My Strong Medicine

The adventures of a male nurse navigating through life, staying fit, surviving the journey.

Archive for August, 2011

Nurses and interns

Posted by Sean on August 7, 2011

This was an eloquent but viciously accurate list of things for interns to ‘not’ do when interacting with the nursing staff. Kudos to “Albinoblackbear” (She is a nurse turned medical student who blogs at Asystole is the Most Stable Rhythm).

One of my readers astutely pointed out in the comments section of my blog that “nurses will make your life a living hell” if you treat them badly. Some will make your life a living hell, no matter what. As in every profession, there are nurses with a chip on the shoulder, as well as those who are simply counting down to retirement. But for the most part, nurses want to work with you not eat you.

Some of my suggestions probably appear ridiculously obvious, but I wouldn’t have been prompted to write these pieces if I hadn’t observed the examples below.

Here are some things to avoid:

1. “That is not my job” or ”I’ll get the nurse to do it” are two phrases that can be heard by a nurse ears even if she were standing next to a jet plane at take off.

….

2. If a nurse is asking you a question about something, don’t blow her off with a patronizing answer or assume that they are questioning your care.

….

3. Messy handwriting is dangerous. Stop it. Many places are switching to computerized orders which definitely have advantages, one being that RN’s no longer will have to add ‘expert handwriting decipherer’ to their list of skills.

…..

Improving the relationship between intern and nurse | KevinMD

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What to do when your diet food choices are nauseating?

Posted by Sean on August 7, 2011

I know that the scientific literature (if we distill it and perhaps oversimplify it a bit) seems to suggest that there may be a short-term advantage to high-protein diets in terms of weight loss, but that this advantage fades after a year. Yet almost every trainer and athlete I’ve encountered keeps telling me that the only way to get “really lean” is to eat unimaginable amounts of protein, avoid refined carbs, dramatically limit the complex carbs, and dial down the fat intake. Essentially, I must be reduced to swilling test tubes of orange-soy “albumin.”

When I strenuously protested the diet plan presented to me by my trainer, she simply said, “If you care what food tastes like then you’re not serious about losing fat.”

“Well how long do I need to consume 50% of my calories as protein?” I asked meekly, assuming that there would be an end point in sight.

“As long as you can,” my trainer said matter-of-factly.

“So… For the rest of my life?!” I said, gasping with eyes wide open, visions of my beloved oatmeal, bran cereal, and whole wheat bread being permanently barred from my pantry.

“Maybe.”

OK folks.

Head on over to the original blog post and please leave your insights for Dr. Val Jones.

She seems to be struggling a bit. Sound to me like this diet is more of a personal choice to better her fitness level than for health concerns.

Can you give her any additional thoughts on this diet that seems to be a fast-track to failure-ville for her?

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Well hello blog spammers…

Posted by Sean on August 7, 2011

image

It seems that the spammers found me again.

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Canned Tuna Taste Test

Posted by Sean on August 7, 2011

A lot of us grew up with Mom’s tuna noodle casserole or brown bag tuna salad sandwiches for school lunch. Some would say canned tuna is as American as apple pie, but the first tuna fish was actually canned as a replacement for the more popular sardine during a shortage in 1903. What started as a temporary substitution has become a national habit; Americans consume almost 1 billion pounds of the stuff per year. If you follow the news, you probably know that canned tuna has become problematic over the past few years because of overfishing concerns and rising mercury levels. But a can of tuna remains a pantry staple in most American homes and provides for a number of quick meal options. So this week, the BA staff blindly tasted nine different brands of canned tuna, including albacore, yellowfin, and tongol varieties packed in both water and oil, and we picked our favorites. At the same time, nutritionist Marissa Lippert broke down the ingredient information, deciding on which brands are best for you.

“#2 StarKist Chunk Light Tuna in Water

Nutrition: One serving (2 oz) = 80 calories, 0.5g total fat, 0g saturated fat, 0g trans fat, 35mg cholesterol, 300mg sodium, 1g carbs, 0g sugars, 18g protein.

Ingredients: Light Tuna, Water, Vegetable Broth, Salt.

Cost: $2.99 from Fairway market in New York City.

Blind Tasting Notes: “Fresh tasting”; “Good, not too salty”; “Kind of fishy”; “Pretty good”.”

I buy this brand weekly. Pretty cool it came in #2 on the taste test.

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Happy Birthday Lucy. We Still Love You

Posted by Sean on August 6, 2011

I’ve been seeing a lot of posts today about the legendary Lucille Ball. Today she would have turned 100!

I had to share this clip.. it was one of my favorites.

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An open letter to hospital administration

Posted by Sean on August 6, 2011

Another blog I posted over at Scrubs concerning Hospital Admin.

It’s not always about the money

Here is an open letter to any and all hospital administration who cares to listen.

Dear Administration Team:

We nurses understand the importance of Press Ganey, HCAHPS, patient safety initiatives and fiscal responsibility. The business of health care has become more cut-throat than ever before. But, somewhere along the way the lines became blurred and you forgot that the business of taking care of others cannot be accomplished unless you take care of those whom take care of you.

I won’t insult your intelligence, so you are probably aware that a fine balance between recruitment and retention is paramount to the success of any company. We all know that it takes more resources and deeper purse pockets to hire and train employees, than it does to retain those whom already have shown some allegiance and loyalty. Anyone and everyone’s ‘system’ can be bled dry by a high turnover rate percentage.

I thought I might suggest ways to increase your retention and quite possibly eliminate this system exsanguination:

  • Learn how to give more positive feedback. We always hear negative.
  • Stop finding the time to point out what we are NOT doing, and find the time to thank us for the job we ARE doing – EVERYDAY.
  • While a pat on the back is fine and dandy, how about a lil more tangible feedback for your appreciation? We all love a free meal now and then.
  • Stop micromanaging – please.
  • Adopt and enforce ‘The No Asshole Rule‘. This includes ANYONE with a G.O.D complex (no matter what their credentials say).
  • All work and no play makes Jack and Jill very dull boys and girls. Ever heard the saying ” A family that plays together stays together?” – ‘Nuff said.
  • Just because it looks good on paper, does not mean it will work well at the bedside.
  • When an employee makes the extra effort, or goes the extra mile, – find a way to give them an extra-ordinary thank you.

There is no predicting why or when someone chooses to leave. I guess we all fall prey to the possibility of greener pastures. If any of the above suggestions are followed, we most certainly would already be standing on the correct side of the fence.

I don’t think anyone can find their true dream job, because quite honestly everyone’s dreams continue to evolve.

Please keep in mind, that while we often feel we never get paid enough – our choice to pursue this career was never about the money. It’s not just a job for many of us, it’s a lifestyle.

Sincerely,

A Nurse

It’s not always about the money | Scrubs Magazine

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Be Careful What You Win…

Posted by Sean on August 6, 2011

Regulars to this space know I am rarely at a loss for words. But honestly, there’s not much to say here except that this video, chronicling the Opelika, Ala., police department’s efforts to lure suspects wanted for unpaid child support into custody with the promise of free Alabama-Auburn football tickets, goes from mildly humorous to mildly disturbing — and then to very disturbing — with unprecedented speed:

http://vp.mgnetwork.net/viewer.swf?u=d3e405780b85102fb207001ec92a4a0d&z=OAN&embed_player=1

OK, the ruse I get: Rare is the opportunity for authorities to have a wanted suspect walk right into their office. I even kind of get the presence of the local news cameras, in a documentary sense — see “COPS” or “To Catch a Predator” or any of those other cheap thrill shows where the cameras are just along for the ride. Voyeurism, I understand.

But why on earth did the local news actually agree to participate in the ruse? “A police sting involving routine, nonviolent offenders? Yeah, our reporting team really wants to play an integral role in making that happen.” Really? The next time Channel 3 sticks its microphone in some random citizen’s face, forgive him if he spends the entire interview looking over his shoulder for black vans.

As quick and dirty entertainment, though … well, there it is. “Nearly a dozen” people were arrested in this fashion last Friday, according to the Opelika-Auburn News, which doesn’t have much else to add to the story, either. What else is there? Alleged deadbeats love the Iron Bowl, too, and they’re paying dearly for it.

- – -

Aside from the disturbing nature of this video… the concept seemed quite familiar?
I believe I saw this very concept depicted in an episode of the new ‘Hawaii-five-o’.

….

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Better Facebook Browser Extension continues to rock!

Posted by Sean on August 5, 2011

Media_httpbetterfaceb_bibha

For some reason my Facebook news feed is littered the the “You know you were born/grew up in (insert city/town)…” posts from just about every walk of life.
Apparently this new ‘where you grew up’ theme has become popular and everyone is monopolizing on it.
Thanks to this Firefox extension this and countless other annoyances disappear with the greatest of ease.

Ahh…

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Electronic Devices During an Airplane Flight

Posted by Sean on August 5, 2011

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HAH!

Too funny.

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It costs too much to eat healthy??

Posted by Sean on August 4, 2011

A healthy diet is expensive and could make it difficult for Americans to meet new U.S. nutritional guidelines, according to a study published Thursday that says the government should do more to help consumers eat healthier.

An update of what used to be known as a food pyramid in 2010 had called on Americans to eat more foods containing potassium, dietary fiber, vitamin D and calcium. But if they did that, the study authors said, they would add hundreds more dollars to their annual grocery bill.

OK. So now this will be the latest excuse as to why America is fatter, sicker, and more obese?
“It costs too much to eat healthy”…..

Really??!!

*sigh*

I may not have the research to prove it, but I’m willing to believe that the money you spend on that ‘expensive’ healthier choiced food is A WHOLE LOT LESS EXPENSIVE than the amount of money you cost the system every time you have to purchase a prescription medication, schedule a doctor’s appointment, have a diagnostic exam performed (blood work, X-ray, CT, MRI, Echocardiogram, etc.), take scheduled time off of work, and the numerous days you may call off for every debilitating disease you acquired and will eventually acquire as a result of not taking care of yourself (Diabetes, Hypertension, Hypercholesterolemia, etc)

Any questions?

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