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Starlight
medicine forum Guru Wannabe
Joined: 30 Apr 2005
Posts: 186
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 Posted: Sat May 14, 2005 4:32 pm Post subject:
Re: C-reactive protein question
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On Sat, 14 May 2005 13:22:40 -0500, Katra
<KatraMungBean@Centurytel.net> wrote:
| Quote: |
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?
|
Sorry your hospital doesn't have faxes or other means of returning
reports. Must take a heck of a lot of time to have to write
out/repeat/rewrite everything, amidst everything else you're
doing/writing/reporting. |
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Katra
medicine forum addict
Joined: 06 May 2005
Posts: 80
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| Posted: Sat May 14, 2005 4:47 pm Post subject:
Re: C-reactive protein question
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In article <mugc81tn9lrtbvl07viq66q4q8am7ls7so@4ax.com>,
Starlight <homehealth_rnDELETE@yahoo.com> wrote:
| Quote: | On Sat, 14 May 2005 13:22:40 -0500, Katra
KatraMungBean@Centurytel.net> wrote:
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?
Sorry your hospital doesn't have faxes or other means of returning
reports. Must take a heck of a lot of time to have to write
out/repeat/rewrite everything, amidst everything else you're
doing/writing/reporting.
|
<lol> Only stuff that is being VERBALLY reported!
Most other lab results go thru the computer/fax system.
But, if you are too busy to write down a single line of text,
you are probably too busy to walk over and check the printer.....
Critical values have to be called regardless of whether or not they are
being sent across, and those results have to be repeated back to us.
Morning run is a perfect example.
If I get, say, a 4.0 gram hemoglobin or a 2.0 potassium on a patient, I
have to call it to the nurse caring for the patient, or the charge nurse
for that nursing station as soon as I get a result... and they have to
repeat it back to me. It then becomes THEIR responsibility to call it to
the physician!
I might not actually report out that final result for another hour or so
when I am entering the entire morning run into the system.
Documentation as to who I called it to and when is also part of that
report. I did my part at that point.
If something happens to the patient due to the critical value during
that time period and the nurse was "too busy" to contact the Dr. during
that time, guess who's fault it's going to be?
Not mine. 
--
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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Norminn
medicine forum Guru Wannabe
Joined: 05 May 2005
Posts: 157
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| Posted: Sat May 14, 2005 10:50 pm Post subject:
Re: Gallium Scan update
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stryped@hotmail.com wrote:
| Quote: | I got a verbal report via one of my doctors today. He did not have the
written report in hand but said everything on the scan looked good
expect for a spot on my left lung. When I go back to the specialist she
may want to do a ct lung scan he thought. I apprecite everyone's help
and please forgive me for all the questions. Keep praying the lung will
be ok!
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I hope all else is okay, too. And if it is not "okay", remember that
there are lots of old people who have survived very serious maladies.
Best wishes for peace, hope and strength in whatever comes. |
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Norminn
medicine forum Guru Wannabe
Joined: 05 May 2005
Posts: 157
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| Posted: Sat May 14, 2005 11:07 pm Post subject:
Re: How to read a gallium scan.
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clipped
| Quote: | 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
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.
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This patient had been admitted more than 12 hours prior to our little
crisis. Bleeding had increased, and the doc notified, more than an hour
before her BP took a dive. Her pulse was steadily increasing, and the
doc informed - had to call house sup. always prior to calling doc during
night. I got involved, although not my assigned patient, when her nurse
went to "dinner" (night shift). Shortly after that nurse returned, she
checked BP and couldn't detect it!!! Jeesh, that got my attention when
she asked me to check it. At that point the patient was becoming
delirious. Guess I'm an adrenaline junkie, as crises are my favorite
challenge if all survive. One of my son's best friends in high school
had been one of my crisis-solved people when his cord prolapsed during
mom's labor  )
| Quote: | 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.
in return. I can get in big trouble for it and nothing will happen to
the
doctor. Not an even playing field.
|
Doc's get sued every day and twice on Sunday. And their malpractice
takes the first $100,000 they make each year. I tried hard not to make
mistakes, and keep people from dying on my shift. Worked out pretty
well. I didn't play doctor, as many nurses do. Too busy being a nurse
and making sure I knew if my patients had a change in condition. I
never felt I had to have a diagnosis in hand to call a doc and say
something ain't right.
| Quote: | 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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Ma˘k
medicine forum Guru Wannabe
Joined: 28 Apr 2005
Posts: 114
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| Posted: Sun May 15, 2005 12:43 pm Post subject:
Re: Antioxidants ameliorate death in diabetic retinopathy
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On 15 May 2005 06:04:45 -0700, "ironjustice@aol.com"
<ironjustice@aol.com> Huffed and Puffed the following into the madness
of usenet:
talk about a truly intentionally misleading subject line |
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Guest
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| Posted: Sun May 15, 2005 5:00 pm Post subject:
Re: nutrition question
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On Tue, 3 May 2005 20:24:30 +0100, "Andrew Heenan" <andrew4@heenan.net> wrote:
| Quote: | dh@.> wrote ...
Thank you both for the info. I may see if our local library can
get it in, depending on how much it costs. I am suprised
that there aren't any good sources online though, if there
aren't any. Why wouldn't there be?
All the info you want is online - but not necessarily at the same place.
If you search for a phrase, you'll get countless pages - add "nursing" on
the end of the line, and that will narrow it down. If you don't get what you
want straight away, just change the search terms a little and try again ...
it gets easier with practice, and you'll soon find some sites that are well
worth bookmarking.
|
It's the worthwhile bookmarks I was hoping someone could suggest!
The original idea in posting here was: these people have probably
already been to good sites and bad on the subject since it's a basic
of nursing (I had thought), and surely some of them can suggest a few
good sites. But nooooooooo! Not even one!!! Yes, I know how to do a
Google search. I also know that it can result in hours of not finding a
good site for what you're looking for, if there happen to be thousands
of other sites related to nutrition who are trying to sell one or two ideas
but I'm looking for a *good* site that gives the basics of how it works.
Now if you had suggested some examples of what to look for, like maybe
"metabolization explained" or something like that, it might possibly have
been helpful. Let's compare:
Results 1 - 10 of about 18,500,000 for basic nutrition. (1.02 seconds)
Results 1 - 10 of about 8,140 for metabolization explained. (0.14 seconds)
Whew...good...almost ten thousand fewer to dig through. But still how
to know if any of them are any good? Let's see how it looks to begin
with:
_________________________________________________________
The Hypoglycemic Index and Acne Relationship Explained
.... be the sugar entering your system as a result of food metabolization. ...
akin to overwhelming your system with too much sugar from food metabolization. ...
www.natural-acne-treatments.com/ hypoglycemic-index-acne.html - 14k - Cached - Similar pages
[PDF] Growth models for cells in the chemostat
File Format: PDF/Adobe Acrobat - View as HTML
.... nitrogen metabolization is explained by one unit of intracellular inorganic
nitro-. gen. Ħ. metabolized into one unit of intracellular organic nitrogen ...
www.mtns2004.be/database/papersubmission/upload/249.pdf - Similar pages
DDT explained
.... Areobic pathway of DDT metabolization - biological half-life of 8 years.
Anaeobic pathway of DDT metabolization; Lecture Notes; *After 17 years, ...
www.wordspider.net/dd/ddt.html - 32k - Cached - Similar pages
Conducting Risk Assessment of Medical Materials (MPB archive, Jul 96)
.... Even when the animal testing has shown a defined dose-response curve, there
exists a ... expose patients to constituents that require metabolization. ...
www.devicelink.com/mpb/archive/96/07/002.html - 40k - Cached - Similar pages
Aryl-chloro-ethyl ureas - US Patent 6686394
.... these alicyclic ring can be substituted by one or more groups as defined in
.... The metabolization mechanism was again unexpectedly found to operate on ...
www.patentstorm.us/patents/6686394.html - 74k - Cached - Similar pages
What are Degenerative Diseases?
.... Please bear with me in this explanation as it is somewhat complex, ...
The metabolization of all foods produces an acidic substance of one kind or ...
www.liverenewedlife.com/degenerative_diseases.htm - 48k - Cached - Similar pages
Missouri ID Bill - EvoWiki
.... reproduction, repair, food metabolization, waste disposal, stimuli response,
.... data and explained as estimated data when taught orally or in writing. ...
wiki.cotch.net/index.php/Missouri_ID_Bill - 47k - Cached - Similar pages
Thomas A. Jonard on What is Life?
.... in Junior High and learned that life was defined by ten characteristics. ...
Metabolization -- they chemically process nutients to derive energy. ...
www.tjonard.ws/whatislife.html - 10k - Cached - Similar pages
Reference #5: The fate of naringin in humans: A key to grapefruit ...
.... However, this explanation is equivocal, and formation of naringenin after ...
and metabolization of naringin to naringenin occurred during 24 hours of ...
www.powernetdesign.com/grapefruit/ references/ref5abstract.html - 3k - Cached - Similar pages
The Effect of Vincristine on the Biodistribution of Technetium-99m ...
.... Conclusion: The results could be explained by the metabolization, toxic effect,
therapeutic, or immunosupressive action of the studied chemotherapeutic ...
tech.snmjournals.org/cgi/content/full/28/4/271 - Similar pages
ŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻŻ
Nah, it doesn't look good. So I went and asked some people in a
nursing ng. See how it works...uh...didn't work...you get the idea... |
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Andrew Heenan
medicine forum Guru Wannabe
Joined: 29 Apr 2005
Posts: 112
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| Posted: Sun May 15, 2005 9:41 pm Post subject:
Re: nutrition question
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<dh@.> wrote ...
| Quote: | Now if you had suggested some examples of what to look for, like maybe
"metabolization explained" or something like that, it might possibly have
been helpful. Let's compare:
Results 1 - 10 of about 18,500,000 for basic nutrition. (1.02 seconds)
Results 1 - 10 of about 8,140 for metabolization explained. (0.14 seconds)
|
Exactly why I suggested adding 'nursing' on the end and varying your search
terms.
Getting stuff from Google is easy; the skill is winnowing out what you don't
want by adding more of what you do want. You can add up to 10 words to any
search; or use "two words" or "similar short phrases".
Don't look for more results - look for fewer.
basic nutrition nursing - 1,110,000
"basic nutrition" nursing - 16,700
and so on; a little more experimenting, and you'll start to get useful
results. (4 min).
You could also try directories, for pre-sifted stuff
nutrition directory - 9,630,000 - but the first 10 look good.
I rarely bookmark sites unless I'm going to use them a lot - Google's always
there waiting.
--
Andrew Heenan
http://www.realnurse.net/ |
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Alan S
medicine forum addict
Joined: 28 Apr 2005
Posts: 99
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| Posted: Thu May 19, 2005 8:08 pm Post subject:
Re: Metabolic Syndrome / hypogonadism
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On 19 May 2005 07:50:23 -0700, "TC" <tunderbar@hotmail.com>
wrote:
| Quote: | you... are... a.... moron .... of.... the.... first.....
magnitude......
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A self-portrait of a person fully repeating doe's post to
all of the original x-posted groups.
Cheers Alan, T2, Australia.
--
Everything in Moderation - Except Laughter. |
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montygram
medicine forum Guru
Joined: 30 Apr 2005
Posts: 825
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| Posted: Tue May 24, 2005 3:39 am Post subject:
Re: Antioxidant supplementation in Graves' disease is justified
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You might have to purchase the complete paper to find out what actually
happened. I'd advise you take a look at biochemist Ray Peat's site.
It has free essays, some of which are on thyroid function. Do a google
search for ray peat newsletter. You can find plenty of similar studies
on pubmed.com. The bottome line, though, is that is you don't expose
your body to oxidative stress, you don't have to worry too much about
the free radical damage in the first place. Just avoid the highly
unsaturated oils, and cook your meat and eggs by boiling them in water.
Avoid homogenized and low-fat dairy, and avoid baked or processed food
with eggs and dairy, because they usually use powdered forms which are
loaded with oxidized cholesterol. |
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Norminn
medicine forum Guru Wannabe
Joined: 05 May 2005
Posts: 157
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| Posted: Thu May 26, 2005 6:14 pm Post subject:
Re: Blackballing by Hartford CT & Western MA hospitals
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Mark Gaines wrote:
Would you hire someone who posted what you have? I sure wouldn't.
There is a process for reporting illegal/improper conditions and
actions, and a flame war is not part of it for Registered Nurses. If
the legal authority does not respond to your satisfaction, go up the
ladder, not on a bullhorn.
Hospitals and nursing homes have not created the budgets they work with.
Given that plenty make profits, there are lots and lots of providers put
out of business because of who pays the bills. We want deluxe, on a
"beer pocketbook". Can't be done. |
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Earle Horton
medicine forum addict
Joined: 17 May 2005
Posts: 51
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| Posted: Thu May 26, 2005 8:19 pm Post subject:
Re: Blackballing by Hartford CT & Western MA hospitals
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A Nursing Board investigation of a registered nurse in Colorado can take
more than eight months. I know this from personal experience. I don't know
about Connecticut. If you have to wait eight months before anything is
done, you might want to go public, irregardless of whether you are accused
of engaging in a "flame war". In my county more people have thanked me for
telling them what is happening, than have told me I was out of line.
Earle
"Norminn" <norminn@earthlink.net> wrote in message
news:42962DCB.7000903@earthlink.net...
| Quote: |
Mark Gaines wrote:
My site is updated at:
http://www.geocities.com/dansegypsy/blackballed.htm
Not all about "sour grapes," just "dragnet" type tell as it is facts
about
CT & Western MA area employers.
Would you hire someone who posted what you have? I sure wouldn't.
There is a process for reporting illegal/improper conditions and
actions, and a flame war is not part of it for Registered Nurses. If
the legal authority does not respond to your satisfaction, go up the
ladder, not on a bullhorn.
Hospitals and nursing homes have not created the budgets they work with.
Given that plenty make profits, there are lots and lots of providers put
out of business because of who pays the bills. We want deluxe, on a
"beer pocketbook". Can't be done.
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Norminn
medicine forum Guru Wannabe
Joined: 05 May 2005
Posts: 157
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| Posted: Fri May 27, 2005 12:17 am Post subject:
Re: Blackballing by Hartford CT & Western MA hospitals
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Earle Horton wrote:
| Quote: | A Nursing Board investigation of a registered nurse in Colorado can take
more than eight months. I know this from personal experience. I don't know
about Connecticut. If you have to wait eight months before anything is
done, you might want to go public, irregardless of whether you are accused
of engaging in a "flame war". In my county more people have thanked me for
telling them what is happening, than have told me I was out of line.
|
I've confronted serious issues a few times. Handled personally with a
doc, on the spot, once. Reported staff member for pharm problem, to
supervisor, and the situation was remedied quickly; it was intentional
mislabeling. Tried going through channels to fix a problem that was in
my job description; pushed too hard and got canned. Did hear support
from one professional with knowledge of the situation, but otherwise it
was "pass the buck" and "don't make waves". Nevertheless, patients and
families are very often fond of the facility and mgt; to go public with
criticism on websites invites lawsuits and makes one doubt the nurse as
much as anything. I would rather take it to local paper, and let them
investigate than to make it a personal vendetta. It's been 100 years
since I've read the nurse practice act, but public criticism of another
professional may be a violation?? |
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ironjustice@aol.com
medicine forum Guru
Joined: 28 Apr 2005
Posts: 1522
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Susan
medicine forum Guru
Joined: 05 May 2005
Posts: 932
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| Posted: Sat May 28, 2005 5:25 pm Post subject:
Re: Hayfever and Asthma Associated With Irregular Menses
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x-no-archive: yes
Brad_Chad wrote:
| Quote: | If you have hayfever AND asthma, there is a good chance that you have
Hidden Food Allergies (allergies that can't be detected by conventional
allergy test).
Brad_Chad62@yahoo.com
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If you have hayfever AND asthma, you should start by invetigating
inhalant allergies first and foremost.
I have both; diet makes no difference. Desensitization to dust and
mites, cats, tree, grass and weed pollens and mold helps enormously, as
does a room air cleaner and a house with no wall to wall carpeting.
Susan |
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ARoberts
medicine forum beginner
Joined: 16 May 2005
Posts: 44
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| Posted: Sat May 28, 2005 6:28 pm Post subject:
Re: Hayfever and Asthma Associated With Irregular Menses
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<ironjustice@aol.com> wrote in message
news:1117293554.405116.289960@o13g2000cwo.googlegroups.com...
| Quote: | "They" know science and have performed the studies. You have your
causality
backwards, that's all.
Lots of studies .. done ..
I have access to JUST .. as .. many ..
And since .. I .. seem to be having .. more success than .. ANYONE IN
HISTORY .. I .. would assume then .. I .. have MUCH better ..
'abilities' .. TO .. discern / ascertain .. WHAT .. the study ..
ACTUALLY .. means ..
Logic ..
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Well there it is. You are the supreme arbiter, and apparently the supreme
being. I notice that you mention your son in your sig. Say hi to him. |
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Google
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