shanrah

HI, My bro in law is an orthopedic doc in an office with several podiatrists, and I get my shoes from one of the sites they use. It's www.oemedical.net I love my Klogs that I use with a full Spenco orthotic, and I'll alternate between my Spira (shoes with coils that are covered so they don't look as odd as the zcoils), Klogs, and Birkenstock Bostons. I love my Crocs for short errands, but not for a 12 hour shift, I have high arches, and they do not offer enough support- so Danskos didn't work well for me either. I also like Anywears(the big "bubbles" on the bottom of the soles remind me of those big bubble wrap bubbles, and are very cushy), and have read good things about MBT Swiss Masai, but the prices are through the roof for this brand!($245'ish!). I think their site (http://www.swissmasaius.com) mentions that they will help tighten your tush, and even lose weight! From reviews I have read, they supposedly last a really long time, too. They do have a "plate" in the sole-( I think it is fiberglass), so kneeling in them in not advised. I probably would not purchase them for this reason, because I am up and down alot out of med drawers, etc. I know no one who has had these, so I cannot give an accurate review of this brand. I have heard great things about Quarks as well, and have been thinking of trying a pair. The site's prices are reasonable, they have sales on some of the styles:lol2: , and I think they even have a coupon code now for a percentage off, it can prob be found if googled, or if someone needs it, I could prob dig it up for you. I am a stickler on good foot health, and love shoes outside of "nursing shoes", so I don't mind making the investment in a good pair, to have feet and legs that don't throb at the end of my shift, and I am able to feed my shoe fetish at the same time! (hehe). I also wear compression stockings of at least 16-20, and a thin pair of little anklet sockies so my shoes don't get that funky sweaty smell! I know it was mentioned before in some of the threads- hydrating is important- and stretching when possible, too.

Hi, On our careplans, we attempt to figure out why there are any abnormalities, and I stumped on this one...any input is appreciated: Pt is 89 y/o Asian female, 85 pounds, no hx of anemia, only hx of HTN controlled with Toprol. She has hydronephrosis, and is schduled for surgery to remove pelvic tumors that have caused partial urinary obsturction on rt. side (however, the pt. maintained over 30ml/hl of output, due to having a stent placed in the rt. ureter) She presented with hematuria, in her UA it just stated "too numerous" under RBC's present Pertinent labs:(blood) WBC:15.9, neutropjils 90 %, (although only trace bacteria was noted in her UA, white cells in UA was 5-10) She was receiving Levaquin and Vanc IV RBC: 3.57 H&H: 10.8, 32.2 Platelets: 283 BUN: 16 Creatine:0.8 Albumin: 2.3 ALT/SGPT: 8 Alk. phosphate:70 Total Bili: 1.5 INR: 1.1 protein 62 g She was malnourished, and on TPN regular lipids at 39 ml/hr with free water, via triple lumen subclavian. She did not have FVE, so I am wondering why her H&H, and RBC's were low, and not her platelets? Would it have something to do with the production of erythpoiten impaired with the kidney? This one has stumped me, she did not have any other disease processes going, no chronice renal failure, dialysis, etc. She just had blood in her urine, but would it cause her counts in red to be that low with normal platelets? Anyone feel like brainstorming? :) Lauren