#with the hospital/facility patient experience department

[macgyvermedical]

My Experience in Inpatient Psych

So I know a lot of people on here have talked about their experience in inpatient psych facilities, but I'd like to add mine just to give all you writers out there a writer-focused one. It's below the cut just in case you have to sit this one out for your own reasons.

To give you some background, I am 30 years old and have had hallucinations since about 16 and bizarre intrusive thoughts (someone living in my house that wasn't supposed to be there, somebody poisoned my walls, etc...) for about a decade, as well as very severe anxiety since I was about 3 years old. This is something not a lot of people know about me, even people I am friends with IRL.

The only thing I am actually diagnosed with is anxiety, which I'm starting to think is a failing of the psych systems I have been a part of. I have had counseling off and on and prior to this hospitalization I took escitalopram, aripiprazole, and gabapentin prescribed by my primary care doctor- all for the severe anxiety.

Quite frankly, I should have been in inpatient psych at least a few times before this, and it's by sheer dumb luck that I've survived to continue this blog.

On Friday, I was at home alone and made a few pretty bad decisions. I wont say what they were because frankly they're embarrassing, but they have to do with self-harm. I was scheduled to work Saturday and at about 9pm I realized that if I drove myself to work I would crash my car. Since my wife drives me sometimes, I figured I would just ask her to.

I told my wife and she asked- even if she drove me to work, since I was a nurse, would I be able to keep myself safe around insulin or other potentially dangerous drugs? I couldn't answer that question. We talked for a couple hours and came to the conclusion that I probably needed to go to the emergency department.

At this point I figured they would evaluate me and release me because I couldn't possibly meet the criteria for inpatient. I was wrong in this assumption. After telling them the decisions I had made that day, the feelings of wanting to die in a car crash, plus about a previous attempt, they recommended inpatient. Turns out, when you're a nurse, you can make some really bad life choices with the knowledge you have, and they didn't want to take any chances.

I was given paper scrubs to wear (so I couldn't hurt myself with my clothing or a hospital gown). I was also given a patient companion (someone who sits in the room and makes sure you don't hurt yourself).

They gave me the option of signing myself in voluntarily, or putting me on a writ of detention. A writ of detention is a piece of paperwork that allows a medical professional or law enforcement officer to hold someone for 3 days in a psychiatric facility against the person's will for the purposes of psychiatric treatment. Whether you sign the voluntary or get placed on a writ, you cannot sign yourself out. You need to wait until the psychiatrist taking care of you thinks you're ready to go.

I didn't believe at this point I needed to go inpatient, but I took the voluntary option because there are some perks, like being able to leave within 3 days if appropriate. At this point I was convinced I was probably going to have to call off work Saturday and Sunday, probably be out of the hospital Monday, have a few days to rest and be back at work on my next scheduled shift after that, which was Thursday.

Well, that's not what happened.

Because of some of the decisions I had made, along with bed availability, they wanted to keep me in the observation unit overnight before they sent me to psych. I stayed overnight in a unit that shares staff with the unit I work on, so I was taken care of by my coworkers. This was surprisingly not that bad. I like my coworkers and they were really professional about it.

Saturday I felt like I was in a fog all day. I couldn't watch TV. I couldn't color or write. I worked out some in my hospital room and paced the halls once or twice. Mostly I hung out with my wife and occasionally talked with my companion, but even talking was difficult. I had refused ativan because I felt like I had no hope of finding a medication that made me feel better, and I figured I didn't want to take the one medication that might actually work and then not be able to get it ever again.

Around 7PM I took a 45 minute ambulance ride to the facility. Getting my blood pressure taken is a big anxiety trigger for me, but my brain felt so scrambled that I couldn't express this well. They took it every 10 minutes on the ride there and by the time I got there it was in the 170s/100s (BP goes up when you're having severe anxiety). This was not their fault of course, but no matter how much I thought about telling them or refusing the BPs, I just couldn't do it.

When I got to the facility I was greeted by a tech who took my BP again (150s/90s this time), showed me around and looked through my personal belongings (basically just the clothing I came in with since my wife took my phone and wallet knowing I wouldn't be able to have them on the unit) to make sure I didn't have anything I wasn't allowed to on the unit. She showed me around my room and was really thorough with telling me how things worked, what the rules were, etc..

The rules included:

No patients allowed in other patients rooms

No personal belongings that had strings, belts, or laces, or that could be used as a weapon

No caffeine after lunch and no free access to caffeine

No personal electronics (including eReaders and watches). There was a TV in the day room and 2 phones mounted to the wall for patient use

A little later my nurse came into my room and asked me a ton of questions. Here's the thing about any hospital- you get asked the same questions over and over. By the time I'd gotten there I could give my story in under a minute. Or at least, that's what it felt like. There were only 2 clocks on the unit, at the nurses stations.

The unit itself was laid out in a "T" shape. There was a main nurse's station at the place where the two hallways intersected. At the end of the long hallway there was another smaller nurses station, a cafeteria/day room, and a "comfort room" which was a small room off the day room that had a collection of the oldest and worst donated books that have every come together on a bookshelf.

I did some pacing that night and then went to bed, but didn't sleep particularly well.

On Sunday morning the tech woke me up to take my blood pressure, which was, not unsurprisingly, still high. It was about 5 AM so I got up and paced the longer of the corridors for about an hour. Breakfast was served at 8 and the food wasn't that bad. The coffee was about the worst I'd ever drank, which I suppose helped with the no caffeine goals.

Just after breakfast I met with a psychiatrist on an iPad for about half a minute, and I'm not exaggerating there. The only questions he asked were whether I was suicidal and whether I would be fine with tripling my dose of aripiprazole in light of the hallucinations. I had had a 50-lb weight gain in the last year so I asked to switch my med. He switched the med to cariprazine. That was all.

I had a much longer meeting with my nurse later. All the nurses did an excellent job of assessing me, asked tons of questions, and it seemed like they really tried to figure out what was going on. That day I also met with a social worker, and a therapist, and a nurse practitioner. Each of them did an assessment to see what my needs were while I was there.

There was also a music therapy session where I cried my eyes out to Because of You by Kelly Clarkson.

I was really tired by the end of the day but I also didn't think I could sleep so I asked for trazodone. I should clarify that when I say "I" in this piece I really mean my wife convinced me to ask because I legitimately didn't believe I needed or deserved any of the things I asked for at this point. To my utter shock and surprise, they gave me the trazodone.

My first night on trazodone was amazing and I realized I hadn't slept well in a long time. With trazodone I fell asleep and stayed asleep until the blood pressure cart came rolling down the hallway at 5am. The second I got up on Monday morning I was wide awake.

I paced a lot Monday. I went to a goals session in the morning where I gave a goal to write 3/4 of a page. I didn't know if I could do it or what I was even going to write about, but I know I like to write and it might be a reasonable introduction to getting back to life.

I also was having kind of a rough day brain-wise. My brain was coming up with all the ways I could hurt myself in my room. There weren't a lot of them, but it was trying. I told the nurse during her assessment and she asked if I felt I could keep myself safe. I asked her what she would do if I said no. She said they could move me to a more secure part of the unit and give me more supervision. I knew what part of the unit she was talking about, and I didn't want to go there (no space to pace, and pacing was keeping me alive right then). So I told her I could keep myself safe (if anything, the idea of moving was good motivation to do stay safe in itself). I hallucinated some black and white blood cells falling from the ceiling and music coming out of my vents.

I also had another meeting with the social worker to figure out discharge plans. I voiced in the meeting that I wasn't sure that I could trust my wife, since it felt like at the time she was the one who exaggerated my symptoms to get me in here. The social worker said we had really good communication skills, since this was something I felt needed to be said in front of both of them and we both stayed really calm through the whole thing.

I finished the day with an art therapy session that really helped me turn a corner. The prompt was to draw the emotion(s) you felt right now on one side of the paper, and to draw the emotions you wished you could feel on the other side. For the first time I realized that my emotional state was actually really bad and that the suicidality hadn't come out of nowhere, and that I needed help.

When my wife came to visit later that night I was able to tell her about my breakthrough, even though I still felt a little bit like she had done something to get me in here and I still wasn't sure I needed to be inpatient.

Tuesday was a lot better. I felt like I had woken up out of some kind of fog and I had no idea how long I'd been in it. I went to goals group, a spiritual group, and group occupational therapy. My goal was to be more social and I made a friend and we paced together and worked out. I read a quarter of The Martian by Andy Weir (my wife brought it for me because the best thing on the bookshelf was Louis L'Amour). I wrote about how good I suddenly felt. Turns out, I thought, a few days of good sleep, lots of therapy, and a new medication or two will really change things.

A quick side note about The Martian. I highly recommend it to anyone who is chilling in a psych hospital but has the ability to read while they're there (I sure didn't the first few days). I don't really know why, but the first few times I read it, I felt like they had created this superhuman character in Mark Watney just so they could throw a ton of wild things at him for the story. This time reading it, as a suddenly not suicidal person, I realized anyone with Mark's skill would have done the same thing and not just died on Sol 7 to get it over with.

Wednesday I woke up not feeling nearly as good as Tuesday, but still like the fog had lifted. I was a little disappointed (I hallucinated my cat (thanks for coming to visit me, Corina), some spiders, and just felt kinda meh. But I remembered how good I felt the day before, and that really kept me hopeful about going home.

I saw the psychiatrist again and asked to go home. He joked a little about me staying till Christmas, but ultimately he said as soon as his note was in I could go. I ended up leaving at about 12:30 with my wife.

In the time since leaving I have required a lot of support from my wife. The medications are all locked up, so are the blades and anything I could use to hurt myself. My wife has me in eyeshot at all times. I can't drive due to intrusive thoughts, so she does all the driving now. I quit my job because I feel like it was a big part of why I ended up as bad as I was. As someone who has been a pretty independent person this is a big change of pace, but something that is really necessary to my healing.

Ultimately at the end of my hospital stay, I was prescribed escitalopram, gabapentin, trazodone, cariprazine, and then a few days later propranolol. I'm currently on a total of 5 psych meds and honestly I don't care one bit because its so much better than being not on them at this point in my life.

[yourhealthrescue]

Discover the Best Hospital for Kidney Surgery in India

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Experienced Surgeons: The expertise of the medical team is paramount. India is home to many renowned nephrologists and urologists with extensive experience in performing kidney surgeries, including transplants and minimally invasive procedures.

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Medanta – The Medicity: Located in Gurgaon, Medanta is renowned for its world-class kidney transplant program. The hospital is equipped with advanced robotic surgery systems and a team of highly skilled surgeons who specialize in complex kidney surgeries.

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Final Thoughts

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[ayamari-no-goshi]

Chasing Shadows (9)

AO3 -> first, last, next

Fandoms: Danny Phantom (DP) / DC universe

Summary:  THIS IS A CROSSOVER.  As Bruce Wayne begins to slowly recover from the loss of his son, two   separate mysteries open up old wounds. Who is the unknown leaving clues   hinting at a return to Gotham, and who is the phantom pretending to be   his lost son? Is it just a coincidence they’re active in Gotham at the   same time? Or are they connected?  

Warnings: rated T for violence, mentions of death, and questionable mental health

Parings: none

Notes: originally uploaded to AO3. Cross-posted to tumblr

“Daniel Fenton (14) has been declared dead after being rushed to nearby Amity Memorial Hospital after receiving severe injuries from an accident involving one of his parents’ dubious inventions. His parents, doctors Madeline and Jack Fenton, infamous parapsychologists and inventors were working on what they stated would be a portal to the land of the dead. This so-called portal was being built in basement which had been converted into a laboratory which violates several local and state ordinances. An official investigation has been launched by Child Protective Services to determine if a case of criminal neglect led to the accident. Their surviving daughter has been placed in protective custody…”

Bruce could feel the migraine starting. Even with Constantine being able to give him a general area where he believed Phantom might have originated, he still had to pour over thousands of missing persons cases and death records. But, he believed he finally found the identity of the meta.

According to the publicly available records, he was dead. However, the information from the hospital provided a different picture. He’d been brought in unresponsive with severe electrical burns, but he had been resuscitated and stabilized. Although his vitals did not appear to be conducive to living, but his charts suggested he was alert and recovering in the following days.

The various specialists heavily documented Daniel’s information, most likely believing his recovery would require study. Most of it fell within what would normally be found in a patient’s charts, but there were a few strange mentions of the IV ports falling out and abnormally quick healing. Possible early documentation of the abilities he would end up developing.

But what was strange was how the charts ended. There was just a mention that the boy was found dead in his room and attempts at reviving him failed, but there was evidence of editing and possible tampering several hours later. Though it took much longer than he hoped due to the lack of Oracle’s equipment, he found the source, something called the Ghost Investigation Ward which was under the control of the Department of Extranormal Operations.

They must have been monitoring his parents’ research and swept in to grab him when they caught wind of what happened. A month after Daniel’s “death”, the charges against his parents were suddenly dropped, but their research and equipment had been seized. From what Bruce had seen of their various blueprints, Fenton tech could have multiple applications for military use. The government’s interest in them made a lot more sense after accessing them.

Frustratingly, their data had little information about Daniel. They had a few documents outlining the theories they had regarding what happened to him and whether or not he was to be classified as living or dead. If he ended up classified as dead, the list of experiments they wanted to run were enough to make him sick, but he couldn’t find any records of Daniel ever being at any of their facilities.

Was it possible someone else got to him first? Metahuman trafficking was a known issue, and traffickers preferred to grab them as soon as their powers manifested as it was harder for the metas to defend themselves. Or had he escaped in his own and somehow fled? He hoped it was the latter.

Frustrated that the boy’s trail went cold, Bruce turned his attention to his parents. It was difficult from him to determine whether or not they may have tried handing over their own son. The handful of photos he could find of the family together suggested the parents cared about their children, but with their profession, there was a chance they could have rejected him. Perhaps he should reach out to the daughter, Jasmine, first. She might be able to help him determine whether or not Daniel should be reunited with his family.

“Is this him?” Dick approached the computer on his right.

“I have a strong reason to believe that’s the case.”

His son chuckled. “Unreal. Jason managed to find another kid with the family traits.” Before his accident, Daniel Fenton did bare a superficial resemblance to Dick, Jason, Tim, and even himself due to sharing the same hair and eye colors before his accident. “Do we have any idea where they might have met?”

“I’ve lost Phantom’s trail after his reported death. He may have gotten picked up by traffickers. I’m in the process of starting to piece together possible reports on that end. As for Jason, I’ve tried to contact Talia. I have reason to believe she might be funding him.” The timing of her appearance in Gotham during the Hush plot bothered him. If she was assisting him, it helped explain how his coffin had been replaced and where he might be getting his funds and equipment. But the question became why? What did she gain out of turning his son against him?

“Let me guess, she’s being less than cooperative.”

“Correct.”

“As weird as it sounds, I’m thankful to Phantom.” Dick glanced up at the computer screen. “However they met, he seems to be helping prevent Jason from completely losing himself to the whatever the Pit and the League did to him.” There was something left unsaid.

“But?”

“I just can’t shake this feeling we’re going to end up losing him again when this is all over. Maybe it’s all this talk about ghosts, but I keep remembering all the legends I heard about as a kid about the undead.”

“Dick, we’ll bring him home.”

“I’m not sure he wants to come home.”

…

“Pick any place you’d like. It’s my treat!”

Tim shared a quick look with Stephanie. In the wake of Gotham’s gang war and the realization the Red Hood was Jason, Dick had been a little clingy. They all knew he felt a great deal of guilt over what happened to Jason, and in the wake of both Stephanie and Babs getting into situations where they could have been killed, Tim couldn’t blame him for wanting to spend time with them and make sure they were okay.

Right now, he wanted to treat them to dinner. Cass had been invited too, but she declined in order to help Babs set up some of her surviving equipment in the Batcave. To be honest, Tim didn’t really want to go either, but maybe the distraction would help him think better.

The confirmation Jason was back brought a great deal of confusion. Before the hints and the reveal, he used to think that having Jason back would fix everything. His death was the reason for Bruce’s downward spiral and the pain that nearly tore the Wayne family apart. Tim was just a bandage, a placeholder, while they healed. But Bruce and Dick hadn’t chased him away once they got used to the idea of him being around. Instead, they seemed to care about him and want him as a part of their family, and Tim loved being Robin.

But, Jason had returned as someone barely recognized by those who knew him. Though he initially thought maybe Jason would want the position of Robin back, that didn’t seem likely, especially with how he said Bruce had brainwashed them. It was so strange to hear that from someone who had the same training he did. Jason had been such a shining light as Robin. Did he regret ever having donned the cape? Was he upset to see someone else wear the colors he died in? Or maybe he didn’t think teens should be heroes?

Then there was trying to reconcile the fact his childhood hero nearly killed him. If Jason had pressed that knife against his throat a little harder or had placed it in a different spot, Tim would have bled out in minutes. But he hadn’t. In fact, he had even mentioned he just wanted Bruce’s attention as opposed to doing harm. He also didn’t make any move to fight Phantom or try to get him back once he’d been freed. There was also the admission Dick recorded. Jason seemed troubled by his actions towards him, at least that’s what Tim hoped.

“Earth to Tim!” Dick waved a hand in front of his face. “Where do you want to eat?”

Steph snickered. “Have you been spacing out this entire time?”

“I honestly don’t care…” Catching sight of Dick’s slight frown, he decided it would be best to humor him. Glancing around, he was going to pick whatever jumped out of him when he caught sight of a tall man with dark hair and an unusual white streak on the opposite side of the street. Beside him appeared to be a teenager with the same dark hair. “Dick, look!”

“Jason…”

“Who’s that with him?” Even on her crutches, she wasn’t going to let anything get in her way of getting a good look.

“I think it’s Phantom. Come on!”

They followed on the opposite side of the street for a couple blocks. It seemed strange that Jason would be so willing to walk around in broad daylight, but, legally, he was dead. No one would think to connect the man currently walking down the street in slacks and what appeared to be a blazer with the teen who died years ago. If it hadn’t been for his hair, Tim didn’t think he would have recognized him either.

While they moved, Dick quietly explained that Bruce believed he had ID’ed who Phantom really was. If this new teen was Phantom, it helped explain why they had such a hard time finding him.

The two came to a stop at a small Chinese restaurant at the edge of the Diamond District. Where they seriously just going to go to dinner?

Dick must have been thinking the same thing because he apologized to Steph for a moment before scooping her in his arms and running across the street. Tim followed, trying to ignore the honking vehicles they dodged.

“Table for two, please,” they heard Jason tell the older waitress as they entered.

After gently putting Steph down, Dick walked up behind his brother and patted him on the back, making Jason stiffen. “Make that five.”

For a moment, Tim was convinced Jason was going to punch Dick. The way he glowered at him combined with an unnatural green flash in his eyes quickly reminded all of them he was just as dangerous, if not more so, than the other rogues of Gotham. Yet, as quickly as that look came, it vanished, replaced with a more neutral and guarded expression.

“It has been a while that you’ve both been here.”  The waitress gave them a knowing smile. “Follow me. Just make sure you don’t break anything during your talk.”

“Same as always,” they said at the same time catching them both by surprise. Dick’s smile brightened while Jason’s expression turned stormy. Nothing else was said as they followed the waitress to a back room that only held one table.

“What’s the deal with the waitress?” Phantom asked after everyone was seated with menus, and she left the room. His voice didn’t have the odd distortion to it. There was another difference. His skin didn’t have the greenish tinge to it either. Instead, he looked a healthier shade of pale.

“We’ve been here a time or two in the past. Usually after fights at the Manor,” Jason explained as he glanced back at the doorway and frowned. “I’m surprised she recognized me.” He almost sounded troubled.

“I recognized you.” Dick’s voice was surprisingly soft, though his eyes narrowed in offense when Jason snorted. “What?”

“Not until I took off the helmet. If I hadn’t done that, you’d still be convinced I was just an imposter and that the real me was still a pile of bones. Or whatever other bullshit alternative Bruce came up with.” He flipped the menu over. “I honestly thought you figured it out that day in the warehouse, but I gave you too much credit.”

Tim watched the interaction with a growing awe. While Jason’s posture remained guarded, there was no hostility aimed at his brother. Instead, they both spoke with an ease he hadn’t expected. While it was too soon to tell, whatever animosity Jason held towards Bruce didn’t seem apply to Dick.

“Don’t let him fool you,” Phantom interrupted as a mischievous grin crossed his face, and if Tim wasn’t wrong, his eyes literally seemed to light up with amusement. “Jay was disappointed it took you that long.”

“Do you really want to start this?” A pink tinge appeared on Jason’s cheeks even if he kept his expression neutral. “I have a very distinctive memory of how…” He didn’t have a chance to finish.

“No. No. No! That’s okay!”

“So not fair! Don’t you know the hero community thrives on blackmail?” Steph complained. “Anyways, it’s nice to officially meet you two. I’m Stephanie. Thanks for saving my life.”

Jason’s eyebrows shot up. He he not expected her to thank him? Or was it her friendly attitude? But he recovered quickly and gave her his name. Dick then introduced himself for Phantom, and Tim followed suit but squirmed as Jason stared at him. There was something unsaid and turbulent in his eyes, but he didn’t seem angry. But that didn’t mean much from someone trained by Bruce.

When it came time for Phantom’s turn, he glanced at Jason, who in turn nodded once and gave a slight motion of his right hand. Was that some code for ‘don’t give away too much’? “I’m Danny.”

Dick tilted his head. “Your parents wouldn’t happen to be inventors, would they?” Phantom, Danny, flickered so violently that Tim thought he’d vanish for a moment. He stopped when Jason put a hand on his shoulder, but the teen continued to look panicked.

“How much do you know?” Jason’s eyes flashed green as the air around them seemed to drop several degrees. The information they received from Constantine suggested Jason might now have abilities, but none of them knew with certainty what they might or might not be which made all of them uneasy at the display.

Dick held his hands up in a placating manner. “Just the basics. A bit about his family, that an accident happened, and how there was a coverup.”

“Do you… do you know what happened to my parents?” Danny’s voice was quiet, and he was glancing down as he fiddled with his shirt. The temperature started to go back to normal.

“From what we can tell, they’re doing fine. I bet they’re missing you though.”

A small smile crept onto Danny’s face as he looked up. “I’m glad. They threatened to hurt them if I didn’t do what they said.”

Before anyone had a chance to respond, the waitress announced herself as she came back into the room. “Dumplings on the house! No, no arguing. When was the last time you ate a good meal?” She shook her finger at Jason before pointing at Danny. “This one is all skin and bones. Eat and grow big and strong like these two, okay?” She nodded at the brothers. “Can you believe this one was this tall last time I saw him?” She gestured to show Jason wasn’t quite five foot tall before his death. “Anyways, time to order.” A few minutes later, the waitress was on her way.

“I was not that short.”

Dick gave his brother a knowing smile. “Jay, you were tiny.”

Before Jason could say anything, Steph decided to speak up. “So Danny, who’s idea was it for you to pretend to be Jason?” She took a bite of dumpling. “Oh! These are good!”

“It was my idea!” Danny’s eyes seemed to glow in delight as he also grabbed a dumpling.

They all looked at Jason for confirmation. He didn’t reply immediately, but instead pinched the bridge of his nose and sighed. It was something Bruce did all the time, and the familiarity of it made Tim do a double take. “It was his idea. Started off as a joke, but it ended up giving Bruce enough pause to not immediately chase Danny out of Gotham.”

The meta nodded in agreement. “Gotham’s probably the safest place for me right now. There are so many other ghosts around making me hard to detect.”

“Gotham’s haunted?” Tim had heard the stories but never really believed them.

“Yep.” Danny popped the p but didn’t elaborate.

“You’re still going to need to stay low for a while between that stunt at the Clocktower and Bruce sticking his nose in places it doesn’t belong.” Jason mentioned as he moved his hands in a slight but unfamiliar movement. When Danny made a similar one, Tim realized they had some form of unspoken either code or language. It didn’t look familiar to him, but Dick’s eyes had narrowed slightly suggesting he might.

“If you let us, we can help,” Dick offered.

“Thanks, but I’m not interested.” All of them, except Jason, stared at how matter of fact Danny said it.

“I know we might not be your first choice, but we have a lot of resources, especially Bruce.”

The air around them seemed to drop several degrees again as Jason leaned forward. His eyes took on an unsettlingly green tint. “If you ever gave a shit about us being family, then promise me you’ll never take Danny into that house.”

“Jay…”

“You know better than anyone what he’s like.” There was something unsaid in that statement, something Dick seemed to understand as his expression turned grim.

The waitress announced her presence again. She seemed to have a knack for knowing when things were getting tense. Was it just a coincidence? Or had she been listening?

After setting the food down, she wagged her finger at Dick. “Don’t argue with little Jay. Spend the time catching up.” She then smiled at Jason. “Good to see you back. We missed your visits. You finally grew up, but your hair makes you look like a punk.” Laughing at how he started sputtering, she gave him a fond pat on the shoulder. “Can’t wait to tell my grandchildren how the good food here helped you grow so tall.” She then vanished back through the door.

Tim quickly took a few bites as Jason sulked. He actually sulked as he tugged on the tuft of white hair. “It’s not like I can do anything about it.” That meant it wasn’t likely it was dyed. Tim had heard stories people who went through trauma sometimes went prematurely grey, so maybe that’s why he had it. Jason noticed his stare and raised a questioning eyebrow. “You used to follow us,” he stated after taking a bite.

“You saw me? Bruce didn’t even know. Wait…” Every once in a while, when he was taking photos, it seemed as if Robin was posing. He figured it was just coincidental, but if Jason knew, then he had specifically done that for Tim.

“I think he sometimes overlooks kids, wants to believe they’re innocent and all that,” he explained after taking a bite of his own dish. “It was too dangerous for me not to do that growing up. Kids were sometimes used as lures for more nefarious things. OW!” Danny had elbowed him in the rib before making a ‘get on with it’ gesture. “Alright, alright. Tim, are you okay?”

That question caught him off guard. Jason must have sensed his question as he gestured to his own neck. Oh! “Yeah, Selena helped patch me up.”

“Good.” It wasn’t an apology, but Tim could sense Jason’s unease. Maybe he really hadn’t intended to hurt him.

An uneasy silence fell between them as they focused on their dinner. Eventually, Dick decided to speak up. “Jay, what are you planning? You’ve been killing people. Unless you were framed. Have you been framed?”

“Nope.” Jason just smiled at the donning horror on his brother’s face. “It’s not like I don’t have morals. There’s a reason I didn’t kill Scarecrow.”

Dick’s phone rang, but he ignored it as he leveled a look at the younger man. “Jason!”

He rolled his eyes. “Do you really think His way is working? The so-called treatment at Arkham is a joke, and don’t get me started on the security there. Blackgate’s not much better.” Contempt briefly crossed his face. “Fix the revolving door. Then maybe, just maybe, I’ll consider stopping.” His chair scraped across the floor as he stood, “Are you ready Danny?”

“Yep! It was nice meeting you. Thanks for the meal!”

“Wait!” Dick tried to follow them when his phone rang again. It had to be Bruce, otherwise, he wouldn’t have answered it. Strangely, Jason stopped in the doorway to watch. “Can this wait a minute? I’m kind of busy here…” He listened for a moment before staring at Jason. “What did you do?”

“What? Can’t a guy leave flowers on his mother’s grave?” The grin Jason gave him made Tim’s hair stand on end. “Oh, you’re talking about Shelia’s grave. Maybe ask Bruce what really happened that day. ‘Loving mother’, my ass.” He gave a slight salute before shooing Danny through the door. “See ya later, Dickie-bird.”

==================================

Notes:

Department of Extranormal Operations (DEO) - Originally introduced in Action Comics (Superman) #775, but recently popularized in the Supergirl TV show. The role of the DEO is to monitor those with extranormal superpowers and to prevent any threat to the general public. To me, it makes sense that the Guys in White would be under their jurisdiction.

I accidentally decided I loved this waitress while I was writing her. I hope she comes across as motherly and a bit pushy as she sounds in my head

There are 3 different and official heights for Jason regarding when he died. 4’6, 5’0. 5’4”…. I’m going with just under 5’0”. Jay just looks so tiny all the time as Robin.

I know this gets murky in both the later comics (especially during the batshit crazy days) and in the fandom, but Jason does have a very specific moral code in the comics regarding who he will and won't kill. You see this in the Red Hood: the Lost Days and even in Under the Red Hood.

[unwelcome-ozian]

Do you know about any Mk ultra programs run in Australia or New Zealand?

Here are a few:

University of Adelaide in South Australia-In order to further the scientific and academic study of psi phenomena. This division of the university’s Department of Psychology, named the Anomalistic Psychology Research Unit (APRU) -Aboriginal Australians were subject to medical experiments on how they experienced pain and where body measurements and blood samples were forcibly taken.

Australian National University in Canberra, ACT-Where Leonard G.H. Huxley served as Vice-Chancellor (1960-1967). 

University of Western Australia-CIA's Human Ecology Fund gave a research grant to Professor Ronald Taft. 

Callan Park (Australia)-Cerebral Surgery and Research Unit at Callan Park Psychiatric Hospital. After his (Dr. Harry Richard Bailey) appointment, the Sydney Sunday tabloid declared in September 1957, “Human guinea pigs in test: A Sydney mental specialist and 15 other volunteers deliberately sent themselves temporarily insane in recent mental research tests.” Bailey was the man behind this experiment at Callan Park. He went on in the article to promote LSD as a hopeful method of treating “mental cases” and said that these experiments would hopefully trace the section of the brain which is affected by schizophrenia. In 1959, Bailey became the Medical Superintendent of Callan Park.

Chelmsford Private Hospital-Became Australia’s worst psychiatric disaster where over 1,400 patients were subjected to hypnotic drugs, ECT and DST in a mostly experimental fashion  without  informed  consent. The  entire  Chelmsford  medical  team were previously involved  in  a  eugenics  program  of forced  adoption  at  Sydney’s  Crown Street Hospital for Women where babies were taken from ‘unfit’ mothers and given to mothers deemed more appropriate.  A massive 64% of unwed mothers had their babies stolen at Crown Street Hospital. Harry Bailey used hypnotic drugs to make the reluctant birth mothers comply. He directly  ordered  the abortion  of  twin  foetuses  without  the  consent  of a  woman  who  was under the influence of hypnotic drugs.

Concord Military Hospital (Australia)-Leonas Petrauskas.

Crown Street Hospital for Women in Sydney- It was here that they were involved in a eugenics program of forced adoption from ‘unfit’ mothers, to ones who were deemed more appropriate. Bailey had helped to introduce methods of using hypnotic drugs to make them comply. He directly ordered the abortion of twin foetuses without a woman's consent while she was under the influence of these drugs. 64% of unwed mothers had their babies taken at Crown Street.

Engadine Medical Centre (Australia)-Leonas Petrauskas.

Cerebral Surgery and Research Unit at Callan Park Psychiatric Hospital in Sydney-September 1957, the Sydney Sunday tabloid published an article about a Callan Park experiment, headlined: ‘Human Guinea Pigs in Test: A Sydney mental health specialist and 15 other volunteers deliberately sent themselves temporarily insane in recent mental research tests.’

Milson Island in the Hawkesbury River north of Sydney-Became a MK- ULTRA  research facility.

University of Sydney, AUS-MK-ULTRA psychiatrist Martin Theodore Orne, performed an experiment titled ‘Antisocial Behaviour and Hypnosis’.

University of Sydney Psychology-Faculty  head, Alfred  Gordon  Hammer,  approved Subproject  84. Gordon  Hammer  (then  APS  Chair). Professor Martin Orne. In 1960, Professor Orne's work took him to the University of Sydney.

IIE-Financed Fulbright scholarships into Australia and the Institute was founded by Elihu Root (a founder of the Council on Foreign Relations, co-founder of the Carnegie Endowment and a member of the Pilgrim’s Society) and Stephen P. Duggan who was also a member of the CFR and known as the “apostle of internationalism”. USEFA was based at Huxley’s Australian National University during the main years of imported CIA operations.

Cherry Farm Hospital In The South Island Of New Zealand-Between 1973 and 1978 - a version of Deep Sleep Therapy was used in several wards.  used electro convulsive therapy or ECT as standard practice. Dunedin prison - who we were told would also undergo deep sleep or narcosis therapy in an especially locked-down unit of the villa. Cherry Farm was the hospital to use deep sleep therapy most; many patients were not given optimal treatment; the specific application of modified narcosis was inappropriate and applied to a large number of patients up to 1978.

Lake Alice Psychiatric Hospital (New Zealand)-Children in the 1970s were tortured with electroshock, including to their genitals, and given injections of paraldehyde, a central nervous depressant as punishment. child and adolescent unit were routinely punished with unmodified ECT (ECT without anaesthesia).

National Women’s Hospital in Auckland, NZ-Herbert Green.

Oz

[usafphantom2]

Did you know “Habubrats” were given shots of penicillin so that their fathers would not get flu that could cause them to flunk SR-71 Blackbird preflight physical check?

By Dario Leone

May 23 2021

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‘I know from personal experience since my father used to fly the SR-71 Blackbird (Butch Sheffield) having a cold could cause you to flunk the preflight physical,’ Linda Sheffield Miller.

The interesting photos in this post show Lockheed SR-71 crews standing by the aircraft all dressed in their Blackbird pressure suits ready to fly the SR-71.

‘I read recently something interesting, that a checklist was permanently sewed on the pressure suit sleeves so that the crew members would know what to do in the event of an ejection,’ Linda Sheffield Miller (Col Richard (Butch) Sheffield’s daughter, Col. Sheffield was an SR-71 Reconnaissance Systems Officer), who runs Habubrats Facebook page, told to The Aviation Geek Club.

‘As explained by Colonel Rich Graham in several of his books, the organization at Beale that maintained the pressure suits was the Physiological Support Division (PSD). The facility was located on the flight line and was the Air Force’s entire repository for all pressure suit operations. Consequently, PSD had a high level of experienced personnel, who had the technical expertise and capability to do a complete overhaul on pressure suits. To SR-71 crew members, they were highly qualified “technicians” in every sense of the word.

All you need to know about applying to fly the SR-71 Blackbird

‘Crews put their lives into the hands of the PSD technicians every time they flew. Wearing the pressure suit made it impossible to strap oneself into the SR-71’s ejection seat making all the necessary connections. Consequently, crews were taught to extend their arms out each side of the cockpit and sit there patiently while PSD technicians, on both sides of the cockpit, mated the pressure suit to the aircraft and its ejection seat. They were extremely professional and safety conscious at their job, alert at all times to the danger of being complacent.’

Linda continues;

‘Once the crew member was strapped in the ejection seat inside the altitude chamber, the technicians departed and closed the thick door leading out of the chamber. After the chamber was fully sealed, they began evacuating the air pressure inside. As the chamber reached around 25,000 feet, the technicians asked the crew member over the interphone if he was experiencing any sinus problems. If not, the steady climb to 85,000 feet continued.

SR-71 print

This print is available in multiple sizes from AircraftProfilePrints.com – CLICK HERE TO GET YOURS. SR-71A Blackbird 61-7972 “Skunkworks”

‘I know from personal experience since my father used to fly the SR-71( Butch Sheffield) having a cold could cause you to flunk the preflight physical. Being a Habubrat I was taken to the flight surgeon all the time… To make sure I was healthy, I was given a lot of shots of penicillin, so that I wouldn’t give my father whatever childhood illness that I might have. ‘I did get a shot of penicillin so often that when I had my first child and she was sick I said to the doctor “Are you going to give her a shot?” and I said “No why should I just give her a tablespoon of penicillin twice a day.” Then I realized the flight surgeons were Treating me differently because of my dad’s important job. Another thing they did was they say open wide and they do a throat culture checking for strep throat so I serve my country also.

‘When I was around 10 years old my dad took me to the hospital and a corpsman told me to bend over that he wanted to give me another shot and I ran out of the hospital room and said “I’ve had it I’m not gonna take it anymore” so they skipped that shot!’

Linda concludes;

‘I am now allergic to penicillin after all those shots!’

[patientflowhub]

Mastering Efficiency: A Deep Dive into Healthcare Scheduling Software Systems

In the quick-paced international of healthcare, effective affected person scheduling is the cornerstone of streamlined operations. The advent of healthcare scheduling software program systems has ushered in a new era of precision, optimizing affected person appointments, and remodeling the way medical facilities manipulate their calendars.

The Power of Patient Scheduling

Patient scheduling is a delicate dance in which time, accuracy, and patient pride are of the essence. Traditional scheduling methods regularly led to inefficiencies, lengthy wait times, and frustrated patients. Enter healthcare scheduling software program systems, a technological bounce that brings order to the chaos.

Key Benefits of Healthcare Scheduling Software Systems

Efficient Patient Management: These systems empower healthcare companies with tools to successfully manage affected person appointments, ensuring ultimate use of sources and decreasing idle time.

Enhanced Patient Experience: Through intuitive interfaces, patients can without problems agenda appointments at their comfort, decreasing the trouble of lengthy cellphone calls and providing a unbroken experience.

Real-time Updates: Medical scheduling software program gives actual-time updates, minimizing the threat of overbooking and offering a clear view of the day's time table for each personnel and patients.

Resource Optimization: With functions like computerized reminders and notifications, healthcare specialists can reduce no-indicates and optimize aid utilization, resulting in a extra efficient exercise.

Exploring Medical Scheduling Software Systems

Medical scheduling software is available in numerous bureaucracy, every tailor-made to meet the precise desires of healthcare providers. These structures encompass:

Patient Scheduling Software:

Tailored to patient desires, letting them time table appointments easily thru user-pleasant interfaces. Medical Appointment Scheduling App:

Mobile-friendly solutions that empower patients to manipulate appointments on-the-move, improving accessibility. Hospital Scheduling Software:

Robust systems designed to address the complexities of scheduling inside a medical institution surroundings, taking into account various departments and specialties.

Choosing the Right System:

Selecting an appropriate healthcare scheduling software involves cautious attention of things together with scalability, integration competencies, and consumer-friendliness. Look for structures that seamlessly integrate into existing workflows, provide comprehensive reporting functions, and cling to the best requirements of protection and compliance.

The future of prescription healthcare

As technology advances, the future of prescription healthcare looks promising. Machine learning algorithms, predictive analytics, and artificial intelligence are poised to further advance the accuracy and efficiency of planning, ultimately benefiting healthcare providers and patients

In conclusion, the adoption of healthcare software systems is a strategic path towards a more efficient, patient-centered healthcare environment. By using these tools, medical centers can improve the efficiency of their operations, reduce administrative burdens, and improve the overall patient experience. As health care continues to evolve, those skilled in the art of planning will undoubtedly be at the forefront of providing quality care.

[reasoningdaily]

More than two and a half years after a law took effect requiring maternity care staff to complete racism in medicine training, only 17% of hospitals were in compliance, according to an investigation recently published by the state Department of Justice.

The training matters, Attorney General Rob Bonta and others said during a press conference, because of the state’s persistently high death rates among Black mothers.

Though California is often looked at as a national model for improving maternal outcomes, Black women are still far more likely than others to die during pregnancy. They account for only 5% of pregnancies in the state but make up 21% of pregnancy-related deaths, according to the California Department of Public Health.

The mortality rate for Black infants is also three times higher than for white infants and nearly 1.5 times higher than for Pacific Islander babies, the second highest mortality rate, state data shows.

Investigations into the cause of all pregnancy-related deaths by the California Department of Public Health determined that more than half are preventable.

“We need to listen to this data. It’s screaming at us to do something,” Bonta said. “Listen to these women and make substantial transformative change before another patient is hurt, or worse.”

No hospitals were in compliance when the department began its investigation in 2021, and not a single employee had completed training.

Lawmakers passed the California Dignity in Pregnancy and Childbirth Act four years ago in an effort to reverse the vast disparities in maternal deaths among Black women, who are three times more likely than any other race to die during or immediately after pregnancy. The law requires hospitals and other facilities to train perinatal care providers on unconscious bias in medicine and racial disparities in maternal deaths. It took effect in January 2020.

Bonta recommended lawmakers adopt additional regulations to strengthen the law, including setting clear deadlines for compliance, designating a state agency to enforce the law and introducing penalties for noncompliance.

Former state Sen. Holly Mitchell, the Los Angeles Democrat who authored the bill, said “clearly more must be done” to implement the policy.

"It is my full expectation that every hospital across L.A. County and across the state join in making sure that their staff take the training,” said Mitchell, who is now a Los Angeles County supervisor. “We are simply asking them to follow the law.”

According to the department’s investigation report, about 76% of more than 200 hospitals surveyed had begun training employees by August 2022 but had not completed training. Two hospitals had not fully trained any staff, and 13 did not provide the department with any information.

“Nearly a third of facilities to which DOJ reached out began training only after DOJ contacted them, suggesting that DOJ’s outreach caused compliance in many cases,” the report states.

Black women report mistreatment at hospitals

It is well-documented that racism in health care settings contributes to poor outcomes. Black women in California consistently report poor experiences with medical professionals during pregnancy, including mistreatment because of their “race, age, socioeconomic class, sexuality, and assumed or actual marital status,” according to a recent research review and report by the California Department of Public health.

They also struggle to convince providers that they are in pain and report mistreatment when advocating for their health during pregnancy. A national survey from 2016 revealed half of white medical students and residents believed false and debunked myths about the biological differences between white and Black patients. Those who endorsed the beliefs were more likely to dismiss patients’ pain and make inaccurate treatment decisions.

“What is so deeply offensive about that is it is within our power to change,” Mitchell said.

Implicit bias training is the “bare minimum” of what health professionals can do to improve outcomes, said Assemblymember Akilah Weber, a Democrat from La Mesa and a medical doctor.

Research also shows maternal and infant health disparities among Black women and babies persist regardless of patients’ education or income levels. Celebrities like Serena Williams and Beyoncé have spoken out about their near-death experiences during childbirth.

Recent maternal deaths in Los Angeles

Earlier this year, the deaths of two Black women, Bridgette Cromer and April Valentine, in childbirth shook Los Angeles. Valentine’s death led to a state investigation and a $75,000 fine levied against Centinela Hospital Medical Center where her daughter was delivered via C-section. The investigation stated the hospital “failed to prevent the deficiencies…that caused, or are likely to cause, serious injury or death” to Valentine,, including repeated failure to take steps to prevent blood clots, a common pregnancy risk, even when Valentine complained of feeling heaviness in her leg, numbness and leg swelling.

The Los Angeles County Medical Examiner determined she died from a blood clot that traveled from her leg into her lungs.

Centinela announced its intent to close the maternity ward permanently days after Valentine’s family filed a wrongful death lawsuit. The maternity ward, which delivered more than 700 babies last year, closed last week.

In a GoFundMe post, Cromer’s family said they did not have autopsy results yet but noted that she was readmitted into the operating room after birth with major bleeding before dying.

Gabrielle Brown, an advocate with Black Women for Wellness, said Centinela’s maternity ward closure is “a stark reminder of how healthcare disparities persist in our society.”

“It reminds us of the implicit biases that have subtly influenced healthcare decisions, ultimately leading to an immense reduction in the accessibility and quality of care for many members of our community,” Brown said.

Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit www.chcf.org to learn more.

[delhiapollo]

Trusted Oncological Care With Trusted Hands

It is but natural that the best cancer hospital in Delhi is the right place to find the best oncologist in Delhi. Equipped with the highest qualifications and ably assisted by an efficient support staff, the oncologists at the world-class Indraprastha Apollo Hospital provide cancer patients the best care possible. The top-end facilities, equipment and techniques available to a cancer specialist here go a long way in strongly backing the healing process of every patient.

Besides qualifications and experience, empathy and compassion are equally important qualities to look for in the best oncologist in Delhi. At the Indraprastha Apollo Hospital, each member of the Apollo Cancer Institute is committed to providing cancer patients with every life-saving treatment available. For example, Image Guided Radiotherapy (IGRT), Stereotactic Body Radiotherapy (SBRT), Frameless Stereotactic Radiosurgery (SRS), 3D Conformal Radiotherapy, Intensity Modulated Radiotherapy (IMRT), and High Dose Rate (HDR) Brachytherapy are offered here for early detection of cancer and advanced surgical technology known as da Vinci robotical surgical system help cancer surgeons perform complicated surgeries with ease ensuring best outcome. In addition, the Tumour Board and Group Tumour Board meetings foster discussions between surgical, medical and radiation oncologists as do the Cancer Awareness Programs and counselling sessions offered at the Apollo Cancer Institute.

Follow-up constitutes an important component of treatment and is an integral part of the management protocols carried out by the Apollo Cancer Institute. Early detection and timely management of recurrence is the principle objective of follow-up in cancer management. The best oncologist in Delhi firmly believes this not only enhances survival but improves quality of life of patients.

Take a look at some of the top cancer specialists at Indraprastha Apollo Institute, who would each qualify to be the best oncologist in Delhi:

Dr Anil D’Cruz

MBBS, MS, DNB, FRCS (HON.

With over three decades of experience, Dr D’Cruz is a renowned surgical oncologist focusing primarily on head and neck cancers. His major areas are management of neck metastasis, conservative laryngeal surgery, cancers of the oral cavity, thyroid, quality of life issues and global health.

Dr Manish Singhal

MBBS, MD, DM(AIIMS)ECMO

Dr Singhal’s career spans over twenty years, largely covering all types of chemotherapy, intensive protocols, immunotherapy, hormonal therapy in addition to dealing with oncological emergencies, including medical care of patients.

Dr Dipanjan Panda

MBBS, MD, DM

One of the best medical oncologists in Delhi, Dr Panda’s area of expertise lies in gastrointestinal and hepatic pancreatico biliary malignancy, breast and gynaecological malignancy, lung and head neck cancer, genito-urinary malignancy, lymphoma and myeloma (haematological malignancy) and rare tumours like neuroendocrine tumours.

Dr Shuaib Zaidi

MBBS, MS (SURGERY), DNB (SURGERY), MCH (SURGICAL ONCOLOGY)

The Academic Coordinator and Senior Consultant in the Department of Surgical Oncology, Dr Zaidi has over twenty years of experience as a surgical oncologist. He specialises in the treatment of thoractic cancer, gastrointestinal cancer, PIPAC (Pressurised Intraperitoneal Chemotherapy), breast cancer and complex gynaecologic oncology.

Dr Praveen Garg

MBBS, M.S.(GEN.SURGERY), M.CH.(ONCOSURGERY)

Dr Garg specialises in the diagnosis, treatment and surgical management of malignant conditions in various parts of the body, and has advanced training in parathyroid and thyroid cancer surgeries, breast conservation surgeries, mastectomies and breast tissue reconstructions.

Dr Ruqaya Ahmed Mir

MBBS, DNB

Trained in robotic surgery, Dr Mir routinely performs major oncological resectional surgical procedures for head and neck cancers, lung and oesophageal cancers, major gastrointestinal malignancies, breast and gynaecological malignancies and soft tissue sarcomas.

To get in touch with the best oncologist in Delhi, contact Indraprastha Apollo Hospital

[mariacallous]

Nurse practitioners perform the same tasks as physicians but are trained and compensated very differently. Using data on emergency department visits at Veterans Affairs (VA) facilities, David C. Chan Jr. of Stanford and Yiqun Chen of the University of Illinois at Chicago find that nurse practitioners use more hospital resources (such as ordering more tests and formal consults for their patients) but achieve worse patient outcomes than physicians. Specifically, nurse practitioners increase the length of hospital stays by 11% and the cost of emergency care by 7%. Nurse practitioners utilize more resources because they are likely less skilled than physicians, the authors suggest. Indeed, the gap between physician and nurse practitioner performance decreases with provider experience. The high resource utilization and worse outcomes associated with nurse practitioners cost $74 million per year across VA emergency departments, the authors estimate, suggesting that, “despite having wages half that of physicians’ wages, [nurse practitioners] are still more costly to employ.”

[a2zdoctors]

Study MBBS in India Vs MBBS in Abroad

Many medical universities rank higher in the globe than the majority of medical schools in India. These colleges offer highly high-quality infrastructure, facilities, and educational standards. Additionally, medical schools abroad sometimes have partnerships with local hospitals in addition to operating their own hospital or university facilities for certain departments.

However, a lot of international medical students occasionally lack quality clinical experience due to improper language acquisition. Even if English is the primary language of instruction, one should acquire the local tongue because it is necessary to communicate with patients and get information about them.

When we discuss MBBS abroad , we discuss a wide range of nations, including Russia, the Philippines, Ukraine, Kazakhstan, Georgia, and Uzbekistan.

Each of the aforementioned nations has its own set of advantages and disadvantages, but no consultants discuss them in detail because their primary goal is to send students to certain colleges without providing any information about the medical education available there.

There are numerous reputable institutions where students can pursue an MBBS degree abroad, however, some of them have drawbacks like inadequate facilities or adjunct faculty. Let me be transparent: No country, not even India, has excellent colleges in every university and in every aspect

Keep in mind the following two points while applying for an MBBS program abroad:

If you are accepted into a good university, you will receive an excellent education as well as numerous possibilities and life-changing experiences.

If you are accepted to the wrong university, you will be stuck there for at least six years because you may have already paid a significant amount toward your tuition.

Previously to 2018, anyone could enroll in medical schools abroad, even those who hadn't even passed the NEET. However, as of 2018, passing the NEET exam was necessary to apply for admission abroad. It can be difficult to decide if an MBBS admission in India or overseas is better. Cost of studying MBBS abroad could be also an important factor for many students. So, make a good choice, and if you still need support, A2Z Doctors is here to assist you.

[vettechblog]

Since I got such great responses the last time, I thought I could ask some opinions again.

Some background: My clinic use to be 24 hour emergency hospital before the pandemic. During the pandemic we had 2 doctors quit, so we had become an urgent care. We stopped seeing critical cases and have been this urgent care that feels like an rDVM. We schedule appointments, have a wait list, and cannot see walk ins unless they’re about to die. And when there are cases that walk in, everyone in the ICU sighs and gets upset. Of course, the doctors also whine about not having true emergencies come in as “we can stabilize then then transfer.” But more than half the time, the doctors don’t even want the case if we have to potentially transfer. They say the process takes too long and at the end of it no one will take the case and we are stuck with them. Some of the doctors also shut down the night two hours prior to closing. I feel as though we are not an ER and I spend my days bored out of my mind. The main reason I bring this up, is because we had a case come in, where she had a FB, and was brought to surgery. We had to transfer her to a larger facility. Well that facility has a virtual patient log that uploads their SOAPs to keep other hospitals updated on their transferred case. I read it everyday, and the patient had developed VPC’s and was started on a Lidocaine CRI, was on a Methadone CRI, was on fluids with Bvits and KCL (hypokalemic), a NGT was placed, and a triple lumen was placed as well. Like holy shit doesn’t that sound awesome! Luckily the patient bounced back and went home.

The point: Now I did use to work at a speciality hospital when I was first starting out in veterinary medicine (5 years ago). They were sectioned in different departments and at the time I was very interested in being cross trained in the hospital. When I worked there I was only TX and discharge. I had asked for two months to be cross trained and everyone around me get trained except for me. At the speciality hospital it was the doctors that did literally everything- going over estimates, updating clients, and if the client had more questions the doctor was the only one that could answer them. Once I started working where I am now, I saw how they severely under utilized their technicians were at the speciality hospital. Now that I’ve gained more experience, I do want to be a VTS. The hospital that I work at now is small and does basic ER care, which means I would have to leave in order to achieve this goal. Since I didn’t have the best experience at the first speciality hospital, I am hesitant to go to a different one. I am nervous that I would be under utilized again, and not use the knowledge I’ve worked so hard to learn.

Here are my pro’s and con’s:

Pros:

Being more focused in ICU and ER- actually seeing emergent cases more frequently.

Have a better opportunity to become a VTS.

Have a better facility; updated ICU, updated technology, etc.

Possible sign on bonus; +/- pay raise from where I am now.

Cons:

Slightly farther away (45 minute drive).

Possible pay reduction from where I am now.

Being the new girl/risk if going to a toxic clinic.

Possibility of being under utilized.

Questions: Is there anyone here that works in speciality- if so how has your experience been? Do you feel utilized/educated by your team? Has anyone else been in this position- if so what did you do? Was your choice something you’re grateful for, or do you regret it? Do you have any advice?

Note: I do not need to make this decision ASAP. I am registered in a state that I do not practice in. In order to be a VTS, I need to have been registered in the state that I’m practicing in for at least 5 years. Also, the current hospital that I work at is trying to sell, so there is the potential that they will be bought out within the next 5 years (though no guarantee they would be a specialty hospital).

[gabicna]

5 Top-Rated CNA Programs in New Jersey: Your Guide to Kickstarting a Career in Healthcare

**Title: 5 Top-Rated CNA Programs ‍in‍ New Jersey: ​Your Guide to Kickstarting a Career in Healthcare**

**Introduction:** If​ you’re considering‍ a career in ⁢healthcare, becoming a Certified Nursing ‍Assistant (CNA) could be the perfect starting‌ point for you. CNAs play a ​vital role in the healthcare industry, providing essential care ‍to ‌patients in hospitals, nursing homes, and ‌other‍ medical facilities. ​If⁤ you’re in New ⁢Jersey and‌ looking for top-rated⁣ CNA programs to kickstart your career,⁤ you’re in luck! In this article,⁢ we’ll​ highlight five of the best CNA programs in New Jersey ‌to help you make an ​informed decision.

**Top-Rated CNA Programs in New Jersey:**

1. **Bergen Community College** ⁣-‌ **Location:** Paramus, NJ – **Program Length:**⁢ 8 weeks – **Cost:**​ $1,200 – ​**Accreditation:** New Jersey Board of Nursing

⁢ Bergen Community College offers a comprehensive CNA‌ program that includes classroom instruction, hands-on⁣ training, and clinical experience. With a strong emphasis on patient care⁤ and communication skills,‍ graduates from this ‍program are ⁣well-prepared for⁤ entry-level positions ‌in healthcare.

2. **Ocean County Vocational ​Technical School** – **Location:** Toms River, NJ -​ **Program Length:** 6 weeks -​ **Cost:** $1,000 ⁢ – **Accreditation:** New Jersey⁤ Department of Health

⁢ The CNA program at Ocean ⁣County Vocational Technical School ‍is known ​for its high-quality training and experienced instructors. ⁣Students receive in-depth instruction on medical terminology, infection control, and basic nursing skills, setting them⁤ up for success in​ their⁤ CNA careers.

3. **Essex County College** – **Location:** Newark, NJ ‍ – **Program Length:** 10 ⁣weeks – **Cost:** $1,500 – **Accreditation:** New⁢ Jersey State Department of ‌Health

Essex County College offers a comprehensive CNA program that covers a wide range ⁣of topics,‍ including ⁢patient⁣ safety, personal care skills, and ethical standards. Graduates from this program are ‌highly sought after by employers in the healthcare industry.

4.​ **Camden County College** – **Location:** Blackwood, NJ – **Program Length:** 8 weeks – **Cost:** $1,300 – **Accreditation:** New⁤ Jersey Board of Nursing

⁤ The CNA program⁣ at Camden ⁤County‌ College provides students with the ⁣necessary knowledge ​and skills⁣ to excel ‍in their healthcare‍ careers. With a focus on professionalism and patient-centered care, graduates from ​this program are⁢ well-equipped to provide quality⁤ care to patients.

5. **Hudson County ⁢Community⁣ College** – **Location:** Jersey City, NJ ⁣ – **Program ⁢Length:** 9 weeks – **Cost:** $1,400 – **Accreditation:** New Jersey State Department of Health

⁣ Hudson County Community ‌College offers a hands-on CNA program that emphasizes practical skills and real-world experience. With small class ​sizes ⁣and experienced instructors, students receive personalized attention and guidance throughout their training.

**Benefits⁣ and Practical Tips:** – Upon completing a CNA program, you’ll be eligible to take the state​ certification exam to become‌ a licensed CNA in New Jersey. – Look for ⁢programs that offer clinical experience in addition to classroom instruction to gain practical skills. – Consider ⁢the program ⁤length, cost, accreditation, ‌and location when choosing a CNA program that fits⁢ your needs.

**Conclusion:** Embarking on a career as a Certified Nursing Assistant can be a rewarding and fulfilling experience.‍ By enrolling‌ in a top-rated CNA program in New ‍Jersey, you’ll receive the necessary training and skills to excel in⁢ the healthcare industry. ‍Whether you choose ⁤Bergen Community College,​ Ocean County Vocational ⁤Technical School, Essex County ⁣College, Camden ⁤County College,‌ or Hudson County Community College, you’ll be well on your way to kickstarting a ⁣successful career ​in healthcare.

Remember ⁤to do thorough research, ask questions, and choose a program that aligns with ⁤your career goals and aspirations. With dedication and⁢ hard work, you can become a skilled and compassionate CNA who makes a positive impact on the lives of patients.⁣ Good luck on‌ your journey ⁣to becoming a Certified Nursing Assistant in New Jersey!

https://cnatrainingprogram.net/5-top-rated-cna-programs-in-new-jersey-your-guide-to-kickstarting-a-career-in-healthcare/

[stellaphlebotomist]

Open Your Future: Phlebotomy Training in Memphis, TN - A Complete Guide

Unlock Your⁣ Future: Phlebotomy Training in Memphis, ​TN – A Complete Guide

Are you⁢ looking to start a rewarding career in the healthcare field? Do you have a desire to help others and work in a⁢ fast-paced environment? If so, phlebotomy training in Memphis, TN may be the perfect path for⁢ you. In⁢ this comprehensive guide, we will explore everything you need ‍to ⁣know about becoming a phlebotomist in Memphis, TN, including the training requirements, job outlook, and ‌potential career opportunities.

What⁢ is Phlebotomy?

Phlebotomy is the practice ⁤of drawing blood from patients for various purposes, such as medical ⁣testing,‍ transfusions, or ‌donations. Phlebotomists are‌ trained healthcare professionals‍ responsible for collecting blood samples, ensuring their correct labeling, and transporting them to the laboratory ⁤for analysis.

Phlebotomy ⁢Training in⁣ Memphis, TN

To‍ become a certified phlebotomist in Memphis, TN, you must complete a phlebotomy ⁢training​ program approved‍ by the Tennessee Department ​of Health. These programs typically include classroom instruction,⁤ hands-on training, and a clinical externship to provide ​students ⁣with the necessary skills and experience to succeed in the field.

Some key ‌topics covered in ​phlebotomy training programs include:

– ‌Anatomy and physiology – ​Medical terminology – Infection control procedures – Blood collection techniques – Patient communication and care

In addition to classroom instruction, ​students will have the opportunity to practice their skills ⁢on mannequins,⁢ fellow students, and real patients under the supervision of experienced phlebotomists. This hands-on experience is crucial for developing the confidence and proficiency needed to excel in the field.

Once you have completed your ⁣phlebotomy training program, you⁣ will be​ eligible to sit for a national⁤ certification exam, such ​as the National Healthcareer Association (NHA) Certified Phlebotomy‍ Technician (CPT)⁢ exam ⁤or the American Society for Clinical Pathology (ASCP) Phlebotomy Technician (PBT) ‍exam. Achieving certification demonstrates your commitment to excellence ​and ​can improve ‍your job ‌prospects and earning potential.

Job Outlook for Phlebotomists in Memphis, TN

Phlebotomy⁢ is a growing field with excellent ⁢job prospects in Memphis,⁢ TN, and beyond. According to the Bureau of Labor Statistics (BLS), employment of phlebotomists is projected ‍to grow⁣ 17% from 2019 ⁣to 2029, much faster than the‌ average ​for all occupations.‍ This growth is driven by⁢ an aging population in need of healthcare services and the ​expansion of healthcare facilities.

Phlebotomists⁢ in Memphis,⁤ TN can find employment opportunities ‌in a variety of settings, including:

-​ Hospitals – Clinics -⁢ Laboratories – Blood donation centers – Nursing homes

Benefits of ​a Career in Phlebotomy

There are many benefits‍ to pursuing a career in phlebotomy, including:

– Fulfilling work helping ​patients – Competitive salary⁤ and ⁤benefits – Job stability and security – Opportunities for advancement and specialization – Flexibility in work schedules

Practical Tips​ for Success

If you are considering a career ​in phlebotomy, here ​are some‍ practical tips for‍ success:

– Develop strong communication skills to interact effectively with patients – Practice ‍proper infection control procedures to ensure patient and staff safety – Stay current with advances in phlebotomy⁤ techniques and technology – Network with professionals in the field to learn from their​ experiences and expand your opportunities

Case Study: A Successful Phlebotomy Career in Memphis, ⁣TN

Sarah⁣ graduated from a phlebotomy training program in Memphis, TN and passed her national certification ‍exam. She secured a job ⁤at ​a local hospital and quickly rose through the ranks​ due to‍ her dedication and professionalism. Sarah ‌now trains ‍new phlebotomists and enjoys mentoring others in the field.

First-hand Experience: Why I Chose ⁢Phlebotomy

“I chose phlebotomy as a career because⁣ I wanted to make a ⁣difference in people’s ‌lives and work in a dynamic healthcare environment. The training⁢ program in Memphis, TN provided me with the skills and ​confidence to succeed in the‌ field, and I⁤ am proud ⁣to be a ⁤certified phlebotomist helping patients every day.”

phlebotomy ‍training⁤ in Memphis, TN offers a ⁤fulfilling and lucrative career path for ⁣individuals interested in ‌healthcare. By completing ‍a phlebotomy training program, obtaining national certification, and ‍gaining practical experience, you can unlock a ‍bright future in this growing ⁣field. Whether⁢ you are a recent high school⁢ graduate or a seasoned professional ‍looking for a career change, phlebotomy ​may be the perfect‍ fit for you. Start​ your journey today⁤ and unlock your future in phlebotomy in Memphis, TN.

https://phlebotomytechnicianprogram.org/open-your-future-phlebotomy-training-in-memphis-tn-a-complete-guide/

[infoskatertechnology]

Meta Title :

"Hospital Management System for Enhanced Patient Care"

Meta description :

" A Hospital Management System that enhances efficiency, costs savings, and the quality of patient care through automation. implement systems and processes "

Hospital Management System

Hospital Management System: Revolutionising Healthcare Operations  

A perception of a Hospital Management System (HMS) is dispassionately bringing changes to the healthcare sector through the modern techniques used to revamp the management of health facilities with efficiency and effectiveness in the delivery of patients’ care services. This integrated solution involves functions that are key activities including patient registration, appointment schedules, billing, and medical records. It facilitates organisational interactions and fosters departmental ware, increases the reliability of data and decreases bureaucracies

.Key Features of a Hospital Management System

Patient Management

Enables descendants of patient’s to perform easy registration, appointment scheduling and recordkeeping. Thus every medical personnel and staff from the hospital can conveniently access any patient’s details for their treatments. Also, this systematic flow of information enhances patients' experiences and increases efficiency in hospitals in general.

Billing and Accounting:

Through clinical and administrative functions integration, it automates intricate billing processes with real-time notifications for utmost transparency.

Inventory and pharmacy management system : 

It allows real-time tracking of medical supplies, pharmaceuticals and equipment thus preventing stock outs problem while equipping hospitals.

Doctors and Staff Administration

This system manages workforce schedules and performance hence streamlining task assignment in hospitals resulting in increased productivity.

Reporting & Analytics:

Offers hospital performance reports, patient care statistics, and resource utilisation statistics that are helpful to promote data-driven decision making.

.Advantages of Adopting Hospital Management System 

Improved Patient Care

Patients’ full medical history is easily available to doctors; this means faster diagnosis and subsequent treatment, consecutively. Follow-up and prescription reminders increase patients’ satisfaction rates when delivered through an automated system.

Operational Efficiency:

Handles simple functions such as registration, appointment, and billing so as to ease manual work and set free the human resource at the firm’s administrative department.

Data Security and Compliance:

HMS developed to store the patient’s information safely, also, the patient information accessed with strict security to conform the healthcare laws such as HIPAA.

Cost Reduction: 

Automations lower documentation, lessens possible billing mistakes and is efficient to manage resources hence minimising the total cost to hospitals.

Frequently Asked Questions (FAQs) 

1. Healthcare implementations significant difficulties are encountered when deploying an HMS. 

Some of the challenges include; initial costs, costs of training the staff, and the costs of implementing the system. Still, understanding these issues helps to see the advantages that increase efficiency in the distant future arising from them.

2. How is patient care going to be enhanced when there is an HMS? 

This provides flexibility to healthcare workers because through HMS systems they can be able to access a patient’s medical record summary in a short span of time. It also increases on the diagnosis and treatment prediction, decreases on waiting time, and improves on communication within the department hence improving on the general care of the patients.

3. Is it possible to integrate a telemedicine model with HMS systems? 

Absolutely. A large number of HMS platforms include telemedicine that helps patients to consult doctors and access their records through the terminal.

4. Can an HMS help to mitigate the expenses incurred in the running of a hospital?

Yes. It has become evident that it would be easier for hospitals to think about ways of reducing their operating and administrative costs by automating different services for instance, the provision of appointment, tracking and re-ordering of various inventories, and billing and payments. Additionally 

Why to choose in infoskater Hotel Management system 

A Hospital Management System is a game-changing solution for modern hospitals, offering improved patient care, enhanced operational efficiency, and cost savings. With the integration of advanced technologies like AI and cloud-based systems, HMS will continue to evolve, providing more efficient healthcare services in the future.

[argroupofedu5]

Adichunchanagiri Institute of Medical Sciences: A Pathway to Medical Excellence

When it comes to pursuing a career in medicine, choosing the right medical college is crucial. One of the top choices for students in India is the Adichunchanagiri Institute of Medical Sciences (AIMS). This esteemed institution has consistently produced skilled doctors who are excelling in various medical fields. Located in Karnataka, Adichunchanagiri Institute of Medical Sciences offers a comprehensive medical education, backed by modern facilities and expert faculty.

Why Choose Adichunchanagiri Institute of Medical Sciences?

The Adichunchanagiri Institute of Medical Sciences stands out for its commitment to providing quality medical education. Students benefit from a curriculum that is regularly updated to meet the latest medical advancements. The institute focuses on hands-on training, ensuring students are well-prepared for real-world medical challenges. Additionally, AIMS boasts excellent infrastructure, with state-of-the-art laboratories, advanced medical equipment, and a well-stocked library that supports research and learning.

Courses Offered at Adichunchanagiri Institute of Medical Sciences

At Adichunchanagiri Institute of Medical Sciences, students can pursue both undergraduate and postgraduate medical programs. The MBBS program is the most sought-after, attracting students from all over India. The curriculum is designed to cover all essential aspects of medical education, from basic sciences to clinical skills. For those looking to specialise, AIMS offers MD and MS programs in various fields such as General Medicine, Pediatrics, Surgery, and more. The specialised training at the institute is supported by experienced faculty who are experts in their respective fields.

Student Life and Learning Environment

Student life at Adichunchanagiri Institute of Medical Sciences is enriched by a dynamic learning environment. The institute fosters a spirit of collaboration and encourages students to engage in both academic and extracurricular activities. The campus is equipped with modern facilities, including hostels, sports complexes, and recreational areas, ensuring that students have a balanced lifestyle. Medical conferences, workshops, and guest lectures are regularly organised to enhance students' learning experiences.

Moreover, Adichunchanagiri Institute of Medical Sciences provides opportunities for students to participate in community service programs. This allows them to gain valuable experience by interacting with patients and understanding the healthcare needs of rural populations. The institute’s association with hospitals ensures that students get clinical exposure early on, which is crucial for their development as future medical professionals.

Admission Process

The admission process for the Adichunchanagiri Institute of Medical Sciences is highly competitive. Students must clear the NEET (National Eligibility cum Entrance Test) to secure a seat in the MBBS program. The selection is based on merit, and the institute follows the guidelines set by the Medical Council of India (MCI). For postgraduate courses like MD and MS, candidates are selected based on their performance in the NEET-PG exam. AIMS also offers scholarships to deserving students based on academic performance, making it an accessible option for students from different backgrounds.

Clinical Training and Internship

One of the significant advantages of studying at Adichunchanagiri Institute of Medical Sciences is the extensive clinical training students receive. The college is affiliated with a teaching hospital that offers a wide range of medical services, giving students hands-on experience in diagnosing and treating patients. During their final year, students undergo a one-year internship program, where they work in different departments, gaining exposure to various medical specialties.

The Adichunchanagiri Institute of Medical Sciences also ensures that students receive training in the latest medical technologies and procedures. This gives them a competitive edge when they enter the medical field, as they are already familiar with the modern equipment and techniques used in healthcare today.

Career Opportunities

Graduating from Adichunchanagiri Institute of Medical Sciences opens up a world of career opportunities. Whether students choose to pursue higher education or begin their careers as medical practitioners, they are well-equipped to excel in their chosen fields. AIMS graduates are known for their professionalism and dedication, and many have gone on to make significant contributions to the medical community.

Conclusion

The Adichunchanagiri Institute of Medical Sciences is an ideal choice for aspiring doctors who want to receive a well-rounded medical education. With its focus on academic excellence, hands-on training, and a supportive learning environment, AIMS prepares students to thrive in the medical profession. Whether you're looking to pursue an undergraduate or postgraduate program, Adichunchanagiri Institute of Medical Sciences offers everything you need to achieve your goals in medicine.

For students seeking a reputable institution that provides a robust education with excellent career prospects, Adichunchanagiri Institute of Medical Sciences is the gateway to a successful medical career.

[yourhealthrescue]

Best Hospitals for Heart Surgery in India | Medaviate Connecting patients globally

When it comes to heart surgery, choosing the right hospital and medical team is crucial. India is home to some of the world’s leading hospitals for cardiac care, known for their state-of-the-art facilities, highly skilled surgeons, and innovative treatment approaches. Navigating this labyrinthine healthcare system and securing appointments at such elite centers can, however, be a formidable task. Here’s where Medaviate steps in — effortlessly bridging the gap between patients and India’s top-tier heart surgery hospitals, ensuring both ease of access and affordability.

Heart Surgery in India: A Medical Powerhouse

India has burgeoned into a beacon of global medical tourism, particularly for highly complex surgeries like cardiac operations. The nation is home to a multitude of hospitals endowed with state-of-the-art technology, staffed by internationally acclaimed cardiac surgeons. These facilities offer a comprehensive spectrum of cardiac surgeries, such as coronary artery bypass grafting (CABG), heart valve repairs and replacements, pediatric cardiac interventions, and heart transplants — all typically available at a fraction of the cost seen in Western nations.

Benefits of Choosing Medaviate

By choosing Medaviate as your healthcare facilitator, you are granted streamlined access to these world-class hospitals, paving the way for a seamless and cost-effective treatment journey. Medaviate is a leading medical facility provider that connects patients with top hospitals in India. Here are some compelling reasons to choose Medaviate for your heart surgery needs:

1. Wide Network of Top Hospitals: Medaviate has partnerships with the best hospitals in India, ensuring access to premier medical care.

2. Personalized Assistance: Medaviate provides end-to-end support, from initial consultation to post-surgery follow-ups, ensuring a smooth and stress-free experience.

3. Affordable Options: Medaviate helps patients find high-quality care at affordable prices, offering significant cost savings without compromising on the quality of treatment.

4. Streamlined Appointment Process: With Medaviate, patients can avoid the usual bureaucratic hurdles and long waiting times, ensuring timely medical attention.

Top Hospitals for Heart Surgery in India

1. Medanta Hospital

Medanta Hospital in India is one of India’s most esteemed medical institutions, renowned for its cardiac care. The hospital’s Heart Institute is equipped with the latest technology and staffed by a team of experienced cardiologists and cardiac surgeons. Medanta offers a wide range of cardiac procedures, Treatment in Medanta Hospital india including minimally invasive surgeries and robotic heart surgeries, ensuring excellent outcomes.

Specialties

Coronary artery bypass grafting (CABG)

Heart valve repair and replacement

Pediatric cardiac surgery

Robotic heart surgery

2. Apollo Hospital

Apollo Hospital in Chennai is a pioneer in heart surgery in India. The hospital is known for its comprehensive cardiac care program, which includes advanced diagnostics, interventional cardiology, and surgical treatments. Apollo has performed numerous successful heart surgeries, including complex procedures like heart transplants.

Specialties

Heart transplants

Minimally invasive cardiac surgery

Aortic aneurysm surgery

Pediatric heart surgery

3. Artemis Hospital

Artemis Hospital in Gurgaon is another top choice for cardiac care. The hospital’s cardiology department is equipped with the latest technology and offers a wide range of heart surgeries. Artemis is known for its patient-centered approach and high standards of medical care.

Specialties

Coronary artery bypass surgery

Valve replacement surgery

Electrophysiology and arrhythmia treatment

Pediatric Cardiology

4. Fortis Hospital

Fortis Hospital is a network of hospitals across India known for its excellence in cardiac care. The hospital’s heart care centers are equipped with modern technology and staffed by some of the best cardiologists and cardiac surgeons in the country. Best Hospitals for Heart Surgery In India Fortis offers a comprehensive range of cardiac treatments, including preventive cardiology, interventional cardiology, and cardiac surgery.

Specialties :

Coronary artery bypass grafting (CABG)

Heart valve repair/replacement

Pediatric heart surgery

Electrophysiology

5. Max Superspeciality Hospital

Max Superspeciality Hospital in Delhi is renowned for its cardiac care services. The hospital offers a wide range of cardiac procedures and has a team of highly experienced cardiac surgeons Max Hospital is known for its patient-focused approach and comprehensive care.

Specialties

Heart valve surgery

Coronary artery bypass surgery

Congenital heart disease surgery

Cardiac rehabilitation

Conclusion

For patients seeking heart surgery in India, Medaviate offers a reliable and efficient way to access the best hospitals and medical professionals.

Medaviate ensures that patients receive world-class care at affordable prices. With personalized assistance, a streamlined appointment process, and a focus on patient satisfaction, Medaviate is your trusted partner in navigating the complexities of cardiac care. Trust Medaviate to connect you to the best heart surgery options in India, ensuring your health is in the hands of the finest medical experts.

For any updates or Appointments:-

Call us on — +91 97110 81535

Email us at — contact@medaviate.com