My Strong Medicine

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

Archive for September, 2011

The real reason we nurses get bitter

Posted by Sean on September 17, 2011

Shrtstormtrooper shares a story over at New Nurse Insanity (link below) that encapsulates why we nurses develop short fuses. Fuses that lead to burnout, angst, anger and all kinds of negativity. Sometimes (some) nurses really need to check themselves before ‘reporting’ a fellow ‘fighter’ to their supervisor. Walk just a few steps in another co-workers shoes.. you might think twice about reporting someone for something you yourself probably forget or miss just as much, if not more than most nurses!

A high five to Shrtstormtrooper.

Priorities, seriously

So I got called into the Boss Man’s office this morning, because the floor wrote me up and he wanted to address the issue.
At this point, my feet hurt, I haven’t peed yet tonight, I didn’t get to eat anything, I have blood on my scrub pants…..

I have poop on my scrub pants…

I haven’t finished charting on that last arterial bleeder that came in….

and my coffee from 7pm is still sitting full on the counter next to my computer. It’s been a rough night.

 

I got written up because, in all the madness, I missed a skin tear on this patient. One skin tear, out of many. And actually, it wasn’t my patient to begin with,

New Nurse Insanity: The Adolescent Years | Priorities, seriously

Follow the link above to read the whole story. Be sure to leave a comment for her, let her know she’s not alone!

Posted in health, opinion | Tagged: , | Leave a Comment »

Dr. Oz doesn’t have the juice

Posted by Sean on September 16, 2011

Mehmet Oz, MD, the Columbia University thoracic surgeon who gained fame first in books and more recently with his syndicated television show, has run afoul of the Food and Drug Administration with his report about levels of arsenic in popular brands of apple juice.

The FDA called the report “irresponsible and misleading” and another TV doc, ABC’s Richard Besser, MD, accused Oz of fear-mongering.

In a recent episode of The Dr. Oz Show, Oz reported that five brands of apple juice — Minute Maid, Apple & Eve, Mott’s, Juicy Juice, and Gerber — all contained some level of arsenic and suggested that this was a cause for concern.

The show used an independent laboratory, EMSL Analytical, to test dozens of samples from three U.S. cities to compare the level of arsenic in the juices to the Environmental Protection Agency’s safe standard for drinking water, less than 10 parts per billion.

At least one sample for four of the five brands — excluding Minute Maid — came in above that threshold. The highest level measured was in Gerber apple juice, at 36 ppb.

The segment earned a stiff rebuke from representatives of government, industry, and academia for causing unnecessary alarm, even before it aired.

The criticism centered primarily on Oz’s testing methods, which provided a level of total arsenic in the juices. The results do not provide a breakdown of the levels of the two forms of arsenic — organic and inorganic.

In heated confrontation aired on ABC’s Good Morning America, Besser not only blasted reporting of only the total arsenic numbers but also charged that relying on a single lab to test for arsenic fell far short of scientific standards. Oz, however, refused to back down and maintained that he acted responsibly.

According to the FDA, arsenic is found in the environment in both forms, either as a result of natural processes or the result of contamination from human activities. In the U.S., some pesticides used up until 1970 contained arsenic.

The organic form of arsenic is “essentially harmless,” according to the FDA. The inorganic form can cause problems at high levels or with a long period of exposure.

In a letter sent to The Dr. Oz Show before the segment aired, Don Zink, PhD, senior science adviser in the FDA’s Center for Food Safety and Applied Nutrition, wrote, “The FDA believes that it would be irresponsible and misleading for The Dr. Oz Show to suggest that apple juice contains unsafe amounts of arsenic based solely on tests for total arsenic.”

The FDA said it has been testing for arsenic in apple juice for several years. The juice is first screened with a test for total arsenic because it is rapid, accurate, and cost-effective, according to Zink. Only when the total level of arsenic is greater than 23 ppb does the agency employ the more complex inorganic arsenic test.

“The vast majority of samples we have tested for total arsenic have less than 23 ppb,” Zink noted.

In a second letter to the show, Zink informed the producers that the FDA had performed its own testing on samples of apple juice from the same lot that yielded the highest level of arsenic in Dr. Oz’s investigation. All of the results ranged from 2 ppb to 6 ppb.

“In short,” Zink wrote, “the results of the tests cited above do not indicate that apple juice contains unsafe amounts of arsenic.”

In an email to ABC News and MedPage Today, Aaron Barchowsky, PhD, a professor in the department of environmental and occupational health at the University of Pittsburgh, said that he agrees with the FDA’s conclusion.

“It is the inorganic form of arsenic in the environment that is toxic, and measuring total arsenic is not informative,” he wrote. “I support the comments by the FDA and agree that the Oz show analysis is incomplete and probably misleading.”

On its website, the FDA said that it has a standard for an unsafe level of arsenic in water but not in apple juice for two main reasons — the consumption of water is much greater and most of the arsenic in water is the unsafe inorganic form, whereas in fruit juice, most of the arsenic is the organic form.

Henry Miller, MD, a fellow at the Hoover Institution at Stanford University and formerly the founding director of the FDA’s Office of Biotechnology, criticized Oz for failing to provide evidence that the levels of arsenic found in the apple juice were dangerous.

“Unless there is evidence that a substance is present at sufficient exposures and levels to cause harm, warnings about its presence in food (or in our bodies, for that matter) is irresponsible alarmism,” he wrote in an email. “This is the same sort of rubbish peddled by radical environmental activist organizations about pesticides.”

This article was developed in collaboration with ABC News.

It’s about time someone put this sensationalist in his place and knocked him off his media-drive pedestal.

*hmph*

As you can tell I have never been a fan of him. Not on the infamous ‘O’ show and not with his own TV show. I cannot agree with his ‘fear-mongering’ (great definition by the way) either. I have a hard time understanding how a thoracic surgeon can portray such a transparently misleading TV show medical ‘expert’.

He is doing everyone in the health care community a disservice by making it our jobs now to support or defend all of his notions to our patients.
I cannot tell you how much I tire of the repeated response of, “Well… Dr. Oz says…..”

*grr*

Posted in random | 1 Comment »

Just a Little Heart Attack

Posted by Sean on September 15, 2011

I think this is awesome. While it of course is using humor as the medium, it pinpoints the very REAL problem of most women not fully understanding what the signs of a heart attack are.
And even when they do (and this goes for men & women), they continue to deny their symptoms or write them off as ‘not happening’ or ‘not important’.

Take care of yourselves out there, and do you part to help take care of the ones you love by spreading the word.

Oh – and it having Elizabeth Banks in the video was sooo not a bad thing.

Posted in random | Leave a Comment »

Appreciate the gifts you are given. Life IS tougher for others.

Posted by Sean on September 15, 2011

I think I need to say this over and over again. Appreciate the gifts you are given.

Posted in random | Leave a Comment »

10 years later–I Still Don’t Have Bad Days Anymore : Happy Re-Birthday To Me

Posted by Sean on September 15, 2011

For those of you who have been around me for the past couple years have already heard this story, but I re-post it every year for cathartic reasons. So I apologize if you’re reading this again.
It’s now been an entire decade my life changed (for the better).
The scar (on my skin) has healed well, it’s almost barely visible. The emotional ‘scar’ is ever-present and continues to be the defining gift of my life. I no longer have bad days – only bad moments that are temporary. I only need to touch my neck to be reminded what a bad day REALLY is.
I want to thank everyone for being a part of my world. Life truly is fleeting.

And I want to especially thank my beautiful wife for being my angel every single day of my life. She truly makes my life full and complete. Without her I would not be the person I am today, and without her I would not be nearly as happy.

She understands how important this day is to me, and each year she still makes it special in her own unique way. I want everyone to know how lucky I am, and how truly special she is to me. Thank you Angel.

Happy Re-Birthday To Me

Originally posted by Sean on September 19, 2008

This time of the year always has a special place in most of America’s hearts. September 11, 2001 is a date none of us will soon forget. It changed the face of our nation and impacted our world in a way none of us could have ever imagined. Emily (crzegrl) shared here views of how it impacted her.

At the risk of diminishing or making that day any less than it really was. This time of the year has a very different meaning for me. I do remember September 11th. I do remember what I was doing that day. I do remember how I felt and how the world around me changed. But it’s not what is in the forefront of my mind.

September 15, 2001

My Re-Birthday.

It’s been 7 years.

It was a Saturday. (Yes I remember it that well)

There was a time in my life when I was not active in healthcare (It was a short time). I had stepped away from the healthcare setting and returned to my career in retail. Retail had helped pay my way through college, and then it was the way to put food on the table after college was over. My career in healthcare wasn’t paying the bills, and retail was a better option (at the time).

It was a typical Saturday night. I was one of the midnight managers on duty. Part of my responsibility as a manager was to hold the night-shift meeting with the over-night employees.

This particular night we decided to have an open forum concerning the difficulties people may or may not be having with the current state of affairs. The terrorists attacks were affecting everyone, and we wanted to let our employees know we cared.


I can’t say I remember how it happened.

I can’t say I was prepared for it.

It happened in time ‘slices’.


I was talking with the over-night group of employees. It was me in front of approximately 20 others. Half-way through the meeting and in mid-sentence I can vaguely remember an ‘itching’ or ‘biting’ feeling on my neck.

….??

It wasn’t anything out the ordinary. I chalked it up to one of the bodily aches or pains I have no explanation for. (Like when I get a shooting pain in my finger that comes a goes in a matter of 7 seconds)

It got more quiet. It was like I could only hear the fans of the air conditioning running. I guess the only way to explain it… is things seemed to slow down.. immensely. Like the slo-mo option on a VCR/DVD player.

I don’t know what happened next. Or should I say I don’t know which came first. The banshee-like shrieking screams or the shadow of a person coming out of my left peripheral vision. All I know is that it was a startling moment.

The Scream.

The Shadow.

And I reflexively look to my left.

I remember saying to my self, "Hmm, why is Jane (we’ll call her Jane for identity purposes) standing so close to me. She should be sitting out in the crowd with the rest of the group."

She’s now advancing towards me. "What is she doing?"

Her left arm is raised in the air. I think she’s going to take a swing at me. So out of reflex, I block her left arm. I block her arm with my R arm and grab her swinging arm with my L hand. Then I grasp her swinging arm with both hands.

I can’t quite figure out why she’s trying to hit me?

Another handful of screams.

Through the tussle and wrestling of her arm I realize my hand is full of blood??? In fact I have blood on both my hands?

"OK. Who’s blood is this?", I blurt out with a sense of sarcasm.

… ??

More screams.

… ??

Wait a minute.

What’s that in Jane’s hand?

Is that..?

No way.

Wholly SH#T. Jane has a knife in her hand.

"The blood is YOURS! She cut your throat. Your bleeding from your neck!!!!!!", a voice from the crowd cries out hysterically.

Now, I’m no idiot. I know the inner workings of the human body. I’m pretty well versed in what anatomical structures are located in the neck.

I know I’m still breathing. I’m not chocking. Not having any trouble moving air.

???

At the same time Jane is tackled by a single employee from behind. Then another, then another. And then more. It takes close to 5 people to get her down.

I put my hand on my neck.. and sure enough … nothing but blood.



Yep. It’s a true story. I was attacked from behind with a swiss army knife by an employee of mine, in front of approximately 20 people. She sliced my neck almost from ear to ear.

Here are the finer points of the story:

- she used a very dull and old swiss army knife

- she did not use the blade side of the knife and drag it across my neck to cut me. She used the knife in a stabbing motion and scraped the tip of the knife across the length of my neck

- she never spent a night in jail. She had a psychiatric evaluation. Her medications were adjusted. And that’s the last thing I was told (Please don’t ask.. I don’t know what the heck happen concerning her lawful conviction)

- Yes, I have a Keloid scar that has taken 7 yrs to slowly diminish on my neck. (The intent of the ED physician was to use the smallest/thinnest suture possible so to NOT leave a scar, and it did the exact opposite)

-The only entertaining piece of all this was that when the 911 call was made. All the EMS arrived expecting to see a decapitated man. And I mean ALL of the EMS. For the small town I was in, I think I counted 4 Ambulances and 6 marked Police and 2 unmarked Police cars.


There isn’t a day that goes by that I don’t think about that day. It changed my life. We always whine and complain about some of the most ridiculous things in life that seem so very important at the time. Everything from being late for work, being stuck in traffic, having to wait in line in the grocery store, having a poor wait staff wait on you at the restaurant, or having to sit in coach for a 4hr flight… the list is endless. Everyone hates having a bad day.

I touched on my theory about life and how bad your day really was here.

I’m not perfect. I do have stress in my life. I do have those ‘Pull out your hair’ moments and those "all i wanna do is scream" moments. But I’m always grounded and reminded by my profession and by my past that maybe you and/or I not having THAT bad of a day.

September 15th is my Re-Birthday. I was given a second chance at life. For some strange reason, I survived that incident. I will never know why. I questioned it for a long time, and never got the answer I wanted until I realized there was no answer. I’m here. I’m staying here. I’m not going anywhere. And while I’m here, I’m making the most of my stay.

Here’s what scares me sometimes when I think about my attack.

As an employee for the retail store I worked for, each employee is issued a box cutter. The only reason I’m still here is because Jane had bad aim, and a dull swiss army knife.

What if she would have used the box cutter instead of her swiss army knife?

Nope.

I don’t have bad days anymore.

Carpe Diem

Happy Re-Birthday To Me « My Strong Medicine

Posted in random, words of wisdom | Tagged: , | Leave a Comment »

The G.O.D. Complex

Posted by Sean on September 15, 2011

Media_httpcdnsvcsc2uc_miage

I’m chuckling, but please keep in mind this is not isolated to just the physicians.

Posted in random | 2 Comments »

A Marine is awarded the Medal of Honor

Posted by Sean on September 15, 2011

As a former Marine I often wonder how many of us realize how very few Medal of Honor awards have been bestowed upon a Marine? I like to think it’s because all Marine’s carry a high level of duty to others, and while Sgt. Meyer’s actions are honorable are far from unique to those band of brothers.

Thank you Sergeant, and a humble congratulations. I am sure your fellow brothers are equally thankful and proud.

Medal of Honor recipient highlights Marine’s valor as well as risks US troops faced under controversial rules of engagement

On Thursday, President Obama will award the Medal of Honor to Marine Sgt. Dakota Meyer.

Meyer will become the third living recipient–and first Marine–to be awarded the Medal of Honor for actions in Iraq or Afghanistan, the White House said. He is also the first living former Marine to receive the highest U.S. military honor since the Vietnam war, a Marine Corps press officer told The Envoy Wednesday.

The heroic conduct Meyer displayed in retrieving the bodies of four fellow Marines killed in battle occurred during a September 2009 battle in Kunar Province, Afghanistan. The rules of engagement for the conflict have caused controversy and some bitterness.

 

Meyer was serving as a member of a Marine Corps training team embedded with Afghan National Army forces in Gangjal, Afghanistan on September 8, 2009.

"A full moon was drenching the mountains in ghostly light as some 60 Afghan soldiers, 20 border police officers, 13 Marine and U.S. Army trainers and I set out for Ganjgal at 3 a.m. from the U.S. base in the Shakani District," McClatchy national security reporter Jonathan Landay, who was embedded with the unit at the time, reported in September 2009.

As the team came under insurgent fire and rocket attack, however, U.S. commanders repeatedly denied the request to provide air cover, under new rules of engagement designed to reduce civilian casualties.

"U.S. commanders, citing new rules to avoid civilian casualties, rejected repeated calls to unleash artillery rounds at attackers dug into the slopes and tree lines — despite being told repeatedly that they weren’t near the village," Landay reported. "We waited more than an hour for U.S. helicopters to arrive, despite earlier assurances that air cover would be five minutes away."

By the time helicopters arrived, four U.S. Marines had been killed, as well as eight Afghan troops and the US Marine commander’s Afghan interpreter.

"The Marines were cut down as they sought cover in a trench at the base of the village’s first layer cake-style stone house," Landay reported. "One Marine was bending over a second, tending his wounds, when both were killed, said Marine Cpl. Dakota Meyer, 21, of Greensburg, Ky., who retrieved their bodies."

Meyer, born in 1986, retired from the Marines in June 2010, and now lives in Kentucky.

The last living former Marine to receive the Medal of Honor was in 1973: "Now-retired [Marine] Sgt. Maj. Allan Kellogg . . . received the Medal from President Nixon at the White House on Oct 15, 1973," Military Times’ Dan Lamothe reported.

Medal of Honor recipient highlights Marine’s valor as well as risks US troops faced under controversial rules of engagement | The Envoy – Yahoo! News#

Posted in opinion, random | Tagged: , , | Leave a Comment »

An App for THAT?!

Posted by Sean on September 14, 2011

Media_httpcdnsvcsc2uc_hedpa

In this day and age… ya nevah know.

Posted in random | Leave a Comment »

How was your summer?

Posted by Sean on September 13, 2011

Media_httpcdnsvcsc2uc_ccehv

Isn’t sad how true this comic really is?

*WARNING – PARENTAL FLASHBACK*

I remember when we were growing up. We actually DID a written report at the first of the school year. “My summer vacation”, “What I did this summer” were some of the titles for my report.

Boy, I’m getting old.

:|

Posted in random | Leave a Comment »

Going to see ‘Somebody’

Posted by Sean on September 12, 2011

Media_httpstatic01cir_kchqf

Cirque du Soleil | Quidam *

This will be our second ‘Cirque’ show we’ve attended. We are expecting to be equally amazed again!

If you want to know what my definition of ‘absolute strength’ is, just watch these performers.
Absolutely amazing body strength, with such grace and poise.

* – Quidam = translated “Somebody; one unknown”.

Posted in random | Leave a Comment »

 
Follow

Get every new post delivered to your Inbox.