Healthcare Info Guide

(Too much serious stuff on my mind, to post serious material....

Wed, 22 May 2013 14:20:23 -0700

(Too much serious stuff on my mind, to post serious material. Time for humor thanks to ScrubsMag.)

thuc: New data on concierge medicine Concierge medicine is a...

Wed, 22 May 2013 13:01:24 -0700

New data on concierge medicine

Concierge medicine is a growing style of practice in healthcare in which a patient pays an…

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Pierre Cardin version of nursing uniforms, circa 1970. And you...

Mon, 20 May 2013 12:28:00 -0700

Pierre Cardin version of nursing uniforms, circa 1970.

And you though that nursing caps were cumbersome and a pain.

The Trauma Professional's Blog: Trauma Mythbusters: Bathing/Showering And Wound Care

Thu, 16 May 2013 11:31:10 -0700

The Trauma Professional's Blog: Trauma Mythbusters: Bathing/Showering And Wound Care:

regionstraumapro:

I love to hate dogma. And there’s probably nothing in surgery more sacred and more ingrained than how to take care of a wound. Everybody knows that you have to keep surgical or traumatic wounds dry, and that once you can get them wet, showers are good at baths are bad. Right?

And for…

Find Out How Your Local Hospital Ranks re: Safety

Thu, 09 May 2013 14:56:49 -0700

The L.A. Times published an article describing an organization that grades local hospitals based on their safety records.

To find how your local hospital ranks, use the original ranking organizations website.

Photo

Tue, 07 May 2013 18:05:20 -0700

Childbirth vs Getting Kicked in the Balls – Which Hurts More? [SCIENCE!]

Sun, 28 Apr 2013 17:04:00 -0700

Childbirth vs Getting Kicked in the Balls – Which Hurts More? [SCIENCE!]:

I think I’d take the short burst of pain, given a choice.

My LOL (little old lady) patient is on the bedside commode trying to have a BM after being constipated for a week...

Fri, 26 Apr 2013 18:41:09 -0700

jrabbit85:

… and I, of course, can’t leave her because she’s a huge fall risk.

… also, it’s 0600 and everyone else is calling to get help going to the bathroom too.

Add to it that she’s S/P THR, and you’ll never get to your charting.

Physicians Walk Out of National Obamacare Meeting

Fri, 26 Apr 2013 14:17:11 -0700

ziyadmd:

According to live tweets and images sent from ophthalmologist Dr. Kris Held, nearly all doctors had walked out in protest and disgust of Obamacare implementation talks at a prominent national health care meeting. Typically, The American Society of Cataract and Refractive Surgery Government Relations session is a well attended, formal business conference where brilliant minds in medicine convene. This year was a different story. With talks of Obamacare implementation and compliance underway, doctors left and right had left the auditorium.

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You’ve probably heard about it, and may have even seen a...

Mon, 22 Apr 2013 14:40:00 -0700

You’ve probably heard about it, and may have even seen a video about the popular (read: let’s watch stupid human tricks) viral experience called ‘the cinnamon challenge’.

More than the ‘why do it’, what’s the physiology behind it? Seems that cinnamon is primarily cellulose (water resistant and resistant to the enzymes in our mouths), and volatile organic compounds in finely powdered form that make your respiratory system gasp and gag. And in this process there is a good chance of fine powder being inhaled down the trachea and into the lungs to irritate the tissues.

This fad has led to increasing calls to Poison Control Centers, and to Emergency Depts. Animal studies have shown that “intratracheal exposure to cinnamon can have deleterious effects, including granulomata, interstitial fibrosis, alveolar histiocytosis, alveolar lip proteinosis, and alveolar cell hyperplasia.”(1)

Ref.

(1) Ref.

That overwhelming feeling when your phone is ringing, call lights are going off, bed alarms are sounding, IV pumps are beeping, PCAs are empty...

Thu, 18 Apr 2013 16:08:08 -0700

nightshiftrounds:

I was thinking about all of the sounds (alarms) that we encounter, after being told by the coffee maker, microwave, washer and dryer at home that they wanted attention, too.

Sometimes, we have to tune out, just for audio preservation.

nightshiftrounds: OMFG ALL THE TIME “Ambulatory”...

Sat, 06 Apr 2013 16:21:21 -0700

nightshiftrounds:

OMFG ALL THE TIME

“Ambulatory” loosely translates to wanders. All. The. Time.

Because “may cause loss of social inhibitions, and lead to...

Wed, 03 Apr 2013 15:23:58 -0700

Because “may cause loss of social inhibitions, and lead to impulses such as gambling, drinking and sexual urges” is not a good thing to try to explain.

“Extreme awesomeness”; that would be appreciated.

Ref.

Sometimes you need to hear an encouraging word, or know that...

Sun, 31 Mar 2013 16:00:49 -0700

Sometimes you need to hear an encouraging word, or know that someone is saying something good about you.

‘Cause nurses do enough to doubt themselves.

Not to be a wet blanket, but be safe as you party for St....

Fri, 15 Mar 2013 13:48:20 -0700

Not to be a wet blanket, but be safe as you party for St. Patrick’s day.

Spare yourself the reason to visit me in the ED.

"…even if some are common occurrences, they are frightening enough in the moment to cause the..."

Mon, 11 Mar 2013 09:27:09 -0700

“

…even if some are common occurrences, they are frightening enough in the moment to cause the nurse’s heart to race.
1. Blood exploding out from arterial line site, when you peek in after holding pressure for some time.
2. When you roll a patient to check their back after they arrive from recovery room, only to discover they are covered in an enormous pool of blood
3. A patient talking to you, alert and oriented, and then a moment later witnessing cardiac arrest
4. Watching a patient fall from across the unit – as fast as you scamper across; you still don’t make it in time, and you hear and see the very loud thud.
5. Patient waving an IV pole above head and threatening any staff that comes nearby. And security asking why you paged them for help
6. Traumatic injuries that include object still in patient, either sliced through or holding vital organs in place
7. In Pacu, eviscerated abdominal contents when you lift the sheet.
8. Also in Pacu, femoral sheath pops – and an enormous hematoma develops the size of a football within seconds before you can apply pressure
9. When the patient extubates themselves, or tracheostomy pops out – even worse when an intrepid intern pops the trach back in a major subcutaneous emphysema develops.
10. Observing a nurse/nurses aid glance up at call bell light and look away. Apathy is the scariest of all

Numbers 3, 4, 5, 6, 9 (without the intern intervention. Changed trachs doing home care pts. ), 10; all in a ‘day-in-the-life’ of a nurse.

Number 10 is scary.

”

- IdleDancer: Nursing: 10 OF THE SCARIEST THINGS SEEN IN A HOSPITAL

Yesterday, I looked at the…I guess that it’s the...

Mon, 11 Mar 2013 09:08:42 -0700

Yesterday, I looked at the…I guess that it’s the statistics for this and found out that I had 100 followers. Which is a bit of a shock, because I hadn’t been thinking of that aspect of it.

But now I feel kind of

Thank you for making my Monday.

Or, give that combination.

Sat, 02 Mar 2013 12:10:00 -0800

Or, give that combination.

That would be just before a lot of shifts (or classes).

Sat, 23 Feb 2013 11:48:14 -0800

That would be just before a lot of shifts (or classes).

Your Cellphone and Wireless Medicine; Changes in the Future

Sun, 17 Feb 2013 14:12:00 -0800

Your Cellphone and Wireless Medicine; Changes in the Future:

Dr. Eric Topol describes how your cellphone has the potential to become:

an ECG,
sonogram,
glucose meter,
used for serum and urology analysis,
in conjunction with nano sensors indicating damage to artery linings,
all of the monitors you’d encounter in an ICU on a wrist unit.

Then he describes how 1/3 of prescriptions are not effective (don’t get stated results, have too many side-effects and therefore need further intervention), mass screenings wasting money. AND…he says patients need to take ownership of their health.

Welcome to his view of medicine in the near future, how it will change the way it is delivered, and its focus.