RickyC005

can you post a link to the female only add or list the source? Sounds like an err in their HR dept.

I got a good grasp of a baseline regular rhythm listening to patients with all of the various valve regurgitation sounds, stenotic swooshes, loud lung sounds and dim heart sounds. I listen longer when there is more noise and try to pick out the s1 and s2. If the amount of time between the sounds is the same it is not irregular. It gets more complicated with extra beats but with time and practice you will notice there is an underlying time to it, kind of like a metronome. I've been fortunate enough to have had coworkers willing to verify my assessments and even get me to listen to some of their more interesting ones. If you listen for a minute or two and cant keep time in your head to the S1 and S2 sounds see if your patient is symptomatic and hopefully you can get someone to verify it with you or hook up a monitor or EKG. There are far more experienced folks here that could explain it better but that's a start at least and its worked well for me. Good Luck.

For all of the supporters of "teachers should be paid more" I disagree. The school system is broken. We spend more than most other developed nations on education and get poorer results. Pouring more money at a miserable situation is not going to encourage teachers to stay or enter the profession. An earlier post made a point about her job being the Devil but she was being paid $50/hr, yes my dear you are selling your soul to the Devil. I choose to work in a great environment where adequate staffing is a priority. I make less but I never dread going in for report. There is intrinsic value to work and that varies from person to person. Seeing a child grow and learn skills they will carry their whole life has value. Who doesn't remember their favorite teacher? Fixing the system is not pouring more money at it. Move the money that is there from places that don't produce to ones that do and Darwinism will prevail. Unfortunately that stand would take more guts and faith than the teachers union or parents will bear.

Nice thread. I might start a foley once or twice every few months. Fluffy, elderly women are the most challenging the "bearing down like you have to pee" can help. Glad I found this forum. ~RickyC