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Yenta -“Re meds not sure but do know his seizure meds were d/c’d to monitor site of seizure prior to surgery”
I meant in general. Find out all you can about this disease and symptoms and know how to treat and the different options including routes of administration.
Honestly, I’ve never seen brain surgery live, nor am I interested to.
I guess you were off a bit. As you can tell, I am at least 195 years old
Health,
I am sorry to have touched on a nerve, all I did was ask a sincere questions. No reason to get all worked up.
To answer your question, First I do not post any medical advice. second I am working on my Medic license.
You recently posted that you were a medic and an EMT, but no longer are.
This means that you served in a Ambulance Corps (not hatzolah, as you poseted). since you must have around 200 clinical hours in order to apply to medic school.
After analyzing all of your posts, I have noticed that your medical knowledge is really surfaced (besides some prehospital stuff). other posters have more than once pointed that out.
it is evident that you are investing a lot in your online persona.
You have no problem discussing personal details as your nasty divorce and issues with your childrens school.
However when asked a simple questions. you get wild. Makes me wonder..
Health:
“There is a reason for my privacy. But since you don’t seem to think about privacy – what do you do & where do you work? What gender are you? How old are you? Where do you live?
I Btw, have answered some of these in previous posts.”
Honestly, I meant it as a sincere compliment that you seem to know what you are talking about and as someone who has very little knowledge in the medical field- I appreciate it.
Why did you jump down my throat? It was a valid question that a simple “I don’t want to say” would have sufficed. I actually care a great deal about privacy and have a healthy respect for it. My profession demands it (Psychology).
yenta -“also had to learn about dvt, pe”
You had/have a peds pt. with a DVT and one with a PE?
Ok, since you researched it all -tell me how to recognize & treat Stat Epi. Go in order of therapy -which first and so on. Also tell me how to administer and dosage.
No One Mourns The Wicked -“Honestly, I meant it as a sincere compliment that you seem to know what you are talking about and as someone who has very little knowledge in the medical field- I appreciate it.
Why did you jump down my throat? It was a valid question that a simple “I don’t want to say” would have sufficed. I actually care a great deal about privacy and have a healthy respect for it. My profession demands it (Psychology).”
Thanks for the compliment and I meant no offense.
This might sound like a lame excuse, but I’ve been attacked so often here, even by others who supposedly are in the medical field that I get on the defensive. I’m not good in the psych field and have trouble reading into people in person Kal V’chomer online.
2scents -“Health,
I am sorry to have touched on a nerve, all I did was ask a sincere questions. No reason to get all worked up.”
Read my post to No One Mourns etc.
“After analyzing all of your posts, I have noticed that your medical knowledge is really surfaced (besides some prehospital stuff). other posters have more than once pointed that out.
it is evident that you are investing a lot in your online persona.
You have no problem discussing personal details as your nasty divorce and issues with your childrens school.
However when asked a simple questions. you get wild. Makes me wonder..”
This sounds like an accusation and I think you’re basing it on other posters. I can assure you, if this means anything -since we are person-non-grata online, that I’m more than just a medic.
I don’t want to say my professions’ because it would give me away to people that I know in real life – who read YWN, but don’t post. I’ve actually posted this on YWN before.
So I’ll extend the white flag to you to show that I’m not the ogre you think I am. If you have any questions during your training – I’ll try and help you -if you post them.
Yenta -“nope. it was 1 pt. he was admitted for R hip pain last week (had him my first day). over the week his fever got worse, blood culture came back MRSA +, he developed SOB…final diagnosis is DVT in the right femoral and common iliac veins IIRC, R hip abscess, L lung PN and possible PE; docs also considered him septic secondary to MRSA. oh and he has ADHD and bipolar-depression.”
I’m just curious how did a young pt. come down with a DVT? Is the pt ambulatory? If the pt developed the DVT after being in the hospital awhile it could be negligence was the cause. What is/was the cause of the abscess?
What drug are they giving for the MRSA?
“NO. i dont want to. plain and simple as that. i will tell you standard nursing interventions r/t seizure precautions if you want but i will not list dosages and routes. i listed some of the meds above. first med is diazepam. other meds used are lorazepam, phenytoin. for refractory, phenobarb or other barbiturates. optimal route is IV and dosage is mg(mcg)/kg”
That’s your prerogative. There are a lot AED’s out there.
For your reference, when you get a job in the future, you should know the drug(s) given rectally and/or IM, when you don’t have an IV yet.
The questions above about the pt – are because of my curoisity/knowledge, not to teach or test you. I won’t try to help you learn anymore since you’re not interested.
I was just gonna say the same thing. Anyone who knows who you are or where you work is getting way too much info. Im very uncomfortable with it and not sure what Health is trying to gain from it but real help should come from real life people and much of this info shouldnt be out here in this much detail. When I worked acute care they were very clear about that stuff and I would hate for you to suffer from an innocent mistake.
Yenta -“Are you sure you aren’t violating either HIPPA or the hospital policy?”
Who posted the bold? A Mod? Whomever did has no clue about medical laws and/or policies.
“R thigh pain from admission on. no swelling, edema, redness but had decreased ROM; thigh circ was equal bilat. refused to put weight on the extremity and changed positions infrequently.
the doctors have no clue what caused to clot or who a kid that young can get them. he was placed on lovenox which did not help. changed to heparin drip @ 20units/kilo then increased to 22/kilo. the doctors are unsure which came first-the abscess or the clot.”
Sounds like an interesting case. In cases like these, if just from the DVT alone you’d think genetic Heme problems. Being there is an abcess while a workup for hematology pathology is still probably required, I wouldn’t go with that first. Usually an abscess is caused by an outside source. But over here there was no outer symptoms. This tends to make me think that the abscess started due to a needle. I don’t know how old this kid is, but sometimes it could be drug abuse. It could even be the kid’s first time, some peer pressured him/her to try a drug with a needle. If it was drug abuse this would explain the abscess. The dirty needle caused an infection deep down. This could have caused the DVT and everything else could be subsequent to these issues. Getting the kid to admit this would require a good provider to pt relationship. The kid would probably be scared to speak about the incident.
“(worst pt ever was the violent drug seeker).”
This is interesting. These pts come a dime a dozen. How could this be the worse, unless you forgot to duck? If you forgot the first time and you got clobbered -you’ll never forget the second time! LOL
Oh my, i just figured out who is being discussed in this forum. For your own benefit, stop discussing someone’s private medical issues! Yes, whoever knows me thinks i am an undercover and work for the FBI and CIA!!!
Health:
Glad we’re good 🙂
& yeah…posters tend to get a bit…um…feisty here…
Yenta -“i kinda doubt the dirty needle theory. the kid is petrified of needles. he needs EMLA every time for blood draws and come near him with a syringe and he shreeks (some of the meds are on syringe pump…)”
After this tid bit, I think this points to my theory as correct. Being that there wasn’t any rubor, calor, etc. on the outside points to an infection starting on the inside. How does an infection start on the inside? The most probable ways are hematogeneous (guessing on the spelling) spread or direct innoculation. Could be s/o was angry or upset at him and bullied him and hurt him with a dirty needle to get him scared or whatever. You can’t even rule out the parents as the culprits. It’s called child abuse. This would explain his intense fear of needles. Every time he sees a needle it reminds him of the attack.
“the drug seeker had PN and would take n/t PO. IV only abx. docs only ordered tylenol q4 for pain and he wanted stronger. security had to be called a few times to speak to him-basically either stop threatening the docs or be discharged/leave AMA. it was pretty scary. i made my instructor come in w/ me when i gave the meds”
Did he have to be tied down? If not, he was pretty good. The worst violent ones are the elderly. You gotta learn how to duck.
The most fun pts are the ones in custody. This one guy had to go to the bathroom -so the African American cop went in with him & then they got into a scuffle. Of course I was right there with box seats. Anyways the nurse who was Asian-Amer just like the perp decided this was abuse and started screaming and then they called the precinct. An Asian-Amer Sergeant came down and took away this one cop, but left his partner -also African American. With some of these pts, even after they’re tied down -you still can’t get a line until you give them some chemical restraint. This is what makes the medical field fun. As long as you didn’t get slugged, but watch out you will definitely encounter these types, esp. some elderly.
Yenta -“i’m not convinced on the dirty needle. i would think if this was a drug thing/dirty needle, why is it by the thigh/hip? if he was trying to use drugs, he would need to be near a vein.”
I changed the scenario a little bit. He isn’t a drug abuser, but he was attacked with a dirty needle. Reread my post.
Sometimes when something weird happens you have to think of weird scenarios that coulda caused it. I think my explanation is very plausable. A regular wound from a cut or scrape and this was the underlying reason should be able to be seen upon exam. The case doesn’t point to this.
yentingyenta -“i saw you changed the scenario; it could of been a dirty rock, knife, or anything. its plausible he got a cut or wound in the area providing entrance for infection but there was no mention of something like that in the history.”
That’s why I picked needle. A needle can leave a deep seated infection without any obvious disruption on the surface of the skin of the thigh/hip.
“the prob is the kid is a HORRIBLE historian. has a hard time differentiating between past and present. getting info from him (or mom) is not easy.”
The only chance on getting to the bottom of what’s going on is to have him visited by the hospital’s social worker. He/she can delve into the mystery surrounding this case and can investigate if he was attacked.
yentingyenta -“he was a very draining pt to deal w/-rude, disrespectful, loud, demanding and pushy.”
This would be a good preparation for marriage. Most men are like this. (:0
“i’m shocked there is a thread asking if ADHD is real. b4 he got critical, this kid was a mexican jumping bean-could not sit still or stay on one topic longer than 2 sentences. then he was taken off his meds in the hosp. big mistake IMHO”
Maybe they took him off because of drug interactions of what they were giving in hospital. Ever consider this?
Yenta -“Oh and I agree w u abt men. U guys r weird sometimes.”
I didn’t say All men.
Oh and btw those qualities are the description of a yenta, Yenta!
Yenta -“and there will never be a shortage of stupid ppl in the world so we are always in demand”
Wrong. We will always be in demand because almost e/o gets sick, even if there are no stupid people in the whole world. And e/o also dies (except for those that the Torah says didn’t).
yentingyenta -“Fffffffffiiiiiinnnnnneeeeee be that way.”
Fine be what way?
“Stupid people keep EMT-B’s and P’s in business and sick people keep RN’s docs and you in business.”
Wrong again. EMS sees the same type of pts. as e/o else. Where do you think EMS brings them? The ER. The ER is staffed by Docs, nurses, etc.
“(what ever you are)”
I dunno. What am I? You tell me.
Oooh, Oooh, I know -I’m Nisht a Heene & Nisht Ahare!
yentingyenta -“health, i dont live in a bubble”
And here I thought you were the female version of bubble-boy the kid with SIDS.
“and know some EMT’s.”
Only some? You probably know alot since you are always calling Hatzolah.
“obviously, my sense of humor is not yours.”
Wow, this is a Chiddush. I thought you were the serious type without ANY sense of humor!
yentingyenta -“i believe you are saying this one sarcastically”
How did you figure this one out? Wait I can just imagine that you’re the first nursing student to walk around in a space suit.
“why are you under the impression i call Hatzolah often?”
Because you actually started a topic about them. People don’t usually talk about them for a one time occurance -so I figure you’re a frequent flyer.
“(i’m being a little blunt because i just came off a 12 hour shift and this is reply i see. not really in a good mood right now health)”
I know -you need to go SHLUFFY.
yentingyenta -“1)is there a reason you are being sarcastic? besides to be annoying that is”
I’m not doing it to be annoying -I’m just in a bad mood.
“not really in a good mood right now”
Do you think that you are the only one who gets in bad moods?
I have a misreable life so I am often in bad moods.
“2)my parents had to call Hatzolah 1 time for me and B”H e/t turned out fine. i was saying thank you to Hatzolah even for a 1 time occurrence. in this case, the assumption you made is wrong.”
So if it was a one time thing, how do you know some EMT’s?
I think this thread is becoming a personal conversation between health and yenta….just sayin;) Sorry to interrupt hehe!
yoya – Nope; anybody can join in.
Have any medical questions – post them – I won’t charge for the first time.
After that – it’s a different story. [$$$$$] 🙂
You know whats funny about all of this? I think I actually know both of you. After reading so many posts from the two of you and the little bits of info that you give out (or deny) I actually think I know both of you. I don’t think you know each other, your circles probably would never have intersected, but I think I have intersected with both of you at some point. Then again, maybe not. We’ll never know I guess.
who me???
No, Health and Yenta.
Ctrl Alt Del -“You know whats funny about all of this? I think I actually know both of you. but I think I have intersected with both of you at some point. Then again, maybe not. We’ll never know I guess.”
It’s quite possible. The list is endless -Yeshiva, school, etc. But I’ve never met anyone Frum who works in an ICU -so there is no recent connection.
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