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A Day In The Life Of Type 1 Diabetes: The Glucocoaster

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September will mark 25 years for me with type 1 diabetes, but I still haven’t learned that an afternoon of lazy 200+ mg/dl’s that won’t budge, even after multiple boluses (and one really solid rage bolus where I actually grunted “You. Frigging. Diabetes.” as my fingers mashed the buttons), after repeated tests that showed climbing numbers … wouldn’t you think I’d inspect that infusion set?  Maybe just give it a peek?  See how things are doing there, on the back of my hip, where that 6 mm cannula is resting (hopefully) comfortably?

Oh, you mean I shouldn’t have waited until I smelled that distinct scent?  The one that smells like a cross between bandaids and the dentist’s office?  And then, when I dabbed at the gauze patch around my site and felt the dampness, I still didn’t really hone in on it because I was so high that everything was on like a 20 minute delay? Read more »

*This blog post was originally published at Six Until Me.*

Nurse Struggles To Find Non-Clinical Work And Is Treated Badly

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Right now, I have the perfect ER job. So, admitting that I can no longer physically handle working night shift or thinking that I have reached the end of my career in emergency nursing feels like failure.

But, I need to take care of myself, right?

So it’s time to be proactive and take the next step, right?

Time to take a breath, take stock of my skills, brush up that CV/resume and go forward! After all, I have 32 years of strong nursing experience behind me (including a stint as a shift charge nurse), that wonderful BSN I’m so proud of (and an MSN program pending), stunning communication skills (if I say so myself) and gosh darn it, anyone would be lucky to have me!

Yes?

Uh, no.

*****

I applied for jobs outside of acute care.

You know how new grads can’t find jobs because they all want experience, but they can’t get experience because they can’t get jobs? Read more »

*This blog post was originally published at Emergiblog*

Kudos To A Pain-Free Dental Practice

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Ordinarily, I’m wary of all things dental.  I had too many cavities as a child.  As a young man, I had a root canal done on the wrong tooth, followed immediately by the correct one.  My dental memories are a bit tainted.  Not an indictment of the entire profession so much as a kind of PPSD…post procedure stress disorder.

But when I moved to South Carolina, my wife and I found a wonderful general dentist in Dr. Ronald Moore, in Seneca, SC.  Rarely would I ascribe the words ‘painless dentistry’ to one of the practitioners of that esteemed profession.  But I have to give credit where credit is due.  His hygenists, and Dr. Moore, have all been the pinnacle of gentility.  Even my children aren’t afraid to go for cleanings.  And when I need anesthesia, well Dr. Moore is an artist with a needle.  Heck, if he were a tattoo artist, I’d think about it…

Sadly, when I was recently in his office for a crown, he felt that I first needed a root canal.  The very words inspire vague nausea and general panic.  From my own experience, ‘root canal’ is right up there with ‘waterboarding,’ ‘fingernail removal’ and ’shark attack.’ Read more »

*This blog post was originally published at edwinleap.com*

An ER Physician’s Checklist

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Laugh if you want, this helps my life, at least at work.

For months after starting my current gig, I would sometimes get to work with everything in all my pockets, and sometimes not.

I’d forget my ID, or my pen, or my phone, or my…well, there you go.

Then my OCD started to kick in, and, a Mental Checklist was born.
I now have to get 6 things, and set them on the table or I screw it up every time.

  • ID
  • stethoscope
  • my phone
  • work phone
  • pen
  • sharp stick (I’ve written about this before, but cannot find it. You should search an ER blog for the word ‘knife’ and then wonder why you bothered).

Last week I apparently went against the checklist, and halfway through the shift realized I’d lost my ID. Of course, after about a combined half-hour of fruitless search I gave up, and found it in my bag on the way out. Geez.

Yeah, it sounds stupid. But if it’s stupid and it works, it’s not stupid.

*This blog post was originally published at GruntDoc*

Overheard At The Nursing Desk: How to Optimize Your Care While Hospitalized

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It was interesting lunchtime conversation. A lone doctor listening to some highly experienced and capable nurses, reflecting on their work:

“If the patient’s nice, it’s a lot easier to want to go back in that room with them. Their reputation travels at the nurses station. But if they’re mean, well, it’s not as easy to go back in there, so I might not stop by as often.”

“I agree, it’s easier to catch flies with honey than vinegar.”

Words to live by.

*This blog post was originally published at Dr. Wes*

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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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