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macawake MSN

Platinum Platinum Nurse
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macawake has 13 years experience as a MSN.

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  1. I have also put off giving an ordered medication and instead contacted the prescribing physician first to ask questions/make my point. Usually because the person who ordered the medication appeared to had missed absolute contraindications or if something about the patient’s status made me think the med choice was ill-advised. However, I don’t think that refusing to give a Covid-19 vaccine to a patient who wants to be vaccinated qualifies as using ones nursing judgment. It would have to be based on factual nursing knowledge and not merely on personal fears and misgivings in order to qualify. That’s exactly it. A surprising amount of nurses appear to have been affected by blatant disinformation that has been making the rounds on social media. That’s not science-based. I expect that licensed healthcare professionals base their decisions on the available scientific data and not on theoretical and frankly outlandish ”what-ifs”. I wonder if the 42% who’ve answered that a nurse should be allowed to refuse administering a Covid-19 vaccine also think that I should be allowed to refuse to administer general anesthesia? If not, then why not? The patient understands both the benefit and risk involved and accepts it. The patient wants the medications. The benefit for the patient is clear. The risk, however small, is also real. So why shouldn’t I have the right to say that I’m not comfortable risking that the patient dies due to medications I’ve administered? Why am I not allowed to make this all about me instead of the patient? https://www.scientificamerican.com/article/how-to-debunk-misinformation-about-covid-vaccines-and-masks/
  2. I actually almost included a link to the Happiness Index in my reply to Myoglobin but decided not to. I didn’t because I felt that it might be perceived as ”rubbing it in” considering all the other links I’d included that weren’t favorable for the U.S. But you’re right, it is relevant when comparing the U.S. to other high income countries. The happiness of people living in a society is a good variable to judge it by. I was hoping to get Myoglobin to reflect a bit since I understood his post as him believing that the U.S. is superior to European countries and it was obvious that there are a lot of things he doesn’t really understand about Europe. He seemed to think that we drive ”tiny” cars because we can’t afford bigger cars. He also seemed to think that made us less safe/more vulnerable to traffic injuries/deaths. First of all he doesn’t appear to realize that ”gas guzzlers” are frowned upon for environmental reasons in many European countries. I also linked the statistics that show that driving a car is much more dangerous in the U.S. than in the majority of European countries. I hoped to make him think a minute or two about why we have so many fewer homicides despite not being able to buy an AR15. I’m not sure I accomplished much though.
  3. You can speak for me on this subject 🙂 We are in complete agreement. The United States is one of the richest countries on earth and as you pointed out has excellent healthcare, but can’t be bothered to supply it equitably to its citizens. I absolutely understand why the top 1% (well, at least the ones who are indifferent to the suffering of others), find the current setup quite appealing. What’s harder to understand is how so many citizens who are in much lower income strata have been convinced to consistently vote against their own best interest. Every time I have a conversation with an American who is not among the ultra rich and ask them why they think their system is so much better for them and ask them to answer what it is they think is so bad about universal healthcare, I never get a comprehensive or clear reply. I get the feeling that many of them don’t really know why they dislike universal healthcare, just that they do. In my opinion they’ve had their opinion shaped by a very deliberate disinformation campaign. Follow the 💰
  4. This is in my opinion sad. How can anyone be in favor of a healthcare system that makes a parent choose to not take their child to a hospital after they had an accident? I simply don’t understand how people can be opposed to or afraid of universal helathcare. Wouldn’t it have felt better to be able to take your kid to the hospital?
  5. macawake

    Yes, Employer Can Require Covid Vaccine

    Don’t apologize! I’d much rather talk about CTs than AR-15s... I’m not surprised that you couldn’t find a clear description of the opacities.. Sorry about that, I have a weird sense of humor. I’m sorry to hear that you’ve suffered through several bouts of pneumonia. I hope you’re doing okay! Nursej22 posted a good explanation 👍🏻 I’ll just add a few details which may or may not be of interest. Ground-glass opacification is a term used to describe an area of increased attenuation in the lung. It is a non-specific finding. Tissues that have higher attenuation which means higher density, is brighter on CT, whereas little attentuation = low density is dark. Attenuation generally means the reduction of the value, force or effect of something and in physics it refers to the gradual loss of flux intensity through a medium. In the case of the CT scan it’s photons travelling through the human body and being absorbed along the way. Bones will absorb a lot of energy and will be mathematically reconstructed to be shown as white/bright and air and water doesn’t absorb much and will be shown in darker shades. Fat is darker than muscle. Ground-glass opacities are common in pneumonia and some other infections, such as Covid-19. It can also be seen in chronic interstitial disease or acute alveolar disease such as for example ARDS and cardiogenic pulmonary edema. It can also sometimes be seen in trauma cases due to pulmonary contusion. In Covid-19 one will often see a bilateral distribution of ground-glass opacities, with or without consolidation, in posterior and peripheral lungs in patients with more severe disease. It can be in other parts of the lungs and you can sometimes see other phenomenon like airway changes (like for example bronchial wall thickening) reversed halo signs and crazy paving pattern. With ground-glass opacities bronchial and vascular markings are preserved/seen. However with consolidation bronchovascular margins are obscured. Physiologically with consolidation alveolar air has been replaced by fluids or tissues/cells. Ground-glass opacities which is seen as a more hazy increased attenuation on the CT, can be caused by partial filling of air spaces, partial collapse of the alveoli, increased capillary blood volume or with normal expiration.
  6. But why? This thread is 23 pages long and has meandered all over the place, but it’s polite conversation. I think banishment seems a bit drastic 😉
  7. It just takes some time to get to know a Swede. Or a Finn or Norwegian. We’re quite reserved and like our private space. Danes are a different breed (if I’m allowed to generalize a bit). A bit more boisterous and continental 😀 Her name’s Malin (Crépin). Or full name Anna Malin Fredrika Thomasdotter Crépin. The two last are surnames and the first literally means ”daughter of Thomas”. It a Scandinavian thing 😀
  8. Actually here buying property/land in the cities is a lot more expensive than in a smaller town or rural area. I’m curious, in what way don’t you think I can live free and independently? How do you think my freedom is limited? What is it you like about Poland and Romania in particular? They’re two of the poorer countries in Europe and as I mentioned, Poland is moving in the wrong direction. At least if democracy and freedom is your thing.
  9. We’d love to have you 🙂
  10. Myoglobin 😂 Doesn’t sound like your European holiday was much of a success... I’ll start by admitting that most Gibraltarians probably don’t have the opportunity to live in rural areas. I mean, there’s about 34,000 of them living on 2.6 square miles. Slightly crowded one would assume... https://en.wikipedia.org/wiki/Gibraltar As for the rest of your post.. 😆 Curious mentioned several European countries but I’ll focus on the three he listed first; UK, Denmark and Sweden. a. What on earth do you mean when you say that the middle and working class folks have less ability to work in rural areas? Some of the smaller countries in Europe have quite high population densities, but in a country like Sweden with a population of only ~10 million and that is the approximate same size as California, there’s ample opportunity to live rurally. Denmark and the UK are more densely populated but still, plenty of rural to go around... b. It wasn’t quite 50% last time I checked but even if it were, I could live with that. I work fulltime night which is three 10 hour and 50 minute shifts. If you work nights you only work 32.2 hours per week (instead of 38) because of the increased wear and tear on the body. I own the apartment I live in (apartment by choice because I love living in the city center), I can comfortably afford to travel abroad on vaccations or extended weekends as often as I want. (Well, pre-Covid). Seven weeks of paid vacation per year, sick pay for as long as needed. (The first year is automatic with a physicians note, after that it becomes a bit more bureaucratic). In Sweden (like in many other European countries) university is free, maternity/paternity leave here is fifteen months per child (can be stretched to eighteen months at a lower $ rate). Paid sick leave to stay at home to care for your child until the child turns twelve. For children with special needs, it’s until the child is eighteen. Healthcare is universally accessible. My employer pays towards my retirement. I save extra not because I really need to, but because I want to be able to afford a bit more then the basic necessities when I retire. c. What has given you the idea that Europeans have less ability to choose what they want to do for a living? The fact that university is free, makes higher education available to everyone (who qualifies academically). d. Smaller apartments, houses and especially cars, is mostly a choice. Small cars are better for the environment. Walking or riding your bike to work is better still. The smaller appartments and houses are sometimes due to a limited amount of space available, but in general we aren’t that fixated on size.. or status... Traffic-related death rate: Per 100,000 inhabitants per year: US 12.4 Denmark 3.4 UK 2.9 Sweden 2.2 Per 1 billion vehicle kilometers: US 7.3 Denmark 3.9 Sweden 3.8 UK 3.4 https://en.wikipedia.org/wiki/List_of_countries_by_traffic-related_death_rate e. Mean body mass index: US 28.5 UK 27.3 Sweden 25.8 Denmark 25.3 https://en.wikipedia.org/wiki/List_of_countries_by_body_mass_index We could ALL use smaller portions... f. Why the heck would I want to own an AR-15? Homicide rate per 100,000 inhabitants: US 4.96 UK 1.20 Sweden 1.08 Denmark 1.01 https://en.wikipedia.org/wiki/List_of_countries_by_intentional_homicide_rate g. Truncated free speech rights? Europe is a continent with almost as many countries as you have states, and the majority have protected free speech. Some countries like for example Poland, which you for some unknown reason seem to like, has definitely taken a turn in an authoritarian direction. Hungary is another. And Turkey. In case you’re interested.. https://en.wikipedia.org/wiki/Freedom_of_speech_by_country#Sweden World Press Freedom Index, global ranking 2020: 3) Denmark 4) Sweden 35) UK 45) US https://rsf.org/en/ranking h. Again, Europe has many countries with different cultures, but yes the UK, Denmark and Sweden are all quite secular. I don’t find that problematic. Do you think it’s a problem? I definitely haven’t been to all US states. The ones I have visited are New York, California, Nevada, Arizona, Kansas and Colorado. And Illinois and Texas I guess, if you count O’Hare and DFW 😂 Which I don’t. Anyway... I’ve really enjoyed the times I’ve spent in the US, but it always surprises me when some Americans express such a strange opinion of Europe. But it’s been educational Myoglobin 😀
  11. macawake

    "Thank you for your service"

    Absolutely 👍🏻 I do appreciate when people express that what I’ve done has made a positive difference in their lives and I will definitely thank someone when they do something positive for me or for someone else. But that’s normally after we’ve actually had a professional relationship of some kind. The thank you for your service from a stranger would feel odd though. As a Scandinavian who really like their private space around them, it might even feel a bit intrusive and also generic, since they don’t really know me. I could be Nurse Ratched for all they know. But I recognize that the words are most likely coming from a place of kindness, so I would of course thank them.
  12. 😂 Yeah I know, ya poor thing. Mikey really botched up the covfefe on that one. Yes I agree, it is all quite strange. (And yes, some of my own posts are included in that assessment).
  13. Ah, the self-proclaimed woman 🧲 Naw, I suspect the profile pic was mostly used to attempt to trigger ”lefties” as they were reading his posts while cowering under their couches... Or perhaps he held the man in great esteem and wanted to channel his hero’s aura into his posts. Who knows.. The magnet was a semi-proficient button pusher but he didn’t have an air of unctuous, smarmy sanctimoniousness as far as I could detect. Anyway, that’s enough of way off-topic posts from me. I don’t want to turn this thread into a depressingly partisan one 🙂
  14. macawake

    "Thank you for your service"

    I know you were asking Grumpy, but I’ll answer for my part of Europe although I suspect that the reply might apply for the rest of Europe as well. It’s the ”for your service” part. If you get a monthly paycheck it’s a job. It’s not viewed as doing something out of the ordinary. Sure, some jobs might involve more stressors than others, but most jobs have them in some shape or form. Most people would probably feel a bit embarrassed if some random stranger thanked them for their service. Service would be something that a person volunteers without getting any financial reward.
  15. Assuming the latest twist in this continuing drama is true, all I can say is that I’m not very surprised. You have been very defensive of and kind of been fawning excessively over SilverBells, Davey. At the very least you and Ms Bells appear to have a very symbiotic and enabling relationship. In case anyone was wondering, now you know the reason for my saying back on page three of this thread that I wasn’t about to share my (psycho)analysis of OP here, and why I referred to OP as ”him or her”. The him wasn’t randomly added. Ah, forgiveness... I personally don’t take the internet to heart. You are certainly a valued presence on AN and I think you contribute a lot of positive things here. This however might be a dangerous game you’re playing, but I’ll let others be the judge of that.
  16. Yeah, you kind of blew it there 😂 I must say Donergent, your language here on AN is much more evolved and your persona much more refined.