JDCitizen

I apologize I haven’t been back until now. The stethoscope works great. - Taking blood pressures with it is a little different. - For me the volume adjuster is in the wrong place - Carry a dime with you (that is what it takes to unscrew the thing to change batteries) Purchased at: AllHeart.com 278.47 total Price depends on perspective. With my hearing I needed an amplified scope so the price was worth it.

We shall see; ordered it yesterday.

I am getting ready for another stethoscope. Amplified stethoscopes: Good, bad or indifferent? So how bad is it on your ears when knocked by accident?

just another self important doctor write-up….. the question is it really of concern for the patient, market share, a mix or neither… i have two closing statements the self important doctor could have/should have included: as a patient you should never be embarrassed or hesitate to ask whether the person seeing you knows what he or she is doing and what they consider their obligation to you is…. as a patient you should never be embarrassed or hesitate to ask your provider: if you don’t know what is wrong or what you are doing are you smart enough to admit it and send me to someone that does?

School, school, school...... Your parents are right. I did a little college in my younger days and put it off; it was a good long while before I was able to get back in. Life can and very well will get in the way of going to school if you put it off. If your parents can and are able to help be thankful and take them up on it. Don't consider the year of waiting a waste put it to use part-time work, college core classes.... If you can't find part-time nursing work that won't interfere with school make school your total focus.

If your thoracic surgery group is like the one I was involved with you won't be a noob for long (and I mean that in a good way)..

during my bsn program i had to change hospitals due to the male mds not wanting a male nurse in the room during delivery.... place i had worked for years as a medic than a nurse a nurse manager told me she would never allow a male nurse to work on her unit… needless to say upper management got wind of the statement and were very apologetic.. i had spent my early years delivering babies in the back of ambulances owned by this hospital as well as helping with deliveries in the er (sometimes in those days the doctors had to be called into the hospital and nature does not always wait)… during my msn program a ob/gyn (who was male) knew me and i did my practicum in his office/hospital with his nurse practitioner and mid-wives: i did full exams, iuds, and deliveries. i had some patients not want to see me and i had many that i thought wouldn’t want to see me that would let me see them. i was asked to consider working with them towards the end of my practicum. no rhyme or reason but yep life as a male nurse can be a trip and it’s not always the patients.

this may have some merit but the military has for a long time been converting / farming out some jobs to the civilian sector. probably true but also could be the only way they can get the slots filled..... in the private world hospitals use agency because they have to not usually because they want to. i live near warner robins air force base and there is almost always something in the news about civilian jobs. i would believe though in lean times the civilian jobs would go up in smoke way quicker than those on active duty.

Oops missed the "until" part.... One program at a time don't mess with someone else's possible slot.

Multidisciplinary knowledge; win-win for you and your pateints.

taking they have been offered... - through various agencies (contract) - sometimes found on usajobs - sometimes through, i think if i recall the name right, the af personnel center sometimes the offers come from having posted résumé on some of the online sites... when i was attempting to go active i had a few offers....

that's one of the things i read only gi symptoms; no respiratory symptoms, no fever. probably great if one is working in the hospital but in the office a patient with gi viral symptoms alone really could be so much more....

I agree: Can be very hard to get rid of.... I have some patients never needing to return while others its like clock work....

Was it suspected or just part of the workup?

Anyone ran into it yet. The more I read the more it seems to be a diagnostic nightmare.

are any of you all running into multiple resistances (3-4+)? i mean i have healthy looking young folks with multiple resistant mrsa it is pretty scary.. i myself don't believe tht i give out antibiotics like candy but if its bad enough that i take out a scalpel and cut i believe it justifies being treated.

also about 95% of results are mrsa. i was finding so much mrsa the state health department took notice. ok this is not inpatient..... this is a clinic. the bugs that we can't cover with po meds have to go to the hospital or infirmary. unfortunately one of the local hospitals we are forced to use we send a patient to them the patient comes back and we have to redirect the patient elsewhere for needed treatment (i.e. this hospital is near worthless) what's worse at time the patient comes back with no documentation . i concur with your inpatient regiments one of the practices i worked with we always treated hard and fast and if necessary de-escalated the treatment when necessary (many times though the need to de-escalate was not necessary). bad thing to have to use high power antibiotics on so many different patients; pretty scary over the long term especially when the sensitivities are coming back with many more r's than s's.....

So do you think you might have to change?

i don't wait on the c&s to start my antibiotics i depend on my c&s to tell me i am using the right antibiotic. i have seen too many patients with multiple resistances and have seen more than a few with multiple co-infections fun is treating a patient with multiple resistant mrsa and multiple resistant e-coli. i have been on the phone more than a few time with our id doctors for their input. i love bactrim but i have seen resistance to it or the patient has an allergy to sulfur. we don't use clindamycin first line due to the number of induced resistance we have seen.

give them cheese and crackers to go with their whine. office: no lab coat. hospital: long white lab coat with name and practice logo (same as the others in the practice wear). not really a concrete rule that we have to wear it though but it actually helps. in nursing school (bsn & msn): long white lab coat. all the hospitals iv been in some wear casual, some wear dress clothes, some wear the long lab coats. i can't really recall seeing the short ones in years except the dressed up short white ones on a few of my female colleagues.

sometimes i don't even fathom this doctor's train of thought, especially since i have her treatment of mrsa. don't get me wrong this doctor is sharp but sometimes i do walk out the office bewildered. as for nasal pcrs and bactroban: when in rome do what the romans tell you j life as a midlevel: danged if you do and danged if you don't.

i get to take care of a fairly large amount of mrsa and i&d's. the nurses prefer to have me do the i&ds and such with them over the doctors; thus i do have a substantial amount of antibiotic orders. well today i had a little chat with one of the doctors who wants me to cut down on the antibiotics. a large chunk of these i&ds require packing afterward (yep even after years of teaching lots of folks still let it get that bad). this is from the same doctor that wants to do nasal pcr testing on all patients that have i&ds and if positive do bactroban to the nares once weekly for a year..... anyway those of you that get to do simple surgical procedures and such: what are your follow-up and treatment procedures?

:deadhorse The horse is pretty much beat to a pulp:deadhorse

I am an NP it has still taken them months: lost paperwork (as in my whole package), scheduled physical with no one there to do the physical at time of appointment, etc :-) This is my second workup with the feds: So, so deja vu!