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Showing content with the highest reputation on 10/24/2010 in all areas

  1. I love this advice. And I'll tell you why. I think that there is every chance that the signs were there, and that possibly someone else might have seen them, but as LS said, that's just being human. Does it make you a bad human? I don't think so. As time goes on I believe that we don't necessarily ignore our mates, but we do begin to stop 'seeing' them. I've been with Babs a quarter of a century now. I've seen her laugh, walk, cry, sleep, watch TV, clean...everything for 25 years so I didn't necessarily 'see' them any more. I saw a study once that said that the reason people, 'specially men, are so bad at noticing that someone has changed their hair, or shaved their mustache, is that we don't look at them each time we meet. Our brain notices where we encountered them, how they walk, the sound of their voice (I'm just making shit up, but you see my point) and plugs in a picture of them that we're used to. I think we even do this with our mates, perhaps more so, on a regular basis. It's likely the signs were there, but you were unable to 'see' them. But I do believe that with some help you will be able to see them next time. I have a game I play in my head sometimes. I pretend that I've never seen Barbara before. I watch how she walks, how she moves, what she sounds like when she talks, the shape of her boobs and bottom, just like it's out first time meeting. I used to do it to see if I would still chase her as hard as I did in the beginning...(and I would) but I do it now because while I was doing that I discovered that she changes. The Babs of today will have many, many significant differences from the Babs of a year from now, and the one from a year ago. And it showed me that treating the Babs of 2010 the way the Babs of 2005 liked to be treated wasn't really working the way I thought it should... Anyway, I don't mean to preach. But I do believe in something I heard on a Dr. Phil commercial one time. "Today we do the best we know how. When we know better, we do better." Or something like that.. I know it hurts your heart to see that someone you love suffered and you didn't help. But you would have if you had known, right? So now is not the time to convince yourself that you're a cold hearted bitch. But it is the time to decide that tomorrow you will make sure that you know better, so that you can do better. See? And in a terribly long winded fashion, that takes back to the above advice Hugs to you girl. Give yourself a break. Being angry at yourself makes you unhealthy, and you can only really care for those that you love if you make sure that you're healthy first. (Wait..that sounds familiar for some reason....?) Dwayne
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  2. Sounds like you caught on to the conditions in time. Unsolicited advice, seek individual counciling, and joint counciling, for the both of youze guyz.
    1 point
  3. To me this is like blaming guns for gun-deaths. Ammonia Inhalants are innocent, it is medical personnel with the wrong attitude that are dangerous. As clearly stated by everyone, I believe it is important to know that the patient is a faker, but that does not mean that I embarass them, or get my jollies by punishing them in one way or another. I just do not want to waste valuable supplies and resources for someone who is having an emotional problem. I am not saying we shouldn't treat, but when you call in an "unresponsive" patient, the hospital is going to dedicate alot of unecessary resources (on-call Neuro, clear the CT scanner, tie up the "big trauma/code room". SO I am not a proponent for not trying to figure it out, but I do not thing you should do things that are obviously for your amusement, such as: Cupping the ammonia inhalants in several 4x4s so the ammonia is more concentrated and cant leak out. Putting alcohol preps in a syringe and squirting liquid alcohol in their nostrils. Starting multiple large bore IVs, or missing IVs on purpose. I am not even a fan of the "arm/hand drop" test, as you can cause an injury if the patient is not faking. Anyone who does the things listed above, or similar, should lose their certification.
    1 point
  4. Something else to keep in mind is that treatment and health care operations are both permitted uses of health care information and are not limited by HIPAA. Treatment is defined as the following. "Treatment is the provision, coordination, or management of health care and related services for an individual by one or more health care providers..." As such, I would argue that disclosing that a frequent flier has a communicable disease and, in the past, has spat on crew members is an important piece of information for providing and coordinating health care and related services. http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html
    1 point
  5. AMR sucks, tries to take over EMS everywhere they go.......they failed in PA....
    1 point
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