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Primary care NP for underserved, high-risk, and complex chronic care populations.

coast2coast's Latest Activity

  1. coast2coast

    What Vaccine Refusal Really Costs: Measles in Arizona

    great article, thanks for posting !
  2. coast2coast

    Gripes Galore...Need ADVICE!!

    OP. Welcome to the world of nursing. I had pretty much the same reaction you are having now when I moved from a "higher" level of education to nursing. You are comparing your experience in a PhD program with your experience in a nursing program (level is unimportant). It's apples vs. oranges. Nursing is a profession which traditionally does not value higher education. Experience makes the nurse, and an experienced nurse makes the best teacher. It is wildly opposite of most other academic disciplines. I, too, was shocked and appalled at how parts of my nursing education proceeded but with time comes perspective. Yes, your professors are probably less "professorial" relative to other academic programs. No, most of them don't have PhD's. But those things aren't particularly relevant to the field you're going into. You don't need a PhD to become an RN or to teach others how to be good nurses. You need average intelligence and decent critical thinking skills. Coming into nursing from higher ed, it's easy to crap all over the field and its method of education. It takes patience and a lot of experience to begin to appreciate what it's like to be a nurse and why you should be proud of the education you are receiving. My advise is this: if you really want to be a nurse (? do you ?), get ready to radically change your perspective on education and learning. Intended or not, you are coming across as an arrogant blowhard in your postings and I'd be willing to bet you present the same attitude to your teachers and classmates. I believe that you believe that you aren't presenting yourself this way but look at how your teachers are responding to you. Look at how other posters are responding to you. Nursing is a profession driven by interpersonal relationships and right now you seem to be burning bridges left and right. There is little tolerance for your kind of attitude in nursing, and no tolerance at all for it in nursing school. You will get eaten alive. Bottom line: yours is a completely normal reaction, yes you have made some valid points, but none of it matters if you want to be a nurse. Changing into this profession requires a graceful acceptance of a large amount of ridiculousness and unfairness. You have to decide if you want to be a nurse badly enough to make that change.
  3. coast2coast

    Dansko Help!

    dansko's should fit very loosely on your feet - you should be able to fit a finger between your foot and the shoe all the way around. your feet sort of flop around inside the shoe when you walk if they fit correctly. often you buy a size larger than normal ... for example, i wear a US size 8 and a 39 in dansko's. and of course you have to size them with whatever type of sock you intend to wear them with - many people seem to wear very thin socks or no socks with the clogs. the shoes are hand-made and it can also make a difference just trying another pair of the same size. you would be amazed at how differently some of the "same size" clogs will feel. many stores, including department stores & the walking company, will also stretch the dansko's for you - this might be worth trying with the pair you already own?
  4. coast2coast

    Do you have your clinicals in the hospital?

    Went to hospitals for everything but the community nursing portion of the program. I wouldn't pay a cent for a nursing school that sent me to nursing homes instead of hospitals for rotation.
  5. What, you all have never heard of the fatal condition sorus pectoralis ? This rare and un-treatable disease is caused by laying patients on their faces in reverse trendelburg for hours at a time. The effects of pressure and gravity force the pectoralii down the surface of the ribcage, causing excrutiating pain and eventually death. DUH. what nursing school did you go to ?!
  6. coast2coast

    Nursing class Who's Who - for fun

    Most likely to still be unemployed in 12 months
  7. coast2coast

    Do doctors deal with the same stuff?

    Two moving excerpts from the same physician-writer illustrating this: http://docsontheweb.blogspot.com/2011/04/resistance-is-futile.html http://docsontheweb.blogspot.com/2011/03/world-gone-mad.html Yes, doctors deal with just as much crap.
  8. coast2coast

    Owe an outrageous amount of money to community college

    If the dispute is purely about pell grants and/or federal student loans - maybe try a federal gov't financial aid contact ? http://www2.ed.gov/programs/fpg/contacts.html (I think Pell grants are federally regulated ... ?)
  9. coast2coast

    Live off-campus or commute?

    Choose to commute, as long as you have 100% reliable transportation.
  10. mmmm, I LOVE coffee and redbull :redbeathe. I'm a loud and proud fan of stimulants. I'd be shooting cocaine into my eyeballs if I thought it would make the whole "nursing school experience" any easier.
  11. coast2coast

    More Physicans Choosing Salaried Positions

    You also have to consider lifetime earnings, not just loan payoff. If you have $250K in med school debt and go into family practice in an underserved area sure someone will help pay down the 250. However, you've now chosen a low-paying specialty and quite possibly a low-paying geographical area (granted you can move). So you have a short-term gain (loans paid) but long term loss. Compare that to a student with the same amount of debt specializing in orthopedics. If you look at http://www.medfriends.org/specialty_salaries.htm you will get an idea of the difference in salary between these positions. It's a few years out of date but that has the family doc making $132k/year and the orthopod at $323k. not only will the surgeon be able to pay off their own loans within a few years of graduation, their lifetime earnings will hugely surpass the family MD's. So if a med student has the grades and USMLE scores to get into a higher-paying specialty - can't say I blame them ! Money also becomes important when you consider not only your own retirement but the possibility of supporting other family members as well. As a personal example - I am an only child and I know for a fact that at least one of my parents has almost no retirement savings. That's someone who I'm going to have to significantly support for many years, so of course that's going to factor into what kind of job (i.e. salary) I'm going to aim for. In addition to all the financial wrangling, MDs have to deal with awful hours during and after residency (depending on specialty). These are worse in academic centers. Overall I can't say I blame them for specializing and choosing to work in private practice. It is ridiculous to think someone should sacrifice their entire personal life to a career. I could certainly see NPs filling in these future gaps in coverage. Of course, then you have people like me, who chose to become an NP over an MD precisely because I thought quality of life and philosophy of practice are more important than making $300k a year and working 100 hours/week. So not every NP is going to jump at the opportunity to take q2 call and make 50% of what an MD does. It will be an ugly day when no one will agree to work overnights or call, and your best bet at staying healthy is to not be sick between the hours of 5pm and 5am.
  12. coast2coast

    is this a correct admitting diagnosis?

    "r/t" usually means "related to" not "right" ... would just spell out the word "right" when describing which knee it is.
  13. coast2coast

    Nursing Drug Guide/Handbook recommendations

    Yep, Davis is great for nursing implications. Have never had to search elsewhere. If you buy the book you get full online access as well (which is all I use now).
  14. coast2coast

    Calling residents affectionate names?

    Just because it is common practice amongst nurses doesn't mean that it's appropriate or the patients like it. I'm from the south, so I understand the cultural practice you're referring to. What many nurses don't realize is that most of their elderly patients "agree" to be called honey/sweetie/etc because they are being polite. Too polite to tell you that you're being unprofessional ... my very proper "sweet little old lady" gramma can still give quite the dramatic eye roll when some ditz in scrubs gets done calling her sweetheart :redbeathe.
  15. coast2coast

    Nursing Drug Guide/Handbook recommendations

    Epocrates is great - I use it in clinical. If you need a bunch of "nursing implications" for writing up careplans/medcards/etc, the Davis drug guide for nurses is also a great resource.
  16. coast2coast

    Is there any advantage to "Full Time"?

    The only things I can think that full-time status would impact would be federal financial aid and possibly qualification for student insurance or student housing.