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tshores has 31 years experience and specializes in CVICU/SICU/CCU/HH/ADMIN.

tshores's Latest Activity

  1. tshores

    Flu Vaccine, enough already!

    To Laidback Al: Then why are you including only the sugarcoated Conclusions/Interpretations instead of the Results and Findings in those studies? Archives of Pediatric and Adolescent Medicine Results: During the 2003-2004 and 2004-2005 seasons, 165 and 80 inpatient/ED and 74 and 95 outpatient influenza cases were enrolled, while more than 4500 inpatient/ED and more than 600 outpatient subcohorts were evaluated, respectively. In bivariate analyses, cases had lower vaccination rates than subcohorts. However, significant influenza VE could not be demonstrated for any season, age, or setting after adjusting for county, sex, insurance, chronic conditions recommended for influenza vaccination, and timing of influenza vaccination (VE estimates ranged from 7%-52% across settings and seasons for fully vaccinated 6- to 59-month-olds). I agree that much more study is needed--but by independent researchers with no financial ties to the pharmaceutical companies. They just proved that you were not "protecting" your patients for at least 2 years in a row. 2008 Lancet article: FINDINGS: 1173 cases and 2346 controls were included in the study. After we adjusted for the presence and severity of comorbidities, as defined by chart review, influenza vaccination was not associated with a reduced risk of community-acquired pneumonia (odds ratio 0.92, 95% CI 0.77-1.10) during the influenza season. [h=4]INTERPRETATION:[/h]The effect of influenza vaccination on the risk of pneumonia in elderly people during influenza seasons might be less than previously estimated. Interpretation that you quoted is kind of watered down, wouldn't you say? I do realize they have to state 'may' and 'might' because they are interpreting only one study, but I think the whole study should be read. In the Lancet Infectious Diseases--of course, scientists are not all in agreement on vaccinations or on a lot of things, for that matter. Doesn't mean we shouldn't hear them. And in the Cochrane Database under the Main Results: "In children under two, the efficacy of inactivated vaccine was similar to placebo." I am not anti-vaccination. I've been vaccinated for several things. I am against flu vaccinations being a condition of employment when I personally do not feel it is protecting anyone much of the time and is not harmless. I agree with you that people should do their own research, but they don't have to agree with me to have a "reasoned opinion." [h=4][/h]
  2. tshores

    Flu Vaccine, enough already!

    A study published in the October 2008 issue of the Archives of Pediatric & Adolescent Medicine found that vaccinating young children against the flu had no impact on flu-related hospitalizations or doctor visits during two recent flu seasons. The researchers concluded that "significant influenza vaccine effectiveness could not be demonstrated for any season, age, or setting" examined. A 2008 study published in the Lancet found that influenza vaccination was NOT associated with a reduced risk of pneumonia in older people. This supports an earlier study, published in The New England Journal of Medicine. Research published in the American Journal of Respiratory and Critical Care Medicine also confirms that there has been no decrease in deaths from influenza and pneumonia in the elderly, despite the fact that vaccination coverage among the elderly has increased from 15 percent in 1980 to 65 percent now. In 2007, researchers with the National Institute of Allergy and Infectious Diseases, and the National Institutes of Health published this conclusion in the Lancet Infectious Diseases: “We conclude that frailty selection bias and use of non-specific endpoints such as all-cause mortality,have led cohort studies to greatly exaggerate vaccine benefits.” A large-scale, systematic review of 51 studies, published in the Cochrane Database of Systematic Reviews in 2006, found no evidence that the flu vaccine is any more effective than a placebo in children under 2. The studies involved 260,000 children, age 6 to 23 months.
  3. tshores

    Step away from the old nurse!

    When they occasionally call me "Mom" at work, they're referring to someone who helps them, watches over and guides them while at work; they're not disrespecting their real moms nor me nor are they being manipulative. They're not trying to get anything out of me or get out of something like kids do. Most of the time they call me by my name, but guess it depends on the relationships you have what you're comfortable with.
  4. tshores

    Step away from the old nurse!

    I work in SICU/CVICU/CCU areas and am 59 years old. I've never minded being called Mom or Mama or anything of that sort; I take it as a compliment and believe that's how it was intended. I really care for the people I work with, whether younger or older, and I think they care about me, too. I do think young ones need more protection--and guidance--than older nurses. But, as someone else has already mentioned, they also teach me the new stuff and have some really fresh, good ideas about so many things. I enjoy us all.
  5. tshores

    pay for new RN in Arkansas

    You can call the hospital's HR department and ask what the starting pay is for a new grad RN.
  6. tshores

    Flu shot issue

    Maybe some people have the tin foil over their eyes...maybe they haven't read about how the CDC, FDA, WHO and the pharmaceutical companies are all interrelated, largely because of the financial ties of some of the key people in these groups. The EU Health Committee: "In order to promote their patented drugs and vaccines against flu, pharmaceutical companies have influenced scientists and official agencies, responsible for public health standards, to alarm governments worldwide," the motion says. "They have made (governments) squander tight health care resources for inefficient vaccine strategies and needlessly exposed millions of healthy people to the risk of unknown side-effects of insufficiently tested vaccines. The "birds-flu"-campaign (2005/06) combined with the "swine-flu"-campaign seem to have caused a great deal of damage not only to some vaccinated patients and to public health budgets, but also to the credibility and accountability of important international health agencies." In the first quarter of 2010 alone, the US federal government representatives received $19 million per day from lobbyists, and over $1 billion in total lobbyist spending, a large chunk of the money coming from the health care sector. Keep in mind, this is only federal lobbying efforts. This figure doesn't take into account the millions more spent lobbying at the state level, not to mention the cozy lobbying arrangements between the drug reps and individual doctors. Why this massive lobbying push by the vaccine industry? One of the reasons (certainly not the only one), is to influence vaccine mandates. The vaccine industry has a vested interest in (and continually spends big money on) trying to make sure that more vaccines and more doses are mandated by the government. BMJ reported: "The investigation by the BMJ/The Bureau reveals a system struggling to manage the inherent conflict between the pharmaceutical industry, WHO, and the global public health system, which all draw on the same pool of scientific experts. Our investigation has identified key scientists involved in WHO pandemic planning who had declarable interests, some of whom are or have been funded by pharmaceutical firms that stood to gain from the guidance they were drafting. Yet these interests have never been publicly disclosed by WHO and, despite repeated requests from the BMJ/The Bureau, WHO has failed to provide any details about whether such conflicts were declared by the relevant experts and what, if anything, was done about them. It is this lack of transparency over conflicts of interests—coupled with a documented changing of the definition of a pandemic and unanswered questions over the evidence base for therapeutic interventions—that has led to the emergence of these conspiracies." WHO for years had defined pandemics as outbreaks causing "enormous numbers of deaths and illness" but in early May 2009 it removed this phrase—describing a measure of severity—from the definition." Now, all it takes to declare a pandemic is a virus that people have no immunity toward, which is spreading beyond borders. In other words, it doesn't matter how many, or how few, people are affected. All a disease has to do to be a pandemic is move beyond a few countries' borders. Nice for whoever makes vaccines. Did you catch that? People in the WHO had financial ties to the pharmaceutical companies and stood to gain endorsing the H1N1 vaccine. And if you read, you'll see how all those agencies are tied together just like that. It's not paranoia; those are facts. You'll see who works for the CDC now and used to work for the pharma companies, and so on. And lobbying to make more mandatory vaccines would be sweet indeed. You can blindly trust if you wish, but I choose not to. And when it affects me and my body, it should remain my choice, not theirs or yours.
  7. tshores

    Flu shot issue

    Many studies funded by pharmaceutical companies selling vaccines have "proved" that influenza vaccine is safe and effective. But independent reviews of those studies have found the opposite is true. Studies are now showing what people who refuse to take flu shots have known for a long time: that flu shots simply do not work as advertised. For example: *Giving young children flu shots appeared to have no impact on flu-related doctor visits or hospitalizations during two recent flu seasons, according to a study published in the Archives of Pediatric & Adolescent Medicine. *The flu vaccine is no more effective for children than a placebo, according to a large-scale, systematic review of 51 studies, published in the Cochrane Database of Systematic Reviews. *NO studies have conclusively proven that flu shots prevent flu-related deaths among the elderly. *A study published in the Lancet found that influenza vaccination was NOT associated with a reduced risk of pneumonia in older people. *Research published in the American Journal of Respiratory and Critical Care Medicine also confirms that there has been no decrease in deaths from influenza and pneumonia, despite the fact that vaccination coverage among the elderly has increased from 15 percent in 1980 to 65 percent today. One of your basic freedoms as a human being is your right to decide what you put into your own body. Especially when it comes to medical risk-taking, there is a basic human right to be fully informed about all risks and have the ability to refuse to allow substances you consider to be harmful, toxic or poisonous to be forced upon you. But are those of us who are trying to exercise our right to informed consent to medical risk-taking facing prejudice and discrimination? When it comes to getting an education, keeping your job, or being allowed to obtain health insurance and medical care, the answer could soon be "yes
  8. tshores

    Male Chest Hair and Scrub Tops

    Chest hair is no more "nasty" than head or arm hair or any other hair. Who decided that it is? Where did this all come from anyhow? They're MEN, not women. And they shouldn't have to cover up any more than women have to.
  9. Proof of present-day use of aluminum-based adjuvants in vaccines just so you know: http://www.ncbi.nlm.nih.gov/pubmed/17201666 http://www.reeis.usda.gov/web/crisprojectpages/195042.html http://www.immunizationinfo.org/vaccine_components_detail.cfv?id=61 And, yes, the politicians are rewarded very well for helping the pharmaceutical companies. The big shots in the FDA who own shares in some of the pharma companies--the same big shots who decide the safety and efficacy of our medicine--don't do too shabby either. I'm glad you took the Tamiflu and hope you're ok now.
  10. Not taking a vaccination has absolutely nothing to do with washing hands and changing gloves and paraplegic firemen. I did NOT say the government was making the vaccine mandatory; I was making statements (granted, probably unclear statements) about how people are trying to shove their views down everyone else's throat. If you aren't aware of the many drugs that have been recalled, I can't help you. There ARE aluminum-based adjuvents in vaccines, and NO mercury would be much better. They may not be out to kill us, but pharmaceutical companies are out to make the big bucks as cheaply as they can, sometimes at our risk. That's a fact. The bottom line is that YOU are the one making excuses not to get vaccinated. You're the one who is trying to get everyone else to do it for you. If you're so concerned, you're absolutely free to take it yourself--then you won't have any cause for worry when you're in the hospital.
  11. I DO understand the reasons for taking the flu vaccinations; I just don't think they should make them mandatory because there are just as many good reasons not to take them. They could make them safer for people to take without all the extraneous garbage they put in them to manufacture them more cheaply. We've had to cover for nurses out with the flu, too--and--oh yeah, most of them had the flu shots 2-4 weeks ago. How does that protect their patients any better? Most of the nurses I work with get vaccinated every year, and a lot of them get the flu anyway. I'm sure I'm not the only one seeing that.
  12. But I don't blindly trust the pharmaceutical companies nor their regulating agencies--they've had to recall too many medications they said were "safe"; usually after a lot of people died. There are lawsuits right now because the pharmaceutical companies hid harmful side effects from those regulating agencies and the public. Some FDA officials are monetarily tied to those pharma companies. WHO changed its definition of a pandemic--from causing a lot of deaths to just being widespread. They admit that they sometimes mix other vaccinations (for diseases that haven't been around in a while to vaccinate against them, too) with the yearly flu shots without our knowledge. Why do they insist on using mercury and aluminum-based adjuvents in much higher doses than the safety recommendations of the FDA, known toxins to the human body? Why have they stockpiled squalene to mix in the shots--something normal around your nerves, but injected can cause your body to form antibodies against the normal squalene in your body causing MS-like diseases. Thankfully, the US won't let them use it--unless an Emergency Use Authorization is issued, but Europe uses it. So I'd like to know why I should trust them?!? This is not a test or a call to arms to "stand up for the mission." It's about being politically correct and the control of others. Nowadays, it's PC to say the government and I think that's bad for you, so you can't have or do that--or we'll raise the taxes on that. The government and I think this is good for you, so we're making it mandatory for you to do this. As long as we're Americans, we should have the choices and freedom of all Americans--no matter what we do for a living, and it should be illegal for employers to mandate differently.
  13. I think everyone should be able to use marijuana just like alcohol is used, same laws and all. You can use pot without being a 'pothead' just like you can drink alcohol without being an alcoholic. After we took boards in the 70's, we celebrated by drinking champagne and smoking pot in the motel room. At nursing parties in CA and TX and AR we smoked pot and drank whatever. It did not affect our jobs the next day nor did it turn us into blank-staring potheads. In fact, the drinking was more likely to hurt us (or someone else) than the smoking. It's ridiculous that patients in pain can't legally obtain it because so many people don't care enough to have the silly law changed. Just because it's illegal now doesn't mean it should be.
  14. Universal/standard precautions do not always protect you and your patients; they are precautions, not guarantees. How many patients do we care for using only universal precautions before we find they have a bad bug needing strict isolation? Lean on the siderails of a patient with this infection, this bug will go with you on your belly to the next set of siderails. In fact, it lives for days on equipment, clothing, whatever. And the mortality rate is pretty high for immunocompromised people. We shouldn't get too cocky or complacent using standard precautions or assume other nurses aren't using them because the standards aren't the be-all end-all you may want to believe they are.
  15. tshores

    Eight or Twelve Hour Shifts

    I'm 54 and work 7 12-hr shifts in a row and get 7 days off in a row; 29 years in so far. I wouldn't have tried it with young children, but now as long as I can get a couple of hours in the evenings to eat, shower and relax--it's all good. When I do have to stay later, I just pig out, shower, drop in bed--but I'd do that if I just worked 2 or 3 in a row, too, and had to stay. The 7 off is, of course, wonderful.
  16. tshores

    Clogs while nursing

    Still, there's more risk in sticking yourself somewhere else--hands, fingers, etc. and they don't make you wear leather gloves. I think it has more to do with tradition and appearance rather than safety. It hasn't been that many years ago that we weren't allowed to wear running/walking shoes (and some of those have only cloth over part of the toes), then the open heel they didn't like, and so on.

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