Dave ARNP

Dave ARNP

Member

  • Content

    629

  • Visitors

    11,526

  • Followers

    0

  • Likes

    1

All Content by Dave ARNP

  1. Fibromyalgia

    Dave ARNP replied to Dave ARNP's topic in Pain Management

    Never heard of Sam-E being used. Doesn't mean it wouldn't work, but it seems these days that there is something new comming out. I would say the latest "new" thing that shows promise would be the...

  2. Things Med students/residents have taught me

    Dave ARNP replied to harry Krishna's topic in General Nursing

    Or the resident, who when asked if he had floated the PA yet...... Looked sternly at the attending and replied that it wasn't his job to make a physicians assistant airborne. Yea. So, the major...

  3. The ER has become a restaurant.....

    Dave ARNP replied to harry Krishna's topic in Emergency

    This actually isn't TOO far from the truth. Atleast on the OB floor. Before discharge husband and wife can make a custom order for a "special" dinner. Choices you may ask? Steak, Grilled Chicken or...

  4. how have you dealt with flirting doctors.

    Dave ARNP replied to kimmicoobug's topic in General Nursing

    We actually had a MAJOR problem in ICU with this sort of thing. Very attractive female nurse who was one of those who was gifted both looks AND personality. Not to mention she knew her stuff forwards...

  5. how have you dealt with flirting doctors.

    Dave ARNP replied to kimmicoobug's topic in General Nursing

    There was this one doctor who got really hot and heavy with me. Only clue I could come up with was to marry her :) Dave, husband of Dr.

  6. do rn's do office..or only lpn's or ma's

    Dave ARNP replied to prunepie's topic in Ambulatory Care, Clinic

    Depends on the type of office however most specialist will ALWAYS have a RN. I don't know ANY cardiologist who doesn't have one. Myself, I work in family medicine and we now have three RN's in our...

  7. Oh, my aching head!

    Dave ARNP replied to fab4fan's topic in Pain Management

    I CANNOT eat nuts. Less than an ounce of nuts will assure me a migraine within about 12-14hrs. I tried all of the OTC's before I figured out what was causing them, even tried Zomig. I still get them...

  8. Welcome to our new pain management forum

    Dave ARNP replied to Brian's topic in Pain Management

    Cheerfuldoer, They phsyician you are speaking of is a TOP pain management specialist (I wanna say in NV?) Somewhere I have the link to an article on her. She is a WONDERFUL MD IMHO, who was doing...

  9. How do you diagnose diabetes?

    Dave ARNP replied to passing thru's topic in General Nursing

    A HBA1c would be the "Gold Seal" IMHO. As far as having sx'. My mother kept a bs in the 300's-500's and NEVER knew it.

  10. ADD and nursing/schooling???

    Dave ARNP replied to Cryssi's topic in General Nursing

    YOU CAN DO IT! I have adult onset ADHD and it never ONCE has caused a problem with my career. I completed a MSN in ACNP and did a post masters as FNP. Being a NP and having ADHD CAN go hand in had....

  11. Prior to a doctors appt have you ever had to

    Dave ARNP replied to Keysnurse2008's topic in General Nursing

    I know of NO clinician who would request this. Secondly, I don't hold case managers in very high regard. This sounds like HER request. Those case managers who know me, know I'm usually not a nice...

  12. In a pickle...

    Dave ARNP replied to jadednurse's topic in Pain Management

    You're soo on the right road Jaded. What happens is people w/o pain control begin to tell ANYBODY who will listen about their pain. How bad it is. How they NEED HELP! Then, friends and family become...

  13. Fibromyalgia

    Dave ARNP replied to Dave ARNP's topic in Pain Management

    The who what when where why and how of Fibromyalgia Syndrome This should clear up alot for you. One of the better (IMHO) pages for FMS.

  14. In a pickle...

    Dave ARNP replied to jadednurse's topic in Pain Management

    Sorry I missed your leaping Jaded. If you decide to leap again, lemme know. On this subject, I'll leap right with you.

  15. Fibromyalgia

    Dave ARNP replied to Dave ARNP's topic in Pain Management

    Hi Hello Nurse! I got your PM and will be getting back to you shortly. I also have some general information that I will post here, shortly, as well.

  16. In a pickle...

    Dave ARNP replied to jadednurse's topic in Pain Management

    Or a mother who was once a vibrant woman with a huge psychiatry practice devlop Fibromyalgia and go to being reliant on someone for even basic care. Not to mention that she went MANY years w/o pain...

  17. In a pickle...

    Dave ARNP replied to jadednurse's topic in Pain Management

    Why, do you oppose the usage of Benzo's for those with severe anxiety? :chuckle

  18. Fibromyalgia

    Dave ARNP replied to Dave ARNP's topic in Pain Management

    About Elavil. Elavil is a FIRST LINE DRUG for Fibromyalgia. I can't imagine NOT having a Fibro patient on it. A TCA can dramatically reduce the amount of pain a person is having, and can also reduce...

  19. In a pickle...

    Dave ARNP replied to jadednurse's topic in Pain Management

    Sounds like a mother telling her child to suck up the pain during labor because HEY! She did just fine with natural childbirth. I won't even go on about how subjective pain is. To one person Tylenol...

  20. In a pickle...

    Dave ARNP replied to jadednurse's topic in Pain Management

    Go Jaded... Go Jaded! ::claps::

  21. Methadone -vs- Morphine, Study Results

    Dave ARNP replied to Dave ARNP's topic in Pain Management

    Very glad you caught that Amiee! When I was trying to explain about Methadone accumlating, I think Metabolites where just what came to mind, as that is the main concern with other like subtances....

  22. Fentanyl placement?

    Dave ARNP replied to ohbet's topic in Pain Management

    Just a note, on women... I don't suggest placing these patches in a place where that the drug would absorb through breast tissue. Just a little something that I advise. No clinical data, no studies....

  23. How do you diagnose diabetes?

    Dave ARNP replied to passing thru's topic in General Nursing

    Not making a dx's but I would go with DM type II. Start with an oral, but strongly consider Lantus.

  24. Forced Csection??

    Dave ARNP replied to L&D_RN_OH's topic in Ob/Gyn

    Just speaking to the comment about the parents "signing away" any rights to sue. It's kinda like this. If I were an OB and said I wanted to do a c-section on you, but I didn't wanna be sued and yet...

  25. Methadone -vs- Morphine, Study Results

    Dave ARNP replied to Dave ARNP's topic in Pain Management

    You're very correct that it's not best for the elderly. NONE of the longer acting drugs are good for the elderly. MSIR and Actiq are still my favorites for elderly in the strong opioid groups....