Badasses of the hospital

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it's not like it's you and bane in a room by yourself with no one near. not saying there are aren't dangerous psych cases, but it's not like you're going 1 on 1 with a serial killer


IDK, I am just saying that I've seen wild, crazy-eyed patients in ED, ICU, etc. Sometimes it takes a boatload of people to keep some of these guys down. As for psych, the padded rooms are kind of badass. :)
I know a psychiatrist that does forensic stuff--it's wild--different, but wild. Badass is relative I guess.
Surgeries like CV, General, Neuro, and Trauma, they will always be considered badass; b/c, well, they are--and they beat the hell out of people getting there--so between that and their work, especially if they are good, yea, they deserve to be called badass.
Fetal surgery, now what about that?

But I also say that anyone that saves or helps others on a regular basis is badass. I have a more open and liberal definition I guess.

But I do give way to surgeons, having worked with them--all the crap they take and do--they earn the title. But to the surgical resident that constantly throws all the first dressing remains, bloody red, on the ICU flow, would you please GET that this is not the ED or a Trauma room! I'm busy too, so at least toss them on a blue pad or somewhere close to a biohazard bag. LOL. (This was on evening rounds and there was nothing big cooking anywhere--according to the other surgical resident.)

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They are not always easy to get into chill mode either--even with chemical help.

It's apples and oranges.

Etomidate+Succ+Size 7.5 ET Tube = chemically chill.
 
But I do give way to surgeons, having worked with them--all the crap they take and do--they earn the title. But to the surgical resident that constantly throws all the first dressing remains, bloody red, on the ICU flow, would you please GET that this is not the ED or a Trauma room! I'm busy too, so at least toss them on a blue pad or somewhere close to a biohazard bag. LOL. (This was on evening rounds and there was nothing big cooking anywhere--according to the other surgical resident.)


I've seen the trauma room RNs call the OMFS residents back to the bay to clean up their mess after leaving an unreasonable mess.
 
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Etomidate+Succ+Size 7.5 ET Tube = chemically chill.

Yes, but you've got to get them in position--and after he's knocked down two others on staff, well, it can get tricky. I had a self-medicating bipolar, alcoholic pt that was so lit and so drugged up; he was mighty big and strong. Now, I'm not a big person, but I had help--to this day, I wonder how I didn't get hurt. Still, we gave him everything--even with ETT in place and all kinds of meds on board. Getting more lines in him was still difficult. He was like an angry wild animal from the depths of Hell--and when you are that wigged out, it can take a lot w/ the chemistry, and there is little in the way of talking someone in this state down. You know what chilled him out? V-fib? At that point, sure, when I defibrillated him, it wasn't an issue. But after we got him back, he became a raging bull again, and we had to throw the pharmacy at him. I've always had the wildest nights. People say nothing happens at night. What a total wad of crap.

Badassism: In medicine and healthcare, I think it has something to do with what you are willing to put up with some days. LOL You've got to love most residents; b/c they keep fighting through all the crap. Nurses may come and go--it depends; but the residents are in it to win it.
 
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I've seen the trauma room RNs call the OMFS residents back to the bay to clean up their mess after leaving an unreasonable mess.

Yes. Well, I'm not usually a bitch. I can handle myself, but to be honest, the SICU that night was completely insane and there were other, literally, bloody issues and hemodynamic bongs going off everywhere and squeezing in units of blood with pressure cuffs and crazy, non-stop gtt titrations. The surgery people at this place came in and out, and depending on what's going on with your other patients, well, the mess wasn't a priority. I didn't have time to pee, literally, let alone chase down a surg resident about him slinging saturated bloody dressings all over the freaking ICU bay floor. LOL. By the time he was done tossing, and I got in there, it looked like a damn trauma bay from multiple GSWs and God knows what else. So, you glove up. Pick up what you can and call housekeeping--unless you only have time to throw down blue pads on the floor--initially the case for this poor man, b/c all his numbers and presentation told me he was in huge pain. GI surgery is painful and can be messy and lead to a lot of instability, as you probably know. So, you get things settled and then you worry about the disaster-mess later. Point was, the dude could have had a bit more sensibility in terms of doing his first change and dumping the bloody dressings. I think his surgical partner in crime heard me say, "What the hell?" LOL He was of course empathetic, took what he could, but then had to run along with the mad thrower and goer. We became friends. He just had to learn that biohazard stuff has receptacles for a reason--or at least, be kind like other surgeons and get a blue pad and put the dirty dressings on that. But for future reference, unless it's a trauma bay where they have people that have the time to help clean up a bio-hazmat situation, please show some mercy. Not all ICU RNs are bitches. :)
 
Yes, but you've got to get them in position--and after he's knocked down two others on staff, well, it can get tricky. I had a self-medicating bipolar, alcoholic pt that was so lit and so drugged up; he was mighty big and strong. Now, I'm not a big person, but I had help--to this day, I wonder how I didn't get hurt. Still, we gave him everything--even with ETT in place and all kinds of meds on board. Getting more lines in him was still difficult. He was like an angry wild animal from the depths of Hell--and when you are that wigged out, it can take a lot w/ the chemistry, and there is little in the way of talking someone in this state down. You know what chilled him out? V-fib? At that point, sure, when I defibrillated him, it wasn't an issue. But after we got him back, he became a raging bull again, and we had to throw the pharmacy at him. I've always had the wildest nights. People say nothing happens at night. What a total wad of crap.

Badassism: In medicine and healthcare, I think it has something to do with what you are willing to put up with some days. LOL You've got to love most residents; b/c they keep fighting through all the crap. Nurses may come and go--it depends; but the residents are in it to win it.

does this mean you get bonus points on psych rotation if you're a strapping young lad? just gonna mark down honors then on my life plan
 
does this mean you get bonus points on psych rotation if you're a strapping young lad? just gonna mark down honors then on my life plan

Most definitely--there and ED and ICU--the places the many poor crazy souls land. But you are reading this from an Surg/Med ICU RN among other whacko things.

Seriously, for me, doing this per diem means running alone is not going to cut it. Time to go to the gym. LOL
 
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OK, here's another, I believe, grossly misunderstood, badass specialty:

OBGYN. People so seriously underestimate what these people have to learn and know. Having a great OBGYN can never be underestimated by a woman and her family--especially if there is any possibility or potential for high risk. OBGYNs work their butts off, and the really great ones know an amazing amount of stuff. They also are smart and network with those super-specialists when they know its in the best interest of the woman and unborn.

Everyone just thinks of delivery babies, which when can tricky in a number of situations. But it's so much more than that. I guess the other real fear is in malpractice. But IMHO, since that is such a risk, it behooves you to be a badass OBGYN and really love what you are doing. I think their hours can be wild; but I find it to be a fascinating field. Not everything is like straight-up midwifery. The good ones have an incredible depth of knowledge--and as busy as they are--they still maintain a sense of calmness and compassion as they practice. Not easy when L&D is hopping. Makes me sad when I see the very quick to be negative toward OBGYN.
 
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radiologists are the biggest badasses of the hospital, unquestionably.
















lol jk
 
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Nurse practitioners.

Who else practices medicine with only 2 years of grad school filled with fluff?
 
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inpatient psych is definitely another kind of animal, compared to outpt.

Obstetrics and Gynecology are very different lines of work, only tradition keeps them together, in my opinion.
 
how?
The two are not separated by the anatomy.

You've lost me.

You said that only tradition keeps them together. I'm asserting that the common concern of the female reproductive tract, here jokingly abbreviated to just vagina, also keeps them together.
 
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You've lost me.

You said that only tradition keeps them together. I'm asserting that the common concern of the female reproductive tract, here jokingly abbreviated to just vagina, also keeps them together.
got you man
 
And the vagina.


Hmmm, why would a vagina be worse or better than a penis? The female reproductive system is very complex and interesting. I mean it's all relative. I have seen some disgusting belly buttons. Unless someone isn't keeping a clean shop, how in the world is it les um "gross" than doing anal exams or dealing with the gut? Sputum can be disgusting as all get out. It's all relative.
 
Hmmm, why would a vagina be worse or better than a penis? The female reproductive system is very complex and interesting. I mean it's all relative. I have seen some disgusting belly buttons. Unless someone isn't keeping a clean shop, how in the world is it les um "gross" than doing anal exams or dealing with the gut? Sputum can be disgusting as all get out. It's all relative.

he was just saying that the reason ob/gyn is together is because they're both dealing with the vagina. the other poster indicated it was an archaic tradition.
 
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Hmmm, why would a vagina be worse or better than a penis? The female reproductive system is very complex and interesting. I mean it's all relative. I have seen some disgusting belly buttons. Unless someone isn't keeping a clean shop, how in the world is it les um "gross" than doing anal exams or dealing with the gut? Sputum can be disgusting as all get out. It's all relative.

I have no idea how you could read that series of posts and then come to the conclusion that I was saying the vagina is worse than a penis, or sputum, or WTH you're rambling on about incoherently.
 
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Med students on surgery who want to do surgery. Some of the longest hours in the hospital, and they never complain. Actual utility ends at 5 am when the intern shows up to receive your labs/vitals. Tie? No problem. Close skin? No problem. Retract? No problem. Mind standing there where you can't see until 8 pm, and still get here first in AM to get your teams labs? ABSOLUTELY!
 
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Med students on surgery who want to do surgery. Some of the longest hours in the hospital, and they never complain. Actual utility ends at 5 am when the intern shows up to receive your labs/vitals. Tie? No problem. Close skin? No problem. Retract? No problem. Mind standing there where you can't see until 8 pm, and still get here first in AM to get your teams labs? ABSOLUTELY!

:rolleyes:
 
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OK, here's another, I believe, grossly misunderstood, badass specialty:

OBGYN. People so seriously underestimate what these people have to learn and know. Having a great OBGYN can never be underestimated by a woman and her family--especially if there is any possibility or potential for high risk. OBGYNs work their butts off, and the really great ones know an amazing amount of stuff. They also are smart and network with those super-specialists when they know its in the best interest of the woman and unborn.

Everyone just thinks of delivery babies, which when can tricky in a number of situations. But it's so much more than that. I guess the other real fear is in malpractice. But IMHO, since that is such a risk, it behooves you to be a badass OBGYN and really love what you are doing. I think their hours can be wild; but I find it to be a fascinating field. Not everything is like straight-up midwifery. The good ones have an incredible depth of knowledge--and as busy as they are--they still maintain a sense of calmness and compassion as they practice. Not easy when L&D is hopping. Makes me sad when I see the very quick to be negative toward OBGYN.

True.

I think badassness could aline with malpractice risk, in which case...

http://www.nejm.org/action/showImage?doi=10.1056/NEJMsa1012370&iid=f01&
 
pretty interesting how psych is the absolute lowest, I wouldn't think that would be the case
 
The administration? Getting people twice as smart as you to do all the grunt work while you get paid 5x as much to do squat? That's pretty badass.

This is the correct answer.


 
pretty interesting how psych is the absolute lowest, I wouldn't think that would be the case
no one can fill a claim strung out on haloperidol. NO ONE.
 
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EM/CC and Trauma Surgery... the two fields that can (theoretically) stabilize anything thrown at them.
Anesthesia/CC is just a slight bit below only because the base speciality primarily deals in patient who start out stable and differentiated.



My stance on this has nothing to do with being EM/CC myself... :cool:
Although I do wear a black coat because I think the white coat has become too diluted to be useful as a symbol.
 
EM/CC and Trauma Surgery... the two fields that can (theoretically) stabilize anything thrown at them.
Anesthesia/CC is just a slight bit below only because the base speciality primarily deals in patient who start out stable and differentiated.



My stance on this has nothing to do with being EM/CC myself... :cool:
Although I do wear a black coat because I think the white coat has become too diluted to be useful as a symbol.
A doc with a black coat would scare me out of my gown real fast.

311020111313.jpg
 
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My stance on this has nothing to do with being EM/CC myself... :cool:
Although I do wear a black coat because I think the white coat has become too diluted to be useful as a symbol.
You know, hairstylists wear the black coats...that's their thing.
 
pretty interesting how psych is the absolute lowest, I wouldn't think that would be the case

I think psych is threatened quite a bit but the follow through is poor. I've been threatened at least a dozen times in the psych ward but none of it has ever come to fruition.
 
I have no idea how you could read that series of posts and then come to the conclusion that I was saying the vagina is worse than a penis, or sputum, or WTH you're rambling on about incoherently.

Didn't like your general tone. Women's vaginas as point of focus have long been used to disrespect or diminish women. Objectification of women is just part of the subtle or not so subtle demeaning layering. It's been inculcated in this and other cultures. Instead of focusing on the good part of why women bleed--in preparation for the possibility of new life, rather it is too often the focus of disrespectful talk or jokes. Bleeding in a healthy, clean, vaginal/uterine environment is a good thing for women and potential, new life. The general tone is the thing
 
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Didn't like your general tone. Women's vaginas as point of focus have long been used to disrespect or diminish women. Objectification of women is just part of the subtle or not so subtle demeaning layering. It's been inculcated in this and other cultures. Instead of focusing on the good part of why women bleed--in preparation for the possibility of new life, rather it is too often the focus of disrespectful talk or jokes. Bleeding in a healthy, clean, vaginal/uterine environment is a blessing for women and potential, new life. The general tone is the thing

Huh?! Are you serious?!?! Oh please...
 
Huh?! Are you serious?!?! Oh please...
Male right? How many subtle statements have you said or heard over the years. I'm not some raving feminist by far. But I'm a woman, and this kind of stuff goes on. Read through this sight on negative comments about working OBGYN. You will see them pop up. A number of such comments often get ignored. Women in reproductive and other female needs are individual people of value. People say it bc it's PC, but do they mean it.? Or just bc you may not like a female is it right or fair to disminish her to her functioning reproductive system as if that were some bad thing even? Something to think about. I'm done. No offense intended. I responded in a way that need not have resulted in feelings of defense. It's just something like bigotry, we all need to be in touch with what, how, and why we say the things we say or think the things they think. If it bothers you and you think it isn't real or relevant, scroll past it. It's interesting to note that penises are worshipped in a number of cultures, not so much with vaginas. Think about why that may be.
 
It's interesting to note that penises are worshipped in a number of cultures, not so much with vaginas. Think about why that may be.

Some cultures also eat their dead, drink cows blood, have arranged marriages, or even socialism...,

People do strange things sometimes, sometimes the reason is just that people are strange
 
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I could see the case for MFM docs being badass. It takes unusual skill to enable, often extremely unhealthy women, to give birth. And for OBgyn's in general for simultaneously decreasing mortality more than many specialties combined in the last 100 years while at the same time taking unreasonable blame for the inherent dangers of Mother Nature.

But the aversion to the specialty is also a solid case: 1. Wet shoes from body fluids. 2. B!tchy work culture. 3. Getting sued for BS. 4. Crappy work hours

If you think #2 is prejudicial and sexist, then you have quite a case to make. The jury of medical clerks nation wide, has spoken loudly and with certainty on this. 10,000 clerks can't be all wrong. And "vaginas...yuck," cannot explain the poor experience we have of working in this field. My OB attending flat out wanted out of the field.
 
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Male right? How many subtle statements have you said or heard over the years. I'm not some raving feminist by far. But I'm a woman, and this kind of stuff goes on. Read through this sight on negative comments about working OBGYN. You will see them pop up. A number of such comments often get ignored. Women in reproductive and other female needs are individual people of value. People say it bc it's PC, but do they mean it.? Or just bc you may not like a female is it right or fair to disminish her to her functioning reproductive system as if that were some bad thing even? Something to think about. I'm done. No offense intended. I responded in a way that need not have resulted in feelings of defense. It's just something like bigotry, we all need to be in touch with what, how, and why we say the things we say or think the things they think. If it bothers you and you think it isn't real or relevant, scroll past it. It's interesting to note that penises are worshipped in a number of cultures, not so much with vaginas. Think about why that may be.

Lol.
 
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Male right? How many subtle statements have you said or heard over the years. I'm not some raving feminist by far. But I'm a woman, and this kind of stuff goes on. Read through this sight on negative comments about working OBGYN. You will see them pop up. A number of such comments often get ignored. Women in reproductive and other female needs are individual people of value. People say it bc it's PC, but do they mean it.? Or just bc you may not like a female is it right or fair to disminish her to her functioning reproductive system as if that were some bad thing even? Something to think about. I'm done. No offense intended. I responded in a way that need not have resulted in feelings of defense. It's just something like bigotry, we all need to be in touch with what, how, and why we say the things we say or think the things they think. If it bothers you and you think it isn't real or relevant, scroll past it. It's interesting to note that penises are worshipped in a number of cultures, not so much with vaginas. Think about why that may be.

Nurse right? Thought so. :rolleyes:
 
Didn't like your general tone. Women's vaginas as point of focus have long been used to disrespect or diminish women. Objectification of women is just part of the subtle or not so subtle demeaning layering. It's been inculcated in this and other cultures. Instead of focusing on the good part of why women bleed--in preparation for the possibility of new life, rather it is too often the focus of disrespectful talk or jokes. Bleeding in a healthy, clean, vaginal/uterine environment is a good thing for women and potential, new life. The general tone is the thing

wtf are you talking about. this isn't a difficult concept. he said the reason ob and gyn were together is because they both deal with the vagina. this is completely and 100 % neutral and not negative in any way, shape or form.
 
Male right? How many subtle statements have you said or heard over the years. I'm not some raving feminist by far. But I'm a woman, and this kind of stuff goes on. Read through this sight on negative comments about working OBGYN. You will see them pop up. A number of such comments often get ignored. Women in reproductive and other female needs are individual people of value. People say it bc it's PC, but do they mean it.? Or just bc you may not like a female is it right or fair to disminish her to her functioning reproductive system as if that were some bad thing even? Something to think about. I'm done. No offense intended. I responded in a way that need not have resulted in feelings of defense. It's just something like bigotry, we all need to be in touch with what, how, and why we say the things we say or think the things they think. If it bothers you and you think it isn't real or relevant, scroll past it. It's interesting to note that penises are worshipped in a number of cultures, not so much with vaginas. Think about why that may be.

if they're independent, why do they beg and sue for the support of the men that got them pregnant, meanwhile giving men 0 % of the decision regarding the fate of the child? yeah that totally sounds independent to me :rolleyes:

seriously everything you said is insane. you turned someone saying " the sky is blue" to " we all should die"
 
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Must be that time of the month...












..when SDN becomes a venue for overly principled tirades.
 
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#3 is an nonissue, when compared w ED, ICU, Gi procedures, etc. but whatever.

Yes what I am talking about is true and real. Why do you think decent people so vehemently hate the "c" word?

Frankly, since being on SDN, I am a bit shocked at how some are far removed from the real people/human elements required for becoming or being one. Thank God mant here Rent like that. You take out the respectful, human element, than what so you have left?

But as in all fields, some can be awesome, and some are primarily self-focused, shells of human beings. Yup OBGYNs can definitely be badasses. The ones that are hard, cold, and don't give a crap about the patients and whom canno relate well w families, well, they need to be far removed from patients. Same goes w anyone in ant area of medicine. The heroes are those who are respectful and truly care about their patients and the impact on the particular family unit. IMHO , unidimensional thin kings don't belong in medicine or any healthcare, b/c people will never be anything more than flesh and blood.

So, then people wonder why medicine is trying to draw from more fields other than core sciences?
 
What does my current profession have to do with my feelings about attitudes in my current one? And would you have said "nurse right" in that manner if I had not said my gender is female?

You aren't seeing it and sadly that's on you. What's worse is you are a physician here influencing others in or headed to the profession, and with your tone and attitude, yes, that makes me sad. Wow
Nurse right? Thought so. :rolleyes:
 
it's just hilarious that all this happened because of the most gender neutral, fact stating statement I've ever read. there was no tone, no attitude, no anything.

get off your soapbox and go rant to someone else that doesnt care
 
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if they're independent, why do they beg and sue for the support of the men that got them pregnant, meanwhile giving men 0 % of the decision regarding the fate of the child? yeah that totally sounds independent to me :rolleyes:

seriously everything you said is insane. you turned someone saying " the sky is blue" to " we all should die"
First thr relevance of the first part of what you said isn't related to my points, but it does suggest some animosity against women. Second, I was referring to the tone of the original person to whom I replied, and I stand by it, with the openly acknowledged comment re time of the month from another poster.

Sorry but there's some lack of respect and sensitivity re women here. It's there, playing boys club and laughing about it underscores a nerve I touched. Do I cringe when I read disrespectful things re women, etc...or even a y group of people. Yes. It about respectfulness.

Done.
 
Nurse practitioners.

Who else practices medicine with only 2 years of grad school filled with fluff?
This really shows with a strike of a pen, anyone can practice medicine... Below is a NP curriculum. Seriously!

Courses

NUR 802: Theoretical Foundations and Role Development for the Advanced Practice Nurse
NUR 804: Statistics for the Healthcare Professional
NUR 805: Pathophysiology for Advanced Practice Nurses
NUR 806: Research for Practice Nurses
NUR 807: Clinical Decision Making
NUR 809: Applied Pharmacology for Advanced Practice
NUR 814: Health Care Policy and Politics
NUR 820/835: Health Assessment
NUR 821/836: Primary Care Management I
NUR 822/832: Practicum I Primary Care
NUR 823/837: Primary Care Management II
NUR 824/834: Practicum II
NUR 838: Care for Aging Individuals
 
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