I realized your interest extends far beyond H1N1 after I posted my comment. I'm currently working for the Louisiana OPH in H1N1 (a job I don't expect to last much longer). I have to admit that, although flu is fascinating, it's really not my primar...
oh yeah! last week i had a patient who was admitted to the ccu in a hypertensive crisis. the guy weighed over 150 kg, had chf and a dissecting aortic aneurysm, and came in positive for cocaine. the guy started yelling at me because he hadn't gotten...
I went to WWU for a couple of years back in the 80's and really liked Bellingham. My wife did a photo shoot up there a couple of years ago. From what I saw, Bellingham hadn't changed much - which is more than I can say for Seattle. Seattle seems to m...
I love it - I don't even have AC in my truck. I spend all day working in cold, dry hospital air then, when step outside in the evening and that warm, wet air hits my face, I take a deep breath and remember how much I love this city!
My wife and I moved from Seattle to New Orleans a few years ago. Today the weather was beautiful! Clear blue sky - a little chilly, down to the 60's - but I managed to bundle up and go for a nice long bike ride up on the levee. My wife misses Seattle...
aeauooo replied to Mommy_of_3_in_AL..RN's topic in Neuro
[color=#74330b][color=#74330b][color=#74330b]i've dealt with this type of issue more times than i care to think about. [color=#74330b]i'm not sure if the law varies from state to state, but everywhere i've worked a determination of brain death is a...
aeauooo replied to Imgettingthere's topic in Neuro
déjà vu! you don't happen to be working in seattle, do you? man, i got burned severely when i went from a neuro floor to a neuro icu in a toxic work environment. it was the lowest point in my career. i have since gone on to prove that all of the ro...
what, your docs don't know how to do a literature search? the aann has a clinical practice guideline on management of the patient with tbi. http://www.aann.org/pubs/guidelines.html click on the link. you'll be asked to answer a couple of question, th...
What the heck does 'SOS' stand for? Sack of sh**? I've worked in hospitals where the trauma docs wanted thier patients in the neuro ICU because the nurses had better skills.
In the most recent issue of the Journal of Neuroscience Nursing there is a review article comparing mannitol to hypertonic saline. One of the studies reviewed found that mannitol increases MAP - that, combined with decreased ICP significantly raises ...
Been there, done that. You know you're a neuro nurse if... You've ever said, "Oh don't worry about it, he's just having a seizure." You've ever come to the uncomfortable realization that there are some people who really don't want to hear about GSW t...
Exactly, your "badge of honor." Relevance? You're blowing smoke. Go back and re-read that definition: regulated discussion, according to the rules of parliamentary procedure. What is it you'd like me to source? What claims have I made, other than...
How is that a response to what I wrote? You throw a number at me and expect me to accept that it's even relevent to the topic - it doesn't work that way. You don't even have a weak argument.
Excuse me - that's exactly what I said. You're too busy sniping to bother to read and understand what I wrote to make a valid point in return. I've made the points I wanted to make. I don't have problem with you disagreeing with me, but I'm not going...
Can you provide objective data to support your claims? All of the statements I made began with "I wonder...," but you claim to know the answers to those questions - how? What's your source? If you can't provide the evidence to support your claims, yo...
As I understand it, the first generation of immigrants (from anywhere in the world to anywhere in the world) usually don't learn the native language, or "learn just enough to get around" (having lived and travelled in a number of countries where Engl...
Thanks. I'd like to believe we can have a discussion about a subject with which we have disagreements without becoming hostile - as we've seen on other threads. I've acknowledged that I don't know much about economics, but there's no shame in that. S...
Exactly! Debate: a: the formal discussion of a motion before a deliberative body according to the rules of parliamentary procedure. b: a regulated discussion of a proposition between two matched sides - Webster's
not at all. as i said, i don't have the answers, but i think we need to take two very large steps back from the emotionalism of this issue and look at every aspect of it before we draw any conclusions about what the problem really is and how to solve...
Thanks. We have created most of our monsters, then we blame other people for our problems. I don't have the answers. I don't pretend to. I just try to do what I can and know how to do to make life better my family, others with whom I share this plane...
loss of wages spent in this country by the laborers, loss of taxes paid by the laborers (yes, they do pay taxes!) and the business, loss of the contribution of that business to the gross national product. hey, i'm not an economist, but there are two ...