81FSUseminole

I'd recommend getting Goljan's patho lectures. you can easily find bootlegs online. med students use them in prep. for USMLE I. i listen to them on my way to clinic and they're very helpful. goljan is a pathologist and a very entertaining lecturer. if you cant find them you could PM me and i'm sure i could figure out a way to get them to you (dvd, compressed .zip, or something). advanced patho is challenging, but doable.

after a grueling process and a lot of stress i can finally relax, somewhat. i found out last wk that i was accepted to the ACNP program at Duke University for Fall 2009. i'd love advice on the triangle area if anyone lives there? i'll be moving from FL.

the sheer arrogance and hypocrisy to the responses in this message are astounding. how many of you can honestly say that, at NO TIME in your life, you havent had more than 2 drinks and driven, even once? Driving intoxicated is not acceptable, nor should it be, but people make mistakes. i can only hope this girl gets help and can move on. in response to the post of "how bout 1DUI=5 yr loss of license". are you serious? hopefully you never find yourself on the wrong side of the law. we'll see if you like an extreme punishment for a first offense. until you walk in someone else's skin, dont judge.

not sure. i need to improve my verbal score. any suggestions? lol! i struggle w/ reading comp d/t boring passages and the time restraints.

got an email from one of the counselors saying they have more applicants than expected for the BSN-DNP program. advised me to retake the GRE. BOO! hopefully this is not the case for you, as well. good luck!

guess not. lol!

just curious if anyone has applied to Univ of Florida starting in the fall? thanks!

inthesky, was all the frustration worth it? did you get accepted?

OMG, is this what i get to look forward to in grad school? why can't the focus solely be on medicine and treating the patients holistically? i mean, seems like too much time is spent researching/writing insignificant things that will have no impact on our professional careers. anyways, to answer your question: advanced nursing is advanced in the sense you have gone back to school to "advance" your knowledge in providing expert, cost effective care for your patients and their families. giving you greater responsibility and autonomy. hope this helps :-D

so i have been applying to ACNP programs, taking GRE, gathering references, etc... well, i thought everything was completed and now i got an email stating i now need to complete another essay, in addition to the two i've already submitted to this particular school. they have recently merged the msn program into DNP and need a specific DNP essay. essentially asking the same questions i answered for the MSN. i received my GRE report this wk. felt like rubbing salt into an already open wound. i got the minimum usually required, but i feel like i underachieved big time. anyone else feel like there wasnt enough time to finish the test? im an overly analytical person and analyze all scenarios before making a decision. i want to say i had 5-8 questions at the end on both sections i had to "christmas tree" just to finish. anyways, i felt like i needed to vent and get others' opinions regarding the matter. thanks a lot!

the fall was mechanical, not syncopal. i know that Siadh can be triggered w/ a head injury. wish i stayed around to see the second CT report.

tango, i spoke to cheryl at SON and she told me that their program is all online and satellite TV, web streaming based. apparently they have gotten away from the traditional classroom instruction. i think its ashame more colleges are relying on less traditional methods for teaching.

who here has read 'the house of god' by samuel shem? i had it in my drawer for over 2 yrs and decided to read it not too long ago. really incredible book w/ a lot of validity regarding today's current healthcare state, despite being written in the 70s. please share your thoughts. i really relate to the fat man's approach to medicine, do as little as possible. sometimes i feel the more we (RNs, Mds) do, the worse the pt's outcome and more complications that result.

my advice, ask as often as you can to start IVs, draw blood, from the most difficult "sticks" you can. the only way to improve is to practice. when i first started i was terrible. after making it known to coworkers i was interested in starting their IVs I improved a lot. i think i started one IV while in school. good luck!

hopefully your expertise can shed some light on a pt's condition i had the other day. i had the same pt on two separate occasions approx 3 days apart. day 1: mechanical fall, hematoma to occiput, sleepy but otherwise neuro intact (attributed sleepiness to high dose narcotics at home. also, baseline per daughter), very wide pulse pressure (physician attributed this to anti htn meds). something didn't sit right w/ me regarding her presentation. despite my suggestion to the MD that maybe we should investigate further, he decided to D/C home. no baseline labs were ever sent. her CT of head and EKG were benign. day 2: i notice the lady's name in triage and c/c of anemia. she is brought back to me. very pale, wide pulse pressures and bradycardic w/ strong peripheral pulses. apparently when she followed up a couple days after her initial visit her PMD drew labs. her H/H were 7.8 and 27ish, respectively and her Na+ was 117. her neuro was the same from her previous visit, sleepy but GCS 15. we subsequently obtained a second CT of head and were going to transfuse 2 unit PRBC. my shift ended before i received CT report or further labs (urine osmolality, etc). im just slightly bothered by the fact that all too often work ups are done on those that don't need them and neglected on those that do. was her anemic and hyponatremic state likely caused by the head injury and SIADH? also, would the PRBC replacement adequately correct her sodium by fluid shift? lastly, in her situation, what could i attribute the wide pulse pressures to other than BP med? for example, BP 120/38 on both arms. for some reason osmosis has always confused me. none of her previous labs from prior admission indicated anemia. thanks!