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Good info, I appreciate that. I can't say that I understood HCM well enough to comment before, but I'm getting a better grasp of it now. Still, now I just wonder what the actual cause was and if the vasovagal response was the actual cause, as her previous doc dx'd. It just seems strange to me...

We carry caps for our syringes. Just pop one on and it's all good.

I like that idea. I just draw up 6 ccs from a MDV into a 60 cc syringe and fill the rest with saline. Then I just keep it in my pocket. 6 doses ready to go that way.

I actual did ask an approx volume and she said it "wasn't anything extreme, just normal spotting". Now that I think about I shoulda asked her to be more specific. It actually came up during the hx. The pt had started to have contractions, so she came in. They started a mag drip to slow the...

Well, the doc basically said that my theory was "good, but it's much more likely to be due to HCM." So basically just asking second opinions on whether you all think it sounds like it was due to HCM or not since I'm not familiar with it really.

I had a pt yesterday that I've been trying to find the answer for a question that I've had with no luck. Pt is a 29 year old that is 34 weeks pregnant and has been having syncopal episodes since she was a teenager. They diagnosed them at that time as a vasovagal response to severe menstrual...

Must be a Ca guideline to do that many. Arizona requires 300~ if I remember right. And thanks.

Wow. You do a lot of field time. I got my assignment last week, start there Oct 1st. I put in 480 hours and then I'm all set. Also, pretty upset with one of my pt's outcomes today. Had a 4 year old little girl today, cutest thing I've ever seen in my life. Came in after having a series of...

And a much better way of saying what I tried to say, haha

"Rest and digest." Parasympathetic stimulant is going to cause miosis. When you're resting, your eyes don't need to take in every single detail, so your pupils constrict. I know I worded that badly, but it's the very basic standpoint.

They talked about someone else putting that, too. They said assessment should be pertinent, so why are we putting there is no tracheal deviation on someone with an extremity fx. Of course, we still have to assess it and those would be our notes from the assessment though........ We have those...

Also, to my also. This is the first time that I've ever had to actually chart my pts on a PCR. What's a good thing that y'all put to say that there's no clinical findings in an area, i.e. the neck and they have no complaints. I was putting things such as "nothing noted upon assessment" then "no...

I had my first OR shift last week, Doc was a former paramedic. Started the day off with "I feel like every paramedic is grossly unprepared for what they have to do..." My thoughts immediately go to "ggrreeeaattt..." Doc continues "so, we're just going to dive in so you can get the experience and...

I knew it wasn't, but my ride to work bailed on me at the last minute. If I'm late more than once in the same week, I get my pay docked from $17 down to $8 for the next two weeks and I was late on weds. I figured it was less than 2 miles and I didn't have time to call anyone else. Hindsight is...

This is great. Started clinicals and vehiculars last week. I've been progressively getting sick(N&V, a killer head ache and really bad dizziness). Today I'm going to work and got a really bad bout of dizziness while at a stop light on my bike. My leg went out and I went down. I now have to do...

My first clinical shift starts in about 10 minutes. So... Night shift... On a holiday... At a level one trauma center... For my very first shift ever... I'm terrified.

Ever had the type of day that you just run to the hills? Well... It's a lot more fun on a motorcycle with the mountain passes.

I walked the whole street right after he pulled me over with my phone recording. Time stamped at 20 mins after. Walked around the sign and it says 15 mph when in session, of course. They had the permanent sign of approaching school zone, no portable sign out with the speed limit though. The...

That's what I tried when I called today. Phoenix has a policy of only offering 30 day and it is required to be on a day the the citing officer is there. That is why they only offer the two. Going to try to get the first clinical day rescheduled. If that fails, I'll put in a trial request before...