with her until the day I die (likely when she a knife through my head for some stupid comment I made). But really, is there anything better than...
  3. Government Recruiting Foreign RN's/MD's!

    Yes, now that we've won, we will be out by 2011. It's in the
  4. Scope of Practice for LPN

    It's good to know that I'm not the only one confused about LPN scope of practice. I once had an LPN tell me that she couldn't witness a surgical consent; only RNs could do that. I just had the...
  5. can you bridge from RN to MD?

    To go to medical school, you have to have completed at least 90 credit hours as an undergraduate (though it is uncommon for anyone who is not on graduation-track to be admitted), in addition to having...
  6. called me a maid

    I'm saving this quote for the next "How come those arrogant doctors never help me change the bed?!"
  7. If I might make a suggestion: Call the physician and explain the situation. lady partsl itching is not exactly a life-threatening condition. If the patient is as able-bodied as it sounds, I would have...
  8. This is a stupid and pointless analgesic regimen. Sounds like something you'd give to someone as a placebo because you're worried they'll misuse
  9. Normal temperatures =)

    RN: "No, I'm sorry, he won't. In fact, he says you have to leave now." Pt: "What? Really?" RN: "Yes, really. He says you have to leave right now, and if you don't, he's going to kill you?" Pt: "Kill...
  10. Yelled at yet again

    When I was an intern, I would called fairly frequently by techs, and the conversation was usually like this: Tech: "You need to come see Mr. _____." MD: "What's going on with him?" Tech: "I don't...
  11. Yelled at yet again

    I'm a pathological workaholic and obsessive about every facet of the patients on our service. I am not generally friendly and all that matters to me is work. You wouldn't like to work with me. Few
  12. NEED nurses input

    Delegation of technical tasks does not imply a lack of assessment by the primary nurse. In places I have worked where techs did all manner of procedures, they were done at the direction of the RN....
  13. Yelled at yet again

    It used to be very common, and still occurs, though primarily in private-practice facilities. In most academic centers, this practice is long-dead, as it should be. If I need a colleague to see a...
  14. ANA... Should I continue being a member?

    Yeah, I hate the AMA. They masquerade as a professional organization dedicated to protecting the profession and representing the interests of physicians. What they really are is a social advocacy...
  15. Mistakes we have made

    I am continuously amazed at how nursing students are treated in school. As medical students, we are routinely abused, harassed, and publicly humiliated. This is normal and expected. But when medical...
  16. ANA... Should I continue being a member?

    No offense, but it makes me really happy to hear that your national organization has sold you out and ripped you off as much as mine
  17. Can doctors go against hospital policy?

    Physicians who want to go against a particular policy, as others have pointed out, should simply do what they want themselves. I have done this many times, usually in reference to "we can't give that...
  18. I remember my days as Nursing Home CNA. Sometimes we got lunch. But we had to bring it, no food provided or available for purchase. Of course, purchasing food would have been tough to do everyday on...
  19. Pancreatitis...with no pain?

    I know you may not be able to tell us, but do you know what findings on the imaging specifically made them decide it was pancreatitis? I agree with core0, the picture is quite worrisome for...
  20. REALLY stupid question...

    The overall electrolyte concentration of blood is measured in osmoles (osmolality), and normal range is typically reported as normal if between 275-295 mmol/kg (milimoles per kilogram). When someone...
  21. Put the darn chart back!

    Funny that it cuts both ways. The worse thing about working in facilities with paper charts for me, is that the nurses consistently gather all their patients' charts, then go hide in the break room or...
  22. Good Samaritans

    I think everyone had the same knee-jerk reaction when they saw this story, but a closer read of what the court said makes it look much more reasonable. Basically, to summarize: Good Samartain laws...
  23. Rats. I was really hoping for something crazy. Oh well. In answer to your question, megaloblastic anemia is a known side effect of certain bartiuates including phenobarbital. PS - looks like someone...
  24. I am dying to know what prompted this
  25. Alternative to spanking

    I was spanked routinely up until the age of 10 or so, sometimes with objects (wooden spoons, rice paddles, once a plastic clothes hanger). I turned out fine, no residual trauma, psychologically mostly...