Discover and read the best of Twitter Threads about #nurse

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#nurse #vaccine #mandate #VaccineSideEffects #vaccineinjuries #VaccineDeath #pfizerdatadump #Pfizer

So what I was told by an MD at Kaiser in CO is that the MDs state wide are under orders not to give medical exemptions for the vaccine.
So what that means is HCWs even those who had terrible vaccine reactions are being told take the booster or lose your job.
It will not stop at one booster and it is creating issues for the already severe nursing staff shortage.
Read 5 tweets
I am a little late to the party, but after the first two vaxs didn't work and made me super sick, I am pissed af that as a #nurse I am being mandated to take a #booster on threat of firing. Despite having had covid twice and been a loyal warrior working covid units for 2 yrs.
It shouldn't be legal us to force us to take this very controversial shot or loose our jobs. Even if one believes it works and has low side effects, it is hard to deny that most who take it report being super sick after it and that many don't believe it works.
My does allow nurses to give the booster, but I never would even touch that vax. It was one thing to take the risk myself, but I am glad that I never had anything to do with pushing or giving that vax. I would feel like there was a great sin on my soul if I had.
Read 6 tweets
1) Welcome to a #tweetorial on what every #ICU #nurse should know about #hypertensive crisis, or #hypertensive #emergency as it is now more properly termed. I’m Bryan Boling @bryanboling, ICU #NP, & co-host of the @icuscenarios podcast. Follow this 🧵for 🆓CE/#CME credit!
2) This accredited educational activity is intended for healthcare providers & is supported by grants from AstraZeneca, Bayer, & Chiesi. Faculty disclosures Like ❤️this topic? More CE/#CME on #hypertension mgt at….
3) So let's start with a case: 65yo ♂️, presents to the #ED with #headache, lethargy & confusion. PMH: #HTN, #hyperlipidemia, #DM2, COPD. Initial VS: HR 85, BP 205/120, T 37.2 RR 12, SpO2 92% on RA. Family reports that he has been more lethargic over the past 2 days.
Read 37 tweets
1) Welcome to a new #accredited #tweetorial on parenteral #antiplatelet therapy in #neurovascular interventions. Our expert author is Fawaz Al-Mufti MD @almuftifawaz, interventional #neurologist Interventional Neurologist @NYMedcollege @WestchesterMed @neurocritical @svinsociety
2) This program is intended for #healthcare providers & is accredited for 0.5h CE/#CME for #physicians #PhysicianAssociate #nursepractitioner #nurse #pharmacists and is supported by educational grants from AstraZeneca, Bayer, and Chiesi.
3) Be sure to see prior tweetorials on #antiplatelet management, still available for credit, at…. Faculty disclosures are listed at
Read 41 tweets
Join us tomorrow for the launch of a new accredited tweetorial – a case-based program on the assessment and management of patients with IgA #nephropathy (#IgAN). Free CE/#CME for #physicians, #nurses, #pharmacists! Expert author none other than @IgAN_JBarratt. FOLLOW US . . .
. . . and tell your colleagues to join you here on @ckd_ce, your ONLY source for accredited #tweetorials in the #CKD space! #nephtwitter #nephjc @nephondemand @Nephro_Sparks @edgarvlermamd @ChristosArgyrop @goKDIGO @nicklimd @CKJsocial @ERAkidney @kidney_boy @kidneypathology
1) Welcome to our accredited #tweetorial on optimal contemporary mgt of #IgAN. Earn 0.5h CME/CE credit #physicians #nurses #nursepractitioners #physicianassistants by following this thread. I am @IgAN_JBarratt. @MedTweetorials #nephtwitter #nephjc #FOAMed #MedEd Image
Read 56 tweets
In case anyone is wondering how we NHS Nurses are doing out here- read this.
Because you need a subscription to read the full article I’ve added screenshots tothisThread

Nurses with long-COVID: NHS urges trusts to redeploy,not dismiss.…
Read 4 tweets
1/🧵 #WISDOM of Wine, Coffee & Chocolate. 🍷 🍫 ☕️
Millions love morning coffee or curling up w DARK chocolate & wine
What’s the #SCIENCE?

All 3 in moderation are safe…
This thread will focus on WINE! Let’s explore actual SCIENCE…
2/ This infographic shows the putative benefits – weight & BP control, diabetes & stroke prevention. But what do actual data say about this?
3/ Wine has antioxidants and flavonoids that might reduce cardiac disease.
Resveratrol from grapes inhibits initiation, promotion, and progression of cancer.
Read 14 tweets
Everyone has a slightly different attitude to books.
Some give them the white glove treatment.
Others break the spine.
Or use book marks.
Write in the margins.
Or have 'post it notes'.
I am a corner turner. Top of the page for something to read again. Bottom for an 'extra'
important passage.

The amount of angles in this one is a reflection of how important a read it is.

As someone who had a loved one who also had a fondness for hats, and in later years kaftans, it was an opportunity to learn about a fellow wonderful, colourful man who was loved
So very much.

As the 'predominant' person involved in his care I shared some of the frustrations particularly around information sharing. I was 'lucky' though. When well and unwell John was able to voice that he wanted me involved. I know that was often
Read 10 tweets
1/🧵ICU Burn-Out Prevention in #COVID: a few thoughts
Early on as an ICU Doc, I carried a lot of shame because I realized that even though I sufficed as a technician and possessed the right knowledge, I was NOT doing a good job as a “person” with “people.”
#burnout #nurse Image
2/ Which is to say, I was only “good” doctor on paper. NOT in real life.

I kept myself at too much of a distance, and I thought my job was to do procedures well and provide the right medicines.

Now I know that was not enough, not by a LONG SHOT.
3/ 📚 I wrote: “That shot of adrenaline from saving a life dissipated once the ventilator was in place…as if we handed over care of our patients to machines while we went off & intubated, sedated & paralyzed the next person...

P.58 #EveryDeepDrawnBreath Image
Read 5 tweets
1/🧵 How do #COVID patients suffer after the ICU?
This new @JAMA_current study of 246 Dutch pts shows that 3 out of 4 people had physical problems 1 YEAR LATER plus 1 in 4 have #brainfog, depression & anxiety.
What do we call this?

2/ The paper is also discussed in @Medscape👇: “Our study shows what an impact ICU admission has on former #COVID19 pts. Even after 1 year, half are tired or experience lack of the energy to fully resume their work," says author Marieke Zegers, PhD
3/ I searched this paper for well-known terms like post-intensive care syndrome #PICS, #LongCOVID & even “post-acute sequelae of COVID”#PASC
NADA. Zip. Zilch.

Why weren’t these names mentioned? At the very least, these pts’ disabilities are DEFINITELY PICS & underestimated btw
Read 9 tweets
Stolen from a well educated friend: #nurse #teacher

"Among all the vaccines I have known in my life (diphtheria, tetanus,measles, rubella, chickenpox,hepatitis, meningitis and tuberculosis), I want to also add flu and pneumonia.
I have never seen a vaccine that forced me to wear a mask and maintain my social distance, even when you are fully vaccinated. I had never heard of a vaccine that spreads the virus even after vaccination. I had
never heard of rewards, discounts, incentives to get vaccinated.
I never saw discrimination for those who didn't. If you haven't been vaccinated no one has tried to make you feel like a bad person. I have never seen a vaccine that threatens the relationship between family, colleagues and friends.
Read 8 tweets
2 days, 2 colouring ins.

I've started adding gems just so the novelty doesn't wear off.

The anchor one has most meaning.
First because I ordered myself one as a bracelet with the word 'hope' a few days before my hospital admission. I haven't worn it yet. ImageImageImage
Second, because I have been trying to think of a way that I can visualise 'protective factors'. The best I have thought of so far, is as anchors; things that help hold me down and help give me stabiliy through the storm.

Work/my identity as a #nurse is one of my biggest anchors
and I no longer feel the need to justify or explain that (and believe me I have been challenged to numerous times over the last few months).

So anyway. This leads to another subject. I WENT BACK TO WORK TODAY 🥳. Well it was more of a showing my face and that I am alive, but
Read 4 tweets
This 👇👇👇 (h/t @joemd)

Also, at midcareer female success is threatening to men our age AND to younger men who rely on patriarchal patronage systems. Women, overpoliced by the system, then, yes, are tougher bosses AND we *do* tend to adhere more closely to ethics.

I do do all:
On #MedTwitter there is a pattern of “callouts”, yes vs all genders & ages, but also pattern of misogyny and misogynoir. It happens towards nurses & doctors alike. One of the reasons I connected with @ShrimpBrokkoli is because I saw a yt male resident ridiculing her online.
I saw that behavior being taught by NON-clinical faculty & that REALLY crossed a line.
If you are a woman + nurse + frontline + Black/WOC, you already live with so much violence towards you. Added online made up drama from a trainee vs nurse?
No, no, & no.…
Read 16 tweets
How enduring use of 150-year-old speculum puts women off smear tests #cervicalcheck #pain…
I was invited by @NHSEngland for routine #cervicalscreening and despite the efforts of my practice #nurse, even the smallest available #speculum caused me greatest amount of #pain and we had to stop the #procedure within a minute after insertion.
I have been in pain for 9hrs now. 😑 No test designed for #screening #population should be thus. It is hardly conducive for #uptake. Why has #gynaecology stuck with this 'instrument of torture', despite advances in #medicalinstrumentation? Could it be #apathy? @MamaDoctorJones
Read 5 tweets
Criticism of the ☣️#CDCGuidelines ☣️
A #nurse isn't impressed with the #CDCGuidelines either.
*physicians assistant... But there is no good hashtag for that
Read 5 tweets
“Given #Omicron's lower severity, the negative cost of lockdowns and school closures—including financial turmoil, isolation, and lost learning time—far outweigh the benefits.” write @AliHMokdad and @kleachkemon in @ThinkGlobalHlth👇…
Estimates suggest that #Omicron is just 3% as deadly as #Delta and 1/10 as likely to cause hospitalization while simultaneously spreading at “stunning” speeds and will likely infect as many people in the next 2 months as SARS-CoV-2 has infected people in the past 2 years
📍The good news is that in most countries, the death toll will be nowhere near as extreme as it was last winter.
Read 11 tweets
1| "Physician #burnout is real. The rate of suicide is really high. On top of that, with all the stressors of #Covid, we're hurting & we're afraid to show that we're hurting for fear of repercussions, for fear of being termed weak."

Watch the full video:
2| "It's the mentality of the patient comes first, which is great. But where do the providers come? And maybe that's a paradigm that needs to shift. We need to take care of ourselves. We need to take care of each other so that we can then take care of our patients."
Read 3 tweets
1/🧵#Covid19 is a disease of blood vessels that can affect your lungs, heart, brain, or any organ. Blood clotting sucks life from vital organs. This pt asked to have her story shared so that others may learn & seek #Vaccination. COVID caused blockage of blood to her arms & legs.
2/ During her acute illness, you can see that she had wounds that resembled BURN injury. It took #nurses many hours each day to change her wounds. I am being especially careful here only to show you images that are bandaged to avoid traumatizing anyone.
3/ (trigger warning on image)
As the illness progressed, it became clear that she was going to live, and we were all thrilled. Still, it was sad to think that this young woman would lose her hands and feet as they continued to dry up, lifeless and still.
Read 13 tweets
1/🧵 You are a BAD #GOLFER & have a big day with buddies & are in the tall grass a LOT. Later, you take off a #tick👇and in 7 days develop a fever & headache. You have no rash. The emergency room gives you acetaminophen. Is that OK?
#medtwitter #Nurse
2/ Tick bites are a big deal in Summer months. Rocky Mountain Spotted Fever is a concern, and the absence of rash also brings up #Ehrlichiosis. This @NEJM paper showed that worse golfers retrieved balls from the rough & got the dz more often!
3/ Of those with #Ehrlichiosis, 20% get bad nervous system dz & 20% of those die. If you live in Southern US and find a Lone Star tick (pic above), and then develop fever & headache, get evaluated and probably start the antibiotic doxycycline quickly!
Read 5 tweets
1/🧵 Addiction is a family disease:

Drinking three 8-packs of Budweiser Nitro Gold daily for 10 yrs takes its toll on the entire family. I told my patient, “All you have to do is the next right thing.” Then…

#MedTwitter #Nurse
2/ His family was very upset when his “next right thing” was to check out against medical advice. I shared a quote from @MalibuMelB (M. Beattie): “Others don’t know what’s best for us. We do not know what’s best for others. Our main job is to determine what’s best for ourselves.”
3/ Terminology: Addiction vs. Substance-Use Disorder…there are many things people can be addicted to besides “substances.” Addictions to things like exercise, love, money, control of others, etc. For this🧵, I am referring to addiction broadly…and how it robs people of joy.
Read 7 tweets
1/ 🧵🎥 Chronic Pain

#Pain comes in all shapes & sizes. Let’s explore how we process pain. Watch & Listen to what Anderson Cooper tells Stephen Colbert about #grief and #suffering: “You can’t have happiness without having loss and suffering.”
2/ My lucid & kind patient (pic w written perm) uses scalding water as a coping mechanism for abdominal pain from pancreatitis. He wants to share his rationale.

#MedTwitter #ChronicPain #nurse
3/ Before I share what he told me, I first want to make my mindset as his #physician clear: My first job is to believe in him. Then to understand him. Then to devise a plan to help him.
Read 13 tweets
1/ 🎥🧵 How do we test someone for #delirium in #COVID19 or any ICU? When someone won’t engage it can be a huge red-flag for “quiet” delirium, which predicts 3X ⬆️ #DEATH by 6 mo & acquired #dementia. Watch this movie of me testing pt #1 for delirium.

#MedTwitter #NurseTwitter
2/ What does this mean? He starts out OK but then can’t follow my command to squeeze only on the letter A. Instead, he squeezes when I say the word “squeeze” & doesn’t relax his grip or vary it on different letters. This is inattention & a cardinal feature of #Delirium.
3/ 🎥 Contrast Pt 1 with this Pt 2 video of me doing the same test. This person had delirium on earlier days & is now improving. He gets 8/10 correct responses, which means he’s attentive and not delirious any more. This day he walked & talked for the 1st time!

#Recovery #nurse
Read 7 tweets

Women are sharing ghastly experiences of outpatient #hysteroscopy - invasive surgery with zero anaesthetic - the NHS UK standard practice

This barbaric, inhumane, misogynistic assault against women's rights must end

'My scream sounded unearthly to me, like an animal in terrible pain. Part of my inside was being cut without any anaesthetic. I am 73 years old'
#Hysteroscopy without #anaesthetic
'excruciatingly painful and the gas and air did not really do anything to alleviate the pain'
Read 13 tweets
Things that contributed to my burnout and poor mental well-being as a registered nurse during the pandemic.

🔹Anxiety about me, my own loved ones’ dying

🔹The impact of the heroes narrative

🔹Inadequate/out of date PPE

#Nurse #NHS
🔹Increased workload

🔹Intensity of working in C19 environment

🔹Guilt about not being able to provide high-quality care

🔹Emotional strain from seeing large numbers of patients dying

🔹 Non compliancy of safety measures from other members of the public

#Nurse #NHS
I could extend the list much further.
There’s many factors that have contributed and affected my mental health during the pandemic. #Nurse #NHS
Read 3 tweets

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