DoctorRN

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If you looked at the history of the pill, you would find that it was only to make it more palatable to the Catholic church that it was ever cyclical to begin with. Seasonale, the 3 month pill is the same medication and dosage as Ortho Tri-cyclin just in a different package for convenience. In regards to safety, the clinical trials to date show no more increased risk in this regimen of pills than in traditional regimens. The jury is still out on whether there will be long term benefits such as lower risk of certain types of cancer with the use of menstrual suppression regimens. It should be noted that while on birth control pills (even the new low dose pills) the monthly withdrawal bleed is a result of decreased levels of progesterone (because you are not taking the pill) NOT because of a build up of endometrial tissue. Birthcontrol pills in general cause the endometrium to be thinner. And yes, you should consult your doctor regarding whether or not this regimen is an option for you. Certainly do not make decisions on your health or anything else in your life based on what you read on an internet bulletin board. In asking the question, I was mostly just curious about the general attitude regarding period suppression.

Is he certain that it wasn't cut shorter than the standard length before he put it in? We frequently cut the drains to fit into the wound.

It takes three months to get the full benefit for your skin. Curious, are you hooked on having a period every month or would every 3 months be better?

I don't know if they have this for the NCLEX or not, but for the medical licensure test they have Q-bank which is a huge bank of questions that are similar to the actual test. This is usually MUCH cheaper than the full program. I found it to be extremely helpful for the Step I for medical license. Perhaps this would be an option.

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Do what you feel is right for you. It is never to late to go back to school if that is what you want. I'm sick of the immature posters who flame with statements of MD's are better than NP's crap. There is a place for both in medical care. The truth of the matter is that a well trained NP is perfectly capable of taking care of the things a FP Doc takes care of. IF these FP Docs had any sense they would hire NP's for their office and increase the number of patients served in their area! Let us not forget that it is the patient that really matters!

Until you have an official score you should not assume you failed. Think about what happens if you don't go tomorrow and you passed. You have just screwed up your first job. Not a smart move. If you didn't pass, then you will have the opportunity to discuss that with your employer and perhaps be able to work in a lower level position until you retake the boards.

Are you taking tub baths? Using bubble bath or lots of soap? Have you been on antibiotics for any reason in the past few months? All these things can contribute to yeast infection. Since you are not sexually active and have had I presume at least three normal paps in the past you are at low risk for cervical cancer and as your OB/gyn previously told you don't need paps that often. Since you have never had an officially diagnosed yeast infection, empirically treating with OTC yeast meds may not be your best bet. A simple wet prep and a quick swab for culture can help direct your care. There are lots of things that can cause lady partsl itching. How is the baclofen pump working for you? Good luck with dealing with an overprotective Mom, she is just trying to do what she thinks is best and has been in this role for a long time. It is hard to let go.

Benzos would not be the drug of choice due to sedative effects on the baby. Epidural doesn't do much to reduce anxiety. I can't say as I have ever heard of Gestational sinus tachycardia and a web search doesn't pull anything. There is also no mention in Danforth's obstetrics. Are you anemic is that why you have tachycardia? Do you have an arrythmia associated with your mitral valve prolapse? Have you been evaluated by a cardiologist? Have you had your thyroid checked out? In 10 years in L&D I can say that I saw plenty of people who were anxious and a few who were severely anxious. Don't recall having a protocol for severe anxiety though.

Florida is notorious for making it difficult to get health care licensure. You will not have to take the NCLEX again, but you will have to take their HIV course and deal with their waiting period and high costs. Once all that is done though it will be no problem. Melbourne is a beautiful place, somewhat of a resort town but with plenty of year round residents to keep it from suffering in the off season and not overwhelmed with tourist in season. The Blueberry Muffin has great food!

You have to listen to your heart and your gut. Don't think for a moment that this will be your only chance for OB. It sounds like you are still interested but this wasn't the right job and wasn't the right time. Ask yourself, if my children were older and I wasn't needed at home would I be interested in this job. Ask yourself if this were a smaller unit with a different clientelle would I be interested in this job. Just because you are devoted to your children right now and not thrilled about working with drug addicted maternity patients doesn't necessarily mean that you are destined to never work with OB patients. Now if you ask yourself these questions and come to the conclusion that it was in fact a passing interest and what you really trully love is geriatrics there is no shame in that either. It takes a very special kind of person to work with the elderly. Geriatric nurses are extremely important and often under appreciated. Be proud of yourself and your vocation you are doing a great service to mankind regardless of which field of nursing you are in.

You did the right thing by calling in to work and keeping yourself and clients safe. I guarantee you if you hadn't called in and had had a problem you would have no question that you had made the wrong decision. Isn't it wonderful when we can actually manage some 20/20 foresight instead of just having that perfect vision in hindsight. You also did the right thing by calling the police regarding your neighbors. When there are arguments that are escalating it is always best to call and perhaps prevent a tragedy. Hopefully your employer will look at things from a practical and legal standpoint. Think how bad it would be for them legally if you had had an accident and someone was hurt.

Great observational skills happystudent, I read that post twice and never noticed that. I am curious too, while according to the CDC there are a larger number of deaths due to influenza in the white male population it is likely that this difference is due to the difference in population rather than a true increase rate. I am curious if there is some data supporting a difference in morbidity/mortality for white males. I know it matters with premie babies, the white males have a higher mortality rate.

They are also working on a DNA test to detect cancer via a stool specimen. I don't know the big details, one of the GI docs was talking about it the other day. Basically, the DNA that cancer sheds into the stool is different than the normal stuff that gets shed, so the lucky lab people do something to get the DNA from the poo, examine it and the only people who get scoped are the ones who have abnormal DNA. He says this will be standard of care within a few years.... We can at least cross our fingers and hope he's right.

It doesn't require immunocompromise per se. Patients with intact immune systems get it just as often as the immunocompromised. It is a matter of killing off the normal gut flora and anyone on antibiotics can have that happen. Just another fine example of why everyone with the sniffles doesn't need to be put on antibiotics.

From emedicine.com: Background: Clostridium difficile is a gram-positive, anaerobic, spore-forming bacillus that is responsible for the development of antibiotic-associated diarrhea and colitis. C difficile was first described in 1935 as a component of the fecal flora of healthy newborns and was initially not thought to be a pathogen. It was named difficile because it grows slowly and is difficult to culture. While early investigators noted that the bacterium produced a potent toxin, the role of C difficile in antibiotic-associated diarrhea and pseudomembranous colitis was not elucidated until the 1970s. C difficile infection commonly manifests as mild-to-moderate diarrhea, occasionally with abdominal cramping. Pseudomembranes, adherent yellowish-white plaques on the intestinal mucosa, occasionally are observed. In rare cases, patients with C difficile infection can present with an acute abdomen and fulminant life-threatening colitis. Approximately 20% of individuals who are hospitalized acquire C difficile during hospitalization, and more than 30% of these patients develop diarrhea. Thus, C difficile colitis is currently one of the most common nosocomial infections. The diagnosis of C difficile colitis should be suspected in any patient with diarrhea who has received antibiotics within the previous 2 months and/or when diarrhea occurs 72 hours or more after hospitalization. for the complete article: http://www.emedicine.com/med/topic3412.htm

Come to Mississippi and you will see it EVERY day. It is the exception rather than the rule that they only have one. We are the land of G4-5p4-5 by the time they are old enough for a tubal. 13-14 year old mom to be with her 28 year old mother and 42 year old grandmother in the room with her are an every day thing.

That is too much tylenol!!!! Do not exceed the recommended dose of tylenol it kills your liver!!! Giving more than the recommended dose does not give you any more effect and it is very dangerous. Get the boy some advil it works better for fever and body aches of flu and you have a better safety margin. We had a young girl with flu last year that took tylenol every time she woke up... ended up taking a dose every hour or two over 24 hours and toxed her liver out. Ended up having to have a transplant. It is not the benign drug you might think.

Thanks for the links to old post but none that you listed or that I was able to find in my own search (which I did before I posted the question) tell me what other nurses attitudes opinions are regarding those who go back.

I have had a couple of peole pm me with questions about going back to med school, and there is a thread concerning med school in one of the areas. I am curious what other nurses think about the nurses who do decide to go to med school? Also how many nurses have or would consider it?

Did you give him tylenol and or advil? The flu/pneumonia is not going to get better after one or two doses of medication, it takes time. Listen to the hospital staff they have seen him and know the situation. Don't forget to increase fluids

Anesthesiology residencies are three and four years depending on which program you choose. There are no two year residency programs in any specialty area. As far as salary during residency, yes you can compare the crappy pay to that of a nurse but if you take into account actual hours worked, you will be making between 7 and 9 dollars an hour.... show me a nurse that will work for that. There is an 80 hour rule for residency programs now that keep you from being worked to death. (now that Johns Hopkins lost their accredidation for violating the 80 hour rule people are actually following it). It is a difficult decision to make. I can't speak for CRNA school, I haven't done it.... med school is difficult. It is not so much the material that is hard but the sheer volume of material that you must learn in a given period of time. If you are interested in info about different residency programs, check out http://www.scutwork.com or http://www.ama-assn.org/ama/pub/category/2997.html For pre-med discussion go to http://www.studentdoctor.net You also have to consider that you might get into med school and decide that you would rather do something else with your life than anesthesia. Ultimately it comes down to what is important to you. Med school is only 4 years and residency only 3-4 more not really that much time in the big scheme of things if it ultimately ends in what you really want. Hope this was helpful and if you have an specific questions about med school post nursing I will be glad to talk to you.

Youngest I have seen was a nine year old with twins, has to have been 10 years ago now. You adjust care to accomodate for their age. This child had no idea what was going on with her body and no concept what it was to be a mother. Went into preterm labor and had a c-section. The girl's grandmother took custody of the twins, as she had already been granted custody of the girl. The father of the twins was mom's boyfriend and was in jail by this point for rape. Very very sad situation.