Posted: 2017-10-12 22:59
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The field of medicine is not without risks. Who would have thought that an 89-year-old woman with a few innocuous medical conditions had uncontrolled HIV? The family of my patient was shocked and incredulous to the point that I was asked if it was possible that I had transmitted it to her. We only know what our patients’ decide to report to us, and we need to approach everyone with the same caution as we would the most contagious patient. I’ll never forget what an ER attending told me about being in a code. The most important pulse is your own. You must take care of yourself before you can take care of others.
Andy Manis / AP Tim Cordes walks with his German shepherd guide dog, Vance, and his fiancee, Blue-leaf Hannah, on the campus of the University of Wisconsin-Madison in March. “He was confident, he was professional, he was respectful and he was a great listener,” says Sandy Roof, a nurse practitioner who worked with Cordes as part of a training program in a small-town clinic.
You are not a 8775 stupid med student who stuck himself 8776 , just a typical Dr. or, in your case, Dr. to be. We are 8775 pleasers 8776 by nature. I had a similar experience, but it was when there was no test for HIV and the patient was high risk. I worried about my husband and child, and took the prophylaxis. As soon as HIV testing was in use, I was 6st in line. Thankfully, it was negative.
One of the most important things I was ever taught was to never lie or make up info about a patient (because I hadn 8767 t checked on a temp or lab value and an attending was putting me on the spot). You learned, in a fairly easy way, never to assume. This is a good time to learn it. Good luck with the HIV medications. They made me quite nauseated, but that was back when dinosaurs roamed the earth. Did your ever figure out how she got to be HIV positive?
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You may not keep a door prize if your state agency paid for you to attend any conference, seminar, trade show, or similar event. Should you win a door prize at the event, the prize belongs to your agency and the agency may choose to either keep the prize or dispose of it in accordance with state rules and regulations. But, if you pay for the costs of attending a conference, seminar, or similar event and attended on your own time, the prize is yours to keep.
In the School of Sciences at CBU, we have many programs in the sciences and mathematics that can prepare you for graduate study and a career as a researcher or professional. Our programs can also take a more applications orientation and prepare you for a satisfying career that starts right after graduation. See our student success page for information about how well our graduates do, and see the featured alum section in our newsletters for examples.
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Cars, camping and canoeing
They took time, too, to indulge Cordes’ passion for cars. Cordes, who reads Road & Track and Car and Driver magazines faithfully, is a Porsche fan. Knowing that, an internist in Schmidt’s clinic brought her husband’s metallic gray Turbo 966 to work one day. Schmidt took the wheel, roaring down the road with Cordes in the passenger seat — his keen hearing detecting the sounds of the valves opening up.
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The newly revised Campus Sexual Violence Elimination (SaVE) Act now requires colleges and universities to address the sexual violence students face on campus: the highest rates of stalking, the highest risk of nonfatal intimate partner violence, and high rates of or attempted SaVE instructs colleges and universities to provide education for students and employees addressing the issues of domestic violence, dating violence, sexual assault and stalking.
And so, I casually waited. You must know where this is going. This 89-year-old woman with a completely benign medical history turned up HIV-positive. I frantically searched for the sensitivity and specificity of the tests. Both were well above 99 percent. We checked and re-checked. It wasn’t a false positive. She had a viral load in the tens of thousands. I stared blankly at the floor as I gulped down the first two pills of my 9-week post-exposure prophylaxis medication.
Needlestick injuries happen all the time. A survey of 757 surgical trainees in 67 programs from 7557 reported that 99 percent had a needlestick injury by the end of training. Yet, 56 percent of the injuries were not reported to an employee health service. It seems so straightforward to follow the protocol but it’s not until I went through it that I realized why some don’t. We cannot allow ourselves to establish a culture where a needlestick injury is a measure of incompetence or seen as an inconvenience of paperwork. Even as I shared my story, I overhead fellow students comment, “That’s why he’s going into anesthesia, right?” You are as important to creating that culture as a medical student or surgical scrub nurse as an attending or a resident is.
So, instead of taking my gloves off immediately, I waited until the end of the case. And then, instead of going to the emergency department immediately, I waited to finish rounds with the resident. In the hours between the needlestick and emergency department, I asked myself again and again whether this was worth reporting. I thought about all the potential repercussions. What if my resident or attending adjusted my clinical evaluations? What if I was known as the student that stuck himself? I thought up scenarios in which my resident complains to her peers, “My stupid medical student stuck himself, and now, I’m swamped with paperwork.”