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Why It Takes Time To Get Pain Medicine In The ER

druggie:loc

Migraine.

Three days.

Out of pain medication and vomiting so you wouldn’t keep it down, anyway.

Agony.

Emergency department.

*****

You’re in luck –  no one in triage!

A bed opens up, the nurse takes you straight to a room.

Gown, blanket.

And….

Two minutes later you send your cousin out to ask how long it will be until you get your pain med.

Excuse me? Read more »

*This blog post was originally published at Emergiblog*

Reflections On Nursing Education

The discussion regarding the entry level for nursing has been ongoing for decades. I have articles written in the 1940s extolling the virtues of the BSN long before the first ADN program opened in 1952.

Every now and then, someone broaches the topic of making the BSN the entry level and BAM! the flames that ensue make the health care reform debate look like Mr. Roger’s Neighborhood.

Why the rancor?

Well, if one states that the BSN should be the entry level for a registered nurse, then it follows there must be a reason why an ADN should not.

That does not sit well with ADN graduates. Read more »

*This blog post was originally published at Emergiblog*

An Old Constipation Remedy And Nursing Burnout

constipationConstipated since childhood, but after 63 years, she decided to deal with it on Christmas at 0400.

Okay, not really.

Apparently, if you are constipated you should eat yeast.

Plain squares of yeast.

I don’t get the mechanism.

Yeast rises in a warm environment.

So, if you eat it, does it keep expanding until it explodes everything in front of it out the, uh, exit door?

*****

I will say that the most interesting chief complaints tend to cluster around the holidays.

It goes something like this: Read more »

*This blog post was originally published at Emergiblog*

Healthcare Reform Requires A Recognition Of Socio-economic Inequities

I was part of the USC Annenberg School of Communication and Journalism’s “Health and the Blogosphere” conference/brainstorming session last week.  Bloggers and other health writers were invited to give input on a new professional training program, and I was honored to be a part of that group.

I took away so much more than I contributed. An unexpected focus (for me) was the idea of taking the blogosphere dialog about our own health (”my health”) and expanding that into a discussion about the health of our communities (”our health”).

But haven’t we’ve been doing that for the last year, health care reform having been debated ad nauseam?

Well, no. Read more »

*This blog post was originally published at Emergiblog*

Domestic Violence: More Common Than You Think

Browsing through my October ENA Connection the other day, I noticed the theme was “Government and Advocacy”. Came across an article on domestic violence. It’s a short article, written by Carrie Norman, RN, CEN, member of the Government Affairs Committee. The quotes below are taken from Carrie’s article.

“The CDC estimates that 37 percent of women who sought emergency department care were victims of domestic violence.”

What? 37 out of every 100 women I have triaged?

Seriously?

“Domestic violence victims are more likely to seek treatment for chronic and psychological conditions.”

Okay. But no way have I been taking care of victims of domestic abuse – I mean, hello, wouldn’t it be obvious? The hovering, overbearing abuser who answers all the questions for the patient? The bruises that aren’t explained by the story? Read more »

*This blog post was originally published at Emergiblog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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