neuroms

Here's another site that breaks the steps down really well: http://www.med.uottawa.ca/procedures/iv/

You have to consider that part of what makes medicine medicine is it's potency of effect. Medications are only able to improve disease insofar as they cause physiological change. Sure, not many people die of low-dose supplements or energy healing, but they have never cured meningitis either.

Just curious, would you work at a derm practice as a nurse aesthetician?

Would you send cake and visit them in the pen?

I might be wrong, but I think conversion disorder, like somatization disorder, will involve multiple unverifiable pain symptoms as a pattern of coping. I guess an accurate history would help, huh?

The patients refusal of most treatments sounds like a factitious behavior or, as you suggest, the pain is present and not exaggerated--we know that patients with high anxiety commonly experience associated chest pain--and there is an underlying cluster B personality disorder driving the patient's reactions in terms of need for control and validation. Did your doc order a psych consult?

Robbins' Pathology is the definitive source, and you could also use it as a chair.

Post back up when you find out from the physician!

You are not tired enough if this concerns you. They probably don't care that much about your hair, because they are tired.

If the doc ordered it... but you could have considered a warmed humidified high flow if the patient would tolerate as a less restrictive.

It just sounds like somebody has a bad case of the Mondays.

Maybe this: http://blog.cep.com/bid/21152/Health-care-reform-and-patient-satisfaction I'll admit, I had no idea HCAHPS was going to become a CMS cutoff metric; that makes me sad.

What are you talking about?

I wish for once they would pay HR and management based on employee satisfaction surveys. I'm sorry your friend works in such a horrible example of this trend.

Agree with all the above, observe. As I'm sure you noticed, a small army of well trained staff work the code, just pay attention. No one is going to come up to you, being a student, and say "well you were completely useless for that code." They already know and expect it.