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Ghoulies Inspired & Wet November Challenge (Page 18)
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 2010-11-04 2:20 PM in reply to: #3195429 |
Champion  6656     |  Subject: RE: Ghoulies Inspired & Wet November Challengeironannekidd - 2010-11-04 1:09 PM mndymond - 2010-11-04 3:02 PM ironannekidd - 2010-11-04 12:49 PM Melindy I have a task for you. A goal, a mission, whatever you'd like to call it. Someday when you're a doctor, if/when you see patients don't be an azz towards them. People don't like going to the doctor's office. Going to the ER away from home is even worse. Don't get snippy when asking questions. Tone and infliction are very important in conversations. If you pizz off your patient they will be reluctant to answer you. Medicine is in a funny stage of transition right now. In Canada at least, they are trying to move away from the paternalistic model of health care towards a more patient centered approach. I won't defend the behaviour of some physicans, but I don't expect I will be at my most pleasant at the end of being on call for 24-72 hours...or at 4am...but I try to be respectful of all the patients I meet regardless of the situation. Emerg med is a weird paradigm in medicine, because no one is truly happy with what goes on, but it is such a necessary component in acute care. I used to be in charge of collecting these comment forms from the hospital and all the ones from the wards were positive about how awesome the docs and nurses were...every single emerg one: a ripping tirade about how rude the docs/nurses were. I don't really have an answer for why it happens, but I expect emerg physicians become jaded more quickly than in other areas because of the side of humanity they see and how they interact with patients has to do with that. It is unfortunate that the impression that most people have of health care is based on emerg medicine...but the docs I have met in other areas are quite compassionate and patient with their patients...they also have more time.. I had dealings with a med student, 3 doctors, and several nurses and EMT's on Sunday. Everyone was great except for one of the doctors. He was snapping at me. I was doing to best I could to answer his questions, but I wasn't exactly coherent either. He was a total . The two other doctors I met couldn't have been any nicer. The med student was awesome. She gave me a hug after I peed in the cup.  It honestly crossed my mind to walk out of the ER the way this doctor was treating me, but... well... I couldn't stand up on my own.Some people are just azzholes...doctors or not. You would think they would have been filtered...they arn't,..there are a few in my class. They give us all a bad name. |
| 2010-11-04 2:21 PM in reply to: #3188053 |
Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge I'm a mid-liner. Haha |
| 2010-11-04 2:23 PM in reply to: #3188053 |
Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge I just want everyone to be HAPPY!!!!!!  |
 2010-11-04 2:33 PM in reply to: #3188053 |
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| 2010-11-04 2:37 PM in reply to: #3195462 |
Elite 3144 | Subject: RE: Ghoulies Inspired & Wet November Challenge mndymond - 2010-11-04 12:23 PM I just want everyone to be HAPPY!!!!!! My name is Tom Anderson, and I approve this message |
| 2010-11-04 2:38 PM in reply to: #3195462 |
Champion 14677 Bronze member | Subject: RE: Ghoulies Inspired & Wet November Challenge mndymond - 2010-11-04 3:23 PM I just want everyone to be HAPPY!!!!!! Doctor Happy Melindy. I like it. |
| 2010-11-04 2:38 PM in reply to: #3195487 |
| Champion 14677 Bronze member | Subject: RE: Ghoulies Inspired & Wet November Challenge iowagander - 2010-11-04 3:37 PM mndymond - 2010-11-04 12:23 PM I just want everyone to be HAPPY!!!!!! My name is Tom Anderson, and I approve this message  |
| 2010-11-04 2:39 PM in reply to: #3188053 |
| Champion 14677 Bronze member | Subject: RE: Ghoulies Inspired & Wet November Challenge I am going to go take a recovery nap myself, Ann. Then I am going to run. That is the plan anyway. I'll be around for FFF Friday. Ta ta. |
| 2010-11-04 2:47 PM in reply to: #3195492 |
| Elite 3144 | Subject: RE: Ghoulies Inspired & Wet November Challenge ceilidh - 2010-11-04 12:39 PM I am going to go take a recovery nap myself, Ann. Then I am going to run. That is the plan anyway. I'll be around for FFF Friday. Ta ta. Later Robin! I just got my 3 miles done, so I'm going to refuel before sitting down with my boss. I may or may not be around later, so if not - have a great day everyone! |
| 2010-11-04 3:10 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge 5 days till Josh and James!!!!! Ahhhhh! So excited! be happy!!! Haha |
| 2010-11-04 3:28 PM in reply to: #3195444 |
| MotoQueen 13195 | Subject: RE: Ghoulies Inspired & Wet November Challenge mndymond - 2010-11-04 2:12 PM ironannekidd - 2010-11-04 12:51 PM mndymond - 2010-11-04 2:46 PM ironannekidd - 2010-11-04 12:43 PM ceilidh - 2010-11-04 2:40 PM mndymond - 2010-11-04 2:37 PM ironannekidd - 2010-11-04 12:14 PM Question for our crack medical staff. If someone was severely dehydrated, say in hypovolemic shock, how long would it take them to recover? Depends. I would guess 3-4 weeks depending on what your kidney and heart function was like to get back to "normal". Hypovolemia results in pre-renal falure because there isn't enough pressure to get enough blood to the kidneys and if that occurred over a significant enough period of time can result in reversible tubular damage...so the cells start to die because of hypoxia...and then they shed and end up in the urine. Its not super serious and is reversible pre-renal failure but it definately takes a few weeks for those cells to regenerate and for the kidneys to start functioning properly to maintain BP, blood cell generation, [proper metabolism, etc. Same type of deal in the heart. Any cell damage will result in inflammatory response and all the awesomeness that goes along with that...nausea, fatigue, weakness...etc.. Take care of yourself!!! Rest-Recover! The Princess Doc has spoken. I bet she can write you a note for work and general household duties if needed THAT WOULD BE AWESOME!!! Who says you can't get good health care in Canada??!!??!! Who says we have bad health care....? Note: Rx-Ann is excluded from all work and household duties until further notice. MND. I saw a commercial last night about Canadian heal care. A woman who had cancer claims she couldn't get in to see an oncologist for 8 months because of gov't run health care. She came to the U.S. for care and she said it saved her life. It was a commercial sponsored by a group opposed to the Obama proposed health plan. I won't say that Canada has the best system, because I don't believe that. In Canada, our health care system is controlled at a provincial level vs. federal as far as insurance and funding goes. AB is quite good compared to the rest of the provinces because of the $$$. But we have our own issues that I won't get into. As far as cancer and having to wait 8mo. That claim is a bit extreme, maybe a few weeks. I think if you have insurance and/or $$$ in the states then you are set, if you don't then you are in trouble--I personally feel Obama is headed in a positive direction...I don't think any health care system can be run solely by governments or private sectors...I think there needs to be a mix. But that is just me... Okay, my two cents. I know someone who did not have health insurance and they got awesome healthcare while they went through cancer. It was all paid by the government. In fact, I believe that their care was just as good as mine as I went through it with insurance. I paid way more out of pocket than that person did, and they actually had to have reconstructive surgery afterwards that was also covered. |
| 2010-11-04 3:30 PM in reply to: #3195487 |
| MotoQueen 13195 | Subject: RE: Ghoulies Inspired & Wet November Challenge iowagander - 2010-11-04 2:37 PM mndymond - 2010-11-04 12:23 PM I just want everyone to be HAPPY!!!!!! My name is Tom Anderson, and I approve this message   |
| 2010-11-04 3:37 PM in reply to: #3188053 |
Elite 5316 Alturas, California | Subject: RE: Ghoulies Inspired & Wet November Challenge Is this the Nov Challenge do something exercize like thread.... I only read a few pages, but I am entering here. I broke a collar bone 2 months ago so am only really up to 1 goal of running 100 miles this month. Although it would be nice to reach above a 90 angle with my left arm... that will come in time I am told. So I will be focusing on rebuilding after pulling several muscles in my legs, getting banged up and such. A little background: I am 43, have been doing triathlons for about 3 years now. I went from couch to 5k, 10 miler, half mary, full marry x2 with a BQ on the 2nd one as well as sprint, oly, HIMx2 and IM x2. Bike crash puts my fitness at well not so good.... However I am registered for Boston this spring so ... running goal. |
| 2010-11-04 3:41 PM in reply to: #3195610 |
| Champion 14677 Bronze member | Subject: RE: Ghoulies Inspired & Wet November Challenge Baowolf - 2010-11-04 4:37 PM Is this the Nov Challenge do something exercize like thread.... I only read a few pages, but I am entering here. I broke a collar bone 2 months ago so am only really up to 1 goal of running 100 miles this month. Although it would be nice to reach above a 90 angle with my left arm... that will come in time I am told. So I will be focusing on rebuilding after pulling several muscles in my legs, getting banged up and such. A little background: I am 43, have been doing triathlons for about 3 years now. I went from couch to 5k, 10 miler, half mary, full marry x2 with a BQ on the 2nd one as well as sprint, oly, HIMx2 and IM x2. Bike crash puts my fitness at well not so good.... However I am registered for Boston this spring so ... running goal. This is the link for challenge thread. http://www.beginnertriathlete.com/discussion/forums/thread-view.asp?tid=232523&posts=51#M3195613 But you can post here, too if you want. Edited by ceilidh 2010-11-04 3:42 PM |
| 2010-11-04 3:43 PM in reply to: #3195610 |
| Elite 4201 washington state | Subject: RE: Ghoulies Inspired & Wet November Challenge Baowolf - 2010-11-04 1:37 PM Is this the Nov Challenge do something exercize like thread.... I only read a few pages, but I am entering here. I broke a collar bone 2 months ago so am only really up to 1 goal of running 100 miles this month. Although it would be nice to reach above a 90 angle with my left arm... that will come in time I am told. So I will be focusing on rebuilding after pulling several muscles in my legs, getting banged up and such. A little background: I am 43, have been doing triathlons for about 3 years now. I went from couch to 5k, 10 miler, half mary, full marry x2 with a BQ on the 2nd one as well as sprint, oly, HIMx2 and IM x2. Bike crash puts my fitness at well not so good.... However I am registered for Boston this spring so ... running goal. It is confusing because there are two November threads with similar names. You need this thread: November GHOULISH From there (third page I think) you will see the link to the spreadsheet. |
| 2010-11-04 6:14 PM in reply to: #3195592 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge kns57 - 2010-11-04 2:28 PM mndymond - 2010-11-04 2:12 PM ironannekidd - 2010-11-04 12:51 PM mndymond - 2010-11-04 2:46 PM ironannekidd - 2010-11-04 12:43 PM ceilidh - 2010-11-04 2:40 PM mndymond - 2010-11-04 2:37 PM ironannekidd - 2010-11-04 12:14 PM Question for our crack medical staff. If someone was severely dehydrated, say in hypovolemic shock, how long would it take them to recover? Depends. I would guess 3-4 weeks depending on what your kidney and heart function was like to get back to "normal". Hypovolemia results in pre-renal falure because there isn't enough pressure to get enough blood to the kidneys and if that occurred over a significant enough period of time can result in reversible tubular damage...so the cells start to die because of hypoxia...and then they shed and end up in the urine. Its not super serious and is reversible pre-renal failure but it definately takes a few weeks for those cells to regenerate and for the kidneys to start functioning properly to maintain BP, blood cell generation, [proper metabolism, etc. Same type of deal in the heart. Any cell damage will result in inflammatory response and all the awesomeness that goes along with that...nausea, fatigue, weakness...etc.. Take care of yourself!!! Rest-Recover! The Princess Doc has spoken. I bet she can write you a note for work and general household duties if needed THAT WOULD BE AWESOME!!! Who says you can't get good health care in Canada??!!??!! Who says we have bad health care....? Note: Rx-Ann is excluded from all work and household duties until further notice. MND. I saw a commercial last night about Canadian heal care. A woman who had cancer claims she couldn't get in to see an oncologist for 8 months because of gov't run health care. She came to the U.S. for care and she said it saved her life. It was a commercial sponsored by a group opposed to the Obama proposed health plan. I won't say that Canada has the best system, because I don't believe that. In Canada, our health care system is controlled at a provincial level vs. federal as far as insurance and funding goes. AB is quite good compared to the rest of the provinces because of the $$$. But we have our own issues that I won't get into. As far as cancer and having to wait 8mo. That claim is a bit extreme, maybe a few weeks. I think if you have insurance and/or $$$ in the states then you are set, if you don't then you are in trouble--I personally feel Obama is headed in a positive direction...I don't think any health care system can be run solely by governments or private sectors...I think there needs to be a mix. But that is just me... Okay, my two cents. I know someone who did not have health insurance and they got awesome healthcare while they went through cancer. It was all paid by the government. In fact, I believe that their care was just as good as mine as I went through it with insurance. I paid way more out of pocket than that person did, and they actually had to have reconstructive surgery afterwards that was also covered. Sounds like some of the states have already implemented some government programs? I dunno, to be honest I haven't researched a lot into the matter and only know what I had to know for my med school interview which was: general Canadian system, expenditure/return, aboriginal health care and to some extent why we are different from the USA. There are definately pros/cons to both of our sytems. I'm not sure if I would practice in the US or not...I haven't had a lot of direct exposure to know. There is one guy in my class from Atlanta who will probably go back (he's dual). I don't know where life will take me... I like Holland's system. They have awesome health outcomes compared to how much money they spend on health care. We spend a lot in NA and don't really get our bang for our buck. Preventative medicine anyone? Stop taking our gym class, no fast food in schools, less TV time, less video game time, less pop, less crazy supersized 5x normal serving sized portions at restaurants, more exercise, sports, more walking, more biking, less segways= less diabetes, less obesity, less hypertension=less renal failure, heart attacks, heart failure, strokes, liver failure, cancer. Problem with preventative medicine is its big time $$ and takes time to change. Ok..I'm off my health care soap box. I hope I am being non offensive (attempting non bias)...etc..etc...etc... |
| 2010-11-04 6:21 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge Onto less serious matters... We just had the actors in for sexual histories...My actors comment to me "very comfortable talking about sex"... You must be having a positive influence on my patient skills Ann... |
| 2010-11-04 6:38 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge Its almost swimming time...woooo |
| 2010-11-04 6:44 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge Our lecture tomorrow is on genitourinary trauma... I just looked at the lecture and the pictures... I cringed...and I'm a girl... W.O.W. |
| 2010-11-04 6:46 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge 5 posts to 4000. |
| 2010-11-04 6:46 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge Did you know that penile fracture is actually possible...? I always thought it was a joke.. It's not. |
| 2010-11-04 6:47 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge Fire ride along tomorrow night! Woop woop! |
| 2010-11-04 6:48 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge No anatomy tomorrow!!! WOOOOOOOOOO! |
| 2010-11-04 6:49 PM in reply to: #3188053 |
| Champion 6656 | Subject: RE: Ghoulies Inspired & Wet November Challenge 4000!!!! (I should have left the penile fracture fact for 4000...that would have been going out with a bang...) Swim time. Hopefully not 4000m tonight...ttyl. |
| 2010-11-04 6:56 PM in reply to: #3188053 |
| Pro 4482 NJ | Subject: RE: Ghoulies Inspired & Wet November Challenge Hi Ghouligans! Sorry I'm not around much anymore. Workin' for a livin' |
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