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Dogen

Joined: 10 Jul 2006 Posts: 9280 Location: Bellingham, WA
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Posted: Fri Dec 28, 2012 8:13 pm Post subject: |
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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. _________________ "Worse comes to worst, my people come first, but my tribe lives on every country on earth. I’ll do anything to protect them from hurt, the human race is what I serve." - Baba Brinkman |
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Martian Kyo

Joined: 12 Jul 2006 Posts: 1447
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Posted: Sat Dec 29, 2012 3:41 pm Post subject: |
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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. _________________ Tsosm! Dog and travel. Technology and fashion. |
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sporko

Joined: 09 Jul 2006 Posts: 2806
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Posted: Sat Dec 29, 2012 3:51 pm Post subject: |
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| 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: 9860 Location: Baltimore, Maryla*gunshot*
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Posted: Mon Dec 31, 2012 11:24 am Post subject: |
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| 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. _________________ I have a face, with a mustache.
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Dogen

Joined: 10 Jul 2006 Posts: 9280 Location: Bellingham, WA
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Posted: Mon Dec 31, 2012 7:17 pm Post subject: |
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| 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. _________________ "Worse comes to worst, my people come first, but my tribe lives on every country on earth. I’ll do anything to protect them from hurt, the human race is what I serve." - Baba Brinkman |
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eureka00

Joined: 09 Jul 2006 Posts: 1775 Location: Pretzel City
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Posted: Mon Dec 31, 2012 8:17 pm Post subject: |
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| 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.  _________________ Eureka00: "Reminding you of your addictions" since 1982.
*Resident Anime Goddess*
Proud owner of Calisrue. |
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Heretical Rants

Joined: 21 Jul 2009 Posts: 3036
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Posted: Tue Jan 01, 2013 1:04 am Post subject: |
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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. _________________ butts |
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mouse

Joined: 10 Jul 2006 Posts: 15441 Location: under the bed
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Posted: Tue Jan 01, 2013 7:35 am Post subject: |
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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. _________________ aka: neverscared! |
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Martian Kyo

Joined: 12 Jul 2006 Posts: 1447
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Posted: Tue Jan 01, 2013 10:35 am Post subject: |
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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. _________________ Tsosm! Dog and travel. Technology and fashion. |
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Usagi Miyamoto

Joined: 09 Jul 2006 Posts: 2165 Location: wish you were here
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Posted: Tue Jan 01, 2013 12:16 pm Post subject: |
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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. _________________ The reward for a good life is a good life. |
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Mr Gary

Joined: 30 Apr 2009 Posts: 6163 Location: Some pub in England
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Posted: Tue Jan 01, 2013 12:31 pm Post subject: |
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I'm so sorry Martian. _________________
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Snorri

Joined: 09 Jul 2006 Posts: 10704 Location: hiding the decline.
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Posted: Tue Jan 01, 2013 9:13 pm Post subject: |
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that's rough martian, my condolences. _________________
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Martian Kyo

Joined: 12 Jul 2006 Posts: 1447
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Posted: Tue Jan 01, 2013 10:45 pm Post subject: |
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Usagi, some of the funnier memories are of those when arguing with her.
Thanks guys! _________________ Tsosm! Dog and travel. Technology and fashion. |
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ShadowCell

Joined: 03 Aug 2008 Posts: 5249 Location: California
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Posted: Tue Jan 01, 2013 11:06 pm Post subject: |
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| sorry to hear that, martian :c |
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Vox Raucus

Joined: 31 Oct 2007 Posts: 1213 Location: At the Hundredth Meridian
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Posted: Wed Jan 02, 2013 12:46 am Post subject: |
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Condolences, Martian. It's always rough to lose a loved one. _________________ I come from Downtown, born ready for you / Armed with skill and determination / And grace, too |
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