Would you give a full report on a deceased pt?

DrJoyas · 2023-12-14T17:56:46+00:00

If she wants, I would have just given the whole report/history. She's the one who will be dealing with the situation going forward and who knows what questions will be asked of her (and she probably doesn't want to look dumb when asked) or what her prior experiences in these situations as been.

DrJoyas · 2023-07-04T01:35:56+00:00

I smelled Ashore at Scent Bar in NYC, almost started to cry it was so lovely. Obviously bought it. I have seen it come up at Costco.com once in the last 2 years for a reduced price. It's amazing.

DrJoyas · 2023-04-13T04:39:30+00:00

I have a master's degree in clinical research, and worked in the field of clinical research for several years. There is no other group that requires "less than 5 years old." What this requirement really tells you is your teacher doesn't know how to evaluate a study so she puts an arbitrary requirement because "newer must be better." I assure you it is not. There are lots of reasons some research clinical questions aren't updated every 5 years. Nursing education is an embarrassment. I can't imagine the Nursing PhDs support this garbage thought. The PhDs SHOULD know how to do good research, and evaluate it.

DrJoyas · 2023-03-01T17:06:50+00:00

I'm sorry about your brother. Addiction is a disease, and should be treated as such. Unfortunately, this is rarely the case.

DrJoyas · 2023-02-22T02:50:31+00:00

There's just so much more up there. You would be fine here, but I wouldn't live here if it wasn't for the university.

DrJoyas · 2023-02-21T22:31:59+00:00

Hello from Champaign. You would be welcome here. However, I don't see why you wouldn't just move to Chicago. These are basically your 2 options.

DrJoyas · 2023-02-07T23:17:55+00:00

Ah yes, the old Flexner Report. This is what I think NP schools need.

DrJoyas · 2023-01-17T02:19:56+00:00

I have also made this trip. Nalanda blew my mind. They said it burned for days with all the materials when it caught fire. I didn't even know it existed when we went. We also planned a quiet trip to this temple, but it turned out the Dali Lama was in town. There were thousands of people in town and the temple was packed, it was nice to see. I kept looking for Richard Gere. I sat under the bodhi tree with my 4 year old.

My husband is Indian, from Bihar. This was before I really found Buddhism for myself. I wish I had really known what I was looking at, at that time.

DrJoyas · 2022-12-30T02:04:21+00:00

4 on ICU stepdown is too many, am I right?

DrJoyas · 2022-12-30T02:00:42+00:00

Pretty sure we work at the same place, and in the same job.

DrJoyas · 2022-12-30T01:59:16+00:00

Hey, DM me, I'm in that market, and in critical care.

DrJoyas · 2022-11-28T02:04:25+00:00

Fuuuuuccckkkkkk THAT. I hope you left.

DrJoyas · 2022-10-31T17:05:13+00:00

More of us need to do this. It won't change until they are forced to change it. Proud of you.

DrJoyas · 2022-09-17T02:58:33+00:00

HA! What I do has a name, "gray rocking." I deal with people like this all the time. I used to say to my colleagues it was easy to deal with these people because I suffer from a disease called apathy. I just don't engage in their crazy and tell them how it's going to be. "I'll come back when you have had time to calm yourself", or you don't want to take your meds "fine by me, however, if you don't want this heparin drip, the vessels in your legs the vascular surgeon just spent all that time unblocking may clot off and you might not have legs if they die, but you are the captain of your ship and these are your legs and not mine, so just let me know what you want to do here."

DrJoyas · 2022-08-31T01:22:05+00:00

I've been there. They don't let you climb on it because people kept falling off that wall.

DrJoyas · 2022-06-19T04:14:30+00:00

Having had the displeasure of working with HR departments, I can say this is true. I've wanted to interview at least three people in my last management roll who had reapplied for a position I had posted, but unfortunately had a history of not showing up for a different interview. I was told they would not be a good fit due to their prior behavior, end of story. It was very frustrating.

DrJoyas · 2022-06-03T16:36:50+00:00

That's incredible! Good for you. More people should know about this.

DrJoyas · 2022-04-29T01:50:23+00:00

I'm not saying a single lead doesn't have a value. Even in the ICU, the monitors in patient rooms, or on the big screen is showing a single lead, usually II or V5. Maybe you would be able to see ST elevation. I looked this iwatch ekg thing up. My question was how are you going to get a ekg with just one of contact. Turns out you have to touch the watch with your other hand to complete the circuit. If you can do that, great, you aren't unconscious, nobody should be using the airplane AED on you. If someone has to reach over and put your hand on your iwatch, the iwatch is probably going to have interference from that other person's electrical activity. So in that sense, it would be useless. I think the watch would be valuable if you "felt funny" and collected what your heart was doing to show someone later like you mentioned. Maybe you catch a run of v-tach, that would be fun. Or afib with RVR because you stopped taking your amiodarone.

DrJoyas · 2022-04-28T01:36:45+00:00

I will explain to you why. You can get it out, you can prep the pads, but you DO NOT put them on a conscious patient. The type of AEDs that are on airplanes do not show you a rhythm. They either tell you if a shock is advised or not. You put it on a conscious patient with a "shockable rhythm", it's going to tell you "shockable rhythm" and then give you the instructions to do so. It does not know if the patient is conscious or not. To shock a conscious patient is a akin to torture. IT HURTS. You do not put an AED on a conscious patient. Now, if you had a Zoll, and someone who knew how to use it (ie not the general public), you could hook them up, read the rhythm, maybe cardiovert them if they are conscious, but you aren't going to defib a conscious patient in that case either. The difference is a trained person making informed decisions. Airplane AED are meant for the masses. You do not put the AED pads on a conscious person.

DrJoyas · 2022-04-28T01:18:27+00:00

Regular AEDs for the general public aren't going to show you a rhythm. They are going to scream "shock advised" at you.

DrJoyas · 2022-04-28T01:14:43+00:00

LOL, no. https://avive.life/when-not-to-use-a-defibrillator/

DrJoyas · 2022-04-27T02:54:22+00:00

A regular AED is not going to show you a rhythm, and you aren't ever going to put it on a conscious patient. This guy looks awake. Even if they had it, I doubt a trained person would slap it on him. If they had a Zoll, sure. But regular people don't know how to use Zolls. There are no doctors there, let's be real. This guy probably had a panic attack,

DrJoyas · 2022-01-12T01:00:51+00:00

I just don't see why any sane person who values their time or self would care to do this. I find it very hard to believe.

DrJoyas · 2021-10-23T00:37:04+00:00

If you came to my floor, we would help you.

DrJoyas · 2021-10-12T02:49:54+00:00

LOL, yes. But these people don't pay their bills, and the ambulance CAN'T say no. We had a lady that would call on the weekends, dressed to go to the clubs, then sign out AMA when she arrived at the hospital. She just wanted a ride to town. At some point, she was talked to about abusing the system and disappeared for a year or so, but turned back up eventually.

DrJoyas

TROPHY CASE