Surgeons: how many residents are usually on a certain patient with you?
I watch some medical shows and I was wondering if you could point out some inaccuracies. How many scrub nurses in an OR? When residents can begin to do "solo" surgeries without the supervision of an attending? How many patients a doctor might have at one time? Communication between doctors? Personal assistants? Floating to other professions like radiology or the ER? Are you usually consulted from the ER or are you searching for patients there like in Greys Anatomy? sorry for all the question. I am 16 and curious to medical professions. Thank you! that cleared a lot of things up for me!
Medicine - 2 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Medical shows are totally inaccurate. In a minor operation there would be one nurse assisting /passing instruments/ counting swabs and another as scout who gets equipment that may not be at hand. Scouts might roam between two minor OR/ OT in Australia. More nurses assist in major surgery OT. Residents in Australia are first year out of med school, so they would not be operating. In USA that probably/must be different. Doctors can have many patients - they work in a team - the consultant, a consultant trainee, a resident; so the work is shared according to level of skill. Consultants are called to ER or Radiology as need be on their consulting days. If they are not called they are doing rounds in the hospital visiting their inpatients or in the clinic seeing outpatients.
2 :
"How many scrub nurses in an OR" On nurse is scrubbed and assists the surgeon by passing instruments and other stuff. There is then one float nurse who answers the phone in the OR, gets supplies, and arranges the odds and ends needed for surgery. "When residents can begin to do "solo" surgeries without the supervision of an attending? " This is a unique thing, and for the vast majority of residents they are never allowed to perform surgeries without an attending surgeon present in the room. Some specialties, like neurosurgery and orthopedic surgery which have longer residencies, allow senior residents to do some limited operations without attending present if they are eligible to sit for the board certification exam. "How many patients a doctor might have at one time?" If you mean in the hospital, it all depends how busy their call nights are and how many operations they perform. Non-operative specialties like internal medicine, family practice, and pediatrics usually carry more patients than surgeons. That being said, the most the average surgeon would have in the hospital at an one time would probably be 10-15 (including consult patients) "Communication between doctors?" Doctors regularly consult one another on patients. This could be a surgeon asking an endocrinologist to mange a patients diabetes while they are in the hospital or an internal medicine doctor consulting a surgeon. It really all depends on the patients condition and the doctors ability to treat it. "Personal assistants" More and more doctors in all specialties are employing medical assistants and nurse practitioners to assist with patient care. "Floating to other professions like radiology or the ER?" For practicing doctors this almost never happens. For residents it is quite common. For example in many neurosurgery residencies, the residents are required to spend time in the radiology department studying neuroradiology and time in pathology studying neuropathology. "Are you usually consulted from the ER or are you searching for patients there like in Grey's Anatomy?" Almost all specialists share the same motto here: "STAY AWAY FROM THE ER, AND WHEN CALLED GET IN AND OUT!" Specialists almost never just hang in the ER, since whenever you do, the ER staff will ask you to see this patient for something or that one for something else before properly working them up themselves. This leads to the specialists spending extra time in the ER and wasting a lot of time on patients that they would not normally need ot see if the ER had done its job to start. So usually the specialists will wait to get called from the ER before going there.
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Sunday, November 28, 2010
Sunday, November 14, 2010
Do I really need a dam
Do I really need a dam?
I'm in my 40s. My man wanted to marry me and provide for me so I can take care of HIM. He hates me now cause I flipped the script (changed my mind about him). I'm not a doormat. I've experienced all types of losers and I want to be married for the rest of my life, but, why can't I be with someone who I know really loves and cares about ME? Not another loser who needs a nurse. I'm at rock bottom, raised my kids solo to adulthood and I know I can still reach a couple goals for myself as long as I have health and determination. Love or no love, do I really need a dam (him) blocking the flow of my river? Won't it happen for us anyway if it's meant to be for us?
Marriage & Divorce - 7 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Well if you don't want to take care of him, don't marry him. Why is this so difficult?
2 :
you know the answer.
3 :
Only if it's meant to be it will happen, otherwise whatever happens will happen.
4 :
Your question indicates that you have followed similar paths before, and not liked the results you had found. What you are proposing with this man is a marriage of convenience. This might be all fine and good if you wish to live loveless and under his thumbs, so to speak. The law doesn't necessarily provide for such arrangements, and if he decides to stop "providing" for you, what then? Your best bet is to either stay single, or to attempt a real relationship with a man who loves you for you. Personally, I think that you may need some professional help if you have been selling yourself short in this way as your description suggests. You have been choosing desperate men who will resent you on many levels... why?
5 :
IDK; are you a beaver?? LOL. If he is making you into a doormat then hell no, it's time to dump his sorry ass. But if he is only trying to achieve his own goals and needs your help until he does then you married him and you should at least give him that chance. Know what I mean?
6 :
"why can't I be with someone who I know really loves and cares about ME?" Because those aren't the types of men YOU choose to be with.
7 :
You sound to me like someone who is a bit to picky.It is okay that you still have goals you want to reach and keep your river open(so to speak).Let me just throw this at you though,time is like a demon that creeps up and takes a womans looks before they realize it,so don't keep your river flowing to long or you may just be up it without a paddle(so to speak).
Read more discussion :
I'm in my 40s. My man wanted to marry me and provide for me so I can take care of HIM. He hates me now cause I flipped the script (changed my mind about him). I'm not a doormat. I've experienced all types of losers and I want to be married for the rest of my life, but, why can't I be with someone who I know really loves and cares about ME? Not another loser who needs a nurse. I'm at rock bottom, raised my kids solo to adulthood and I know I can still reach a couple goals for myself as long as I have health and determination. Love or no love, do I really need a dam (him) blocking the flow of my river? Won't it happen for us anyway if it's meant to be for us?
Marriage & Divorce - 7 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Well if you don't want to take care of him, don't marry him. Why is this so difficult?
2 :
you know the answer.
3 :
Only if it's meant to be it will happen, otherwise whatever happens will happen.
4 :
Your question indicates that you have followed similar paths before, and not liked the results you had found. What you are proposing with this man is a marriage of convenience. This might be all fine and good if you wish to live loveless and under his thumbs, so to speak. The law doesn't necessarily provide for such arrangements, and if he decides to stop "providing" for you, what then? Your best bet is to either stay single, or to attempt a real relationship with a man who loves you for you. Personally, I think that you may need some professional help if you have been selling yourself short in this way as your description suggests. You have been choosing desperate men who will resent you on many levels... why?
5 :
IDK; are you a beaver?? LOL. If he is making you into a doormat then hell no, it's time to dump his sorry ass. But if he is only trying to achieve his own goals and needs your help until he does then you married him and you should at least give him that chance. Know what I mean?
6 :
"why can't I be with someone who I know really loves and cares about ME?" Because those aren't the types of men YOU choose to be with.
7 :
You sound to me like someone who is a bit to picky.It is okay that you still have goals you want to reach and keep your river open(so to speak).Let me just throw this at you though,time is like a demon that creeps up and takes a womans looks before they realize it,so don't keep your river flowing to long or you may just be up it without a paddle(so to speak).
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Sunday, November 7, 2010
Is he treting me unfairly
Is he treting me unfairly?
Been engaged for 2 years to a man who has serious financial obligations to his ex and children. I like his kids but feel as though I can no longer pay half of our household bills, he makes about 4 times what I do. I'm a full time student and I work but it is not enough money. I'm tired of being left alone untill 10 every night. For the last year I took care of his elderly father who recently went into a nursing home- because I'm no longer doing this he says he can no longer subsidize my cell phone and 40 buck a week health insurance. I know his kids come first but should he cut me a break on the cell phone and insurance untill I finish school in 2 years? I feel as though 100 percent of my income is going to our house. I have a child who lives with us that I support entirely but with my income I cant subsidize his kids to. He pays there rent, tuition, books, utilities on apartment, and the ex 2200 a month- altogether he pays out about 65,000 a year which leaves us with little and my child really poor. Should I move into a cheap affordable appartment and go solo? Before you bash me and say we are not married keep in mind I pay half the house expenses on a house that I dont own and never will also I spent the last year taking care of an 86 year old man with alzheimers his father and it was not easy. I'm really glad his kids have no struggles financially but mine does.
Marriage & Divorce - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
You are a doormat. Move on.
2 :
Well that's weird that he has to pay so much money, i mean.. is ok to have to pay child support and alimony which is required if they were married for a long time.. talk to him and let him know he has other responsibilities but if thats the money he is required to pay .. deal with it, when you get with a men with kids you need to be strong enough to deal with all the problems that come with it.. and if you dont want to go through this.. then leave him.
3 :
is your child his? if not he still has his own obligation sorry that doesnt leave much to u
4 :
you really did get the short end of the stick on this one . . . sorry but he's not thinking clearly or fairly
Read more discussion :
Been engaged for 2 years to a man who has serious financial obligations to his ex and children. I like his kids but feel as though I can no longer pay half of our household bills, he makes about 4 times what I do. I'm a full time student and I work but it is not enough money. I'm tired of being left alone untill 10 every night. For the last year I took care of his elderly father who recently went into a nursing home- because I'm no longer doing this he says he can no longer subsidize my cell phone and 40 buck a week health insurance. I know his kids come first but should he cut me a break on the cell phone and insurance untill I finish school in 2 years? I feel as though 100 percent of my income is going to our house. I have a child who lives with us that I support entirely but with my income I cant subsidize his kids to. He pays there rent, tuition, books, utilities on apartment, and the ex 2200 a month- altogether he pays out about 65,000 a year which leaves us with little and my child really poor. Should I move into a cheap affordable appartment and go solo? Before you bash me and say we are not married keep in mind I pay half the house expenses on a house that I dont own and never will also I spent the last year taking care of an 86 year old man with alzheimers his father and it was not easy. I'm really glad his kids have no struggles financially but mine does.
Marriage & Divorce - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
You are a doormat. Move on.
2 :
Well that's weird that he has to pay so much money, i mean.. is ok to have to pay child support and alimony which is required if they were married for a long time.. talk to him and let him know he has other responsibilities but if thats the money he is required to pay .. deal with it, when you get with a men with kids you need to be strong enough to deal with all the problems that come with it.. and if you dont want to go through this.. then leave him.
3 :
is your child his? if not he still has his own obligation sorry that doesnt leave much to u
4 :
you really did get the short end of the stick on this one . . . sorry but he's not thinking clearly or fairly
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Monday, November 1, 2010
I just need to vent. Tell me if im being neurotic and over reacting... Am I making the right choice
I just need to vent. Tell me if im being neurotic and over reacting... Am I making the right choice?
I am finally seriuly thinking about leaving my live in boyfriend of 4 years. Tonight was the last straw. He told me yesterday that he might go out with one of the reps at his company at some big bar for this guys b-day... he wanted to "role solo", in his words.. cool with me, we see each other every day. But he told me today he does not really want to go, and he probably won't. I go to work out, and im gone for 30 minutes and he is gone. No note, no nothing! I call him and he tells me he woke up from his nap and just decided he was bored and he wanted to go to the bar. Fine by me.. although I was a little ticked at the fact that he could not even tell me goodbye, he knew where I was! At the apartment complex gym! He told me he will be home in and hour or 2 (at 6pm). He has a problem with liquor, so now all he does is beer, but he drank liquor for the first time last night in a while... maybe opened up pandoras box? because normally when he is just doing beer he is home soon, but it is now almost midnight and no sign of him. Not even a phone call, or a text message. I have called him numerous times becuase I am worried about him drinking and driving, but he does not answer and does not call me back. I text him and told him that I am pretty much done. I have been dealing with this crap for a while. I have gained a little weight that I am trying to work off, and he is on this kick that I need to weigh 118 lbs, and I am 5'8! I want to be at 130, but he disagrees. I work part time because I am a full time student trying to get accepted into nursing school, and a lot of the times he tells me whenever we have an argument that I bring nothing to the table because I make less than him. He also tells me that he can do better than me and that when he goes out alone, he has attractive, successful girls hitting on him all the time and he wonders why he is with me. Never appologies because somehow I brought it on myself... That is why I am so pissed that he is not answering his phone now! I have no trust in him. I am not even attracted to him. When he wants to be intimate, he will say stuff like "put ur lips around my cock", or "i wanna tare that pussy up"... just stuff that is not even romantic. It is hard to even lay in the bed with him without him trying to grope me and say "Oooh, I love your tits!!! Wanna fuck?"!!!!!! Ugh! I live 8 hours away from my family so the only thing that is holding me back is the drive, and the fact that I have 2 lovely cats that I cannot take with me. We can't even really sit down and talk without having an argument. I feel like I have to agree with everything he says or I will get made to feel like shit. I am just an angry bitch right now! Also, I recently cosigned on a truck for him becuase his credit is shit. And now that is hanging over my head. He is not physically abusive, just not mentally attached to me it seems. Whenever I have a bad day at work, and want to talk about it, there are times where he will say stuff like "Your day does not compare with mine.. I have real problems, you work part time, how big can your problems be?" He does not like my family really because they don't have much money, therefor he does not think they are worth shit to him because they aren't in the position to help us out, and in his eyes becuase I am the one bringing him down, they should send lots of money. I go to school 14 credit hours. I did work a full time job that allowed me to do my homework on the job, but because I was not busy enough at my job he basically made me feel so bad about it that I quit. The economy is so bad that the only thing I have been able to find is part time, so I filled the rest of my time with classes, so now I am stuck until May when the classes are over. Then sometimes he will say "Just work on getting your ursgin degree, that is how you can help us out the most"... My head is just spinning right now. I am at a crossroads. I don't know what to say to reach him, and make him feel as if my opinions and feelings matter...
Other - Family & Relationships - 1 Answers
Random Answers, Critics, Comments, Opinions :
1 :
I am sorry that I barely found this article, I am big fan of reading about real problems rather then one liners that people put on there so here is my two cents, but hopefully you won't need this and you will be able to go on with your life HAPPILY! First the alcohol, that is a problem and him not drinking is something he knows is an addiction, that sucks because when the first drink comes its over. It becomes the next drink and then the next drink. Before you know it, it has become the addiction all over again. Verbal Abuse... Your confidence will be nothing very soon. Absolutely nothing. This type of abuse reminds me of a southern movie or something about a woman coming to empowerment. The reason I say that is because you are no longer treated as a princess or even loved like one. I am a male and trust me I have my cravings. Not every part of intercourse is making love HOWEVER every time you both do this, its not even close. Every time he is living a porno with foul language. Your body is sacred and special... He does not respect you in the least bit, he believes that you are well beneath him. (There to SERVICE to him.) For what ever reason, to boost up his ego, to make himself feel superior, or just to be the so called "Man" either the case it is wrong. Plane and simple wrong. You are worth way more then what you are given credit for. You are the submissive person in the relationship and usually there is nothing wrong with that. Having to dominate people often times creates greater conflict but can be very fun at the same time. Your case he has beat you down so far that you words shocked me. " I feel like I have to agree with everything he says or I will get made to feel like ****." So you are saying that its totally ok not to have an opinion any longer, you are saying as living person you can't think for yourself. He is selfish, he is unappreciative. I promise you this will escalate even though you say that there is no physical abuse, but trust me there is. Abuse is present. I am sure you are thinking about his good qualities to justify him. But all you are doing is saying that it is ok. I am sure things started out great, love etc... They do not exist any longer. Finally, your question... Is there a way to reach out to him? Yes, leave... That's the only way he will understand the severity of the issue. You need take accountability because at this point you have said that its ok for him to tell you all of these horrible things and at this point you are changing your ways where this type of behavior is not going to be tolerated! (Accountability is means to understand where failed, however this isn't justifying his actions by any means.) Good luck and you are welcome to email me at anytime as a friend to talk to. ADAM
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I am finally seriuly thinking about leaving my live in boyfriend of 4 years. Tonight was the last straw. He told me yesterday that he might go out with one of the reps at his company at some big bar for this guys b-day... he wanted to "role solo", in his words.. cool with me, we see each other every day. But he told me today he does not really want to go, and he probably won't. I go to work out, and im gone for 30 minutes and he is gone. No note, no nothing! I call him and he tells me he woke up from his nap and just decided he was bored and he wanted to go to the bar. Fine by me.. although I was a little ticked at the fact that he could not even tell me goodbye, he knew where I was! At the apartment complex gym! He told me he will be home in and hour or 2 (at 6pm). He has a problem with liquor, so now all he does is beer, but he drank liquor for the first time last night in a while... maybe opened up pandoras box? because normally when he is just doing beer he is home soon, but it is now almost midnight and no sign of him. Not even a phone call, or a text message. I have called him numerous times becuase I am worried about him drinking and driving, but he does not answer and does not call me back. I text him and told him that I am pretty much done. I have been dealing with this crap for a while. I have gained a little weight that I am trying to work off, and he is on this kick that I need to weigh 118 lbs, and I am 5'8! I want to be at 130, but he disagrees. I work part time because I am a full time student trying to get accepted into nursing school, and a lot of the times he tells me whenever we have an argument that I bring nothing to the table because I make less than him. He also tells me that he can do better than me and that when he goes out alone, he has attractive, successful girls hitting on him all the time and he wonders why he is with me. Never appologies because somehow I brought it on myself... That is why I am so pissed that he is not answering his phone now! I have no trust in him. I am not even attracted to him. When he wants to be intimate, he will say stuff like "put ur lips around my cock", or "i wanna tare that pussy up"... just stuff that is not even romantic. It is hard to even lay in the bed with him without him trying to grope me and say "Oooh, I love your tits!!! Wanna fuck?"!!!!!! Ugh! I live 8 hours away from my family so the only thing that is holding me back is the drive, and the fact that I have 2 lovely cats that I cannot take with me. We can't even really sit down and talk without having an argument. I feel like I have to agree with everything he says or I will get made to feel like shit. I am just an angry bitch right now! Also, I recently cosigned on a truck for him becuase his credit is shit. And now that is hanging over my head. He is not physically abusive, just not mentally attached to me it seems. Whenever I have a bad day at work, and want to talk about it, there are times where he will say stuff like "Your day does not compare with mine.. I have real problems, you work part time, how big can your problems be?" He does not like my family really because they don't have much money, therefor he does not think they are worth shit to him because they aren't in the position to help us out, and in his eyes becuase I am the one bringing him down, they should send lots of money. I go to school 14 credit hours. I did work a full time job that allowed me to do my homework on the job, but because I was not busy enough at my job he basically made me feel so bad about it that I quit. The economy is so bad that the only thing I have been able to find is part time, so I filled the rest of my time with classes, so now I am stuck until May when the classes are over. Then sometimes he will say "Just work on getting your ursgin degree, that is how you can help us out the most"... My head is just spinning right now. I am at a crossroads. I don't know what to say to reach him, and make him feel as if my opinions and feelings matter...
Other - Family & Relationships - 1 Answers
Random Answers, Critics, Comments, Opinions :
1 :
I am sorry that I barely found this article, I am big fan of reading about real problems rather then one liners that people put on there so here is my two cents, but hopefully you won't need this and you will be able to go on with your life HAPPILY! First the alcohol, that is a problem and him not drinking is something he knows is an addiction, that sucks because when the first drink comes its over. It becomes the next drink and then the next drink. Before you know it, it has become the addiction all over again. Verbal Abuse... Your confidence will be nothing very soon. Absolutely nothing. This type of abuse reminds me of a southern movie or something about a woman coming to empowerment. The reason I say that is because you are no longer treated as a princess or even loved like one. I am a male and trust me I have my cravings. Not every part of intercourse is making love HOWEVER every time you both do this, its not even close. Every time he is living a porno with foul language. Your body is sacred and special... He does not respect you in the least bit, he believes that you are well beneath him. (There to SERVICE to him.) For what ever reason, to boost up his ego, to make himself feel superior, or just to be the so called "Man" either the case it is wrong. Plane and simple wrong. You are worth way more then what you are given credit for. You are the submissive person in the relationship and usually there is nothing wrong with that. Having to dominate people often times creates greater conflict but can be very fun at the same time. Your case he has beat you down so far that you words shocked me. " I feel like I have to agree with everything he says or I will get made to feel like ****." So you are saying that its totally ok not to have an opinion any longer, you are saying as living person you can't think for yourself. He is selfish, he is unappreciative. I promise you this will escalate even though you say that there is no physical abuse, but trust me there is. Abuse is present. I am sure you are thinking about his good qualities to justify him. But all you are doing is saying that it is ok. I am sure things started out great, love etc... They do not exist any longer. Finally, your question... Is there a way to reach out to him? Yes, leave... That's the only way he will understand the severity of the issue. You need take accountability because at this point you have said that its ok for him to tell you all of these horrible things and at this point you are changing your ways where this type of behavior is not going to be tolerated! (Accountability is means to understand where failed, however this isn't justifying his actions by any means.) Good luck and you are welcome to email me at anytime as a friend to talk to. ADAM
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