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2nd career as nurse
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Mortimer Schnerd, RN
medicine forum Guru Wannabe


Joined: 09 May 2005
Posts: 208

PostPosted: Tue May 10, 2005 11:18 pm    Post subject: Re: Nursing school for my daughter Reply with quote

Bryan wrote:

Quote:
The ones with RN after their names are generally the most worthless.

sort of like this one:

Mortimer Schnerd, RN


I'm not management. I actually do something on the unit.... provide bedside
care.




--
Mortimer Schnerd, RN

mortschnerd@carolina.rr.com.barf
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Sbharris[atsign]ix.netcom
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1218

PostPosted: Wed May 11, 2005 4:03 am    Post subject: Re: How to read a gallium scan. Reply with quote

Quote:
To read a nuclear medicine scan, you first have to know normal
anatomy, then

the normal distribution of the radiotracer (in this case Gallium) to
detect
any abnormality, which may or may not be cancer. Every case is
different,
that's why the radiologist who will read your scan studied many years
in
that particular field.... So unfortunetly, the bottom line answer is
"no". <<

COMMENT:

Oh, heck, the real answer is he probably has cancer in all those lit-p
organs, and needs to be told that, as a penalty for coming here with
such a chain-jerking question which he knows very well has a proper
answer at a proper time, or else they would have told him on the spot.

BTW, as with all chemical elements, the symbol is capitalized, but the
name is not, no matter how exotic. Thus, Ga and gallium, not Gallium.
Not even Uranium, but uranium.

SBH
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ironjustice@aol.com
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1522

PostPosted: Thu May 12, 2005 6:28 am    Post subject: Re: Diabetes / meat / iron levels Reply with quote

Quote:
no idea what you are babbling about

So WHY .. are you even .. IN .. this particular .. thread ..?

You weren't able to put the factors together .. LIKE .. I .. pointed
out HAD to BE .. done .. ?

You just stepped on the articles / post / thread .. JUST .. like .. I
said you .. did ..

Eh ..

Your .. stupidity is showing ..

Ain't .. pretty ..

One study ten years ago found highest IRON levels in Unmmannaq
and the last study three years ago found highest DIABETES in Unmmannaq
and the FIRST study .. ten years ago .. attributed the high IRON levels
to the consumption of traditional foods .. seal .. whale .. fish ..

You're right iron and diabetes are NOT .. 'mentioned together' .. in
the articles .. BUT .. the villages .. ARE ..

http://tinyurl.com/b693b

Diabetes Care, Oct, 2002
Data were collected from March 1999 to April 2001

Surprisingly, the prevalence of diabetes in Unmmannaq was higher than
that in the towns of Nuuk and Qasigiannguit



http://tinyurl.com/43a7g

Methods: Serum ferritin, serum transferrin saturation and haemoglobin
were evaluated in a population survey in 1993-1994

RESULTS: Intake of traditional foods was more prevalent among elderly
than among young individuals and more frequent in Uummannaq than in
Ilulissat and Nuuk. Ferritin levels were higher in men than in women
(p<0.0001). Median ferritin levels were lowest in Nuuk (men, 92
microg/L; women, 40 microg/L), higher in Ilulissat (men, 104 microg/L;
women, 69 microg/L) and in Uummannaq (men, 118 microg/L; women, 46
microg/L) (p<0.001). The prevalence of iron load (ferritin >200
microg/L) was lowest in Nuuk (men: 13.8%, women: 2.3%) intermediate in
Ilulissat (men, 11.1%; women, 9.1%) and highest in Uummannaq (men,
32.1%; women, 21.1%).

CONCLUSION: The observed differences in estimated
body iron stores in Greenlanders from the three residential areas can
be
explained by differences in the dietary intake of haem iron. PMID:
11168519,
UI: 21099797

Who loves ya.
Tom Jesus Was A Vegetarian!
http://jesuswasavegetarian.7h.com
Man Is A Herbivore!
http://pages.ivillage.com/ironjustice/manisaherbivore
DEAD PEOPLE WALKING
http://pages.ivillage.com/ironjustice/deadpeoplewalking
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Andrew Heenan
medicine forum Guru Wannabe


Joined: 29 Apr 2005
Posts: 112

PostPosted: Thu May 12, 2005 11:37 am    Post subject: Re: Microgynon 30 -missed chance? Reply with quote

"bubbler" wrote in message ...
Quote:
I was supposed to start taking microgynon on the first day of my period
- I'm new to the pill - but I was sick. So I didn't take them since
they'd only come back up. Now I'm better it's the last day of my period
and I've started taking them. I'll wait 7 days obviously, but will they
be effective then? or because I missed the start of my period have I
missed my chance & need to wait until I finish this pack & move on to
the next? Any advice appreciated, especially from doctors!

If you have not taken a full course, you'd be *very* unwise to rely on them.

You may get more detail in a doctor's group.

--
Andrew Heenan
http://www.realnurse.net/
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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Thu May 12, 2005 5:19 pm    Post subject: Re: Diabetes / meat / iron levels Reply with quote

<ironjustice@aol.com> wrote in message
news:1115920197.374376.67380@g49g2000cwa.googlegroups.com...

The common thread is that they all used the same local water.
It is a parasite that caused both.
Maybe they used the same Laundromat to wash all their clothes.
Maybe they have local genes with a restricted gene pool making both HHC and
diabetes showing coinheritance.
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Sbharris[atsign]ix.netcom
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1218

PostPosted: Fri May 13, 2005 2:29 am    Post subject: Re: How to read a gallium scan. Reply with quote

Quote:
Is it normal for your liver on the second day to be brighter than the

rest of the internal organs? I would assume so sinvce it filters all
your blood but I am not sure. <<

Gallium is handled by the body somewhat like iron. So it's picked up
the reticulendothelial system of the liver as though it was iron, to be
stored.
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wc
medicine forum addict


Joined: 25 Mar 2005
Posts: 66

PostPosted: Fri May 13, 2005 8:56 pm    Post subject: Re: C-reactive protein question Reply with quote

Becky:

I deliberately cross posted to the Nursing news group in the hope that
other nurses would also cross post to the other newsgroups that have
destroyed ours. I wanted my snarl to get across to as many as possible.
Do you notice that I am the only nurse that has posted to "our"
newsgroup in sometime, and the quality of my post, was lacking, at best?

I tried to post to the "lab" news group, and could not even locate it.
My news server does not include it in the science group.

Will, CRNA
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Norminn
medicine forum Guru Wannabe


Joined: 05 May 2005
Posts: 157

PostPosted: Fri May 13, 2005 10:19 pm    Post subject: Re: C-reactive protein question Reply with quote

wc wrote:
Quote:
Becky:

I deliberately cross posted to the Nursing news group in the hope that
other nurses would also cross post to the other newsgroups that have
destroyed ours. I wanted my snarl to get across to as many as possible.
Do you notice that I am the only nurse that has posted to "our"
newsgroup in sometime, and the quality of my post, was lacking, at best?

I tried to post to the "lab" news group, and could not even locate it.
My news server does not include it in the science group.

Will, CRNA

Not the only nurse. It is not other newsgroups disrupting this one, it
is self absorbed obsessives flaming the world with their one-issue
interests. But, one can filter them out. Not much else going on here.
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Norminn
medicine forum Guru Wannabe


Joined: 05 May 2005
Posts: 157

PostPosted: Fri May 13, 2005 10:32 pm    Post subject: Re: How to read a gallium scan. Reply with quote

Robert wrote:
Quote:
"crash" <crashcart@griddlecat.com> wrote in message
news:1115990717.580824.92650@f14g2000cwb.googlegroups.com...

And you must be vying for the understudy position for the part of the
doctor on the TV series "House". That could be the only explanation
for such rudeness.


I am not in a position of power in the hospital and am hired by the
hospital. I answer to my immediate boss and anyone can file a complaint with
my boss including about my messspiled words.
I have to take every rude and obscene comment by a doctor and can not do so

You can tell them they are rude. Not very productive, as one either
knows it and will apologize, or they know it and will keep on being
pissy. I always had a special sense of enjoyment in calling docs at
night when I knew they were likely to be nasty about the fact their
patient was having an emergency or change of some sort. They never got
pissy with me, for some reason. The pissy ones I recall are those who
did not share my concern that a serious change in their patient's status
was taking place - my revenge was in being right when they intitially
dismissed my concerns. The most interesting time was calling the house
sup and TELLING her to TELL the doc to get his ass in here, TELL the ICU
nurse I need help with IV, and TELLING her to get her ass up here now,
too. This was for a patient, and fellow employee, bleeding after
spontaneous ab. I had called the doc for orders, like CBC, keep open
IV, T&C; he ordered none. Her vitals were already showing signs. The
second call went out when her BP hit 60.

Quote:
in return. I can get in big trouble for it and nothing will happen to the
doctor. Not an even playing field.
I didn't know that Steve could not speak for himself.
Nice to have you speak for the doctors who can not defend themselves.

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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Sat May 14, 2005 5:02 am    Post subject: Re: How to read a gallium scan. Reply with quote

"Norminn" <norminn@earthlink.net> wrote in message
news:42854731.8040304@earthlink.net...
Quote:


Robert wrote:
"crash" <crashcart@griddlecat.com> wrote in message
news:1115990717.580824.92650@f14g2000cwb.googlegroups.com...

And you must be vying for the understudy position for the part of the
doctor on the TV series "House". That could be the only explanation
for such rudeness.


I am not in a position of power in the hospital and am hired by the
hospital. I answer to my immediate boss and anyone can file a complaint
with
my boss including about my messspiled words.
I have to take every rude and obscene comment by a doctor and can not do
so

You can tell them they are rude. Not very productive, as one either
knows it and will apologize, or they know it and will keep on being
pissy. I always had a special sense of enjoyment in calling docs at
night when I knew they were likely to be nasty about the fact their
patient was having an emergency or change of some sort. They never got
pissy with me, for some reason. The pissy ones I recall are those who
did not share my concern that a serious change in their patient's status
was taking place - my revenge was in being right when they intitially
dismissed my concerns.
The problem is nothing happens to them when you are right and everything

happens to you if you are wrong.

The most interesting time was calling the house
Quote:
sup and TELLING her to TELL the doc to get his ass in here, TELL the ICU
nurse I need help with IV, and TELLING her to get her ass up here now,
too. This was for a patient, and fellow employee, bleeding after
spontaneous ab. I had called the doc for orders, like CBC, keep open
IV, T&C; he ordered none. Her vitals were already showing signs. The
second call went out when her BP hit 60.
Not that uncommon as stat T&C for patients immediately after surgery or

patients in the ICU for a week happens and they never even though about TXM
just in case before hand.
Issuing Onegs or type specific is really more common then you think on the
ward. Then you have those doctors really scared to give type specific and
would rather yell at the blood bank about how long it takes when they should
have ordered it much earlier.
I have been doing this for 30 years so I have seen it all.

Quote:

in return. I can get in big trouble for it and nothing will happen to
the
doctor. Not an even playing field.
I didn't know that Steve could not speak for himself.
Nice to have you speak for the doctors who can not defend themselves.


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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Sat May 14, 2005 5:11 am    Post subject: Re: C-reactive protein question Reply with quote

"wc" <wc@worldnet.att.net> wrote in message
news:Hgahe.755739$w62.142763@bgtnsc05-news.ops.worldnet.att.net...
Quote:
Becky:

I deliberately cross posted to the Nursing news group in the hope that
other nurses would also cross post to the other newsgroups that have
destroyed ours. I wanted my snarl to get across to as many as possible.
Do you notice that I am the only nurse that has posted to "our"
newsgroup in sometime, and the quality of my post, was lacking, at best?

I tried to post to the "lab" news group, and could not even locate it.
My news server does not include it in the science group.

Will, CRNA
Please do and you are welcome there. I am interested in nursing procedures

and pharmacy people may also do so. I have lectured to nurses concerning lab
procedures and would be interested in nursing procedures as well. Of
interest would be the collection process through art lines and the problems
with hemolysis.
Any other input would also be of interest.
Sci.med.laboratory is right above sci.med.nursing.
Everybody welcome.
; -)
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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Sat May 14, 2005 5:14 am    Post subject: Re: C-reactive protein question Reply with quote

"Norminn" <norminn@earthlink.net> wrote in message
news:42854401.7080008@earthlink.net...
Quote:


wc wrote:
Becky:

I deliberately cross posted to the Nursing news group in the hope that
other nurses would also cross post to the other newsgroups that have
destroyed ours. I wanted my snarl to get across to as many as possible.
Do you notice that I am the only nurse that has posted to "our"
newsgroup in sometime, and the quality of my post, was lacking, at best?

I tried to post to the "lab" news group, and could not even locate it.
My news server does not include it in the science group.

Will, CRNA

Not the only nurse. It is not other newsgroups disrupting this one, it
is self absorbed obsessives flaming the world with their one-issue
interests. But, one can filter them out. Not much else going on here.

I noticed that too and I have signed up for sci.med.nursing. so this is not

a cross post. I am not a nurse though and would be interested in topics
related to nursing but others are welcome to filter me out.
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Starlight
medicine forum Guru Wannabe


Joined: 30 Apr 2005
Posts: 186

PostPosted: Sat May 14, 2005 1:52 pm    Post subject: Re: C-reactive protein question Reply with quote

On Sat, 14 May 2005 01:57:16 -0400, "JEDilworth"
<bactitech@nospamhortonsbay.com> wrote:


Quote:
I called another positive to the floor. Again, I had the nurse repeat
back to me - this one WAS gram positive cocci in clusters. She just
couldn't spit it out. I think English was her second language, which
made it all the more scary. I cannot understand WHY repeating back a
critical report is such a problem. We are required to do this AND to
document the repeat in our workups. The reason for the repeats is so
that the report gets passed on ACCURATELY to the physician so that
proper antibiotics are started.

In my 30+ years of nursing, I've found that verbal reports are about
the least accurate. It would be much more accurate and efficient to
say 'the patient has a critical culture report and it is being faxed
to you immediately!' . Expecting a busy nurse to write down K+ is
6.3 isn't the same as expecting him/her to write down something longer
and less familiar. JMHO.
Becky
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Robert
medicine forum Guru


Joined: 28 Apr 2005
Posts: 1700

PostPosted: Sat May 14, 2005 4:10 pm    Post subject: Re: C-reactive protein question Reply with quote

"Starlight" <homehealth_rnDELETE@yahoo.com> wrote in message
news:lf7c815qhi7iq9aj0jlgoa63uubckhitp8@4ax.com...
Quote:
On Sat, 14 May 2005 01:57:16 -0400, "JEDilworth"
bactitech@nospamhortonsbay.com> wrote:


I called another positive to the floor. Again, I had the nurse repeat
back to me - this one WAS gram positive cocci in clusters. She just
couldn't spit it out. I think English was her second language, which
made it all the more scary. I cannot understand WHY repeating back a
critical report is such a problem. We are required to do this AND to
document the repeat in our workups. The reason for the repeats is so
that the report gets passed on ACCURATELY to the physician so that
proper antibiotics are started.

In my 30+ years of nursing, I've found that verbal reports are about
the least accurate. It would be much more accurate and efficient to
say 'the patient has a critical culture report and it is being faxed
to you immediately!' . Expecting a busy nurse to write down K+ is
6.3 isn't the same as expecting him/her to write down something longer
and less familiar. JMHO.
Becky
It is not universal to have all criticals called to the nurse. We had been

calling all positive blood cultures to the doctor directly. Unfortunately
rumor has it there was a death involving an infant with a positive blood
culture in which the nurse was notified and it was not relayed to the
doctor. Most doctors are actually appreciative of calling them to them. The
exception was the ER where they consider it someone else's patient.
In the ER the critical reports are handed to the doctor as they have a lab
there.
I agree with you about verbal reports. The problem is that recent changes
mandate a phone call to the nurse in charge of the patient and they must
repeat the verbal report back in order to check for accuracy.
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Katra
medicine forum addict


Joined: 06 May 2005
Posts: 80

PostPosted: Sat May 14, 2005 4:22 pm    Post subject: Re: C-reactive protein question Reply with quote

In article <lf7c815qhi7iq9aj0jlgoa63uubckhitp8@4ax.com>,
Starlight <homehealth_rnDELETE@yahoo.com> wrote:

Quote:
On Sat, 14 May 2005 01:57:16 -0400, "JEDilworth"
bactitech@nospamhortonsbay.com> wrote:


I called another positive to the floor. Again, I had the nurse repeat
back to me - this one WAS gram positive cocci in clusters. She just
couldn't spit it out. I think English was her second language, which
made it all the more scary. I cannot understand WHY repeating back a
critical report is such a problem. We are required to do this AND to
document the repeat in our workups. The reason for the repeats is so
that the report gets passed on ACCURATELY to the physician so that
proper antibiotics are started.

In my 30+ years of nursing, I've found that verbal reports are about
the least accurate. It would be much more accurate and efficient to
say 'the patient has a critical culture report and it is being faxed
to you immediately!' . Expecting a busy nurse to write down K+ is
6.3 isn't the same as expecting him/her to write down something longer
and less familiar. JMHO.
Becky

Except that in most laboratories, blood culture prelimnary gram stains
are not officially reported in the order communications system until an
ID and sensitivity are generated, and that can take an additional 24
hours....

and if it's a gram negative bacilli, the patient will be most likely be
dead by then.

You CAN write, right?
--
K.

Sprout the MungBean to reply

"I don't like to commit myself about heaven and hell--you
see, I have friends in both places." --Mark Twain
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