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Life's Horrors
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Dogen



Joined: 10 Jul 2006
Posts: 10954
Location: Bellingham, WA

PostPosted: Fri Dec 28, 2012 8:13 pm    Post subject: Reply with quote

A coworker came up to me and asked where I found some information I'd provided some of the nurses on a particular arrhythmia. I said, "The American Journal of Cardiology," she said, "No, where did you actually get it?" so I said, "Umm... online?" Apparently some of my coworkers "disagree" with the article and decided it was "wrong" because I found it "online."

As is my style, I offered a mea culpa, and to present any new, contradictory information to the nurses myself as soon as one of them presented me with an equivalently sourced, cited, peer-reviewed article on the same topic.

I don't know who "some of my coworkers" are (the one that brought it up wouldn't say - it may just be her), but I'm having trouble not thinking of them as a bunch of idiots.
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Martian Kyo



Joined: 12 Jul 2006
Posts: 1534

PostPosted: Sat Dec 29, 2012 3:41 pm    Post subject: Reply with quote

My grandmother is dying (she's got intestinal cancer and recently broken her hip), the doctor said that it can happen any time.

It feels so....empty....not being able to do anything but wait...can't console my mom, or my grandmother.

The most I can do is just sit next to my grandmother bed and hold her hand.

Outside there are car horns cause someone got married (it's a tradition here, to drive around city honk horns, when people get married) I get a call from a friend inviting me to new years party.
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sporko



Joined: 09 Jul 2006
Posts: 2894

PostPosted: Sat Dec 29, 2012 3:51 pm    Post subject: Reply with quote

Dogen wrote:
A coworker came up to me and asked where I found some information I'd provided some of the nurses on a particular arrhythmia. I said, "The American Journal of Cardiology," she said, "No, where did you actually get it?" so I said, "Umm... online?" Apparently some of my coworkers "disagree" with the article and decided it was "wrong" because I found it "online."

As is my style, I offered a mea culpa, and to present any new, contradictory information to the nurses myself as soon as one of them presented me with an equivalently sourced, cited, peer-reviewed article on the same topic.

I don't know who "some of my coworkers" are (the one that brought it up wouldn't say - it may just be her), but I'm having trouble not thinking of them as a bunch of idiots.


what was the info?

also i'm consistently surprised by the [low] level of knowledge people possess about arrhythmias, even on specific cardiac units. one nurse with 20+ years of experience was pushing for atropine for 3rd-degree heart block one night and made me question what i had learned (don't give it). it's a complicated subject, and accurately reading tele/ekg takes practice, but some people aren't motivated to learn beyond basic sinus/afib/vtach.
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DeD CHiKn



Joined: 04 Aug 2006
Posts: 10227
Location: Baltimore, Maryla*gunshot*

PostPosted: Mon Dec 31, 2012 11:24 am    Post subject: Reply with quote

Martian Kyo wrote:
My grandmother is dying (she's got intestinal cancer and recently broken her hip), the doctor said that it can happen any time.

It feels so....empty....not being able to do anything but wait...can't console my mom, or my grandmother.

The most I can do is just sit next to my grandmother bed and hold her hand.


Sorry to hear about it. You have my condolences.
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Dogen



Joined: 10 Jul 2006
Posts: 10954
Location: Bellingham, WA

PostPosted: Mon Dec 31, 2012 7:17 pm    Post subject: Reply with quote

sporko wrote:
what was the info?

also i'm consistently surprised by the [low] level of knowledge people possess about arrhythmias, even on specific cardiac units. one nurse with 20+ years of experience was pushing for atropine for 3rd-degree heart block one night and made me question what i had learned (don't give it). it's a complicated subject, and accurately reading tele/ekg takes practice, but some people aren't motivated to learn beyond basic sinus/afib/vtach.

I was schooling myself on re-entrant tachycardias, AVRT vs AVNRT. I passed on some stuff about the physiology and EKG signs of each. They disagreed with the signs.

Anyway, it's funny you should mention SR/AF/VT, because I had an ICU nurse tell me the only things they care about are, "too fast, too slow, fib or sinus?" Some of them also trust the EKG machines to tell them what the rhythm is. I can almost hear their eyes glaze over when I call to tell them their patient is in a junctional rhythm.
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eureka00



Joined: 09 Jul 2006
Posts: 2011
Location: Pretzel City

PostPosted: Mon Dec 31, 2012 8:17 pm    Post subject: Reply with quote

Martian Kyo wrote:
My grandmother is dying (she's got intestinal cancer and recently broken her hip), the doctor said that it can happen any time.

It feels so....empty....not being able to do anything but wait...can't console my mom, or my grandmother.

The most I can do is just sit next to my grandmother bed and hold her hand.

Outside there are car horns cause someone got married (it's a tradition here, to drive around city honk horns, when people get married) I get a call from a friend inviting me to new years party.


Sorry to hear about this. I sat next to my grandmother's bed and watched her die too. Sad
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Heretical Rants



Joined: 21 Jul 2009
Posts: 5344
Location: No.

PostPosted: Tue Jan 01, 2013 1:04 am    Post subject: Reply with quote

THE AMERICAN JOURNAL OF CARDIOLOGY IS NOT A RELIABLE SOURCE OF INFORMATION ON CARDIOLOGY, DOGEN. YOU CAN ONLY TRUST THE DESIGNATED MACHINES TO BE PROGRAMMED TO INDICATE WHAT THE PROBLEM IS.

DUUUHHH.
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mouse



Joined: 10 Jul 2006
Posts: 17600
Location: under the bed

PostPosted: Tue Jan 01, 2013 7:35 am    Post subject: Reply with quote

Sorry about your grandmother, Martian (can I call you Martian?). It's horrible that there is nothing to be done - but at least you can be there with her.
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Martian Kyo



Joined: 12 Jul 2006
Posts: 1534

PostPosted: Tue Jan 01, 2013 10:35 am    Post subject: Reply with quote

She passed away on Sunday, she was pretty much in comma from Saturday. While I never seen eye-to-eye with her, argued and disagreed with her a lot (around the most mundane things), however she was an energetic and active person that helped a lot of people.

When someone dies slowly and their final hours are spent in pain,once they die it's strange mix of feelings of sadness and relief that they don't suffer anymore.

Thanks for the sympathy guys.

And yes you may call me Martian.
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Usagi Miyamoto



Joined: 09 Jul 2006
Posts: 2230
Location: wish you were here

PostPosted: Tue Jan 01, 2013 12:16 pm    Post subject: Reply with quote

My condolences, Martian. I hope you will remember the good things about your grandmother who loved you, and you will learn to laugh about the petty disagreements.

I realized at my grandmother's funeral last year that it might be the last time that I'd see some of my extended family members - there might be no more occasions to bring us together. I made an effort to speak with many of them, and enjoyed our time together, in the few hours we had. The older you get, the more you appreciate the grounding effect of the people who knew you when you were small, who knew your parents as children, who remember the family stories.

In the coming days, you may meet people who knew your grandmother long ago. Take the opportunity to ask them about her, and what she was like when she was young, or the interesting things that she did. You will be glad you asked.
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Mr Gary



Joined: 30 Apr 2009
Posts: 6316
Location: Some pub in England

PostPosted: Tue Jan 01, 2013 12:31 pm    Post subject: Reply with quote

I'm so sorry Martian.
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Snorri



Joined: 09 Jul 2006
Posts: 10878
Location: hiding the decline.

PostPosted: Tue Jan 01, 2013 9:13 pm    Post subject: Reply with quote

that's rough martian, my condolences.
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Martian Kyo



Joined: 12 Jul 2006
Posts: 1534

PostPosted: Tue Jan 01, 2013 10:45 pm    Post subject: Reply with quote

Usagi, some of the funnier memories are of those when arguing with her.

Thanks guys!
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ShadowCell



Joined: 03 Aug 2008
Posts: 6185
Location: California

PostPosted: Tue Jan 01, 2013 11:06 pm    Post subject: Reply with quote

sorry to hear that, martian :c
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Vox Raucus



Joined: 31 Oct 2007
Posts: 1266
Location: At the Hundredth Meridian

PostPosted: Wed Jan 02, 2013 12:46 am    Post subject: Reply with quote

Condolences, Martian. It's always rough to lose a loved one.
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