2/6 What I Learned This Week: If you annoy them, they will order

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Alright, friends. I'm keeping this one short and sweet because my brain is sore and my dog is annoying.

This week, I have learned....

1. There should be a time limit hospitals should have to fix a problem. If things aren't better after, say, 15 days, let someone else try.

2. I'm in the mid Atlantic of the US with spring travel plans to Florida, and I'm actually feeling nervous about Zika. I had a guillian barre syndrome patient in nursing school. On his way driving home from work, his chest felt off, so he course corrected to the ED. When he pulled up and walked to the doors, he struggled with leg weakness. After he was done in triage, he couldn't stand. He was intubated, and completely paralyzed, before he left the ED for ICU.

3. A patient on neuroleptics will still have detectable epileptiform patterns on an EEG.

4. A good neurologist knows no matter how crazy the patient sounds describing symptoms, what they say is legit and will stay the course for diagnosis.

5. My favorite doctors to work with are the ones who will sit and talk patho with a nurse and enjoy that the nurse legitimately loves to learn.

6. Sliding scale coverage alone for inpatient management is not currently supported by research.

7. If working day shift doesn't eventually make me check into a psych ward, nothing will.

8. The GI doc who left me scrambling to save a guy's life (what felt like) single-handedly by doing no intervention before he got dumped on us (actively bleeding out 2 points of hemoglobin over 8 hours and maintaining a BP that won't leave 70s-80s) has suddenly become cautious enough to send a perfectly stable (hemodynamically, symptomatically, and on CBC) rectal bleed to ICU before meeting or scoping her after I've literally done all the work needed on her for the shift. And of course, I was rewarded with an end of the shift admission.

9. The Florida Man Collective has evolved to include its latest - Wrinkles the Clown. He is a scary-looking clown who is for hire to scare anyone you want, for any reason.

10. The more you annoy the doctor about the same thing, over and over and over, the more likely it is they will listen and maybe put in an order.

I have nothing else right now. My broken brain is feeble!

More effed up clowns:

5 Real Clown Horror Stories - YouTube

You can be deceased and have all your vitals WNL.

I'm guessing this could happen with a vented patient? And a pacemaker maybe?

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Specializes in Critical Care.
I'm guessing this could happen with a vented patient? And a pacemaker maybe?

Brain death. They have to be vented. Pacemaker has no bearing. ;)

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I learned:

That it's cheaper to run off the good managers than to staff adequately.

Playing the guitar makes me happy. I learned 3 new chords today!

The Panthers are killing me. My poor dogs had to hide from the f-bombs.

I am not normal and other people tend to gang up on the different. I find that after I get over the initial hurt, I really don't care.

I still miss my Mama. They tell you grief fades. It's a lie. You just get stronger and cope better.

A Cadillac Margarita with a Death Star molded ice ball is delicious and nerdy and cool, all at the same time.

My poodle looks really silly in his spring haircut this year. I left his ears long and he kind of looks like Phyllis Diller.

I wouldn't love you if you were normal.

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Specializes in M/S, LTC, Corrections, PDN & drug rehab.

I'm starting work, soo excited!

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I wouldn't love you if you were normal.

In the South, you're what we call "good people."

It means we'd cut off an arm and hand it to you to if you needed it, 'cause you're that awesome.

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Specializes in ORTHO, PCU, ED.
Brain death. They have to be vented. ;)

Re- pt with vitals yet actually dead...Yes I learned that this week too!!! Gunshot wound to the head. Heart just a beating. Sad.

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Specializes in Critical Care.
Re- pt with vitals yet actually dead...Yes I learned that this week too!!! Gunshot wound to the head. Heart just a beating. Sad.

It's a semi-regular occurence on my unit.

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It's a semi-regular occurence on my unit.

I just have to say. I felt horrible "liking" the last 2 posts, but I don't know how else to acknowledge things that touch me, or get to me.

I'm kind of a Liker.

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Re- pt with vitals yet actually dead...Yes I learned that this week too!!! Gunshot wound to the head. Heart just a beating. Sad.

Yeah, we had a lot of that when I worked Neuro/Trauma. Drowning victims with anoxic brain injury, motorcycle accidents, massive strokes, delayed eclampsia... Very sad.

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Specializes in ORTHO, PCU, ED.
Yeah, we had a lot of that when I worked Neuro/Trauma. Drowning victims with anoxic brain injury, motorcycle accidents, massive strokes, delayed eclampsia... Very sad.

Like Far said you feel bad liking these posts. Wow I can't imagine having to deal with that on a daily basis...especially since they are so young.

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Specializes in Adult Internal Medicine.

10. The more you annoy the doctor about the same thing, over and over and over, the more likely it is they will listen and maybe put in an order.

Annoy the "provider".

Wait a second...

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I learned that the conspiracy theories about a cure for cancer and diabetes existing don't seem so crazy sometimes.

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